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Acute Care Hospital

Clovis Community Medical Center

Clovis, California · Fresno County · Emergency services listed

Summary

Clovis Community Medical Center is an acute care hospital in Clovis, California. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 38 services, specialties and programs. Medicare lists 929 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(559) 324‑4000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
929Doctors and clinicians
38Services listed

Quick answers

Does Clovis Community Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Clovis Community Medical Center. In a medical emergency, call 911.
Where is Clovis Community Medical Center?
2755 Herndon Ave, Clovis, CA 93611, in Fresno County, California.
What is the phone number of Clovis Community Medical Center?
(559) 324-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Clovis Community Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][7]

Treatments[4][7]

Procedures[4][7]

Programs and centers[4][5]

  • Marjorie E. Radin Breast Care Center
  • Leon S. & Pete P. Peters Future Generations Center
  • Dedicated Endoscopy Center
  • Primary Stroke Center (Joint Commission)
  • Hip and Knee Joint Replacement Center of Excellence
  • Bariatric surgery program (MBSAQIP accredited)
  • John C. Harris Wound Healing Center

Emergency care (hospital website)[4][5][7][9]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (The Joint Commission)

Visiting and practical information

VisitingGeneral visiting hours 8 a.m.-10 p.m., with some unit-specific hours[4]
ParkingSeveral lots on campus plus four-story self-parking garages on the east and west sides[4]
Interpreters and languagesLanguage Assistance page available[4]
Patient portalMyHealthMate (MyChart)

Recognition[4][5][8]

  • The Joint Commission Gold Seal of Approval
  • Primary Stroke Center (The Joint Commission)
  • AHA Get With The Guidelines Stroke Gold Plus (2026)
  • Joint Commission Hip and Knee Joint Replacement certification
  • Robotic Surgery Center of Excellence (Surgical Review Corporation, 2019)
  • Bariatric surgery accreditation (MBSAQIP)
  • U.S. News High Performing, Leukemia, Lymphoma & Myeloma (2025-2026)
  • The Joint Commission Disease Specific Certification for Hip and Knee Joint Replacement

Doctors and clinicians (929)

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

Main specialties

Doctors with a page on this site (929)

