Search hospital rates

Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$113.75 – $797.55

Negotiated median

$389

CPT 99223 Initial hospital care, high complexity · Showing 77 of 101 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
STANFORD HEALTH CARE	CA	Chargemaster	N/A	both	gross	$838
MARK TWAIN MEDICAL CENTER	CA	Chargemaster	N/A	—	gross	$554
SCRIPPS MERCY HOSPITAL	CA	Chargemaster	N/A	both	gross	$473.74
PACIFICA HOSPITAL OF THE VALLEY	CA	Chargemaster	N/A	outpatient	gross	$460
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Chargemaster	N/A	—	gross	$396
SAN ANTONIO REGIONAL HOSPITAL	CA	Chargemaster	N/A	both	gross	$321
PACIFICA HOSPITAL OF THE VALLEY	CA	Cash pay	N/A	outpatient	cash	$460
STANFORD HEALTH CARE	CA	Cash pay	N/A	both	cash	$419
MARK TWAIN MEDICAL CENTER	CA	Cash pay	N/A	—	cash	$387.8
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Cash pay	N/A	—	cash	$277.2
SAN ANTONIO REGIONAL HOSPITAL	CA	Cash pay	N/A	both	cash	$192.6
SCRIPPS MERCY HOSPITAL	CA	Cash pay	N/A	both	cash	$165.2
ST ELIZABETH COMMUNITY HOSPTIAL	CA	[de-identified min]	—	—	min	$238.4
PACIFICA HOSPITAL OF THE VALLEY	CA	[De-identified Min]	—	outpatient	min	$230
STANFORD HEALTH CARE	CA	[De-identified Min]	—	both	min	$140.18
SAN ANTONIO REGIONAL HOSPITAL	CA	[de-identified min]	—	both	min	$130.48
MARK TWAIN MEDICAL CENTER	CA	[de-identified min]	—	—	min	$113.75
SCRIPPS MERCY HOSPITAL	CA	[de-identified min]	—	both	min	$37.9
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Blue Shield	both	negotiated	$797.55
STANFORD HEALTH CARE	CA	american specialty health plan alt payer [971000000]	Blue Shield	both	negotiated	$797.55
STANFORD HEALTH CARE	CA	UnitedHealthcare	United Health Care	both	negotiated	$726.5
STANFORD HEALTH CARE	CA	umr [17000]	United Health Care	both	negotiated	$726.5
STANFORD HEALTH CARE	CA	Aetna	Aetna	both	negotiated	$655.3
STANFORD HEALTH CARE	CA	shca comm intel [20300000]	Anthem Blue Cross	both	negotiated	$571.88
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Anthem Blue Cross	both	negotiated	$571.88
STANFORD HEALTH CARE	CA	blue card (out of state) [40000]	Anthem Blue Cross	both	negotiated	$571.88
MARK TWAIN MEDICAL CENTER	CA	Multiplan	—	—	negotiated	$542.92
MARK TWAIN MEDICAL CENTER	CA	First Health	—	—	negotiated	$509.68
MARK TWAIN MEDICAL CENTER	CA	Cigna	—	—	negotiated	$479.21
PACIFICA HOSPITAL OF THE VALLEY	CA	altamed	Commercial	outpatient	negotiated	$460
PACIFICA HOSPITAL OF THE VALLEY	CA	Molina	Medi-Cal	outpatient	negotiated	$460
PACIFICA HOSPITAL OF THE VALLEY	CA	Blue Cross Blue Shield	Medi-Cal	outpatient	negotiated	$460
PACIFICA HOSPITAL OF THE VALLEY	CA	heritage provider network	Medi-Cal	outpatient	negotiated	$460
MARK TWAIN MEDICAL CENTER	CA	Health Net	—	—	negotiated	$447.08
STANFORD HEALTH CARE	CA	private healthcare systems (phcs) [14200]	Multiplan	both	negotiated	$426.22
STANFORD HEALTH CARE	CA	beech st [10600]	Multiplan	both	negotiated	$426.22
STANFORD HEALTH CARE	CA	claritev [13400]	Multiplan	both	negotiated	$426.22
