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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in CA

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Hospitals
34
Min
$16.37
Median
$152.00
Max
$765.00
Range multiplier
46.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare26122$16.37$237.81$1,845.00112.7×
Blue Cross Blue Shield1572$1.00$172.61$836.62836.6×
Medicaid2166$16.37$22.92$316.0019.3×
Kaiser Permanente2258$5.75$150.50$1,237.39215.2×
Health Net1355$1.00$164.81$1,071.671071.7×
Multiplan2552$24.50$234.96$1,568.2564.0×
Aetna1045$1.30$196.80$1,347.001036.2×
Cigna1439$21.63$177.63$882.2940.8×
Anthem BCBS2235$5.75$35.05$3,035.00527.8×
First Health1632$23.00$237.00$1,568.2568.2×
commercial | healthsmart | all plans1228$92.71$242.96$1,476.0015.9×
Molina814$16.37$134.48$275.2016.8×
Humana813$5.75$203.00$282.0849.1×
community health group210$1.00$185.95$240.80240.8×
Medicare78$5.75$66.90$145.0025.2×
private healthcare systems (phcs) [14200]17$87.32$153.99$181.172.1×
beech st [10600]17$87.32$153.99$181.172.1×
san diego pace37$172.00$219.76$268.961.6×
claritev [13400]17$87.32$153.99$181.172.1×
health plan of san mateo [31200]16$46.00$57.02$63.351.4×
managed health network26$1.15$140.89$230.48200.4×
commercial | connected care intel | all plans36$147.66$174.85$687.804.7×
commercial | magellan | all plans26$79.80$134.70$273.003.4×
county medical services26$102.17$238.74$309.603.0×
commercial | us behavioral health| all plans15$143.00$234.00$455.003.2×
commercial | sutter health | all plans55$252.80$252.80$252.801.0×
medi-cal25$1.15$164.81$240.80209.4×
traditional medi-cal55$16.37$16.37$16.371.0×
interplan25$1.30$51.60$116.9690.0×
indian health council24$102.17$162.62$321.443.1×
commercial | wcmg | all plans33$53.72$53.72$53.721.0×
aids healthcare foundation33$16.37$16.37$16.371.0×
california health and wellness23$21.74$172.00$208.289.6×
veba med grp [813]12$38.67$49.84$61.011.6×
allianz global assistance22$116.96$177.16$237.362.0×
blue card (out of state) [40000]12$136.52$148.57$160.611.2×
brand new day22$376.28$404.32$432.351.1×
caloptima22$16.37$16.37$16.371.0×
commercial | sea view | all plans22$34.14$34.14$34.141.0×
commercial | us behavior health | all plans12$329.00$359.00$389.001.2×
epic americas12$114.85$195.03$275.202.4×
hn [815]12$37.91$48.86$59.801.6×
l.a care health plan22$16.37$16.37$16.371.0×
optum health12$218.44$220.74$223.041.0×
shca comm intel [20300000]12$136.52$148.57$160.611.2×
the health plan12$26.51$26.51$26.511.0×
the health plan hmo12$62.16$63.84$65.521.1×
uh [819]12$38.37$49.45$60.531.6×
umr12$58.46$60.04$61.621.1×
commercial | healthcare partners | all plans11$20.83$20.83$20.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northridge Medical Center - RoscoeNorthridgeCA7$389.00$272.30$16.37$91.42$389.00
Dominican HospitalSanta CruzCA6$1,845.00$1,291.50$16.37$765.00$1,845.00
Mercy Medical Center Mt. ShastaMt. ShastaCA12$104.00$72.80$31.41$75.85$104.00
St. Marys Medical CenterSan FranciscoCA9$133.00$93.10$16.37$73.86$133.00
San Antonio Regional HospitalUplandCA5$123.00$73.80$26.51$60.04$68.64
St. Johns Pleasant Valley HospitalCamarilloCA8$1,347.00$942.90$16.37$599.42$1,347.00
Scripps Mercy HospitalSan DiegoCA9$242.11$60.53$34.84$59.80$171.24
St. Bernardine Medical CenterSan BernardinoCA13$589.00$412.30$16.37$437.69$3,035.00
St Elizabeth Community HosptialRed BluffCA10$1,114.00$779.80$31.43$311.00$1,114.00
Sequoia HospitalRedwood CityCA8$1,607.00$1,124.90$16.37$297.29$1,607.00
St. Mary Medical CenterApple ValleyCA7$210.00$147.00$16.37$29.77$187.56
Sierra Nevada Memorial HospitalGrass ValleyCA7$312.00$218.40$16.37$240.24$307.32
Marian Medical CenterSanta MariaCA6$318.00$222.60$16.37$238.22$318.00
Mark Twain Medical CenterSan AndreasCA12$100.00$70.00$5.75$23.00$98.00
Woodland HealthcareWoodlandCA12$316.00$221.20$16.37$215.22$316.00
Grossmont HospitalLa MesaCA7$344.00$258.00$111.52$214.14$295.20
Sharp Memorial HospitalSan DiegoCA19$344.00$258.00$1.00$206.64$337.12
Saint Francis Memorial HospitalSan FranciscoCA8$455.00$318.50$16.37$205.33$455.00
Methodist Hospital Of SacramentoSacramentoCA10$316.00$221.20$16.37$203.00$316.00
Mercy General HospitalSacramentoCA9$316.00$221.20$16.37$203.00$316.00
Mercy Hospital Of FolsomFolsomCA10$316.00$221.20$16.37$203.00$316.00
Sharp Chula Vista Medical CenterChula VistaCA20$344.00$258.00$1.00$196.80$337.12
Garden Grove Hospital Medical CenterGarden GroveCA6$376.28$16.37$16.95$376.28
Centinela Hospital Medical CenterInglewoodCA10$336.75$16.37$16.37$39.61
Encino HospitalEncinoCA7$341.07$16.37$16.37$39.61
Huntington Beach HospitalHuntington BeachCA7$432.35$16.37$16.37$432.35
Sherman Oaks Hospital-HlthSherman OaksCA7$423.00$16.37$16.37$39.61
Stanford Health CareStanfordCA14$573.00$286.50$46.00$153.99$210.39
Mercy San Juan Medical CenterCarmichaelCA9$316.00$221.20$16.37$152.00$316.00
Glendale Memorial Hospital & Hlth CtGlendaleCA2$171.00$119.70$103.00$136.80$144.00
St. Johns Regional Medical CenterOxnardCA7$228.00$159.60$19.81$124.62$228.00
Mercy Medical Center MercedMercedCA7$245.00$171.50$16.37$115.33$229.08
Bakersfield Memorial HospitalBakersfieldCA7$242.00$169.40$16.37$110.58$242.00
Tri-City Medical CenterOceansideCA0$249.00$149.40

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.