And 905 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital80%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean80%National average: 74%
Area around the room “always” quiet at night52%National average: 60%
Completed surveys441Response rate: 26%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.922No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.651No different from the national benchmark
Surgical site infections after colon surgery1.509No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.449No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.692Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients13.4%
Deaths within 30 days: heart failure patients14%
Deaths within 30 days: pneumonia patients17.6%
Deaths within 30 days: COPD patients9.1%
Deaths within 30 days: stroke patients9.6%
Deaths within 30 days: coronary bypass surgery (CABG)2.4%
Serious complications (patient safety indicator PSI-90)1.16No different from the national rate
Complications after hip or knee replacement3.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.3%
Readmitted within 30 days: heart failure23%
Readmitted within 30 days: pneumonia17.8%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery9.6%
Readmitted within 30 days: hip or knee replacement5.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)242 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)76%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in CaliforniaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Clovis Community Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $101.27 – $261.53
New patient office visit (about 30–44 minutes): 10 of 96 insurance plan rates
  • AARP — Medicare Complete Out of Area: $121.64
  • AARP — Medicare Complete UHC Sante: $121.64
  • Advantek — Table Mountain Rancheria Tribal Member: $121.64
  • Adventist — MCL CALVIVA SUB CAP: $167.10
  • Aetna — Medicare Advantage: $121.64
  • Aetna — Medicare HMO for CHP: $121.64
  • Aetna — Medicare HMO for Non-CHP: $127.73
  • Aetna — PPO: $121.64
  • Alameda Alliance for Health — Managed Medi-Cal: $101.27
  • Alignment Health Plan — Medicare Advantage: $133.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $151.90 – $393.53
New patient office visit (about 45–59 minutes): 10 of 96 insurance plan rates
  • AARP — Medicare Complete Out of Area: $183.04
  • AARP — Medicare Complete UHC Sante: $183.04
  • Advantek — Table Mountain Rancheria Tribal Member: $183.04
  • Adventist — MCL CALVIVA SUB CAP: $250.64
  • Aetna — Medicare Advantage: $183.04
  • Aetna — Medicare HMO for CHP: $183.04
  • Aetna — Medicare HMO for Non-CHP: $192.19
  • Aetna — PPO: $183.04
  • Alameda Alliance for Health — Managed Medi-Cal: $151.90
  • Alignment Health Plan — Medicare Advantage: $201.34
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $197.98 – $523.69
New patient office visit (about 60–74 minutes): 10 of 96 insurance plan rates
  • AARP — Medicare Complete Out of Area: $243.58
  • AARP — Medicare Complete UHC Sante: $243.58
  • Advantek — Table Mountain Rancheria Tribal Member: $243.58
  • Adventist — MCL CALVIVA SUB CAP: $326.67
  • Aetna — Medicare Advantage: $243.58
  • Aetna — Medicare HMO for CHP: $243.58
  • Aetna — Medicare HMO for Non-CHP: $255.76
  • Aetna — PPO: $243.58
  • Alameda Alliance for Health — Managed Medi-Cal: $197.98
  • Alignment Health Plan — Medicare Advantage: $267.94
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $82.02 – $213.32
Established patient office visit (about 20–29 minutes): 10 of 96 insurance plan rates
  • AARP — Medicare Complete Out of Area: $99.22
  • AARP — Medicare Complete UHC Sante: $99.22
  • Advantek — Table Mountain Rancheria Tribal Member: $99.22
  • Adventist — MCL CALVIVA SUB CAP: $135.33
  • Aetna — Medicare Advantage: $99.22
  • Aetna — Medicare HMO for CHP: $99.22
  • Aetna — Medicare HMO for Non-CHP: $104.18
  • Aetna — PPO: $99.22
  • Alameda Alliance for Health — Managed Medi-Cal: $82.02
  • Alignment Health Plan — Medicare Advantage: $109.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $115.88 – $303.02
Established patient office visit (about 30–39 minutes): 10 of 96 insurance plan rates
  • AARP — Medicare Complete Out of Area: $140.94
  • AARP — Medicare Complete UHC Sante: $140.94
  • Advantek — Table Mountain Rancheria Tribal Member: $140.94
  • Adventist — MCL CALVIVA SUB CAP: $191.20
  • Aetna — Medicare Advantage: $140.94
  • Aetna — Medicare HMO for CHP: $140.94
  • Aetna — Medicare HMO for Non-CHP: $147.99
  • Aetna — PPO: $140.94
  • Alameda Alliance for Health — Managed Medi-Cal: $115.88
  • Alignment Health Plan — Medicare Advantage: $155.04
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $116.56 – $250.60
Office consultation with a specialist (moderate): 10 of 67 insurance plan rates
  • AARP — Medicare Complete Out of Area: $116.56
  • AARP — Medicare Complete UHC Sante: $116.56
  • Advantek — Table Mountain Rancheria Tribal Member: $116.56
  • Aetna — Medicare Advantage: $116.56
  • Aetna — Medicare HMO for CHP: $116.56
  • Aetna — Medicare HMO for Non-CHP: $122.39
  • Aetna — PPO: $116.56
  • Alignment Health Plan — Medicare Advantage: $128.22
  • Blue Cross — Medicare Advantage: $116.56
