Quick answers Does Centinela Hospital Medical Center have an emergency room? Yes. The hospital’s official website lists an emergency room at Centinela Hospital Medical Center. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911. Where is Centinela Hospital Medical Center? 555 East Hardy Street, Inglewood, CA 90301, in Los Angeles County, California. What is the phone number of Centinela Hospital Medical Center? (310) 673-4660, as listed by Medicare (CMS). What is the Medicare star rating of Centinela Hospital Medical Center? 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22). Tommy Lasorda Heart Institute Primary Stroke Center Acute Rehabilitation Unit Comprehensive Care for Joint Replacement FastTrackCare ER reservations STEMI receiving center Inpatient and outpatient rehabilitation FastTrackCare ER arrival reservation Internal Medicine Residency Program Emergency care (hospital website)[4] [6] [12] Emergency room Yes Open 24/7 Yes Stroke designation Primary Stroke Center (Joint Commission)
Visiting and practical information Visiting Visiting hours 9 a.m. to 9 p.m. daily, two visitors at a time; children under 16 not allowed except maternity [7] Parking Patients and visitors may park in Lots 1, 4 and 6 [7] Interpreters and languages Free language assistance arranged by staff through Voyce [8] Patient portal Patient Portal
Primary Stroke Center (The Joint Commission) STEMI Receiving Center Geriatric Emergency Department Accreditation (ACEP) Emergency Department Approved for Pediatrics (EDAP) Leapfrog Hospital Safety Grade A (Spring 2024) Lown Institute Hospitals Index A grade, 2025-26 Geriatric Emergency Department Accreditation (American College of Emergency Physicians) Lown Institute Hospitals Index 'A' grade 2026 Doctors and clinicians (191) 191 doctors and other clinicians list Centinela Hospital Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties Doctors with a page on this site (191) Aaron R. Clousing, NP Nurse Practitioner Akshay Mehta, MD Orthopedic Surgery Albert J. Shin, NP Nurse Practitioner Alex Nelson, MD Neurology Alexander R. Marmureanu, MD General Surgery Alexandria S. Rudolph, NP Nurse Practitioner Ali Morshedi Meibodi, MD Cardiovascular Disease (Cardiology) Aliyah Shah Physician Assistant Amanda D. Sheehan, NP Nurse Practitioner Andrew C. Bliss, NP Nurse Practitioner Andrew J. Michalak, MD Emergency Medicine Andrew P. Kelly, MD Diagnostic Radiology Anil Sharma, MD Psychiatry Anish Patel, MD Diagnostic Radiology Anna Carchi, NP Nurse Practitioner Arash D. Tehranzadeh, MD Diagnostic Radiology Arash Jalil, DPM Podiatry Arielle M. Koklas, NP Nurse Practitioner Armen Hovhannisyan, MD Internal Medicine Artur Ambartsumyan Physician Assistant Ashkan Soleymani, DPM Podiatry Ashok Kumar, MD Internal Medicine Basil Younes, DO Interventional Cardiology Behnoush Y. Zarrini, MD Pain Management And 167 more: the button below opens the full list.
See all 191 clinicians Other emergency rooms nearby Hospitals that list emergency services, by straight-line distance (not driving distance).
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 Centinela Hospital Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey) What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Summary star rating (all survey topics) ★★★★★ 1 of 5 stars Overall rating of the hospital 2 of 5 stars Would recommend the hospital 1 of 5 stars Nurses communicated well 1 of 5 stars Doctors communicated well 1 of 5 stars Staff explained medicines 1 of 5 stars Information about recovery at home 1 of 5 stars Room and bathroom kept clean 2 of 5 stars Quiet at night 1 of 5 stars Rated the hospital 9 or 10 out of 10 50% National average: 72% Would definitely recommend the hospital 50% National average: 71% Nurses “always” communicated well 64% National average: 80% Doctors “always” communicated well 64% National average: 80% Staff “always” explained medicines before giving them 50% National average: 62% Were given information about recovery at home 69% National average: 86% Room and bathroom “always” clean 65% National average: 74% Area around the room “always” quiet at night 35% National average: 60% Completed surveys 657Response rate: 23%
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) 0.13 Better than the national benchmark Catheter-associated urinary tract infections (CAUTI) 0.158 Better than the national benchmark Surgical site infections after colon surgery 0 No different from the national benchmark Surgical site infections after abdominal hysterectomy Not reported to Medicare MRSA bloodstream infections 0.432 No different from the national benchmark Clostridioides difficile (C. diff) intestinal infections 0 Better 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 patients 9.6% Deaths within 30 days: heart failure patients 6% Deaths within 30 days: pneumonia patients 12.8% Deaths within 30 days: COPD patients 6.4% Deaths within 30 days: stroke patients 8.9% Deaths within 30 days: coronary bypass surgery (CABG) Too few cases to report Serious complications (patient safety indicator PSI-90) 0.82 No different from the national rate Complications after hip or knee replacement Too few cases to report
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 attack 16.7% Readmitted within 30 days: heart failure 25.3% Readmitted within 30 days: pneumonia 21.2% Readmitted within 30 days: COPD 21.1% Readmitted within 30 days: coronary bypass surgery 14.1% Readmitted within 30 days: hip or knee replacement Too few cases to report
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) 188 minutes National average: 162 minutes Patients who left the emergency room before being seen (OP-22) 3% National average: 2% Sepsis patients who got all the recommended early care (SEP-1) 52% 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 59 common services exactly as Centinela Hospital Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean Hospital charge The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount. Cash price The price the hospital offers if you pay yourself, without insurance (“discounted cash price”). Insurance rates The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance. Hospital and doctor fees A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services. How to use hospital prices: estimates, financial assistance and your rights →
$! 1 amount is marked with “!”: it is 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. It is shown exactly as listed; ask the hospital before relying on it.
