▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in CA
Hospitals
38
Min
$1.11
Median
$152
Max
$688.86
Range multiplier
620.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 31 | 172 | $1.1 | $235.45 | $2,406 | 2187.3× |
| Blue Cross Blue Shield | 16 | 125 | $1.15 | $212.44 | $1,649.2 | 1434.1× |
| Kaiser Permanente | 26 | 91 | $1.11 | $197.5 | $2,196 | 1978.4× |
| Medicaid | 23 | 72 | $1.11 | $48.03 | $358 | 322.5× |
| Aetna | 12 | 71 | $9.43 | $199.65 | $1,594.3 | 169.1× |
| Health Net | 15 | 69 | $1 | $235 | $2,112.56 | 2112.6× |
| Multiplan | 28 | 68 | $40.18 | $289.52 | $2,152.08 | 53.6× |
| Cigna | 17 | 61 | $1 | $177.66 | $1,739.24 | 1739.2× |
| First Health | 22 | 53 | $37.72 | $263.2 | $2,152.08 | 57.1× |
| Anthem BCBS | 23 | 35 | $1.11 | $45.06 | $3,035 | 2734.2× |
| commercial | healthsmart | all plans | 13 | 33 | $101.07 | $299.88 | $1,844 | 18.2× |
| Molina | 10 | 27 | $7.41 | $62.25 | $373.5 | 50.4× |
| interplan | 5 | 19 | $93.48 | $308.32 | $699.46 | 7.5× |
| Medicare | 11 | 17 | $9.43 | $145 | $597.1 | 63.3× |
| choice care network | 5 | 16 | $91.2 | $300.8 | $682.4 | 7.5× |
| azga services canada | 5 | 16 | $77.52 | $255.68 | $580.04 | 7.5× |
| axa assistance | 5 | 16 | $79.8 | $263.2 | $597.1 | 7.5× |
| maximum negotiated charge | 5 | 14 | $111.72 | $546.74 | $835.94 | 7.5× |
| medi-cal | 5 | 9 | $1 | $70.88 | $276.5 | 276.5× |
| minimum negotiated charge | 5 | 8 | $45.45 | $148.9 | $290.02 | 6.4× |
| community health group medi-cal | 5 | 8 | $15.96 | $52.64 | $119.42 | 7.5× |
| Humana | 7 | 8 | $9.43 | $203 | $282.2 | 29.9× |
| community health group | 3 | 7 | $58.1 | $207.5 | $319.55 | 5.5× |
| commercial | connected care intel | all plans | 3 | 6 | $171.2 | $226.48 | $1,029.77 | 6.0× |
| managed health network | 3 | 6 | $1.15 | $255.37 | $340.3 | 295.9× |
| commercial | magellan | all plans | 2 | 6 | $87 | $151.5 | $411.6 | 4.7× |
| claritev [13400] | 1 | 5 | $163.69 | $243.72 | $243.72 | 1.5× |
| beech st [10600] | 1 | 5 | $163.69 | $243.72 | $243.72 | 1.5× |
| california health and wellness | 5 | 5 | $107.03 | $107.03 | $107.03 | 1.0× |
| commercial | sutter health | all plans | 5 | 5 | $286.4 | $286.4 | $286.4 | 1.0× |
| commercial | us behavioral health| all plans | 1 | 5 | $186 | $258 | $686 | 3.7× |
| county of san diego | 5 | 5 | $70.88 | $70.88 | $70.88 | 1.0× |
| health plan of san mateo [31200] | 1 | 5 | $67.2 | $84 | $84 | 1.3× |
| private healthcare systems (phcs) [14200] | 1 | 5 | $163.69 | $243.72 | $243.72 | 1.5× |
| traditional medi-cal | 5 | 5 | $34.43 | $34.43 | $34.43 | 1.0× |
| american specialty health plan alt payer [971000000] | 1 | 3 | $345.83 | $345.83 | $345.83 | 1.0× |
| commercial | wcmg | all plans | 3 | 3 | $60.86 | $60.86 | $60.86 | 1.0× |
| blue card (out of state) [40000] | 1 | 3 | $213.91 | $213.91 | $213.91 | 1.0× |
| umr [17000] | 1 | 3 | $285.37 | $285.37 | $285.37 | 1.0× |
| shca comm intel [20300000] | 1 | 3 | $213.91 | $213.91 | $213.91 | 1.0× |
| commercial | us behavior health | all plans | 1 | 3 | $422 | $450 | $499 | 1.2× |
| indian health council | 2 | 3 | $234.47 | $280.13 | $280.13 | 1.2× |
| county medical services | 2 | 3 | $1.15 | $1.15 | $316 | 274.8× |
| aids healthcare foundation | 3 | 3 | $34.43 | $34.43 | $34.43 | 1.0× |
| epic americas | 2 | 2 | $278.05 | $284.28 | $290.5 | 1.0× |
| commercial | sea view | all plans | 2 | 2 | $68.97 | $68.97 | $68.97 | 1.0× |
| l.a care health plan | 2 | 2 | $34.43 | $34.43 | $34.43 | 1.0× |
| caloptima | 2 | 2 | $34.43 | $34.43 | $34.43 | 1.0× |
| brand new day | 2 | 2 | $522 | $522 | $522 | 1.0× |
| optum health | 1 | 2 | $55.3 | $63.97 | $72.63 | 1.3× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ST. MARYS MEDICAL CENTER | SAN FRANCISCO | CA | 9 | $145 | $101.5 | $34.43 | $94.04 | $145 |