  • Blue Shield — Medicare Advantage: $116.56
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $166.17 – $357.27
Office consultation with a specialist (moderate to high): 10 of 67 insurance plan rates
  • AARP — Medicare Complete Out of Area: $166.17
  • AARP — Medicare Complete UHC Sante: $166.17
  • Advantek — Table Mountain Rancheria Tribal Member: $166.17
  • Aetna — Medicare Advantage: $166.17
  • Aetna — Medicare HMO for CHP: $166.17
  • Aetna — Medicare HMO for Non-CHP: $174.48
  • Aetna — PPO: $166.17
  • Alignment Health Plan — Medicare Advantage: $182.79
  • Blue Cross — Medicare Advantage: $166.17
  • Blue Shield — Medicare Advantage: $166.17
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $140.22 – $301.47
Preventive checkup, new patient, age 18–39: 10 of 67 insurance plan rates
  • AARP — Medicare Complete Out of Area: $140.22
  • AARP — Medicare Complete UHC Sante: $140.22
  • Advantek — Table Mountain Rancheria Tribal Member: $140.22
  • Aetna — Medicare Advantage: $140.22
  • Aetna — Medicare HMO for CHP: $140.22
  • Aetna — Medicare HMO for Non-CHP: $147.23
  • Aetna — PPO: $140.22
  • Alignment Health Plan — Medicare Advantage: $154.24
  • Blue Cross — Medicare Advantage: $140.22
  • Blue Shield — Medicare Advantage: $140.22
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $161.64 – $347.52
Preventive checkup, new patient, age 40–64: 10 of 67 insurance plan rates
  • AARP — Medicare Complete Out of Area: $161.64
  • AARP — Medicare Complete UHC Sante: $161.64
  • Advantek — Table Mountain Rancheria Tribal Member: $161.64
  • Aetna — Medicare Advantage: $161.64
  • Aetna — Medicare HMO for CHP: $161.64
  • Aetna — Medicare HMO for Non-CHP: $169.72
  • Aetna — PPO: $161.64
  • Alignment Health Plan — Medicare Advantage: $177.80
  • Blue Cross — Medicare Advantage: $161.64
  • Blue Shield — Medicare Advantage: $161.64
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED- LIMITED TRMT RM #3 $2,812 $2,812 $44.60 – $4,098
Emergency room visit (moderate): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $351.09
  • AARP — Medicare Complete UHC Sante: $351.09
  • Advantek — Table Mountain Rancheria Tribal Member: $351.09
  • Adventist — MCL CALVIVA SUB CAP: $73.59
  • Aetna — HMOPOSPPO: $4,098
  • Aetna — Medicare Advantage: $351.09
  • Aetna — Medicare HMO for CHP: $351.09
  • Aetna — Medicare HMO for Non-CHP: $368.65
  • Aetna — PPO: $351.09
  • Aetna — Qualified Health Plan: $2,388
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM Not listed in the file Not listed in the file $2,249 – $2,708
Emergency room visit (moderate): rates for 5 insurance plans
  • United Healthcare — HMO: $2,249
  • United Healthcare — PPO: $2,708
  • Cigna — HMO: 55.54% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 62.02% (a percentage in the contract, not a dollar amount)
  • HealthNet — HMOEPOPPO: 59.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED-INTERMEDIATE #4 $4,326 $4,326 $68.35 – $4,098
Emergency room visit (moderately high): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $536.67
  • AARP — Medicare Complete UHC Sante: $536.67
  • Advantek — Table Mountain Rancheria Tribal Member: $536.67
  • Adventist — MCL CALVIVA SUB CAP: $112.78
  • Aetna — HMOPOSPPO: $4,098
  • Aetna — Medicare Advantage: $536.67
  • Aetna — Medicare HMO for CHP: $536.67
  • Aetna — Medicare HMO for Non-CHP: $563.50
  • Aetna — PPO: $536.67
  • Aetna — Qualified Health Plan: $2,496
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM Not listed in the file Not listed in the file $2,249 – $2,708
Emergency room visit (moderately high): rates for 5 insurance plans
  • United Healthcare — HMO: $2,249
  • United Healthcare — PPO: $2,708
  • Cigna — HMO: 55.54% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 62.02% (a percentage in the contract, not a dollar amount)
  • HealthNet — HMOEPOPPO: 59.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED-EXTENDED #5 $6,502 $6,502 $108.08 – $6,532
Emergency room visit (high): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $765.95
  • AARP — Medicare Complete UHC Sante: $765.95
  • Advantek — Table Mountain Rancheria Tribal Member: $765.95
  • Adventist — MCL CALVIVA SUB CAP: $178.33
  • Aetna — HMOPOSPPO: $6,532
  • Aetna — Medicare Advantage: $765.95
  • Aetna — Medicare HMO for CHP: $765.95
  • Aetna — Medicare HMO for Non-CHP: $804.25
  • Aetna — PPO: $765.95
  • Aetna — Qualified Health Plan: $4,539
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM Not listed in the file Not listed in the file $2,249 – $2,708
Emergency room visit (high): rates for 5 insurance plans
  • United Healthcare — HMO: $2,249
  • United Healthcare — PPO: $2,708
  • Cigna — HMO: 55.54% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 62.02% (a percentage in the contract, not a dollar amount)
  • HealthNet — HMOEPOPPO: 59.8% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $187 $187 $7.27 – $158.95
Basic metabolic panel (blood test): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $8.46
  • AARP — Medicare Complete UHC Sante: $8.46
  • Advantek — Table Mountain Rancheria Tribal Member: $8.46
  • Adventist — MCL CALVIVA SUB CAP: $12
