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Hospital discharge, <30 min

CPT 99238 · negotiated-rate distribution across hospitals in CA

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Hospitals
9
Min
$53.93
Median
$71.54
Max
$460
Range multiplier
8.5×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield612$42.32$115.09$46010.9×
Aetna78$42.32$115.13$238.125.6×
UnitedHealthcare36$130.83$171.73$266.852.0×
Cigna56$78.4$137.79$159.162.0×
Kaiser Permanente35$42.32$156.4$203.634.8×
Health Net55$57.71$148.49$191.553.3×
brand new day24$188.32$188.32$188.321.0×
Multiplan44$75.38$127.85$190.122.5×
First Health44$70.56$119.92$190.122.7×
Anthem BCBS14$42.32$92.19$150.313.6×
Medicaid44$9.8$31.6$19419.8×
Molina33$53.93$53.93$4608.5×
caloptima22$53.93$53.93$53.931.0×
traditional medi-cal22$53.93$53.93$53.931.0×
commercial | dhr | all plans22$27.44$27.44$27.441.0×
commercial | healthsmart | all plans22$71.54$71.54$71.541.0×
the health plan11$60.48$60.48$60.481.0×
umr [17000]11$266.85$266.85$266.851.0×
heritage provider network11$460$460$4601.0×
blue card (out of state) [40000]11$222.5$222.5$222.51.0×
american specialty health plan alt payer [971000000]11$337.41$337.41$337.411.0×
altamed11$460$460$4601.0×
claritev [13400]11$203.63$203.63$203.631.0×
county of orange (msn)11$53.93$53.93$53.931.0×
health plan of san mateo [31200]11$65.8$65.8$65.81.0×
beech st [10600]11$203.63$203.63$203.631.0×
Humana11$42.32$42.32$42.321.0×
Medicare11$42.32$42.32$42.321.0×
private healthcare systems (phcs) [14200]11$203.63$203.63$203.631.0×
shca comm intel [20300000]11$222.5$222.5$222.51.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. JOSEPHS MEDICAL CENTERSTOCKTONCA8$98$68.6$9.8$71.54$89.4
ST. JOSEPHS BEHAVIORAL HLTH CENTERSTOCKTONCA8$98$68.6$9.8$71.54$89.4
SAN ANTONIO REGIONAL HOSPITALUPLANDCA2$152$91.2$60.48$66.51$72.54
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA5$188.32$53.93$55.82$188.32
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA6$188.32$53.93$53.93$188.32
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA5$460$460$230$460$460
STANFORD HEALTH CARESTANFORDCA14$354$177$65.8$213.07$337.41
ST ELIZABETH COMMUNITY HOSPTIALRED BLUFFCA9$194$135.8$116.79$186.63$194
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$184$128.8$42.32$130.91$180.32

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.