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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in CA

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Hospitals
5
Min
$106.06
Median
$268.22
Max
$356.15
Range multiplier
3.4×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare410$232.85$274.09$492.372.1×
Cigna48$210.23$267.29$365.191.7×
Kaiser Permanente47$86.71$267$345.774.0×
Blue Cross Blue Shield37$86.71$232.31$555.466.4×
Aetna45$86.71$193.85$444.915.1×
Anthem BCBS25$86.71$267$307.983.6×
Health Net33$256.86$289.76$304.241.2×
veba med grp [813]12$302.04$360.89$419.741.4×
First Health22$261.66$304.25$346.841.3×
hn [815]12$223.54$267.09$310.641.4×
Medicaid22$103.95$185.48$2672.6×
Multiplan22$261.66$315.56$369.461.4×
uh [819]12$232.85$278.22$323.591.4×
blue card (out of state) [40000]11$392.5$392.5$392.51.0×
umr [17000]11$492.37$492.37$492.371.0×
Medicare11$86.71$86.71$86.711.0×
beech st [10600]11$319.79$319.79$319.791.0×
private healthcare systems (phcs) [14200]11$319.79$319.79$319.791.0×
shca comm intel [20300000]11$392.5$392.5$392.51.0×
the health plan11$97.8$97.8$97.81.0×
claritev [13400]11$319.79$319.79$319.791.0×
health plan of san mateo [31200]11$128.1$128.1$128.11.0×
american specialty health plan alt payer [971000000]11$555.46$555.46$555.461.0×
Humana11$86.71$86.71$86.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
STANFORD HEALTH CARESTANFORDCA14$583$291.5$128.1$356.15$555.46
SCRIPPS MERCY HOSPITALSAN DIEGOCA6$924.53$231.13$210.23$297.1$419.74
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$377$263.9$86.71$268.22$369.46
ST ELIZABETH COMMUNITY HOSPTIALRED BLUFFCA10$267$186.9$160.74$259.26$267
SAN ANTONIO REGIONAL HOSPITALUPLANDCA2$222$133.2$97.8$106.06$114.33

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.