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Acute Care Hospital

AHMC Anaheim Regional Medical Center

Anaheim, California · Orange County · Emergency services listed

Summary

AHMC Anaheim Regional Medical Center is an acute care hospital in Anaheim, California. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 66 services, specialties and programs. Medicare lists 178 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
66Services listed

Quick answers

Does AHMC Anaheim Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at AHMC Anaheim Regional Medical Center. In a medical emergency, call 911.
Where is AHMC Anaheim Regional Medical Center?
1111 W la Palma Avenue, Anaheim, CA 92801, in Orange County, California.
What is the phone number of AHMC Anaheim Regional Medical Center?
(714) 774-1450, as listed by Medicare (CMS).
What is the Medicare star rating of AHMC Anaheim Regional Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][8][9][12][13][14][18][20][21]

Conditions treated[8][12][13][14][16][18]

Treatments[4][12][13][14][15][16][20][21]

  • Endoscopy
  • Electrophysiology
  • Cardiac catheterization
  • Angiogram
  • Echocardiogram
  • Electrocardiogram (ECG)
  • Holter monitor
  • Nuclear imaging
  • Pacemaker
  • Implantable cardioverter defibrillator (ICD)
  • Stress test
  • Tilt table test
  • Endomyocardial biopsy
  • Tobacco cessation program
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Hand therapy

Procedures[4][12]

Programs and centers[4][8][11][12][18][19][20][21]

  • The Birth Place
  • Perinatal Center
  • Neonatal Intensive Care Unit
  • Women's Heart Center
  • Childbirth education
  • STEMI receiving center
  • Safe Place sexual assault examination unit
  • Paramedic base hospital
  • Birth & Beyond prenatal class
  • Maternity tours
  • Heart failure clinic
  • Tumor board
  • Cancer registry

Emergency care (hospital website)[4][8][18]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingDaily visiting hours 11:00 am to 8:00 pm (Birth Place); two visitors at a time in LDR after bonding[6][10]
Interpreters and languagesHospital Language Services page and interpreter services policy are posted[4]

Recognition[8][18]

  • STEMI receiving center (designated cardiac receiving center)

Doctors and clinicians (178)

178 doctors and other clinicians list AHMC Anaheim Regional Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (178)