Office and emergency visits Service Hospital charge Cash price Insurance rates (lowest – highest) New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M NEW PATIENT LVL III - 99203 - 50700129 $128 Not listed in the file $28.01 – $782.25 New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.05 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $86.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $82.05 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $82.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $82.05 Health Net Of CA — Health Net Of CA Medi-Cal : $90.26 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $82.05 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $82.05 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $82.05 Molina — Molina Medi-Cal : $82.05 New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M NEW PATIENT LVL III - 99203 - 62230529 $128 Not listed in the file $28.01 – $782.25 New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.05 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $86.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $82.05 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $82.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $82.05 Health Net Of CA — Health Net Of CA Medi-Cal : $90.26 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $82.05 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $82.05 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $82.05 Molina — Molina Medi-Cal : $82.05 New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M NEW LEVEL III $128 Not listed in the file $28.01 – $782.25 New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.05 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $86.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $82.05 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $82.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $82.05 Health Net Of CA — Health Net Of CA Medi-Cal : $90.26 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $82.05 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $82.05 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $82.05 Molina — Molina Medi-Cal : $82.05 New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M NEW PATIENT LVL IV - 99204 - 50700137 $176 Not listed in the file $38.51 – $1,274.50 New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.83 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $103.77 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $98.83 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $98.83 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $98.83 Health Net Of CA — Health Net Of CA Medi-Cal : $108.71 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $98.83 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $98.83 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $98.83 Molina — Molina Medi-Cal : $98.83 New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M NEW PATIENT LVL IV - 99204 - 62230537 $176 Not listed in the file $38.51 – $1,274.50 New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.83 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $103.77 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $98.83 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $98.83 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $98.83 Health Net Of CA — Health Net Of CA Medi-Cal : $108.71 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $98.83 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $98.83 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $98.83 Molina — Molina Medi-Cal : $98.83 New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M-NEW PATIENT-LVL IV - 99204 - 62100425 $176 Not listed in the file $38.51 – $1,274.50 New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.83 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $103.77 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $98.83 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $98.83 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $98.83 Health Net Of CA — Health Net Of CA Medi-Cal : $108.71 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $98.83 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $98.83 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $98.83 Molina — Molina Medi-Cal : $98.83 New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: E&M - NEW PATIENT - LVL V $201 Not listed in the file $43.98 – $1,731.05 New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $118.62 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $124.55 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $118.62 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $118.62 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $118.62 Health Net Of CA — Health Net Of CA Medi-Cal : $130.48 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $118.62 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $118.62 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $118.62 Molina — Molina Medi-Cal : $118.62 New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: E&M NEW PATIENT LVL V - 99205 - 50700145 $225 Not listed in the file $43.98 – $1,731.05 New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $118.62 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $124.55 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $118.62 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $118.62 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $118.62 Health Net Of CA — Health Net Of CA Medi-Cal : $130.48 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $118.62 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $118.62 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $118.62 Molina — Molina Medi-Cal : $118.62 New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: E&M NEW PATIENT LVL V - 99205 - 62230545 $225 Not listed in the file $43.98 – $1,731.05 New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $118.62 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $124.55 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $118.62 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $118.62 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $118.62 Health Net Of CA — Health Net Of CA Medi-Cal : $130.48 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $118.62 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $118.62 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $118.62 Molina — Molina Medi-Cal : $118.62 Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M EST. PATIENT LVL III - 99213 - 50700228 $95 Not listed in the file $20.79 – $631.35 Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $34.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $36.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $34.43 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $34.43 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $73.75 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $34.43 Health Net Of CA — Health Net Of CA Medi-Cal : $37.87 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $34.43 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $34.43 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $34.43 Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M EST LEVEL III $95 Not listed in the file $20.79 – $631.35 Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $34.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $36.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $34.43 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $34.43 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $73.75 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $34.43 Health Net Of CA — Health Net Of CA Medi-Cal : $37.87 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $34.43 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $34.43 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $34.43 Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M EST. PATIENT LVL III - 99213 - 67540054 $95 Not listed in the file $20.79 – $631.35 Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $34.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $36.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $34.43 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $34.43 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $73.75 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $34.43 Health Net Of CA — Health Net Of CA Medi-Cal : $37.87 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $34.43 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $34.43 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $34.43 Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: E&M EST. PATIENT LVL IV - 99214 - 62230032 $135 Not listed in the file $29.54 – $932.85 Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $53.79 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $56.48 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $53.79 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $53.79 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $109.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $53.79 Health Net Of CA — Health Net Of CA Medi-Cal : $59.17 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $53.79 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $53.79 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $53.79 Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: E&M EST LEVEL IV $135 Not listed in the file $29.54 – $932.85 Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $53.79 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $56.48 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $53.79 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $53.79 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $109.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $53.79 Health Net Of CA — Health Net Of CA Medi-Cal : $59.17 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $53.79 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $53.79 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $53.79 Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: E&M-EST. PATIENT - LVL IV $164 Not listed in the file $29.54 – $932.85 Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $53.79 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $56.48 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $53.79 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $53.79 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $109.