▸ Hospital · CA · CCN 050222
Sharp Chula Vista Medical Center
751 MEDICAL CENTER COURT, CHULA VISTA, CA, 050222
Compliance grade
A
100/100
Procedures tracked
151
of 209 target codes
Payers
30
with negotiated rates
Rates published
17,555
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | $95,715 | $71,786 | $26,800 | $60,300 | $93,801 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | $1,000 | $750 | $297 | $656 | $900 |
| Psychiatric eval with medical services | CPT | 90792 | 13 | $1,500 | $1,125 | $225 | $957 | $1,470 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $360 | $270 | $1.15 | $229.68 | $324 |
| Psychotherapy 45 minutes | CPT | 90834 | 10 | $471 | $353.25 | $1.15 | $250.1 | $353.25 |
| Psychotherapy 60 minutes | CPT | 90837 | 13 | $1,106 | $829.5 | $1 | $553 | $1,083.88 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $999 | $749.25 | $1 | $392.3 | $819.18 |
| ED visit level 2 | CPT | 99282 | 9 | $1,805 | $1,353.75 | $1.15 | $1,092.03 | $1,444 |
| ED visit level 3 | CPT | 99283 | 9 | $2,917 | $2,187.75 | $1.15 | $1,473.09 | $2,858.66 |
| ED visit level 4 | CPT | 99284 | 17 | $10,400 | $7,800 | $1 | $3,588 | $8,528 |
| ED visit level 5 | CPT | 99285 | 17 | $15,200 | $11,400 | $1 | $6,032.5 | $12,160 |
| Critical care, first hour | CPT | 99291 | 10 | $29,586 | $22,190 | $1.15 | $10,059 | $26,627 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $3,714 | $2,785.5 | $1 | $2,471.67 | $3,342.6 |
| CT head with contrast | CPT | 70460 | 9 | $3,827 | $2,870.25 | $1 | $2,583.23 | $3,750.46 |
| CT head with and without contrast | CPT | 70470 | 10 | $4,121 | $3,090.75 | $1.3 | $2,695.14 | $3,296.8 |
| CT neck with contrast | CPT | 70491 | 13 | $3,646 | $2,734.5 | $546.9 | $2,287.87 | $15,436 |
| MRI brain without contrast | CPT | 70551 | 26 | $4,048 | $3,036 | $1.15 | $2,024 | $3,878.84 |
| MRI brain with contrast | CPT | 70552 | 12 | $5,069 | $3,801.75 | $709.66 | $3,234.02 | $4,156.58 |
| MRI brain with and without contrast | CPT | 70553 | 28 | $6,086 | $4,562.25 | $1 | $3,345.65 | $15,436 |
| Chest X-ray single view | CPT | 71045 | 9 | $609 | $456.75 | $1 | $304.5 | $596.82 |
| Chest X-ray 2 views | CPT | 71046 | 14 | $710 | $532.5 | $198.8 | $480.46 | $582.2 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $755 | $566.25 | $1 | $462.44 | $1,251.78 |
| CT chest without contrast | CPT | 71250 | 15 | $2,851 | $2,138.25 | $1.1 | $1,931.56 | $2,793.98 |
| CT chest with contrast | CPT | 71260 | 12 | $4,108 | $3,081 | $1,150.24 | $2,505.88 | $3,697.2 |
| CT chest with and without contrast | CPT | 71270 | 11 | $4,759 | $3,569.25 | $1 | $2,515.13 | $4,283.1 |
| MRI chest without contrast | CPT | 71550 | 9 | $3,959 | $2,969.25 | $1,207.49 | $2,771.3 | $3,879.82 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $6,123 | $4,592.25 | $386.97 | $3,857.5 | $4,898.4 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $769 | $576.75 | $48.6 | $490.24 | $692.1 |
| CT cervical spine without contrast | CPT | 72125 | 14 | $4,228 | $3,171 | $1 | $2,674.21 | $4,143.44 |
| CT thoracic spine without contrast | CPT | 72128 | 10 | $2,814 | $2,110.5 | $177.84 | $1,385.9 | $2,251.2 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $3,216 | $2,412 | $1 | $2,010 | $2,572.8 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $5,533 | $4,149.75 | $1.15 | $3,319.8 | $4,979.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $4,269 | $3,201.75 | $1 | $2,134.5 | $3,842.1 |
| MRI lumbar spine without contrast | CPT | 72148 | 27 | $4,191 | $3,111.75 | $95.09 | $2,037.16 | $4,107.18 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $5,517 | $4,137.75 | $1.95 | $3,519.85 | $5,406.66 |
| MRI cervical spine with and without contrast | CPT | 72156 | 10 | $7,832 | $5,874 | $1 | $3,423.37 | $7,675.36 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $6,150 | $4,612.5 | $1.3 | $4,228.13 | $5,043 |
| CT pelvis without contrast | CPT | 72192 | 13 | $2,615 | $1,961.25 | $732.2 | $1,621.3 | $2,353.5 |
| CT pelvis with contrast | CPT | 72193 | 8 | $3,256 | $2,442 | $205.78 | $2,002.44 | $2,442 |
