▸ Hospital · CA · CCN 050100
Sharp Memorial Hospital
7901 FROST STREET, SAN DIEGO, CA, 050100
Compliance grade
A
100/100
Procedures tracked
148
of 209 target codes
Payers
30
with negotiated rates
Rates published
11,945
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 2 | $95,715 | $71,786 | $67,000 | $71,786 | $76,572 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 10 | $1,000 | $750 | $1 | $725 | $980 |
| Psychiatric eval with medical services | CPT | 90792 | 8 | $1,500 | $1,125 | $420 | $1,050 | $1,350 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 14 | $999 | $749.25 | $1 | $350 | $799.2 |
| ED visit level 2 | CPT | 99282 | 9 | $1,805 | $1,353.75 | $1 | $1,083 | $1,444 |
| ED visit level 3 | CPT | 99283 | 12 | $2,917 | $2,187.75 | $437.55 | $1,983.56 | $2,625.3 |
| ED visit level 4 | CPT | 99284 | 11 | $10,400 | $7,800 | $1.3 | $4,212 | $10,192 |
| ED visit level 5 | CPT | 99285 | 17 | $15,200 | $11,400 | $1 | $6,460 | $14,896 |
| Critical care, first hour | CPT | 99291 | 13 | $29,586 | $22,190 | $725 | $11,613 | $24,261 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $3,714 | $2,785.5 | $1 | $1,764.15 | $3,045.48 |
| CT head with contrast | CPT | 70460 | 10 | $3,827 | $2,870.25 | $241.87 | $2,510.51 | $3,061.6 |
| CT head with and without contrast | CPT | 70470 | 11 | $4,121 | $3,090.75 | $1.1 | $1,524.77 | $3,708.9 |
| CT neck with contrast | CPT | 70491 | 10 | $3,646 | $2,734.5 | $1,239.64 | $2,315.21 | $3,573.08 |
| MRI brain without contrast | CPT | 70551 | 26 | $4,048 | $3,036 | $161.8 | $2,370.54 | $3,878.84 |
| MRI brain with contrast | CPT | 70552 | 9 | $5,069 | $3,801.75 | $887.07 | $3,421.58 | $4,055.2 |
| MRI brain with and without contrast | CPT | 70553 | 26 | $6,086 | $4,562.25 | $1 | $3,438.59 | $5,964.28 |
| Chest X-ray single view | CPT | 71045 | 9 | $609 | $456.75 | $243.6 | $426.3 | $499.38 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $710 | $532.5 | $1 | $418.9 | $725 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $755 | $566.25 | $1 | $426.57 | $604 |
| CT chest without contrast | CPT | 71250 | 10 | $2,851 | $2,138.25 | $1.15 | $1,938.68 | $2,280.8 |
| CT chest with contrast | CPT | 71260 | 12 | $4,108 | $3,081 | $1 | $2,694.85 | $3,697.2 |
| CT chest with and without contrast | CPT | 71270 | 11 | $4,759 | $3,569.25 | $666.26 | $3,176.63 | $3,902.38 |
| MRI chest without contrast | CPT | 71550 | 5 | $3,959 | $2,969.25 | $1,346.06 | $2,612.94 | $3,167.2 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $6,123 | $4,592.25 | $2,571.66 | $4,133.03 | $5,510.7 |
| Lumbosacral spine X-ray | CPT | 72100 | 9 | $769 | $576.75 | $115.35 | $507.54 | $753.62 |
| CT cervical spine without contrast | CPT | 72125 | 9 | $4,228 | $3,171 | $11.98 | $2,843.33 | $3,466.96 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $2,814 | $2,110.5 | $1 | $1,589.91 | $2,757.72 |
| CT lumbar spine without contrast | CPT | 72131 | 9 | $3,216 | $2,412 | $1.15 | $1,286.4 | $2,572.8 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $5,533 | $4,149.75 | $1.1 | $3,734.78 | $4,537.06 |
| MRI thoracic spine without contrast | CPT | 72146 | 3 | $4,269 | $3,201.75 | $725 | $1,451.46 | $2,347.95 |
| MRI lumbar spine without contrast | CPT | 72148 | 26 | $4,191 | $3,111.75 | $156.18 | $2,313.07 | $4,107.18 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 7 | $5,517 | $4,137.75 | $1 | $3,365.37 | $4,965.3 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $7,832 | $5,874 | $1 | $4,425.08 | $6,422.24 |
| MRI lumbar spine with contrast | CPT | 72158 | 5 | $6,150 | $4,612.5 | $1,722 | $4,243.5 | $4,612.5 |
| CT pelvis without contrast | CPT | 72192 | 8 | $2,615 | $1,961.25 | $1.15 | $1,569 | $2,353.5 |
| CT pelvis with contrast | CPT | 72193 | 8 | $3,256 | $2,442 | $1,562.88 | $2,246.64 | $3,190.88 |
| Shoulder X-ray | CPT | 73030 | 3 | $753 | $564.75 | $210.84 | $414.15 | $602.4 |