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $53.79 Health Net Of CA — Health Net Of CA Medi-Cal : $59.17 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $53.79 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $53.79 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $53.79 Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: E&M-NEW PT CONSULT-LVL III $128 Not listed in the file $28.01 – $128 Office consultation with a specialist (moderate): 10 of 11 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $85.35 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $85.35 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $99.22 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $85.35 Health Net Of CA — Health Net Of CA Medi-Cal : $93.89 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $85.35 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $85.35 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $85.35 Molina — Molina Medi-Cal : $85.35 Optum Health Plan Of California — Optum Health Plan Of CA Medi-Cal : $85.35 Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: E&M-NEW PT CONSULT-LVL IV $176 Not listed in the file $38.51 – $176 Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $116.76 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $116.76 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $151.74 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $116.76 Health Net Of CA — Health Net Of CA Medi-Cal : $128.44 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $116.76 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $116.76 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $116.76 Molina — Molina Medi-Cal : $116.76 Optum Health Plan Of California — Optum Health Plan Of CA Medi-Cal : $116.76 Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL III $1,800 $349 $63.97 – $1,800 Emergency room visit (moderate): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $524.06 Access Medical Group — Access Medical Group Medicare : $349.37 Aetna — Coventry Workers Compensation : $446.43 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $63.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $356.36 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $349.37 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $460.24 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $67.17 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $63.97 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $63.97 Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: OB ER LEVEL III $779.75 $349 $63.97 – $1,800 Emergency room visit (moderate): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $524.06 Access Medical Group — Access Medical Group Medicare : $349.37 Aetna — Coventry Workers Compensation : $446.43 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $63.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $356.36 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $349.37 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $460.24 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $67.17 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $63.97 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $63.97 Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL IV $2,600 $534 $98.04 – $2,600 Emergency room visit (moderately high): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $801.05 Access Medical Group — Access Medical Group Medicare : $534.03 Aetna — Coventry Workers Compensation : $682.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $544.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $534.03 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $703.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $102.94 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $98.04 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $98.04 Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT LVL IV $1,052 $534 $98.04 – $2,600 Emergency room visit (moderately high): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $801.05 Access Medical Group — Access Medical Group Medicare : $534.03 Aetna — Coventry Workers Compensation : $682.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $544.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $534.03 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $703.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $102.94 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $98.04 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $98.04 Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: OB ER LEVEL IV $1,247.40 $534 $98.04 – $2,600 Emergency room visit (moderately high): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $801.05 Access Medical Group — Access Medical Group Medicare : $534.03 Aetna — Coventry Workers Compensation : $682.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $544.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $534.03 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $703.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $102.94 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $98.04 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $98.04 Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL V $3,800 $762 $155.03 – $3,800 Emergency room visit (high): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $1,143.30 Access Medical Group — Access Medical Group Medicare : $762.20 Aetna — Coventry Workers Compensation : $973.95 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $155.03 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $777.44 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $762.20 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $1,004.08 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $162.78 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $155.03 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $155.03 Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT-LEVEL V $1,456 $762 $155.03 – $3,800 Emergency room visit (high): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $1,143.30 Access Medical Group — Access Medical Group Medicare : $762.20 Aetna — Coventry Workers Compensation : $973.95 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $155.03 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $777.44 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $762.20 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $1,004.08 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $162.78 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $155.03 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $155.03 Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: OB ER LEVEL V $1,846.80 $762 $155.03 – $3,800 Emergency room visit (high): 10 of 60 insurance plan rates Access Medical Group — Access Medical Group Commercial : $1,143.30 Access Medical Group — Access Medical Group Medicare : $762.20 Aetna — Coventry Workers Compensation : $973.95 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $155.03 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $777.44 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $762.20 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $1,004.08 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $162.78 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $155.03 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $155.03
Lab tests Service Hospital charge Cash price Insurance rates (lowest – highest) Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $137 $8 $8.34 – $137 Basic metabolic panel (blood test): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $12.69 Access Medical Group — Access Medical Group Medicare : $8.46 Aetna — Coventry Workers Compensation : $10.81 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $8.34 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $8.63 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $8.46 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $11.14 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $11.62 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $11.07 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $8.34 Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $273 $10 $10.55 – $273 Comprehensive metabolic panel (blood test): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $15.84 Access Medical Group — Access Medical Group Medicare : $10.56 Aetna — Coventry Workers Compensation : $13.49 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $10.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $10.77 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $10.56 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $13.91 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $14.68 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $13.98 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $10.55 Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $130 $13 $13.24 – $130 Cholesterol panel (lipid panel): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $20.09 Access Medical Group — Access Medical Group Medicare : $13.39 Aetna — Coventry Workers Compensation : $17.11 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $13.24 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $13.66 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $13.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $17.64 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $14.57 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $13.88 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $13.24 Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $557 $8 $8.68 – $557 Kidney function panel: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $13.02 Access Medical Group — Access Medical Group Medicare : $8.68 Aetna — Coventry Workers Compensation : $11.09 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $8.72 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $8.85 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $8.68 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $11.