Does Children's Hospital at Mission have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Children's Hospital at Mission. In a medical emergency, call 911.

Where is Children's Hospital at Mission?

27700 Medical Center Rd, 5th Floor, Mission Viejo, CA 92691, in Orange County, California.

What is the phone number of Children's Hospital at Mission?

(949) 365-2408, as listed by Medicare (CMS).

What is the Medicare star rating of Children's Hospital at Mission?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Children's Hospital at Mission — Mission Viejo, CA

Quick answers

Does Children's Hospital at Mission have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Children's Hospital at Mission. In a medical emergency, call 911.
Where is Children's Hospital at Mission?: 27700 Medical Center Rd, 5th Floor, Mission Viejo, CA 92691, in Orange County, California.
What is the phone number of Children's Hospital at Mission?: (949) 365-2408, as listed by Medicare (CMS).
What is the Medicare star rating of Children's Hospital at Mission?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][9][10]

Pediatric specialty care
Neonatology
Pediatric intensive care
Pediatric medical/surgical care
Pediatric emergency medicine

Programs and centers^[4][9][10]

Epilepsy Monitoring Unit
Pediatric Sleep Center
Eating Disorder Stabilization program
Level 3 NICU
Pediatric Intensive Care Unit
Pediatric emergency department
Pediatric trauma center
Neonatal intensive care unit (NICU), 22 beds, Level 3
Child life

Emergency care (hospital website)^[4][9][10]

Emergency room	Yes
Trauma designation	Level II Pediatric Trauma Center

Visiting and practical information

Visiting	Visiting hours 8 a.m.-8 p.m. daily; parents welcome 24/7^[5]
Parking	Upper campus lot and two parking structures; discounted parking for patient drivers, validation stamp at admission; rates not listed^[6]
Interpreters and languages	Language assistance notices offered in 15 languages^[4]
Patient portal	Mission Hospital MyChart

Recognition^[8][9]

Magnet Recognition (ANCC) - CHOC
The Joint Commission accredited - CHOC
Trauma center designated by the American College of Surgeons

Other emergency rooms nearby

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

Providence Mission Hospital0.0 mi · Mission Viejo, CA · Acute Care Hospital
Memorialcare Saddleback Medical Center3.9 mi · Laguna Hills, CA · Acute Care Hospital
Foothill Regional Medical Center15 mi · Tustin, CA · Acute Care Hospital
Hoag Memorial Hospital Presbyterian16 mi · Newport Beach, CA · Acute Care Hospital
Coastal Communities Hospital16 mi · Santa Ana, CA · Acute Care Hospital

Other hospitals nearby

Aliso Ridge Behavioral Health, LLC3.7 mi · Aliso Viejo, CA · Psychiatric Hospital
Hoag Orthopedic Institute9.2 mi · Irvine, CA · Acute Care Hospital
Encompass Health Rehabilitation Hospital of Tustin13 mi · Tustin, CA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Orchards Skilled Nursing0.5 mi · Rancho Mission Viejo, CA · 5 of 5 stars
Palm Terrace Healthcare & Rehabilitation Center3.5 mi · Laguna Hills, CA · 4 of 5 stars
Villa Valencia Healthcare Center3.9 mi · Laguna Hills, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

California Mission Hospice, LLC2.9 mi · Laguna Hills, CA
Care Plus Hospice2.9 mi · Laguna Hills, CA
Hospice of Hope2.9 mi · Laguna Beach, CA

All hospice providers in the state →

Home health agencies

Care Plus Home Health2.9 mi · Laguna Hills, CA
Ethics America, Inc2.9 mi · Laguna Hills, CA
Parentis Home Health2.9 mi · Laguna Hills, CA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Saddleback Dialysis2.9 mi · Laguna Hills, CA · 5 of 5 stars
SHC Laguna Hills2.9 mi · Laguna Hills, CA · 5 of 5 stars
Fresenius Medical Care Mission Viejo3.4 mi · Mission Viejo, CA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Alicia Surgery Center, LLC2.9 mi · Laguna Hills, CA
Digestive Disease Center2.9 mi · Laguna Hills, CA
Interventional Spine Center, Inc2.9 mi · Laguna Beach, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

CLCHC Family Health Center0.2 mi · Mission Viejo, CA · Community health center
CLCHC Family Health Center0.2 mi · Mission Viejo, CA · Community health center
CLCHC- Kristina Sergeyeva Family Health Center0.3 mi · Mission Viejo, CA · Community health center

Clinics and urgent care

American Current Care of California, a Medical Corporation2.9 mi · Laguna Hills, CA · Urgent care center
Dyer's Urgent Care Medical Clinic2.9 mi · Laguna Hills, CA · Urgent care center
Emergency Physicians Urgent Care Inc.2.9 mi · Laguna Hills, CA · Urgent care center

Pharmacies

Apotheco Pharmacy Laguna Hills LLC2.9 mi · Laguna Hills, CA · Community/retail pharmacy
Aspira Health Inc2.9 mi · Laguna Hills, CA · Pharmacy
BTT Enterprises2.9 mi · Laguna Hills, CA · Community/retail pharmacy

Assisted living nearby

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

A Royal Sweet Senior Home2.9 mi · Laguna Hills, CA
Aaa Laguna Hills Assistance Care Home2.9 mi · Laguna Hills, CA
Aberdeen Terrace2.9 mi · Laguna Hills, CA
Adair Loving Care2.9 mi · Laguna Hills, CA

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 Children's Hospital at Mission 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.

Not reported to Medicare

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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.

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Children's Hospital at Mission 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 →

