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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in CA

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Hospitals
32
Min
$74.29
Median
$328.19
Max
$881.55
Range multiplier
11.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare26128$1.15$458.00$4,789.004164.3×
Medicaid2168$81.23$121.44$486.006.0×
Kaiser Permanente2055$1.15$304.00$4,789.004164.3×
Multiplan2354$79.38$456.00$4,693.2259.1×
Blue Cross Blue Shield1351$1.10$287.76$3,596.543269.6×
Aetna1041$1.00$468.27$3,476.823476.8×
Health Net1238$1.00$332.57$4,607.024607.0×
First Health1637$74.52$364.50$4,693.2263.0×
Cigna1336$70.07$254.87$3,792.8954.1×
Anthem BCBS2133$18.63$108.54$3,035.00162.9×
commercial | healthsmart | all plans1233$117.80$436.48$3,496.8029.7×
Molina717$82.05$451.07$636.307.8×
commercial | sutter health | all plans510$366.40$377.60$388.801.1×
Humana810$18.63$203.00$519.4027.9×
Medicare810$18.63$189.49$608.4432.7×
community health group38$129.85$458.19$519.404.0×
commercial | connected care intel | all plans37$203.00$273.19$1,946.559.6×
commercial | magellan | all plans26$101.40$314.40$772.807.6×
commercial | wcmg | all plans36$77.86$80.24$82.621.1×
health plan of san mateo [31200]16$160.16$180.18$200.201.3×
commercial | us behavioral health| all plans15$248.00$675.00$1,288.005.2×
private healthcare systems (phcs) [14200]15$357.77$474.73$474.731.3×
claritev [13400]15$357.77$474.73$474.731.3×
beech st [10600]15$357.77$474.73$474.731.3×
managed health network14$212.10$409.29$556.502.6×
traditional medi-cal44$82.05$82.05$82.051.0×
umr [17000]13$549.57$549.57$549.571.0×
interplan13$413.29$494.90$565.601.4×
san diego pace23$240.38$441.88$593.602.5×
american specialty health plan alt payer [971000000]13$559.80$559.80$559.801.0×
blue card (out of state) [40000]13$432.08$432.08$432.081.0×
medi-cal33$445.20$452.62$608.441.4×
shca comm intel [20300000]13$432.08$432.08$432.081.0×
aids healthcare foundation22$82.05$82.05$82.051.0×
california health and wellness12$311.64$378.53$445.411.4×
commercial | sea view | all plans22$149.33$149.33$149.331.0×
commercial | us behavior health | all plans12$562.00$613.00$664.001.2×
commercial | usbehavior health | all plans12$458.00$472.00$486.001.1×
county medical services22$371.00$401.14$431.271.2×
brand new day22$756.62$801.31$846.001.1×
indian health council12$1.00$178.58$356.16356.2×
l.a care health plan22$82.05$82.05$82.051.0×
the health plan12$107.57$107.57$107.571.0×
caloptima22$82.05$82.05$82.051.0×
optum health11$252.28$252.28$252.281.0×
optum health plan of california11$82.05$82.05$82.051.0×
kindred hospital la11$82.05$82.05$82.051.0×
county of orange (msn)11$82.05$82.05$82.051.0×
commercial | us behavioral health | all plans11$169.00$169.00$169.001.0×
commercial | healthcare partners | all plans11$39.04$39.04$39.041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Johns Pleasant Valley HospitalCamarilloCA8$1,981.00$1,386.70$82.05$881.55$1,981.00
Garden Grove Hospital Medical CenterGarden GroveCA6$846.00$82.05$84.92$846.00
Centinela Hospital Medical CenterInglewoodCA10$1,373.50$82.05$82.05$160.36
Huntington Beach HospitalHuntington BeachCA7$756.62$82.05$82.05$756.62
Sherman Oaks Hospital-HlthSherman OaksCA7$973.00$82.05$82.05$160.36
Sequoia HospitalRedwood CityCA8$4,548.00$3,183.60$82.05$790.19$4,548.00
Mark Twain Medical CenterSan AndreasCA12$323.00$226.10$18.63$74.29$316.54
St. Bernardine Medical CenterSan BernardinoCA13$971.00$679.70$82.05$640.86$3,035.00
Sierra Nevada Memorial HospitalGrass ValleyCA7$600.00$420.00$82.05$482.60$591.00
Stanford Health CareStanfordCA14$1,005.00$502.50$160.16$474.73$559.80
St Elizabeth Community HosptialRed BluffCA10$4,789.00$3,352.30$114.05$468.44$4,789.00
Marian Medical CenterSanta MariaCA6$625.00$437.50$82.05$457.17$625.00
Sharp Chula Vista Medical CenterChula VistaCA17$742.00$556.50$1.00$445.41$727.16
Grossmont HospitalLa MesaCA9$742.00$556.50$1.00$445.41$667.80
Sharp Memorial HospitalSan DiegoCA14$742.00$556.50$1.00$431.27$727.16
Saint Francis Memorial HospitalSan FranciscoCA8$1,288.00$901.60$82.05$405.00$1,288.00
Woodland HealthcareWoodlandCA12$486.00$340.20$77.86$389.05$486.00
Mercy Hospital Of FolsomFolsomCA10$486.00$340.20$77.86$344.21$486.00
Mercy General HospitalSacramentoCA9$486.00$340.20$82.05$343.50$486.00
Methodist Hospital Of SacramentoSacramentoCA10$486.00$340.20$82.05$335.85$486.00
Mercy San Juan Medical CenterCarmichaelCA9$486.00$340.20$77.86$328.19$486.00
Dominican HospitalSanta CruzCA6$4,371.00$3,059.70$82.05$275.36$4,371.00
Mercy Medical Center Mt. ShastaMt. ShastaCA12$270.00$189.00$99.28$237.06$270.00
Bakersfield Memorial HospitalBakersfieldCA7$414.00$289.80$82.05$225.00$414.00
St. Johns Regional Medical CenterOxnardCA7$402.00$281.40$99.28$199.29$402.00
Mercy Medical Center MercedMercedCA7$425.00$297.50$82.05$186.01$397.38
Northridge Medical Center - RoscoeNorthridgeCA7$664.00$464.80$39.04$156.04$664.00
Glendale Memorial Hospital & Hlth CtGlendaleCA2$578.00$404.60$103.00$144.00$462.40
St. Mary Medical CenterApple ValleyCA6$366.00$256.20$82.05$125.54$326.88
San Antonio Regional HospitalUplandCA5$333.00$199.80$107.57$122.24$135.52
St. Marys Medical CenterSan FranciscoCA9$169.00$118.30$82.05$116.34$169.00
Tri-City Medical CenterOceansideCA0$419.00$251.40

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.