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $11.93 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $11.36 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $8.72 Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $137 $8 $7.32 – $137 Liver function panel: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $12.26 Access Medical Group — Access Medical Group Medicare : $8.17 Aetna — Coventry Workers Compensation : $10.44 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $7.32 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $8.33 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $8.17 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $10.76 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $11.19 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $10.66 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $7.32 Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W/MICRO $170 $3 $3.17 – $170 Urine test (automated, with microscope): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $4.76 Access Medical Group — Access Medical Group Medicare : $3.17 Aetna — Coventry Workers Compensation : $4.05 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $3.18 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.23 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $3.17 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $4.18 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $4.59 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $4.37 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $3.18 Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: ER URINALYS DIP STICK-REAGENT $19.81 $3 $2.47 – $31 Urine test (manual, without microscope): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $5.22 Access Medical Group — Access Medical Group Medicare : $3.48 Aetna — Coventry Workers Compensation : $4.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.55 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $3.48 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $4.58 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $3.71 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $3.53 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $2.47 Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NON-AUTO W/O MICRO $17.60 $3 $2.47 – $31 Urine test (manual, without microscope): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $5.22 Access Medical Group — Access Medical Group Medicare : $3.48 Aetna — Coventry Workers Compensation : $4.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.55 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $3.48 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $4.58 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $3.71 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $3.53 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $2.47 Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS DIPSTICK METH $17 $3 $2.47 – $31 Urine test (manual, without microscope): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $5.22 Access Medical Group — Access Medical Group Medicare : $3.48 Aetna — Coventry Workers Compensation : $4.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.55 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $3.48 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $4.58 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $3.71 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $3.53 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $2.47 Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE SP GR AUTO $17 $2 $2.25 – $58 Urine test (automated, without microscope): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $3.38 Access Medical Group — Access Medical Group Medicare : $2.25 Aetna — Coventry Workers Compensation : $2.88 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.25 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $2.30 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $2.25 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $2.96 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $2.97 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $2.83 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $2.25 Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE W/O MICRO AUTO $58 $2 $2.25 – $58 Urine test (automated, without microscope): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $3.38 Access Medical Group — Access Medical Group Medicare : $2.25 Aetna — Coventry Workers Compensation : $2.88 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.25 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $2.30 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $2.25 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $2.96 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $2.97 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $2.83 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $2.25 PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PN PSA TOT+ %FR, PSA TOT LC1 $36.78 $18 $2.92 – $278 PSA (prostate specific antigen) blood test: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $27.59 Access Medical Group — Access Medical Group Medicare : $18.39 Aetna — Coventry Workers Compensation : $23.50 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $18.76 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $18.76 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $18.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $24.23 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $26.03 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $24.79 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $18.76 PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE-SPECIFIC AG, SERUM LC $36.78 $18 $2.92 – $278 PSA (prostate specific antigen) blood test: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $27.59 Access Medical Group — Access Medical Group Medicare : $18.39 Aetna — Coventry Workers Compensation : $23.50 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $18.76 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $18.76 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $18.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $24.23 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $26.03 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $24.79 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $18.76 PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL & FREE $13.34 $18 $2.92 – $278 PSA (prostate specific antigen) blood test: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $13.34 Access Medical Group — Access Medical Group Medicare : $13.34 Aetna — Coventry Workers Compensation : $13.34 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $13.34 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $13.34 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $13.34 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $13.34 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $13.34 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $13.34 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $13.34 Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADE PROFILE $180 $16 $1.21 – $473 Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $25.20 Access Medical Group — Access Medical Group Medicare : $16.80 Aetna — Coventry Workers Compensation : $21.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $16.94 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $17.14 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $16.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $22.13 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $23.71 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $22.58 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $16.94 Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE 3RD GEN $5.53 $16 $1.21 – $473 Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $5.53 Access Medical Group — Access Medical Group Medicare : $5.53 Aetna — Coventry Workers Compensation : $5.53 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $5.53 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $5.53 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $5.53 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5.53 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $5.53 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $5.53 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $5.53 Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH - 84443 - 70144431 $14.50 $16 $1.21 – $473 Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $14.50 Access Medical Group — Access Medical Group Medicare : $14.50 Aetna — Coventry Workers Compensation : $14.50 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $14.50 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $14.50 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $14.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $14.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $14.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $14.50 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $14.50 Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC WITH AUTO DIFF $53.05 $7 $7.75 – $53.05 Complete blood count (CBC) with differential: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $11.66 Access Medical Group — Access Medical Group Medicare : $7.77 Aetna — Coventry Workers Compensation : $9.93 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $7.75 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $7.93 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $7.77 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $10.24 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $10.62 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $10.11 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $7.75 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC WITH NO DIFF $44.15 $6 $6.47 – $116 Complete blood count (CBC), automated: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $9.71 Access Medical Group — Access Medical Group Medicare : $6.47 Aetna — Coventry Workers Compensation : $8.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $6.47 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $8.52 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $8.67 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $8.26 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $6.55 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC WITH MANUAL DIFF $44.15 $6 $6.47 – $116 Complete blood count (CBC), automated: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $9.71 Access Medical Group — Access Medical Group Medicare : $6.47 Aetna — Coventry Workers Compensation : $8.