▸ California · CPT 99204
Office visit, new patient, 45-59 min in California
What California hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
34
Rate rows
1,181
Neg. median
$362.16
Min
$1
Max
$7,969
Cash median
$414.05
Across 34 California hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $1 to $7,969, with a median of $362.16. The interquartile range is $194.62 to $611.88. Cash-pay patients typically pay $414.05; gross charges median $600.
By payer in California
Top 30 payers for Office visit, new patient, 45-59 min in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 26 | 159 | $500 |
| Multiplan | 24 | 70 | $445.87 |
| Kaiser Permanente | 22 | 65 | $341 |
| Anthem BCBS | 22 | 31 | $133.42 |
| Medicaid | 22 | 77 | $143 |
| First Health | 17 | 49 | $408.1 |
| commercial | healthsmart | all plans | 12 | 40 | $422.73 |
| Blue Cross Blue Shield | 12 | 52 | $428 |
| Cigna | 12 | 44 | $301.58 |
| Health Net | 11 | 32 | $360.88 |
| Aetna | 10 | 37 | $347.03 |
| Molina | 8 | 13 | $177.8 |
| Humana | 8 | 14 | $313.6 |
| Medicare | 6 | 7 | $157 |
| commercial | sutter health | all plans | 5 | 15 | $346.4 |
| commercial | connected care intel | all plans | 5 | 13 | $1,484.74 |
| traditional medi-cal | 4 | 4 | $98.83 |
| community health group | 3 | 5 | $387.35 |
| commercial | magellan | all plans | 3 | 7 | $344.4 |
| commercial | wcmg | all plans | 3 | 9 | $73.61 |
| brand new day | 2 | 2 | $764.76 |
| caloptima | 2 | 2 | $98.83 |
| commercial | sea view | all plans | 2 | 2 | $173.24 |
| aids healthcare foundation | 2 | 2 | $98.83 |
| san diego pace | 2 | 2 | $353.41 |
| interplan | 2 | 2 | $374.65 |
| county medical services | 2 | 2 | $539.75 |
| l.a care health plan | 2 | 2 | $98.83 |
| managed health network | 1 | 1 | $11.47 |
| avanti hospitals, llc | 1 | 1 | $98.83 |
Hospital comparison — Office visit, new patient, 45-59 min in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Garden Grove Hospital Medical Center | Garden Grove | $98.83 | — | $720.05 |
| Huntington Beach Hospital | Huntington Beach | $98.83 | — | $809.46 |
| Centinela Hospital Medical Center | Inglewood | $98.83 | — | $250 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | $98.83 | — | $658.5 |
| St. Marys Medical Center | San Francisco | $126.18 | $109.9 | $157 |
| San Antonio Regional Hospital | Upland | $129.06 | $147.6 | $246 |
| Community Hospital Of San Bernardino | San Bernardino | $186.79 | $1,744.4 | $2,492 |
| Mark Twain Medical Center | San Andreas | $195.3 | $213.85 | $305.5 |
| Dominican Hospital | Santa Cruz | $238.58 | $296.8 | $424 |
| Mercy Medical Center Merced | Merced | $240 | $231.7 | $331 |
| St. Johns Regional Medical Center | Oxnard | $241.22 | $962.15 | $1,374.5 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | $248 | $314.3 | $449 |
| St. Mary Medical Center | Apple Valley | $248.07 | $789.95 | $1,128.5 |
| Bakersfield Memorial Hospital | Bakersfield | $253 | $281.4 | $402 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | $305 | $1,031.45 | $1,473.5 |
| Mercy General Hospital | Sacramento | $337.82 | $303.1 | $433 |
| Methodist Hospital Of Sacramento | Sacramento | $346.4 | $303.1 | $433 |
| Mercy Hospital Of Folsom | Folsom | $349.87 | $303.1 | $433 |
| Mercy San Juan Medical Center | Carmichael | $358.1 | $303.1 | $433 |
| Saint Francis Memorial Hospital | San Francisco | $373 | $401.8 | $574 |
| Woodland Healthcare | Woodland | $389.29 | $303.1 | $433 |
| Sierra Nevada Memorial Hospital | Grass Valley | $391.05 | $302.4 | $432 |
| Sharp Chula Vista Medical Center | Chula Vista | $403.23 | $465.38 | $620.5 |
| Sharp Memorial Hospital | San Diego | $406.02 | $465.38 | $620.5 |
| Grossmont Hospital | La Mesa | $416.56 | $465.38 | $620.5 |
| Northridge Medical Center - Roscoe | Northridge | $416.8 | $396.2 | $566 |
| Pacifica Hospital Of The Valley | Sun Valley | $424 | $514 | $514 |
| Stanford Health Care | Stanford | $438.35 | $467.5 | $935 |
| St Elizabeth Community Hosptial | Red Bluff | $588 | $533.05 | $761.5 |
| St. Bernardine Medical Center | San Bernardino | $776.8 | $1,312.5 | $1,875 |
| St. Johns Pleasant Valley Hospital | Camarillo | $820.14 | $1,290.1 | $1,843 |
| Sequoia Hospital | Redwood City | $863.54 | $1,553.3 | $2,219 |
| Marian Medical Center | Santa Maria | $1,732.75 | $1,673 | $2,390 |
| Tri-City Medical Center | Oceanside | — | $239.4 | $399 |