Negotiated rates published by hospitals for commercial | sea view | all plans across 1 states. Data sourced from federally-mandated machine-readable files.
States with hospitals publishing rates for commercial | sea view | all plans.
| State | Hospitals | Avg rate |
|---|---|---|
| CA | 2 | $214.05 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| St. Johns Regional Medical Center | Oxnard | CA | $214.05 |
| St. Johns Pleasant Valley Hospital | Camarillo | CA | $214.05 |
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 2 | $68.97 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 2 | $105.67 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 2 | $102.41 |
| Office visit, new patient, 15-29 min | CPT | 99202 | 2 | $67.95 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 2 | $173.24 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 2 | $226.22 |
| Office visit, established patient, 5 min | CPT | 99211 | 2 | $12.38 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 2 | $34.14 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 2 | $149.33 |
| ED visit level 1 | CPT | 99281 | 2 | $27.95 |
| ED visit level 2 | CPT | 99282 | 2 | $54.45 |
| ED visit level 3 | CPT | 99283 | 2 | $81.27 |
| ED visit level 4 | CPT | 99284 | 2 | $154 |
| ED visit level 5 | CPT | 99285 | 2 | $226.6 |
| Critical care, first hour | CPT | 99291 | 2 | $295.99 |
| PCI single major coronary artery | CPT | 92920 | 2 | $705.52 |
| PCI with drug-eluting stent | CPT | 92928 | 2 | $784.65 |
| PCI bypass graft | CPT | 92937 | 2 | $783.66 |
| EKG tracing only | CPT | 93005 | 2 | $12.56 |