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $6.47 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $8.52 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $8.67 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $8.26 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $6.55 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC WITHOUT DIFF $116 $6 $6.47 – $116 Complete blood count (CBC), automated: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $9.71 Access Medical Group — Access Medical Group Medicare : $6.47 Aetna — Coventry Workers Compensation : $8.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $6.47 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $8.52 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $8.67 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $8.26 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $6.55 Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROM TIME $207 $4 $4 – $207 Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6.44 Access Medical Group — Access Medical Group Medicare : $4.29 Aetna — Coventry Workers Compensation : $5.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $4 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4.38 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4.29 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5.65 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $5.04 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $4.80 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $4 Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME $207 $4 $4 – $207 Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6.44 Access Medical Group — Access Medical Group Medicare : $4.29 Aetna — Coventry Workers Compensation : $5.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $4 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4.38 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4.29 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5.65 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $5.04 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $4.80 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $4 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $244 $6 $6.01 – $244 Blood clotting test (partial thromboplastin time, PTT): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $9.02 Access Medical Group — Access Medical Group Medicare : $6.01 Aetna — Coventry Workers Compensation : $7.68 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $6.01 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $7.92 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $7.98 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $7.60 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $6.13
Imaging (X-ray, CT, MRI, ultrasound, mammogram) Service Hospital charge Cash price Insurance rates (lowest – highest) CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD W/O CM $2,628 $133 $94.42 – $2,628 CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $94.42 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $296.47 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $282.35 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $94.42 MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BR/HEAD W/WO CM $3,370 $446 $200 – $3,370 MRI of the brain, before and after contrast: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $669.75 Access Medical Group — Access Medical Group Medicare : $446.50 Aetna — Coventry Workers Compensation : $570.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $316.79 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $455.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $446.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $588.20 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $1,435.35 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $1,367 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $316.79 Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST,TWO VIEWS $656 $111 $18.13 – $656 Chest X-ray, 2 views: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $167.06 Access Medical Group — Access Medical Group Medicare : $111.37 Aetna — Coventry Workers Compensation : $142.31 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $18.13 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $113.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $111.37 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $146.71 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $41.25 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $39.29 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $18.13 X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE, LUMBAR MIN 4VWS - 72110 - 49021108 $1,217 $133 $43.40 – $1,217 X-ray of the lower spine, at least 4 views: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $43.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $74.79 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $71.23 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $43.40 X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE, LUMBAR MIN 4 VWS $487 $133 $43.40 – $1,217 X-ray of the lower spine, at least 4 views: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $43.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $74.79 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $71.23 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $43.40 X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE LUMBAR COMPLT MIN 4V $755 $133 $43.40 – $1,217 X-ray of the lower spine, at least 4 views: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $43.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $74.79 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $71.23 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $43.40 MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI SP LUMB W/O CM $2,444 $305 $181.42 – $2,444 MRI of the lower back (lumbar spine), without contrast: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $458.07 Access Medical Group — Access Medical Group Medicare : $305.38 Aetna — Coventry Workers Compensation : $390.22 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $181.42 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $311.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $305.38 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $402.29 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $867.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $825.86 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $181.42 CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CM $2,979 $224 $200 – $2,979 CT scan of the pelvis, with contrast: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $336.72 Access Medical Group — Access Medical Group Medicare : $224.48 Aetna — Coventry Workers Compensation : $286.85 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $222.88 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $228.97 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $224.48 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $295.72 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $381.84 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $363.66 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $222.88 MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LE/JNT WO CTRS $2,444 $305 $200 – $2,444 MRI of a leg joint (such as the knee), without contrast: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $458.07 Access Medical Group — Access Medical Group Medicare : $305.38 Aetna — Coventry Workers Compensation : $390.22 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $206.20 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $311.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $305.38 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $402.29 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $588.11 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $560.10 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $206.20 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS WITH CONTRAST $2,352.28 $446 $200 – $6,900 CT scan of the abdomen and pelvis, with contrast: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $669.75 Access Medical Group — Access Medical Group Medicare : $446.50 Aetna — Coventry Workers Compensation : $570.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $202.90 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $455.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $446.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $588.20 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $295.89 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $281.80 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $202.90 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN AND PELVIS W CONTRA $6,900 $446 $200 – $6,900 CT scan of the abdomen and pelvis, with contrast: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $669.75 Access Medical Group — Access Medical Group Medicare : $446.50 Aetna — Coventry Workers Compensation : $570.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $202.90 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $455.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $446.