▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in CA
Hospitals
37
Min
$1.11
Median
$152.00
Max
$688.86
Range multiplier
620.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 30 | 169 | $1.10 | $235.00 | $2,406.00 | 2187.3× |
| Blue Cross Blue Shield | 16 | 125 | $1.15 | $212.44 | $1,649.20 | 1434.1× |
| Kaiser Permanente | 25 | 90 | $1.11 | $196.16 | $2,196.00 | 1978.4× |
| Aetna | 12 | 71 | $9.43 | $199.65 | $1,594.30 | 169.1× |
| Medicaid | 22 | 70 | $1.11 | $48.20 | $358.00 | 322.5× |
| Health Net | 15 | 69 | $1.00 | $235.00 | $2,112.56 | 2112.6× |
| Multiplan | 27 | 67 | $40.18 | $289.52 | $2,152.08 | 53.6× |
| Cigna | 17 | 61 | $1.00 | $177.66 | $1,739.24 | 1739.2× |
| First Health | 21 | 52 | $37.72 | $263.20 | $2,152.08 | 57.1× |
| Anthem BCBS | 23 | 35 | $1.11 | $45.06 | $3,035.00 | 2734.2× |
| commercial | healthsmart | all plans | 12 | 32 | $101.07 | $294.93 | $1,844.00 | 18.2× |
| Molina | 10 | 27 | $7.41 | $62.25 | $373.50 | 50.4× |
| interplan | 5 | 19 | $93.48 | $308.32 | $699.46 | 7.5× |
| Medicare | 11 | 17 | $9.43 | $145.00 | $597.10 | 63.3× |
| choice care network | 5 | 16 | $91.20 | $300.80 | $682.40 | 7.5× |
| azga services canada | 5 | 16 | $77.52 | $255.68 | $580.04 | 7.5× |
| axa assistance | 5 | 16 | $79.80 | $263.20 | $597.10 | 7.5× |
| maximum negotiated charge | 5 | 14 | $111.72 | $546.74 | $835.94 | 7.5× |
| medi-cal | 5 | 9 | $1.00 | $70.88 | $276.50 | 276.5× |
| minimum negotiated charge | 5 | 8 | $45.45 | $148.90 | $290.02 | 6.4× |
| Humana | 7 | 8 | $9.43 | $203.00 | $282.20 | 29.9× |
| community health group medi-cal | 5 | 8 | $15.96 | $52.64 | $119.42 | 7.5× |
| community health group | 3 | 7 | $58.10 | $207.50 | $319.55 | 5.5× |
| commercial | connected care intel | all plans | 3 | 6 | $171.20 | $226.48 | $1,029.77 | 6.0× |
| commercial | magellan | all plans | 2 | 6 | $87.00 | $151.50 | $411.60 | 4.7× |
| managed health network | 3 | 6 | $1.15 | $255.37 | $340.30 | 295.9× |
| county of san diego | 5 | 5 | $70.88 | $70.88 | $70.88 | 1.0× |
| health plan of san mateo [31200] | 1 | 5 | $67.20 | $84.00 | $84.00 | 1.3× |
| claritev [13400] | 1 | 5 | $163.69 | $243.72 | $243.72 | 1.5× |
| private healthcare systems (phcs) [14200] | 1 | 5 | $163.69 | $243.72 | $243.72 | 1.5× |
| commercial | sutter health | all plans | 5 | 5 | $286.40 | $286.40 | $286.40 | 1.0× |
| california health and wellness | 5 | 5 | $107.03 | $107.03 | $107.03 | 1.0× |
| beech st [10600] | 1 | 5 | $163.69 | $243.72 | $243.72 | 1.5× |
| commercial | us behavioral health| all plans | 1 | 5 | $186.00 | $258.00 | $686.00 | 3.7× |
| traditional medi-cal | 5 | 5 | $34.43 | $34.43 | $34.43 | 1.0× |
| shca comm intel [20300000] | 1 | 3 | $213.91 | $213.91 | $213.91 | 1.0× |
| aids healthcare foundation | 3 | 3 | $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× |
| blue card (out of state) [40000] | 1 | 3 | $213.91 | $213.91 | $213.91 | 1.0× |
| commercial | us behavior health | all plans | 1 | 3 | $422.00 | $450.00 | $499.00 | 1.2× |
| commercial | wcmg | all plans | 3 | 3 | $60.86 | $60.86 | $60.86 | 1.0× |
| county medical services | 2 | 3 | $1.15 | $1.15 | $316.00 | 274.8× |
| indian health council | 2 | 3 | $234.47 | $280.13 | $280.13 | 1.2× |
| umr [17000] | 1 | 3 | $285.37 | $285.37 | $285.37 | 1.0× |
| brand new day | 2 | 2 | $522.00 | $522.00 | $522.00 | 1.0× |
| the health plan | 1 | 2 | $65.14 | $65.14 | $65.14 | 1.0× |
| the health plan hmo | 1 | 2 | $62.16 | $126.42 | $190.68 | 3.1× |
| epic americas | 2 | 2 | $278.05 | $284.28 | $290.50 | 1.0× |
| caloptima | 2 | 2 | $34.43 | $34.43 | $34.43 | 1.0× |
| umr | 1 | 2 | $58.46 | $118.90 | $179.33 | 3.1× |