| Shoulder X-ray | CPT | 73030 | 13 | $753 | $564.75 | $223.64 | $474.39 | $677.7 |
| Humerus X-ray | CPT | 73060 | 10 | $536 | $402 | $80.4 | $355.91 | $482.4 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $678 | $508.5 | $1.3 | $432.56 | $610.2 |
| MRI upper extremity joint without contrast | CPT | 73221 | 14 | $3,287 | $2,465.25 | $114.85 | $2,138.86 | $2,695.34 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 14 | $5,734 | $4,300.5 | $1,605.52 | $4,013.8 | $31,171 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $505 | $378.75 | $75.75 | $255.03 | $414.1 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $719 | $539.25 | $107.85 | $476.98 | $647.1 |
| MRI lower extremity joint without contrast | CPT | 73721 | 27 | $4,329 | $3,246.75 | $1.15 | $2,032.51 | $31,171 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 10 | $6,161 | $4,620.75 | $1 | $2,957.28 | $5,052.02 |
| CT abdomen without contrast | CPT | 74150 | 12 | $2,545 | $1,908.75 | $1 | $1,437.92 | $1,781.5 |
| CT abdomen with contrast | CPT | 74160 | 12 | $3,736 | $2,802 | $1.15 | $2,377.97 | $2,988.8 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $4,159 | $3,119.25 | $1 | $2,349.83 | $3,327.2 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 25 | $4,640 | $3,480 | $128.67 | $2,305.19 | $4,547.2 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $6,658 | $4,993.5 | $1 | $4,247.8 | $5,326.4 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $7,116 | $5,337 | $1.15 | $4,145.07 | $6,404.4 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $4,223 | $3,167.25 | $1.15 | $2,027.04 | $3,462.86 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $5,691 | $4,268.25 | $1 | $2,845.5 | $4,666.62 |
| Abdominal ultrasound complete | CPT | 76700 | 13 | $1,866 | $1,399.5 | $261.24 | $1,287.54 | $1,679.4 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $1,172 | $879 | $8.62 | $732.5 | $1,054.8 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $1,095 | $821.25 | $372.3 | $739.13 | $1,073.1 |
| Obstetric ultrasound first trimester | CPT | 76801 | 9 | $1,592 | $1,194 | $1 | $971.12 | $1,273.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 14 | $1,425 | $1,068.75 | $213.75 | $909.15 | $1,282.5 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 7 | $1,549 | $1,161.75 | $216.86 | $988.26 | $1,394.1 |
| Transvaginal ultrasound | CPT | 76830 | 13 | $1,178 | $883.5 | $2.76 | $789.26 | $1,060.2 |
| Pelvic ultrasound complete | CPT | 76856 | 9 | $1,749 | $1,311.75 | $519.45 | $1,066.89 | $1,714.02 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,674 | $1,255.5 | $234.36 | $884.71 | $1,372.68 |
| Diagnostic mammography unilateral | CPT | 77065 | 8 | $560 | $420 | $168 | $375.2 | $448 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $701 | $525.75 | $1 | $385.55 | $595.85 |
| Screening mammography bilateral | CPT | 77067 | 12 | $580 | $435 | $1.15 | $358.15 | $522 |
| EKG tracing only | CPT | 93005 | 12 | $838 | $628.5 | $1 | $561.46 | $14,409 |
| Transthoracic echocardiogram complete | CPT | 93306 | 16 | $6,019 | $4,514.25 | $1.15 | $3,009.55 | $15,436 |
| Stress echocardiogram | CPT | 93350 | 15 | $3,611 | $2,708.25 | $1.15 | $2,051.88 | $3,217.34 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | $194,629 | $145,971 | $93,422 | $122,908 | $136,240 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $98,961 | $74,221 | $14,844 | $70,510 | $81,148 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | $72,572 | $54,429 | $20,320 | $36,286 | $44,269 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | $116,832 | $87,624 | $7,383.81 | $57,248 | $89,961 |
| COPD w MCC | MS-DRG | 190 | 9 | $88,259 | $66,195 | $12,356 | $60,899 | $79,433 |
