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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in CA

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Hospitals
39
Min
$463.86
Median
$2,636.00
Max
$18,898
Range multiplier
40.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield37239$1.00$3,658.85$34,56634566.2×
Health Net34176$1.15$2,841.45$33,80529396.0×
Anthem BCBS30132$118.68$3,530.01$29,700250.3×
Aetna33112$118.68$3,060.36$30,983261.1×
UnitedHealthcare2897$155.03$7,125.00$26,708172.3×
Medicaid2286$153.48$280.60$34,425224.3×
Cigna2579$189.95$3,834.10$30,810162.2×
Kaiser Permanente2672$118.68$811.06$29,261246.6×
Medicare3161$118.68$762.20$4,750.0040.0×
Multiplan2752$361.40$4,394.09$31,60687.5×
First Health2145$337.50$4,023.00$30,98391.8×
Humana2541$1.10$737.31$30,81028009.4×
Molina1235$1.15$762.20$12,16010573.9×
commercial | healthsmart | all plans1328$322.20$4,416.82$30,91796.0×
commercial | connected care intel | all plans823$252.95$4,828.33$30,810121.8×
commercial | sutter health | all plans722$360.00$4,291.20$27,54076.5×
brand new day715$769.82$1,082.00$1,143.301.5×
TRICARE712$762.20$762.20$762.201.0×
commercial | wcmg | all plans312$76.50$941.63$5,852.2576.5×
aids healthcare foundation39$155.03$762.20$777.445.0×
Empire BCBS28$224.79$762.20$952.754.2×
commercial | western growers | all plans68$1,462.45$2,631.20$5,145.003.5×
traditional medi-cal77$155.03$155.03$155.031.0×
naphcare46$1,082.00$1,181.41$1,181.411.1×
emanate health26$762.20$762.20$1,524.402.0×
citrus valley physicians group26$762.20$762.20$762.201.0×
l.a care health plan26$155.03$762.20$762.204.9×
indian health council26$1,425.00$4,256.00$10,1847.1×
commercial | hpn | all plans46$669.20$4,057.40$4,936.007.4×
employer direct healthcare66$1,067.08$1,067.08$1,067.081.0×
ucsd [807]16$18,709$19,560$20,2451.1×
renal payer solutions66$762.20$762.20$762.201.0×
commercial | pinnacle | all plans46$1,462.45$3,449.12$5,145.003.5×
community health group35$5,367.50$7,600.00$10,2601.9×
commercial | hill physicians | all plans55$737.31$737.31$737.311.0×
centinela valley ipa14$762.20$979.43$1,196.651.6×
commercial | magellan | all plans34$2,014.80$4,146.30$5,455.802.7×
vantage care24$155.03$458.62$762.204.9×
commercial | usbehavior health | all plans14$450.00$5,539.00$34,42576.5×
alignment44$762.20$762.20$762.201.0×
Bright Health44$625.00$732.48$806.321.3×
commercial | primecare | all plans24$1,957.72$2,434.10$2,926.271.5×
commercial | redlands | all plans24$2,141.75$2,665.65$3,208.401.5×
epic americas33$1.15$1.15$7,448.006476.5×
corvel33$868.91$953.88$1,004.081.2×
central health plan33$762.20$762.20$762.201.0×
occunet13$1,004.08$1,456.00$1,524.401.5×
commercial | mhn | all plans33$666.95$797.27$797.271.2×
la care health plan13$155.03$762.20$762.204.9×
americas choice provider network33$887.20$973.96$1,004.081.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Mary Medical CenterApple ValleyCA15$5,946.00$4,162.20$155.03$887.00$14,315
Garden Grove Hospital Medical CenterGarden GroveCA19$5,161.88$762.00$51.00$762.20$1,181.41
Montclair Hospital Medical CenterMontclairCA24$5,058.67$762.00$51.00$762.20$1,524.40
Sherman Oaks Hospital-HlthSherman OaksCA29$3,800.00$762.00$51.00$762.20$1,181.41
Centinela Hospital Medical CenterInglewoodCA34$3,800.00$762.00$30.00$762.20$1,524.40
Encino HospitalEncinoCA26$3,800.00$762.00$51.00$762.20$1,143.30
Chino Valley Medical CenterChinoCA26$5,058.67$762.00$51.00$762.20$1,524.40
Huntington Beach HospitalHuntington BeachCA17$5,161.88$762.00$30.00$762.20$1,143.30
Sharp Memorial HospitalSan DiegoCA17$15,200$11,400$1.00$6,460.00$14,896
Pacifica Hospital Of The ValleySun ValleyCA13$3,877.00$3,877.00$476.00$610.00$3,877.00
Sharp Chula Vista Medical CenterChula VistaCA17$15,200$11,400$1.00$6,032.50$12,160
Saint Francis Memorial HospitalSan FranciscoCA20$9,093.00$6,365.10$155.03$5,801.34$21,856
Grossmont HospitalLa MesaCA10$15,200$11,400$1.10$5,510.00$14,896
St. Marys Medical CenterSan FranciscoCA18$8,885.00$6,219.50$155.03$5,331.00$22,854
Mercy Medical Center MercedMercedCA16$7,350.00$5,145.00$155.03$5,108.25$26,218
Stanford Health CareStanfordCA14$767.00$383.50$189.14$466.93$730.49
Mark Twain Medical CenterSan AndreasCA12$2,335.00$1,634.50$118.68$463.86$2,288.30
Methodist Hospital Of SacramentoSacramentoCA16$34,425$24,098$155.03$4,291.20$34,566
Mercy Hospital Of FolsomFolsomCA17$34,425$24,098$76.50$4,285.50$34,360
Dominican HospitalSanta CruzCA15$5,611.00$3,927.70$155.03$4,233.79$15,726
Woodland HealthcareWoodlandCA16$34,425$24,098$76.50$4,160.37$34,425
Sierra Nevada Memorial HospitalGrass ValleyCA13$5,571.00$3,899.70$155.03$4,100.26$15,755
Mercy General HospitalSacramentoCA17$34,425$24,098$155.03$4,023.00$34,459
Mercy San Juan Medical CenterCarmichaelCA17$34,425$24,098$76.50$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$4,971.00$3,479.70$187.59$3,507.42$4,971.00
Bakersfield Memorial HospitalBakersfieldCA17$5,605.00$3,923.50$155.03$3,194.85$13,982
Glendale Memorial Hospital & Hlth CtGlendaleCA6$3,914.00$2,739.80$653.13$3,072.80$16,976
St. Bernardine Medical CenterSan BernardinoCA18$4,844.00$3,390.80$155.03$2,636.00$18,940
Sequoia HospitalRedwood CityCA15$11,993$8,395.10$155.03$2,513.58$18,826
St. Johns Regional Medical CenterOxnardCA16$3,963.00$2,774.10$187.59$2,457.06$12,845
Community Hospital Of San BernardinoSan BernardinoCA20$4,936.00$3,455.20$155.03$2,350.60$9,233.00
Northridge Medical Center - RoscoeNorthridgeCA16$5,629.00$3,940.30$155.03$2,300.42$9,813.00
St. Johns Pleasant Valley HospitalCamarilloCA17$3,369.00$2,358.30$155.03$1,986.20$12,845
Marian Medical CenterSanta MariaCA15$2,663.00$1,864.10$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$2,451.80$2,451.80$612.95$1,838.85$2,084.03
San Antonio Regional HospitalUplandCA11$5,451.00$3,270.60$135.11$1,606.07$4,796.88
Tri-City Medical CenterOceansideCA0$5,750.00$3,450.00

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.