  • Aetna — HMOPOSPPO: $93.50
  • Aetna — Medicare Advantage: $8.46
  • Aetna — Medicare HMO for CHP: $8.46
  • Aetna — Medicare HMO for Non-CHP: $8.88
  • Aetna — PPO: $8.46
  • Aetna — Qualified Health Plan: $93.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $210 $210 $9.19 – $178.50
Comprehensive metabolic panel (blood test): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $10.56
  • AARP — Medicare Complete UHC Sante: $10.56
  • Advantek — Table Mountain Rancheria Tribal Member: $10.56
  • Adventist — MCL CALVIVA SUB CAP: $15.16
  • Aetna — HMOPOSPPO: $53.68
  • Aetna — Medicare Advantage: $10.56
  • Aetna — Medicare HMO for CHP: $10.56
  • Aetna — Medicare HMO for Non-CHP: $11.09
  • Aetna — PPO: $10.56
  • Aetna — Qualified Health Plan: $42.70
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $42.70 – $53.68
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Aetna — HMOPOSPPO: $53.68
  • Aetna — Qualified Health Plan: $42.70
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $35.83 – $102.79
Obstetric blood test panel: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $47.81
  • AARP — Medicare Complete UHC Sante: $47.81
  • Advantek — Table Mountain Rancheria Tribal Member: $47.81
  • Adventist — MCL CALVIVA SUB CAP: $59.12
  • Aetna — HMOPOSPPO: $230.12
  • Aetna — Medicare Advantage: $47.81
  • Aetna — Medicare HMO for CHP: $47.81
  • Aetna — Medicare HMO for Non-CHP: $50.20
  • Aetna — PPO: $47.81
  • Aetna — Qualified Health Plan: $183.03
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIO IQ LIPID;Q $8 $8 $1.74 – $68.08
Cholesterol panel (lipid panel): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $13.39
  • AARP — Medicare Complete UHC Sante: $13.39
  • Advantek — Table Mountain Rancheria Tribal Member: $13.39
  • Adventist — MCL CALVIVA SUB CAP: $19.04
  • Aetna — HMOPOSPPO: $68.08
  • Aetna — Medicare Advantage: $13.39
  • Aetna — Medicare HMO for CHP: $13.39
  • Aetna — Medicare HMO for Non-CHP: $14.06
  • Aetna — PPO: $13.39
  • Aetna — Qualified Health Plan: $54.15
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $193 $193 $11.54 – $164.05
Cholesterol panel (lipid panel): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $13.39
  • AARP — Medicare Complete UHC Sante: $13.39
  • Advantek — Table Mountain Rancheria Tribal Member: $13.39
  • Adventist — MCL CALVIVA SUB CAP: $19.04
  • Aetna — HMOPOSPPO: $68.08
  • Aetna — Medicare Advantage: $13.39
  • Aetna — Medicare HMO for CHP: $13.39
  • Aetna — Medicare HMO for Non-CHP: $14.06
  • Aetna — PPO: $13.39
  • Aetna — Qualified Health Plan: $54.15
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL Not listed in the file Not listed in the file $54.15 – $68.08
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Aetna — HMOPOSPPO: $68.08
  • Aetna — Qualified Health Plan: $54.15
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $282 $282 $7.60 – $239.70
Kidney function panel: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $8.68
  • AARP — Medicare Complete UHC Sante: $8.68
  • Advantek — Table Mountain Rancheria Tribal Member: $8.68
  • Adventist — MCL CALVIVA SUB CAP: $12.54
  • Aetna — HMOPOSPPO: $44.11
  • Aetna — Medicare Advantage: $8.68
  • Aetna — Medicare HMO for CHP: $8.68
  • Aetna — Medicare HMO for Non-CHP: $9.11
  • Aetna — PPO: $8.68
  • Aetna — Qualified Health Plan: $35.08
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $208 $208 $6.38 – $176.80
Liver function panel: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $8.17
  • AARP — Medicare Complete UHC Sante: $8.17
  • Advantek — Table Mountain Rancheria Tribal Member: $8.17
  • Adventist — MCL CALVIVA SUB CAP: $10.53
  • Aetna — HMOPOSPPO: $41.50
  • Aetna — Medicare Advantage: $8.17
  • Aetna — Medicare HMO for CHP: $8.17
  • Aetna — Medicare HMO for Non-CHP: $8.58
  • Aetna — PPO: $8.17
  • Aetna — Qualified Health Plan: $33.01
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO $107 $107 $2.77 – $90.95
Urine test (automated, with microscope): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $3.17
  • AARP — Medicare Complete UHC Sante: $3.17
  • Advantek — Table Mountain Rancheria Tribal Member: $3.17
  • Adventist — MCL CALVIVA SUB CAP: $4.57
  • Aetna — HMOPOSPPO: $53.50
  • Aetna — Medicare Advantage: $3.17
  • Aetna — Medicare HMO for CHP: $3.17
  • Aetna — Medicare HMO for Non-CHP: $3.33
  • Aetna — PPO: $3.17
  • Aetna — Qualified Health Plan: $53.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $2.15 – $7.49
Urine test (manual, without microscope): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $3.48
  • AARP — Medicare Complete UHC Sante: $3.48
  • Advantek — Table Mountain Rancheria Tribal Member: $3.48
  • Adventist — MCL CALVIVA SUB CAP: $3.55
  • Aetna — HMOPOSPPO: $13.01
  • Aetna — Medicare Advantage: $3.48
  • Aetna — Medicare HMO for CHP: $3.48
  • Aetna — Medicare HMO for Non-CHP: $3.65
  • Aetna — PPO: $3.48
  • Aetna — Qualified Health Plan: $10.35
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE SPECIFIC GRAVITY $91 $91 $1.96 – $77.35
Urine test (automated, without microscope): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $2.25
  • AARP — Medicare Complete UHC Sante: $2.25