| COPD w CC | MS-DRG | 191 | 5 | $59,771 | $44,829 | $8,965.71 | $30,185 | $46,024 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | $50,821 | $38,116 | $15,094 | $32,424 | $40,657 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $61,563 | $46,173 | $18,284 | $29,550 | $43,094 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | $45,662 | $34,247 | $2,885.87 | $28,767 | $41,096 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $120,409 | $90,307 | $67,068 | $79,771 | $118,001 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $83,186 | $62,389 | $23,292 | $45,752 | $66,549 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $61,503 | $46,127 | $20,911 | $36,748 | $49,203 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $89,247 | $66,935 | $26,506 | $43,954 | $60,242 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | $60,050 | $45,037 | $17,835 | $36,630 | $48,040 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 7 | $42,123 | $31,592 | $12,511 | $23,799 | $37,911 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | $101,878 | $76,409 | $56,746 | $70,805 | $91,690 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $57,982 | $43,487 | $19,714 | $32,296 | $56,823 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $44,298 | $33,224 | $15,061 | $22,149 | $36,325 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $72,239 | $54,180 | $28,368 | $44,788 | $54,180 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $53,419 | $40,064 | $15,865 | $25,641 | $48,077 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $50,189 | $37,642 | $8,783.07 | $22,153 | $37,642 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | $195,232 | $146,424 | $77,136 | $127,038 | $191,328 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | $80,013 | $60,010 | $12,002 | $32,805 | $65,611 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | $52,218 | $39,164 | $7,310.55 | $27,261 | $36,553 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | $140,853 | $105,640 | $21,128 | $61,398 | $138,036 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 3 | $69,005 | $51,754 | $34,848 | $45,544 | $67,625 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 10 | $352 | $264 | $1.1 | $224.05 | $45,632 |
| Electrolyte panel | CPT | 80051 | 11 | $143 | $107.25 | $1 | $94.24 | $117.26 |
| Comprehensive metabolic panel | CPT | 80053 | 22 | $452 | $339 | $11.19 | $284.85 | $725 |
| Lipid panel | CPT | 80061 | 23 | $194 | $145.5 | $1.96 | $13.72 | $6,545.74 |
| Renal function panel | CPT | 80069 | 12 | $180 | $135 | $53.46 | $114.3 | $3,706.57 |
| Hepatic function panel | CPT | 80076 | 10 | $260 | $195 | $36.4 | $176.8 | $4,962.38 |
| Urinalysis non-automated | CPT | 81002 | 11 | $29 | $21.75 | $1 | $14.5 | $95.09 |
| Urinalysis automated | CPT | 81003 | 13 | $86 | $64.5 | $1 | $47.9 | $77.4 |
| Glucose quantitative | CPT | 82947 | 18 | $70 | $52.5 | $1 | $43.75 | $119.86 |
| Hemoglobin A1c | CPT | 83036 | 11 | $87 | $65.25 | $5.5 | $55.24 | $119.86 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 16 | $207 | $155.25 | $1.15 | $24 | $7,563.64 |
| Complete blood count with automated differential | CPT | 85025 | 20 | $197 | $147.75 | $1 | $130.69 | $725 |
| Complete blood count without differential | CPT | 85027 | 12 | $159 | $119.25 | $1 | $107.73 | $155.82 |
| Urine culture bacterial | CPT | 87086 | 11 | $260 | $195 | $1 | $158.6 | $208 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $345 | $258.75 | $1.3 | $228.87 | $1,191.26 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | $1,558 | $1,168.5 | $233.7 | $880.27 | $1,526.84 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 15 | $368 | $276 | $1 | $213.5 | $22,634 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 16 | $471 | $353.25 | $1 | $273.89 | $15,436 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | $635 | $476.25 | $1 | $403.23 | $593.88 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 17 | $817 | $612.75 | $1 | $431.79 | $1,498.14 |
| Office visit, established patient, 5 min | CPT | 99211 | 20 | $742 | $556.5 | $1 | $194.36 | $3,484.48 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 20 | $344 | $258 | $1 | $196.8 | $337.12 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 27 | $415 | $311.25 | $1 | $252.01 | $725 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 27 | $494 | $370.5 | $1 | $280 | $725 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | $742 | $556.5 | $1 | $445.41 | $727.16 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $3,558 | $2,668.5 | $1.15 | $2,315.19 | $2,917.56 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $4,019 | $3,014.25 | $11.43 | $2,451.59 | $4,117.35 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 8 | $2,753 | $2,064.75 | $817.64 | $1,810.1 | $18,827 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 13 | $3,502 | $2,626.5 | $525.3 | $2,206.26 | $8,108 |
