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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

$600 – $20,014

Negotiated median

$1,281

CPT 99281 ED visit level 1 · Showing 200 of 1,605 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
ST. MARYS MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$20,014
ST. MARYS MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$10,488
MERCY SAN JUAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$6,939
ST. MARYS MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$6,652
MERCY SAN JUAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$5,908
METHODIST HOSPITAL OF SACRAMENTO	CA	UnitedHealthcare	—	—	negotiated	$5,570
MERCY SAN JUAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$5,221
MERCY MEDICAL CENTER MERCED	CA	UnitedHealthcare	—	—	negotiated	$5,164
METHODIST HOSPITAL OF SACRAMENTO	CA	UnitedHealthcare	—	—	negotiated	$4,958
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$4,759
BAKERSFIELD MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,450
MERCY SAN JUAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$4,294
MERCY HOSPITAL OF FOLSOM	CA	Anthem BCBS	—	—	negotiated	$4,271
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$4,175
BAKERSFIELD MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,134
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,123
BAKERSFIELD MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,957
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,726
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,707
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	UnitedHealthcare	—	—	negotiated	$3,706
ST. MARYS MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$3,581
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$3,578
MERCY MEDICAL CENTER MERCED	CA	UnitedHealthcare	—	—	negotiated	$3,570
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,514
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Aetna	—	—	negotiated	$3,390
ST. JOHNS REGIONAL MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$3,390
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,390
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,318
MERCY MEDICAL CENTER MERCED	CA	UnitedHealthcare	—	—	negotiated	$3,280
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	UnitedHealthcare	—	—	negotiated	$3,263
METHODIST HOSPITAL OF SACRAMENTO	CA	UnitedHealthcare	—	—	negotiated	$3,218
SIERRA NEVADA MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,104
MERCY SAN JUAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$3,067
MERCY HOSPITAL OF FOLSOM	CA	Anthem BCBS	—	—	negotiated	$3,051
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,051
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$3,035
MERCY GENERAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,029
SEQUOIA HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$3,019
MERCY GENERAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$3,000
MERCY MEDICAL CENTER MERCED	CA	Anthem BCBS	—	—	negotiated	$2,959
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$2,926
MERCY HOSPITAL OF FOLSOM	CA	UnitedHealthcare	—	—	negotiated	$2,830
ST. MARY MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,820
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	UnitedHealthcare	—	—	negotiated	$2,753
MERCY HOSPITAL OF FOLSOM	CA	UnitedHealthcare	—	—	negotiated	$2,648
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	UnitedHealthcare	—	—	negotiated	$2,615
ST. MARY MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,587
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	UnitedHealthcare	—	—	negotiated	$2,517
MERCY SAN JUAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$2,492
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$2,466
ST. JOHNS REGIONAL MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,466
ST. MARYS MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$2,451
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	Anthem BCBS	—	—	negotiated	$2,447
MERCY HOSPITAL OF FOLSOM	CA	Anthem BCBS	—	—	negotiated	$2,439
DOMINICAN HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$2,429
SIERRA NEVADA MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$2,345
ST. BERNARDINE MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,318
WOODLAND HEALTHCARE	CA	Anthem BCBS	—	—	negotiated	$2,269
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$2,243
ST. BERNARDINE MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,242
BAKERSFIELD MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$2,241
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$2,239
WOODLAND HEALTHCARE	CA	UnitedHealthcare	—	—	negotiated	$2,171
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,123
MERCY GENERAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$2,069
ST. JOHNS REGIONAL MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$2,057
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$2,057
ST. MARY MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$2,035