And 154 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What AHMC Anaheim Regional Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1060%National average: 72%
Would definitely recommend the hospital51%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well69%National average: 80%
Staff “always” explained medicines before giving them52%National average: 62%
Were given information about recovery at home77%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night45%National average: 60%
Completed surveys344Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.397No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.747No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.094Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients11.3%
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients12.6%
Deaths within 30 days: COPD patients8.1%
Deaths within 30 days: stroke patients12%
Deaths within 30 days: coronary bypass surgery (CABG)2.3%
Serious complications (patient safety indicator PSI-90)0.9No different from the national rate
Complications after hip or knee replacement4.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.5%
Readmitted within 30 days: heart failure19.8%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery12.8%
Readmitted within 30 days: hip or knee replacement5.1%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)141 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)88%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as AHMC Anaheim Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 3 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EVAL & MANAGE NEW LVL 3 $495 $495 $45.76 – $495
New patient office visit (about 30–44 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $148.50
  • Aetna — Aetna Gatekeeper: $257.40
  • Aetna — Aetna Non-Gatekeeper: $257.40
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $222.75
  • Affiliated Health Fund — Affiliated Health Fund: $346.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $148.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $57.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $148.50
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $65.64
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $45.76
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI LAB E&M LVL III NEW $545 $545 $45.76 – $545
New patient office visit (about 30–44 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $163.50
  • Aetna — Aetna Gatekeeper: $283.40
  • Aetna — Aetna Non-Gatekeeper: $283.40
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $245.25
  • Affiliated Health Fund — Affiliated Health Fund: $381.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $163.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $57.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $163.50
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $65.64
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $45.76
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR NEW PT EVAL LVL3-(30MIN) $318 $318 $45.76 – $318
New patient office visit (about 30–44 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $95.40
  • Aetna — Aetna Gatekeeper: $165.36
  • Aetna — Aetna Non-Gatekeeper: $165.36
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $143.10
  • Affiliated Health Fund — Affiliated Health Fund: $222.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $95.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $57.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $95.40
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $65.64
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $45.76
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP-ASSESSMENT AND PROGRAM RX $586 $586 $52.50 – $1,403
New patient office visit (about 45–59 minutes): 10 of 99 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $175.80
  • Aetna — Aetna Gatekeeper: $304.72
  • Aetna — Aetna Non-Gatekeeper: $304.72
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $263.70
  • Affiliated Health Fund — Affiliated Health Fund: $410.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $175.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $68.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $175.80
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $79.06
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $55.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EVAL & MANAGE NEW LVL 4 $550 $550 $52.50 – $550
New patient office visit (about 45–59 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $165
  • Aetna — Aetna Gatekeeper: $286
  • Aetna — Aetna Non-Gatekeeper: $286
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $247.50
  • Affiliated Health Fund — Affiliated Health Fund: $385
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $165
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $68.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $165
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $79.06
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $55.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI LAB E&M LVL IV NEW $605 $605 $52.50 – $605
New patient office visit (about 45–59 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $181.50
  • Aetna — Aetna Gatekeeper: $314.60
  • Aetna — Aetna Non-Gatekeeper: $314.60
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $272.25
  • Affiliated Health Fund — Affiliated Health Fund: $423.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $181.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $68.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $181.50
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $79.06
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $55.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EVAL & MANAGE NEW LVL 5 $660 $660 $52.50 – $660
New patient office visit (about 60–74 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $198
  • Aetna — Aetna Gatekeeper: $343.20
  • Aetna — Aetna Non-Gatekeeper: $343.20
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $297
  • Affiliated Health Fund — Affiliated Health Fund: $462
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $198
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $82.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $198
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $94.90
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $66.16
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI LAB E&M LVL V NEW $727 $727 $52.50 – $727
New patient office visit (about 60–74 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $218.10
  • Aetna — Aetna Gatekeeper: $378.04
  • Aetna — Aetna Non-Gatekeeper: $378.04
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $327.15
  • Affiliated Health Fund — Affiliated Health Fund: $508.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $218.10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $82.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $218.10
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $94.90
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $66.16
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M LVL V NEW $640 $640 $52.50 – $640
New patient office visit (about 60–74 minutes): 10 of 96 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $192
  • Aetna — Aetna Gatekeeper: $332.80
  • Aetna — Aetna Non-Gatekeeper: $332.80
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $288
  • Affiliated Health Fund — Affiliated Health Fund: $448
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $192
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $82.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $192
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $94.90
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $66.16
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EVAL & MANAGE EST. LVL 3 $468 $468 $19.20 – $468
Established patient office visit (about 20–29 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $140.40
  • Aetna — Aetna Gatekeeper: $243.36
  • Aetna — Aetna Non-Gatekeeper: $243.36
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $210.60
  • Affiliated Health Fund — Affiliated Health Fund: $327.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $140.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $24
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $140.40
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $27.54
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $19.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M LVL III EST $454 $454 $19.20 – $454
Established patient office visit (about 20–29 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $136.20
  • Aetna — Aetna Gatekeeper: $236.08
  • Aetna — Aetna Non-Gatekeeper: $236.08
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $204.30
  • Affiliated Health Fund — Affiliated Health Fund: $317.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $136.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $24
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $136.20
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $27.54
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $19.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI LAB E&M LVL III EST $516 $516 $19.20 – $516
Established patient office visit (about 20–29 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $154.80
  • Aetna — Aetna Gatekeeper: $268.32
  • Aetna — Aetna Non-Gatekeeper: $268.32
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $232.20
  • Affiliated Health Fund — Affiliated Health Fund: $361.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $154.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $24
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $154.80
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $27.54
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $19.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EVAL & MANAGE EST. LVL 4 $522 $522 $30 – $522
Established patient office visit (about 30–39 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $156.60
  • Aetna — Aetna Gatekeeper: $271.44
  • Aetna — Aetna Non-Gatekeeper: $271.44
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $234.90
  • Affiliated Health Fund — Affiliated Health Fund: $365.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $156.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $37.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $156.60
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $43.03
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M LVL IV EST $506 $506 $30 – $506
Established patient office visit (about 30–39 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $151.80
  • Aetna — Aetna Gatekeeper: $263.12
  • Aetna — Aetna Non-Gatekeeper: $263.12
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $227.70
  • Affiliated Health Fund — Affiliated Health Fund: $354.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $151.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $37.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $151.80
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $43.03
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI LAB E&M LVL IV EST $575 $575 $30 – $575
Established patient office visit (about 30–39 minutes): 10 of 97 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $172.50
  • Aetna — Aetna Gatekeeper: $299
  • Aetna — Aetna Non-Gatekeeper: $299
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $258.75
  • Affiliated Health Fund — Affiliated Health Fund: $402.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $172.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $37.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $172.50
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $43.03
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $30
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOSOCIAL INITIAL, 30M $117 $117 $19.42 – $117
Office consultation with a specialist (moderate to high): 10 of 88 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $35.10
  • Aetna — Aetna Gatekeeper: $60.84
  • Aetna — Aetna Non-Gatekeeper: $60.84
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $52.65
  • Affiliated Health Fund — Affiliated Health Fund: $81.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $35.10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $81.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $35.10
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medi-cal: $93.41
  • Allied Physicians — Allied Physicians of CA Medi-Cal: $65.12
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOSOCIAL INITIAL, 30M $117 $117 $29.25 – $117
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $105.30
  • National Provider Network — National Provider Network: $93.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $29.25
  • Non Contracted Commercial — Non Contracted Commercial: $117
  • Three Rivers Providers Network — Three Rivers Providers Network: $93.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SART SPECIAL COUNSELING $1,082 $1,082 $13.38 – $3,079
Emergency room visit (moderate): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $324.60
  • Aetna — Aetna Gatekeeper: $3,079
  • Aetna — Aetna Medicare: $345.47
  • Aetna — Aetna Non-Gatekeeper: $3,079
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $525
  • Affiliated Health Fund — Affiliated Health Fund: $757.40
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $438.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $324.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $44.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $324.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB L&D EVAL LEVEL III - INTERMED $1,200 $1,200 $30 – $3,079
Emergency room visit (moderate): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $360
  • Aetna — Aetna Gatekeeper: $3,079
  • Aetna — Aetna Medicare: $345.47
  • Aetna — Aetna Non-Gatekeeper: $3,079
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $540
  • Affiliated Health Fund — Affiliated Health Fund: $840
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $438.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $360
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $44.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $360
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SART SPECIAL COUNSELING $1,082 $1,082 $270.50 – $1,082
Emergency room visit (moderate): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $973.80
  • National Provider Network — National Provider Network: $865.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $270.50
  • Non Contracted Commercial — Non Contracted Commercial: $1,082
  • Three Rivers Providers Network — Three Rivers Providers Network: $865.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB L&D EVAL LEVEL IV - EXTENDED $1,600 $1,600 $30 – $4,728
Emergency room visit (moderately high): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $480
  • Aetna — Aetna Gatekeeper: $3,119
  • Aetna — Aetna Medicare: $528.08
  • Aetna — Aetna Non-Gatekeeper: $3,119
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $720
  • Affiliated Health Fund — Affiliated Health Fund: $1,120
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $670.84
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $480
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $68.35
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $480
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB L&D EVAL LEVEL IV - EXTENDED $1,600 $1,600 $400 – $1,600
Emergency room visit (moderately high): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $1,440
  • National Provider Network — National Provider Network: $1,280
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $400
  • Non Contracted Commercial — Non Contracted Commercial: $1,600
  • Three Rivers Providers Network — Three Rivers Providers Network: $1,280
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ER LEVEL 4 $2,060 $2,060 $20.50 – $4,728
Emergency room visit (moderately high): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $618
  • Aetna — Aetna Gatekeeper: $3,119
  • Aetna — Aetna Medicare: $528.08
  • Aetna — Aetna Non-Gatekeeper: $3,119
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $525
  • Affiliated Health Fund — Affiliated Health Fund: $1,442
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $670.84
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $618
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $68.35
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $618
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB L&D EVAL LEVEL V - COMPREHENSV $2,000 $2,000 $30 – $6,179
Emergency room visit (high): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $600
  • Aetna — Aetna Gatekeeper: $3,676
  • Aetna — Aetna Medicare: $753.69
  • Aetna — Aetna Non-Gatekeeper: $3,676
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $900
  • Affiliated Health Fund — Affiliated Health Fund: $1,400
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $957.44
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $600
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $108.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $600
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB L&D EVAL LEVEL V - COMPREHENSV $2,000 $2,000 $500 – $2,000
Emergency room visit (high): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $1,800
  • National Provider Network — National Provider Network: $1,600
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $500
  • Non Contracted Commercial — Non Contracted Commercial: $2,000
  • Three Rivers Providers Network — Three Rivers Providers Network: $1,600
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ER LEVEL 5 $2,911 $2,911 $30 – $6,179
Emergency room visit (high): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $873.30
  • Aetna — Aetna Gatekeeper: $3,676
  • Aetna — Aetna Medicare: $753.69
  • Aetna — Aetna Non-Gatekeeper: $3,676
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $525
  • Affiliated Health Fund — Affiliated Health Fund: $2,037.70
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $957.44
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $873.30
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $108.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $873.30