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $588.20 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $295.89 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $281.80 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $202.90 Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE - 76700 - 50667006 $1,307 $133 $82.35 – $1,307 Ultrasound of the abdomen, complete: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.35 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $125.31 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $119.34 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $82.35 Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE - 76700 - 50667005 $1,307 $133 $82.35 – $1,307 Ultrasound of the abdomen, complete: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.35 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $125.31 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $119.34 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $82.35 Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB COMP>14WK SGL GEST - 76805 - 50668251 $1,301 $133 $90.65 – $1,301 Pregnancy ultrasound (after the first trimester): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $90.65 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $142.05 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $135.29 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $90.65 Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB COMP>14WK SGL GEST - 76805 - 50668250 $1,301 $133 $90.65 – $1,301 Pregnancy ultrasound (after the first trimester): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $90.65 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $142.05 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $135.29 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $90.65 Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL - 76830 - 50668301 $580 $133 $70.84 – $580 Transvaginal ultrasound: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $70.84 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $101.89 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $97.04 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $70.84 Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL - 76830 - 50668300 $580 $133 $70.84 – $580 Transvaginal ultrasound: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $200.70 Access Medical Group — Access Medical Group Medicare : $133.80 Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $70.84 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $176.26 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $101.89 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $97.04 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $70.84 Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMOGRAPHY UNILATERAL $599 $101 $17.54 – $599 Diagnostic mammogram, one breast: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $152.66 Access Medical Group — Access Medical Group Medicare : $101.77 Aetna — Coventry Workers Compensation : $130.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $84.30 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $103.81 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $101.77 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $134.07 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $122.93 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $117.08 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $84.30 Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: SCR/DX MAMMO UNIL - 77065 - 49061153 $521 $101 $17.54 – $599 Diagnostic mammogram, one breast: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $152.66 Access Medical Group — Access Medical Group Medicare : $101.77 Aetna — Coventry Workers Compensation : $130.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $84.30 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $103.81 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $101.77 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $134.07 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $122.93 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $117.08 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $84.30 Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: SCR/DX MAMMO UNIL - 77065 - 50161157 $80.15 $101 $17.54 – $599 Diagnostic mammogram, one breast: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $80.15 Access Medical Group — Access Medical Group Medicare : $80.15 Aetna — Coventry Workers Compensation : $80.15 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $80.15 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $80.15 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $80.15 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $80.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $80.15 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $80.15 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $80.15 Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMOGRAPHY,BILATERAL $748 $130 $108.06 – $1,111 Diagnostic mammogram, both breasts: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $195.66 Access Medical Group — Access Medical Group Medicare : $130.44 Aetna — Coventry Workers Compensation : $166.68 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $108.06 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $133.05 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $130.44 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $171.84 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $155.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $148.03 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $108.06 Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: SCR/DX MAMMO BIL $1,111 $130 $108.06 – $1,111 Diagnostic mammogram, both breasts: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $195.66 Access Medical Group — Access Medical Group Medicare : $130.44 Aetna — Coventry Workers Compensation : $166.68 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $108.06 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $133.05 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $130.44 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $171.84 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $155.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $148.03 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $108.06 Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREENING MAMMOGRAPHY $363 $107 $79.42 – $363 Screening mammogram, both breasts: 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $161.55 Access Medical Group — Access Medical Group Medicare : $107.70 Aetna — Coventry Workers Compensation : $137.62 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $88.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $109.85 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $107.70 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $141.88 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $125.42 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $119.45 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $88.39
Heart tests and sleep study Service Hospital charge Cash price Insurance rates (lowest – highest) Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: ATH LEFT HEART LV PUNCTURE $11,907 $4,149 $200 – $15,281.80 Left heart catheterization (diagnostic): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6,223.85 Access Medical Group — Access Medical Group Medicare : $4,149.23 Aetna — Coventry Workers Compensation : $5,301.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $549.26 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,232.21 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,149.23 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5,465.99 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $801 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $762.86 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $549.26 Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH LEFT HEART CUTDOWN - 93452 - 45793511 $8,440.80 $4,149 $200 – $15,281.80 Left heart catheterization (diagnostic): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6,223.85 Access Medical Group — Access Medical Group Medicare : $4,149.23 Aetna — Coventry Workers Compensation : $5,301.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $549.26 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,232.21 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,149.23 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5,465.99 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $801 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $762.86 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $549.26 Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH LEFT HEART LV PUNCTURE - 93452 - 752093514 $11,907.40 $4,149 $200 – $15,281.80 Left heart catheterization (diagnostic): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6,223.85 Access Medical Group — Access Medical Group Medicare : $4,149.23 Aetna — Coventry Workers Compensation : $5,301.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $549.26 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,232.21 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,149.23 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5,465.99 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $801 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $762.86 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $549.26 Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMP EP W/O INDUC/ARRYTH $15,943 $9,982 $200 – $15,943 Heart rhythm study (electrophysiology evaluation): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $14,973.77 Access Medical Group — Access Medical Group Medicare : $9,982.51 Aetna — Coventry Workers Compensation : $12,755.85 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $256.67 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $10,182.16 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $9,982.51 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $13,150.46 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $898.34 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $855.56 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $256.67 Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP COMPREHENSIVE W/O ARRYTHMIA $15,943 $9,982 $200 – $15,943 Heart rhythm study (electrophysiology evaluation): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $14,973.77 Access Medical Group — Access Medical Group Medicare : $9,982.51 Aetna — Coventry Workers Compensation : $12,755.85 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $256.67 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $10,182.16 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $9,982.51 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $13,150.46 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $898.34 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $855.56 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $256.67 Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EPS/ABLATION TRANSSEPTAL $55,548.40 $33,452 $200! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $55,548.40 Heart rhythm study with ablation for atrial fibrillation: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $50,179.38 Access Medical Group — Access Medical Group Medicare : $33,452.92 Aetna — Coventry Workers Compensation : $42,746.81 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $880.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $34,121.98 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $33,452.92 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $44,069.20 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $1,408.46 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $1,341.39 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $880.47