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) · Hospital (facility) fee In the file: NEW PATIENT-30 MINUTE VISIT	$536	$536	$57.20 – $536
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $224.85 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $224.85 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $348.40 Affiliated Health Funds — Affiliated Health Funds PPO: $428.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $321.60 Arta Health Network — Arta Health Network HMO/POS In Net: $321.60 Beech Street Corporation — Beech Street PPO: $428.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $341.16 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $341.16 Blue Cross of California — Blue Cross of California Select PPO Out Net: $324.12
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT-30 MINUTE VISIT	$536	$536	$241.20 – $536
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $428.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $321.60 MultiPlan — MultiPlan PPO: $482.40 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $241.20 Other Payor — Other Payor: $536 PPO NEXT — PPO NEXT PPO: $428.80 Self Pay — Self Pay: $536
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PATIENT-15 MINUTE VISIT	$536	$536	$24 – $536
Established patient office visit (about 20–29 minutes): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $224.85 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $224.85 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $348.40 Affiliated Health Funds — Affiliated Health Funds PPO: $428.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $321.60 Arta Health Network — Arta Health Network HMO/POS In Net: $321.60 Beech Street Corporation — Beech Street PPO: $428.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $341.16 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $341.16 Blue Cross of California — Blue Cross of California Select PPO Out Net: $324.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PATIENT-15 MINUTE VISIT	$536	$536	$241.20 – $536
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $428.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $321.60 MultiPlan — MultiPlan PPO: $482.40 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $241.20 Other Payor — Other Payor: $536 PPO NEXT — PPO NEXT PPO: $428.80 Self Pay — Self Pay: $536
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PATIENT-25 MINUTE VISIT	$806	$806	$37.50 – $806
Established patient office visit (about 30–39 minutes): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $338.12 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $338.12 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $523.90 Affiliated Health Funds — Affiliated Health Funds PPO: $644.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $483.60 Arta Health Network — Arta Health Network HMO/POS In Net: $483.60 Beech Street Corporation — Beech Street PPO: $644.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $407 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $407 Blue Cross of California — Blue Cross of California Select PPO Out Net: $387
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC L&D TRIAGE LVL 4	$479	$479	$37.50 – $479
Established patient office visit (about 30–39 minutes): 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $200.94 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $200.94 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $311.35 Affiliated Health Funds — Affiliated Health Funds PPO: $383.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $287.40 Arta Health Network — Arta Health Network HMO/POS In Net: $287.40 Beech Street Corporation — Beech Street PPO: $383.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $304.88 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $304.88 Blue Cross of California — Blue Cross of California Select PPO Out Net: $289.65
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PATIENT-25 MINUTE VISIT	$806	$806	$362.70 – $806
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $644.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $483.60 MultiPlan — MultiPlan PPO: $725.40 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $362.70 Other Payor — Other Payor: $806 PPO NEXT — PPO NEXT PPO: $644.80 Self Pay — Self Pay: $806
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3 42320200	$2,610	$2,610	$44.60 – $2,610
Emergency room visit (moderate): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $997.28 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $997.28 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $1,696.50 Affiliated Health Funds — Affiliated Health Funds PPO: $2,088 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1,566 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $2,088 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,173 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,173 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1,114
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3 42320200	$2,610	$2,610	$1,174.50 – $2,610
Emergency room visit (moderate): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $2,088 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1,566 MultiPlan — MultiPlan PPO: $2,349 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $1,174.50 Other Payor — Other Payor: $2,610 PPO NEXT — PPO NEXT PPO: $2,088 Self Pay — Self Pay: $2,610
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4 42320218	$6,827	$6,827	$68.35 – $6,827
Emergency room visit (moderately high): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $2,608.60 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $2,608.60 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $4,437.55 Affiliated Health Funds — Affiliated Health Funds PPO: $5,461.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4,096.20 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $5,461.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,173 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,173 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1,114
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4 42320218	$6,827	$6,827	$3,072.15 – $6,827
Emergency room visit (moderately high): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $5,461.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4,096.20 MultiPlan — MultiPlan PPO: $6,144.30 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $3,072.15 Other Payor — Other Payor: $6,827 PPO NEXT — PPO NEXT PPO: $5,461.60 Self Pay — Self Pay: $6,827
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5 42320226	$8,706	$8,706	$108.08 – $8,706
Emergency room visit (high): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,326.56 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,326.56 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5,658.90 Affiliated Health Funds — Affiliated Health Funds PPO: $6,964.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,223.60 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $6,964.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,173 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,173 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1,114
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED EMERGENCY DEPT VISIT LEVEL V CDM	$8,706	$8,706	$108.08 – $8,706
Emergency room visit (high): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,326.56 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,326.56 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5,658.90 Affiliated Health Funds — Affiliated Health Funds PPO: $6,964.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,223.60 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $6,964.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,173 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,173 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1,114
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5 42320226	$8,706	$8,706	$3,917.70 – $8,706
Emergency room visit (high): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $6,964.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,223.60 MultiPlan — MultiPlan PPO: $7,835.40 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $3,917.70 Other Payor — Other Payor: $8,706 PPO NEXT — PPO NEXT PPO: $6,964.80 Self Pay — Self Pay: $8,706