  • Advantek — Table Mountain Rancheria Tribal Member: $2.25
  • Adventist — MCL CALVIVA SUB CAP: $3.23
  • Aetna — HMOPOSPPO: $11.40
  • Aetna — Medicare Advantage: $2.25
  • Aetna — Medicare HMO for CHP: $2.25
  • Aetna — Medicare HMO for Non-CHP: $2.36
  • Aetna — PPO: $2.25
  • Aetna — Qualified Health Plan: $9.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $9.07 – $11.40
Urine test (automated, without microscope): rates for 2 insurance plans
  • Aetna — HMOPOSPPO: $11.40
  • Aetna — Qualified Health Plan: $9.07
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA PROSTATE SPECIFIC AG TOTAL;Q $22 $22 $4.78 – $53.94
PSA (prostate specific antigen) blood test: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $18.39
  • AARP — Medicare Complete UHC Sante: $18.39
  • Advantek — Table Mountain Rancheria Tribal Member: $18.39
  • Adventist — MCL CALVIVA SUB CAP: $26.98
  • Aetna — HMOPOSPPO: $11
  • Aetna — Medicare Advantage: $18.39
  • Aetna — Medicare HMO for CHP: $18.39
  • Aetna — Medicare HMO for Non-CHP: $19.31
  • Aetna — PPO: $18.39
  • Aetna — Qualified Health Plan: $11
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA PROSTATE SPECIFIC ANTIGEN $183 $183 $16.35 – $155.55
PSA (prostate specific antigen) blood test: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $18.39
  • AARP — Medicare Complete UHC Sante: $18.39
  • Advantek — Table Mountain Rancheria Tribal Member: $18.39
  • Adventist — MCL CALVIVA SUB CAP: $26.98
  • Aetna — HMOPOSPPO: $91.50
  • Aetna — Medicare Advantage: $18.39
  • Aetna — Medicare HMO for CHP: $18.39
  • Aetna — Medicare HMO for Non-CHP: $19.31
  • Aetna — PPO: $18.39
  • Aetna — Qualified Health Plan: $91.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $244 $244 $14.76 – $207.40
Thyroid stimulating hormone (TSH) test: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $16.80
  • AARP — Medicare Complete UHC Sante: $16.80
  • Advantek — Table Mountain Rancheria Tribal Member: $16.80
  • Adventist — MCL CALVIVA SUB CAP: $24.35
  • Aetna — HMOPOSPPO: $122
  • Aetna — Medicare Advantage: $16.80
  • Aetna — Medicare HMO for CHP: $16.80
  • Aetna — Medicare HMO for Non-CHP: $17.64
  • Aetna — PPO: $16.80
  • Aetna — Qualified Health Plan: $122
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH NAPS;NB $28.25 $28.25 $6.14 – $49.27
Thyroid stimulating hormone (TSH) test: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $16.80
  • AARP — Medicare Complete UHC Sante: $16.80
  • Advantek — Table Mountain Rancheria Tribal Member: $16.80
  • Adventist — MCL CALVIVA SUB CAP: $24.35
  • Aetna — HMOPOSPPO: $14.12
  • Aetna — Medicare Advantage: $16.80
  • Aetna — Medicare HMO for CHP: $16.80
  • Aetna — Medicare HMO for Non-CHP: $17.64
  • Aetna — PPO: $16.80
  • Aetna — Qualified Health Plan: $14.12
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTOMATED DIFF $158 $158 $6.75 – $134.30
Complete blood count (CBC) with differential: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $7.77
  • AARP — Medicare Complete UHC Sante: $7.77
  • Advantek — Table Mountain Rancheria Tribal Member: $7.77
  • Adventist — MCL CALVIVA SUB CAP: $11.14
  • Aetna — HMOPOSPPO: $39.50
  • Aetna — Medicare Advantage: $7.77
  • Aetna — Medicare HMO for CHP: $7.77
  • Aetna — Medicare HMO for Non-CHP: $8.16
  • Aetna — PPO: $7.77
  • Aetna — Qualified Health Plan: $31.42
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file Not listed in the file $31.42 – $39.50
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Aetna — HMOPOSPPO: $39.50
  • Aetna — Qualified Health Plan: $31.42
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM W/PLT CT $117 $117 $5.71 – $99.45
Complete blood count (CBC), automated: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $6.47
  • AARP — Medicare Complete UHC Sante: $6.47
  • Advantek — Table Mountain Rancheria Tribal Member: $6.47
  • Adventist — MCL CALVIVA SUB CAP: $9.42
  • Aetna — HMOPOSPPO: $58.50
  • Aetna — Medicare Advantage: $6.47
  • Aetna — Medicare HMO for CHP: $6.47
  • Aetna — Medicare HMO for Non-CHP: $6.79
  • Aetna — PPO: $6.47
  • Aetna — Qualified Health Plan: $58.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $117 $117 $3.49 – $99.45
Blood clotting time test (prothrombin time, PT): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $4.29
  • AARP — Medicare Complete UHC Sante: $4.29
  • Advantek — Table Mountain Rancheria Tribal Member: $4.29
  • Adventist — MCL CALVIVA SUB CAP: $5.76
  • Aetna — HMOPOSPPO: $19.97
  • Aetna — Medicare Advantage: $4.29
  • Aetna — Medicare HMO for CHP: $4.29
  • Aetna — Medicare HMO for Non-CHP: $4.50
  • Aetna — PPO: $4.29
  • Aetna — Qualified Health Plan: $15.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN $163 $163 $5.34 – $138.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $6.01
  • AARP — Medicare Complete UHC Sante: $6.01
  • Advantek — Table Mountain Rancheria Tribal Member: $6.01
  • Adventist — MCL CALVIVA SUB CAP: $8.81
  • Aetna — HMOPOSPPO: $81.50
  • Aetna — Medicare Advantage: $6.01
  • Aetna — Medicare HMO for CHP: $6.01
  • Aetna — Medicare HMO for Non-CHP: $6.31
  • Aetna — PPO: $6.01
  • Aetna — Qualified Health Plan: $81.50

