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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in CA

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Hospitals
40
Min
$463.86
Median
$2,513.58
Max
$18,898
Range multiplier
40.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield38244$1$3,644.58$34,56634566.2×
Health Net35180$1.15$2,804.96$33,80529396.0×
Anthem BCBS31135$118.68$3,570.48$29,700250.3×
Aetna34115$118.68$2,923.34$30,983261.1×
UnitedHealthcare29100$155.03$7,293.5$26,708172.3×
Medicaid2388$153.48$280.6$34,425224.3×
Cigna2579$189.95$3,834.1$30,810162.2×
Kaiser Permanente2775$118.68$819.03$29,261246.6×
Medicare3262$118.68$762.2$4,75040.0×
Multiplan2854$361.4$4,342.43$31,60687.5×
First Health2247$337.5$3,923.5$30,98391.8×
Humana2642$1.1$705.4$30,81028009.4×
Molina1235$1.15$762.2$12,16010573.9×
commercial | healthsmart | all plans1430$322.2$4,324.03$30,91796.0×
commercial | connected care intel | all plans823$252.95$4,828.33$30,810121.8×
commercial | sutter health | all plans722$360$4,291.2$27,54076.5×
brand new day715$769.82$1,082$1,143.31.5×
commercial | wcmg | all plans312$76.5$941.63$5,852.2576.5×
TRICARE712$762.2$762.2$762.21.0×
commercial | western growers | all plans710$1,462.45$2,016.3$5,1453.5×
aids healthcare foundation39$155.03$762.2$777.445.0×
Empire BCBS28$224.79$762.2$952.754.2×
traditional medi-cal77$155.03$155.03$155.031.0×
employer direct healthcare66$1,067.08$1,067.08$1,067.081.0×
naphcare46$1,082$1,181.41$1,181.411.1×
citrus valley physicians group26$762.2$762.2$762.21.0×
indian health council26$1,425$4,256$10,1847.1×
ucsd [807]16$18,709$19,560$20,2451.1×
emanate health26$762.2$762.2$1,524.42.0×
l.a care health plan26$155.03$762.2$762.24.9×
commercial | hpn | all plans46$669.2$4,057.4$4,9367.4×
renal payer solutions66$762.2$762.2$762.21.0×
commercial | pinnacle | all plans46$1,462.45$3,449.12$5,1453.5×
community health group35$5,367.5$7,600$10,2601.9×
commercial | hill physicians | all plans55$737.31$737.31$737.311.0×
centinela valley ipa14$762.2$979.43$1,196.651.6×
commercial | magellan | all plans34$2,014.8$4,146.3$5,455.82.7×
commercial | usbehavior health | all plans14$450$5,539$34,42576.5×
alignment44$762.2$762.2$762.21.0×
vantage care24$155.03$458.62$762.24.9×
Bright Health44$625$732.48$806.321.3×
commercial | primecare | all plans24$1,957.72$2,434.1$2,926.271.5×
commercial | redlands | all plans24$2,141.75$2,665.65$3,208.41.5×
corvel33$868.91$953.88$1,004.081.2×
epic americas33$1.15$1.15$7,4486476.5×
medi-cal23$2,128$4,560$9,4244.4×
central health plan33$762.2$762.2$762.21.0×
occunet13$1,004.08$1,456$1,524.41.5×
commercial | mhn | all plans33$666.95$797.27$797.271.2×
imperial health plan of ca33$807.93$807.93$807.931.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. MARY MEDICAL CENTERAPPLE VALLEYCA15$5,946$4,162.2$155.03$887$14,315
SHERMAN OAKS HOSPITAL-HLTHSHERMAN OAKSCA29$3,800$762$51$762.2$1,181.41
CHINO VALLEY MEDICAL CENTERCHINOCA26$5,058.67$762$51$762.2$1,524.4