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$425	$425	$7.27 – $425
Basic metabolic panel (blood test): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $101.08 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $101.08 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $276.25 Affiliated Health Funds — Affiliated Health Funds PPO: $340 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $255 Arta Health Network — Arta Health Network HMO/POS In Net: $255 Beech Street Corporation — Beech Street PPO: $340 Blue Cross of California — Blue Cross of California HMO/POS In Net: $37.63 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $37.63 Blue Cross of California — Blue Cross of California Select PPO Out Net: $35.75
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$425	$425	$191.25 – $425
Basic metabolic panel (blood test): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $340 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $255 MultiPlan — MultiPlan PPO: $382.50 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $191.25 Other Payor — Other Payor: $425 PPO NEXT — PPO NEXT PPO: $340 Self Pay — Self Pay: $425
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$1,014	$1,014	$9.19 – $1,014
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $126.24 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $126.24 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $659.10 Affiliated Health Funds — Affiliated Health Funds PPO: $811.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $608.40 Arta Health Network — Arta Health Network HMO/POS In Net: $608.40 Beech Street Corporation — Beech Street PPO: $811.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $47.06 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $47.06 Blue Cross of California — Blue Cross of California Select PPO Out Net: $44.70
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$1,014	$1,014	$456.30 – $1,014
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $811.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $608.40 MultiPlan — MultiPlan PPO: $912.60 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $456.30 Other Payor — Other Payor: $1,014 PPO NEXT — PPO NEXT PPO: $811.20 Self Pay — Self Pay: $1,014
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL # 30100541	$252	$252	$11.54 – $252
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $160 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $160 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $163.80 Affiliated Health Funds — Affiliated Health Funds PPO: $201.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $151.20 Arta Health Network — Arta Health Network HMO/POS In Net: $151.20 Beech Street Corporation — Beech Street PPO: $201.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $59.54 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $59.54 Blue Cross of California — Blue Cross of California Select PPO Out Net: $56.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL # 30100856	$158	$158	$11.54 – $160
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $160 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $160 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $102.70 Affiliated Health Funds — Affiliated Health Funds PPO: $126.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $94.80 Arta Health Network — Arta Health Network HMO/POS In Net: $94.80 Beech Street Corporation — Beech Street PPO: $126.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $59.54 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $59.54 Blue Cross of California — Blue Cross of California Select PPO Out Net: $56.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL WITH DIRECT LDL	$310	$310	$11.54 – $310
Cholesterol panel (lipid panel): 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $160 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $160 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $201.50 Affiliated Health Funds — Affiliated Health Funds PPO: $248 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $186 Arta Health Network — Arta Health Network HMO/POS In Net: $186 Beech Street Corporation — Beech Street PPO: $248 Blue Cross of California — Blue Cross of California HMO/POS In Net: $197.31 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $197.31 Blue Cross of California — Blue Cross of California Select PPO Out Net: $187.46
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PANEL 30112064	$361	$361	$7.60 – $361
Kidney function panel: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $103.77 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $103.77 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $234.65 Affiliated Health Funds — Affiliated Health Funds PPO: $288.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $216.60 Arta Health Network — Arta Health Network HMO/POS In Net: $216.60 Beech Street Corporation — Beech Street PPO: $288.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $38.59 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $38.59 Blue Cross of California — Blue Cross of California Select PPO Out Net: $36.66
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL PANEL 30112064	$361	$361	$162.45 – $361
Kidney function panel: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $288.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $216.60 MultiPlan — MultiPlan PPO: $324.90 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $162.45 Other Payor — Other Payor: $361 PPO NEXT — PPO NEXT PPO: $288.80 Self Pay — Self Pay: $361
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$550	$550	$6.38 – $550
Liver function panel: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $97.58 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $97.58 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $357.50 Affiliated Health Funds — Affiliated Health Funds PPO: $440 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $330 Arta Health Network — Arta Health Network HMO/POS In Net: $330 Beech Street Corporation — Beech Street PPO: $440 Blue Cross of California — Blue Cross of California HMO/POS In Net: $36.34 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $36.34 Blue Cross of California — Blue Cross of California Select PPO Out Net: $34.52
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$550	$550	$247.50 – $550
Liver function panel: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $440 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $330 MultiPlan — MultiPlan PPO: $495 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $247.50 Other Payor — Other Payor: $550 PPO NEXT — PPO NEXT PPO: $440 Self Pay — Self Pay: $550
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$180	$180	$2.77 – $180
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $37.75 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $37.75 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $117 Affiliated Health Funds — Affiliated Health Funds PPO: $144 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $108 Arta Health Network — Arta Health Network HMO/POS In Net: $108 Beech Street Corporation — Beech Street PPO: $144 Blue Cross of California — Blue Cross of California HMO/POS In Net: $13.59 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $13.59 Blue Cross of California — Blue Cross of California Select PPO Out Net: $12.91
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC	$197	$197	$2.77 – $197
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $37.75 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $37.75 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $128.05 Affiliated Health Funds — Affiliated Health Funds PPO: $157.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $118.20 Arta Health Network — Arta Health Network HMO/POS In Net: $118.20 Beech Street Corporation — Beech Street PPO: $157.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $13.59 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $13.59 Blue Cross of California — Blue Cross of California Select PPO Out Net: $12.91
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$180	$180	$81 – $180
Urine test (automated, with microscope): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $144 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $108 MultiPlan — MultiPlan PPO: $162 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $81 Other Payor — Other Payor: $180 PPO NEXT — PPO NEXT PPO: $144 Self Pay — Self Pay: $180
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSC	$377	$377	$2.15 – $377
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $30.56 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $30.56 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $245.05 Affiliated Health Funds — Affiliated Health Funds PPO: $301.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $226.20 Arta Health Network — Arta Health Network HMO/POS In Net: $226.20 Beech Street Corporation — Beech Street PPO: $301.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $10.57 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $10.57 Blue Cross of California — Blue Cross of California Select PPO Out Net: $10.04
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE DIPSTICK TESTING-NIU	$44	$44	$2.15 – $44
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $30.56 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $30.56 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $28.60 Affiliated Health Funds — Affiliated Health Funds PPO: $35.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $26.40 Arta Health Network — Arta Health Network HMO/POS In Net: $26.40 Beech Street Corporation — Beech Street PPO: $35.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $10.57 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $10.57 Blue Cross of California — Blue Cross of California Select PPO Out Net: $10.04
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE DIPSTICK TESTING-PES	$44	$44	$2.15 – $44
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $30.56 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $30.56 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $28.60 Affiliated Health Funds — Affiliated Health Funds PPO: $35.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $26.40 Arta Health Network — Arta Health Network HMO/POS In Net: $26.40 Beech Street Corporation — Beech Street PPO: $35.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $10.57 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $10.57 Blue Cross of California — Blue Cross of California Select PPO Out Net: $10.04
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$149	$149	$1.96 – $149
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $26.87 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $26.87 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $96.85 Affiliated Health Funds — Affiliated Health Funds PPO: $119.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $89.40 Arta Health Network — Arta Health Network HMO/POS In Net: $89.40 Beech Street Corporation — Beech Street PPO: $119.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $10 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $10 Blue Cross of California — Blue Cross of California Select PPO Out Net: $9.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA DIPSTICK ONLY	$164	$164	$1.96 – $164
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $26.87 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $26.87 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $106.60 Affiliated Health Funds — Affiliated Health Funds PPO: $131.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $98.40 Arta Health Network — Arta Health Network HMO/POS In Net: $98.40 Beech Street Corporation — Beech Street PPO: $131.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $10 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $10 Blue Cross of California — Blue Cross of California Select PPO Out Net: $9.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PH URINE	$164	$164	$1.96 – $164
Urine test (automated, without microscope): 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $26.87 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $26.87 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $106.60 Affiliated Health Funds — Affiliated Health Funds PPO: $131.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $98.40 Arta Health Network — Arta Health Network HMO/POS In Net: $98.40 Beech Street Corporation — Beech Street PPO: $131.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $104.39 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $104.39 Blue Cross of California — Blue Cross of California Select PPO Out Net: $99.17