| Colonoscopy diagnostic | CPT | 45378 | 29 | $3,383 | $2,537.25 | $1 | $1,993.13 | $4,366 |
| Colonoscopy with biopsy | CPT | 45380 | 27 | $3,675 | $2,756.25 | $1 | $2,163.13 | $5,178.63 |
| Colonoscopy with polyp removal | CPT | 45385 | 25 | $4,649 | $3,486.75 | $1 | $2,750 | $5,178.63 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $385,111 | $288,834 | $161,747 | $259,950 | $315,791 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | $206,220 | $154,665 | $30,933 | $137,961 | $202,096 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $158,711 | $119,033 | $23,807 | $76,181 | $130,143 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $117,381 | $88,036 | $58,691 | $82,167 | $115,034 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $96,924 | $72,693 | $53,308 | $63,485 | $72,693 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $324,819 | $243,614 | $204,636 | $219,253 | $220,877 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | $287,918 | $215,938 | $97,892 | $187,147 | $236,093 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | $144,446 | $108,334 | $42,900 | $99,667 | $118,445 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | $213,466 | $160,099 | $192.26 | $117,406 | $170,773 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | $150,562 | $112,922 | $453.77 | $100,124 | $112,922 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | $116,531 | $87,398 | $407.15 | $67,297 | $104,878 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | $114,198 | $85,648 | $17,130 | $77,426 | $87,932 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | $126,962 | $95,221 | $17,775 | $85,064 | $114,266 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 3 | $104,213 | $78,160 | $5,998.82 | $66,488 | $80,244 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 4 | $111,452 | $83,589 | $16,718 | $65,478 | $78,016 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | $106,686 | $80,014 | $29,872 | $60,277 | $80,014 |
| PCI single major coronary artery | CPT | 92920 | 12 | $17,091 | $12,818 | $1 | $10,554 | $16,749 |
| PCI with drug-eluting stent | CPT | 92928 | 16 | $35,802 | $26,852 | $1 | $18,796 | $35,086 |
| PCI bypass graft | CPT | 92937 | 16 | $17,869 | $13,402 | $1 | $10,186 | $17,512 |
| Left heart catheterization | CPT | 93452 | 11 | $19,565 | $14,674 | $1 | $12,482 | $19,174 |
| Coronary angiography with cath | CPT | 93455 | 8 | $21,609 | $16,207 | $6,050.52 | $12,911 | $17,719 |
| Coronary angiography with bypass cath | CPT | 93458 | 12 | $22,097 | $16,573 | $6,187.16 | $14,065 | $21,655 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Health Net | 146 | $864.78 |
| Blue Cross Blue Shield | 144 | $1,096.33 |
| Aetna | 140 | $865.3 |
| UnitedHealthcare | 114 | $827.83 |
| Cigna | 109 | $1,155.06 |
| Molina | 106 | $586 |
| community health group | 84 | $725.34 |
| san diego pace | 75 | $634.2 |
| managed health network | 70 | $1,037.05 |
| epic americas | 69 | $1,252.85 |
| interplan | 68 | $1,254.23 |
| medi-cal | 67 | $419.42 |
| Kaiser Permanente | 67 | $725 |
| indian health council | 66 | $1,764 |
| california health and wellness | 62 | $537.67 |
| Humana | 61 | $634.2 |
| Multiplan | 56 | $1,860.48 |
| Medicare | 56 | $1,005.53 |
| allianz global assistance | 53 | $727.16 |
| county medical services | 41 | $600.4 |
| minimum negotiated charge | 13 | $203.92 |
| axa assistance | 13 | $2,327.5 |
| First Health | 13 | $2,189.06 |
| maximum negotiated charge | 13 | $3,878.84 |
| community health group medi-cal | 13 | $465.5 |
| choice care network | 13 | $2,660 |
| azga services canada | 13 | $2,261 |
| county of san diego | 10 | $169.03 |
| optum health commercial | 8 | $1,418.34 |
| community health group cal mediconnect | 8 | $354.59 |