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Acute Care Hospital

Cedar-Sinai Marina del Rey Hospital

Marina del Rey, California · Los Angeles County · Emergency services listed

Summary

Cedar-Sinai Marina del Rey Hospital is an acute care hospital in Marina del Rey, California. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 12 services, specialties and programs. Medicare lists 402 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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Exterior of Cedar-Sinai Marina del Rey Hospital
Photo: DocFreeman24, CC BY-SA 4.0, via Wikimedia Commons · source · licence

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
103Beds (hospital website)
12Services listed

Quick answers

Does Cedar-Sinai Marina del Rey Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Cedar-Sinai Marina del Rey Hospital. In a medical emergency, call 911.
Where is Cedar-Sinai Marina del Rey Hospital?
4650 Lincoln Blvd, Marina del Rey, CA 90292, in Los Angeles County, California.
What is the phone number of Cedar-Sinai Marina del Rey Hospital?
(310) 823-8911, as listed by Medicare (CMS).
What is the Medicare star rating of Cedar-Sinai Marina del Rey Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Procedures[4][5]

Programs and centers[5]

  • Bariatric surgery (MBSAQIP accredited)

Emergency care (hospital website)[4][5][8]

Emergency roomYes
Open 24/7Yes
Stroke designationCertified Primary Stroke Center

Visiting and practical information

VisitingVisiting hours 8 a.m. to 9 p.m. daily[7]
ParkingComplimentary valet parking at the main entrance on Mindanao Way[6][7]
Patient portalMyCSLink

Recognition[4][5]

  • The Joint Commission accreditation
  • MBSAQIP Accredited Center
  • Certified Primary Stroke Center
  • Antimicrobial Stewardship Honor Roll
  • U.S. News High Performing Hospitals 2025-2026

Doctors and clinicians (402)

402 doctors and other clinicians list Cedar-Sinai Marina del Rey Hospital 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 (402)

And 378 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 Cedar-Sinai Marina del Rey Hospital 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 well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 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 hospital64%National average: 71%
Nurses “always” communicated well73%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home80%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night45%National average: 60%
Completed surveys746Response rate: 22%

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)0No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.326Better 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients8.1%
Deaths within 30 days: pneumonia patients12.5%
Deaths within 30 days: COPD patients6.5%
Deaths within 30 days: stroke patients11.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.89No different from the national rate
Complications after hip or knee replacement4.3%

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 attackToo few cases to report
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia17.7%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.6%

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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)80%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 77 common services exactly as Cedar-Sinai Marina del Rey Hospital 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 →

$ 59 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) In the file: HB NEW PATIENT, LEVEL 3 $358.02 $232.71 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: 55.44% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HB NEW PATIENT, LEVEL 4 $425.13 $276.33 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: 55.44% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB NEW PATIENT, LEVEL 5 $537.02 $349.06 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: 55.44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HB EST. PATIENT, LEVEL 3 $358.02 $232.71 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: 55.44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HB EST. PATIENT, LEVEL 4 $425.13 $276.33 $7,175 – $9,712
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HB NEW PATIENT, LEVEL 4 $425.13 $276.33 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: 55.44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HB EST. PATIENT, LEVEL 4 $425.13 $276.33 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: 55.44% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB ED FACILITY LEVEL 3 $1,925.45 $1,251.54 $344.78 – $9,712
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $344.78
  • Alignment Health Plan — Medicare Advantage: $344.78
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $344.78
  • CareMore Health Plan — Medicare Advantage: $344.78
  • Health Net of California, Inc. — Medicare Advantage: $944.70
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $344.78
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HB ED FACILITY LEVEL 3 $1,925.45 $1,251.54 $344.78 – $9,712
Emergency room visit (moderate): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Level 3 $1,925.45 $1,251.54 $344.78 – $9,712
Emergency room visit (moderate): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $1,770.74
  • UnitedHealthcare — Navigate: $3,052.07
  • UnitedHealthcare — Select: $3,052.07
  • UnitedHealthcare — Select Plus: $3,052.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB ED FACILITY LEVEL 4 $3,080.02 $2,002.01 $530.23 – $9,712
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $530.23
  • Alignment Health Plan — Medicare Advantage: $530.23
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $530.23
  • CareMore Health Plan — Medicare Advantage: $530.23
  • Health Net of California, Inc. — Medicare Advantage: $1,452.82
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $530.23
  • Aetna Health of California Inc., a California corporation an — HMO: 62.32% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: 25% (a percentage in the contract, not a dollar amount)
  • Aetna Health of California Inc., a California corporation an — PPO: 62.32% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HB ED FACILITY LEVEL 4 $3,080.02 $2,002.01 $530.23 – $9,712
Emergency room visit (moderately high): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Level 4 $3,080.02 $2,002.01 $530.23 – $9,712
Emergency room visit (moderately high): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $2,994.25
  • UnitedHealthcare — Navigate: $5,118.10
  • UnitedHealthcare — Select: $5,118.10
  • UnitedHealthcare — Select Plus: $5,118.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB ED FACILITY LEVEL 5 W/PROC $4,928.40 $3,203.46 $763.42 – $9,712
Emergency room visit (high): 10 of 12 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $763.42
  • Alignment Health Plan — Medicare Advantage: $763.42
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $763.42
  • CareMore Health Plan — Medicare Advantage: $763.42
  • Health Net of California, Inc. — Medicare Advantage: $2,091.78
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $763.42
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HB ED FACILITY LEVEL 5 W/PROC $4,928.40 $3,203.46 $763.42 – $9,712
Emergency room visit (high): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Level 5 $4,928.40 $3,203.46 $763.42 – $9,712
Emergency room visit (high): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $8,190.82
  • UnitedHealthcare — Navigate: $5,652.94
  • UnitedHealthcare — Select: $5,652.94
  • UnitedHealthcare — Select Plus: $5,652.94

