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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

$12,408 – $48,436

Negotiated median

$24,261

CPT 99291 Critical care, first hour · Showing 200 of 1,668 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
METHODIST HOSPITAL OF SACRAMENTO	CA	Blue Cross Blue Shield	—	—	negotiated	$48,436
MERCY GENERAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$48,286
MERCY SAN JUAN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$48,286
WOODLAND HEALTHCARE	CA	Medicaid	—	—	negotiated	$48,238
WOODLAND HEALTHCARE	CA	commercial \| usbehavior health \| all plans	—	—	negotiated	$48,238
MERCY HOSPITAL OF FOLSOM	CA	Blue Cross Blue Shield	—	—	negotiated	$48,146
METHODIST HOSPITAL OF SACRAMENTO	CA	Health Net	—	—	negotiated	$47,370
MERCY HOSPITAL OF FOLSOM	CA	Health Net	—	—	negotiated	$47,321
WOODLAND HEALTHCARE	CA	Blue Cross Blue Shield	—	—	negotiated	$47,032
MERCY SAN JUAN MEDICAL CENTER	CA	Health Net	—	—	negotiated	$46,791
MERCY GENERAL HOSPITAL	CA	Health Net	—	—	negotiated	$45,493
WOODLAND HEALTHCARE	CA	Multiplan	—	—	negotiated	$44,287
METHODIST HOSPITAL OF SACRAMENTO	CA	Blue Cross Blue Shield	—	—	negotiated	$44,094
MERCY SAN JUAN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$43,945
MERCY GENERAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$43,945
MERCY HOSPITAL OF FOLSOM	CA	Blue Cross Blue Shield	—	—	negotiated	$43,805
WOODLAND HEALTHCARE	CA	Aetna	—	—	negotiated	$43,414
WOODLAND HEALTHCARE	CA	First Health	—	—	negotiated	$43,414
WOODLAND HEALTHCARE	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$43,323
METHODIST HOSPITAL OF SACRAMENTO	CA	Cigna	—	—	negotiated	$43,173
MERCY GENERAL HOSPITAL	CA	Cigna	—	—	negotiated	$43,173
MERCY GENERAL HOSPITAL	CA	Humana	—	—	negotiated	$43,173
MERCY SAN JUAN MEDICAL CENTER	CA	Humana	—	—	negotiated	$43,173
MERCY HOSPITAL OF FOLSOM	CA	Humana	—	—	negotiated	$43,173
MERCY HOSPITAL OF FOLSOM	CA	Cigna	—	—	negotiated	$43,173
MERCY SAN JUAN MEDICAL CENTER	CA	Cigna	—	—	negotiated	$43,173
METHODIST HOSPITAL OF SACRAMENTO	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$43,173
METHODIST HOSPITAL OF SACRAMENTO	CA	Humana	—	—	negotiated	$43,173
METHODIST HOSPITAL OF SACRAMENTO	CA	Aetna	—	—	negotiated	$42,256
MERCY HOSPITAL OF FOLSOM	CA	Aetna	—	—	negotiated	$41,243
WOODLAND HEALTHCARE	CA	Kaiser Permanente	—	—	negotiated	$41,002
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$40,858
MERCY GENERAL HOSPITAL	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$40,761
MERCY HOSPITAL OF FOLSOM	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$40,761
MERCY SAN JUAN MEDICAL CENTER	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$40,761
WOODLAND HEALTHCARE	CA	Health Net	—	—	negotiated	$40,477
METHODIST HOSPITAL OF SACRAMENTO	CA	Multiplan	—	—	negotiated	$40,235
MERCY SAN JUAN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$39,946
MERCY SAN JUAN MEDICAL CENTER	CA	Multiplan	—	—	negotiated	$39,893
MERCY HOSPITAL OF FOLSOM	CA	Blue Cross Blue Shield	—	—	negotiated	$39,845
MERCY HOSPITAL OF FOLSOM	CA	Multiplan	—	—	negotiated	$39,362
METHODIST HOSPITAL OF SACRAMENTO	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$39,073
MERCY GENERAL HOSPITAL	CA	Multiplan	—	—	negotiated	$38,740
MERCY SAN JUAN MEDICAL CENTER	CA	commercial \| sutter health \| all plans	—	—	negotiated	$38,590
MERCY GENERAL HOSPITAL	CA	commercial \| sutter health \| all plans	—	—	negotiated	$38,590
MERCY HOSPITAL OF FOLSOM	CA	commercial \| sutter health \| all plans	—	—	negotiated	$38,590
METHODIST HOSPITAL OF SACRAMENTO	CA	commercial \| sutter health \| all plans	—	—	negotiated	$38,590
WOODLAND HEALTHCARE	CA	commercial \| sutter health \| all plans	—	—	negotiated	$38,590
MERCY GENERAL HOSPITAL	CA	Aetna	—	—	negotiated	$37,823
MERCY SAN JUAN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$37,240