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$2,022
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$2,002
WOODLAND HEALTHCARE	CA	UnitedHealthcare	—	—	negotiated	$2,000
MARIAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,995
WOODLAND HEALTHCARE	CA	Anthem BCBS	—	—	negotiated	$1,891
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,885
SIERRA NEVADA MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,876
MERCY MEDICAL CENTER MERCED	CA	Anthem BCBS	—	—	negotiated	$1,873
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,868
SEQUOIA HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,781
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	Anthem BCBS	—	—	negotiated	$1,752
DOMINICAN HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,739
ST. MARY MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$1,687
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	UnitedHealthcare	—	—	negotiated	$1,665
MERCY GENERAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,663
BAKERSFIELD MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,660
SIERRA NEVADA MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,628
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	Anthem BCBS	—	—	negotiated	$1,573
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,547
SIERRA NEVADA MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,545
WOODLAND HEALTHCARE	CA	Anthem BCBS	—	—	negotiated	$1,499
MERCY MEDICAL CENTER MERCED	CA	Anthem BCBS	—	—	negotiated	$1,498
MARIAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,489
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	Anthem BCBS	—	—	negotiated	$1,480
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,442
ST. JOHNS REGIONAL MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,414
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,414
BAKERSFIELD MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,398
SEQUOIA HOSPITAL	CA	Health Net	—	—	negotiated	$1,363.55
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,357
ST. MARY MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,313
ST. JOHNS REGIONAL MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,281
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$1,281
SEQUOIA HOSPITAL	CA	Health Net	—	—	negotiated	$1,235.11
ST. MARYS MEDICAL CENTER	CA	Health Net	—	—	negotiated	$1,189
ST. MARYS MEDICAL CENTER	CA	commercial \| us behavioral health \| all plans	—	—	negotiated	$1,189
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	Anthem BCBS	—	—	negotiated	$1,184
MERCY GENERAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,183
SEQUOIA HOSPITAL	CA	Multiplan	—	—	negotiated	$1,161.49
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	Anthem BCBS	—	—	negotiated	$1,148
SEQUOIA HOSPITAL	CA	Kaiser Permanente	—	—	negotiated	$1,088.01
SEQUOIA HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$1,078.27
ST. MARYS MEDICAL CENTER	CA	Health Net	—	—	negotiated	$1,052.27
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| us behavioral health\| all plans	—	—	negotiated	$1,049
ST. MARYS MEDICAL CENTER	CA	Health Net	—	—	negotiated	$1,040.38
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Health Net	—	—	negotiated	$1,029.07
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	Anthem BCBS	—	—	negotiated	$1,026
ST. MARYS MEDICAL CENTER	CA	Multiplan	—	—	negotiated	$990.56
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	UnitedHealthcare	—	—	negotiated	$977
SEQUOIA HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$963.67
ST. MARY MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$957
ST. MARYS MEDICAL CENTER	CA	Aetna	—	—	negotiated	$938.24
ST. MARYS MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$915.53
ST. MARYS MEDICAL CENTER	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$915.53
ST. MARYS MEDICAL CENTER	CA	Cigna	—	—	negotiated	$915.53
ST. JOHNS REGIONAL MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$912
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$912
ST. MARYS MEDICAL CENTER	CA	Kaiser Permanente	—	—	negotiated	$903.64
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Health Net	—	—	negotiated	$903.19
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Health Net	—	—	negotiated	$891.65
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	Medicaid	—	—	negotiated	$887
ST. MARY MEDICAL CENTER	CA	Medicaid	—	—	negotiated	$887
SEQUOIA HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$880.3
ST. MARYS MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$867.97
SEQUOIA HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$861.93
ST. MARYS MEDICAL CENTER	CA	Cigna	—	—	negotiated	$860.96
ST. MARYS MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$845.38
ST. MARYS MEDICAL CENTER	CA	commercial \| chinese community \| all plans	—	—	negotiated	$837.18
ST. MARYS MEDICAL CENTER	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$828.74
SEQUOIA HOSPITAL	CA	Aetna	—	—	negotiated	$828.02