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA SCREEN	$223	$223	$16.35 – $223
PSA (prostate specific antigen) blood test: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $219.83 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $219.83 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $144.95 Affiliated Health Funds — Affiliated Health Funds PPO: $178.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $133.80 Arta Health Network — Arta Health Network HMO/POS In Net: $133.80 Beech Street Corporation — Beech Street PPO: $178.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $141.94 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $141.94 Blue Cross of California — Blue Cross of California Select PPO Out Net: $134.85
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$3	$3	$1.35 – $219.83
PSA (prostate specific antigen) blood test: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $219.83 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $219.83 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $1.95 Affiliated Health Funds — Affiliated Health Funds PPO: $2.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1.80 Arta Health Network — Arta Health Network HMO/POS In Net: $1.80 Beech Street Corporation — Beech Street PPO: $2.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1.91 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1.91 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1.81
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC AG DIAGNOST	$21	$21	$9.45 – $219.83
PSA (prostate specific antigen) blood test: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $219.83 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $219.83 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $13.65 Affiliated Health Funds — Affiliated Health Funds PPO: $16.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $12.60 Arta Health Network — Arta Health Network HMO/POS In Net: $12.60 Beech Street Corporation — Beech Street PPO: $16.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $13.37 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $13.37 Blue Cross of California — Blue Cross of California Select PPO Out Net: $12.70
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$262	$262	$14.76 – $262
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $200.65 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $200.65 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $170.30 Affiliated Health Funds — Affiliated Health Funds PPO: $209.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $157.20 Arta Health Network — Arta Health Network HMO/POS In Net: $157.20 Beech Street Corporation — Beech Street PPO: $209.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $74.72 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $74.72 Blue Cross of California — Blue Cross of California Select PPO Out Net: $70.98
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH REFLEX FREE T4	$262	$262	$14.76 – $262
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $200.65 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $200.65 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $170.30 Affiliated Health Funds — Affiliated Health Funds PPO: $209.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $157.20 Arta Health Network — Arta Health Network HMO/POS In Net: $157.20 Beech Street Corporation — Beech Street PPO: $209.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $74.72 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $74.72 Blue Cross of California — Blue Cross of California Select PPO Out Net: $70.98
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$9	$9	$4.05 – $200.65
Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $200.65 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $200.65 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5.85 Affiliated Health Funds — Affiliated Health Funds PPO: $7.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5.40 Arta Health Network — Arta Health Network HMO/POS In Net: $5.40 Beech Street Corporation — Beech Street PPO: $7.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $5.73 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $5.73 Blue Cross of California — Blue Cross of California Select PPO Out Net: $5.44
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFFERENTIAL	$237	$237	$6.75 – $237
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $92.89 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $92.89 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $154.05 Affiliated Health Funds — Affiliated Health Funds PPO: $189.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $142.20 Arta Health Network — Arta Health Network HMO/POS In Net: $142.20 Beech Street Corporation — Beech Street PPO: $189.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $34.57 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $34.57 Blue Cross of California — Blue Cross of California Select PPO Out Net: $32.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC # 30	$184	$184	$6.75 – $184
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $92.89 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $92.89 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $119.60 Affiliated Health Funds — Affiliated Health Funds PPO: $147.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $110.40 Arta Health Network — Arta Health Network HMO/POS In Net: $110.40 Beech Street Corporation — Beech Street PPO: $147.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $34.57 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $34.57 Blue Cross of California — Blue Cross of California Select PPO Out Net: $32.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC CBC W/DIFF	$237	$237	$6.75 – $237
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $92.89 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $92.89 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $154.05 Affiliated Health Funds — Affiliated Health Funds PPO: $189.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $142.20 Arta Health Network — Arta Health Network HMO/POS In Net: $142.20 Beech Street Corporation — Beech Street PPO: $189.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $34.57 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $34.57 Blue Cross of California — Blue Cross of California Select PPO Out Net: $32.85
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC NO DIFFERENTIAL	$133	$133	$5.71 – $133
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $77.30 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $77.30 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $86.45 Affiliated Health Funds — Affiliated Health Funds PPO: $106.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $79.80 Arta Health Network — Arta Health Network HMO/POS In Net: $79.80 Beech Street Corporation — Beech Street PPO: $106.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $28.77 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $28.77 Blue Cross of California — Blue Cross of California Select PPO Out Net: $27.33
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED # 30500147	$102	$102	$5.71 – $102
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $77.30 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $77.30 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $66.30 Affiliated Health Funds — Affiliated Health Funds PPO: $81.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $61.20 Arta Health Network — Arta Health Network HMO/POS In Net: $61.20 Beech Street Corporation — Beech Street PPO: $81.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $28.77 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $28.77 Blue Cross of California — Blue Cross of California Select PPO Out Net: $27.33
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC NO DIFFERENTIAL	$133	$133	$59.85 – $133
Complete blood count (CBC), automated: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $106.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $79.80 MultiPlan — MultiPlan PPO: $119.70 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $59.85 Other Payor — Other Payor: $133 PPO NEXT — PPO NEXT PPO: $106.40 Self Pay — Self Pay: $133
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME #	$8	$8	$3.49 – $46.94
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $46.94 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $46.94 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5.20 Affiliated Health Funds — Affiliated Health Funds PPO: $6.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4.80 Arta Health Network — Arta Health Network HMO/POS In Net: $4.80 Beech Street Corporation — Beech Street PPO: $6.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $5.09 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $5.09 Blue Cross of California — Blue Cross of California Select PPO Out Net: $4.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME INR	$208	$208	$3.49 – $208
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $46.94 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $46.94 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $135.20 Affiliated Health Funds — Affiliated Health Funds PPO: $166.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $124.80 Arta Health Network — Arta Health Network HMO/POS In Net: $124.80 Beech Street Corporation — Beech Street PPO: $166.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $17.51 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $17.51 Blue Cross of California — Blue Cross of California Select PPO Out Net: $16.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT 1:1 MIXING STUDIES	$208	$208	$3.49 – $208
Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $46.94 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $46.94 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $135.20 Affiliated Health Funds — Affiliated Health Funds PPO: $166.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $124.80 Arta Health Network — Arta Health Network HMO/POS In Net: $124.80 Beech Street Corporation — Beech Street PPO: $166.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $132.39 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $132.39 Blue Cross of California — Blue Cross of California Select PPO Out Net: $125.78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$8	$8	$3.60 – $71.71
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $71.71 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $71.71 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5.20 Affiliated Health Funds — Affiliated Health Funds PPO: $6.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4.80 Arta Health Network — Arta Health Network HMO/POS In Net: $4.80 Beech Street Corporation — Beech Street PPO: $6.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $5.09 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $5.09 Blue Cross of California — Blue Cross of California Select PPO Out Net: $4.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$235	$235	$5.34 – $235
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $71.71 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $71.71 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $152.75 Affiliated Health Funds — Affiliated Health Funds PPO: $188 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $141 Arta Health Network — Arta Health Network HMO/POS In Net: $141 Beech Street Corporation — Beech Street PPO: $188 Blue Cross of California — Blue Cross of California HMO/POS In Net: $26.70 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $26.70 Blue Cross of California — Blue Cross of California Select PPO Out Net: $25.37
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACTIVATED PTT	$12	$12	$5.34 – $71.71
Blood clotting test (partial thromboplastin time, PTT): 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $71.71 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $71.71 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $7.80 Affiliated Health Funds — Affiliated Health Funds PPO: $9.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $7.20 Arta Health Network — Arta Health Network HMO/POS In Net: $7.20 Beech Street Corporation — Beech Street PPO: $9.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $7.64 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $7.64 Blue Cross of California — Blue Cross of California Select PPO Out Net: $7.26

