Low
$118
Average
$153
Median
$161
High
$180
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3 hospital rates
iThe hospitals that file a Bcbs Ca rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Oroville Hospital Oroville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 3 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | $49 | 30% | — | $113 – $210 |
← Payers reporting CPT 99395 · Snapshot 20261111T120946Z-9134e7f7