Negotiated rates published by hospitals for commercial | pinnacle | all plans across 1 states. Data sourced from federally-mandated machine-readable files.
States with hospitals publishing rates for commercial | pinnacle | all plans.
| State | Hospitals | Avg rate |
|---|---|---|
| CA | 4 | $5,449.51 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | CA | $4,586.88 |
| Mercy Medical Center Merced | Merced | CA | $4,673.46 |
| Marian Medical Center | Santa Maria | CA | $5,195.47 |
| Dominican Hospital | Santa Cruz | CA | $7,885.07 |
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| ED visit level 1 | CPT | 99281 | 4 | $416.48 |
| ED visit level 2 | CPT | 99282 | 4 | $770.21 |
| ED visit level 3 | CPT | 99283 | 4 | $1,313.98 |
| ED visit level 4 | CPT | 99284 | 4 | $1,968.31 |
| ED visit level 5 | CPT | 99285 | 4 | $3,323.97 |
| Critical care, first hour | CPT | 99291 | 4 | $5,175.19 |
| Coronary angiography with bypass cath | CPT | 93458 | 4 | $12,910 |
| PCI single major coronary artery | CPT | 92920 | 4 | $8,507.51 |
| PCI with drug-eluting stent | CPT | 92928 | 4 | $12,106 |
| PCI bypass graft | CPT | 92937 | 4 | $13,581 |
| Left heart catheterization | CPT | 93452 | 4 | $7,931.31 |
| Coronary angiography with cath | CPT | 93455 | 4 | $10,144 |
| Fetal non-stress test | CPT | 59025 | 3 | $422.23 |