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $437 $437 $5.92 – $437
Basic metabolic panel (blood test): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $131.10
  • Aetna — Aetna Gatekeeper: $46.05
  • Aetna — Aetna Medicare: $8.29
  • Aetna — Aetna Non-Gatekeeper: $46.05
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $6.77
  • Affiliated Health Fund — Affiliated Health Fund: $305.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $10.58
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $131.10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $7.27
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $131.10
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $437 $437 $109.25 – $437
Basic metabolic panel (blood test): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $393.30
  • National Provider Network — National Provider Network: $349.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $109.25
  • Non Contracted Commercial — Non Contracted Commercial: $437
  • Three Rivers Providers Network — Three Rivers Providers Network: $349.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $441 $441 $7.39 – $441
Comprehensive metabolic panel (blood test): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $132.30
  • Aetna — Aetna Gatekeeper: $57.51
  • Aetna — Aetna Medicare: $10.35
  • Aetna — Aetna Non-Gatekeeper: $57.51
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $8.45
  • Affiliated Health Fund — Affiliated Health Fund: $308.70
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $13.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $132.30
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $9.19
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $132.30
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $441 $441 $110.25 – $441
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $396.90
  • National Provider Network — National Provider Network: $352.80
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $110.25
  • Non Contracted Commercial — Non Contracted Commercial: $441
  • Three Rivers Providers Network — Three Rivers Providers Network: $352.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $273 $273 $9.37 – $273
Cholesterol panel (lipid panel): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $81.90
  • Aetna — Aetna Gatekeeper: $72.89
  • Aetna — Aetna Medicare: $13.12
  • Aetna — Aetna Non-Gatekeeper: $72.89
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $10.71
  • Affiliated Health Fund — Affiliated Health Fund: $191.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $16.74
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $81.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $11.54
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $81.90
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $273 $273 $68.25 – $273
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $245.70
  • National Provider Network — National Provider Network: $218.40
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $68.25
  • Non Contracted Commercial — Non Contracted Commercial: $273
  • Three Rivers Providers Network — Three Rivers Providers Network: $218.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $404 $404 $6.08 – $404
Kidney function panel: 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $121.20
  • Aetna — Aetna Gatekeeper: $47.27
  • Aetna — Aetna Medicare: $8.51
  • Aetna — Aetna Non-Gatekeeper: $47.27
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $6.94
  • Affiliated Health Fund — Affiliated Health Fund: $282.80
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $10.85
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $121.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $7.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $121.20
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $404 $404 $101 – $404
Kidney function panel: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $363.60
  • National Provider Network — National Provider Network: $323.20
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $101
  • Non Contracted Commercial — Non Contracted Commercial: $404
  • Three Rivers Providers Network — Three Rivers Providers Network: $323.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PANEL $437 $437 $5.72 – $437
Liver function panel: 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $131.10
  • Aetna — Aetna Gatekeeper: $44.45
  • Aetna — Aetna Medicare: $8.01
  • Aetna — Aetna Non-Gatekeeper: $44.45
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $6.54
  • Affiliated Health Fund — Affiliated Health Fund: $305.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $10.21
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $131.10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $6.38
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $131.10
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIVER PANEL $437 $437 $109.25 – $437
Liver function panel: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $393.30
  • National Provider Network — National Provider Network: $349.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $109.25
  • Non Contracted Commercial — Non Contracted Commercial: $437
  • Three Rivers Providers Network — Three Rivers Providers Network: $349.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/ MICROSCOPY $238 $238 $2.22 – $238
Urine test (automated, with microscope): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $71.40
  • Aetna — Aetna Gatekeeper: $17.20
  • Aetna — Aetna Medicare: $3.11
  • Aetna — Aetna Non-Gatekeeper: $17.20
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $2.54
  • Affiliated Health Fund — Affiliated Health Fund: $166.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $3.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $71.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $2.77
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $71.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MICROSCOPY $238 $238 $2.22 – $238
Urine test (automated, with microscope): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $71.40
  • Aetna — Aetna Gatekeeper: $17.20
  • Aetna — Aetna Medicare: $3.11
  • Aetna — Aetna Non-Gatekeeper: $17.20
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $2.54
  • Affiliated Health Fund — Affiliated Health Fund: $166.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $3.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $71.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $2.77
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $71.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .URINE MICROSCOPY CHARGE ONLY $238 $238 $2.22 – $238
Urine test (automated, with microscope): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $71.40
  • Aetna — Aetna Gatekeeper: $17.20
  • Aetna — Aetna Medicare: $3.11
  • Aetna — Aetna Non-Gatekeeper: $17.20
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $2.54
  • Affiliated Health Fund — Affiliated Health Fund: $166.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $3.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $71.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $2.77
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $71.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA DIPSTICK OR TABLET REAGENT $23 $23 $2.15 – $52.50
Urine test (manual, without microscope): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $6.90
  • Aetna — Aetna Gatekeeper: $13.92
  • Aetna — Aetna Medicare: $3.41
  • Aetna — Aetna Non-Gatekeeper: $13.92
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $2.78
  • Affiliated Health Fund — Affiliated Health Fund: $16.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4.35
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $6.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $2.15
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $6.90
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REDUCING SUBSTANCES (UCI) $9 $9 $2.15 – $52.50
Urine test (manual, without microscope): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $2.70
  • Aetna — Aetna Gatekeeper: $9
  • Aetna — Aetna Medicare: $3.41
  • Aetna — Aetna Non-Gatekeeper: $9
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $2.78
  • Affiliated Health Fund — Affiliated Health Fund: $6.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4.35
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $2.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $2.15
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $2.70
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA DIPSTICK OR TABLET REAGENT $23 $23 $5.75 – $23
Urine test (manual, without microscope): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $20.70
  • National Provider Network — National Provider Network: $18.40
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $5.75
  • Non Contracted Commercial — Non Contracted Commercial: $23
  • Three Rivers Providers Network — Three Rivers Providers Network: $18.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP TEST (T3) $33 $33 $1.58 – $52.50
Urine test (automated, without microscope): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $9.90
  • Aetna — Aetna Gatekeeper: $12.24
  • Aetna — Aetna Medicare: $2.20
  • Aetna — Aetna Non-Gatekeeper: $12.24
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $1.80
  • Affiliated Health Fund — Affiliated Health Fund: $23.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $2.81
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $9.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $9.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP TEST (T5) $11 $11 $1.58 – $52.50
Urine test (automated, without microscope): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $3.30
  • Aetna — Aetna Gatekeeper: $11
  • Aetna — Aetna Medicare: $2.20
  • Aetna — Aetna Non-Gatekeeper: $11
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $1.80
  • Affiliated Health Fund — Affiliated Health Fund: $7.70
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $2.81
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3.30
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .URINALYSIS (DIPSTICK ONLY) CHARGE ONLY $111 $111 $1.58 – $111
Urine test (automated, without microscope): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $33.30
  • Aetna — Aetna Gatekeeper: $12.24
  • Aetna — Aetna Medicare: $2.20
  • Aetna — Aetna Non-Gatekeeper: $12.24
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $1.80
  • Affiliated Health Fund — Affiliated Health Fund: $77.70
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $2.81