| SHARP MESA VISTA HOSPITAL | SAN DIEGO | CA | 20 | $376 | — | $7.41 | $92.34 | $725 |
| SCRIPPS MERCY HOSPITAL | SAN DIEGO | CA | 9 | $293.71 | $73.43 | $66.67 | $73.43 | $171.24 |
| ST. JOHNS PLEASANT VALLEY HOSPITAL | CAMARILLO | CA | 8 | $1,548 | $1,083.6 | $34.43 | $688.86 | $1,548 |
| SAN ANTONIO REGIONAL HOSPITAL | UPLAND | CA | 5 | $227 | $136.2 | $56.25 | $65.13 | $199.76 |
| ST. MARY MEDICAL CENTER | APPLE VALLEY | CA | 6 | $247 | $172.9 | $34.43 | $57.38 | $220.6 |
| ST. BERNARDINE MEDICAL CENTER | SAN BERNARDINO | CA | 13 | $700 | $490 | $34.43 | $482.98 | $3,035 |
| SEQUOIA HOSPITAL | REDWOOD CITY | CA | 8 | $2,406 | $1,684.2 | $34.43 | $418.19 | $2,406 |
| MARK TWAIN MEDICAL CENTER | SAN ANDREAS | CA | 12 | $163 | $114.1 | $9.43 | $37.49 | $159.74 |
| GARDEN GROVE HOSPITAL MEDICAL CENTER | GARDEN GROVE | CA | 6 | $522 | — | $34.43 | $35.64 | $522 |
| HUNTINGTON BEACH HOSPITAL | HUNTINGTON BEACH | CA | 7 | $522 | — | $34.43 | $34.43 | $522 |
| SHERMAN OAKS HOSPITAL-HLTH | SHERMAN OAKS | CA | 7 | $487 | — | $34.43 | $34.43 | $73.75 |
| CENTINELA HOSPITAL MEDICAL CENTER | INGLEWOOD | CA | 10 | $631.35 | — | $34.43 | $34.43 | $73.75 |
| ENCINO HOSPITAL | ENCINO | CA | 7 | $341.07 | — | $34.43 | $34.43 | $73.75 |
| ST ELIZABETH COMMUNITY HOSPTIAL | RED BLUFF | CA | 10 | $2,196 | $1,537.2 | $47.86 | $304.78 | $2,196 |
| GROSSMONT HOSPITAL | LA MESA | CA | 22 | $853 | $311.25 | $24.44 | $290.02 | $835.94 |
| ARROYO GRANDE COMMUNITY HOSPITAL | ARROYO GRANDE | CA | 7 | $369 | $258.3 | $34.43 | $289.32 | $369 |
| MARIAN MEDICAL CENTER | SANTA MARIA | CA | 6 | $369 | $258.3 | $34.43 | $276.42 | $369 |
| SIERRA NEVADA MEMORIAL HOSPITAL | GRASS VALLEY | CA | 7 | $397 | $277.9 | $34.43 | $266.42 | $391.05 |
| SHARP CHULA VISTA MEDICAL CENTER | CHULA VISTA | CA | 27 | $415 | $311.25 | $1 | $252.01 | $725 |
| WOODLAND HEALTHCARE | WOODLAND | CA | 12 | $358 | $250.6 | $34.43 | $243.82 | $358 |
| STANFORD HEALTH CARE | STANFORD | CA | 14 | $682 | $341 | $67.2 | $243.72 | $345.83 |
| SAINT FRANCIS MEMORIAL HOSPITAL | SAN FRANCISCO | CA | 8 | $686 | $480.2 | $34.43 | $237 | $686 |
| SHARP CORONADO HOSPITAL | CORONADO | CA | 20 | $376 | — | $24.44 | $235 | $725 |
| DOMINICAN HOSPITAL | SANTA CRUZ | CA | 6 | $2,305 | $1,613.5 | $34.43 | $219.69 | $2,305 |
| MERCY GENERAL HOSPITAL | SACRAMENTO | CA | 9 | $358 | $250.6 | $34.43 | $203 | $358 |
| MERCY HOSPITAL OF FOLSOM | FOLSOM | CA | 10 | $358 | $250.6 | $34.43 | $203 | $358 |
| METHODIST HOSPITAL OF SACRAMENTO | SACRAMENTO | CA | 10 | $358 | $250.6 | $34.43 | $203 | $358 |
| SHARP MEMORIAL HOSPITAL | SAN DIEGO | CA | 27 | $415 | $311.25 | $1 | $161.68 | $725 |
| MERCY SAN JUAN MEDICAL CENTER | CARMICHAEL | CA | 9 | $358 | $250.6 | $34.43 | $152 | $358 |
| BAKERSFIELD MEMORIAL HOSPITAL | BAKERSFIELD | CA | 7 | $300 | $210 | $34.43 | $151.9 | $300 |
| GLENDALE MEMORIAL HOSPITAL & HLTH CT | GLENDALE | CA | 2 | $217 | $151.9 | $103 | $144 | $173.6 |
| MERCY MEDICAL CENTER MERCED | MERCED | CA | 7 | $295 | $206.5 | $34.43 | $139.51 | $275.83 |
| MERCY MEDICAL CENTER MT. SHASTA | MT. SHASTA | CA | 12 | $149 | $104.3 | $41.66 | $130.32 | $149 |
| NORTHRIDGE MEDICAL CENTER - ROSCOE | NORTHRIDGE | CA | 7 | $499 | $349.3 | $25.18 | $123.51 | $499 |
| ST. JOHNS REGIONAL MEDICAL CENTER | OXNARD | CA | 7 | $248 | $173.6 | $41.66 | $111.37 | $248 |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | SAN BERNARDINO | CA | 4 | $1.11 | — | $1.1 | $1.11 | $49.51 |
| TRI-CITY MEDICAL CENTER | OCEANSIDE | CA | 0 | $345 | $207 | — | — | — |
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.