▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in CA
Hospitals
5
Min
$43.41
Median
$188.14
Max
$239.35
Range multiplier
5.5×
By payer (24 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 4 | 8 | $43.41 | $196.98 | $361.97 | 8.3× |
| Blue Cross Blue Shield | 3 | 7 | $63.71 | $170.69 | $385.27 | 6.0× |
| Kaiser Permanente | 4 | 6 | $46.39 | $130.36 | $235.45 | 5.1× |
| Cigna | 4 | 6 | $39.19 | $162.67 | $239.61 | 6.1× |
| Aetna | 4 | 5 | $63.71 | $143.03 | $325.43 | 5.1× |
| Anthem BCBS | 2 | 5 | $48.71 | $68.39 | $226.29 | 4.6× |
| Health Net | 3 | 3 | $181.94 | $189.52 | $223.54 | 1.2× |
| Medicaid | 2 | 2 | $48.71 | $122.76 | $196.80 | 4.0× |
| Multiplan | 2 | 2 | $193.06 | $232.26 | $271.46 | 1.4× |
| First Health | 2 | 2 | $193.06 | $223.95 | $254.84 | 1.3× |
| shca comm intel [20300000] | 1 | 1 | $277.72 | $277.72 | $277.72 | 1.0× |
| the health plan | 1 | 1 | $62.54 | $62.54 | $62.54 | 1.0× |
| uh [819] | 1 | 1 | $43.41 | $43.41 | $43.41 | 1.0× |
| umr [17000] | 1 | 1 | $361.97 | $361.97 | $361.97 | 1.0× |
| veba med grp [813] | 1 | 1 | $56.31 | $56.31 | $56.31 | 1.0× |
| american specialty health plan alt payer [971000000] | 1 | 1 | $385.27 | $385.27 | $385.27 | 1.0× |
| beech st [10600] | 1 | 1 | $200.97 | $200.97 | $200.97 | 1.0× |
| blue card (out of state) [40000] | 1 | 1 | $277.72 | $277.72 | $277.72 | 1.0× |
| claritev [13400] | 1 | 1 | $200.97 | $200.97 | $200.97 | 1.0× |
| health plan of san mateo [31200] | 1 | 1 | $60.03 | $60.03 | $60.03 | 1.0× |
| hn [815] | 1 | 1 | $41.67 | $41.67 | $41.67 | 1.0× |
| Humana | 1 | 1 | $63.71 | $63.71 | $63.71 | 1.0× |
| Medicare | 1 | 1 | $63.71 | $63.71 | $63.71 | 1.0× |
| private healthcare systems (phcs) [14200] | 1 | 1 | $200.97 | $200.97 | $200.97 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| San Antonio Regional Hospital | Upland | CA | 2 | $162.00 | $97.20 | $62.54 | $67.66 | $72.79 |
| Scripps Mercy Hospital | San Diego | CA | 6 | $124.03 | $31.01 | $39.19 | $43.41 | $56.31 |
| Stanford Health Care | Stanford | CA | 14 | $405.00 | $202.50 | $60.03 | $239.35 | $385.27 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $277.00 | $193.90 | $48.71 | $197.08 | $271.46 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 10 | $197.00 | $137.90 | $68.39 | $188.14 | $197.00 |
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.