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HB LAB BASIC METABOLIC PANEL $317.55 $206.41 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $317.55 $206.41 $20.82 – $65.58
Basic metabolic panel (blood test): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $48.39
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $63.31
  • Blue Cross of California dba Anthem Blue Cross — PPO: $48.39
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $317.55 $206.41 $20.82 – $65.58
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $20.82
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $20.82
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HB LAB COMP METABOLIC PANEL $632.75 $411.29 $7,175 – $9,712
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $632.75 $411.29 $25.82 – $81.92
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $60.52
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $79.17
  • Blue Cross of California dba Anthem Blue Cross — PPO: $60.52
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $632.75 $411.29 $25.82 – $81.92
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $25.82
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $25.82
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services Not listed in the file Not listed in the file $94.16 – $397.33
Obstetric blood test panel: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $94.16
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $123.19
  • Blue Cross of California dba Anthem Blue Cross — PPO: $94.16
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services Not listed in the file Not listed in the file $94.16 – $397.33
Obstetric blood test panel: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $117.43
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $117.43
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Laboratory Services Not listed in the file Not listed in the file $94.16 – $397.33
Obstetric blood test panel: rates for 2 insurance plans
  • Aetna Health of California Inc., a California corporation an — HMO: $397.33
  • Aetna Health of California Inc., a California corporation an — PPO: $397.33
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HB LAB LIPID PANEL $301.31 $195.85 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $301.31 $195.85 $33.32 – $103.82
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $76.57
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $100.18
  • Blue Cross of California dba Anthem Blue Cross — PPO: $76.57
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $301.31 $195.85 $33.32 – $103.82
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $33.32
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $33.32
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HB LAB RENAL FUNCTION PANEL $1,290.99 $839.14 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $1,290.99 $839.14 $21.65 – $67.33
Kidney function panel: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $49.62
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $64.92
  • Blue Cross of California dba Anthem Blue Cross — PPO: $49.62
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $1,290.99 $839.14 $21.65 – $67.33
Kidney function panel: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $21.65
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $21.65
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HB LAB HEPATIC FUNCTION PANEL $317.55 $206.41 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $317.55 $206.41 $19.99 – $63.32
Liver function panel: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $46.74
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $61.14
  • Blue Cross of California dba Anthem Blue Cross — PPO: $46.74
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $317.55 $206.41 $19.99 – $63.32
Liver function panel: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $19.99
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $19.99
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HB LAB URINALYSIS W/ MICROSCOPY $394 $256.10 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $394 $256.10 $7.50 – $24.50
Urine test (automated, with microscope): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $17.48
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $22.87
  • Blue Cross of California dba Anthem Blue Cross — PPO: $17.48
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $394 $256.10 $7.50 – $24.50
Urine test (automated, with microscope): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $7.50
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $7.50
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HB LAB URINALYSIS $67.73 $44.02 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $67.73 $44.02 $8.33 – $19.83
Urine test (manual, without microscope): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $13.59
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $17.78
  • Blue Cross of California dba Anthem Blue Cross — PPO: $13.59
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $67.73 $44.02 $8.33 – $19.83
Urine test (manual, without microscope): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $8.33
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $8.33
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HB URINALYSIS AUTO W/O MICRO $86.92 $56.50 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $86.92 $56.50 $5.83 – $17.43
Urine test (automated, without microscope): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $12.86
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $16.82
  • Blue Cross of California dba Anthem Blue Cross — PPO: $12.86
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $86.92 $56.50 $5.83 – $17.43
Urine test (automated, without microscope): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $5.83
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $5.83
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HB LAB PROSTATE SPECIFIC ANTGN $69.36 $45.08 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HB PSA TOTAL $69.36 $45.08 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $69.36 $45.08 $44.97 – $142.64
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $105.17
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $137.60
  • Blue Cross of California dba Anthem Blue Cross — PPO: $105.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HB LAB THYRO TSH SE RI $497.38 $323.30 $7,175 – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $497.38 $323.30 $41.65 – $130.20
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $96.09
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $125.71
  • Blue Cross of California dba Anthem Blue Cross — PPO: $96.09
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $497.38 $323.30 $41.65 – $130.20
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $41.65
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $41.65
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HB CBC WITH AUTO DIFF $490.30 $318.69 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $490.30 $318.69 $19.15 – $60.27
Complete blood count (CBC) with differential: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $44.46
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $58.17
  • Blue Cross of California dba Anthem Blue Cross — PPO: $44.46
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $490.30 $318.69 $19.15 – $60.27
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $19.15
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $19.15
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HB LAB CBC HEMOGRAM W/PLT $206.81 $134.43 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $206.81 $134.43 $15.82 – $50.16
Complete blood count (CBC), automated: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $37
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $48.40
  • Blue Cross of California dba Anthem Blue Cross — PPO: $37
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Clinical and Anatomical Laboratory Services $206.81 $134.43 $15.82 – $50.16
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $15.82
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $15.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HB MISC LAB SPECIAL TEST $99.25 $64.51 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HB LAB WHOLE BLOOD PROTIME $99.25 $64.51 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $99.25 $64.51 $10.83 – $30.46
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $22.52
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $29.46
  • Blue Cross of California dba Anthem Blue Cross — PPO: $22.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HB MISC LAB SPECIAL TEST $10.14 $6.59 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HB LAB PTT ER $10.14 $6.59 $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $10.14 $6.59 $15 – $46.53
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $34.34
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $44.93
  • Blue Cross of California dba Anthem Blue Cross — PPO: $34.34