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA17$5,161.88$762$30$762.2$1,143.3
MONTCLAIR HOSPITAL MEDICAL CENTERMONTCLAIRCA24$5,058.67$762$51$762.2$1,524.4
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA19$5,161.88$762$51$762.2$1,181.41
ENCINO HOSPITALENCINOCA26$3,800$762$51$762.2$1,143.3
CENTINELA HOSPITAL MEDICAL CENTERINGLEWOODCA34$3,800$762$30$762.2$1,524.4
SHARP MEMORIAL HOSPITALSAN DIEGOCA17$15,200$11,400$1$6,460$14,896
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA13$3,877$3,877$476$610$3,877
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA17$15,200$11,400$1$6,032.5$12,160
SAINT FRANCIS MEMORIAL HOSPITALSAN FRANCISCOCA20$9,093$6,365.1$155.03$5,801.34$21,856
GROSSMONT HOSPITALLA MESACA10$15,200$11,400$1.1$5,510$14,896
ST. MARYS MEDICAL CENTERSAN FRANCISCOCA18$8,885$6,219.5$155.03$5,331$22,854
MERCY MEDICAL CENTER MERCEDMERCEDCA16$7,350$5,145$155.03$5,108.25$26,218
STANFORD HEALTH CARESTANFORDCA14$767$383.5$189.14$466.93$730.49
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$2,335$1,634.5$118.68$463.86$2,288.3
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA16$34,425$24,098$155.03$4,291.2$34,566
MERCY HOSPITAL OF FOLSOMFOLSOMCA17$34,425$24,098$76.5$4,285.5$34,360
DOMINICAN HOSPITALSANTA CRUZCA15$5,611$3,927.7$155.03$4,233.79$15,726
WOODLAND HEALTHCAREWOODLANDCA16$34,425$24,098$76.5$4,160.37$34,425
SIERRA NEVADA MEMORIAL HOSPITALGRASS VALLEYCA13$5,571$3,899.7$155.03$4,100.26$15,755
MERCY GENERAL HOSPITALSACRAMENTOCA17$34,425$24,098$155.03$4,023$34,459
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA17$34,425$24,098$76.5$3,985.99$34,459
ST ELIZABETH COMMUNITY HOSPTIALRED BLUFFCA12$26,708$18,696$215.49$3,570.48$26,708
MERCY MEDICAL CENTER MT. SHASTAMT. SHASTACA12$4,971$3,479.7$187.59$3,507.42$4,971
BAKERSFIELD MEMORIAL HOSPITALBAKERSFIELDCA17$5,605$3,923.5$155.03$3,194.85$13,982
GLENDALE MEMORIAL HOSPITAL & HLTH CTGLENDALECA6$3,914$2,739.8$653.13$3,072.8$16,976
ST. BERNARDINE MEDICAL CENTERSAN BERNARDINOCA18$4,844$3,390.8$155.03$2,636$18,940
SEQUOIA HOSPITALREDWOOD CITYCA15$11,993$8,395.1$155.03$2,513.58$18,826
ST. JOHNS REGIONAL MEDICAL CENTEROXNARDCA16$3,963$2,774.1$187.59$2,457.06$12,845
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINOCA20$4,936$3,455.2$155.03$2,350.6$9,233
NORTHRIDGE MEDICAL CENTER - ROSCOENORTHRIDGECA16$5,629$3,940.3$155.03$2,300.42$9,813
ST. JOHNS PLEASANT VALLEY HOSPITALCAMARILLOCA17$3,369$2,358.3$155.03$1,986.2$12,845
ARROYO GRANDE COMMUNITY HOSPITALARROYO GRANDECA14$2,663$1,864.1$155.03$1,936.01$18,001
MARIAN MEDICAL CENTERSANTA MARIACA15$2,663$1,864.1$155.03$1,936.01$21,196
SCRIPPS MERCY HOSPITALSAN DIEGOCA13$23,623$5,905.69$765.95$18,898$21,071
CENTRAL VALLEY SPECIALTY HOSPITALMODESTOCA6$2,451.8$2,451.8$612.95$1,838.85$2,084.03
SAN ANTONIO REGIONAL HOSPITALUPLANDCA11$5,451$3,270.6$135.11$1,606.07$4,796.88
TRI-CITY MEDICAL CENTEROCEANSIDECA0$5,750$3,450

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.