▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in CA
Hospitals
33
Min
$118.62
Median
$372.58
Max
$3,715.35
Range multiplier
31.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 25 | 129 | $116.7 | $486 | $5,318 | 45.6× |
| Medicaid | 21 | 76 | $117.44 | $193.35 | $505 | 4.3× |
| Multiplan | 23 | 54 | $140.8 | $449.22 | $5,211.64 | 37.0× |
| Kaiser Permanente | 19 | 48 | $70.15 | $391.53 | $5,318 | 75.8× |
| Blue Cross Blue Shield | 12 | 39 | $1 | $386 | $3,993.82 | 3993.8× |
| Health Net | 12 | 37 | $1 | $486.25 | $5,115.92 | 5115.9× |
| First Health | 16 | 37 | $197.4 | $378.75 | $5,211.64 | 26.4× |
| Cigna | 13 | 34 | $152 | $285.38 | $4,211.86 | 27.7× |
| Anthem BCBS | 21 | 33 | $70.15 | $160.49 | $3,035 | 43.3× |
| Aetna | 10 | 32 | $70.15 | $423.87 | $3,860.87 | 55.0× |
| commercial | healthsmart | all plans | 12 | 31 | $117.8 | $435.8 | $3,496.8 | 29.7× |
| commercial | sutter health | all plans | 5 | 15 | $366.4 | $388.8 | $404 | 1.1× |
| Humana | 8 | 12 | $70.15 | $229.88 | $669.94 | 9.6× |
| Molina | 8 | 12 | $118.62 | $496.5 | $763 | 6.4× |
| Medicare | 8 | 9 | $70.15 | $169 | $571.9 | 8.2× |
| commercial | wcmg | all plans | 3 | 9 | $77.86 | $82.62 | $85.85 | 1.1× |
| commercial | connected care intel | all plans | 3 | 8 | $203 | $278.69 | $1,946.55 | 9.6× |
| commercial | magellan | all plans | 2 | 6 | $101.4 | $314.4 | $922.2 | 9.1× |
| commercial | us behavioral health| all plans | 1 | 5 | $344 | $675 | $1,537 | 4.5× |
| health plan of san mateo [31200] | 1 | 5 | $231.56 | $289.45 | $289.45 | 1.3× |
| claritev [13400] | 1 | 5 | $448.55 | $575.73 | $575.73 | 1.3× |
| private healthcare systems (phcs) [14200] | 1 | 5 | $448.55 | $575.73 | $575.73 | 1.3× |
| beech st [10600] | 1 | 5 | $448.55 | $575.73 | $575.73 | 1.3× |
| indian health council | 3 | 4 | $326.8 | $516.59 | $622.4 | 1.9× |
| traditional medi-cal | 4 | 4 | $118.62 | $118.62 | $118.62 | 1.0× |
| commercial | us behavior health | all plans | 1 | 4 | $562 | $707 | $1,265 | 2.3× |
| county medical services | 2 | 3 | $1.15 | $392.16 | $392.16 | 341.0× |
| shca comm intel [20300000] | 1 | 3 | $612.31 | $612.31 | $612.31 | 1.0× |
| umr [17000] | 1 | 3 | $769.75 | $769.75 | $769.75 | 1.0× |
| blue card (out of state) [40000] | 1 | 3 | $612.31 | $612.31 | $612.31 | 1.0× |
| commercial | usbehavior health | all plans | 1 | 3 | $458 | $486 | $505 | 1.1× |
| american specialty health plan alt payer [971000000] | 1 | 3 | $823.49 | $823.49 | $823.49 | 1.0× |
| aids healthcare foundation | 2 | 2 | $118.62 | $118.62 | $118.62 | 1.0× |
| commercial | sea view | all plans | 2 | 2 | $226.22 | $226.22 | $226.22 | 1.0× |
| community health group | 2 | 2 | $544.6 | $578.68 | $612.75 | 1.1× |
| epic americas | 2 | 2 | $231.07 | $421.91 | $612.75 | 2.7× |
| caloptima | 2 | 2 | $118.62 | $118.62 | $118.62 | 1.0× |
| california health and wellness | 2 | 2 | $343.14 | $404.97 | $466.8 | 1.4× |
| heritage provider network | 1 | 2 | $575 | $669 | $763 | 1.3× |
| brand new day | 2 | 2 | $841.19 | $893.92 | $946.65 | 1.1× |
| interplan | 2 | 2 | $490.14 | $522.85 | $555.56 | 1.1× |
| l.a care health plan | 2 | 2 | $118.62 | $118.62 | $118.62 | 1.0× |
| altamed | 1 | 2 | $575 | $669 | $763 | 1.3× |
| optum health | 1 | 2 | $521.26 | $521.26 | $521.26 | 1.0× |
| san diego pace | 1 | 2 | $10.2 | $311.48 | $612.75 | 60.1× |
| the health plan | 1 | 2 | $136.91 | $136.91 | $136.91 | 1.0× |
| umr | 1 | 1 | $184.86 | $184.86 | $184.86 | 1.0× |
| optum health plan of california | 1 | 1 | $118.62 | $118.62 | $118.62 | 1.0× |