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) In the file: HB CT HEAD/BRAIN WO CONT $5,286.82 $3,436.43 $132.41 – $9,712
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $132.41
  • Alignment Health Plan — Medicare Advantage: $132.41
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $132.41
  • CareMore Health Plan — Medicare Advantage: $132.41
  • Health Net of California, Inc. — Medicare Advantage: $362.81
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $132.41
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HB CT HEAD/BRAIN WO CONT $6,872.86 $4,467.36 $132.41 – $9,712
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $5,286.82 $3,436.43 $173.74 – $2,246.04
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $766.48
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $1,002.77
  • Blue Cross of California dba Anthem Blue Cross — PPO: $766.48
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HB MRI HEAD/PITUITARY WO/W CNT $6,779.85 $4,406.90 $444.69 – $9,712
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $444.69
  • Alignment Health Plan — Medicare Advantage: $444.69
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $444.69
  • CareMore Health Plan — Medicare Advantage: $444.69
  • Health Net of California, Inc. — Medicare Advantage: $1,218.46
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $444.69
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HB MRI HEAD/PITUITARY WO/W CNT $8,813.82 $5,728.98 $444.69 – $9,712
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $6,779.85 $4,406.90 $558.37 – $4,665.91
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $3,566.44
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $4,665.91
  • Blue Cross of California dba Anthem Blue Cross — PPO: $3,566.44
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB XR EXAM CHEST 2 VIEWS $1,280.81 $832.53 $109.64 – $9,712
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $109.64
  • Alignment Health Plan — Medicare Advantage: $109.64
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $109.64
  • CareMore Health Plan — Medicare Advantage: $109.64
  • Health Net of California, Inc. — Medicare Advantage: $300.41
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $109.64
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HB XR EXAM CHEST 2 VIEWS $1,665.05 $1,082.28 $109.64 – $9,712
Chest X-ray, 2 views: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $1,280.81 $832.53 $57.98 – $2,246.04
Chest X-ray, 2 views: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $137.13
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $179.40
  • Blue Cross of California dba Anthem Blue Cross — PPO: $137.13
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HB XR L-SPINE 4-5VW $1,905.73 $1,238.72 $132.41 – $9,712
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $132.41
  • Alignment Health Plan — Medicare Advantage: $132.41
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $132.41
  • CareMore Health Plan — Medicare Advantage: $132.41
  • Health Net of California, Inc. — Medicare Advantage: $362.81
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $132.41
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HB XR L-SPINE 4-5VW $2,477.45 $1,610.34 $132.41 – $9,712
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $1,905.73 $1,238.72 $97.12 – $2,246.04
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $149.75
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $195.92
  • Blue Cross of California dba Anthem Blue Cross — PPO: $149.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HB MRI L-SPINE WO CONTRAST $4,916.87 $3,195.97 $300.99 – $9,712
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $300.99
  • Alignment Health Plan — Medicare Advantage: $300.99
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $300.99
  • CareMore Health Plan — Medicare Advantage: $300.99
  • Health Net of California, Inc. — Medicare Advantage: $824.70
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $300.99
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HB MRI L-SPINE WO CONTRAST $6,391.93 $4,154.75 $300.99 – $9,712
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $4,916.87 $3,195.97 $320.83 – $2,892.27
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $2,007.81
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $2,626.79
  • Blue Cross of California dba Anthem Blue Cross — PPO: $2,007.81
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HB CT PELVIS W CONTRAST $5,229.34 $3,399.07 $221.67 – $9,712
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $221.67
  • Alignment Health Plan — Medicare Advantage: $221.67
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $221.67
  • CareMore Health Plan — Medicare Advantage: $221.67
  • Health Net of California, Inc. — Medicare Advantage: $607.37
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $221.67
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HB CT PELVIS W CONTRAST $6,798.14 $4,418.79 $221.67 – $9,712
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $5,229.34 $3,399.07 $461.58 – $2,246.04
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $1,107.98
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $1,449.56
  • Blue Cross of California dba Anthem Blue Cross — PPO: $1,107.98
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HB MRI EXT LOW JT WO CONT UNI $4,916.87 $3,195.97 $300.99 – $9,712
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $300.99
  • Alignment Health Plan — Medicare Advantage: $300.99
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $300.99
  • CareMore Health Plan — Medicare Advantage: $300.99
  • Health Net of California, Inc. — Medicare Advantage: $824.70
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $300.99
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HB MRI EXT LOW JT WO CONT UNI $6,391.93 $4,154.75 $300.99 – $9,712
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $4,916.87 $3,195.97 $364.97 – $2,892.27
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $1,804.39
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $2,360.66
  • Blue Cross of California dba Anthem Blue Cross — PPO: $1,804.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HB CT ABD & PELVIS W CONTRAST $10,458.70 $6,798.16 $444.69 – $9,712
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $444.69
  • Alignment Health Plan — Medicare Advantage: $444.69
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $444.69
  • CareMore Health Plan — Medicare Advantage: $444.69
  • Health Net of California, Inc. — Medicare Advantage: $1,218.46
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $444.69
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HB CT ABD & PELVIS W CONTRAST $13,596.25 $8,837.56 $444.69 – $9,712
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $10,458.70 $6,798.16 $577.35 – $2,246.04
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $1,179.74
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $1,543.44
  • Blue Cross of California dba Anthem Blue Cross — PPO: $1,179.74
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HB US ABDOMEN COMPLETE $2,629.41 $1,709.12 $132.41 – $9,712
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $132.41
  • Alignment Health Plan — Medicare Advantage: $132.41
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $132.41
  • CareMore Health Plan — Medicare Advantage: $132.41
  • Health Net of California, Inc. — Medicare Advantage: $362.81
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $132.41
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HB US ABDOMEN COMPLETE $3,418.23 $2,221.85 $132.41 – $9,712
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $2,629.41 $1,709.12 $197.06 – $2,246.04
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $323.30
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $422.97
  • Blue Cross of California dba Anthem Blue Cross — PPO: $323.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HB ULTRASOUND OB >14 WEEKS $2,617.61 $1,701.45 $132.41 – $9,712
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $132.41
  • Alignment Health Plan — Medicare Advantage: $132.41
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $132.41
  • CareMore Health Plan — Medicare Advantage: $132.41
  • Health Net of California, Inc. — Medicare Advantage: $362.81
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $132.41
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HB ULTRASOUND OB >14 WEEKS $3,402.90 $2,211.89 $132.41 – $9,712
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $2,617.61 $1,701.45 $221.72 – $2,246.04
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $335.39
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $438.78
  • Blue Cross of California dba Anthem Blue Cross — PPO: $335.39
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HB US PELVIS TRANSVAGINAL $1,167.28 $758.73 $132.41 – $9,712
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $132.41
  • Alignment Health Plan — Medicare Advantage: $132.41
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $132.41
  • CareMore Health Plan — Medicare Advantage: $132.41
  • Health Net of California, Inc. — Medicare Advantage: $362.81
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $132.41
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HB US PELVIS TRANSVAGINAL $1,517.51 $986.38 $132.41 – $9,712
Transvaginal ultrasound: rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $1,167.28 $758.73 $217.88 – $2,246.04
Transvaginal ultrasound: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $250.96
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $328.33
  • Blue Cross of California dba Anthem Blue Cross — PPO: $250.96
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $880.71 $572.46 $217.88 – $2,246.04
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $451.34
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $590.48
  • Blue Cross of California dba Anthem Blue Cross — PPO: $451.34
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Radiology Services not otherwise listed herein $880.71 $572.46 $217.88 – $2,246.04
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $217.88
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $217.88
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: CAT Scan $880.71 $572.46 $217.88 – $2,246.04
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • Aetna Health of California Inc., a California corporation an — HMO: $2,021.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $1,099.78 $714.86 $277.84 – $2,246.04
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $577.80
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $755.93
  • Blue Cross of California dba Anthem Blue Cross — PPO: $577.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Radiology Services not otherwise listed herein $1,099.78 $714.86 $277.84 – $2,246.04
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $277.84
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $277.84
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: CAT Scan $1,099.78 $714.86 $277.84 – $2,246.04
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Aetna Health of California Inc., a California corporation an — HMO: $2,021.85
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services $600.55 $390.35 $230.37 – $2,246.04
Screening mammogram, both breasts: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $477.17
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $624.27
  • Blue Cross of California dba Anthem Blue Cross — PPO: $477.17
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Radiology Services not otherwise listed herein $600.55 $390.35 $230.37 – $2,246.04
Screening mammogram, both breasts: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $230.37
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $230.37
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: CAT Scan $600.55 $390.35 $230.37 – $2,246.04
Screening mammogram, both breasts: rates for 1 insurance plan
  • Aetna Health of California Inc., a California corporation an — HMO: $2,021.85

