▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in CA
Hospitals
34
Min
$98.83
Median
$346.4
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 | $5,750 | 58.2× |
| Medicaid | 22 | 77 | $97.84 | $143 | $3,410 | 34.9× |
| Multiplan | 24 | 70 | $109.65 | $445.87 | $4,726.5 | 43.1× |
| Kaiser Permanente | 22 | 65 | $55.66 | $341 | $4,427.5 | 79.5× |
| Blue Cross Blue Shield | 12 | 52 | $1 | $428 | $2,970.21 | 2970.2× |
| First Health | 17 | 49 | $109.65 | $408.1 | $3,875.9 | 35.3× |
| Cigna | 12 | 44 | $148.73 | $301.58 | $3,132.36 | 21.1× |
| commercial | healthsmart | all plans | 12 | 40 | $103.2 | $422.73 | $3,921.5 | 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 | $346.4 | $2,728 | 8.5× |
| Humana | 8 | 14 | $55.66 | $313.6 | $3,021.26 | 54.3× |
| Molina | 8 | 13 | $1 | $177.8 | $604 | 604.0× |
| commercial | connected care intel | all plans | 5 | 13 | $203 | $1,484.74 | $7,969 | 39.3× |
| commercial | wcmg | all plans | 3 | 9 | $68 | $73.61 | $579.7 | 8.5× |
| Medicare | 6 | 7 | $55.66 | $157 | $387.35 | 7.0× |
| commercial | magellan | all plans | 3 | 7 | $94.2 | $344.4 | $1,495.2 | 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 | $574 | $1,206 | 5.1× |
| community health group | 3 | 5 | $242.4 | $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 | $566 | $2,859 | 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 | $433 | $3,410 | 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 | $539.75 | $571.5 | 1.1× |
| brand new day | 2 | 2 | $720.05 | $764.76 | $809.46 | 1.1× |
| heritage provider network | 1 | 2 | $424 | $514 | $604 | 1.4× |
| interplan | 2 | 2 | $304.8 | $374.65 | $444.5 | 1.5× |
| l.a care health plan | 2 | 2 | $98.83 | $98.83 | $98.83 | 1.0× |
| altamed | 1 | 2 | $424 | $514 | $604 | 1.4× |
| san diego pace | 2 | 2 | $304.8 | $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 | $157 | $157 | 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 | — | $98.83 | $98.83 | $105.75 |
| CENTINELA HOSPITAL MEDICAL CENTER | INGLEWOOD | CA | 10 | $1,274.5 | — | $98.83 | $98.83 | $108.71 |
| SEQUOIA HOSPITAL | REDWOOD CITY | CA | 8 | $5,750 | $4,025 | $98.83 | $863.54 | $5,750 |
| ST. JOHNS PLEASANT VALLEY HOSPITAL | CAMARILLO | CA | 8 | $1,843 | $1,290.1 | $98.83 | $820.14 | $1,843 |
| ST. BERNARDINE MEDICAL CENTER | SAN BERNARDINO | CA | 8 | $2,779 | $1,945.3 | $98.83 | $776.8 | $2,779 |
| ST ELIZABETH COMMUNITY HOSPTIAL | RED BLUFF | CA | 10 | $3,955 | $2,768.5 | $137.37 | $588 | $3,955 |
| STANFORD HEALTH CARE | STANFORD | CA | 14 | $935 | $467.5 | $192.92 | $438.35 | $705.08 |
| PACIFICA HOSPITAL OF THE VALLEY | SUN VALLEY | CA | 5 | $604 | $604 | $212 | $424 | $604 |
| NORTHRIDGE MEDICAL CENTER - ROSCOE | NORTHRIDGE | CA | 7 | $2,859 | $2,001.3 | $40.79 | $416.8 | $2,859 |
| GROSSMONT HOSPITAL | LA MESA | CA | 8 | $635 | $476.25 | $177.8 | $416.56 | $496.92 |
| SHARP MEMORIAL HOSPITAL | SAN DIEGO | CA | 12 | $635 | $476.25 | $1 | $406.02 | $520.7 |
| SHARP CHULA VISTA MEDICAL CENTER | CHULA VISTA | CA | 17 | $635 | $476.25 | $1 | $403.23 | $593.88 |
| SIERRA NEVADA MEMORIAL HOSPITAL | GRASS VALLEY | CA | 7 | $3,410 | $2,387 | $98.83 | $391.05 | $3,358.85 |
| WOODLAND HEALTHCARE | WOODLAND | CA | 12 | $3,410 | $2,387 | $68 | $389.29 | $3,410 |
| SAINT FRANCIS MEMORIAL HOSPITAL | SAN FRANCISCO | CA | 8 | $1,206 | $844.2 | $98.83 | $373 | $1,206 |
| MERCY SAN JUAN MEDICAL CENTER | CARMICHAEL | CA | 10 | $3,410 | $2,387 | $68 | $358.1 | $7,969 |
| MERCY HOSPITAL OF FOLSOM | FOLSOM | CA | 11 | $3,410 | $2,387 | $68 | $349.87 | $7,969 |
| METHODIST HOSPITAL OF SACRAMENTO | SACRAMENTO | CA | 10 | $3,410 | $2,387 | $98.83 | $346.4 | $3,410 |
| MERCY GENERAL HOSPITAL | SACRAMENTO | CA | 9 | $3,410 | $2,387 | $98.83 | $337.82 | $3,410 |
| MERCY MEDICAL CENTER MT. SHASTA | MT. SHASTA | CA | 12 | $2,642 | $1,849.4 | $119.58 | $305 | $2,642 |
| BAKERSFIELD MEMORIAL HOSPITAL | BAKERSFIELD | CA | 7 | $583 | $408.1 | $98.83 | $253 | $583 |
| ST. MARY MEDICAL CENTER | APPLE VALLEY | CA | 6 | $1,845 | $1,291.5 | $98.83 | $248.07 | $1,708.47 |
| GLENDALE MEMORIAL HOSPITAL & HLTH CT | GLENDALE | CA | 2 | $458 | $320.6 | $103 | $248 | $366.4 |
| ST. JOHNS REGIONAL MEDICAL CENTER | OXNARD | CA | 7 | $2,439 | $1,707.3 | $83.7 | $241.22 | $2,439 |
| MERCY MEDICAL CENTER MERCED | MERCED | CA | 7 | $2,368 | $1,657.6 | $98.83 | $240 | $2,368 |
| DOMINICAN HOSPITAL | SANTA CRUZ | CA | 6 | $2,709 | $1,896.3 | $83.85 | $238.58 | $2,709 |
| MARK TWAIN MEDICAL CENTER | SAN ANDREAS | CA | 12 | $369 | $258.3 | $55.66 | $195.3 | $361.62 |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | SAN BERNARDINO | CA | 7 | $2,492 | $1,744.4 | $98.83 | $186.79 | $2,457.12 |
| MARIAN MEDICAL CENTER | SANTA MARIA | CA | 6 | $2,391 | $1,673.7 | $98.83 | $1,732.75 | $2,391 |
| SAN ANTONIO REGIONAL HOSPITAL | UPLAND | CA | 5 | $341 | $204.6 | $100.62 | $129.06 | $160.16 |
| ST. MARYS MEDICAL CENTER | SAN FRANCISCO | CA | 9 | $157 | $109.9 | $94.2 | $126.18 | $157 |
| TRI-CITY MEDICAL CENTER | OCEANSIDE | CA | 0 | $399 | $239.4 | — | — | — |
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.