Coronado, CA, 92118-
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| imaging | |||||||||
| MRI brain without contrast | CPT | 70551 | 24 | $3,958 | — | $161.8 | $1,924.58 | 4.8× | $3,878.84 |
| MRI brain with and without contrast | CPT | 70553 | 24 | $6,086 | — | $271.82 | $2,959.32 | 5.0× | $5,964.28 |
| MRI lumbar spine without contrast | CPT | 72148 | 24 | $4,191 | — | $156.18 | $2,037.88 | 5.4× | $4,107.18 |
| MRI lower extremity joint without contrast | CPT | 73721 | 24 | $3,982 | — | $176.26 | $1,936.25 | 4.1× | $3,902.36 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 24 | $4,218 | — | $128.67 | $2,051.01 | 5.6× | $4,133.64 |
| lab | |||||||||
| Comprehensive metabolic panel | CPT | 80053 | 17 | $422 | — | $11.19 | $285.91 | 6.4× | $725 |
| Lipid panel | CPT | 80061 | 17 | $176 | — | $1.96 | $25.24 | 0.66× | $725 |
| Complete blood count with automated differential | CPT | 85025 | 17 | $197 | — | $8.24 | $133.47 | 5.0× | $725 |
| office | |||||||||
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 20 | $376 | — | $24.44 | $235 | 2.1× | $725 |
| preventive | |||||||||
| Colonoscopy diagnostic | CPT | 45378 | 24 | $3,189 | — | $195.42 | $1,933.5 | 2.2× | $4,366 |
| Colonoscopy with biopsy | CPT | 45380 | 24 | $3,461 | — | $212.42 | $2,163.13 | 1.8× | $5,178.63 |
| Colonoscopy with polyp removal | CPT | 45385 | 24 | $4,400 | — | $269.52 | $2,607 | 2.2× | $5,178.63 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 12 | $880 |
| axa assistance | 12 | $2,422.7 |
| azga services canada | 12 | $2,353.48 |
| Blue Cross Blue Shield | 12 | $1,922.64 |
| Kaiser Permanente | 12 | $725 |
| maximum negotiated charge | 12 | $3,878.84 |
| Medicare | 12 | $940.2 |
| minimum negotiated charge | 12 | $212.42 |
| Molina | 12 | $258.83 |
| Multiplan | 12 | $2,664.97 |
| UnitedHealthcare | 12 | $792 |
| choice care network | 12 | $2,768.8 |
| Cigna | 12 | $1,980.25 |
| community health group medi-cal | 12 | $484.54 |
| First Health | 12 | $2,327.5 |
| Health Net | 12 | $490.95 |
| interplan | 12 | $2,595.75 |
| medi-cal | 9 | $176.26 |
| county of san diego | 9 | $176.26 |
| california health and wellness | 9 | $266.15 |
| optum health commercial | 8 | $1,418.34 |
| community health group cal mediconnect | 8 | $354.59 |
| san diego pace | 8 | $354.59 |
| indian health council | 8 | $354.59 |