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 | $145.00 | $101.50 | $34.43 | $94.04 | $145.00 |
| Sharp Mesa Vista Hospital | San Diego | CA | 20 | $376.00 | — | $7.41 | $92.34 | $725.00 |
| 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 | $1,548.00 | $1,083.60 | $34.43 | $688.86 | $1,548.00 |
| San Antonio Regional Hospital | Upland | CA | 5 | $227.00 | $136.20 | $56.25 | $65.13 | $199.76 |
| St. Mary Medical Center | Apple Valley | CA | 6 | $247.00 | $172.90 | $34.43 | $57.38 | $220.60 |
| St. Bernardine Medical Center | San Bernardino | CA | 13 | $700.00 | $490.00 | $34.43 | $482.98 | $3,035.00 |
| Sequoia Hospital | Redwood City | CA | 8 | $2,406.00 | $1,684.20 | $34.43 | $418.19 | $2,406.00 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $163.00 | $114.10 | $9.43 | $37.49 | $159.74 |
| Garden Grove Hospital Medical Center | Garden Grove | CA | 6 | $522.00 | — | $34.43 | $35.64 | $522.00 |
| Encino Hospital | Encino | CA | 7 | $341.07 | — | $34.43 | $34.43 | $73.75 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | CA | 7 | $487.00 | — | $34.43 | $34.43 | $73.75 |
| Centinela Hospital Medical Center | Inglewood | CA | 10 | $631.35 | — | $34.43 | $34.43 | $73.75 |
| Huntington Beach Hospital | Huntington Beach | CA | 7 | $522.00 | — | $34.43 | $34.43 | $522.00 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 10 | $2,196.00 | $1,537.20 | $47.86 | $304.78 | $2,196.00 |
| Grossmont Hospital | La Mesa | CA | 22 | $853.00 | $311.25 | $24.44 | $290.02 | $835.94 |
| Marian Medical Center | Santa Maria | CA | 6 | $369.00 | $258.30 | $34.43 | $276.42 | $369.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | CA | 7 | $397.00 | $277.90 | $34.43 | $266.42 | $391.05 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | 27 | $415.00 | $311.25 | $1.00 | $252.01 | $725.00 |
| Woodland Healthcare | Woodland | CA | 12 | $358.00 | $250.60 | $34.43 | $243.82 | $358.00 |
| Stanford Health Care | Stanford | CA | 14 | $682.00 | $341.00 | $67.20 | $243.72 | $345.83 |
| Saint Francis Memorial Hospital | San Francisco | CA | 8 | $686.00 | $480.20 | $34.43 | $237.00 | $686.00 |
| Sharp Coronado Hospital | Coronado | CA | 20 | $376.00 | — | $24.44 | $235.00 | $725.00 |
| Dominican Hospital | Santa Cruz | CA | 6 | $2,305.00 | $1,613.50 | $34.43 | $219.69 | $2,305.00 |
| Mercy Hospital Of Folsom | Folsom | CA | 10 | $358.00 | $250.60 | $34.43 | $203.00 | $358.00 |
| Mercy General Hospital | Sacramento | CA | 9 | $358.00 | $250.60 | $34.43 | $203.00 | $358.00 |
| Methodist Hospital Of Sacramento | Sacramento | CA | 10 | $358.00 | $250.60 | $34.43 | $203.00 | $358.00 |
| Sharp Memorial Hospital | San Diego | CA | 27 | $415.00 | $311.25 | $1.00 | $161.68 | $725.00 |
| Mercy San Juan Medical Center | Carmichael | CA | 9 | $358.00 | $250.60 | $34.43 | $152.00 | $358.00 |
| Bakersfield Memorial Hospital | Bakersfield | CA | 7 | $300.00 | $210.00 | $34.43 | $151.90 | $300.00 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | CA | 2 | $217.00 | $151.90 | $103.00 | $144.00 | $173.60 |
| Mercy Medical Center Merced | Merced | CA | 7 | $295.00 | $206.50 | $34.43 | $139.51 | $275.83 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | CA | 12 | $149.00 | $104.30 | $41.66 | $130.32 | $149.00 |
| Northridge Medical Center - Roscoe | Northridge | CA | 7 | $499.00 | $349.30 | $25.18 | $123.51 | $499.00 |
| St. Johns Regional Medical Center | Oxnard | CA | 7 | $248.00 | $173.60 | $41.66 | $111.37 | $248.00 |
| Community Hospital Of San Bernardino | San Bernardino | CA | 4 | $1.11 | — | $1.10 | $1.11 | $49.51 |
| Tri-City Medical Center | Oceanside | CA | 0 | $345.00 | $207.00 | — | — | — |
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.