Negotiated rates published by hospitals for commercial | healthcare partners | all plans across 1 states. Data sourced from federally-mandated machine-readable files.
States with hospitals publishing rates for commercial | healthcare partners | all plans.
| State | Hospitals | Avg rate |
|---|---|---|
| CA | 2 | $2,031.67 |
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| ED visit level 1 | CPT | 99281 | 2 | $268.87 |
| ED visit level 2 | CPT | 99282 | 2 | $582.52 |
| ED visit level 3 | CPT | 99283 | 2 | $986.86 |
| ED visit level 4 | CPT | 99284 | 2 | $1,943.49 |
| ED visit level 5 | CPT | 99285 | 2 | $3,031.32 |
| Critical care, first hour | CPT | 99291 | 2 | $4,870.41 |
| PCI single major coronary artery | CPT | 92920 | 2 | $9,497.37 |
| PCI with drug-eluting stent | CPT | 92928 | 2 | $13,745 |
| PCI bypass graft | CPT | 92937 | 2 | $13,745 |
| Left heart catheterization | CPT | 93452 | 2 | $4,913.67 |
| Coronary angiography with cath | CPT | 93455 | 2 | $11,240 |
| Coronary angiography with bypass cath | CPT | 93458 | 2 | $13,631 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| St. Mary Medical Center | Apple Valley | CA | $1,380.12 |
| Northridge Medical Center - Roscoe | Northridge | CA | $3,908.14 |
