▸ California · CPT 99211
Office visit, established patient, 5 min in California
What California hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
35
Rate rows
1,916
Neg. median
$187.98
Min
$1
Max
$7,969
Cash median
$196
Across 35 California hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $1 to $7,969, with a median of $187.98. The interquartile range is $78.6 to $269.75. Cash-pay patients typically pay $196; gross charges median $280.
By payer in California
Top 30 payers for Office visit, established patient, 5 min in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 28 | 217 | $221.42 |
| Multiplan | 26 | 110 | $224.39 |
| Anthem BCBS | 23 | 40 | $24.87 |
| Kaiser Permanente | 23 | 102 | $160.34 |
| Medicaid | 22 | 80 | $27.45 |
| First Health | 17 | 81 | $210 |
| Cigna | 15 | 80 | $155.99 |
| Blue Cross Blue Shield | 15 | 110 | $150 |
| Health Net | 13 | 75 | $177.6 |
| commercial | healthsmart | all plans | 12 | 60 | $228.55 |
| Aetna | 10 | 73 | $164.87 |
| Humana | 9 | 23 | $222 |
| Medicare | 9 | 15 | $83.75 |
| Molina | 8 | 34 | $209.35 |
| commercial | connected care intel | all plans | 5 | 16 | $192.24 |
| traditional medi-cal | 5 | 5 | $17.21 |
| commercial | sutter health | all plans | 5 | 30 | $222 |
| epic americas | 3 | 4 | $246.54 |
| county medical services | 3 | 9 | $211.5 |
| community health group | 3 | 20 | $212.39 |
| commercial | wcmg | all plans | 3 | 18 | $47.18 |
| allianz global assistance | 3 | 6 | $193.41 |
| california health and wellness | 3 | 9 | $207.5 |
| interplan | 3 | 11 | $164.87 |
| commercial | magellan | all plans | 3 | 8 | $106.5 |
| aids healthcare foundation | 3 | 3 | $17.21 |
| san diego pace | 3 | 11 | $172.02 |
| managed health network | 2 | 5 | $234.47 |
| medi-cal | 2 | 3 | $164.87 |
| caloptima | 2 | 2 | $17.21 |
Hospital comparison — Office visit, established patient, 5 min in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $15.18 | $27.3 | $39 |
| Encino Hospital | Encino | $17.21 | — | $341.07 |
| Garden Grove Hospital Medical Center | Garden Grove | $17.21 | — | $338 |
| Huntington Beach Hospital | Huntington Beach | $17.21 | — | $756.62 |
| Centinela Hospital Medical Center | Inglewood | $17.21 | — | $84.25 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | $17.21 | — | $278 |
| St. Marys Medical Center | San Francisco | $50.66 | $84.7 | $121 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | $68.85 | $96.6 | $138 |
| Stanford Health Care | Stanford | $72.18 | $169 | $338 |
| Northridge Medical Center - Roscoe | Northridge | $87.62 | $235.9 | $337 |
| Scripps Mercy Hospital | San Diego | $92.61 | $52.98 | $211.93 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | $104 | $91 | $130 |
| St. Johns Regional Medical Center | Oxnard | $109.65 | $119 | $170 |
| St. Mary Medical Center | Apple Valley | $126.41 | $151.9 | $217 |
| Bakersfield Memorial Hospital | Bakersfield | $127.68 | $127.4 | $182 |
| Saint Francis Memorial Hospital | San Francisco | $140 | $107.8 | $154 |
| Community Hospital Of San Bernardino | San Bernardino | $154.94 | $254.8 | $364 |
| Mercy Medical Center Merced | Merced | $158.7 | $151.2 | $216 |
| St Elizabeth Community Hosptial | Red Bluff | $165.53 | $158.2 | $226 |
| San Antonio Regional Hospital | Upland | $180.85 | $135.3 | $225.5 |
| Sharp Chula Vista Medical Center | Chula Vista | $194.36 | $284.63 | $379.5 |
| Grossmont Hospital | La Mesa | $199.8 | $258 | $344 |
| Marian Medical Center | Santa Maria | $219 | $188.3 | $269 |
| Sierra Nevada Memorial Hospital | Grass Valley | $220.5 | $182 | $260 |
| Mercy General Hospital | Sacramento | $221.42 | $194.25 | $277.5 |
| Sharp Memorial Hospital | San Diego | $222 | $284.63 | $379.5 |
| Mercy Hospital Of Folsom | Folsom | $224.4 | $194.25 | $277.5 |
| Methodist Hospital Of Sacramento | Sacramento | $226.8 | $194.25 | $277.5 |
| Sequoia Hospital | Redwood City | $234.08 | $215.6 | $308 |
| Mercy San Juan Medical Center | Carmichael | $240.82 | $194.25 | $277.5 |
| Woodland Healthcare | Woodland | $250.77 | $194.25 | $277.5 |
| St. Johns Pleasant Valley Hospital | Camarillo | $339.27 | $606.55 | $866.5 |
| St. Bernardine Medical Center | San Bernardino | $361.15 | $340.2 | $486 |
| Dominican Hospital | Santa Cruz | $446.72 | $386.4 | $552 |
| Tri-City Medical Center | Oceanside | — | $126 | $210 |