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEAD COMPLETE W/O CONTRAS $3,016 $3,016 $101.27 – $2,563.60
CT scan of the head or brain, without contrast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $134.46
  • AARP — Medicare Complete UHC Sante: $134.46
  • Advantek — Table Mountain Rancheria Tribal Member: $134.46
  • Adventist — MCL CALVIVA SUB CAP: $167.10
  • Aetna — HMOPOSPPO: $618.22
  • Aetna — Medicare Advantage: $134.46
  • Aetna — Medicare HMO for CHP: $134.46
  • Aetna — Medicare HMO for Non-CHP: $141.19
  • Aetna — PPO: $134.46
  • Aetna — Qualified Health Plan: $491.74
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-BRAIN W/&W/O CONTRAST $8,632 $8,632 $311.06 – $7,337.20
MRI of the brain, before and after contrast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $448.71
  • AARP — Medicare Complete UHC Sante: $448.71
  • Advantek — Table Mountain Rancheria Tribal Member: $448.71
  • Adventist — MCL CALVIVA SUB CAP: $513.25
  • Aetna — HMOPOSPPO: $4,316
  • Aetna — Medicare Advantage: $448.71
  • Aetna — Medicare HMO for CHP: $448.71
  • Aetna — Medicare HMO for Non-CHP: $471.15
  • Aetna — PPO: $448.71
  • Aetna — Qualified Health Plan: $4,316
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $1,345
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Network by Design — PPO: $1,345
  • Humana — Choice Care PPO: 75% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY EXAM CHEST 2 VIEWS $621 $621 $27.48 – $527.85
Chest X-ray, 2 views: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $111.93
  • AARP — Medicare Complete UHC Sante: $111.93
  • Advantek — Table Mountain Rancheria Tribal Member: $111.93
  • Adventist — MCL CALVIVA SUB CAP: $45.34
  • Aetna — HMOPOSPPO: $77.95
  • Aetna — Medicare Advantage: $111.93
  • Aetna — Medicare HMO for CHP: $111.93
  • Aetna — Medicare HMO for Non-CHP: $117.53
  • Aetna — PPO: $111.93
  • Aetna — Qualified Health Plan: $62
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY-SPINE LUMBAR MIN 4 VIEW $1,136 $1,136 $43.85 – $965.60
X-ray of the lower spine, at least 4 views: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $134.46
  • AARP — Medicare Complete UHC Sante: $134.46
  • Advantek — Table Mountain Rancheria Tribal Member: $134.46
  • Adventist — MCL CALVIVA SUB CAP: $72.35
  • Aetna — HMOPOSPPO: $159.12
  • Aetna — Medicare Advantage: $134.46
  • Aetna — Medicare HMO for CHP: $134.46
  • Aetna — Medicare HMO for Non-CHP: $141.19
  • Aetna — PPO: $134.46
  • Aetna — Qualified Health Plan: $126.57
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-L-SPINE W/O CONTRAST $5,128 $5,128 $186 – $4,358.80
MRI of the lower back (lumbar spine), without contrast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $306.88
  • AARP — Medicare Complete UHC Sante: $306.88
  • Advantek — Table Mountain Rancheria Tribal Member: $306.88
  • Adventist — MCL CALVIVA SUB CAP: $306.90
  • Aetna — HMOPOSPPO: $2,564
  • Aetna — Medicare Advantage: $306.88
  • Aetna — Medicare HMO for CHP: $306.88
  • Aetna — Medicare HMO for Non-CHP: $322.23
  • Aetna — PPO: $306.88
  • Aetna — Qualified Health Plan: $2,564
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $1,345
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Network by Design — PPO: $1,345
  • Humana — Choice Care PPO: 75% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W/CONTRAST $5,402 $5,402 $204.45 – $4,591.70
CT scan of the pelvis, with contrast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $225.59
  • AARP — Medicare Complete UHC Sante: $225.59
  • Advantek — Table Mountain Rancheria Tribal Member: $225.59
  • Adventist — MCL CALVIVA SUB CAP: $337.34
  • Aetna — HMOPOSPPO: $945.95
  • Aetna — Medicare Advantage: $225.59
  • Aetna — Medicare HMO for CHP: $225.59
  • Aetna — Medicare HMO for Non-CHP: $236.87
  • Aetna — PPO: $225.59
  • Aetna — Qualified Health Plan: $752.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-TOES W/O CONTRAST $5,850 $5,850 $196.92 – $4,972.50
MRI of a leg joint (such as the knee), without contrast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $306.88
  • AARP — Medicare Complete UHC Sante: $306.88
  • Advantek — Table Mountain Rancheria Tribal Member: $306.88
  • Adventist — MCL CALVIVA SUB CAP: $324.92
  • Aetna — HMOPOSPPO: $2,925
  • Aetna — Medicare Advantage: $306.88
  • Aetna — Medicare HMO for CHP: $306.88
  • Aetna — Medicare HMO for Non-CHP: $322.23
  • Aetna — PPO: $306.88
  • Aetna — Qualified Health Plan: $2,925
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $1,345
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Network by Design — PPO: $1,345
  • Humana — Choice Care PPO: 75% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST $7,488 $7,488 $281.80 – $6,364.80
CT scan of the abdomen and pelvis, with contrast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $448.71
  • AARP — Medicare Complete UHC Sante: $448.71
  • Advantek — Table Mountain Rancheria Tribal Member: $448.71
  • Adventist — MCL CALVIVA SUB CAP: $464.97
  • Aetna — HMOPOSPPO: $1,001.50
  • Aetna — Medicare Advantage: $448.71
  • Aetna — Medicare HMO for CHP: $448.71
  • Aetna — Medicare HMO for Non-CHP: $471.15
  • Aetna — PPO: $448.71
  • Aetna — Qualified Health Plan: $796.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-ABDOMEN COMPLETE $1,791 $1,791 $83.20 – $1,522.35
Ultrasound of the abdomen, complete: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $134.46
  • AARP — Medicare Complete UHC Sante: $134.46
  • Advantek — Table Mountain Rancheria Tribal Member: $134.46
  • Adventist — MCL CALVIVA SUB CAP: $137.28
  • Aetna — HMOPOSPPO: $382.58
  • Aetna — Medicare Advantage: $134.46
  • Aetna — Medicare HMO for CHP: $134.46
  • Aetna — Medicare HMO for Non-CHP: $141.19
  • Aetna — PPO: $134.46
  • Aetna — Qualified Health Plan: $304.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-PREGNANCY 14-17 WEEKS $1,451 $1,451 $127.94 – $1,233.35
Pregnancy ultrasound (after the first trimester): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $134.46
  • AARP — Medicare Complete UHC Sante: $134.46
  • Advantek — Table Mountain Rancheria Tribal Member: $134.46
  • Adventist — MCL CALVIVA SUB CAP: $211.10
  • Aetna — HMOPOSPPO: $725.50
  • Aetna — Medicare Advantage: $134.46
  • Aetna — Medicare HMO for CHP: $134.46
  • Aetna — Medicare HMO for Non-CHP: $141.19
  • Aetna — PPO: $134.46
  • Aetna — Qualified Health Plan: $725.50
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC US TRANSVAGINAL NON OB $1,211 $1,211 $67.65 – $1,029.35
Transvaginal ultrasound: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $134.46
  • AARP — Medicare Complete UHC Sante: $134.46
  • Advantek — Table Mountain Rancheria Tribal Member: $134.46
  • Adventist — MCL CALVIVA SUB CAP: $111.62
  • Aetna — HMOPOSPPO: $363.62
  • Aetna — Medicare Advantage: $134.46
  • Aetna — Medicare HMO for CHP: $134.46
  • Aetna — Medicare HMO for Non-CHP: $141.19
  • Aetna — PPO: $134.46
  • Aetna — Qualified Health Plan: $289.22
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL ULTRASOUND $1,211 $1,211 $67.65 – $1,029.35
Transvaginal ultrasound: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $134.46
  • AARP — Medicare Complete UHC Sante: $134.46
  • Advantek — Table Mountain Rancheria Tribal Member: $134.46
  • Adventist — MCL CALVIVA SUB CAP: $111.62
  • Aetna — HMOPOSPPO: $363.62
  • Aetna — Medicare Advantage: $134.46
  • Aetna — Medicare HMO for CHP: $134.46
  • Aetna — Medicare HMO for Non-CHP: $141.19
  • Aetna — PPO: $134.46
  • Aetna — Qualified Health Plan: $289.22
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $654 $654 $117.08 – $555.90
Diagnostic mammogram, one breast: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $132.61
  • AARP — Medicare Complete UHC Sante: $132.61
  • Advantek — Table Mountain Rancheria Tribal Member: $132.61
  • Adventist — MCL CALVIVA SUB CAP: $193.18
  • Aetna — HMOPOSPPO: $378.80
  • Aetna — Medicare Advantage: $132.61
  • Aetna — Medicare HMO for CHP: $132.61
  • Aetna — Medicare HMO for Non-CHP: $139.24
  • Aetna — PPO: $132.61
  • Aetna — Qualified Health Plan: $301.30
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $904 $904 $148.03 – $768.40
Diagnostic mammogram, both breasts: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $167.97
  • AARP — Medicare Complete UHC Sante: $167.97
  • Advantek — Table Mountain Rancheria Tribal Member: $167.97
  • Adventist — MCL CALVIVA SUB CAP: $244.25
  • Aetna — HMOPOSPPO: $484.76
  • Aetna — Medicare Advantage: $167.97
  • Aetna — Medicare HMO for CHP: $167.97
  • Aetna — Medicare HMO for Non-CHP: $176.37
  • Aetna — PPO: $167.97
  • Aetna — Qualified Health Plan: $385.58
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $598 $598 $119.45 – $508.30
Screening mammogram, both breasts: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $135.49
  • AARP — Medicare Complete UHC Sante: $135.49
  • Advantek — Table Mountain Rancheria Tribal Member: $135.49
  • Adventist — MCL CALVIVA SUB CAP: $197.09
  • Aetna — HMOPOSPPO: $400.29
  • Aetna — Medicare Advantage: $135.49
  • Aetna — Medicare HMO for CHP: $135.49
  • Aetna — Medicare HMO for Non-CHP: $142.26
  • Aetna — PPO: $135.49
  • Aetna — Qualified Health Plan: $318.39