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services Not listed in the file Not listed in the file $164 – $214.55
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $164
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $214.55
  • Blue Cross of California dba Anthem Blue Cross — PPO: $164
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: OPG - 5 $2,780.47 $1,807.31 $8,190.82 – $13,264.83
Left heart catheterization (diagnostic): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $8,190.82
  • UnitedHealthcare — Navigate: $9,541.33
  • UnitedHealthcare — Select: $9,541.33
  • UnitedHealthcare — Select Plus: $9,541.33
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $28,380.80 $18,447.52 $8,190.82 – $13,264.83
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $13,264.83
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $13,264.83
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 8 Global Rate Not listed in the file Not listed in the file $10,486 – $14,466
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $10,486
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $14,466
  • Blue Cross of California dba Anthem Blue Cross — PPO: $10,486
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: OPG - 6 $1,008.66 $655.63 $10,096.82 – $10,132.96
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $10,132.96
  • UnitedHealthcare — Navigate: $10,096.82
  • UnitedHealthcare — Select: $10,096.82
  • UnitedHealthcare — Select Plus: $10,096.82
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 5 Global Rate Not listed in the file Not listed in the file $6,493 – $8,956
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $6,493
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $8,956
  • Blue Cross of California dba Anthem Blue Cross — PPO: $6,493
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: OPG - 8 $2,385.60 $1,550.64 $11,161.33 – $13,264.83
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $11,161.33
  • UnitedHealthcare — Navigate: $12,994.01
  • UnitedHealthcare — Select: $12,994.01
  • UnitedHealthcare — Select Plus: $12,994.01
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $11,161.33 – $13,264.83
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $13,264.83
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $13,264.83
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 9 Global Rate Not listed in the file Not listed in the file $13,681 – $18,872
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $13,681
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $18,872
  • Blue Cross of California dba Anthem Blue Cross — PPO: $13,681
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Outpatient Global Laboratory, Radiology and Diagnostic Services Not listed in the file Not listed in the file $1,132.39 – $1,481.49
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $1,132.39
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $1,481.49
  • Blue Cross of California dba Anthem Blue Cross — PPO: $1,132.39

