▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in CA
Hospitals
35
Min
$15.18
Median
$158.70
Max
$446.72
Range multiplier
29.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 28 | 217 | $1.00 | $221.42 | $1,856.00 | 1856.0× |
| Multiplan | 26 | 110 | $11.76 | $224.39 | $1,704.00 | 144.9× |
| Blue Cross Blue Shield | 15 | 110 | $1.15 | $150.00 | $1,498.14 | 1302.7× |
| Kaiser Permanente | 23 | 102 | $1.00 | $160.34 | $1,577.60 | 1577.6× |
| First Health | 17 | 81 | $11.04 | $210.00 | $1,670.40 | 151.3× |
| Medicaid | 22 | 80 | $17.04 | $27.45 | $1,856.00 | 108.9× |
| Cigna | 15 | 80 | $1.00 | $155.99 | $3,484.48 | 3484.5× |
| Health Net | 13 | 75 | $1.10 | $177.60 | $725.00 | 659.1× |
| Aetna | 10 | 73 | $1.10 | $164.87 | $1,207.00 | 1097.3× |
| commercial | healthsmart | all plans | 12 | 60 | $76.00 | $228.55 | $1,666.88 | 21.9× |
| Anthem BCBS | 23 | 40 | $2.76 | $24.87 | $3,035.00 | 1099.6× |
| Molina | 8 | 34 | $1.00 | $209.35 | $519.40 | 519.4× |
| commercial | sutter health | all plans | 5 | 30 | $205.60 | $222.00 | $1,484.80 | 7.2× |
| Humana | 9 | 23 | $2.76 | $222.00 | $1,644.42 | 595.8× |
| community health group | 3 | 20 | $58.63 | $212.39 | $473.40 | 8.1× |
| commercial | wcmg | all plans | 3 | 18 | $43.69 | $47.18 | $315.52 | 7.2× |
| commercial | connected care intel | all plans | 5 | 16 | $69.34 | $192.24 | $7,969.00 | 114.9× |
| Medicare | 9 | 15 | $2.76 | $83.75 | $452.62 | 164.0× |
| san diego pace | 3 | 11 | $90.43 | $172.02 | $667.80 | 7.4× |
| interplan | 3 | 11 | $39.48 | $164.87 | $370.50 | 9.4× |
| california health and wellness | 3 | 9 | $1.15 | $207.50 | $413.29 | 359.4× |
| county medical services | 3 | 9 | $1.10 | $211.50 | $519.40 | 472.2× |
| commercial | magellan | all plans | 3 | 8 | $72.60 | $106.50 | $284.40 | 3.9× |
| commercial | usbehavior health | all plans | 1 | 6 | $257.00 | $277.50 | $1,856.00 | 7.2× |
| allianz global assistance | 3 | 6 | $1.00 | $193.41 | $395.20 | 395.2× |
| indian health council | 2 | 6 | $1.10 | $140.60 | $556.50 | 505.9× |
| commercial | us behavioral health| all plans | 1 | 5 | $140.00 | $154.00 | $359.00 | 2.6× |
| managed health network | 2 | 5 | $18.71 | $234.47 | $290.50 | 15.5× |
| traditional medi-cal | 5 | 5 | $17.21 | $17.21 | $17.21 | 1.0× |
| private healthcare systems (phcs) [14200] | 1 | 4 | $21.63 | $66.77 | $66.77 | 3.1× |
| the health plan hmo | 1 | 4 | $47.88 | $189.42 | $578.76 | 12.1× |
| beech st [10600] | 1 | 4 | $21.63 | $66.77 | $66.77 | 3.1× |
| epic americas | 3 | 4 | $227.92 | $246.54 | $290.50 | 1.3× |
| claritev [13400] | 1 | 4 | $21.63 | $66.77 | $66.77 | 3.1× |
| umr | 1 | 4 | $45.03 | $178.15 | $544.31 | 12.1× |
| health plan of san mateo [31200] | 1 | 4 | $33.60 | $42.00 | $42.00 | 1.3× |
| shca comm intel [20300000] | 1 | 3 | $78.60 | $78.60 | $78.60 | 1.0× |
| commercial | us behavior health | all plans | 1 | 3 | $285.00 | $337.00 | $1,247.00 | 4.4× |
| blue card (out of state) [40000] | 1 | 3 | $78.60 | $78.60 | $78.60 | 1.0× |
| umr [17000] | 1 | 3 | $93.26 | $93.26 | $93.26 | 1.0× |
| american specialty health plan alt payer [971000000] | 1 | 3 | $123.71 | $123.71 | $123.71 | 1.0× |
| medi-cal | 2 | 3 | $18.71 | $164.87 | $191.61 | 10.2× |
| aids healthcare foundation | 3 | 3 | $17.21 | $17.21 | $17.21 | 1.0× |
| brand new day | 2 | 2 | $338.00 | $547.31 | $756.62 | 2.2× |
| commercial | sea view | all plans | 2 | 2 | $12.38 | $12.38 | $12.38 | 1.0× |
| hn [815] | 1 | 2 | $53.51 | $71.21 | $88.91 | 1.7× |
| veba med grp [813] | 1 | 2 | $72.30 | $96.22 | $120.13 | 1.7× |
| caloptima | 2 | 2 | $17.21 | $17.21 | $17.21 | 1.0× |
| l.a care health plan | 2 | 2 | $17.21 | $17.21 | $17.21 | 1.0× |