| kindred hospital la | 1 | 1 | $118.62 | $118.62 | $118.62 | 1.0× |
| commercial | healthcare partners | all plans | 1 | 1 | $44.3 | $44.3 | $44.3 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ST. BERNARDINE MEDICAL CENTER | SAN BERNARDINO | CA | 13 | $1,385 | $969.5 | $118.62 | $914.1 | $3,035 |
| ST. JOHNS PLEASANT VALLEY HOSPITAL | CAMARILLO | CA | 8 | $1,981 | $1,386.7 | $118.62 | $881.55 | $1,981 |
| SEQUOIA HOSPITAL | REDWOOD CITY | CA | 8 | $4,548 | $3,183.6 | $118.62 | $853.89 | $4,548 |
| ST ELIZABETH COMMUNITY HOSPTIAL | RED BLUFF | CA | 10 | $5,318 | $3,722.6 | $164.88 | $605 | $5,318 |
| STANFORD HEALTH CARE | STANFORD | CA | 14 | $1,107 | $553.5 | $231.56 | $575.73 | $823.49 |
| PACIFICA HOSPITAL OF THE VALLEY | SUN VALLEY | CA | 5 | $763 | $763 | $288 | $575 | $763 |
| MARIAN MEDICAL CENTER | SANTA MARIA | CA | 6 | $750 | $525 | $118.62 | $550.21 | $750 |
| GROSSMONT HOSPITAL | LA MESA | CA | 6 | $817 | $612.75 | $264.52 | $523.73 | $622.4 |
| SHARP MEMORIAL HOSPITAL | SAN DIEGO | CA | 15 | $817 | $612.75 | $122.55 | $521.26 | $800.66 |
| SIERRA NEVADA MEMORIAL HOSPITAL | GRASS VALLEY | CA | 7 | $564 | $394.8 | $118.62 | $476.9 | $555.54 |
| SHARP CHULA VISTA MEDICAL CENTER | CHULA VISTA | CA | 17 | $817 | $612.75 | $1 | $431.79 | $1,498.14 |
| WOODLAND HEALTHCARE | WOODLAND | CA | 12 | $505 | $353.5 | $77.86 | $411.77 | $505 |
| SAINT FRANCIS MEMORIAL HOSPITAL | SAN FRANCISCO | CA | 8 | $1,537 | $1,075.9 | $118.62 | $405 | $1,537 |
| METHODIST HOSPITAL OF SACRAMENTO | SACRAMENTO | CA | 10 | $505 | $353.5 | $118.62 | $374.87 | $505 |
| MERCY SAN JUAN MEDICAL CENTER | CARMICHAEL | CA | 9 | $505 | $353.5 | $77.86 | $372.58 | $505 |
| DOMINICAN HOSPITAL | SANTA CRUZ | CA | 6 | $4,371 | $3,059.7 | $118.62 | $3,715.35 | $4,371 |
| MERCY HOSPITAL OF FOLSOM | FOLSOM | CA | 10 | $505 | $353.5 | $77.86 | $370.07 | $505 |
| MERCY GENERAL HOSPITAL | SACRAMENTO | CA | 9 | $505 | $353.5 | $118.62 | $367.11 | $505 |
| MERCY MEDICAL CENTER MT. SHASTA | MT. SHASTA | CA | 12 | $386 | $270.2 | $143.53 | $338.91 | $386 |
| NORTHRIDGE MEDICAL CENTER - ROSCOE | NORTHRIDGE | CA | 7 | $1,265 | $885.5 | $44.3 | $328.9 | $1,265 |
| BAKERSFIELD MEMORIAL HOSPITAL | BAKERSFIELD | CA | 7 | $706 | $494.2 | $118.62 | $282 | $706 |
| MARK TWAIN MEDICAL CENTER | SAN ANDREAS | CA | 12 | $458 | $320.6 | $70.15 | $246.14 | $448.84 |
| MERCY MEDICAL CENTER MERCED | MERCED | CA | 7 | $434 | $303.8 | $118.62 | $244.01 | $405.79 |
| ST. JOHNS REGIONAL MEDICAL CENTER | OXNARD | CA | 7 | $402 | $281.4 | $108.54 | $237.73 | $402 |
| ST. MARY MEDICAL CENTER | APPLE VALLEY | CA | 6 | $570 | $399 | $118.62 | $181.49 | $509.07 |
| SAN ANTONIO REGIONAL HOSPITAL | UPLAND | CA | 5 | $421 | $252.6 | $136.91 | $170.73 | $205.92 |
| ST. MARYS MEDICAL CENTER | SAN FRANCISCO | CA | 9 | $169 | $118.3 | $101.4 | $144.12 | $169 |
| GLENDALE MEMORIAL HOSPITAL & HLTH CT | GLENDALE | CA | 2 | $810 | $567 | $103 | $144 | $648 |
| SHERMAN OAKS HOSPITAL-HLTH | SHERMAN OAKS | CA | 7 | $1,297 | — | $118.62 | $118.62 | $126.92 |
| CENTINELA HOSPITAL MEDICAL CENTER | INGLEWOOD | CA | 10 | $1,731.05 | — | $118.62 | $118.62 | $130.48 |
| HUNTINGTON BEACH HOSPITAL | HUNTINGTON BEACH | CA | 6 | $841.19 | — | $118.62 | $118.62 | $841.19 |
| GARDEN GROVE HOSPITAL MEDICAL CENTER | GARDEN GROVE | CA | 5 | $946.65 | — | $118.62 | $118.62 | $946.65 |
| TRI-CITY MEDICAL CENTER | OCEANSIDE | CA | 0 | $419 | $251.4 | — | — | — |
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.