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CPT 99203 · negotiated-rate distribution across hospitals in CA

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Hospitals
37
Min
$1.11
Median
$262
Max
$1,369.87
Range multiplier
1234.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare29148$1.1$335.77$3,3053004.5×
Medicaid2374$1.11$111.89$397357.7×
Blue Cross Blue Shield1473$29.77$288.9$2,482.0683.4×
Kaiser Permanente2468$1.11$252$3,3052977.5×
Multiplan2661$120.8$329.56$3,238.926.8×
Aetna1153$1$262.35$2,399.432399.4×
First Health2046$157.5$299.6$3,238.920.6×
Health Net1345$1.15$269.4$3,179.412764.7×
Cigna1442$132.2$203$2,617.5619.8×
commercial | healthsmart | all plans1333$101.07$321.57$1,84418.2×
Anthem BCBS2331$1.11$100.88$417.96376.5×
Molina1017$27.82$87.96$39514.2×
Medicare912$45.54$132.55$666.414.6×
commercial | sutter health | all plans510$286.4$302$317.61.1×
Humana78$45.54$203$287.316.3×
commercial | connected care intel | all plans37$196.46$223.16$1,029.775.2×
maximum negotiated charge36$419.44$725$932.962.2×
choice care network36$342.4$342.4$761.62.2×
azga services canada36$291.04$291.04$647.362.2×
commercial | wcmg | all plans36$60.86$64.18$67.491.1×
commercial | magellan | all plans26$87$151.5$559.86.4×
axa assistance36$299.6$299.6$666.42.2×
interplan36$350.96$350.96$780.642.2×
medi-cal45$87.96$87.96$329.73.7×
traditional medi-cal55$82.05$82.05$82.051.0×
commercial | us behavioral health| all plans15$190$258$9334.9×
private healthcare systems (phcs) [14200]14$201.4$295.78$295.781.5×
claritev [13400]14$201.4$295.78$295.781.5×
san diego pace24$269.4$329.85$15,43657.3×
california health and wellness44$132.82$132.82$359.22.7×
community health group34$1.3$242.57$359.2276.3×
beech st [10600]14$201.4$295.78$295.781.5×
health plan of san mateo [31200]14$160.16$200.2$200.21.3×
aids healthcare foundation33$82.05$82.05$82.051.0×
community health group medi-cal33$59.92$59.92$133.282.2×
county of san diego33$87.96$87.96$87.961.0×
blue card (out of state) [40000]13$330.34$330.34$330.341.0×
american specialty health plan alt payer [971000000]13$492.52$492.52$492.521.0×
minimum negotiated charge33$170.64$170.64$323.681.9×
shca comm intel [20300000]13$330.34$330.34$330.341.0×
umr [17000]13$407.31$407.31$407.311.0×
indian health council22$235.5$250.81$266.111.1×
commercial | usbehavior health | all plans12$358$377.5$3971.1×
allianz global assistance22$266.11$297.91$329.71.2×
commercial | sea view | all plans22$102.41$102.41$102.411.0×
commercial | mhs hspcc | all plans12$99.63$103.82$1081.1×
caloptima22$82.05$82.05$82.051.0×
the health plan12$61.76$61.76$61.761.0×
the health plan hmo12$89.88$170.1$250.322.8×
epic americas12$329.7$344.45$359.21.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SAN ANTONIO REGIONAL HOSPITALUPLANDCA5$298$178.8$61.76$87.21$262.24
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA6$495$82.05$82.05$495
SHERMAN OAKS HOSPITAL-HLTHSHERMAN OAKSCA7$973$82.05$82.05$87.79
CENTINELA HOSPITAL MEDICAL CENTERINGLEWOODCA10$782.25$82.05$82.05$90.26
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA5$558.8$82.05$82.05$558.8
ENCINO HOSPITALENCINOCA7$341.07$82.05$82.05$87.79
ST. JOHNS PLEASANT VALLEY HOSPITALCAMARILLOCA8$1,548$1,083.6$82.05$688.86$1,548
GROSSMONT HOSPITALLA MESACA22$952$353.25$61.88$537.88$932.96
SEQUOIA HOSPITALREDWOOD CITYCA8$2,406$1,684.2$82.05$461.27$2,406
ST ELIZABETH COMMUNITY HOSPTIALRED BLUFFCA10$3,305$2,313.5$114.05$405.72$3,305
ARROYO GRANDE COMMUNITY HOSPITALARROYO GRANDECA7$400$280$82.05$326.4$400
STANFORD HEALTH CARESTANFORDCA14$815$407.5$160.16$321.66$492.52
WOODLAND HEALTHCAREWOODLANDCA12$397$277.9$60.86$319.56$397
SIERRA NEVADA MEMORIAL HOSPITALGRASS VALLEYCA7$397$277.9$82.05$305.69$391.05
MARIAN MEDICAL CENTERSANTA MARIACA6$400$280$82.05$304.8$400
SHARP MEMORIAL HOSPITALSAN DIEGOCA26$471$353.25$1.15$292.11$725
SHARP MESA VISTA HOSPITALSAN DIEGOCA20$428$27.82$288.9$725
MERCY GENERAL HOSPITALSACRAMENTOCA9$397$277.9$82.05$284.26$397
MERCY HOSPITAL OF FOLSOMFOLSOMCA10$397$277.9$60.86$278.01$397
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA10$397$277.9$82.05$277.45$397
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA16$471$353.25$1$273.89$15,436
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA9$397$277.9$60.86$268.5$397
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA5$395$395$131$262$395
ST. BERNARDINE MEDICAL CENTERSAN BERNARDINOCA8$768$537.6$82.05$238.08$768
SAINT FRANCIS MEMORIAL HOSPITALSAN FRANCISCOCA8$933$653.1$82.05$237$933
BAKERSFIELD MEMORIAL HOSPITALBAKERSFIELDCA7$325$227.5$82.05$215.84$325
GLENDALE MEMORIAL HOSPITAL & HLTH CTGLENDALECA2$305$213.5$103$193.6$244
MERCY MEDICAL CENTER MERCEDMERCEDCA7$301$210.7$82.05$189.1$281.44
MERCY MEDICAL CENTER MT. SHASTAMT. SHASTACA12$199$139.3$99.28$180.02$199
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$242$169.4$45.54$149.13$237.16
ST. JOHNS REGIONAL MEDICAL CENTEROXNARDCA7$248$173.6$66.96$143.75$248
DOMINICAN HOSPITALSANTA CRUZCA6$2,305$1,613.5$82.05$1,369.87$2,305
ST. MARY MEDICAL CENTERAPPLE VALLEYCA6$273$191.1$67.46$125.54$243.82
NORTHRIDGE MEDICAL CENTER - ROSCOENORTHRIDGECA7$499$349.3$36.03$117.27$499
ST. MARYS MEDICAL CENTERSAN FRANCISCOCA9$145$101.5$82.05$110.6$145
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINOCA4$1.11$1.1$1.11$117.99
TRI-CITY MEDICAL CENTEROCEANSIDECA0$345$207

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.