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HB THER EXERCISE EA 15M $292.06 $189.84 $7,175 – $9,712
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HB THER EXERCISE EA 15M $224.66 $146.03 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO: 55.63% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: 28.18% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: 31.72% (a percentage in the contract, not a dollar amount)
  • Blue Cross of California dba Anthem Blue Cross — PPO: 55.63% (a percentage in the contract, not a dollar amount)
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • CareMore Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California, Inc. — HMO: 40.1% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HB PT EVAL LOW COMPLEXITY $763.35 $496.18 $7,175 – $9,712
Physical therapy evaluation (low complexity): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Outpatient Physical Therapy $587.19 $381.67 $325 – $439
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $325
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $439
  • Blue Cross of California dba Anthem Blue Cross — PPO: $325
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical, Occupational And Speech Therapy $587.19 $381.67 $325 – $439
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • Aetna Health of California Inc., a California corporation an — HMO: $375.74
  • Aetna Health of California Inc., a California corporation an — PPO: $375.74
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HB PT EVAL MOD COMPLEXITY $891.67 $579.59 $7,175 – $9,712
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Outpatient Physical Therapy $685.89 $445.83 $325 – $439
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $325
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $439
  • Blue Cross of California dba Anthem Blue Cross — PPO: $325
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical, Occupational And Speech Therapy $685.89 $445.83 $325 – $439
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • Aetna Health of California Inc., a California corporation an — HMO: $375.74
  • Aetna Health of California Inc., a California corporation an — PPO: $375.74
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HB PT EVAL HIGH COMPLEXITY $1,017.79 $661.56 $7,175 – $9,712
Physical therapy evaluation (high complexity): rates for 6 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,175
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,712
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,175
  • Beechstreet — PPO: 85% (a percentage in the contract, not a dollar amount)
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — HMO: 77.6% (a percentage in the contract, not a dollar amount)
  • MultiPlan, Inc. — PPO: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Outpatient Physical Therapy $782.89 $508.88 $325 – $439
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $325
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $439
  • Blue Cross of California dba Anthem Blue Cross — PPO: $325
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical, Occupational And Speech Therapy $782.89 $508.88 $325 – $439
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • Aetna Health of California Inc., a California corporation an — HMO: $375.74
  • Aetna Health of California Inc., a California corporation an — PPO: $375.74