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) · Hospital (facility) fee In the file: CT HEAD BRAIN WO CON	$7,559	$7,559	$101.27 – $7,559
CT scan of the head or brain, without contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,099.19 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,099.19 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $4,913.35 Affiliated Health Funds — Affiliated Health Funds PPO: $6,047.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4,535.40 Arta Health Network — Arta Health Network HMO/POS In Net: $325 Beech Street Corporation — Beech Street PPO: $6,047.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $596.01 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $596.01 Blue Cross of California — Blue Cross of California Select PPO Out Net: $566.20
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD BRAIN WO CON	$7,559	$7,559	$3,401.55 – $7,559
CT scan of the head or brain, without contrast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $6,047.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4,535.40 MultiPlan — MultiPlan PPO: $6,803.10 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $3,401.55 Other Payor — Other Payor: $7,559 PPO NEXT — PPO NEXT PPO: $6,047.20 Self Pay — Self Pay: $7,559
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN WO W CON	$14,485	$14,485	$311.06 – $14,485
MRI of the brain, before and after contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $5,938.85 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $5,938.85 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $9,415.25 Affiliated Health Funds — Affiliated Health Funds PPO: $11,588 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $8,691 Arta Health Network — Arta Health Network HMO/POS In Net: $500 Beech Street Corporation — Beech Street PPO: $11,588 Blue Cross of California — Blue Cross of California HMO/POS In Net: $2,773.24 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $2,773.24 Blue Cross of California — Blue Cross of California Select PPO Out Net: $2,634.55
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN WO W CON	$14,485	$14,485	$6,518.25 – $14,485
MRI of the brain, before and after contrast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $11,588 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $8,691 MultiPlan — MultiPlan PPO: $13,036.50 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $6,518.25 Other Payor — Other Payor: $14,485 PPO NEXT — PPO NEXT PPO: $11,588 Self Pay — Self Pay: $14,485
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$1,610	$1,610	$27.47 – $1,610
Chest X-ray, 2 views: 10 of 62 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $189.47 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $189.47 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $1,046.50 Affiliated Health Funds — Affiliated Health Funds PPO: $1,288 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $966 Arta Health Network — Arta Health Network HMO/POS In Net: $966 Beech Street Corporation — Beech Street PPO: $1,288 Blue Cross of California — Blue Cross of California HMO/POS In Net: $105.19 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $105.19 Blue Cross of California — Blue Cross of California Select PPO Out Net: $99.93
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$1,610	$1,610	$724.50 – $1,610
Chest X-ray, 2 views: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $1,288 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $966 MultiPlan — MultiPlan PPO: $1,449 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $724.50 Other Payor — Other Payor: $1,610 PPO NEXT — PPO NEXT PPO: $1,288 Self Pay — Self Pay: $1,610
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE 4+ VIEWS	$1,610	$1,610	$43.85 – $1,610
X-ray of the lower spine, at least 4 views: 10 of 62 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $415.89 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $415.89 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $1,046.50 Affiliated Health Funds — Affiliated Health Funds PPO: $1,288 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $966 Arta Health Network — Arta Health Network HMO/POS In Net: $966 Beech Street Corporation — Beech Street PPO: $1,288 Blue Cross of California — Blue Cross of California HMO/POS In Net: $116.45 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $116.45 Blue Cross of California — Blue Cross of California Select PPO Out Net: $110.62
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE 4+ VIEWS	$1,610	$1,610	$724.50 – $1,610
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $1,288 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $966 MultiPlan — MultiPlan PPO: $1,449 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $724.50 Other Payor — Other Payor: $1,610 PPO NEXT — PPO NEXT PPO: $1,288 Self Pay — Self Pay: $1,610
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LUMBAR SPINE WO CON	$8,462	$8,462	$186 – $8,462
MRI of the lower back (lumbar spine), without contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,469.42 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,469.42 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5,500.30 Affiliated Health Funds — Affiliated Health Funds PPO: $6,769.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,077.20 Arta Health Network — Arta Health Network HMO/POS In Net: $500 Beech Street Corporation — Beech Street PPO: $6,769.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,561.26 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,561.26 Blue Cross of California — Blue Cross of California Select PPO Out Net: $5,116.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE LIMITED 61210010	$5,399	$5,399	$186 – $5,399
MRI of the lower back (lumbar spine), without contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $2,213.59 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $2,213.59 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $3,509.35 Affiliated Health Funds — Affiliated Health Funds PPO: $4,319.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $3,239.40 Arta Health Network — Arta Health Network HMO/POS In Net: $500 Beech Street Corporation — Beech Street PPO: $4,319.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,561.26 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,561.26 Blue Cross of California — Blue Cross of California Select PPO Out Net: $3,264.78
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LUMBAR SPINE WO CON	$8,462	$8,462	$3,807.90 – $8,462
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $6,769.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,077.20 MultiPlan — MultiPlan PPO: $7,615.80 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $3,807.90 Other Payor — Other Payor: $8,462 PPO NEXT — PPO NEXT PPO: $6,769.60 Self Pay — Self Pay: $8,462
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$8,121	$8,121	$125 – $8,121
CT scan of the pelvis, with contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,329.61 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,329.61 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5,278.65 Affiliated Health Funds — Affiliated Health Funds PPO: $6,496.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4,872.60 Arta Health Network — Arta Health Network HMO/POS In Net: $400 Beech Street Corporation — Beech Street PPO: $6,496.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $861.56 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $861.56 Blue Cross of California — Blue Cross of California Select PPO Out Net: $818.47
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$8,121	$8,121	$3,654.45 – $8,121
CT scan of the pelvis, with contrast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $6,496.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $4,872.60 MultiPlan — MultiPlan PPO: $7,308.90 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $3,654.45 Other Payor — Other Payor: $8,121 PPO NEXT — PPO NEXT PPO: $6,496.80 Self Pay — Self Pay: $8,121
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LOWER EXT JNT WO CON LT	$9,251	$9,251	$196.92 – $9,251
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,792.91 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,792.91 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $6,013.15 Affiliated Health Funds — Affiliated Health Funds PPO: $7,400.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,550.60 Arta Health Network — Arta Health Network HMO/POS In Net: $500 Beech Street Corporation — Beech Street PPO: $7,400.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,403.08 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,403.08 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1,332.92
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LOWER EXT JNT WO CON LT	$9,251	$9,251	$4,162.95 – $9,251
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $7,400.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,550.60 MultiPlan — MultiPlan PPO: $8,325.90 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $4,162.95 Other Payor — Other Payor: $9,251 PPO NEXT — PPO NEXT PPO: $7,400.80 Self Pay — Self Pay: $9,251
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$8,992	$8,992	$281.80 – $8,992
CT scan of the abdomen and pelvis, with contrast: 10 of 63 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $3,686.72 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $3,686.72 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $5,844.80 Affiliated Health Funds — Affiliated Health Funds PPO: $7,193.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,395.20 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $7,193.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $904.82 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $904.82 Blue Cross of California — Blue Cross of California Select PPO Out Net: $859.57
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$8,992	$8,992	$4,046.40 – $8,992
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $7,193.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $5,395.20 MultiPlan — MultiPlan PPO: $8,092.80 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $4,046.40 Other Payor — Other Payor: $8,992 PPO NEXT — PPO NEXT PPO: $7,193.60 Self Pay — Self Pay: $8,992
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$3,864	$3,864	$83.20 – $3,864
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $999.47 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $999.47 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $2,511.60 Affiliated Health Funds — Affiliated Health Funds PPO: $3,091.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,318.40 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $3,091.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $251.39 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $251.39 Blue Cross of California — Blue Cross of California Select PPO Out Net: $238.82
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$3,864	$3,864	$1,738.80 – $3,864
Ultrasound of the abdomen, complete: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $3,091.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,318.40 MultiPlan — MultiPlan PPO: $3,477.60 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $1,738.80 Other Payor — Other Payor: $3,864 PPO NEXT — PPO NEXT PPO: $3,091.20 Self Pay — Self Pay: $3,864
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG=>14WKS SNGL GESTATION	$2,660	$2,660	$94.32 – $2,660
Pregnancy ultrasound (after the first trimester): 10 of 62 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $999.47 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $999.47 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $1,729 Affiliated Health Funds — Affiliated Health Funds PPO: $2,128 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1,596 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $2,128 Blue Cross of California — Blue Cross of California HMO/POS In Net: $260.79 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $260.79 Blue Cross of California — Blue Cross of California Select PPO Out Net: $247.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PREG=>14WKS SNGL GESTATION	$2,660	$2,660	$1,197 – $2,660
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $2,128 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1,596 MultiPlan — MultiPlan PPO: $2,394 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $1,197 Other Payor — Other Payor: $2,660 PPO NEXT — PPO NEXT PPO: $2,128 Self Pay — Self Pay: $2,660
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$2,960	$2,960	$67.65 – $2,960
Transvaginal ultrasound: 10 of 62 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $949.93 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $949.93 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $1,924 Affiliated Health Funds — Affiliated Health Funds PPO: $2,368 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1,776 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $2,368 Blue Cross of California — Blue Cross of California HMO/POS In Net: $195.15 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $195.15 Blue Cross of California — Blue Cross of California Select PPO Out Net: $185.39
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$2,960	$2,960	$1,332 – $2,960
Transvaginal ultrasound: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $2,368 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $1,776 MultiPlan — MultiPlan PPO: $2,664 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $1,332 Other Payor — Other Payor: $2,960 PPO NEXT — PPO NEXT PPO: $2,368 Self Pay — Self Pay: $2,960
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNILAT INCL CAD	$549	$549	$101.25 – $931.15
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $931.15 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $931.15 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $356.85 Affiliated Health Funds — Affiliated Health Funds PPO: $439.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $329.40 Arta Health Network — Arta Health Network HMO/POS In Net: $329.40 Beech Street Corporation — Beech Street PPO: $439.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $346.14 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $346.14 Blue Cross of California — Blue Cross of California Select PPO Out Net: $328.83
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNILAT INCL CAD	$549	$549	$247.05 – $549
Diagnostic mammogram, one breast: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $439.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $329.40 MultiPlan — MultiPlan PPO: $494.10 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $247.05 Other Payor — Other Payor: $549 PPO NEXT — PPO NEXT PPO: $439.20 Self Pay — Self Pay: $549
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BILAT INCL CAD	$681	$681	$129.05 – $1,191.53
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $1,191.53 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $1,191.53 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $442.65 Affiliated Health Funds — Affiliated Health Funds PPO: $544.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $408.60 Arta Health Network — Arta Health Network HMO/POS In Net: $408.60 Beech Street Corporation — Beech Street PPO: $544.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $443.13 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $443.13 Blue Cross of California — Blue Cross of California Select PPO Out Net: $420.97
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BILAT INCL CAD	$681	$681	$306.45 – $681
Diagnostic mammogram, both breasts: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $544.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $408.60 MultiPlan — MultiPlan PPO: $612.90 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $306.45 Other Payor — Other Payor: $681 PPO NEXT — PPO NEXT PPO: $544.80 Self Pay — Self Pay: $681
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN BILAT INCL CAD	$353	$353	$106.82 – $983.99
Screening mammogram, both breasts: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $983.99 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $983.99 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $229.45 Affiliated Health Funds — Affiliated Health Funds PPO: $282.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $211.80 Arta Health Network — Arta Health Network HMO/POS In Net: $211.80 Beech Street Corporation — Beech Street PPO: $282.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $338.39 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $338.39 Blue Cross of California — Blue Cross of California Select PPO Out Net: $321.48
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN BILAT INCL CAD	$353	$353	$158.85 – $353
Screening mammogram, both breasts: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $282.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $211.80 MultiPlan — MultiPlan PPO: $317.70 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $158.85 Other Payor — Other Payor: $353 PPO NEXT — PPO NEXT PPO: $282.40 Self Pay — Self Pay: $353