MERCY GENERAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$37,100
METHODIST HOSPITAL OF SACRAMENTO	CA	Blue Cross Blue Shield	—	—	negotiated	$37,052
MERCY HOSPITAL OF FOLSOM	CA	Blue Cross Blue Shield	—	—	negotiated	$36,859
MERCY HOSPITAL OF FOLSOM	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$36,328
MERCY HOSPITAL OF FOLSOM	CA	First Health	—	—	negotiated	$36,179
METHODIST HOSPITAL OF SACRAMENTO	CA	First Health	—	—	negotiated	$36,179
MERCY GENERAL HOSPITAL	CA	First Health	—	—	negotiated	$36,179
MERCY SAN JUAN MEDICAL CENTER	CA	First Health	—	—	negotiated	$36,179
MERCY SAN JUAN MEDICAL CENTER	CA	Aetna	—	—	negotiated	$35,846
WOODLAND HEALTHCARE	CA	Blue Cross Blue Shield	—	—	negotiated	$35,604
WOODLAND HEALTHCARE	CA	Blue Cross Blue Shield	—	—	negotiated	$35,122
MERCY GENERAL HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$34,538
METHODIST HOSPITAL OF SACRAMENTO	CA	Blue Cross Blue Shield	—	—	negotiated	$33,091
MERCY GENERAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$33,000
MERCY SAN JUAN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$33,000
MERCY HOSPITAL OF FOLSOM	CA	Blue Cross Blue Shield	—	—	negotiated	$32,850
MERCY HOSPITAL OF FOLSOM	CA	Cigna	—	—	negotiated	$32,368
MERCY SAN JUAN MEDICAL CENTER	CA	Cigna	—	—	negotiated	$32,368
MERCY GENERAL HOSPITAL	CA	Cigna	—	—	negotiated	$32,368
METHODIST HOSPITAL OF SACRAMENTO	CA	Cigna	—	—	negotiated	$32,368
WOODLAND HEALTHCARE	CA	Blue Cross Blue Shield	—	—	negotiated	$31,596
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$29,700
MERCY MEDICAL CENTER MERCED	CA	UnitedHealthcare	—	—	negotiated	$28,467
WOODLAND HEALTHCARE	CA	Cigna	—	—	negotiated	$27,115
WOODLAND HEALTHCARE	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$27,115
MERCY SAN JUAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$26,789
MERCY HOSPITAL OF FOLSOM	CA	Anthem BCBS	—	—	negotiated	$26,659
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - MCS	inpatient	negotiated	$26,627
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$26,486
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$26,486
METHODIST HOSPITAL OF SACRAMENTO	CA	Blue Cross Blue Shield	—	—	negotiated	$26,005
ST ELIZABETH COMMUNITY HOSPTIAL	CA	First Health	—	—	negotiated	$25,956
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Multiplan	—	—	negotiated	$25,956
MERCY GENERAL HOSPITAL	CA	Blue Cross Blue Shield	—	—	negotiated	$25,952
MERCY SAN JUAN MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$25,909
MERCY HOSPITAL OF FOLSOM	CA	Blue Cross Blue Shield	—	—	negotiated	$25,807
MERCY HOSPITAL OF FOLSOM	CA	Health Net	—	—	negotiated	$25,764
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Health Net	—	—	negotiated	$25,480
METHODIST HOSPITAL OF SACRAMENTO	CA	Health Net	—	—	negotiated	$25,373
SCRIPPS MERCY HOSPITAL	CA	Blue Cross Blue Shield	BLUE CROSS PPO MCS	both	negotiated	$25,286
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$25,109
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$24,743
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$24,652
MERCY SAN JUAN MEDICAL CENTER	CA	Health Net	—	—	negotiated	$24,317
SCRIPPS MERCY HOSPITAL	CA	veba med grp [813]	AETNA HMO (GATEKEEPER)	both	negotiated	$24,294
SCRIPPS MERCY HOSPITAL	CA	ucsd [807]	AETNA HMO (GATEKEEPER)	both	negotiated	$24,294
SHARP CHULA VISTA MEDICAL CENTER	CA	managed health network	MHN - Medicare	outpatient	negotiated	$24,261
SHARP MEMORIAL HOSPITAL	CA	UnitedHealthcare	United Healthcare - PPO	outpatient	negotiated	$24,261
SHARP CHULA VISTA MEDICAL CENTER	CA	Molina	Molina - Exchange	inpatient	negotiated	$24,261
SHARP MEMORIAL HOSPITAL	CA	UnitedHealthcare	United Healthcare - HMO	outpatient	negotiated	$24,261
SCRIPPS MERCY HOSPITAL	CA	ucsd [807]	UNITED HEALTH HMO	both	negotiated	$24,095
SCRIPPS MERCY HOSPITAL	CA	uh [819]	UNITED HEALTH HMO	both	negotiated	$24,095