| Humerus X-ray | CPT | 73060 | 13 | $536 | $402 | $1 | $364.48 | $725 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $678 | $508.5 | $101.7 | $461.04 | $610.2 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $3,287 | $2,465.25 | $575.22 | $2,300.9 | $2,958.3 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $5,734 | $4,300.5 | $1 | $3,837.2 | $4,587.2 |
| Knee X-ray 1-2 views | CPT | 73560 | 13 | $505 | $378.75 | $1.15 | $314.37 | $725 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $719 | $539.25 | $1 | $488.92 | $647.1 |
| MRI lower extremity joint without contrast | CPT | 73721 | 25 | $4,329 | $3,246.75 | $1 | $2,457.36 | $4,242.42 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 7 | $6,161 | $4,620.75 | $1.1 | $3,789.02 | $6,037.78 |
| CT abdomen without contrast | CPT | 74150 | 9 | $2,545 | $1,908.75 | $1.15 | $1,596.99 | $2,036 |
| CT abdomen with contrast | CPT | 74160 | 11 | $3,736 | $2,802 | $1,270.24 | $2,615.2 | $2,988.8 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $4,159 | $3,119.25 | $1.1 | $1,341.28 | $3,410.38 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 25 | $4,640 | $3,480 | $128.67 | $2,621.6 | $4,133.64 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $6,658 | $4,993.5 | $1 | $3,661.9 | $6,524.84 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $7,116 | $5,337 | $1 | $4,625.4 | $5,835.12 |
| MRI abdomen without contrast | CPT | 74181 | 10 | $4,223 | $3,167.25 | $1 | $2,671.05 | $3,167.25 |
| MRI abdomen with and without contrast | CPT | 74183 | 9 | $5,691 | $4,268.25 | $1 | $2,390.22 | $4,268.25 |
| Abdominal ultrasound complete | CPT | 76700 | 6 | $1,866 | $1,399.5 | $634.44 | $1,399.5 | $1,679.4 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $1,172 | $879 | $1 | $328.16 | $937.6 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $1,095 | $821.25 | $153.3 | $755.55 | $985.5 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $1,592 | $1,194 | $100.61 | $1,082.56 | $1,273.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 9 | $1,425 | $1,068.75 | $213.75 | $954.75 | $1,168.5 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 7 | $1,549 | $1,161.75 | $216.86 | $952.64 | $1,518.02 |
| Transvaginal ultrasound | CPT | 76830 | 5 | $1,178 | $883.5 | $400.52 | $718.58 | $942.4 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,749 | $1,311.75 | $1 | $874.5 | $1,434.18 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,674 | $1,255.5 | $1.15 | $837 | $1,640.52 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $560 | $420 | $1 | $341.6 | $448 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $701 | $525.75 | $105.15 | $483.69 | $630.9 |
| Screening mammography bilateral | CPT | 77067 | 9 | $580 | $435 | $1.15 | $356.7 | $464 |
| EKG tracing only | CPT | 93005 | 6 | $838 | $628.5 | $1 | $530.46 | $628.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $6,019 | $4,514.25 | $1 | $3,811.19 | $4,815.2 |
| Stress echocardiogram | CPT | 93350 | 17 | $3,611 | $2,708.25 | $1 | $2,298.1 | $2,888.8 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | $194,629 | $145,971 | $77,851 | $77,851 | $77,851 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $98,961 | $74,221 | $67,293 | $76,695 | $79,169 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $72,572 | $54,429 | $4,586.53 | $50,800 | $58,057 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $116,832 | $87,624 | $17,525 | $79,212 | $93,466 |
| COPD w MCC | MS-DRG | 190 | 4 | $88,259 | $66,195 | $44,130 | $60,016 | $70,608 |
