▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in CA
Hospitals
6
Min
$141.71
Median
$394.15
Max
$499.05
Range multiplier
3.5×
By payer (27 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 4 | 10 | $165.81 | $384.66 | $726.50 | 4.4× |
| Blue Cross Blue Shield | 4 | 8 | $127.42 | $375.12 | $797.55 | 6.3× |
| Cigna | 4 | 8 | $149.70 | $287.33 | $479.21 | 3.2× |
| Kaiser Permanente | 4 | 7 | $113.75 | $247.15 | $470.90 | 4.1× |
| Aetna | 5 | 6 | $127.42 | $258.75 | $655.30 | 5.1× |
| Anthem BCBS | 2 | 5 | $113.75 | $394.40 | $452.57 | 4.0× |
| Health Net | 3 | 3 | $380.96 | $389.00 | $447.08 | 1.2× |
| veba med grp [813] | 1 | 2 | $215.08 | $257.55 | $300.01 | 1.4× |
| First Health | 2 | 2 | $388.08 | $448.88 | $509.68 | 1.3× |
| hn [815] | 1 | 2 | $159.18 | $190.61 | $222.04 | 1.4× |
| Medicaid | 2 | 2 | $113.75 | $254.88 | $396.00 | 3.5× |
| Multiplan | 2 | 2 | $388.08 | $465.50 | $542.92 | 1.4× |
| uh [819] | 1 | 2 | $165.81 | $198.55 | $231.29 | 1.4× |
| altamed | 1 | 1 | $460.00 | $460.00 | $460.00 | 1.0× |
| Humana | 1 | 1 | $127.42 | $127.42 | $127.42 | 1.0× |
| beech st [10600] | 1 | 1 | $426.22 | $426.22 | $426.22 | 1.0× |
| umr [17000] | 1 | 1 | $726.50 | $726.50 | $726.50 | 1.0× |
| Medicare | 1 | 1 | $127.42 | $127.42 | $127.42 | 1.0× |
| Molina | 1 | 1 | $460.00 | $460.00 | $460.00 | 1.0× |
| american specialty health plan alt payer [971000000] | 1 | 1 | $797.55 | $797.55 | $797.55 | 1.0× |
| private healthcare systems (phcs) [14200] | 1 | 1 | $426.22 | $426.22 | $426.22 | 1.0× |
| shca comm intel [20300000] | 1 | 1 | $571.88 | $571.88 | $571.88 | 1.0× |
| claritev [13400] | 1 | 1 | $426.22 | $426.22 | $426.22 | 1.0× |
| the health plan | 1 | 1 | $130.48 | $130.48 | $130.48 | 1.0× |
| blue card (out of state) [40000] | 1 | 1 | $571.88 | $571.88 | $571.88 | 1.0× |
| health plan of san mateo [31200] | 1 | 1 | $140.18 | $140.18 | $140.18 | 1.0× |
| heritage provider network | 1 | 1 | $460.00 | $460.00 | $460.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Stanford Health Care | Stanford | CA | 14 | $838.00 | $419.00 | $140.18 | $499.05 | $797.55 |
| Pacifica Hospital Of The Valley | Sun Valley | CA | 5 | $460.00 | $460.00 | $230.00 | $460.00 | $460.00 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $554.00 | $387.80 | $113.75 | $394.15 | $542.92 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 10 | $396.00 | $277.20 | $238.40 | $384.52 | $396.00 |
| Scripps Mercy Hospital | San Diego | CA | 6 | $660.82 | $165.20 | $149.70 | $211.95 | $300.01 |
| San Antonio Regional Hospital | Upland | CA | 2 | $321.00 | $192.60 | $130.48 | $141.71 | $152.94 |
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.