SCRIPPS MERCY HOSPITAL	CA	UnitedHealthcare	UNITED HEALTH HMO	both	negotiated	$24,095
SCRIPPS MERCY HOSPITAL	CA	UnitedHealthcare	UNITED HEALTH PPO	both	negotiated	$24,095
SCRIPPS MERCY HOSPITAL	CA	Cigna	CIGNA HMO PPO	both	negotiated	$23,812
SCRIPPS MERCY HOSPITAL	CA	ucsd [807]	CIGNA HMO PPO	both	negotiated	$23,812
SCRIPPS MERCY HOSPITAL	CA	Cigna	CIGNA LOCALPLUS & SUREFIT	both	negotiated	$23,812
MERCY GENERAL HOSPITAL	CA	Health Net	—	—	negotiated	$23,540
SCRIPPS MERCY HOSPITAL	CA	Blue Cross Blue Shield	BLUE CROSS PPO NON-MCS	both	negotiated	$23,131
SCRIPPS MERCY HOSPITAL	CA	Blue Cross Blue Shield	BLUE CROSS HMO SELECT	both	negotiated	$23,131
SCRIPPS MERCY HOSPITAL	CA	Blue Cross Blue Shield	BLUE CROSS HMO	both	negotiated	$23,131
SCRIPPS MERCY HOSPITAL	CA	ucsd [807]	BLUE CROSS HMO	both	negotiated	$23,131
SCRIPPS MERCY HOSPITAL	CA	hn [815]	HEALTH NET HMO PPO	both	negotiated	$22,961
SCRIPPS MERCY HOSPITAL	CA	ucsd [807]	HEALTH NET HMO PPO	both	negotiated	$22,961
ST. MARYS MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$22,854
SCRIPPS MERCY HOSPITAL	CA	managed health network [862]	MANAGED HEALTH NETWORK	both	negotiated	$22,678
SCRIPPS MERCY HOSPITAL	CA	managed health network [620]	MANAGED HEALTH NETWORK	both	negotiated	$22,678
SCRIPPS MERCY HOSPITAL	CA	ucsd [807]	BLUE SHIELD HMO	both	negotiated	$22,451
ST. MARYS MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$22,365
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$22,331
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$22,239
SHARP CHULA VISTA MEDICAL CENTER	CA	Aetna	First Health Medicare	inpatient	negotiated	$22,190
MERCY MEDICAL CENTER MERCED	CA	UnitedHealthcare	—	—	negotiated	$21,087
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Cigna	—	—	negotiated	$20,977
SHARP MEMORIAL HOSPITAL	CA	Aetna	First Health - Direct	inpatient	negotiated	$20,710
SHARP MEMORIAL HOSPITAL	CA	Blue Cross Blue Shield	Blue Shield - HMO	inpatient	negotiated	$20,710
SHARP CHULA VISTA MEDICAL CENTER	CA	Aetna	Aetna - HMO/POS	inpatient	negotiated	$20,414
SHARP CHULA VISTA MEDICAL CENTER	CA	Health Net	Health Net - HMO/POS/EPO	inpatient	negotiated	$20,414
WOODLAND HEALTHCARE	CA	Cigna	—	—	negotiated	$20,361
SHARP CHULA VISTA MEDICAL CENTER	CA	Multiplan	Multiplan	inpatient	negotiated	$20,118
ST. MARYS MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$20,014
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$19,911
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$19,891
GROSSMONT HOSPITAL	CA	Aetna	Aetna Whole Health	inpatient	negotiated	$19,823
SHARP MEMORIAL HOSPITAL	CA	epic americas	AXA Assistance	inpatient	negotiated	$19,823
WOODLAND HEALTHCARE	CA	Kaiser Permanente	—	—	negotiated	$19,778
SHARP MEMORIAL HOSPITAL	CA	epic americas	AXA Assistance	outpatient	negotiated	$19,627
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	UnitedHealthcare	—	—	negotiated	$19,587
MERCY MEDICAL CENTER MERCED	CA	UnitedHealthcare	—	—	negotiated	$19,363
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Aetna	—	—	negotiated	$19,229
MERCY SAN JUAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$19,135
MERCY HOSPITAL OF FOLSOM	CA	Anthem BCBS	—	—	negotiated	$19,042
METHODIST HOSPITAL OF SACRAMENTO	CA	UnitedHealthcare	—	—	negotiated	$19,000
WOODLAND HEALTHCARE	CA	Health Net	—	—	negotiated	$18,958
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$18,940
SEQUOIA HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$18,826
SHARP CHULA VISTA MEDICAL CENTER	CA	indian health council	Indian Health Council	outpatient	negotiated	$18,787
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Anthem BCBS	—	—	negotiated	$18,736
MERCY GENERAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$18,730
MERCY MEDICAL CENTER MERCED	CA	Anthem BCBS	—	—	negotiated	$18,480