STANFORD HEALTH CARE	CA	Kaiser Permanente	Multiplan	both	negotiated	$426.22
STANFORD HEALTH CARE	CA	Cigna	Cigna Ppo	both	negotiated	$400.57
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Medicaid	—	—	negotiated	$396
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$396
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Anthem BCBS	—	—	negotiated	$396
MARK TWAIN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$394.4
MARK TWAIN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$393.9
STANFORD HEALTH CARE	CA	Health Net	Healthnet	both	negotiated	$389
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Multiplan	—	—	negotiated	$388.08
ST ELIZABETH COMMUNITY HOSPTIAL	CA	First Health	—	—	negotiated	$388.08
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Health Net	—	—	negotiated	$380.96
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$375.41
STANFORD HEALTH CARE	CA	Cigna	Cigna Hmo	both	negotiated	$340.49
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Cigna	—	—	negotiated	$313.64
SCRIPPS MERCY HOSPITAL	CA	veba med grp [813]	AETNA HMO (GATEKEEPER)	both	negotiated	$300.01
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Aetna	—	—	negotiated	$287.5
SCRIPPS MERCY HOSPITAL	CA	Cigna	CIGNA HMO PPO	both	negotiated	$261.02
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$238.4
SCRIPPS MERCY HOSPITAL	CA	uh [819]	UNITED HEALTH HMO	both	negotiated	$231.29
PACIFICA HOSPITAL OF THE VALLEY	CA	Aetna	Commercial	outpatient	negotiated	$230
SCRIPPS MERCY HOSPITAL	CA	hn [815]	HEALTH NET HMO PPO	both	negotiated	$222.04
SCRIPPS MERCY HOSPITAL	CA	Kaiser Permanente	KAISER HMO SHCV	both	negotiated	$177.18
SCRIPPS MERCY HOSPITAL	CA	UnitedHealthcare	UNITED HEALTH HMO	both	negotiated	$165.81
SCRIPPS MERCY HOSPITAL	CA	UnitedHealthcare	UNITED HEALTH PPO	both	negotiated	$165.81
SAN ANTONIO REGIONAL HOSPITAL	CA	Aetna	Medicare	both	negotiated	$152.94
SCRIPPS MERCY HOSPITAL	CA	Cigna	CIGNA LOCALPLUS & SUREFIT	both	negotiated	$149.7
STANFORD HEALTH CARE	CA	health plan of san mateo [31200]	Health Plan Of San Mateo	both	negotiated	$140.18
SAN ANTONIO REGIONAL HOSPITAL	CA	the health plan	Medicaid	both	negotiated	$130.48
MARK TWAIN MEDICAL CENTER	CA	Medicare	—	—	negotiated	$127.42
MARK TWAIN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$127.42
MARK TWAIN MEDICAL CENTER	CA	Humana	—	—	negotiated	$127.42
MARK TWAIN MEDICAL CENTER	CA	Aetna	—	—	negotiated	$127.42
MARK TWAIN MEDICAL CENTER	CA	Medicaid	—	—	negotiated	$113.75
MARK TWAIN MEDICAL CENTER	CA	Kaiser Permanente	—	—	negotiated	$113.75
STANFORD HEALTH CARE	CA	[De-identified Max]	—	both	max	$797.55
MARK TWAIN MEDICAL CENTER	CA	[de-identified max]	—	—	max	$542.92
SCRIPPS MERCY HOSPITAL	CA	[de-identified max]	—	both	max	$528.66
PACIFICA HOSPITAL OF THE VALLEY	CA	[De-identified Max]	—	outpatient	max	$460
ST ELIZABETH COMMUNITY HOSPTIAL	CA	[de-identified max]	—	—	max	$396
SAN ANTONIO REGIONAL HOSPITAL	CA	[de-identified max]	—	both	max	$152.94

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).