Stockton, CA, 95204
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 |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 11 | $230 | $161 | $15.6 | $136.97 | 0.77× | $218.3 |
| Psychiatric eval with medical services | CPT | 90792 | 10 | $465 | $325.5 | $31 | $262.8 | 1.5× | $416.18 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $72 | $50.4 | $7.2 | $55.38 | 0.37× | $178.8 |
| Psychotherapy 45 minutes | CPT | 90834 | 11 | $147 | $102.9 | $14.7 | $113.06 | 0.70× | $178.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 11 | $184 | $128.8 | $18.4 | $141.52 | 0.74× | $184 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | $411 | $287.7 | $41.1 | $292.23 | 1.8× | $411 |
| imaging | |||||||||
| EKG tracing only | CPT | 93005 | 9 | $512 | $358.4 | $39.3 | $284.93 | 2.4× | $458.24 |
| inpatient | |||||||||
| Hospital discharge, <30 min | CPT | 99238 | 8 | $98 | $68.6 | $9.8 | $71.54 | 0.84× | $89.4 |
| lab | |||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 9 | $645 | $451.5 | $8.46 | $312.48 | 9.6× | $577.28 |
| Electrolyte panel | CPT | 80051 | 9 | $596 | $417.2 | $7.01 | $164.84 | 6.9× | $533.42 |
| Comprehensive metabolic panel | CPT | 80053 | 9 | $797 | $557.9 | $10.56 | $561.15 | 12.6× | $713.32 |
| Lipid panel | CPT | 80061 | 9 | $539 | $377.3 | $1.06 | $17.25 | 0.45× | $482.41 |
| Renal function panel | CPT | 80069 | 9 | $797 | $557.9 | $8.68 | $343.65 | 12.6× | $713.32 |
| Hepatic function panel | CPT | 80076 | 9 | $658 | $460.6 | $8.17 | $280.58 | 10.5× | $588.91 |
| Urinalysis non-automated | CPT | 81002 | 9 | $71 | $49.7 | $3.48 | $35.5 | 5.1× | $63.55 |
| Urinalysis automated | CPT | 81003 | 9 | $99 | $69.3 | $2.25 | $45.68 | 3.3× | $88.61 |
| Glucose quantitative | CPT | 82947 | 9 | $454 | $317.8 | $3.93 | $78.04 | 4.4× | $406.33 |
| Hemoglobin A1c | CPT | 83036 | 9 | $174 | $121.8 | $1.4 | $63.99 | 2.4× | $155.73 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 9 | $795 | $556.5 | $1.62 | $75.17 | 1.6× | $711.53 |
| Complete blood count with automated differential | CPT | 85025 | 9 | $373 | $261.1 | $7.77 | $137.03 | 5.2× | $333.84 |
| Complete blood count without differential | CPT | 85027 | 9 | $398 | $278.6 | $6.47 | $83.21 | 3.8× | $356.21 |
| Urine culture bacterial | CPT | 87086 | 9 | $296 | $207.2 | $8.07 | $160.28 | 6.9× | $264.92 |
| Urine culture identification | CPT | 87088 | 9 | $188 | $131.6 | $2.1 | $49 | 2.2× | $168.26 |
| Tissue exam by pathologist level IV | CPT | 88305 | 9 | $268 | $187.6 | $26.8 | $153.49 | 1.5× | $239.86 |
| maternity | |||||||||
| Fetal non-stress test | CPT | 59025 | 2 | — | — | $227.66 | $275.18 | 1.5× | $406.7 |
| Vaginal delivery only | CPT | 59409 | 2 | — | — | $3,506.1 | $3,506.1 | 1.6× | $3,506.1 |
| office | |||||||||
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 8 | $106 | $74.2 | $10.6 | $77.38 | 0.51× | $97.43 |
| preventive | |||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | — | — | $1,081.3 | $1,081.3 | 1.2× | $1,081.3 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | — | — | $1,081.3 | $1,081.3 | 1.1× | $1,081.3 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 2 | — | — | $1,060.48 | $1,060.48 | 1.3× | $1,060.48 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 2 | — | — | $1,060.48 | $1,060.48 | 1.2× | $1,060.48 |