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: OPG - 3 $2,780.47 $1,807.31 $4,591.53 – $6,795.78
Removal of breast growth (open surgery): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,608.05
  • UnitedHealthcare — Navigate: $4,591.53
  • UnitedHealthcare — Select: $4,591.53
  • UnitedHealthcare — Select Plus: $4,591.53
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 $1,525.34 $991.47 $4,990.04
Removal of breast growth (open surgery): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $4,990.04
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $4,990.04
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $4,591.53 – $6,795.78
Removal of breast growth (open surgery): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: OPG - 7 $2,780.47 $1,807.31 $6,795.78 – $12,329.08
Total hip replacement: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $10,589.32
  • UnitedHealthcare — Navigate: $12,329.08
  • UnitedHealthcare — Select: $12,329.08
  • UnitedHealthcare — Select Plus: $12,329.08
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $6,795.78 – $12,329.08
Total hip replacement: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 6 Global Rate Not listed in the file Not listed in the file $7,741 – $10,679
Total hip replacement: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,741
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $10,679
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,741
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: OPG - 7 $2,780.47 $1,807.31 $6,795.78 – $12,329.08
Total knee replacement: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $10,589.32
  • UnitedHealthcare — Navigate: $12,329.08
  • UnitedHealthcare — Select: $12,329.08
  • UnitedHealthcare — Select Plus: $12,329.08
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $6,795.78 – $12,329.08
Total knee replacement: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 9 Global Rate Not listed in the file Not listed in the file $13,681 – $18,872
Total knee replacement: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $13,681
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $18,872
  • Blue Cross of California dba Anthem Blue Cross — PPO: $13,681
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: OPG - 0 $2,385.60 $1,550.64 $2,900.29 – $6,795.78
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $2,912.68
  • UnitedHealthcare — Navigate: $2,900.29
  • UnitedHealthcare — Select: $2,900.29
  • UnitedHealthcare — Select Plus: $2,900.29
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 $2,385.60 $1,550.64 $2,900.29 – $6,795.78
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $4,990.04
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $4,990.04
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $2,900.29 – $6,795.78
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: OPG - 4 $1,008.66 $655.63 $6,339.55 – $8,403.24
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $6,339.55
  • UnitedHealthcare — Navigate: $7,380.31
  • UnitedHealthcare — Select: $7,380.31
  • UnitedHealthcare — Select Plus: $7,380.31
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 4 $2,780.47 $1,807.31 $5,561.43 – $6,339.55
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $5,561.43
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $5,561.43
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $5,561.43 – $8,403.24
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $8,403.24
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $8,403.24
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: OPG - 3 $2,780.47 $1,807.31 $4,591.53 – $6,795.78
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,608.05
  • UnitedHealthcare — Navigate: $4,591.53
  • UnitedHealthcare — Select: $4,591.53
  • UnitedHealthcare — Select Plus: $4,591.53
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 $1,525.34 $991.47 $4,608.05 – $4,990.04
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $4,990.04
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $4,990.04
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $4,591.53 – $6,795.78
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: OPG - 2 $2,780.47 $1,807.31 $2,567.61 – $4,443.39
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 $2,385.60 $1,550.64 $2,567.61 – $4,443.39
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $2,567.61
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $2,567.61
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $2,567.61 – $4,443.39
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $4,443.39
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $4,443.39
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: OPG - 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,385.60 $1,550.64 $3,850.38
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $3,850.38 – $5,946.30
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: OPG - 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Colonoscopy (diagnostic): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Colonoscopy (diagnostic): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $3,850.38 – $5,946.30
Colonoscopy (diagnostic): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: OPG - 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Colonoscopy with biopsy: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Colonoscopy with biopsy: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $1,008.66 $655.63 $4,173.37 – $5,946.30
Colonoscopy with biopsy: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: OPG - 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $1,008.66 $655.63 $4,173.37 – $5,946.30
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: OPG - 2 $1,525.34 $991.47 $3,850.38 – $4,443.39
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,780.47 $1,807.31 $3,850.38 – $4,443.39
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $3,850.38 – $4,443.39
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $4,443.39
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $4,443.39
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: OPG - 1 $28,380.80 $18,447.52 $1,372.22 – $3,373.18
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $3,373.18
  • UnitedHealthcare — Navigate: $3,361.82
  • UnitedHealthcare — Select: $3,361.82
  • UnitedHealthcare — Select Plus: $3,361.82
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,385.60 $1,550.64 $1,372.22 – $3,850.38
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,780.47 $1,807.31 $1,372.22 – $3,373.18
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $1,372.22
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $1,372.22
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: OPG - 6 $2,385.60 $1,550.64 $10,096.82 – $13,264.83
Gallbladder removal by laparoscope: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $10,132.96
  • UnitedHealthcare — Navigate: $10,096.82
  • UnitedHealthcare — Select: $10,096.82
  • UnitedHealthcare — Select Plus: $10,096.82
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $1,525.34 $991.47 $10,096.82 – $13,264.83
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $13,264.83
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $13,264.83
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 9 Global Rate Not listed in the file Not listed in the file $13,681 – $18,872
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $13,681
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $18,872
  • Blue Cross of California dba Anthem Blue Cross — PPO: $13,681
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: OPG - 4 $8,005.61 $5,203.65 $5,561.43 – $8,403.24
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $6,339.55
  • UnitedHealthcare — Navigate: $7,380.31
  • UnitedHealthcare — Select: $7,380.31
  • UnitedHealthcare — Select Plus: $7,380.31
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 4 Global Rate $8,005.61 $5,203.65 $6,116 – $8,439
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $6,116
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $8,439
  • Blue Cross of California dba Anthem Blue Cross — PPO: $6,116
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 4 $8,005.61 $5,203.65 $5,561.43
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $5,561.43
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $5,561.43
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: OPG - 2 $3,776.59 $2,454.78 $4,173.37 – $5,946.30
Prostate biopsy: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,189.89
  • UnitedHealthcare — Navigate: $4,173.37
  • UnitedHealthcare — Select: $4,173.37
  • UnitedHealthcare — Select Plus: $4,173.37
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 2 Global Rate $3,776.59 $2,454.78 $2,978 – $4,107
Prostate biopsy: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $2,978
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $4,107
  • Blue Cross of California dba Anthem Blue Cross — PPO: $2,978
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $3,776.59 $2,454.78 $3,850.38
Prostate biopsy: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: OPG - 7 $28,380.80 $18,447.52 $4,443.39 – $12,329.08
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans
  • UnitedHealthcare — HMO: $10,589.32
  • UnitedHealthcare — Navigate: $12,329.08
  • UnitedHealthcare — Select: $12,329.08
  • UnitedHealthcare — Select Plus: $12,329.08
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $4,443.39 – $12,329.08
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $4,443.39
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $4,443.39
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 7 Global Rate Not listed in the file Not listed in the file $9,116 – $12,573
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $9,116
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $12,573
  • Blue Cross of California dba Anthem Blue Cross — PPO: $9,116
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: OPG - 3 $1,008.66 $655.63 $4,591.53 – $6,795.78
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,608.05
  • UnitedHealthcare — Navigate: $4,591.53
  • UnitedHealthcare — Select: $4,591.53
  • UnitedHealthcare — Select Plus: $4,591.53
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 $2,385.60 $1,550.64 $4,591.53 – $6,795.78
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $4,990.04
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $4,990.04
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $28,380.80 $18,447.52 $4,591.53 – $6,795.78
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: OPG - 1 $2,987.40 $1,941.81 $2,567.61 – $4,443.39
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $3,373.18
  • UnitedHealthcare — Navigate: $3,361.82
  • UnitedHealthcare — Select: $3,361.82
  • UnitedHealthcare — Select Plus: $3,361.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 1 Global Rate $2,987.40 $1,941.81 $2,831 – $3,903
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $2,831
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $3,903
  • Blue Cross of California dba Anthem Blue Cross — PPO: $2,831
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 $2,987.40 $1,941.81 $2,567.61 – $4,443.39
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $2,567.61
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $2,567.61
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: OPG - 1 $3,763.96 $2,446.57 $3,361.82 – $4,443.39
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $3,373.18
  • UnitedHealthcare — Navigate: $3,361.82
  • UnitedHealthcare — Select: $3,361.82
  • UnitedHealthcare — Select Plus: $3,361.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 1 Global Rate $3,763.96 $2,446.57 $2,831 – $3,903
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $2,831
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $3,903
  • Blue Cross of California dba Anthem Blue Cross — PPO: $2,831
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 $3,763.96 $2,446.57 $2,567.61 – $4,443.39
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $2,567.61
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $2,567.61
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: OPG - 3 $2,780.47 $1,807.31 $3,850.38 – $5,946.30
Carpal tunnel release: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,608.05
  • UnitedHealthcare — Navigate: $4,591.53
  • UnitedHealthcare — Select: $4,591.53
  • UnitedHealthcare — Select Plus: $4,591.53
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,385.60 $1,550.64 $3,850.38
Carpal tunnel release: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $3,850.38 – $5,946.30
Carpal tunnel release: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: OPG - 1 $2,385.60 $1,550.64 $3,361.82 – $5,946.30
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $3,373.18
  • UnitedHealthcare — Navigate: $3,361.82
  • UnitedHealthcare — Select: $3,361.82
  • UnitedHealthcare — Select Plus: $3,361.82
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 $2,780.47 $1,807.31 $3,361.82 – $5,946.30
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $3,850.38
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $3,850.38
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $28,380.80 $18,447.52 $3,361.82 – $5,946.30
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: OPG - 3 $28,380.80 $18,447.52 $4,591.53 – $12,925.04
Cataract removal with lens implant: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $4,608.05
  • UnitedHealthcare — Navigate: $4,591.53
  • UnitedHealthcare — Select: $4,591.53
  • UnitedHealthcare — Select Plus: $4,591.53
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Ambulatory Surgery û Cigna Grouper Schedule* Grouper 8 $1,525.34 $991.47 $4,591.53 – $12,925.04
Cataract removal with lens implant: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $9,553.88
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $9,553.88
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $4,591.53 – $12,925.04
Cataract removal with lens implant: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $12,925.04
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $12,925.04