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$24,185	$24,185	$762.86 – $24,185
Left heart catheterization (diagnostic): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $10,145.61 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $10,145.61 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $15,720.25 Affiliated Health Funds — Affiliated Health Funds PPO: $19,348 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $14,511 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $19,348 Blue Cross of California — Blue Cross of California HMO/POS In Net: $20,952 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $20,952 Blue Cross of California — Blue Cross of California Select PPO Out Net: $19,904
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$24,185	$24,185	$10,883.25 – $24,185
Left heart catheterization (diagnostic): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $19,348 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $14,511 MultiPlan — MultiPlan PPO: $21,766.50 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $10,883.25 Other Payor — Other Payor: $24,185 PPO NEXT — PPO NEXT PPO: $19,348 Self Pay — Self Pay: $24,185
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEI	$53,549	$53,549	$880.47 – $53,549
Heart rhythm study with ablation for atrial fibrillation: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $22,463.81 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $22,463.81 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $34,806.85 Affiliated Health Funds — Affiliated Health Funds PPO: $42,839.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $32,129.40 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $42,839.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $13,148 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $51,332.07 Blue Cross of California — Blue Cross of California Select PPO Out Net: $11,375.55
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEI	$53,549	$53,549	$24,097.05 – $53,549
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $42,839.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $32,129.40 MultiPlan — MultiPlan PPO: $48,194.10 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $24,097.05 Other Payor — Other Payor: $53,549 PPO NEXT — PPO NEXT PPO: $42,839.20 Self Pay — Self Pay: $53,549
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY > 6 YRS	$14,140	$14,140	$348.07 – $14,140
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $5,931.73 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $5,931.73 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $9,191 Affiliated Health Funds — Affiliated Health Funds PPO: $11,312 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $8,484 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $11,312 Blue Cross of California — Blue Cross of California HMO/POS In Net: $861.74 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $861.74 Blue Cross of California — Blue Cross of California Select PPO Out Net: $8,550.46
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAM REDUCED SERVICE	$3,734	$3,734	$348.07 – $3,734
Sleep study (overnight, in a sleep lab): 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $1,566.41 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $1,566.41 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $2,427.10 Affiliated Health Funds — Affiliated Health Funds PPO: $2,987.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,240.40 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $2,987.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $2,376.69 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $2,376.69 Blue Cross of California — Blue Cross of California Select PPO Out Net: $2,257.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAM REDUCED SERVICE	$3,734	$3,734	$1,680.30 – $3,734
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $2,987.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,240.40 MultiPlan — MultiPlan PPO: $3,360.60 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $1,680.30 Other Payor — Other Payor: $3,734 PPO NEXT — PPO NEXT PPO: $2,987.20 Self Pay — Self Pay: $3,734

