▸ California · CPT 99285
ED visit level 5 in California
What California hospitals charge for ed visit level 5 (CPT 99285). Rates sourced from federally-mandated machine-readable files.
Hospitals
39
Rate rows
1,976
Neg. median
$2,139.91
Min
$1
Max
$34,566
Cash median
$3,754.8
Across 39 California hospitals, the negotiated rate for ED visit level 5 ranges from $1 to $34,566, with a median of $2,139.91. The interquartile range is $695.28 to $5,143.2. Cash-pay patients typically pay $3,754.8; gross charges median $5,364.
By payer in California
Top 30 payers for ED visit level 5 in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 37 | 239 | $3,658.85 |
| Health Net | 34 | 176 | $2,841.45 |
| Aetna | 33 | 112 | $3,060.36 |
| Medicare | 31 | 61 | $762.2 |
| Anthem BCBS | 30 | 132 | $3,530.01 |
| UnitedHealthcare | 28 | 97 | $7,125 |
| Multiplan | 27 | 52 | $4,394.09 |
| Kaiser Permanente | 26 | 72 | $811.06 |
| Humana | 25 | 41 | $737.31 |
| Cigna | 25 | 79 | $3,834.1 |
| Medicaid | 22 | 86 | $280.6 |
| First Health | 21 | 45 | $4,023 |
| commercial | healthsmart | all plans | 13 | 28 | $4,416.82 |
| Molina | 12 | 35 | $762.2 |
| commercial | connected care intel | all plans | 8 | 23 | $4,828.33 |
| TRICARE | 7 | 12 | $762.2 |
| commercial | sutter health | all plans | 7 | 22 | $4,291.2 |
| traditional medi-cal | 7 | 7 | $155.03 |
| brand new day | 7 | 15 | $1,082 |
| renal payer solutions | 6 | 6 | $762.2 |
| employer direct healthcare | 6 | 6 | $1,067.08 |
| commercial | western growers | all plans | 6 | 8 | $2,631.2 |
| commercial | hill physicians | all plans | 5 | 5 | $737.31 |
| commercial | pinnacle | all plans | 4 | 6 | $3,449.12 |
| naphcare | 4 | 6 | $1,181.41 |
| alignment | 4 | 4 | $762.2 |
| Bright Health | 4 | 4 | $732.48 |
| commercial | hpn | all plans | 4 | 6 | $4,057.4 |
| epic americas | 3 | 3 | $1.15 |
| imperial health plan | 3 | 3 | $807.93 |
Hospital comparison — ED visit level 5 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 | $463.86 | $997.85 | $1,425.5 |
| Stanford Health Care | Stanford | $466.93 | $383.5 | $767 |
| Pacifica Hospital Of The Valley | Sun Valley | $610 | $3,877 | $3,877 |
| Montclair Hospital Medical Center | Montclair | $762.2 | $762 | $5,058.67 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | $762.2 | $762 | $1,191 |
| Centinela Hospital Medical Center | Inglewood | $762.2 | $762 | $1,846.8 |
| Encino Hospital | Encino | $762.2 | $762 | $2,713.15 |
| Chino Valley Medical Center | Chino | $762.2 | $762 | $5,058.67 |
| Garden Grove Hospital Medical Center | Garden Grove | $762.2 | $762 | $5,161.88 |
| Huntington Beach Hospital | Huntington Beach | $762.2 | $762 | $5,161.88 |
| St. Mary Medical Center | Apple Valley | $887 | $4,162.2 | $5,946 |
| San Antonio Regional Hospital | Upland | $1,606.07 | $2,482.2 | $4,137 |
| Central Valley Specialty Hospital | Modesto | $1,838.85 | $2,451.8 | $2,451.8 |
| Marian Medical Center | Santa Maria | $1,936.01 | $1,862.7 | $2,661 |
| St. Johns Pleasant Valley Hospital | Camarillo | $1,986.2 | $2,358.3 | $3,369 |
| Northridge Medical Center - Roscoe | Northridge | $2,300.42 | $3,281.25 | $4,687.5 |
| Community Hospital Of San Bernardino | San Bernardino | $2,350.6 | $2,902.9 | $4,147 |
| St. Johns Regional Medical Center | Oxnard | $2,457.06 | $2,774.1 | $3,963 |
| Sequoia Hospital | Redwood City | $2,513.58 | $8,395.1 | $11,993 |
| St. Bernardine Medical Center | San Bernardino | $2,636 | $2,848.65 | $4,069.5 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | $3,072.8 | $2,714.25 | $3,877.5 |
| Bakersfield Memorial Hospital | Bakersfield | $3,194.85 | $3,923.5 | $5,605 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | $3,507.42 | $2,992.5 | $4,275 |
| St Elizabeth Community Hosptial | Red Bluff | $3,570.48 | $4,039 | $5,770 |
| Mercy San Juan Medical Center | Carmichael | $3,985.99 | $3,877.3 | $5,539 |
| Mercy General Hospital | Sacramento | $4,023 | $3,877.3 | $5,539 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,100.26 | $3,899.7 | $5,571 |
| Woodland Healthcare | Woodland | $4,160.37 | $3,877.3 | $5,539 |
| Dominican Hospital | Santa Cruz | $4,233.79 | $3,927.7 | $5,611 |
| Mercy Hospital Of Folsom | Folsom | $4,285.5 | $3,877.3 | $5,539 |
| Methodist Hospital Of Sacramento | Sacramento | $4,291.2 | $3,877.3 | $5,539 |
| Mercy Medical Center Merced | Merced | $5,108.25 | $5,059.25 | $7,227.5 |
| St. Marys Medical Center | San Francisco | $5,331 | $6,219.5 | $8,885 |
| Grossmont Hospital | La Mesa | $5,510 | $7,125 | $9,500 |
| Saint Francis Memorial Hospital | San Francisco | $5,801.34 | $6,365.1 | $9,093 |
| Sharp Chula Vista Medical Center | Chula Vista | $6,032.5 | $7,125 | $9,500 |
| Sharp Memorial Hospital | San Diego | $6,460 | $7,125 | $9,500 |
| Scripps Mercy Hospital | San Diego | $18,898 | $3,937.13 | $15,749 |
| Tri-City Medical Center | Oceanside | — | $2,860.2 | $4,767 |