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Multiplan	—	—	negotiated	$825.57
SHARP CHULA VISTA MEDICAL CENTER	CA	Health Net	Health Net Cal MediConnect	inpatient	negotiated	$819.18
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Cigna	—	—	negotiated	$807.73
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$807.73
SHARP CHULA VISTA MEDICAL CENTER	CA	Aetna	Aetna - PPO	inpatient	negotiated	$799.2
SHARP CHULA VISTA MEDICAL CENTER	CA	Health Net	Health Net - HMO/POS/EPO	inpatient	negotiated	$799.2
SHARP MEMORIAL HOSPITAL	CA	Medicare	Medicare	outpatient	negotiated	$799.2
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$794.1
MERCY MEDICAL CENTER MERCED	CA	Multiplan	—	—	negotiated	$773.25
SHARP CHULA VISTA MEDICAL CENTER	CA	community health group	Community Health Group - Cal Mediconnect	outpatient	negotiated	$769.23
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - MCS	outpatient	negotiated	$769.23
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Cigna	—	—	negotiated	$759.59
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$755.28
SHARP CHULA VISTA MEDICAL CENTER	CA	Aetna	First Health - Direct	outpatient	negotiated	$749.25
SHARP CHULA VISTA MEDICAL CENTER	CA	Medicare	Medicare	outpatient	negotiated	$749.25
SHARP MEMORIAL HOSPITAL	CA	Health Net	Health Net - Medicare	outpatient	negotiated	$749.25
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$734.3
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| chinese community \| all plans	—	—	negotiated	$733.36
SCRIPPS MERCY HOSPITAL	CA	veba med grp [813]	AETNA HMO (GATEKEEPER)	both	negotiated	$719.81
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$717.63
MERCY MEDICAL CENTER MERCED	CA	Health Net	—	—	negotiated	$717.01
SCRIPPS MERCY HOSPITAL	CA	UnitedHealthcare	UNITED HEALTH PPO	both	negotiated	$713.93
SCRIPPS MERCY HOSPITAL	CA	UnitedHealthcare	UNITED HEALTH HMO	both	negotiated	$713.93
SCRIPPS MERCY HOSPITAL	CA	uh [819]	UNITED HEALTH HMO	both	negotiated	$713.93
ST. MARYS MEDICAL CENTER	CA	commercial \| magellan \| all plans	—	—	negotiated	$713.4
SCRIPPS MERCY HOSPITAL	CA	Cigna	CIGNA LOCALPLUS & SUREFIT	both	negotiated	$705.53
SCRIPPS MERCY HOSPITAL	CA	Cigna	CIGNA HMO PPO	both	negotiated	$705.53
SHARP MEMORIAL HOSPITAL	CA	epic americas	AXA Assistance	inpatient	negotiated	$699.3
SHARP CHULA VISTA MEDICAL CENTER	CA	medi-cal	Medi-Cal	inpatient	negotiated	$699.3
SHARP MEMORIAL HOSPITAL	CA	Humana	Choice Care Network	inpatient	negotiated	$699.3
SHARP MEMORIAL HOSPITAL	CA	Health Net	Health Net Individual - HMO	inpatient	negotiated	$699.3
GROSSMONT HOSPITAL	CA	Blue Cross Blue Shield	Blue Cross - MCS	inpatient	negotiated	$699.3
SHARP MEMORIAL HOSPITAL	CA	community health group	Community Health Group - Medi-Cal	inpatient	negotiated	$699.3
SCRIPPS MERCY HOSPITAL	CA	hn [815]	HEALTH NET HMO PPO	both	negotiated	$680.34
SHARP MEMORIAL HOSPITAL	CA	Medicare	Medicare	inpatient	negotiated	$679.32
SHARP MEMORIAL HOSPITAL	CA	Aetna	Aetna - PPO	inpatient	negotiated	$679.32
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	commercial \| hpn \| all plans	—	—	negotiated	$674
SCRIPPS MERCY HOSPITAL	CA	managed health network [862]	MANAGED HEALTH NETWORK	both	negotiated	$671.94
SCRIPPS MERCY HOSPITAL	CA	managed health network [620]	MANAGED HEALTH NETWORK	both	negotiated	$671.94
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Aetna	—	—	negotiated	$669.27
SAINT FRANCIS MEMORIAL HOSPITAL	CA	First Health	—	—	negotiated	$669.27
DOMINICAN HOSPITAL	CA	Health Net	—	—	negotiated	$668.52
DOMINICAN HOSPITAL	CA	Medicaid	—	—	negotiated	$668.52
MERCY MEDICAL CENTER MERCED	CA	First Health	—	—	negotiated	$661.6
MERCY MEDICAL CENTER MERCED	CA	Health Net	—	—	negotiated	$652.59
MERCY MEDICAL CENTER MERCED	CA	Multiplan	—	—	negotiated	$648.89
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Health Net	—	—	negotiated	$643.32
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - PPO	inpatient	negotiated	$637.36
ST. BERNARDINE MEDICAL CENTER	CA	commercial \| hpn \| all plans	—	—	negotiated	$630
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| magellan \| all plans	—	—	negotiated	$629.4
DOMINICAN HOSPITAL	CA	Health Net	—	—	negotiated	$623.87
MERCY MEDICAL CENTER MERCED	CA	Aetna	—	—	negotiated	$608.68
SEQUOIA HOSPITAL	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$604.77
ST. JOHNS REGIONAL MEDICAL CENTER	CA	Cigna	—	—	negotiated	$604.76
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Cigna	—	—	negotiated	$604.76
MERCY MEDICAL CENTER MERCED	CA	Blue Cross Blue Shield	—	—	negotiated	$603.71
MERCY MEDICAL CENTER MERCED	CA	Health Net	—	—	negotiated	$601.7
MERCY MEDICAL CENTER MT. SHASTA	CA	Blue Cross Blue Shield	—	—	negotiated	$600
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$600
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$600
MERCY MEDICAL CENTER MT. SHASTA	CA	Health Net	—	—	negotiated	$600
MERCY MEDICAL CENTER MT. SHASTA	CA	Kaiser Permanente	—	—	negotiated	$600

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).