Physical therapy and mental health Service Hospital charge Cash price Insurance rates (lowest – highest) Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THERAPTC EXER EA 15 $108.60 $32 $9.14 – $165.10 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $48.11 Access Medical Group — Access Medical Group Medicare : $32.07 Aetna — Coventry Workers Compensation : $40.98 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $9.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $32.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $32.07 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $42.25 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $16.51 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $15.72 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $9.14 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT THERAPEUTIC EXERCISE $165 $32 $9.14 – $165.10 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $48.11 Access Medical Group — Access Medical Group Medicare : $32.07 Aetna — Coventry Workers Compensation : $40.98 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $9.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $32.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $32.07 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $42.25 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $16.51 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $15.72 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $9.14 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT THER EX EA 15 #2 $165.10 $32 $9.14 – $165.10 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 59 insurance plan rates Access Medical Group — Access Medical Group Commercial : $48.11 Access Medical Group — Access Medical Group Medicare : $32.07 Aetna — Coventry Workers Compensation : $40.98 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $9.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $32.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $32.07 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $42.25 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $16.51 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $15.72 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $9.14 Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL EXT $432.10 $108 $31.75 – $678.10 Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.45 Access Medical Group — Access Medical Group Medicare : $108.30 Aetna — Coventry Workers Compensation : $138.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.47 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.30 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.67 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $108.30 Axminster Medical Group — Axminster Medical Group Commercial : $162.45 Axminster Medical Group — Axminster Medical Group Medicare : $108.30 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $108.30 Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEXITY, 20 MIN $288.10 $108 $31.75 – $678.10 Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.45 Access Medical Group — Access Medical Group Medicare : $108.30 Aetna — Coventry Workers Compensation : $138.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.47 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.30 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.67 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $108.30 Axminster Medical Group — Axminster Medical Group Commercial : $162.45 Axminster Medical Group — Axminster Medical Group Medicare : $108.30 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $108.30 Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL INTERM $288.10 $108 $31.75 – $678.10 Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.45 Access Medical Group — Access Medical Group Medicare : $108.30 Aetna — Coventry Workers Compensation : $138.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.47 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.30 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.67 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $108.30 Axminster Medical Group — Axminster Medical Group Commercial : $162.45 Axminster Medical Group — Axminster Medical Group Medicare : $108.30 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $108.30 Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEXITY, 30 MIN $288.10 $108 $63.04 – $475.18 Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.47 Access Medical Group — Access Medical Group Medicare : $108.31 Aetna — Coventry Workers Compensation : $138.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.31 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.68 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $108.31 Axminster Medical Group — Axminster Medical Group Commercial : $162.47 Axminster Medical Group — Axminster Medical Group Medicare : $108.31 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $108.31 Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN $475.18 $108 $63.04 – $475.18 Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.47 Access Medical Group — Access Medical Group Medicare : $108.31 Aetna — Coventry Workers Compensation : $138.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.31 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.68 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $108.31 Axminster Medical Group — Axminster Medical Group Commercial : $162.47 Axminster Medical Group — Axminster Medical Group Medicare : $108.31 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $108.31 Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEXITY, 45 MI $288.10 $108 $63.04 – $527.50 Physical therapy evaluation (high complexity): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.48 Access Medical Group — Access Medical Group Medicare : $108.32 Aetna — Coventry Workers Compensation : $138.41 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $135.56 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.32 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.70 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $142.34 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $135.56 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $135.56 Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN $527.50 $108 $63.04 – $527.50 Physical therapy evaluation (high complexity): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $162.48 Access Medical Group — Access Medical Group Medicare : $108.32 Aetna — Coventry Workers Compensation : $138.41 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $135.56 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $108.32 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $142.70 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $142.34 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $135.56 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $135.56 Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY W/O PATIE $265 $227 $51 – $265 Family psychotherapy, without the patient: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $265 Access Medical Group — Access Medical Group Medicare : $227.16 Aetna — Coventry Workers Compensation : $265 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $265 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $90.97 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $86.64 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $51 Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAM PSYCHTX,W/O PT $265 $227 $51 – $265 Family psychotherapy, without the patient: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $265 Access Medical Group — Access Medical Group Medicare : $227.16 Aetna — Coventry Workers Compensation : $265 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $265 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $90.97 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $86.64 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $51 Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY W/PATIENT $280 $227 $51 – $280 Family psychotherapy, with the patient: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $280 Access Medical Group — Access Medical Group Medicare : $227.16 Aetna — Coventry Workers Compensation : $280 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $280 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $94.13 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $89.65 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $51 Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM PSYCHTX W/PTPRESENT $280 $227 $51 – $280 Family psychotherapy, with the patient: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $280 Access Medical Group — Access Medical Group Medicare : $227.16 Aetna — Coventry Workers Compensation : $280 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $280 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $94.13 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $89.65 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $51 Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY $296 $130 $4.98 – $296 Group psychotherapy: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $195.03 Access Medical Group — Access Medical Group Medicare : $130.02 Aetna — Coventry Workers Compensation : $166.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $20.77 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $132.62 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $130.02 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $171.28 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $5.23 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $4.98 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $20.77 Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GRP. PSYCHOTX $296 $130 $4.98 – $296 Group psychotherapy: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $195.03 Access Medical Group — Access Medical Group Medicare : $130.02 Aetna — Coventry Workers Compensation : $166.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $20.77 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $132.62 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $130.02 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $171.28 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $5.23 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $4.98 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $20.77
