▸ California · CPT 99223
Initial hospital care, high complexity in California
What California hospitals charge for initial hospital care, high complexity (CPT 99223). Rates sourced from federally-mandated machine-readable files.
Hospitals
6
Rate rows
101
Neg. median
$380.96
Min
$113.75
Max
$797.55
Cash median
$277.2
Across 6 California hospitals, the negotiated rate for Initial hospital care, high complexity ranges from $113.75 to $797.55, with a median of $380.96. The interquartile range is $187.13 to $452.57. Cash-pay patients typically pay $277.2; gross charges median $473.74.
By payer in California
Top 27 payers for Initial hospital care, high complexity in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 5 | 6 | $258.75 |
| Kaiser Permanente | 4 | 7 | $247.15 |
| Blue Cross Blue Shield | 4 | 8 | $375.12 |
| Cigna | 4 | 8 | $287.33 |
| UnitedHealthcare | 4 | 10 | $384.66 |
| Health Net | 3 | 3 | $389 |
| First Health | 2 | 2 | $448.88 |
| Medicaid | 2 | 2 | $254.88 |
| Anthem BCBS | 2 | 5 | $394.4 |
| Multiplan | 2 | 2 | $465.5 |
| Medicare | 1 | 1 | $127.42 |
| Molina | 1 | 1 | $460 |
| private healthcare systems (phcs) [14200] | 1 | 1 | $426.22 |
| shca comm intel [20300000] | 1 | 1 | $571.88 |
| the health plan | 1 | 1 | $130.48 |
| uh [819] | 1 | 2 | $198.55 |
| umr [17000] | 1 | 1 | $726.5 |
| veba med grp [813] | 1 | 2 | $257.55 |
| altamed | 1 | 1 | $460 |
| american specialty health plan alt payer [971000000] | 1 | 1 | $797.55 |
| beech st [10600] | 1 | 1 | $426.22 |
| blue card (out of state) [40000] | 1 | 1 | $571.88 |
| claritev [13400] | 1 | 1 | $426.22 |
| health plan of san mateo [31200] | 1 | 1 | $140.18 |
| heritage provider network | 1 | 1 | $460 |
| hn [815] | 1 | 2 | $190.61 |
| Humana | 1 | 1 | $127.42 |
Hospital comparison — Initial hospital care, high complexity in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| San Antonio Regional Hospital | Upland | $141.71 | $192.6 | $321 |
| Scripps Mercy Hospital | San Diego | $211.95 | $141.82 | $567.28 |
| St Elizabeth Community Hosptial | Red Bluff | $384.52 | $277.2 | $396 |
| Mark Twain Medical Center | San Andreas | $394.15 | $387.8 | $554 |
| Pacifica Hospital Of The Valley | Sun Valley | $460 | $460 | $460 |
| Stanford Health Care | Stanford | $499.05 | $419 | $838 |