| COPD w CC | MS-DRG | 191 | 5 | $59,771 | $44,829 | $25,104 | $37,955 | $40,645 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $50,821 | $38,116 | $28,714 | $28,714 | $35,575 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $61,563 | $46,173 | $29,550 | $48,327 | $50,482 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $45,662 | $34,247 | $6,849.36 | $22,375 | $34,247 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $120,409 | $90,307 | $66,225 | $81,878 | $84,286 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | $83,186 | $62,389 | $33,274 | $56,566 | $74,867 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $61,503 | $46,127 | $40,346 | $41,084 | $41,822 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $89,247 | $66,935 | $35,699 | $67,828 | $80,322 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | $60,050 | $45,037 | $725 | $40,684 | $58,849 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $42,123 | $31,592 | $14,322 | $26,222 | $31,592 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $101,878 | $76,409 | $15,282 | $34,639 | $71,315 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $57,982 | $43,487 | $16,235 | $36,384 | $39,428 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | $44,298 | $33,224 | $7,752.18 | $25,028 | $39,868 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $72,239 | $54,180 | $20,227 | $49,123 | $55,624 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $53,419 | $40,064 | $7,478.61 | $25,641 | $37,393 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $50,189 | $37,642 | $20,076 | $30,615 | $34,128 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 3 | $195,232 | $146,424 | $97,616 | $108,744 | $156,186 |
| Kidney/UTI w MCC | MS-DRG | 689 | 4 | $80,013 | $60,010 | $12,002 | $27,885 | $72,012 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | $52,218 | $39,164 | $21,932 | $36,553 | $41,775 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 3 | $140,853 | $105,640 | $70,427 | $95,076 | $108,457 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | $69,005 | $51,754 | $10,351 | $37,608 | $55,204 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 7 | $352 | $264 | $49.28 | $234.08 | $281.6 |
| Electrolyte panel | CPT | 80051 | 9 | $143 | $107.25 | $21.45 | $87.23 | $114.4 |
| Comprehensive metabolic panel | CPT | 80053 | 22 | $452 | $339 | $11.19 | $286.96 | $725 |
| Lipid panel | CPT | 80061 | 21 | $194 | $145.5 | $1.96 | $25.84 | $725 |
| Renal function panel | CPT | 80069 | 8 | $180 | $135 | $61.2 | $108 | $162 |
| Hepatic function panel | CPT | 80076 | 13 | $260 | $195 | $1.1 | $176.8 | $254.8 |
| Urinalysis non-automated | CPT | 81002 | 7 | $29 | $21.75 | $8.12 | $19.65 | $23.2 |
| Urinalysis automated | CPT | 81003 | 8 | $86 | $64.5 | $15.05 | $60.2 | $70.52 |
| Glucose quantitative | CPT | 82947 | 21 | $70 | $52.5 | $1 | $45.85 | $68.6 |
| Hemoglobin A1c | CPT | 83036 | 11 | $87 | $65.25 | $1 | $53.51 | $71.34 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 14 | $207 | $155.25 | $1 | $25.6 | $165.6 |
| Complete blood count with automated differential | CPT | 85025 | 23 | $197 | $147.75 | $1 | $132.98 | $725 |
| Complete blood count without differential | CPT | 85027 | 12 | $159 | $119.25 | $1 | $104.89 | $143.1 |
| Urine culture bacterial | CPT | 87086 | 12 | $260 | $195 | $1 | $182 | $208 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $345 | $258.75 | $21.8 | $241.5 | $310.5 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 12 | $1,558 | $1,168.5 | $1.15 | $880.27 | $1,402.2 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 10 | $368 | $276 | $1.15 | $211.75 | $283.36 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 26 | $471 | $353.25 | $1.15 | $292.11 | $725 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 12 | $635 | $476.25 | $1 | $406.02 | $520.7 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 15 | $817 | $612.75 | $122.55 | $521.26 | $800.66 |
| Office visit, established patient, 5 min | CPT | 99211 | 21 | $742 | $556.5 | $1 | $222 | $725 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $344 | $258 | $1 | $206.64 | $337.12 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 27 | $415 | $311.25 | $1 | $161.68 | $725 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 26 | $494 | $370.5 | $1 | $192.64 | $725 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 14 | $742 | $556.5 | $1 | $431.27 | $727.16 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | $3,558 | $2,668.5 | $1.15 | $2,152.59 | $2,917.56 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | $4,019 | $3,014.25 | $1 | $2,813.3 | $3,617.1 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 6 | $2,753 | $2,064.75 | $385.42 | $1,727.51 | $2,202.4 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 8 | $3,502 | $2,626.5 | $525.3 | $2,273.5 | $3,151.8 |
