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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in CA

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Hospitals
33
Min
$49.20
Median
$211.75
Max
$599.42
Range multiplier
12.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare26179$49.20$301.71$2,196.0044.6×
Multiplan2382$98.00$286.07$2,152.0822.0×
Medicaid2279$19.16$76.75$1,856.0096.9×
Kaiser Permanente2275$28.75$194.23$15,436536.9×
First Health1762$98.00$278.30$2,152.0822.0×
Cigna1360$79.20$210.40$1,739.2422.0×
Blue Cross Blue Shield1459$19.16$197.75$1,649.2086.1×
commercial | healthsmart | all plans1247$92.71$291.90$1,666.8818.0×
Health Net1242$1.15$210.34$2,112.561837.0×
Anthem BCBS2235$28.75$66.56$3,035.00105.6×
Aetna1033$1.00$147.20$1,594.301594.3×
commercial | sutter health | all plans520$249.60$714.80$1,484.805.9×
Humana818$28.75$217.49$1,644.4257.2×
commercial | connected care intel | all plans513$175.38$731.03$7,969.0045.4×
commercial | wcmg | all plans312$53.04$151.90$315.525.9×
Molina69$1.00$49.20$262.50262.5×
commercial | magellan | all plans38$79.80$146.40$413.405.2×
Medicare67$28.75$85.21$145.005.0×
commercial | us behavioral health| all plans15$154.00$234.00$689.004.5×
managed health network34$52.50$151.50$280.005.3×
traditional medi-cal44$49.20$49.20$49.201.0×
commercial | usbehavior health | all plans14$312.00$893.50$1,856.005.9×
private healthcare systems (phcs) [14200]13$194.23$194.23$194.231.0×
san diego pace13$103.95$176.64$229.252.2×
shca comm intel [20300000]13$225.33$225.33$225.331.0×
umr [17000]13$290.17$290.17$290.171.0×
california health and wellness13$112.24$223.30$241.502.2×
health plan of san mateo [31200]13$120.05$120.05$120.051.0×
indian health council23$213.50$229.25$22,634106.0×
blue card (out of state) [40000]13$225.33$225.33$225.331.0×
beech st [10600]13$194.23$194.23$194.231.0×
american specialty health plan alt payer [971000000]13$345.72$345.72$345.721.0×
claritev [13400]13$194.23$194.23$194.231.0×
commercial | us behavior health | all plans13$329.00$365.00$389.001.2×
the health plan12$35.00$35.00$35.001.0×
umr12$58.46$60.04$61.621.1×
aids healthcare foundation22$49.20$49.20$49.201.0×
commercial | sea view | all plans22$67.95$67.95$67.951.0×
caloptima22$49.20$49.20$49.201.0×
l.a care health plan22$49.20$49.20$49.201.0×
the health plan hmo12$62.16$63.84$65.521.1×
brand new day22$261.85$341.45$421.051.6×
medi-cal22$147.00$213.50$280.001.9×
interplan22$1.15$142.26$283.36246.4×
kindred hospital la11$49.20$49.20$49.201.0×
commercial | healthcare partners | all plans11$28.19$28.19$28.191.0×
commercial | us behavioral health | all plans11$133.00$133.00$133.001.0×
county medical services11$269.50$269.50$269.501.0×
county of orange (msn)11$49.20$49.20$49.201.0×
commercial | hpn | all plans11$188.00$188.00$188.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northridge Medical Center - RoscoeNorthridgeCA7$389.00$272.30$28.19$98.02$389.00
St. Marys Medical CenterSan FranciscoCA9$133.00$93.10$49.20$83.60$133.00
San Antonio Regional HospitalUplandCA5$151.00$90.60$35.00$60.04$68.64
St. Johns Pleasant Valley HospitalCamarilloCA8$1,347.00$942.90$49.20$599.42$1,347.00
Dominican HospitalSanta CruzCA6$1,845.00$1,291.50$49.20$546.76$1,845.00
Garden Grove Hospital Medical CenterGarden GroveCA6$421.05$49.20$50.92$421.05
Huntington Beach HospitalHuntington BeachCA7$261.85$49.20$49.20$261.85
Sherman Oaks Hospital-HlthSherman OaksCA7$811.00$49.20$49.20$53.67
Centinela Hospital Medical CenterInglewoodCA10$462.40$49.20$49.20$54.12
St. Bernardine Medical CenterSan BernardinoCA13$589.00$412.30$49.20$437.69$3,035.00
Sequoia HospitalRedwood CityCA8$1,708.00$1,195.60$49.20$376.76$1,708.00
Methodist Hospital Of SacramentoSacramentoCA10$1,856.00$1,299.20$49.20$314.00$1,856.00
Mercy San Juan Medical CenterCarmichaelCA10$1,856.00$1,299.20$49.20$312.28$7,969.00
Mercy General HospitalSacramentoCA9$1,856.00$1,299.20$49.20$312.00$1,856.00
Woodland HealthcareWoodlandCA12$1,856.00$1,299.20$49.20$312.00$1,856.00
St Elizabeth Community HosptialRed BluffCA10$2,196.00$1,537.20$60.20$311.12$2,196.00
Mercy Hospital Of FolsomFolsomCA11$1,856.00$1,299.20$49.20$305.58$7,969.00
Sierra Nevada Memorial HospitalGrass ValleyCA7$600.00$420.00$49.20$256.10$591.00
Marian Medical CenterSanta MariaCA6$318.00$222.60$49.20$248.47$318.00
Grossmont HospitalLa MesaCA8$368.00$276.00$1.00$230.00$294.40
Stanford Health CareStanfordCA14$664.00$332.00$120.05$217.84$345.72
Sharp Chula Vista Medical CenterChula VistaCA15$368.00$276.00$1.00$213.50$22,634
Sharp Memorial HospitalSan DiegoCA10$368.00$276.00$1.15$211.75$283.36
Saint Francis Memorial HospitalSan FranciscoCA8$689.00$482.30$49.20$205.33$689.00
Bakersfield Memorial HospitalBakersfieldCA7$394.00$275.80$49.20$194.75$394.00
Mercy Medical Center MercedMercedCA7$448.00$313.60$49.20$166.86$448.00
Community Hospital Of San BernardinoSan BernardinoCA7$474.00$331.80$49.20$154.94$467.37
Glendale Memorial Hospital & Hlth CtGlendaleCA2$349.00$244.30$103.00$145.60$279.20
St. Mary Medical CenterApple ValleyCA7$348.00$243.60$19.16$135.36$322.25
Mercy Medical Center Mt. ShastaMt. ShastaCA12$578.00$404.60$59.53$130.83$578.00
St. Johns Regional Medical CenterOxnardCA7$228.00$159.60$50.22$124.62$228.00
Mark Twain Medical CenterSan AndreasCA12$169.00$118.30$28.75$100.88$165.62
Tri-City Medical CenterOceansideCA0$249.00$149.40

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.