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $5,946.30
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Maternity ABC Not listed in the file Not listed in the file $4,836 – $10,679
Vaginal delivery, with care before and after: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $4,836
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,260
  • Blue Cross of California dba Anthem Blue Cross — PPO: $4,836
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 6 Global Rate Not listed in the file Not listed in the file $4,836 – $10,679
Vaginal delivery, with care before and after: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,741
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $10,679
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,741
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $6,795.78
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $6,795.78
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $6,795.78
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Maternity ABC Not listed in the file Not listed in the file $4,836 – $10,679
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $4,836
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,260
  • Blue Cross of California dba Anthem Blue Cross — PPO: $4,836
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 6 Global Rate Not listed in the file Not listed in the file $4,836 – $10,679
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $7,741
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $10,679
  • Blue Cross of California dba Anthem Blue Cross — PPO: $7,741
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Outpatient Surgical Services $2,385.60 $1,550.64 $5,946.30
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • California Physicians' Service, dba Blue Shield of Californi — HMO: $5,946.30
  • California Physicians' Service, dba Blue Shield of Californi — PPO: $5,946.30
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Maternity ABC Not listed in the file Not listed in the file $4,836 – $9,260
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $4,836
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $9,260
  • Blue Cross of California dba Anthem Blue Cross — PPO: $4,836
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Outpatient Surgery Group 5 Global Rate Not listed in the file Not listed in the file $4,836 – $9,260
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $6,493
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $8,956
  • Blue Cross of California dba Anthem Blue Cross — PPO: $6,493

