▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in CA
Hospitals
35
Min
$16.37
Median
$153.99
Max
$765
Range multiplier
46.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 27 | 125 | $16.37 | $238.22 | $1,845 | 112.7× |
| Blue Cross Blue Shield | 15 | 72 | $1 | $172.61 | $836.62 | 836.6× |
| Medicaid | 22 | 68 | $16.37 | $22.84 | $316 | 19.3× |
| Kaiser Permanente | 23 | 59 | $5.75 | $153.99 | $1,237.39 | 215.2× |
| Health Net | 13 | 55 | $1 | $164.81 | $1,071.67 | 1071.7× |
| Multiplan | 26 | 53 | $24.5 | $236.18 | $1,568.25 | 64.0× |
| Aetna | 10 | 45 | $1.3 | $196.8 | $1,347 | 1036.2× |
| Cigna | 14 | 39 | $21.63 | $177.63 | $882.29 | 40.8× |
| Anthem BCBS | 22 | 35 | $5.75 | $35.05 | $3,035 | 527.8× |
| First Health | 17 | 33 | $23 | $237 | $1,568.25 | 68.2× |
| commercial | healthsmart | all plans | 13 | 29 | $92.71 | $247.94 | $1,476 | 15.9× |
| Molina | 8 | 14 | $16.37 | $134.48 | $275.2 | 16.8× |
| Humana | 8 | 13 | $5.75 | $203 | $282.08 | 49.1× |
| community health group | 2 | 10 | $1 | $185.95 | $240.8 | 240.8× |
| Medicare | 7 | 8 | $5.75 | $66.9 | $145 | 25.2× |
| private healthcare systems (phcs) [14200] | 1 | 7 | $87.32 | $153.99 | $181.17 | 2.1× |
| beech st [10600] | 1 | 7 | $87.32 | $153.99 | $181.17 | 2.1× |
| san diego pace | 3 | 7 | $172 | $219.76 | $268.96 | 1.6× |
| claritev [13400] | 1 | 7 | $87.32 | $153.99 | $181.17 | 2.1× |
| county medical services | 2 | 6 | $102.17 | $238.74 | $309.6 | 3.0× |
| commercial | connected care intel | all plans | 3 | 6 | $147.66 | $174.85 | $687.8 | 4.7× |
| commercial | magellan | all plans | 2 | 6 | $79.8 | $134.7 | $273 | 3.4× |
| health plan of san mateo [31200] | 1 | 6 | $46 | $57.02 | $63.35 | 1.4× |
| managed health network | 2 | 6 | $1.15 | $140.89 | $230.48 | 200.4× |
| commercial | us behavioral health| all plans | 1 | 5 | $143 | $234 | $455 | 3.2× |
| commercial | sutter health | all plans | 5 | 5 | $252.8 | $252.8 | $252.8 | 1.0× |
| interplan | 2 | 5 | $1.3 | $51.6 | $116.96 | 90.0× |
| medi-cal | 2 | 5 | $1.15 | $164.81 | $240.8 | 209.4× |
| traditional medi-cal | 5 | 5 | $16.37 | $16.37 | $16.37 | 1.0× |
| indian health council | 2 | 4 | $102.17 | $162.62 | $321.44 | 3.1× |
| california health and wellness | 2 | 3 | $21.74 | $172 | $208.28 | 9.6× |
| commercial | wcmg | all plans | 3 | 3 | $53.72 | $53.72 | $53.72 | 1.0× |
| aids healthcare foundation | 3 | 3 | $16.37 | $16.37 | $16.37 | 1.0× |
| allianz global assistance | 2 | 2 | $116.96 | $177.16 | $237.36 | 2.0× |
| commercial | us behavior health | all plans | 1 | 2 | $329 | $359 | $389 | 1.2× |
| shca comm intel [20300000] | 1 | 2 | $136.52 | $148.57 | $160.61 | 1.2× |
| the health plan | 1 | 2 | $26.51 | $26.51 | $26.51 | 1.0× |
| the health plan hmo | 1 | 2 | $62.16 | $63.84 | $65.52 | 1.1× |
| veba med grp [813] | 1 | 2 | $38.67 | $49.84 | $61.01 | 1.6× |
| uh [819] | 1 | 2 | $38.37 | $49.45 | $60.53 | 1.6× |
| umr | 1 | 2 | $58.46 | $60.04 | $61.62 | 1.1× |
| caloptima | 2 | 2 | $16.37 | $16.37 | $16.37 | 1.0× |
| brand new day | 2 | 2 | $376.28 | $404.32 | $432.35 | 1.1× |
| commercial | sea view | all plans | 2 | 2 | $34.14 | $34.14 | $34.14 | 1.0× |
| epic americas | 1 | 2 | $114.85 | $195.03 | $275.2 | 2.4× |
| blue card (out of state) [40000] | 1 | 2 | $136.52 | $148.57 | $160.61 | 1.2× |
| optum health | 1 | 2 | $218.44 | $220.74 | $223.04 | 1.0× |
| hn [815] | 1 | 2 | $37.91 | $48.86 | $59.8 | 1.6× |
| l.a care health plan | 2 | 2 | $16.37 | $16.37 | $16.37 | 1.0× |