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) · Hospital (facility) fee In the file: PT THER PX EXERCISE EA 15 MIN	$390	$390	$10.96 – $824
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $163.61 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $163.61 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $253.50 Affiliated Health Funds — Affiliated Health Funds PPO: $312 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $234 Beech Street Corporation — Beech Street PPO: $312 Blue Cross of California — Blue Cross of California HMO/POS In Net: $824 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $824 Blue Cross of California — Blue Cross of California Select PPO Out Net: $783 Blue Cross of California — Blue Cross of California VIVITY HMO In Net: $493
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT THER PX EXERCISE EA 15 MIN	$390	$390	$175.50 – $390
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $312 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $234 MultiPlan — MultiPlan PPO: $351 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $175.50 Other Payor — Other Payor: $390 PPO NEXT — PPO NEXT PPO: $312 Self Pay — Self Pay: $390
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVALUATION LOW COMPLEXITY 98086648	$409	$409	$108.80 – $824
Physical therapy evaluation (low complexity): 10 of 53 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $171.58 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $171.58 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $265.85 Affiliated Health Funds — Affiliated Health Funds PPO: $327.20 AltaMed Health Services — AltaMed Health Services: $184.05 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $245.40 Beech Street Corporation — Beech Street PPO: $327.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $824 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $824 Blue Cross of California — Blue Cross of California Select PPO Out Net: $783
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION LOW COMPLEXITY 98086648	$409	$409	$184.05 – $409
Physical therapy evaluation (low complexity): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $327.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $245.40 MultiPlan — MultiPlan PPO: $368.10 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $184.05 Other Payor — Other Payor: $409 PPO NEXT — PPO NEXT PPO: $327.20 Self Pay — Self Pay: $409
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MEDOERATE COMPLEXITY	$613	$613	$108.80 – $824
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $257.15 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $257.15 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $398.45 Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 AltaMed Health Services — AltaMed Health Services: $275.85 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 Beech Street Corporation — Beech Street PPO: $490.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $824 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $824 Blue Cross of California — Blue Cross of California Select PPO Out Net: $783
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MEDOERATE COMPLEXITY	$613	$613	$275.85 – $613
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 MultiPlan — MultiPlan PPO: $551.70 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $275.85 Other Payor — Other Payor: $613 PPO NEXT — PPO NEXT PPO: $490.40 Self Pay — Self Pay: $613
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVALUATION HIGH COMPLEXITY 98089287	$855	$855	$108.80 – $855
Physical therapy evaluation (high complexity): 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $358.67 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $358.67 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $555.75 Affiliated Health Funds — Affiliated Health Funds PPO: $684 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $513 Beech Street Corporation — Beech Street PPO: $684 Blue Cross of California — Blue Cross of California HMO/POS In Net: $824 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $824 Blue Cross of California — Blue Cross of California Select PPO Out Net: $783 Blue Cross of California — Blue Cross of California VIVITY HMO In Net: $493
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION HIGH COMPLEXITY 98089287	$855	$855	$384.75 – $855
Physical therapy evaluation (high complexity): rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $684 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $513 MultiPlan — MultiPlan PPO: $769.50 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $384.75 Other Payor — Other Payor: $855 PPO NEXT — PPO NEXT PPO: $684 Self Pay — Self Pay: $855
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CD	$461	$461	$52.87 – $461
Psychotherapy, 30 minutes: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $193.39 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $193.39 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $299.65 Affiliated Health Funds — Affiliated Health Funds PPO: $368.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $276.60 Arta Health Network — Arta Health Network HMO/POS In Net: $276.60 Beech Street Corporation — Beech Street PPO: $368.80 Blue Cross of California — Blue Cross of California HMO/POS In Net: $293.43 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $293.43 Blue Cross of California — Blue Cross of California Select PPO Out Net: $278.77
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY INDIVIDUAL 30 MN	$417	$417	$52.87 – $417
Psychotherapy, 30 minutes: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $174.93 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $174.93 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $271.05 Affiliated Health Funds — Affiliated Health Funds PPO: $333.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $250.20 Arta Health Network — Arta Health Network HMO/POS In Net: $250.20 Beech Street Corporation — Beech Street PPO: $333.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $265.42 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $265.42 Blue Cross of California — Blue Cross of California Select PPO Out Net: $252.16
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CD	$461	$461	$207.45 – $461
Psychotherapy, 30 minutes: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $368.80 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $276.60 MultiPlan — MultiPlan PPO: $414.90 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $207.45 Other Payor — Other Payor: $461 PPO NEXT — PPO NEXT PPO: $368.80 Self Pay — Self Pay: $461
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY INDIV W/PATIENT 45 MINUTES	$613	$613	$67.16 – $613
Psychotherapy, 45 minutes: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $257.15 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $257.15 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $398.45 Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 Arta Health Network — Arta Health Network HMO/POS In Net: $367.80 Beech Street Corporation — Beech Street PPO: $490.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $390.17 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $390.17 Blue Cross of California — Blue Cross of California Select PPO Out Net: $370.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CD	$680	$680	$67.16 – $680
Psychotherapy, 45 minutes: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $285.26 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $285.26 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $442 Affiliated Health Funds — Affiliated Health Funds PPO: $544 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $408 Arta Health Network — Arta Health Network HMO/POS In Net: $408 Beech Street Corporation — Beech Street PPO: $544 Blue Cross of California — Blue Cross of California HMO/POS In Net: $432.82 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $432.82 Blue Cross of California — Blue Cross of California Select PPO Out Net: $411.20
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY INDIV W/PATIENT 45 MINUTES	$613	$613	$275.85 – $613
Psychotherapy, 45 minutes: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 MultiPlan — MultiPlan PPO: $551.70 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $275.85 Other Payor — Other Payor: $613 PPO NEXT — PPO NEXT PPO: $490.40 Self Pay — Self Pay: $613
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CD	$897	$897	$98.02 – $897
Psychotherapy, 60 minutes: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $376.29 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $376.29 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $583.05 Affiliated Health Funds — Affiliated Health Funds PPO: $717.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $538.20 Arta Health Network — Arta Health Network HMO/POS In Net: $538.20 Beech Street Corporation — Beech Street PPO: $717.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $570.94 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $570.94 Blue Cross of California — Blue Cross of California Select PPO Out Net: $542.42
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPYINDIVID 1 HOUR	$807	$807	$98.02 – $807
Psychotherapy, 60 minutes: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $338.54 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $338.54 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $524.55 Affiliated Health Funds — Affiliated Health Funds PPO: $645.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $484.20 Arta Health Network — Arta Health Network HMO/POS In Net: $484.20 Beech Street Corporation — Beech Street PPO: $645.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $513.66 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $513.66 Blue Cross of California — Blue Cross of California Select PPO Out Net: $487.99
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CD	$897	$897	$403.65 – $897
Psychotherapy, 60 minutes: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $717.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $538.20 MultiPlan — MultiPlan PPO: $807.30 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $403.65 Other Payor — Other Payor: $897 PPO NEXT — PPO NEXT PPO: $717.60 Self Pay — Self Pay: $897
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYTX W/PATIENT	$613	$613	$89.65 – $613
Family psychotherapy, with the patient: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $257.15 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $257.15 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $398.45 Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 Arta Health Network — Arta Health Network HMO/POS In Net: $367.80 Beech Street Corporation — Beech Street PPO: $490.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $390.17 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $390.17 Blue Cross of California — Blue Cross of California Select PPO Out Net: $370.68
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESEN	$613	$613	$89.65 – $613
Family psychotherapy, with the patient: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $257.15 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $257.15 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $398.45 Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 Arta Health Network — Arta Health Network HMO/POS In Net: $367.80 Beech Street Corporation — Beech Street PPO: $490.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $390.17 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $390.17 Blue Cross of California — Blue Cross of California Select PPO Out Net: $370.68
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYTX W/PATIENT	$613	$613	$275.85 – $613
Family psychotherapy, with the patient: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $490.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $367.80 MultiPlan — MultiPlan PPO: $551.70 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $275.85 Other Payor — Other Payor: $613 PPO NEXT — PPO NEXT PPO: $490.40 Self Pay — Self Pay: $613
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$669	$669	$3.47 – $669
Group psychotherapy: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $280.65 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $280.65 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $434.85 Affiliated Health Funds — Affiliated Health Funds PPO: $535.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $401.40 Arta Health Network — Arta Health Network HMO/POS In Net: $401.40 Beech Street Corporation — Beech Street PPO: $535.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $425.82 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $425.82 Blue Cross of California — Blue Cross of California Select PPO Out Net: $404.54
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY IOP	$567	$567	$3.47 – $567
Group psychotherapy: 10 of 58 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $237.86 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $237.86 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $368.55 Affiliated Health Funds — Affiliated Health Funds PPO: $453.60 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $340.20 Arta Health Network — Arta Health Network HMO/POS In Net: $340.20 Beech Street Corporation — Beech Street PPO: $453.60 Blue Cross of California — Blue Cross of California HMO/POS In Net: $360.90 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $360.90 Blue Cross of California — Blue Cross of California Select PPO Out Net: $342.86
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$669	$669	$301.05 – $669
Group psychotherapy: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $535.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $401.40 MultiPlan — MultiPlan PPO: $602.10 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $301.05 Other Payor — Other Payor: $669 PPO NEXT — PPO NEXT PPO: $535.20 Self Pay — Self Pay: $669