| Colonoscopy diagnostic | CPT | 45378 | 30 | $3,383 | $2,537.25 | $1.1 | $2,152.58 | $4,366 |
| Colonoscopy with biopsy | CPT | 45380 | 26 | $3,675 | $2,756.25 | $212.42 | $2,336.18 | $5,178.63 |
| Colonoscopy with polyp removal | CPT | 45385 | 28 | $4,649 | $3,486.75 | $269.52 | $2,792.95 | $5,178.63 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $385,111 | $288,834 | $154,045 | $258,025 | $269,578 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | $206,220 | $154,665 | $70,115 | $138,168 | $164,976 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $158,711 | $119,033 | $53,962 | $92,846 | $126,969 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | $117,381 | $88,036 | $32,867 | $79,819 | $93,905 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $96,924 | $72,693 | $54,762 | $65,424 | $77,539 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | $324,819 | $243,614 | $129,927 | $180,924 | $243,614 |
| Major joint replacement w MCC | MS-DRG | 469 | 4 | $287,918 | $215,938 | $97,892 | $195,784 | $230,334 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | $144,446 | $108,334 | $88,112 | $93,167 | $98,223 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | $213,466 | $160,099 | $102,464 | $135,551 | $170,773 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | $150,562 | $112,922 | $9,515.54 | $105,394 | $147,551 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 2 | $116,531 | $87,398 | $79,241 | $80,407 | $89,729 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 2 | $114,198 | $85,648 | $54,815 | $71,944 | $85,648 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | $126,962 | $95,221 | $43,167 | $69,829 | $114,266 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 3 | $104,213 | $78,160 | $43,770 | $72,949 | $78,160 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | $111,452 | $83,589 | $46,810 | $62,970 | $74,673 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | $106,686 | $80,014 | $51,209 | $60,277 | $96,017 |
| PCI single major coronary artery | CPT | 92920 | 13 | $17,091 | $12,818 | $1 | $11,750 | $16,749 |
| PCI with drug-eluting stent | CPT | 92928 | 12 | $35,802 | $26,852 | $1 | $20,040 | $35,086 |
| PCI bypass graft | CPT | 92937 | 14 | $17,869 | $13,402 | $1.1 | $10,096 | $17,512 |
| Left heart catheterization | CPT | 93452 | 10 | $19,565 | $14,674 | $1,236.51 | $12,835 | $15,652 |
| Coronary angiography with cath | CPT | 93455 | 11 | $21,609 | $16,207 | $1 | $15,126 | $21,177 |
| Coronary angiography with bypass cath | CPT | 93458 | 12 | $22,097 | $16,573 | $1.15 | $7,512.98 | $15,468 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 126 | $750 |
| Health Net | 121 | $634.44 |
| Aetna | 113 | $653.6 |
| UnitedHealthcare | 97 | $739.69 |
| Molina | 81 | $622.35 |
| Kaiser Permanente | 77 | $800.58 |
| Cigna | 71 | $1,090.6 |
| community health group | 67 | $699.3 |
| optum health | 62 | $1,926.6 |
| Multiplan | 57 | $947.85 |
| interplan | 56 | $840.75 |
| indian health council | 53 | $947.24 |
| Medicare | 52 | $653.91 |
| san diego pace | 51 | $511.18 |
| Humana | 50 | $1,339.58 |
| california health and wellness | 44 | $291.61 |
| managed health network | 42 | $602.4 |
| allianz global assistance | 40 | $1,830.5 |
| epic americas | 39 | $616.2 |
| medi-cal | 38 | $274.16 |
| county medical services | 38 | $425.87 |
| axa assistance | 14 | $313.6 |
| First Health | 14 | $306.6 |
| azga services canada | 14 | $304.64 |
| community health group medi-cal | 14 | $62.72 |
| maximum negotiated charge | 14 | $3,125.22 |
| minimum negotiated charge | 14 | $178.62 |
| choice care network | 14 | $358.4 |
| county of san diego | 11 | $161.8 |
| optum health commercial | 8 | $1,418.34 |