Procedures and surgery Service Hospital charge Cash price Insurance rates (lowest – highest) Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion $14,771.80 $5,011 $200 – $14,771.80 Removal of breast growth (open surgery): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $7,516.83 Access Medical Group — Access Medical Group Medicare : $5,011.22 Aetna — Coventry Workers Compensation : $6,403.44 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $302.26 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $5,111.44 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $5,011.22 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $6,601.53 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $317.37 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $302.26 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $302.26 Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression $7,861.13 Not listed in the file $200 – $7,861.13 Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $605.06 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $635.31 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $605.06 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $605.06 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal : $605.06 Health Net Of CA — Health Net Of CA Medi-Cal : $665.57 Health Net Of CA — Health Net Of CA Medi-Cal - IPA : $605.06 Kindred Hospital LA — Kindred Hospital - LA Medi-cal : $605.06 L.A Care Health Plan — L.A Care Health Plan Medi-Cal : $605.06 Molina — Molina Medi-Cal : $605.06 Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery - 29881 - OR36029881 $12,500 $4,187 $200 – $12,500 Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6,281.57 Access Medical Group — Access Medical Group Medicare : $4,187.71 Aetna — Coventry Workers Compensation : $5,351.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $790.35 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,271.46 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,187.71 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $5,516.68 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $829.87 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $790.35 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $790.35 Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy $15,375 $7,737 $200 – $15,375 Gallbladder removal by laparoscope: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $11,606.18 Access Medical Group — Access Medical Group Medicare : $7,737.45 Aetna — Coventry Workers Compensation : $9,887.07 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $668.60 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $7,892.20 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $7,737.45 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $10,192.93 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $702.03 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $668.60 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $668.60 Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: ER RPR HERNIA ING>5YR $12,876.70 $4,582 $200 – $16,651.80 Groin (inguinal) hernia repair, age 5 or older: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6,873.65 Access Medical Group — Access Medical Group Medicare : $4,582.43 Aetna — Coventry Workers Compensation : $5,855.52 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $493.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,674.08 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,582.43 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $6,036.66 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $518.12 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $493.45 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $493.45 Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr $16,651.80 $4,582 $200 – $16,651.80 Groin (inguinal) hernia repair, age 5 or older: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $6,873.65 Access Medical Group — Access Medical Group Medicare : $4,582.43 Aetna — Coventry Workers Compensation : $5,855.52 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $493.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,674.08 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,582.43 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $6,036.66 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $518.12 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $493.45 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $493.45 Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy $4,087 $4,143 $200 – $4,087 Hysteroscopy with biopsy of the uterus lining: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $4,087 Access Medical Group — Access Medical Group Medicare : $4,087 Aetna — Coventry Workers Compensation : $4,087 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $251.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,087 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $4,087 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $4,087 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $264.05 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $251.48 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $251.48 Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp $12,115.40 $2,953 $200 – $12,115.40 Cataract removal with lens implant: 10 of 58 insurance plan rates Access Medical Group — Access Medical Group Commercial : $4,430.55 Access Medical Group — Access Medical Group Medicare : $2,953.70 Aetna — Coventry Workers Compensation : $3,774.30 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $1,441.87 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3,012.77 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP Community Medicare : $2,953.70 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $3,891.06 Anthem Blue Cross — Anthem Blue Cross Medi-Cal : $1,513.96 Anthem Blue Cross — Anthem Blue Cross Medi-Cal - IPA : $1,441.87 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medi-Cal : $1,441.87
Hospital stays (whole stay, MS-DRG) Service Hospital charge Cash price Insurance 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 $100,288 $48,150 – $181,723.20 Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 33 insurance plan rates Aetna — Coventry Workers Compensation : $165,343.29 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $96,974.56 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $165,343.29 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $95,073.10 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $95,073.10 Brand New Day — Brand New Day Medicare : $96,023.83 CORVEL — Corvel Worker Compensation : $161,934.15 Employer Direct Healthcare — Employer Direct Healthcare Commercial : $130,375.36 Health Net Of CA — Health Net Federal Services Tricare : $100,288.74 Health Net Of CA — Health Net Of CA Cal-Mediconnect : $100,288.74 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 $20,085 $7,650 – $36,394.07 Hip or knee replacement (major joint of the leg), without major complications: 10 of 34 insurance plan rates Aetna — Coventry Workers Compensation : $32,302.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $19,437.83 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $32,302.55 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $19,056.70 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $19,056.70 Brand New Day — Brand New Day Medicare : $19,247.27 CORVEL — Corvel Worker Compensation : $31,636.52 Employer Direct Healthcare — Employer Direct Healthcare Commercial : $26,110.54 Health Net Of CA — Health Net Federal Services Tricare : $20,085.03 Health Net Of CA — Health Net Of CA Cal-Mediconnect : $20,085.03 Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC Not listed in the file $25,317 $7,200 – $45,875.56 Neck (cervical) spinal fusion, without complications: 10 of 33 insurance plan rates Aetna — Coventry Workers Compensation : $40,558.42 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $24,496.42 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $40,558.42 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $24,016.10 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $24,016.10 Brand New Day — Brand New Day Medicare : $24,256.26 CORVEL — Corvel Worker Compensation : $39,722.16 Employer Direct Healthcare — Employer Direct Healthcare Commercial : $32,912.93 Health Net Of CA — Health Net Federal Services Tricare : $25,317.64 Health Net Of CA — Health Net Of CA Cal-Mediconnect : $25,317.64 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 CCMCC Not listed in the file $13,057 $6,750 – $24,673.21 Uterus and ovary surgery (not for cancer), without complications: 10 of 33 insurance plan rates Aetna — Coventry Workers Compensation : $20,536.16 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $12,643.61 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Worker Compensation : $20,536.16 Avanti Hospitals, LLC — Avanti Hospitals, LLC Medicare : $12,395.70 Blue Shield Of CA Triwest Healthcare CCN — Blue Shield Of CA TriWest Healthcare Community Care Network : $12,395.70 Brand New Day — Brand New Day Medicare : $12,519.66 CORVEL — Corvel Worker Compensation : $20,112.74 Employer Direct Healthcare — Employer Direct Healthcare Commercial : $16,974.31 Health Net Of CA — Health Net Federal Services Tricare : $13,057.16 Health Net Of CA — Health Net Of CA Cal-Mediconnect : $13,057.16
Source: Centinela Hospital Medical Center’s standard charges file (centinelamed.com, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 2026; 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.