▸ Hospital · CA · CCN 050441
Stanford Health Care
300 PASTEUR DRIVE, STANFORD, CA, 94305
717 bedsAcute Care Hospitals2
Compliance grade
A
95/100
Procedures tracked
92
of 209 target codes
Payers
14
with negotiated rates
Rates published
13,526
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | — | $20,988 | $20,988 | $20,988 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 14 | $1,156 | $578 | $224.14 | $470.93 | $647.7 |
| Psychiatric eval with medical services | CPT | 90792 | 14 | $1,142 | $571 | $180.69 | $484.76 | $647.7 |
| Psychotherapy 30 minutes | CPT | 90832 | 14 | $493 | $246.5 | $92.52 | $199.86 | $277.37 |
| Psychotherapy 45 minutes | CPT | 90834 | 14 | $766 | $383 | $117.53 | $250.01 | $469.39 |
| Psychotherapy 60 minutes | CPT | 90837 | 14 | $901 | $450.5 | $171.54 | $363.92 | $597.41 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 14 | $105 | $52.5 | $26.55 | $53.09 | $90.75 |
| ED visit level 2 | CPT | 99282 | 14 | $177 | $88.5 | $42.67 | $108.4 | $168.71 |
| ED visit level 3 | CPT | 99283 | 14 | $306 | $153 | $78.05 | $180.36 | $291.31 |
| ED visit level 4 | CPT | 99284 | 14 | $524 | $262 | $119.61 | $316.69 | $499.3 |
| ED visit level 5 | CPT | 99285 | 14 | $767 | $383.5 | $189.14 | $466.93 | $730.49 |
| Critical care, first hour | CPT | 99291 | 14 | $1,668 | $834 | $106.4 | $512.75 | $1,668 |
| imaging | ||||||||
| Abdominal ultrasound limited | CPT | 76705 | 14 | $420 | $210 | $32.95 | $184.49 | $413.04 |
| Obstetric ultrasound first trimester | CPT | 76801 | 14 | $628 | $314 | $53.52 | $207.11 | $607.89 |
| Transvaginal ultrasound | CPT | 76830 | 14 | $530 | $265 | $31.97 | $150.72 | $530 |
| EKG complete | CPT | 93000 | 14 | $124 | $62 | $38.59 | $50.23 | $118.11 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $30,028 | $30,028 | $30,028 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | — | $15,300 | $15,300 | $15,300 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | — | $10,504 | $10,504 | $10,504 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | — | — | $23,430 | $23,430 | $23,430 |
| COPD w MCC | MS-DRG | 190 | 1 | — | — | $16,734 | $16,734 | $16,734 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $12,838 | $12,838 | $12,838 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $9,879.76 | $9,879.76 | $9,879.76 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $12,292 | $12,292 | $12,292 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | — | — | $9,681.07 | $9,681.07 | $9,681.07 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | — | $24,039 | $24,039 | $24,039 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $13,958 | $13,958 | $13,958 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | — | $11,073 | $11,073 | $11,073 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $19,325 | $19,325 | $19,325 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $12,926 | $12,926 | $12,926 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $8,761.24 | $8,761.24 | $8,761.24 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | — | $18,151 | $18,151 | $18,151 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | — | — | $11,259 | $11,259 | $11,259 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | — | $8,762.72 | $8,762.72 | $8,762.72 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $14,865 | $14,865 | $14,865 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $9,709.04 | $9,709.04 | $9,709.04 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $11,905 | $11,905 | $11,905 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | — | $23,504 | $23,504 | $23,504 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $17,508 | $17,508 | $17,508 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | — | $12,345 | $12,345 | $12,345 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $29,020 | $29,020 | $29,020 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $15,491 | $15,491 | $15,491 |
| Initial hospital care, low complexity | CPT | 99221 | 14 | $405 | $202.5 | $60.03 | $239.35 | $385.27 |
| Initial hospital care, moderate complexity | CPT | 99222 | 14 | $583 | $291.5 | $128.1 | $356.15 | $555.46 |
| Initial hospital care, high complexity | CPT | 99223 | 14 | $838 | $419 | $140.18 | $499.05 | $797.55 |
| Hospital discharge, <30 min | CPT | 99238 | 14 | $354 | $177 | $65.8 | $213.07 | $337.41 |
| Hospital discharge, >30 min | CPT | 99239 | 14 | $483 | $241.5 | $93.45 | $303.56 | $459.6 |
| lab | ||||||||
| Urinalysis non-automated | CPT | 81002 | 14 | $45 | $22.5 | $3.76 | $7.69 | $10.01 |