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) 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 $5,196.57 – $257,344.51
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans
  • Access Senior Health Care, Inc. — Medicare Advantage: $93,921.36
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: $93,921.36
  • Alignment Health Plan — Medicare Advantage: $93,921.36
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: $118,538.19
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: $133,515.65
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $93,921.36
  • CareMore Health Plan — Medicare Advantage: $93,921.36
  • Health Net of California, Inc. — Medicare Advantage: $257,344.51
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medi-Cal: $93,921.36
  • KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYST — Medicare Advantage: $93,921.36
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Medical/Surgical Not listed in the file Not listed in the file $5,196.57 – $257,344.51
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $5,196.57
  • UnitedHealthcare — Navigate: $9,367.87
  • UnitedHealthcare — Select: $9,367.87
  • UnitedHealthcare — Select Plus: $9,367.87
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: Medical/Surgical Not listed in the file Not listed in the file $5,196.57 – $28,352.28
Spinal fusion (not neck), without major complications: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $5,196.57
  • UnitedHealthcare — Navigate: $9,367.87
  • UnitedHealthcare — Select: $9,367.87
  • UnitedHealthcare — Select Plus: $9,367.87
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $5,196.57 – $28,352.28
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Blue Cross of California dba Anthem Blue Cross — HMO: $14,419
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $19,527
  • Blue Cross of California dba Anthem Blue Cross — PPO: $14,419
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: Spinal Fusion Except Cervical w/o MCC, Case Rate Not listed in the file Not listed in the file $5,196.57 – $28,352.28
Spinal fusion (not neck), without major complications: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $14,165.42
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $14,165.42
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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 $9,077.12 – $51,701.41
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $18,869.13
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: $18,869.13
  • Alignment Health Plan — Medicare Advantage: $18,869.13
  • Blue Cross of California dba Anthem Blue Cross — HMO: $14,419
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: $23,372.48
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: $26,325.63
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $19,527
  • Blue Cross of California dba Anthem Blue Cross — PPO: $14,419
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $18,869.13
  • CareMore Health Plan — Medicare Advantage: $18,869.13
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity w/o MCC Not listed in the file Not listed in the file $9,077.12 – $51,701.41
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $23,259.13
  • UnitedHealthcare — Navigate: $41,773.92
  • UnitedHealthcare — Select: $41,773.92
  • UnitedHealthcare — Select Plus: $41,773.92
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major Hip & Knee Joint Replacement or Reattachment of Lower Extremity w/o MCC Not listed in the file Not listed in the file $9,077.12 – $51,701.41
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $22,023.81
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $22,023.81
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $9,077.12 – $65,117.87
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $23,765.65
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: $23,765.65
  • Alignment Health Plan — Medicare Advantage: $23,765.65
  • Blue Cross of California dba Anthem Blue Cross — HMO: $14,419
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: $29,581.23
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: $33,318.86
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $19,527
  • Blue Cross of California dba Anthem Blue Cross — PPO: $14,419
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $23,765.65
  • CareMore Health Plan — Medicare Advantage: $23,765.65
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical Spinal Fusion w/o CC/MCC Not listed in the file Not listed in the file $9,077.12 – $65,117.87
Neck (cervical) spinal fusion, without complications: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $17,561.79
  • UnitedHealthcare — Navigate: $31,541.84
  • UnitedHealthcare — Select: $31,541.84
  • UnitedHealthcare — Select Plus: $31,541.84
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical Spinal Fusion w/o CC/MCC, Case Rate Not listed in the file Not listed in the file $9,077.12 – $65,117.87
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — HMO: $14,165.42
  • Cigna HealthCare of California, Inc. (CHC) and Cigna Health — PPO: $14,165.42
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $5,196.57 – $33,681.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Access Senior Health Care, Inc. — Medicare Advantage: $12,292.66
  • Aetna Health of California Inc., a California corporation an — Medicare Advantage: $12,292.66
  • Alignment Health Plan — Medicare Advantage: $12,292.66
  • Blue Cross of California dba Anthem Blue Cross — HMO: $14,419
  • Blue Cross of California dba Anthem Blue Cross — HMO, City of LA, Vivity: $15,033.56
  • Blue Cross of California dba Anthem Blue Cross — HMO, Non-City of LA, Vivity: $16,933.07
  • Blue Cross of California dba Anthem Blue Cross — Medicare Advantage: $19,527
  • Blue Cross of California dba Anthem Blue Cross — PPO: $14,419
  • California Physicians' Service, dba Blue Shield of Californi — Medicare Advantage: $12,292.66
  • CareMore Health Plan — Medicare Advantage: $12,292.66
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Medical/Surgical Not listed in the file Not listed in the file $5,196.57 – $33,681.88
Uterus and ovary surgery (not for cancer), without complications: rates for 4 insurance plans
  • UnitedHealthcare — HMO: $5,196.57
  • UnitedHealthcare — Navigate: $9,367.87
  • UnitedHealthcare — Select: $9,367.87
  • UnitedHealthcare — Select Plus: $9,367.87

Source: Cedar-Sinai Marina del Rey Hospital’s standard charges file (marinahospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 26, 2025; 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
Address4650 Lincoln Blvd, Marina del Rey, CA 90292
CountyLos Angeles County
StateCalifornia
Phone(310) 823‑8911
Emergency servicesYes
OwnershipProprietary
Medicare overall rating4 of 5 stars
CMS Certification Number050740
Name in Medicare recordsCEDAR-SINAI MARINA DEL REY HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteCedars-Sinai Marina Hospital
Official websitemarinahospital.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. Cedars-Sinai Marina Hospital — marinahospital.com
  2. About — marinahospital.com
  3. Patients & Visitors — marinahospital.com
  4. Contact — marinahospital.com
  5. Notice to Patients – Your Rights and Protections Against Surprise Medical Bills | Cedars-Sinai Marina Hospital — marinahospital.com