▸ California · CPT 99221
Initial hospital care, low complexity in California
What California hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.
Hospitals
5
Rate rows
80
Neg. median
$191.29
Min
$39.19
Max
$385.27
Cash median
$137.9
Across 5 California hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $39.19 to $385.27, with a median of $191.29. The interquartile range is $63.71 to $224.23. Cash-pay patients typically pay $137.9; gross charges median $197.
By payer in California
Top 24 payers for Initial hospital care, low complexity in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 4 | 5 | $143.03 |
| Cigna | 4 | 6 | $162.67 |
| Kaiser Permanente | 4 | 6 | $130.36 |
| UnitedHealthcare | 4 | 8 | $196.98 |
| Blue Cross Blue Shield | 3 | 7 | $170.69 |
| Health Net | 3 | 3 | $189.52 |
| Medicaid | 2 | 2 | $122.76 |
| Anthem BCBS | 2 | 5 | $68.39 |
| First Health | 2 | 2 | $223.95 |
| Multiplan | 2 | 2 | $232.26 |
| shca comm intel [20300000] | 1 | 1 | $277.72 |
| the health plan | 1 | 1 | $62.54 |
| uh [819] | 1 | 1 | $43.41 |
| umr [17000] | 1 | 1 | $361.97 |
| veba med grp [813] | 1 | 1 | $56.31 |
| american specialty health plan alt payer [971000000] | 1 | 1 | $385.27 |
| beech st [10600] | 1 | 1 | $200.97 |
| blue card (out of state) [40000] | 1 | 1 | $277.72 |
| claritev [13400] | 1 | 1 | $200.97 |
| health plan of san mateo [31200] | 1 | 1 | $60.03 |
| hn [815] | 1 | 1 | $41.67 |
| Humana | 1 | 1 | $63.71 |
| Medicare | 1 | 1 | $63.71 |
| private healthcare systems (phcs) [14200] | 1 | 1 | $200.97 |
Hospital comparison — Initial hospital care, low complexity in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Scripps Mercy Hospital | San Diego | $43.41 | $31.01 | $124.03 |
| San Antonio Regional Hospital | Upland | $67.66 | $97.2 | $162 |
| St Elizabeth Community Hosptial | Red Bluff | $188.14 | $137.9 | $197 |
| Mark Twain Medical Center | San Andreas | $197.08 | $193.9 | $277 |
| Stanford Health Care | Stanford | $239.35 | $202.5 | $405 |