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $33.30
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $33.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL & FREE (SK) $10 $10 $2.50 – $247.75
PSA (prostate specific antigen) blood test: 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $3
  • Aetna — Aetna Gatekeeper: $10
  • Aetna — Aetna Medicare: $9.80
  • Aetna — Aetna Non-Gatekeeper: $10
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $14.71
  • Affiliated Health Fund — Affiliated Health Fund: $7
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN $273 $273 $12.87 – $273
PSA (prostate specific antigen) blood test: 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $81.90
  • Aetna — Aetna Gatekeeper: $100.15
  • Aetna — Aetna Medicare: $18.02
  • Aetna — Aetna Non-Gatekeeper: $100.15
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $14.71
  • Affiliated Health Fund — Affiliated Health Fund: $191.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $22.99
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $81.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $16.35
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $81.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN $273 $273 $68.25 – $273
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $245.70
  • National Provider Network — National Provider Network: $218.40
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $68.25
  • Non Contracted Commercial — Non Contracted Commercial: $273
  • Three Rivers Providers Network — Three Rivers Providers Network: $218.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NBS TSH-GE $23.75 $23.75 $5.94 – $226.25
Thyroid stimulating hormone (TSH) test: 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $7.13
  • Aetna — Aetna Gatekeeper: $23.75
  • Aetna — Aetna Medicare: $16.46
  • Aetna — Aetna Non-Gatekeeper: $23.75
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $13.44
  • Affiliated Health Fund — Affiliated Health Fund: $16.63
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $21
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $7.13
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $14.76
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $7.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH ULTRA $238 $238 $11.76 – $238
Thyroid stimulating hormone (TSH) test: 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $71.40
  • Aetna — Aetna Gatekeeper: $91.41
  • Aetna — Aetna Medicare: $16.46
  • Aetna — Aetna Non-Gatekeeper: $91.41
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $13.44
  • Affiliated Health Fund — Affiliated Health Fund: $166.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $21
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $71.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $14.76
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $71.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH ULTRA $238 $238 $59.50 – $238
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $214.20
  • National Provider Network — National Provider Network: $190.40
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $59.50
  • Non Contracted Commercial — Non Contracted Commercial: $238
  • Three Rivers Providers Network — Three Rivers Providers Network: $190.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .CBC WITH DIFF CHARGE $240 $240 $5.44 – $240
Complete blood count (CBC) with differential: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $72
  • Aetna — Aetna Gatekeeper: $42.32
  • Aetna — Aetna Medicare: $7.61
  • Aetna — Aetna Non-Gatekeeper: $42.32
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $6.22
  • Affiliated Health Fund — Affiliated Health Fund: $168
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $9.71
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $72
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $6.75
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCID PANEL FLOW CYTOMETRY W CBC(QUEST) $396.07 $396.07 $5.44 – $396.07
Complete blood count (CBC) with differential: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $118.82
  • Aetna — Aetna Gatekeeper: $42.32
  • Aetna — Aetna Medicare: $7.61
  • Aetna — Aetna Non-Gatekeeper: $42.32
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $6.22
  • Affiliated Health Fund — Affiliated Health Fund: $277.25
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $9.71
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $118.82
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $6.75
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $118.82
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: .CBC WITH DIFF CHARGE $240 $240 $60 – $240
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $216
  • National Provider Network — National Provider Network: $192
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $60
  • Non Contracted Commercial — Non Contracted Commercial: $240
  • Three Rivers Providers Network — Three Rivers Providers Network: $192
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM $124 $124 $4.53 – $124
Complete blood count (CBC), automated: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $37.20
  • Aetna — Aetna Gatekeeper: $35.22
  • Aetna — Aetna Medicare: $6.34
  • Aetna — Aetna Non-Gatekeeper: $35.22
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $5.18
  • Affiliated Health Fund — Affiliated Health Fund: $86.80
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $8.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $37.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $5.71
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $37.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .HEMOGRAM CHARGE ONLY $124 $124 $4.53 – $124
Complete blood count (CBC), automated: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $37.20
  • Aetna — Aetna Gatekeeper: $35.22
  • Aetna — Aetna Medicare: $6.34
  • Aetna — Aetna Non-Gatekeeper: $35.22
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $5.18
  • Affiliated Health Fund — Affiliated Health Fund: $86.80
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $8.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $37.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $5.71
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $37.20
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM $124 $124 $31 – $124
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $111.60
  • National Provider Network — National Provider Network: $99.20
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $31
  • Non Contracted Commercial — Non Contracted Commercial: $124
  • Three Rivers Providers Network — Three Rivers Providers Network: $99.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME/INR $201 $201 $3 – $201
Blood clotting time test (prothrombin time, PT): 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $60.30
  • Aetna — Aetna Gatekeeper: $21.39
  • Aetna — Aetna Medicare: $4.20
  • Aetna — Aetna Non-Gatekeeper: $21.39
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $3.43
  • Affiliated Health Fund — Affiliated Health Fund: $140.70
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $5.36
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $60.30
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $3.49
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $60.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AHMC PT $7.20 $7.20 $1.80 – $52.92
Blood clotting time test (prothrombin time, PT): 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $2.16
  • Aetna — Aetna Gatekeeper: $7.20
  • Aetna — Aetna Medicare: $4.20
  • Aetna — Aetna Non-Gatekeeper: $7.20
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $3.43
  • Affiliated Health Fund — Affiliated Health Fund: $5.04
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $5.36
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $2.16
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $3.49
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $2.16
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT MIXING STUDY SK $193 $193 $3 – $193
Blood clotting time test (prothrombin time, PT): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $57.90
  • Aetna — Aetna Gatekeeper: $21.39
  • Aetna — Aetna Medicare: $4.20
  • Aetna — Aetna Non-Gatekeeper: $21.39
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $3.43
  • Affiliated Health Fund — Affiliated Health Fund: $135.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $5.36
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $57.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $3.49
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $57.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME,PARTIAL (SK) $19 $19 $4.21 – $80.78
Blood clotting test (partial thromboplastin time, PTT): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $5.70
  • Aetna — Aetna Gatekeeper: $19
  • Aetna — Aetna Medicare: $5.89
  • Aetna — Aetna Non-Gatekeeper: $19
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $4.81
  • Affiliated Health Fund — Affiliated Health Fund: $13.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $7.51
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $5.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $5.34
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $5.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT (APTT) $219 $219 $4.21 – $219
Blood clotting test (partial thromboplastin time, PTT): 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $65.70
  • Aetna — Aetna Gatekeeper: $32.67
  • Aetna — Aetna Medicare: $5.89
  • Aetna — Aetna Non-Gatekeeper: $32.67
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $4.81
  • Affiliated Health Fund — Affiliated Health Fund: $153.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $7.51
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $65.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $5.34
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $65.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AHMC PTT $10.15 $10.15 $2.54 – $80.78
Blood clotting test (partial thromboplastin time, PTT): 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $3.04
  • Aetna — Aetna Gatekeeper: $10.15
  • Aetna — Aetna Medicare: $5.89
  • Aetna — Aetna Non-Gatekeeper: $10.15
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $4.81
  • Affiliated Health Fund — Affiliated Health Fund: $7.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $7.51
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3.04
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $5.34
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3.04