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $16.02 – $133.18
Electrocardiogram (ECG/EKG) with reading: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $16.02
  • AARP — Medicare Complete UHC Sante: $16.02
  • Advantek — Table Mountain Rancheria Tribal Member: $16.02
  • Adventist — MCL CALVIVA SUB CAP: $47.36
  • Aetna — HMOPOSPPO: $133.18
  • Aetna — Medicare Advantage: $16.02
  • Aetna — Medicare HMO for CHP: $16.02
  • Aetna — Medicare HMO for Non-CHP: $16.82
  • Aetna — PPO: $16.02
  • Aetna — Qualified Health Plan: $105.76
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $13,127 $13,127 $190 – $16,757
Left heart catheterization (diagnostic): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $4,169.67
  • AARP — Medicare Complete UHC Sante: $4,169.67
  • Advantek — Table Mountain Rancheria Tribal Member: $4,169.67
  • Adventist — MCL CALVIVA SUB CAP: $1,258.72
  • Aetna — HMOPOSPPO: $13,661
  • Aetna — Medicare Advantage: $4,169.67
  • Aetna — Medicare HMO for CHP: $4,169.67
  • Aetna — Medicare HMO for Non-CHP: $4,378.15
  • Aetna — PPO: $4,169.67
  • Aetna — Qualified Health Plan: $7,491
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP STUDY W/O INDUCTION $26,564 $26,564 $596.46 – $50,309
Heart rhythm study (electrophysiology evaluation): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $10,031.67
  • AARP — Medicare Complete UHC Sante: $10,031.67
  • Advantek — Table Mountain Rancheria Tribal Member: $10,031.67
  • Adventist — MCL CALVIVA SUB CAP: $984.16
  • Aetna — HMOPOSPPO: $50,309
  • Aetna — Medicare Advantage: $10,031.67
  • Aetna — Medicare HMO for CHP: $10,031.67
  • Aetna — Medicare HMO for Non-CHP: $10,533.25
  • Aetna — PPO: $10,031.67
  • Aetna — Qualified Health Plan: $31,470
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB $85,882 $85,882 $880.47 – $72,999.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $33,617.65
  • AARP — Medicare Complete UHC Sante: $33,617.65
  • Advantek — Table Mountain Rancheria Tribal Member: $33,617.65
  • Adventist — MCL CALVIVA SUB CAP: $1,452.78
  • Aetna — HMOPOSPPO: $5,956
  • Aetna — Medicare Advantage: $33,617.65
  • Aetna — Medicare HMO for CHP: $33,617.65
  • Aetna — Medicare HMO for Non-CHP: $35,298.54
  • Aetna — PPO: $33,617.65
  • Aetna — Qualified Health Plan: $4,018
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $348.07 – $2,374.64
Sleep study (overnight, in a sleep lab): 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,104.48
  • AARP — Medicare Complete UHC Sante: $1,104.48
  • Advantek — Table Mountain Rancheria Tribal Member: $1,104.48
  • Adventist — MCL CALVIVA SUB CAP: $574.32
  • Aetna — Medicare Advantage: $1,104.48
  • Aetna — Medicare HMO for CHP: $1,104.48
  • Aetna — Medicare HMO for Non-CHP: $1,159.71
  • Aetna — PPO: $1,104.48
  • Alameda Alliance for Health — Managed Medi-Cal: $348.07
  • Alignment Health Plan — Medicare Advantage: $1,214.93

