▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in CA
Hospitals
34
Min
$98.83
Median
$346.40
Max
$1,732.75
Range multiplier
17.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 26 | 159 | $98.83 | $500.00 | $5,750.00 | 58.2× |
| Medicaid | 22 | 77 | $97.84 | $143.00 | $3,410.00 | 34.9× |
| Multiplan | 24 | 70 | $109.65 | $445.87 | $4,726.50 | 43.1× |
| Kaiser Permanente | 22 | 65 | $55.66 | $341.00 | $4,427.50 | 79.5× |
| Blue Cross Blue Shield | 12 | 52 | $1.00 | $428.00 | $2,970.21 | 2970.2× |
| First Health | 17 | 49 | $109.65 | $408.10 | $3,875.90 | 35.3× |
| Cigna | 12 | 44 | $148.73 | $301.58 | $3,132.36 | 21.1× |
| commercial | healthsmart | all plans | 12 | 40 | $103.20 | $422.73 | $3,921.50 | 38.0× |
| Aetna | 10 | 37 | $1.15 | $347.03 | $2,871.33 | 2496.8× |
| Health Net | 11 | 32 | $1.15 | $360.88 | $3,804.71 | 3308.4× |
| Anthem BCBS | 22 | 31 | $55.66 | $133.42 | $658.53 | 11.8× |
| commercial | sutter health | all plans | 5 | 15 | $320.00 | $346.40 | $2,728.00 | 8.5× |
| Humana | 8 | 14 | $55.66 | $313.60 | $3,021.26 | 54.3× |
| Molina | 8 | 13 | $1.00 | $177.80 | $604.00 | 604.0× |
| commercial | connected care intel | all plans | 5 | 13 | $203.00 | $1,484.74 | $7,969.00 | 39.3× |
| commercial | wcmg | all plans | 3 | 9 | $68.00 | $73.61 | $579.70 | 8.5× |
| Medicare | 6 | 7 | $55.66 | $157.00 | $387.35 | 7.0× |
| commercial | magellan | all plans | 3 | 7 | $94.20 | $344.40 | $1,495.20 | 15.9× |
| health plan of san mateo [31200] | 1 | 5 | $192.92 | $241.15 | $241.15 | 1.3× |
| beech st [10600] | 1 | 5 | $329.62 | $438.35 | $438.35 | 1.3× |
| commercial | us behavioral health| all plans | 1 | 5 | $237.00 | $574.00 | $1,206.00 | 5.1× |
| community health group | 3 | 5 | $242.40 | $387.35 | $406.02 | 1.7× |
| claritev [13400] | 1 | 5 | $329.62 | $438.35 | $438.35 | 1.3× |
| private healthcare systems (phcs) [14200] | 1 | 5 | $329.62 | $438.35 | $438.35 | 1.3× |
| commercial | us behavior health | all plans | 1 | 4 | $492.00 | $566.00 | $2,859.00 | 5.8× |
| traditional medi-cal | 4 | 4 | $98.83 | $98.83 | $98.83 | 1.0× |
| umr [17000] | 1 | 3 | $611.88 | $611.88 | $611.88 | 1.0× |
| blue card (out of state) [40000] | 1 | 3 | $491.94 | $491.94 | $491.94 | 1.0× |
| american specialty health plan alt payer [971000000] | 1 | 3 | $705.08 | $705.08 | $705.08 | 1.0× |
| commercial | usbehavior health | all plans | 1 | 3 | $400.00 | $433.00 | $3,410.00 | 8.5× |
| shca comm intel [20300000] | 1 | 3 | $491.94 | $491.94 | $491.94 | 1.0× |
| aids healthcare foundation | 2 | 2 | $98.83 | $98.83 | $98.83 | 1.0× |
| commercial | sea view | all plans | 2 | 2 | $173.24 | $173.24 | $173.24 | 1.0× |
| caloptima | 2 | 2 | $98.83 | $98.83 | $98.83 | 1.0× |
| county medical services | 2 | 2 | $508.00 | $539.75 | $571.50 | 1.1× |
| brand new day | 2 | 2 | $720.05 | $764.76 | $809.46 | 1.1× |
| heritage provider network | 1 | 2 | $424.00 | $514.00 | $604.00 | 1.4× |
| interplan | 2 | 2 | $304.80 | $374.65 | $444.50 | 1.5× |
| l.a care health plan | 2 | 2 | $98.83 | $98.83 | $98.83 | 1.0× |
| altamed | 1 | 2 | $424.00 | $514.00 | $604.00 | 1.4× |
| san diego pace | 2 | 2 | $304.80 | $353.41 | $402.02 | 1.3× |
| the health plan | 1 | 2 | $100.62 | $100.62 | $100.62 | 1.0× |
| indian health council | 1 | 1 | $488.95 | $488.95 | $488.95 | 1.0× |
| umr | 1 | 1 | $143.78 | $143.78 | $143.78 | 1.0× |
| optum health | 1 | 1 | $206.04 | $206.04 | $206.04 | 1.0× |
| optum health plan of california | 1 | 1 | $98.83 | $98.83 | $98.83 | 1.0× |
| california health and wellness | 1 | 1 | $188.59 | $188.59 | $188.59 | 1.0× |
| commercial | us behavioral health | all plans | 1 | 1 | $157.00 | $157.00 | $157.00 | 1.0× |
| epic americas | 1 | 1 | $1.15 | $1.15 | $1.15 | 1.0× |