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN W/O CONTRAST $3,627 $3,627 $52.50 – $3,627
CT scan of the head or brain, without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $1,088.10
  • Aetna — Aetna Gatekeeper: $735.64
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $735.64
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $150
  • Affiliated Health Fund — Affiliated Health Fund: $2,538.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $345
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST(CODE -S) $3,627 $3,627 $52.50 – $3,627
CT scan of the head or brain, without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $1,088.10
  • Aetna — Aetna Gatekeeper: $735.64
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $735.64
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $150
  • Affiliated Health Fund — Affiliated Health Fund: $2,538.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $345
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST $3,627 $3,627 $52.50 – $3,627
CT scan of the head or brain, without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $1,088.10
  • Aetna — Aetna Gatekeeper: $735.64
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $735.64
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $150
  • Affiliated Health Fund — Affiliated Health Fund: $2,538.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $345
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W&W/O CONTRAST $8,815 $8,815 $249.99 – $11,630.23
MRI of the brain, before and after contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $2,644.50
  • Aetna — Aetna Gatekeeper: $1,524.25
  • Aetna — Aetna Medicare: $441.53
  • Aetna — Aetna Non-Gatekeeper: $1,524.25
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $300
  • Affiliated Health Fund — Affiliated Health Fund: $6,170.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $560.89
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $451
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI PITUITARY W&W/O CONTRAST $8,815 $8,815 $249.99 – $11,630.23
MRI of the brain, before and after contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $2,644.50
  • Aetna — Aetna Gatekeeper: $1,524.25
  • Aetna — Aetna Medicare: $441.53
  • Aetna — Aetna Non-Gatekeeper: $1,524.25
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $300
  • Affiliated Health Fund — Affiliated Health Fund: $6,170.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $560.89
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $451
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W&W/O CONTRAST $8,815 $8,815 $2,203.75 – $8,815
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $7,933.50
  • National Provider Network — National Provider Network: $7,052
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $2,203.75
  • Non Contracted Commercial — Non Contracted Commercial: $8,815
  • Three Rivers Providers Network — Three Rivers Providers Network: $7,052
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $642 $642 $27.09 – $642
Chest X-ray, 2 views: 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $192.60
  • Aetna — Aetna Gatekeeper: $58
  • Aetna — Aetna Medicare: $110.14
  • Aetna — Aetna Non-Gatekeeper: $58
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $288.90
  • Affiliated Health Fund — Affiliated Health Fund: $449.40
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $139.91
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $192.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $27.47
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $192.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST SPECIAL VIEW(S) $692 $692 $27.09 – $692
Chest X-ray, 2 views: 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $207.60
  • Aetna — Aetna Gatekeeper: $58
  • Aetna — Aetna Medicare: $110.14
  • Aetna — Aetna Non-Gatekeeper: $58
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $311.40
  • Affiliated Health Fund — Affiliated Health Fund: $484.40
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $139.91
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $207.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $27.47
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $207.60
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $642 $642 $160.50 – $642
Chest X-ray, 2 views: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $577.80
  • National Provider Network — National Provider Network: $513.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $160.50
  • Non Contracted Commercial — Non Contracted Commercial: $642
  • Three Rivers Providers Network — Three Rivers Providers Network: $513.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE SERIES MIN 4VWS $1,201 $1,201 $31.56 – $1,201
X-ray of the lower spine, at least 4 views: 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $360.30
  • Aetna — Aetna Gatekeeper: $122.22
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $122.22
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $540.45
  • Affiliated Health Fund — Affiliated Health Fund: $840.70
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $360.30
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $43.85
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $360.30
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE SERIES MIN 4VWS $1,201 $1,201 $300.25 – $1,201
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $1,080.90
  • National Provider Network — National Provider Network: $960.80
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $300.25
  • Non Contracted Commercial — Non Contracted Commercial: $1,201
  • Three Rivers Providers Network — Three Rivers Providers Network: $960.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR L-SPINE W/O CONTRAST $6,056 $6,056 $145.46 – $6,056
MRI of the lower back (lumbar spine), without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $1,816.80
  • Aetna — Aetna Gatekeeper: $1,524.25
  • Aetna — Aetna Medicare: $301.97
  • Aetna — Aetna Non-Gatekeeper: $1,524.25
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $300
  • Affiliated Health Fund — Affiliated Health Fund: $4,239.20
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $383.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $451
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR L-SPINE W/O CONTRAST $6,056 $6,056 $1,514 – $6,056
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $5,450.40
  • National Provider Network — National Provider Network: $4,844.80
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $1,514
  • Non Contracted Commercial — Non Contracted Commercial: $6,056
  • Three Rivers Providers Network — Three Rivers Providers Network: $4,844.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ CONTRAST $5,235 $5,235 $52.50 – $5,235
CT scan of the pelvis, with contrast: 10 of 145 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $1,570.50
  • Aetna — Aetna Gatekeeper: $1,125.53
  • Aetna — Aetna Medicare: $221.98
  • Aetna — Aetna Non-Gatekeeper: $1,125.53
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $150
  • Affiliated Health Fund — Affiliated Health Fund: $3,664.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $281.99
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $345
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/ CONTRAST $5,235 $5,235 $1,308.75 – $5,235
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $4,711.50
  • National Provider Network — National Provider Network: $4,188
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $1,308.75
  • Non Contracted Commercial — Non Contracted Commercial: $5,235
  • Three Rivers Providers Network — Three Rivers Providers Network: $4,188
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE W/O CONTRAST RT $4,345 $4,345 $167.19 – $5,161.26
MRI of a leg joint (such as the knee), without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $950
  • Aetna — Aetna Gatekeeper: $1,524.25
  • Aetna — Aetna Medicare: $301.97
  • Aetna — Aetna Non-Gatekeeper: $1,524.25
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $300
  • Affiliated Health Fund — Affiliated Health Fund: $3,041.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $383.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $451
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE W/O CONTRAST LT $4,345 $4,345 $167.19 – $5,161.26
MRI of a leg joint (such as the knee), without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $950
  • Aetna — Aetna Gatekeeper: $1,524.25
  • Aetna — Aetna Medicare: $301.97
  • Aetna — Aetna Non-Gatekeeper: $1,524.25
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $300
  • Affiliated Health Fund — Affiliated Health Fund: $3,041.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $383.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $451
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HIP W/O CONTRAST RT $4,345 $4,345 $167.19 – $5,161.26
MRI of a leg joint (such as the knee), without contrast: 10 of 144 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $950
  • Aetna — Aetna Gatekeeper: $1,524.25
  • Aetna — Aetna Medicare: $301.97
  • Aetna — Aetna Non-Gatekeeper: $1,524.25
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $300
  • Affiliated Health Fund — Affiliated Health Fund: $3,041.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $383.60
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $451
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $451
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/ CONTR** $5,365 $5,365 $52.50 – $5,365
CT scan of the abdomen and pelvis, with contrast: 10 of 145 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $1,609.50
  • Aetna — Aetna Gatekeeper: $1,191.60
  • Aetna — Aetna Medicare: $441.53
  • Aetna — Aetna Non-Gatekeeper: $1,191.60
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $150
  • Affiliated Health Fund — Affiliated Health Fund: $3,755.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $560.89
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $345
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $345
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/ CONTR** $5,365 $5,365 $1,341.25 – $5,365
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $4,828.50
  • National Provider Network — National Provider Network: $4,292
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $1,341.25
  • Non Contracted Commercial — Non Contracted Commercial: $5,365
  • Three Rivers Providers Network — Three Rivers Providers Network: $4,292
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN $2,237 $2,237 $52.50 – $2,237
Ultrasound of the abdomen, complete: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $671.10
  • Aetna — Aetna Gatekeeper: $293.73
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $293.73
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $70
  • Affiliated Health Fund — Affiliated Health Fund: $1,565.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $671.10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $83.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $671.10
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN $2,237 $2,237 $559.25 – $2,237
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $2,013.30
  • National Provider Network — National Provider Network: $1,789.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $559.25
  • Non Contracted Commercial — Non Contracted Commercial: $2,237
  • Three Rivers Providers Network — Three Rivers Providers Network: $1,789.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >1ST TRI/1ST GEST $557 $557 $52.50 – $981.23
Pregnancy ultrasound (after the first trimester): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $167.10
  • Aetna — Aetna Gatekeeper: $293.73
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $293.73
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $70
  • Affiliated Health Fund — Affiliated Health Fund: $389.90
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $167.10
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $94.32
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $167.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC US ULTRASOUND OBSTETRICAL $1,578 $1,578 $52.50 – $1,578
Pregnancy ultrasound (after the first trimester): 10 of 148 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $473.40
  • Aetna — Aetna Gatekeeper: $293.73
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $293.73
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $70
  • Affiliated Health Fund — Affiliated Health Fund: $1,104.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $473.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $94.32
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $473.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >1ST TRI/1ST GEST $557 $557 $139.25 – $557
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $501.30
  • National Provider Network — National Provider Network: $445.60
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $139.25
  • Non Contracted Commercial — Non Contracted Commercial: $557
  • Three Rivers Providers Network — Three Rivers Providers Network: $445.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL(NON OB) $1,088 $1,088 $52.50 – $1,088
Transvaginal ultrasound: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $326.40
  • Aetna — Aetna Gatekeeper: $279.16
  • Aetna — Aetna Medicare: $132.31
  • Aetna — Aetna Non-Gatekeeper: $279.16
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $70
  • Affiliated Health Fund — Affiliated Health Fund: $761.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $168.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $326.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $67.65
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $326.40
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL(NON OB) $1,088 $1,088 $272 – $1,088
Transvaginal ultrasound: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $979.20
  • National Provider Network — National Provider Network: $870.40
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $272
  • Non Contracted Commercial — Non Contracted Commercial: $1,088
  • Three Rivers Providers Network — Three Rivers Providers Network: $870.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNI (RT) INCL CAD $515 $515 $52.50 – $923.94
Diagnostic mammogram, one breast: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $154.50
  • Aetna — Aetna Gatekeeper: $278.45
  • Aetna — Aetna Medicare: $100.14
  • Aetna — Aetna Non-Gatekeeper: $278.45
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $60
  • Affiliated Health Fund — Affiliated Health Fund: $360.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $127.21
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $154.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $117.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $154.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNI INCL CAD $515 $515 $52.50 – $923.94
Diagnostic mammogram, one breast: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $154.50
  • Aetna — Aetna Gatekeeper: $278.45
  • Aetna — Aetna Medicare: $100.14
  • Aetna — Aetna Non-Gatekeeper: $278.45
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $60
  • Affiliated Health Fund — Affiliated Health Fund: $360.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $127.21
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $154.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $117.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $154.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNI RT W/SPEC VWS INCL CAD $685 $685 $52.50 – $923.94
Diagnostic mammogram, one breast: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $205.50
  • Aetna — Aetna Gatekeeper: $278.45
  • Aetna — Aetna Medicare: $100.14
  • Aetna — Aetna Non-Gatekeeper: $278.45
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $60
  • Affiliated Health Fund — Affiliated Health Fund: $479.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $127.21
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $205.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $117.08
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $205.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD $835 $835 $52.50 – $1,377.89
Diagnostic mammogram, both breasts: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $250.50
  • Aetna — Aetna Gatekeeper: $356.30
  • Aetna — Aetna Medicare: $128.35
  • Aetna — Aetna Non-Gatekeeper: $356.30
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $60
  • Affiliated Health Fund — Affiliated Health Fund: $584.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $163.05
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $250.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $148.03
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $250.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT W/SPEC VWS INCL CAD $1,116 $1,116 $52.50 – $1,377.89
Diagnostic mammogram, both breasts: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $334.80
  • Aetna — Aetna Gatekeeper: $356.30
  • Aetna — Aetna Medicare: $128.35
  • Aetna — Aetna Non-Gatekeeper: $356.30
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $60
  • Affiliated Health Fund — Affiliated Health Fund: $781.20
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $163.05
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $334.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $148.03
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $334.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT SPEC VWS INCL CAD $759 $759 $52.50 – $1,377.89
Diagnostic mammogram, both breasts: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $227.70
  • Aetna — Aetna Gatekeeper: $356.30
  • Aetna — Aetna Medicare: $128.35
  • Aetna — Aetna Non-Gatekeeper: $356.30
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $60
  • Affiliated Health Fund — Affiliated Health Fund: $531.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $163.05
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $227.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $148.03
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $227.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC MAMMO SCREENING CAD BILAT $123 $123 $30.75 – $1,395.69
Screening mammogram, both breasts: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $36.90
  • Aetna — Aetna Gatekeeper: $123
  • Aetna — Aetna Medicare: $105.55
  • Aetna — Aetna Non-Gatekeeper: $123
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $55.35
  • Affiliated Health Fund — Affiliated Health Fund: $86.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $123
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $36.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $119.45
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $36.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO MASTECTOMY SCREENING $410 $410 $52.50 – $1,395.69
Screening mammogram, both breasts: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $123
  • Aetna — Aetna Gatekeeper: $294.23
  • Aetna — Aetna Medicare: $105.55
  • Aetna — Aetna Non-Gatekeeper: $294.23
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $184.50
  • Affiliated Health Fund — Affiliated Health Fund: $287
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $134.63
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $123
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $119.45
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $123
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCR W/IMPL INCL CAD $848 $848 $52.50 – $1,395.69
Screening mammogram, both breasts: 10 of 139 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $254.40
  • Aetna — Aetna Gatekeeper: $294.23
  • Aetna — Aetna Medicare: $105.55
  • Aetna — Aetna Non-Gatekeeper: $294.23
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $381.60
  • Affiliated Health Fund — Affiliated Health Fund: $593.60
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $134.63
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $254.40
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $119.45
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $254.40

