San Diego, CA, 92123
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 | |||||||||
| Psychotherapy 30 minutes | CPT | 90832 | 8 | $360 | $270 | $54 | $225.9 | 1.5× | $725 |
| Psychotherapy 45 minutes | CPT | 90834 | 13 | $471 | $353.25 | $1.1 | $276.71 | 1.7× | $376.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 10 | $1,106 | $829.5 | $328.48 | $679.31 | 3.6× | $1,083.88 |
| 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 |
| Chest X-ray single view | CPT | 71045 | 12 | $609 | $456.75 | $185.75 | $408.03 | 4.3× | $596.82 |
| MRI lumbar spine without contrast | CPT | 72148 | 24 | $4,191 | — | $156.18 | $2,037.88 | 5.4× | $4,107.18 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $505 | $378.75 | $141.4 | $343.4 | 3.7× | $725 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $719 | $539.25 | $45.44 | $485.33 | 5.3× | $647.1 |
| 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 | $286.96 | 6.5× | $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 | $133.96 | 5.1× | $725 |
| office | |||||||||
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 20 | $428 | — | $27.82 | $288.9 | 2.4× | $725 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 20 | $376 | — | $7.41 | $92.34 | 0.81× | $725 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 20 | $448 | — | $8.26 | $104.39 | 0.68× | $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 | $2,264.89 | 1.9× | $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 |
|---|---|---|
| Blue Cross Blue Shield | 20 | $450.14 |
| Aetna | 20 | $305.76 |
| Molina | 20 | $238.49 |
| Health Net | 20 | $358.4 |
| UnitedHealthcare | 19 | $281.29 |
| Cigna | 19 | $350.9 |
| Kaiser Permanente | 17 | $725 |
| interplan | 16 | $367.36 |
| Multiplan | 16 | $376.5 |
| choice care network | 14 | $358.4 |
| community health group medi-cal | 14 | $62.72 |
| First Health | 14 | $306.6 |
| azga services canada | 14 | $304.64 |
| maximum negotiated charge | 14 | $3,125.22 |
| Medicare | 14 | $313.6 |
| minimum negotiated charge | 14 | $178.62 |
| axa assistance | 14 | $313.6 |
| medi-cal | 13 | $176.26 |
| california health and wellness | 13 | $244.32 |
| county of san diego | 11 | $161.8 |
| san diego pace | 11 | $404 |
| indian health council | 9 | $272.75 |
| optum health commercial | 8 | $1,418.34 |
| community health group cal mediconnect | 8 | $354.59 |
| optum health | 4 | $255.49 |
| community health group | 3 | $448.2 |
| allianz global assistance | 3 | $343.4 |
| county medical services | 2 | $616.04 |
| Humana | 2 | $191.67 |
| managed health network | 1 | $344.08 |
