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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in CA

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Hospitals
39
Min
$53.09
Median
$318.86
Max
$713.4
Range multiplier
13.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36160$1$311.94$1,078.271078.3×
Health Net33133$21.77$239.61$1,363.5562.6×
Anthem BCBS30126$1.11$273.1$4,7594287.4×
Aetna3388$13.8$321.95$3,390245.7×
Medicaid2284$1.11$35.49$887799.1×
UnitedHealthcare2981$21.77$2,171$20,014919.3×
Medicare3262$1.11$105.17$799.2720.0×
Kaiser Permanente2561$1$101.83$1,088.011088.0×
Cigna2248$37.48$340.1$915.5324.4×
Multiplan2637$58.8$394.33$1,161.4919.8×
Humana2431$13.8$93.56$699.350.7×
First Health2129$55.2$368.25$669.2712.1×
Molina1028$21.77$107.92$54925.2×
commercial | healthsmart | all plans1319$162.36$440.97$963.675.9×
brand new day718$77$118.5$161.882.1×
TRICARE714$77$107.92$107.921.4×
commercial | connected care intel | all plans813$213.6$414.9$915.534.3×
commercial | sutter health | all plans712$304$346.45$392.81.3×
aids healthcare foundation311$21.77$107.92$110.085.1×
Empire BCBS28$31.57$107.92$134.94.3×
employer direct healthcare68$77$151.09$151.092.0×
l.a care health plan28$21.77$92.46$107.925.0×
community health group38$1.15$380$769.23668.9×
naphcare48$77$167.28$167.282.2×
commercial | western growers | all plans67$218.35$392.7$578.92.7×
traditional medi-cal77$21.77$21.77$21.771.0×
renal payer solutions67$77$107.92$107.921.4×
emanate health26$107.92$107.92$215.842.0×
citrus valley physicians group26$107.92$107.92$107.921.0×
commercial | hpn | all plans46$1.11$289$674607.2×
centinela valley ipa16$107.92$128$169.431.6×
commercial | wcmg | all plans36$64.6$74.04$83.471.3×
provider network of america35$77$129.5$142.171.8×
corvel35$77$128$142.171.8×
provider select35$77$128.21$142.171.8×
prime health services35$77$128$289.653.8×
alignment45$77$107.92$107.921.4×
commercial | hill physicians | all plans55$102.42$102.42$102.421.0×
americas choice provider network35$77$128$142.171.8×
commercial | pinnacle | all plans45$218.35$467.16$578.92.7×
worker compensation34$128$142.17$142.171.1×
premier physicians network14$107.92$117.96$169.431.6×
occunet14$128$135.09$215.841.7×
vantage care24$21.77$64.85$107.925.0×
san diego pace34$250$431.81$479.521.9×
healthsmart preferred network24$77$127.46$142.171.8×
imperial health plan34$77$111.16$114.41.5×
Bright Health44$86$101.76$112.011.3×
elite health plan23$77$107.92$107.921.4×
axminster medical group13$107.92$128$161.881.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SHERMAN OAKS HOSPITAL-HLTHSHERMAN OAKSCA29$600$107$21.77$77$167.28
SAN ANTONIO REGIONAL HOSPITALUPLANDCA11$112$67.2$20$75.93$476.21
ST. MARYS MEDICAL CENTERSAN FRANCISCOCA18$1,189$832.3$21.77$713.4$20,014
SCRIPPS MERCY HOSPITALSAN DIEGOCA11$839.92$209.98$108.45$680.34$719.81
SAINT FRANCIS MEMORIAL HOSPITALSAN FRANCISCOCA20$1,049$734.3$21.77$669.27$4,123
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$324$226.8$13.8$57$453
MERCY MEDICAL CENTER MERCEDMERCEDCA16$827$578.9$21.77$530.57$5,164
STANFORD HEALTH CARESTANFORDCA14$105$52.5$26.55$53.09$90.75
DOMINICAN HOSPITALSANTA CRUZCA15$687$480.9$21.77$518.38$3,051
MERCY MEDICAL CENTER MT. SHASTAMT. SHASTACA12$600$420$25.01$500.55$600
SEQUOIA HOSPITALREDWOOD CITYCA15$1,413$989.1$21.77$476.98$3,726
ST. JOHNS REGIONAL MEDICAL CENTEROXNARDCA16$714$499.8$26.34$442.68$3,390
ST. JOHNS PLEASANT VALLEY HOSPITALCAMARILLOCA17$714$499.8$21.77$420.94$3,390
SIERRA NEVADA MEMORIAL HOSPITALGRASS VALLEYCA13$557$389.9$21.77$409.96$3,104
MARIAN MEDICAL CENTERSANTA MARIACA15$604$422.8$21.77$409.82$4,175
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA11$999$749.25$1$392.3$819.18
GLENDALE MEMORIAL HOSPITAL & HLTH CTGLENDALECA6$477$333.9$90.82$372.8$3,263
ST ELIZABETH COMMUNITY HOSPTIALRED BLUFFCA12$600$420$30.26$371.28$600
GROSSMONT HOSPITALLA MESACA6$999$749.25$75$350$699.3
SHARP MEMORIAL HOSPITALSAN DIEGOCA14$999$749.25$1$350$799.2
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA16$491$343.7$21.77$331.18$5,570
MERCY HOSPITAL OF FOLSOMFOLSOMCA17$491$343.7$21.77$321.1$4,271
WOODLAND HEALTHCAREWOODLANDCA16$491$343.7$21.77$318.86$2,269
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA17$491$343.7$21.77$309.13$6,939
MERCY GENERAL HOSPITALSACRAMENTOCA17$491$343.7$21.77$304.59$3,029
CENTRAL VALLEY SPECIALTY HOSPITALMODESTOCA6$340.77$340.77$85.19$255.58$289.65
NORTHRIDGE MEDICAL CENTER - ROSCOENORTHRIDGECA16$459$321.3$21.77$243.27$1,665
BAKERSFIELD MEMORIAL HOSPITALBAKERSFIELDCA17$397$277.9$21.77$226.29$4,450
ST. BERNARDINE MEDICAL CENTERSAN BERNARDINOCA18$630$441$21.77$171.59$3,035
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINOCA20$674$471.8$1.11$167.99$3,706
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA13$549$549$66$159$549
CENTINELA HOSPITAL MEDICAL CENTERINGLEWOODCA34$600$107$21.77$128$215.84
CHINO VALLEY MEDICAL CENTERCHINOCA26$754.88$107$21.77$107.92$215.84
ENCINO HOSPITALENCINOCA26$600$107$21.77$107.92$161.88
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA19$832.13$107$21.77$107.92$167.28
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA17$832.13$107$21.77$107.92$161.88
MONTCLAIR HOSPITAL MEDICAL CENTERMONTCLAIRCA24$754.88$107$21.77$107.92$215.84
ST. MARY MEDICAL CENTERAPPLE VALLEYCA15$475$332.5$1.11$106.23$2,820
TRI-CITY MEDICAL CENTEROCEANSIDECA0$750$450

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.