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT HRT CATH COMB TRANSPT/RETRO $14,278 $14,278 $165 – $25,793
Left heart catheterization (diagnostic): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $4,283.40
  • Aetna — Aetna Gatekeeper: $11,292
  • Aetna — Aetna Medicare: $4,108.02
  • Aetna — Aetna Non-Gatekeeper: $11,292
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $6,425.10
  • Affiliated Health Fund — Affiliated Health Fund: $1,780
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $5,212.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3,946
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $762.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3,946
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CL LT CATH INC INTRPROC INJ FOR LT VNT** $20,999 $20,999 $165 – $25,793
Left heart catheterization (diagnostic): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $6,299.70
  • Aetna — Aetna Gatekeeper: $11,292
  • Aetna — Aetna Medicare: $4,108.02
  • Aetna — Aetna Non-Gatekeeper: $11,292
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $9,449.55
  • Affiliated Health Fund — Affiliated Health Fund: $1,780
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $5,212.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3,946
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $762.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3,946
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLP LT VENTRICULOGRAM $1,839 $1,839 $165 – $25,793
Left heart catheterization (diagnostic): 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $551.70
  • Aetna — Aetna Gatekeeper: $11,292
  • Aetna — Aetna Medicare: $4,108.02
  • Aetna — Aetna Non-Gatekeeper: $11,292
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $827.55
  • Affiliated Health Fund — Affiliated Health Fund: $1,780
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $5,212.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3,946
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $762.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3,946
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLP COMP EP EVAL W/O IND ARRHYTH $23,890 $23,890 $52.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $23,890
Heart rhythm study (electrophysiology evaluation): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $7,167
  • Aetna — Aetna Gatekeeper: $7,252
  • Aetna — Aetna Medicare: $9,865.76
  • Aetna — Aetna Non-Gatekeeper: $7,252
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $10,750.50
  • Affiliated Health Fund — Affiliated Health Fund: $16,723
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $12,539.59
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3,946
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $596.46
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3,946
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLP COMP EP EVAL W/O IND ARRHYTH $23,890 $23,890 $5,972.50 – $23,890
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $21,501
  • National Provider Network — National Provider Network: $19,112
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $5,972.50
  • Non Contracted Commercial — Non Contracted Commercial: $23,890
  • Three Rivers Providers Network — Three Rivers Providers Network: $19,112
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $47,120 $47,120 $52.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $47,120
Heart rhythm study with ablation for atrial fibrillation: 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $14,136
  • Aetna — Aetna Gatekeeper: $7,252
  • Aetna — Aetna Medicare: $32,980.02
  • Aetna — Aetna Non-Gatekeeper: $7,252
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $21,204
  • Affiliated Health Fund — Affiliated Health Fund: $32,984
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $42,022.06
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $3,946
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $880.47
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $3,946
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $47,120 $47,120 $11,780 – $47,120
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $42,408
  • National Provider Network — National Provider Network: $37,696
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $11,780
  • Non Contracted Commercial — Non Contracted Commercial: $47,120
  • Three Rivers Providers Network — Three Rivers Providers Network: $37,696