| Urinalysis automated | CPT | 81003 | 14 | $11 | $5.5 | $3.43 | $4.97 | $8.81 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $37 | $18.5 | $11.81 | $17.17 | $30.46 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 14 | $664 | $332 | $120.05 | $217.84 | $345.72 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 14 | $815 | $407.5 | $160.16 | $321.66 | $492.52 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 14 | $935 | $467.5 | $192.92 | $438.35 | $705.08 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 14 | $1,107 | $553.5 | $231.56 | $575.73 | $823.49 |
| Office visit, established patient, 5 min | CPT | 99211 | 14 | $338 | $169 | $21.63 | $72.18 | $123.71 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 14 | $573 | $286.5 | $46 | $153.99 | $210.39 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 14 | $682 | $341 | $67.2 | $243.72 | $345.83 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 14 | $809 | $404.5 | $105 | $340.12 | $467.79 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 14 | $1,005 | $502.5 | $160.16 | $474.73 | $559.8 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 14 | $1,607 | $803.5 | $133.12 | $403.2 | $765.26 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 13 | $9,206.25 | $4,603.13 | $209.62 | $2,185.25 | $4,207.27 |
| Total hip replacement | CPT | 27130 | 14 | $18,888 | $9,444 | $201.13 | $1,760.11 | $4,009.91 |
| Total knee replacement | CPT | 27447 | 14 | $18,142 | $9,071 | $215.36 | $1,821.03 | $4,278.52 |
| Knee revision arthroplasty single component | CPT | 27486 | 13 | $17,284 | $8,642 | $196.77 | $1,776.11 | $4,179.09 |
| Knee revision arthroplasty all components | CPT | 27487 | 14 | $13,511 | $6,755.63 | $247.44 | $1,020.59 | $4,945.15 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 14 | $3,297.5 | $1,648.75 | $66.18 | $496.37 | $2,661.34 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 14 | $6,168.75 | $3,084.38 | $151.44 | $1,246.12 | $2,818.98 |
| ACL reconstruction | CPT | 29888 | 14 | $9,175 | $4,587.5 | $117.93 | $1,233.57 | $2,609.79 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | — | $68,079 | $68,079 | $68,079 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | — | $35,712 | $35,712 | $35,712 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $25,199 | $25,199 | $25,199 |
| CABG single arterial graft | CPT | 33533 | 14 | $12,384 | $6,192 | $277.64 | $1,307.14 | $4,634.26 |
| CABG 2 arterial grafts | CPT | 33534 | 14 | $14,551 | $7,275.5 | $1,213.1 | $2,511.3 | $4,972.87 |
| CABG 3 arterial grafts | CPT | 33535 | 14 | $16,200 | $8,100 | $2,045.46 | $3,355.07 | $5,235.25 |
| CABG 4+ arterial grafts | CPT | 33536 | 14 | $19,457 | $9,728.5 | $2,249.72 | $3,576.24 | $5,522.25 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $25,327 | $25,327 | $25,327 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $20,532 | $20,532 | $20,532 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | — | $50,575 | $50,575 | $50,575 |
| Laparoscopic appendectomy | CPT | 44970 | 14 | $3,581.25 | $1,790.63 | $47.89 | $741.16 | $1,465.97 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | — | $45,072 | $45,072 | $45,072 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | — | $28,819 | $28,819 | $28,819 |
| Laparoscopic cholecystectomy | CPT | 47562 | 14 | $4,726.25 | $2,363.13 | $81.45 | $866.89 | $1,838.36 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | — | $43,292 | $43,292 | $43,292 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | — | $31,257 | $31,257 | $31,257 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | — | $24,435 | $24,435 | $24,435 |
| Lap inguinal hernia repair | CPT | 49650 | 14 | $6,017.5 | $3,008.75 | $46.26 | $499.21 | $1,520.33 |
| Lap salpingo-oophorectomy | CPT | 58661 | 14 | $8,570 | $4,285 | $85.57 | $801.43 | $2,290.81 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $42,926 | $42,926 | $42,926 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $23,983 | $23,983 | $23,983 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | — | $22,631 | $22,631 | $22,631 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $18,691 | $18,691 | $18,691 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | — | $30,588 | $30,588 | $30,588 |
Payer mix (top 14)
| Payer | Codes covered | Median rate |
|---|---|---|
| Health Net | 92 | $713 |
| american specialty health plan alt payer [971000000] | 49 | $647.7 |
| beech st [10600] | 49 | $341.01 |
| blue card (out of state) [40000] | 49 | $460.62 |
| Blue Cross Blue Shield | 49 | $559.8 |
| Cigna | 49 | $280.87 |
| claritev [13400] | 49 | $341.01 |
| UnitedHealthcare | 49 | $557.59 |
| Aetna | 49 | $552.52 |
| Kaiser Permanente | 49 | $341.01 |
| private healthcare systems (phcs) [14200] | 49 | $341.01 |
| shca comm intel [20300000] | 49 | $460.62 |
| umr [17000] | 49 | $557.59 |
| health plan of san mateo [31200] | 47 | $160.16 |