Critical care, first hour of physician time at Alta Newport Hospital, LLC

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CRITICAL CARE 1ST 30-74MIN.

Tustin, CA

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Pricing by billing methodology

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How this price compares nationally

Alta Newport Hospital, LLC’s median price of $859 is 28% below the median hospital's median price ($1.2k), higher than 29% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Alta Newport Hospital, LLC

Negotiated rates from the hospital’s own file: 10 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient	$11.78	$11.78	$11.78 – $11.78
2	Bcbs Ca hmo facility · fee schedule · outpatient	$13.50	$13.50	$13.50 – $13.50
3	Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient	$14.70	$14.70	$14.70 – $14.70
4	Aetna medicare advantage facility · case rate · outpatient	$842.61	$842.61	$842.61 – $842.61
5	Anthem medicare advantage facility · case rate · outpatient	$842.61	$842.61	$842.61 – $842.61
6	Bcbs Ca medicare advantage facility · case rate · outpatient	$842.61	$842.61	$842.61 – $842.61
7	Humana medicare advantage facility · case rate · outpatient	$842.61	$842.61	$842.61 – $842.61
8	Optum commercial hmo facility · case rate · outpatient	$842.61	$842.61	$842.61 – $842.61
9	Optum medicare advantage facility · case rate · outpatient	$859.46	$859.46	$859.46 – $859.46
10	WellCare medicare advantage facility · case rate · outpatient	$859.46	$859.46	$859.46 – $859.46
11	Aetna exchange facility · case rate · outpatient	$1,095	$1,095	$1,095 – $1,095
12	Aetna all gatekeeper plans facility · case rate · outpatient	$1,118	$1,118	$478.14 – $1,758
13	Aetna all non-gatekeeper plans facility · case rate · outpatient	$1,118	$1,118	$478.16 – $1,758
14	UnitedHealthcare managed care facility · case rate · outpatient	$2,114	$2,114	$2,114 – $2,114
15	Anthem commercial hmo-ppo/covered california facility · case rate · outpatient	$2,173	$2,173	$2,173 – $2,173
16	Anthem ppg facility · case rate · outpatient	$2,716	$2,716	$2,716 – $2,716
17	Cigna hmo/ppo facility · case rate · outpatient	$4,775	$4,775	$4,775 – $4,775
18	Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$6,969	$6,969	$6,969 – $6,969
19	Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$6,969	$6,969	$6,969 – $6,969
20	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$8,324	$8,324	$8,324 – $8,324
21	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$8,324	$8,324	$8,324 – $8,324

Last updated: Mar 18, 2026

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