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT-HOT/COLD PACKS /CMW $186 $186 $8.77 – $1,403
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $55.80
  • Aetna — Aetna Gatekeeper: $92.32
  • Aetna — Aetna Medicare: $31.56
  • Aetna — Aetna Non-Gatekeeper: $97.01
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $130.20
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $40.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $55.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $10.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $55.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP OT-THER EXER ADD 15MIN/CW $213 $213 $8.77 – $1,403
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 149 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $63.90
  • Aetna — Aetna Gatekeeper: $92.32
  • Aetna — Aetna Medicare: $31.56
  • Aetna — Aetna Non-Gatekeeper: $97.01
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $149.10
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $40.09
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $63.90
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $10.96
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $63.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP OT-THER EXER ADD 15MIN/CW $213 $213 $53.25 – $213
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $191.70
  • National Provider Network — National Provider Network: $170.40
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $53.25
  • Non Contracted Commercial — Non Contracted Commercial: $213
  • Three Rivers Providers Network — Three Rivers Providers Network: $170.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: OP PT-INITIAL EVAL LOW COMPLEX 20 MIN $149 $149 $37.25 – $1,403
Physical therapy evaluation (low complexity): 10 of 118 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $44.70
  • Aetna — Aetna Gatekeeper: $149
  • Aetna — Aetna Medicare: $106.95
  • Aetna — Aetna Non-Gatekeeper: $149
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $104.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $135.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $44.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $44.70
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $106.95
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT-INITIAL EVAL 20MIN/MW $149 $149 $37.25 – $1,403
Physical therapy evaluation (low complexity): 10 of 118 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $44.70
  • Aetna — Aetna Gatekeeper: $149
  • Aetna — Aetna Medicare: $106.95
  • Aetna — Aetna Non-Gatekeeper: $149
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $104.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $135.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $44.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $44.70
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $106.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: OP PT-INITIAL EVAL LOW COMPLEX 20 MIN $149 $149 $37.25 – $149
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $134.10
  • National Provider Network — National Provider Network: $119.20
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $37.25
  • Non Contracted Commercial — Non Contracted Commercial: $149
  • Three Rivers Providers Network — Three Rivers Providers Network: $119.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-EVAL ESTAB/RE-EVAL30MIN/CMW $206 $206 $45 – $1,403
Physical therapy evaluation (moderate complexity): 10 of 119 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $61.80
  • Aetna — Aetna Gatekeeper: $206
  • Aetna — Aetna Medicare: $106.95
  • Aetna — Aetna Non-Gatekeeper: $206
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $144.20
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $135.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $61.80
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $61.80
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $106.95
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT-EVAL ESTAB/RE-EVAL30MIN/CMW $206 $206 $51.50 – $206
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $185.40
  • National Provider Network — National Provider Network: $164.80
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $51.50
  • Non Contracted Commercial — Non Contracted Commercial: $206
  • Three Rivers Providers Network — Three Rivers Providers Network: $164.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: OP PT-INITIAL EVAL MOD 30MIN $294 $294 $45 – $1,403
Physical therapy evaluation (moderate complexity): 10 of 118 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $88.20
  • Aetna — Aetna Gatekeeper: $247.33
  • Aetna — Aetna Medicare: $106.95
  • Aetna — Aetna Non-Gatekeeper: $259.90
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $205.80
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $135.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $88.20
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $88.20
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $106.95
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-INITIAL EVAL 45MIN/MW $439 $439 $45 – $1,403
Physical therapy evaluation (high complexity): 10 of 140 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $131.70
  • Aetna — Aetna Gatekeeper: $247.33
  • Aetna — Aetna Medicare: $106.95
  • Aetna — Aetna Non-Gatekeeper: $259.90
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $307.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $135.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $131.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $135.56
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $131.70
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT-INITIAL EVAL 45MIN/MW $439 $439 $109.75 – $439
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $395.10
  • National Provider Network — National Provider Network: $351.20
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $109.75
  • Non Contracted Commercial — Non Contracted Commercial: $439
  • Three Rivers Providers Network — Three Rivers Providers Network: $351.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: OP PT-INITIAL EVAL HIGH COMPLES 45MIN $439 $439 $45 – $1,403
Physical therapy evaluation (high complexity): 10 of 140 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $131.70
  • Aetna — Aetna Gatekeeper: $247.33
  • Aetna — Aetna Medicare: $106.95
  • Aetna — Aetna Non-Gatekeeper: $259.90
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $45
  • Affiliated Health Fund — Affiliated Health Fund: $307.30
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $135.86
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $131.70
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $135.56
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $131.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PSYCHOTHERAPY W/MEDICAL EVAL $165 $165 $41.25 – $907
Psychotherapy, 30 minutes: 10 of 150 insurance plan rates
  • Advance Clinical Research Institute — Advance Clinical Research Institute: $49.50
  • Aetna — Aetna Gatekeeper: $85.80
  • Aetna — Aetna Medicare: $224.64
  • Aetna — Aetna Non-Gatekeeper: $85.80
  • Affiliated Doctors of Orange County — Affiliated Doctors of Orange County Ancillary: $74.25
  • Affiliated Health Fund — Affiliated Health Fund: $115.50
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $285.36
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $49.50
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $52.87
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $49.50
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB PSYCHOTHERAPY W/MEDICAL EVAL $165 $165 $41.25 – $165
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • Health Payors Organization — Health Payors Organization: $148.50
  • National Provider Network — National Provider Network: $132
  • NetCare Life and Health Insurance — NetCare Commercial/Senior: $41.25
  • Non Contracted Commercial — Non Contracted Commercial: $165
  • Three Rivers Providers Network — Three Rivers Providers Network: $132