SIERRA NEVADA MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$18,322
METHODIST HOSPITAL OF SACRAMENTO	CA	Anthem BCBS	—	—	negotiated	$18,259
MERCY GENERAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$17,890
MERCY HOSPITAL OF FOLSOM	CA	UnitedHealthcare	—	—	negotiated	$16,901
SHARP CHULA VISTA MEDICAL CENTER	CA	Aetna	Aetna - PPO	outpatient	negotiated	$16,716
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$16,580
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Anthem BCBS	—	—	negotiated	$16,390
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	UnitedHealthcare	—	—	negotiated	$16,262
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$15,945
DOMINICAN HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$15,726
MERCY SAN JUAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$15,551
MERCY HOSPITAL OF FOLSOM	CA	UnitedHealthcare	—	—	negotiated	$15,545
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	UnitedHealthcare	—	—	negotiated	$15,438
ST. MARYS MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$15,308
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	Anthem BCBS	—	—	negotiated	$15,283
ST. MARY MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$15,274
MERCY HOSPITAL OF FOLSOM	CA	Anthem BCBS	—	—	negotiated	$15,222
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - PPO	inpatient	negotiated	$14,941
SIERRA NEVADA MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$14,631
SHARP MEMORIAL HOSPITAL	CA	optum health	Optum Health - Commercial	inpatient	negotiated	$14,497
GROSSMONT HOSPITAL	CA	allianz global assistance	AZGA Services Canada	outpatient	negotiated	$14,497
GROSSMONT HOSPITAL	CA	Aetna	Aetna - HMO/POS	inpatient	negotiated	$14,497
ST. MARYS MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$14,497
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| us behavioral health\| all plans	—	—	negotiated	$14,354
ST. MARY MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$14,315
MERCY SAN JUAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$14,200
SHARP CHULA VISTA MEDICAL CENTER	CA	Molina	Molina - Exchange	outpatient	negotiated	$14,175
SCRIPPS MERCY HOSPITAL	CA	Kaiser Permanente	KAISER HMO SHCV	both	negotiated	$14,174
WOODLAND HEALTHCARE	CA	Anthem BCBS	—	—	negotiated	$14,162
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Health Net	—	—	negotiated	$14,081
ST. MARYS MEDICAL CENTER	CA	commercial \| us behavioral health \| all plans	—	—	negotiated	$14,020
ST. MARYS MEDICAL CENTER	CA	Health Net	—	—	negotiated	$14,020
BAKERSFIELD MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$13,982
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$13,978
SEQUOIA HOSPITAL	CA	Health Net	—	—	negotiated	$13,745
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - Prudent Buyer	outpatient	negotiated	$13,692
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Shield - PPO	inpatient	negotiated	$13,692
DOMINICAN HOSPITAL	CA	Health Net	—	—	negotiated	$13,525
DOMINICAN HOSPITAL	CA	Medicaid	—	—	negotiated	$13,525
GROSSMONT HOSPITAL	CA	Aetna	Aetna Whole Health	inpatient	negotiated	$13,314
MERCY GENERAL HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$12,917
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Anthem BCBS	—	—	negotiated	$12,845
ST. JOHNS REGIONAL MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$12,845
WOODLAND HEALTHCARE	CA	UnitedHealthcare	—	—	negotiated	$12,827
ST. MARY MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$12,691
DOMINICAN HOSPITAL	CA	Health Net	—	—	negotiated	$12,622
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$12,533
SEQUOIA HOSPITAL	CA	Health Net	—	—	negotiated	$12,451
MARIAN MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$12,445
ST. MARYS MEDICAL CENTER	CA	Health Net	—	—	negotiated	$12,408

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).