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$4,499	$4,499	$220.03 – $4,499
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $1,719.07 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $1,719.07 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $2,924.35 Affiliated Health Funds — Affiliated Health Funds PPO: $3,599.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,699.40 Arta Health Network — Arta Health Network HMO/POS In Net: $1,200 Beech Street Corporation — Beech Street PPO: $3,599.20 Blue Cross of California — Blue Cross of California HMO/POS In Net: $1,173 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $1,173 Blue Cross of California — Blue Cross of California Select PPO Out Net: $1,114
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$4,499	$4,499	$2,024.55 – $4,499
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $3,599.20 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,699.40 MultiPlan — MultiPlan PPO: $4,049.10 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $2,024.55 Other Payor — Other Payor: $4,499 PPO NEXT — PPO NEXT PPO: $3,599.20 Self Pay — Self Pay: $4,499
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPI LUMB SACRAL	$3,408	$3,408	$143.34 – $3,891
Nerve root injection, lower back, with imaging guidance: 10 of 62 insurance plan rates Aetna US Healthcare — Aetna US Healthcare HMO/POS In Net: $1,588.13 Aetna US Healthcare — Aetna US Healthcare PPO/POS Out Net: $1,588.13 Affiliated Doctors of Orange County — Affiliated Doctors of Orange County HMO/POS In Net: $2,215.20 Affiliated Health Funds — Affiliated Health Funds PPO: $2,726.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,044.80 Arta Health Network — Arta Health Network HMO/POS In Net: $2,044.80 Beech Street Corporation — Beech Street PPO: $2,726.40 Blue Cross of California — Blue Cross of California HMO/POS In Net: $3,891 Blue Cross of California — Blue Cross of California PPO/POS Out Net: $3,266.91 Blue Cross of California — Blue Cross of California Select PPO Out Net: $3,365.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ FORAMEN EPI LUMB SACRAL	$3,408	$3,408	$1,533.60 – $3,408
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Affiliated Health Funds — Affiliated Health Funds PPO: $2,726.40 Anaheim Memorial Medical Center — Anaheim Memorial Medical Center: $2,044.80 MultiPlan — MultiPlan PPO: $3,067.20 Office of Refugee Resettlement-Point Comfort — Point Comfort Underwriters Inc: $1,533.60 Other Payor — Other Payor: $3,408 PPO NEXT — PPO NEXT PPO: $2,726.40 Self Pay — Self Pay: $3,408

Source: Children's Hospital at Mission’s standard charges file (choc.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 18, 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.

Hospital information

Hospital type	Children's Hospital
Address	27700 Medical Center Rd, 5th Floor, Mission Viejo, CA 92691
County	Orange County
State	California
Phone	(949) 365‑2408
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	053306
Name in Medicare records	CHILDREN'S HOSPITAL AT MISSION
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(949) 347‑8400^[4]
Name on the hospital’s website	CHOC at Mission Hospital
Official website	choc.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

CHOC at Mission Hospital - Children's Hospital of Orange County — choc.org
Visiting hours guidelines — choc.org
Parking information — choc.org
Honors and awards — choc.org
Emergency and Trauma - Children's Hospital of Orange County — choc.org
Pediatric Emergency Department at CHOC at Mission Hospital — choc.org