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $450 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $230,005.97
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 123 insurance plan rates
  • Aetna — Aetna Gatekeeper: $79,576
  • Aetna — Aetna Medicare: $99,683.64
  • Aetna — Aetna Non-Gatekeeper: $85,943
  • Affiliated Health Fund — Affiliated Health Fund: $17,810
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4,365
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $45,836
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $3,670
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $45,836
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $99,683.64
  • Align Senior Care — Align Senior Care: $105,664.66
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $450 – $87,221.79
Spinal fusion (not neck), without major complications: 10 of 123 insurance plan rates
  • Aetna — Aetna Gatekeeper: $13,792
  • Aetna — Aetna Medicare: $37,823.12
  • Aetna — Aetna Non-Gatekeeper: $15,143
  • Affiliated Health Fund — Affiliated Health Fund: $1,240
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4,365
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $2,562
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1,937
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $2,562
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $37,823.12
  • Align Senior Care — Align Senior Care: $40,092.51
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $450 – $46,915.19
Hip or knee replacement (major joint of the leg), without major complications: 10 of 123 insurance plan rates
  • Aetna — Aetna Gatekeeper: $25,579
  • Aetna — Aetna Medicare: $20,360.49
  • Aetna — Aetna Non-Gatekeeper: $27,626
  • Affiliated Health Fund — Affiliated Health Fund: $1,240
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4,365
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $6,556
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1,937
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $6,556
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $20,360.49
  • Align Senior Care — Align Senior Care: $21,582.12
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $450 – $58,860.29
Neck (cervical) spinal fusion, without complications: 10 of 123 insurance plan rates
  • Aetna — Aetna Gatekeeper: $7,832
  • Aetna — Aetna Medicare: $25,535.64
  • Aetna — Aetna Non-Gatekeeper: $8,458
  • Affiliated Health Fund — Affiliated Health Fund: $1,240
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4,365
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $2,562
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1,937
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $2,562
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $25,535.64
  • Align Senior Care — Align Senior Care: $27,067.78
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $450 – $30,871.82
Uterus and ovary surgery (not for cancer), without complications: 10 of 123 insurance plan rates
  • Aetna — Aetna Gatekeeper: $4,478
  • Aetna — Aetna Medicare: $13,409.78
  • Aetna — Aetna Non-Gatekeeper: $4,835
  • Affiliated Health Fund — Affiliated Health Fund: $1,240
  • AHMC Health Self-Insurance EPO — AHMC Health EPO: $4,365
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Commercial: $2,562
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Medi-Cal: $1,937
  • AHMC Reciprocity Agreement — AHMC Reciprocity Agreement Sr: $2,562
  • AIDS Health Foundation — AIDS Health Foundation/Positive Health Medicare: $13,409.78
  • Align Senior Care — Align Senior Care: $14,214.37

Source: AHMC Anaheim Regional Medical Center’s standard charges file (ahmchealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on 06-30-26; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address1111 W la Palma Avenue, Anaheim, CA 92801
CountyOrange County
StateCalifornia
Phone(714) 774‑1450
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050226
Name in Medicare recordsAHMC ANAHEIM REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websiteahmchealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. AHMC Anaheim Regional Medical Center — ahmchealth.com
  2. Important Information — ahmchealth.com
  3. Emergency Services — ahmchealth.com
  4. Maternity Services — ahmchealth.com
  5. Important Information — ahmchealth.com
  6. Childbirth Preparation & Education — ahmchealth.com
  7. Heart Center — ahmchealth.com
  8. Diagnostic Services — ahmchealth.com
  9. Perinatal Care — ahmchealth.com
  10. Inpatient Services — ahmchealth.com
  11. Outpatient Services — ahmchealth.com
  12. Emergency Services — ahmchealth.com
  13. Childbirth Preparation & Education — ahmchealth.com
  14. Cancer Care — ahmchealth.com
  15. Cancer Services — ahmchealth.com