| Colonoscopy diagnostic | CPT | 45378 | 2 | — | — | $1,060.48 | $1,060.48 | 1.2× | $1,060.48 |
| Colonoscopy with biopsy | CPT | 45380 | 2 | — | — | $1,385.74 | $1,385.74 | 1.1× | $1,385.74 |
| Colonoscopy with polyp removal | CPT | 45385 | 2 | — | — | $1,385.74 | $1,385.74 | 1.1× | $1,385.74 |
| surgery | |||||||||
| Total shoulder arthroplasty | CPT | 23472 | 2 | — | — | $16,478 | $16,478 | 4.0× | $16,478 |
| Total hip replacement | CPT | 27130 | 2 | — | — | $16,478 | $16,478 | 3.8× | $16,478 |
| Total knee replacement | CPT | 27447 | 2 | — | — | $16,478 | $16,478 | 4.0× | $16,478 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | — | — | $8,370.28 | $8,370.28 | 2.5× | $8,370.28 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | — | — | $3,784.43 | $3,784.43 | 1.8× | $3,784.43 |
| ACL reconstruction | CPT | 29888 | 2 | — | — | $8,370.28 | $8,370.28 | 2.5× | $8,370.28 |
| Open appendectomy | CPT | 44950 | 2 | — | — | $4,251.64 | $4,251.64 | 3.7× | $4,251.64 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | — | — | $6,761.72 | $6,761.72 | 4.3× | $6,761.72 |
| Laparoscopic cholecystectomy | CPT | 47562 | 2 | — | — | $6,761.72 | $6,761.72 | 3.8× | $6,761.72 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | — | — | $6,761.72 | $6,761.72 | 3.6× | $6,761.72 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $4,251.64 | $4,251.64 | 2.2× | $4,251.64 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $4,251.64 | $4,251.64 | 3.2× | $4,251.64 |
| Lap inguinal hernia repair | CPT | 49650 | 2 | — | — | $6,761.72 | $6,761.72 | 6.0× | $6,761.72 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $6,761.72 | $6,761.72 | 2.5× | $6,761.72 |
| Vaginal hysterectomy | CPT | 58260 | 2 | — | — | $5,892.64 | $5,892.64 | 3.2× | $5,892.64 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 2 | — | — | $6,761.72 | $6,761.72 | 4.6× | $6,761.72 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 2 | — | — | $11,902 | $11,902 | 5.3× | $11,902 |
| Lap salpingo-oophorectomy | CPT | 58661 | 2 | — | — | $6,761.72 | $6,761.72 | 3.3× | $6,761.72 |
| Complex cataract surgery | CPT | 66982 | 2 | — | — | $2,775.06 | $2,775.06 | 1.3× | $2,775.06 |
| Cataract surgery with lens implant | CPT | 66984 | 2 | — | — | $2,775.06 | $2,775.06 | 1.3× | $2,775.06 |
| Intravitreal injection | CPT | 67028 | 2 | — | — | $426.09 | $426.09 | 1.2× | $426.09 |
| Vitrectomy mechanical | CPT | 67042 | 2 | — | — | $5,233.3 | $5,233.3 | 2.1× | $5,233.3 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Kaiser Permanente | 54 | $1,060.48 |
| Anthem BCBS | 54 | $74.39 |
| Cigna | 25 | $184 |
| commercial | dhr | all plans | 25 | $64.4 |
| commercial | healthsmart | all plans | 25 | $167.9 |
| First Health | 25 | $165.6 |
| Multiplan | 25 | $176.9 |
| Blue Cross Blue Shield | 25 | $191.04 |
| Medicaid | 25 | $23.55 |
| Aetna | 8 | $170 |
| commercial | magellan | all plans | 5 | $72.58 |