| commercial | healthcare partners | all plans | 1 | 1 | $40.79 | $40.79 | $40.79 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Huntington Beach Hospital | Huntington Beach | CA | 6 | $809.46 | — | $98.83 | $98.83 | $809.46 |
| Garden Grove Hospital Medical Center | Garden Grove | CA | 5 | $720.05 | — | $98.83 | $98.83 | $720.05 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | CA | 7 | $1,191.00 | — | $98.83 | $98.83 | $105.75 |
| Centinela Hospital Medical Center | Inglewood | CA | 10 | $1,274.50 | — | $98.83 | $98.83 | $108.71 |
| Sequoia Hospital | Redwood City | CA | 8 | $5,750.00 | $4,025.00 | $98.83 | $863.54 | $5,750.00 |
| St. Johns Pleasant Valley Hospital | Camarillo | CA | 8 | $1,843.00 | $1,290.10 | $98.83 | $820.14 | $1,843.00 |
| St. Bernardine Medical Center | San Bernardino | CA | 8 | $2,779.00 | $1,945.30 | $98.83 | $776.80 | $2,779.00 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 10 | $3,955.00 | $2,768.50 | $137.37 | $588.00 | $3,955.00 |
| Stanford Health Care | Stanford | CA | 14 | $935.00 | $467.50 | $192.92 | $438.35 | $705.08 |
| Pacifica Hospital Of The Valley | Sun Valley | CA | 5 | $604.00 | $604.00 | $212.00 | $424.00 | $604.00 |
| Northridge Medical Center - Roscoe | Northridge | CA | 7 | $2,859.00 | $2,001.30 | $40.79 | $416.80 | $2,859.00 |
| Grossmont Hospital | La Mesa | CA | 8 | $635.00 | $476.25 | $177.80 | $416.56 | $496.92 |
| Sharp Memorial Hospital | San Diego | CA | 12 | $635.00 | $476.25 | $1.00 | $406.02 | $520.70 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | 17 | $635.00 | $476.25 | $1.00 | $403.23 | $593.88 |
| Sierra Nevada Memorial Hospital | Grass Valley | CA | 7 | $3,410.00 | $2,387.00 | $98.83 | $391.05 | $3,358.85 |
| Woodland Healthcare | Woodland | CA | 12 | $3,410.00 | $2,387.00 | $68.00 | $389.29 | $3,410.00 |
| Saint Francis Memorial Hospital | San Francisco | CA | 8 | $1,206.00 | $844.20 | $98.83 | $373.00 | $1,206.00 |
| Mercy San Juan Medical Center | Carmichael | CA | 10 | $3,410.00 | $2,387.00 | $68.00 | $358.10 | $7,969.00 |
| Mercy Hospital Of Folsom | Folsom | CA | 11 | $3,410.00 | $2,387.00 | $68.00 | $349.87 | $7,969.00 |
| Methodist Hospital Of Sacramento | Sacramento | CA | 10 | $3,410.00 | $2,387.00 | $98.83 | $346.40 | $3,410.00 |
| Mercy General Hospital | Sacramento | CA | 9 | $3,410.00 | $2,387.00 | $98.83 | $337.82 | $3,410.00 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | CA | 12 | $2,642.00 | $1,849.40 | $119.58 | $305.00 | $2,642.00 |
| Bakersfield Memorial Hospital | Bakersfield | CA | 7 | $583.00 | $408.10 | $98.83 | $253.00 | $583.00 |
| St. Mary Medical Center | Apple Valley | CA | 6 | $1,845.00 | $1,291.50 | $98.83 | $248.07 | $1,708.47 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | CA | 2 | $458.00 | $320.60 | $103.00 | $248.00 | $366.40 |
| St. Johns Regional Medical Center | Oxnard | CA | 7 | $2,439.00 | $1,707.30 | $83.70 | $241.22 | $2,439.00 |
| Mercy Medical Center Merced | Merced | CA | 7 | $2,368.00 | $1,657.60 | $98.83 | $240.00 | $2,368.00 |
| Dominican Hospital | Santa Cruz | CA | 6 | $2,709.00 | $1,896.30 | $83.85 | $238.58 | $2,709.00 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $369.00 | $258.30 | $55.66 | $195.30 | $361.62 |
| Community Hospital Of San Bernardino | San Bernardino | CA | 7 | $2,492.00 | $1,744.40 | $98.83 | $186.79 | $2,457.12 |
| Marian Medical Center | Santa Maria | CA | 6 | $2,391.00 | $1,673.70 | $98.83 | $1,732.75 | $2,391.00 |
| San Antonio Regional Hospital | Upland | CA | 5 | $341.00 | $204.60 | $100.62 | $129.06 | $160.16 |
| St. Marys Medical Center | San Francisco | CA | 9 | $157.00 | $109.90 | $94.20 | $126.18 | $157.00 |
| Tri-City Medical Center | Oceanside | CA | 0 | $399.00 | $239.40 | — | — | — |
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.