| la care mcr adv hmo [612] | 1 | 2 | $171.24 | $468.60 | $765.95 | 4.5× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Scripps Mercy Hospital | San Diego | CA | 9 | $264.60 | $66.15 | $50.32 | $92.61 | $765.95 |
| Northridge Medical Center - Roscoe | Northridge | CA | 7 | $1,247.00 | $872.90 | $13.45 | $87.62 | $1,247.00 |
| Stanford Health Care | Stanford | CA | 14 | $338.00 | $169.00 | $21.63 | $72.18 | $123.71 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | CA | 12 | $152.00 | $106.40 | $20.82 | $68.85 | $152.00 |
| St. Marys Medical Center | San Francisco | CA | 9 | $121.00 | $84.70 | $17.21 | $50.66 | $121.00 |
| Dominican Hospital | Santa Cruz | CA | 6 | $1,383.00 | $968.10 | $17.21 | $446.72 | $1,383.00 |
| St. Bernardine Medical Center | San Bernardino | CA | 13 | $486.00 | $340.20 | $17.21 | $361.15 | $3,035.00 |
| St. Johns Pleasant Valley Hospital | Camarillo | CA | 8 | $1,207.00 | $844.90 | $12.38 | $339.27 | $1,207.00 |
| Woodland Healthcare | Woodland | CA | 12 | $1,856.00 | $1,299.20 | $17.21 | $250.77 | $1,856.00 |
| Mercy San Juan Medical Center | Carmichael | CA | 10 | $1,856.00 | $1,299.20 | $17.21 | $240.82 | $7,969.00 |
| Sequoia Hospital | Redwood City | CA | 8 | $1,708.00 | $1,195.60 | $17.21 | $234.08 | $1,708.00 |
| Methodist Hospital Of Sacramento | Sacramento | CA | 10 | $1,856.00 | $1,299.20 | $17.21 | $226.80 | $1,856.00 |
| Mercy Hospital Of Folsom | Folsom | CA | 11 | $1,856.00 | $1,299.20 | $17.21 | $224.40 | $7,969.00 |
| Sharp Memorial Hospital | San Diego | CA | 21 | $742.00 | $556.50 | $1.00 | $222.00 | $725.00 |
| Mercy General Hospital | Sacramento | CA | 9 | $1,856.00 | $1,299.20 | $17.21 | $221.42 | $1,856.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | CA | 7 | $294.00 | $205.80 | $17.21 | $220.50 | $289.59 |
| Marian Medical Center | Santa Maria | CA | 6 | $308.00 | $215.60 | $17.21 | $219.00 | $308.00 |
| Grossmont Hospital | La Mesa | CA | 17 | $742.00 | $556.50 | $1.00 | $199.80 | $727.16 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | 20 | $742.00 | $556.50 | $1.00 | $194.36 | $3,484.48 |
| San Antonio Regional Hospital | Upland | CA | 4 | $689.00 | $413.40 | $45.03 | $180.85 | $606.32 |
| Encino Hospital | Encino | CA | 7 | $341.07 | — | $9.85 | $17.21 | $18.41 |
| Garden Grove Hospital Medical Center | Garden Grove | CA | 6 | $338.00 | — | $9.85 | $17.21 | $338.00 |
| Huntington Beach Hospital | Huntington Beach | CA | 7 | $756.62 | — | $9.85 | $17.21 | $756.62 |
| Centinela Hospital Medical Center | Inglewood | CA | 10 | $110.00 | — | $9.85 | $17.21 | $18.93 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | CA | 7 | $325.00 | — | $9.85 | $17.21 | $18.41 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 10 | $444.00 | $310.80 | $23.92 | $165.53 | $444.00 |
| Mercy Medical Center Merced | Merced | CA | 7 | $231.00 | $161.70 | $17.21 | $158.70 | $226.00 |
| Community Hospital Of San Bernardino | San Bernardino | CA | 7 | $474.00 | $331.80 | $17.21 | $154.94 | $467.37 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $66.00 | $46.20 | $2.76 | $15.18 | $64.68 |
| Saint Francis Memorial Hospital | San Francisco | CA | 8 | $359.00 | $251.30 | $17.21 | $140.00 | $359.00 |
| Bakersfield Memorial Hospital | Bakersfield | CA | 7 | $230.00 | $161.00 | $17.21 | $127.68 | $216.00 |
| St. Mary Medical Center | Apple Valley | CA | 7 | $320.00 | $224.00 | $17.21 | $126.41 | $296.32 |
| St. Johns Regional Medical Center | Oxnard | CA | 7 | $526.00 | $368.20 | $12.38 | $109.65 | $409.29 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | CA | 2 | $349.00 | $244.30 | $100.00 | $104.00 | $279.20 |
| Tri-City Medical Center | Oceanside | CA | 0 | $210.00 | $126.00 | — | — | — |
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.