| commercial | us behavioral health | all plans | 1 | 1 | $133 | $133 | $133 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NORTHRIDGE MEDICAL CENTER - ROSCOE | NORTHRIDGE | CA | 7 | $389 | $272.3 | $16.37 | $91.42 | $389 |
| DOMINICAN HOSPITAL | SANTA CRUZ | CA | 6 | $1,845 | $1,291.5 | $16.37 | $765 | $1,845 |
| MERCY MEDICAL CENTER MT. SHASTA | MT. SHASTA | CA | 12 | $104 | $72.8 | $31.41 | $75.85 | $104 |
| ST. MARYS MEDICAL CENTER | SAN FRANCISCO | CA | 9 | $133 | $93.1 | $16.37 | $73.86 | $133 |
| SAN ANTONIO REGIONAL HOSPITAL | UPLAND | CA | 5 | $123 | $73.8 | $26.51 | $60.04 | $68.64 |
| ST. JOHNS PLEASANT VALLEY HOSPITAL | CAMARILLO | CA | 8 | $1,347 | $942.9 | $16.37 | $599.42 | $1,347 |
| SCRIPPS MERCY HOSPITAL | SAN DIEGO | CA | 9 | $242.11 | $60.53 | $34.84 | $59.8 | $171.24 |
| ST. BERNARDINE MEDICAL CENTER | SAN BERNARDINO | CA | 13 | $589 | $412.3 | $16.37 | $437.69 | $3,035 |
| ST ELIZABETH COMMUNITY HOSPTIAL | RED BLUFF | CA | 10 | $1,114 | $779.8 | $31.43 | $311 | $1,114 |
| SEQUOIA HOSPITAL | REDWOOD CITY | CA | 8 | $1,607 | $1,124.9 | $16.37 | $297.29 | $1,607 |
| ST. MARY MEDICAL CENTER | APPLE VALLEY | CA | 7 | $210 | $147 | $16.37 | $29.77 | $187.56 |
| ARROYO GRANDE COMMUNITY HOSPITAL | ARROYO GRANDE | CA | 7 | $318 | $222.6 | $16.37 | $249.33 | $318 |
| SIERRA NEVADA MEMORIAL HOSPITAL | GRASS VALLEY | CA | 7 | $312 | $218.4 | $16.37 | $240.24 | $307.32 |
| MARIAN MEDICAL CENTER | SANTA MARIA | CA | 6 | $318 | $222.6 | $16.37 | $238.22 | $318 |
| MARK TWAIN MEDICAL CENTER | SAN ANDREAS | CA | 12 | $100 | $70 | $5.75 | $23 | $98 |
| WOODLAND HEALTHCARE | WOODLAND | CA | 12 | $316 | $221.2 | $16.37 | $215.22 | $316 |
| GROSSMONT HOSPITAL | LA MESA | CA | 7 | $344 | $258 | $111.52 | $214.14 | $295.2 |
| SHARP MEMORIAL HOSPITAL | SAN DIEGO | CA | 19 | $344 | $258 | $1 | $206.64 | $337.12 |
| SAINT FRANCIS MEMORIAL HOSPITAL | SAN FRANCISCO | CA | 8 | $455 | $318.5 | $16.37 | $205.33 | $455 |
| METHODIST HOSPITAL OF SACRAMENTO | SACRAMENTO | CA | 10 | $316 | $221.2 | $16.37 | $203 | $316 |
| MERCY GENERAL HOSPITAL | SACRAMENTO | CA | 9 | $316 | $221.2 | $16.37 | $203 | $316 |
| MERCY HOSPITAL OF FOLSOM | FOLSOM | CA | 10 | $316 | $221.2 | $16.37 | $203 | $316 |
| SHARP CHULA VISTA MEDICAL CENTER | CHULA VISTA | CA | 20 | $344 | $258 | $1 | $196.8 | $337.12 |
| GARDEN GROVE HOSPITAL MEDICAL CENTER | GARDEN GROVE | CA | 6 | $376.28 | — | $16.37 | $16.95 | $376.28 |
| CENTINELA HOSPITAL MEDICAL CENTER | INGLEWOOD | CA | 10 | $336.75 | — | $16.37 | $16.37 | $39.61 |
| ENCINO HOSPITAL | ENCINO | CA | 7 | $341.07 | — | $16.37 | $16.37 | $39.61 |
| HUNTINGTON BEACH HOSPITAL | HUNTINGTON BEACH | CA | 7 | $432.35 | — | $16.37 | $16.37 | $432.35 |
| SHERMAN OAKS HOSPITAL-HLTH | SHERMAN OAKS | CA | 7 | $423 | — | $16.37 | $16.37 | $39.61 |
| STANFORD HEALTH CARE | STANFORD | CA | 14 | $573 | $286.5 | $46 | $153.99 | $210.39 |
| MERCY SAN JUAN MEDICAL CENTER | CARMICHAEL | CA | 9 | $316 | $221.2 | $16.37 | $152 | $316 |
| GLENDALE MEMORIAL HOSPITAL & HLTH CT | GLENDALE | CA | 2 | $171 | $119.7 | $103 | $136.8 | $144 |
| ST. JOHNS REGIONAL MEDICAL CENTER | OXNARD | CA | 7 | $228 | $159.6 | $19.81 | $124.62 | $228 |
| MERCY MEDICAL CENTER MERCED | MERCED | CA | 7 | $245 | $171.5 | $16.37 | $115.33 | $229.08 |
| BAKERSFIELD MEMORIAL HOSPITAL | BAKERSFIELD | CA | 7 | $242 | $169.4 | $16.37 | $110.58 | $242 |
| TRI-CITY MEDICAL CENTER | OCEANSIDE | CA | 0 | $249 | $149.4 | — | — | — |
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.