▸ California · CPT 99215
Office visit, established patient, 40-54 min in California
What California hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
32
Rate rows
1,043
Neg. median
$353.5
Min
$1
Max
$4,789
Cash median
$353.85
Across 32 California hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $1 to $4,789, with a median of $353.5. The interquartile range is $160.16 to $494.58. Cash-pay patients typically pay $353.85; gross charges median $521.
By payer in California
Top 30 payers for Office visit, established patient, 40-54 min in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 26 | 128 | $458 |
| Multiplan | 23 | 54 | $456 |
| Medicaid | 21 | 68 | $121.44 |
| Anthem BCBS | 21 | 33 | $108.54 |
| Kaiser Permanente | 20 | 55 | $304 |
| First Health | 16 | 37 | $364.5 |
| Cigna | 13 | 36 | $254.87 |
| Blue Cross Blue Shield | 13 | 51 | $287.76 |
| commercial | healthsmart | all plans | 12 | 33 | $436.48 |
| Health Net | 12 | 38 | $332.57 |
| Aetna | 10 | 41 | $468.27 |
| Humana | 8 | 10 | $203 |
| Medicare | 8 | 10 | $189.49 |
| Molina | 7 | 17 | $451.07 |
| commercial | sutter health | all plans | 5 | 10 | $377.6 |
| traditional medi-cal | 4 | 4 | $82.05 |
| commercial | wcmg | all plans | 3 | 6 | $80.24 |
| medi-cal | 3 | 3 | $452.62 |
| community health group | 3 | 8 | $458.19 |
| commercial | connected care intel | all plans | 3 | 7 | $273.19 |
| commercial | sea view | all plans | 2 | 2 | $149.33 |
| commercial | magellan | all plans | 2 | 6 | $314.4 |
| county medical services | 2 | 2 | $401.14 |
| caloptima | 2 | 2 | $82.05 |
| brand new day | 2 | 2 | $801.31 |
| l.a care health plan | 2 | 2 | $82.05 |
| san diego pace | 2 | 3 | $441.88 |
| aids healthcare foundation | 2 | 2 | $82.05 |
| county of orange (msn) | 1 | 1 | $82.05 |
| the health plan hmo | 1 | 1 | $129.36 |
Hospital comparison — Office visit, established patient, 40-54 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 | $74.29 | $141.4 | $202 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | $82.05 | — | $530 |
| Huntington Beach Hospital | Huntington Beach | $82.05 | — | $756.62 |
| Centinela Hospital Medical Center | Inglewood | $82.05 | — | $285.6 |
| Garden Grove Hospital Medical Center | Garden Grove | $84.92 | — | $846 |
| St. Marys Medical Center | San Francisco | $116.34 | $118.3 | $169 |
| San Antonio Regional Hospital | Upland | $122.24 | $123.3 | $205.5 |
| St. Mary Medical Center | Apple Valley | $125.54 | $256.2 | $366 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | $144 | $404.6 | $578 |
| Northridge Medical Center - Roscoe | Northridge | $156.04 | $429.1 | $613 |
| Mercy Medical Center Merced | Merced | $186.01 | $218.75 | $312.5 |
| St. Johns Regional Medical Center | Oxnard | $199.29 | $281.4 | $402 |
| Bakersfield Memorial Hospital | Bakersfield | $225 | $263.2 | $376 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | $237.06 | $189 | $270 |
| Dominican Hospital | Santa Cruz | $275.36 | $1,356.25 | $1,937.5 |
| Mercy San Juan Medical Center | Carmichael | $328.19 | $330.4 | $472 |
| Methodist Hospital Of Sacramento | Sacramento | $335.85 | $330.4 | $472 |
| Mercy General Hospital | Sacramento | $343.5 | $330.4 | $472 |
| Mercy Hospital Of Folsom | Folsom | $344.21 | $330.4 | $472 |
| Woodland Healthcare | Woodland | $389.05 | $330.4 | $472 |
| Saint Francis Memorial Hospital | San Francisco | $405 | $472.5 | $675 |
| Sharp Memorial Hospital | San Diego | $431.27 | $543.38 | $724.5 |
| Sharp Chula Vista Medical Center | Chula Vista | $445.41 | $543.38 | $724.5 |
| Grossmont Hospital | La Mesa | $445.41 | $543.38 | $724.5 |
| Marian Medical Center | Santa Maria | $457.17 | $395.85 | $565.5 |
| St Elizabeth Community Hosptial | Red Bluff | $468.44 | $401.1 | $573 |
| Stanford Health Care | Stanford | $474.73 | $502.5 | $601 |
| Sierra Nevada Memorial Hospital | Grass Valley | $482.6 | $354.55 | $506.5 |
| St. Bernardine Medical Center | San Bernardino | $640.86 | $643.65 | $919.5 |
| Sequoia Hospital | Redwood City | $790.19 | $784.35 | $1,120.5 |
| St. Johns Pleasant Valley Hospital | Camarillo | $881.55 | $1,386.7 | $1,981 |
| Tri-City Medical Center | Oceanside | — | $251.4 | $419 |