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THRX-STRGT,ENDR,ROM,FLX EA15 $202 $202 $6.37 – $419
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $30.47
  • AARP — Medicare Complete UHC Sante: $30.47
  • Advantek — Table Mountain Rancheria Tribal Member: $30.47
  • Adventist — MCL CALVIVA SUB CAP: $10.51
  • Aetna — HMOPOSPPO: $101
  • Aetna — Medicare Advantage: $30.47
  • Aetna — Medicare HMO for CHP: $30.47
  • Aetna — Medicare HMO for Non-CHP: $32
  • Aetna — PPO: $30.47
  • Aetna — Qualified Health Plan: $89.68
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES Not listed in the file Not listed in the file $285 – $419
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Blue Shield — EPOPPO: $408
  • Blue Shield — HMOPOS: $368
  • Cigna — HMO: $356
  • Cigna — PPO: $419
  • HealthNet — HMOEPOPPO: $372
  • Physmetrics Health — Commercial: $285
  • United Healthcare — HMO: $368
  • United Healthcare — PPO: $377
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION - LOW COMPLEXITY $404 $404 $87.91 – $419
Physical therapy evaluation (low complexity): 10 of 68 insurance plan rates
  • AARP — Medicare Complete Out of Area: $103.01
  • AARP — Medicare Complete UHC Sante: $103.01
  • Advantek — Table Mountain Rancheria Tribal Member: $103.01
  • Aetna — HMOPOSPPO: $202
  • Aetna — Medicare Advantage: $103.01
  • Aetna — Medicare HMO for CHP: $103.01
  • Aetna — Medicare HMO for Non-CHP: $108.16
  • Aetna — PPO: $103.01
  • Aetna — Qualified Health Plan: $179.37
  • Alignment Health Plan — Medicare Advantage: $113.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $285 – $419
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Blue Shield — EPOPPO: $408
  • Blue Shield — HMOPOS: $368
  • Cigna — HMO: $356
  • Cigna — PPO: $419
  • HealthNet — HMOEPOPPO: $372
  • Physmetrics Health — Commercial: $285
  • United Healthcare — HMO: $368
  • United Healthcare — PPO: $377
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION - MODERATE COMPLEXITY $454 $454 $98.79 – $419
Physical therapy evaluation (moderate complexity): 10 of 68 insurance plan rates
  • AARP — Medicare Complete Out of Area: $103.01
  • AARP — Medicare Complete UHC Sante: $103.01
  • Advantek — Table Mountain Rancheria Tribal Member: $103.01
  • Aetna — HMOPOSPPO: $227
  • Aetna — Medicare Advantage: $103.01
  • Aetna — Medicare HMO for CHP: $103.01
  • Aetna — Medicare HMO for Non-CHP: $108.16
  • Aetna — PPO: $103.01
  • Aetna — Qualified Health Plan: $201.57
  • Alignment Health Plan — Medicare Advantage: $113.31
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $285 – $419
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Blue Shield — EPOPPO: $408
  • Blue Shield — HMOPOS: $368
  • Cigna — HMO: $356
  • Cigna — PPO: $419
  • HealthNet — HMOEPOPPO: $372
  • Physmetrics Health — Commercial: $285
  • United Healthcare — HMO: $368
  • United Healthcare — PPO: $377
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION - HIGH COMPLEXITY $498 $498 $103.01 – $423.30
Physical therapy evaluation (high complexity): 10 of 68 insurance plan rates
  • AARP — Medicare Complete Out of Area: $103.01
  • AARP — Medicare Complete UHC Sante: $103.01
  • Advantek — Table Mountain Rancheria Tribal Member: $103.01
  • Aetna — HMOPOSPPO: $249
  • Aetna — Medicare Advantage: $103.01
  • Aetna — Medicare HMO for CHP: $103.01
  • Aetna — Medicare HMO for Non-CHP: $108.16
  • Aetna — PPO: $103.01
  • Aetna — Qualified Health Plan: $221.11
  • Alignment Health Plan — Medicare Advantage: $113.31
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $285 – $419
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Blue Shield — EPOPPO: $408
  • Blue Shield — HMOPOS: $368
  • Cigna — HMO: $356
  • Cigna — PPO: $419
  • HealthNet — HMOEPOPPO: $372
  • Physmetrics Health — Commercial: $285
  • United Healthcare — HMO: $368
  • United Healthcare — PPO: $377
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $67.83 – $490.82
Psychotherapy, 30 minutes: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $228.29
  • AARP — Medicare Complete UHC Sante: $228.29
  • Advantek — Table Mountain Rancheria Tribal Member: $228.29
  • Adventist — MCL CALVIVA SUB CAP: $111.92
  • Aetna — Medicare Advantage: $228.29
  • Aetna — Medicare HMO for CHP: $228.29
  • Aetna — Medicare HMO for Non-CHP: $239.70
  • Aetna — PPO: $228.29
  • Alameda Alliance for Health — Managed Medi-Cal: $67.83
  • Alignment Health Plan — Medicare Advantage: $251.12
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $89.64 – $490.82
Psychotherapy, 45 minutes: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $228.29
  • AARP — Medicare Complete UHC Sante: $228.29
  • Advantek — Table Mountain Rancheria Tribal Member: $228.29
  • Adventist — MCL CALVIVA SUB CAP: $147.91
  • Aetna — Medicare Advantage: $228.29
  • Aetna — Medicare HMO for CHP: $228.29
  • Aetna — Medicare HMO for Non-CHP: $239.70
  • Aetna — PPO: $228.29
  • Alameda Alliance for Health — Managed Medi-Cal: $89.64
  • Alignment Health Plan — Medicare Advantage: $251.12
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $51 – $490.82
Psychotherapy, 60 minutes: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $228.29
  • AARP — Medicare Complete UHC Sante: $228.29
  • Advantek — Table Mountain Rancheria Tribal Member: $228.29
  • Adventist — MCL CALVIVA SUB CAP: $84.15
  • Aetna — Medicare Advantage: $228.29
  • Aetna — Medicare HMO for CHP: $228.29
  • Aetna — Medicare HMO for Non-CHP: $239.70
  • Aetna — PPO: $228.29
  • Alameda Alliance for Health — Managed Medi-Cal: $51
  • Alignment Health Plan — Medicare Advantage: $251.12
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $51 – $490.82
Family psychotherapy, without the patient: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $228.29
  • AARP — Medicare Complete UHC Sante: $228.29
  • Advantek — Table Mountain Rancheria Tribal Member: $228.29
  • Adventist — MCL CALVIVA SUB CAP: $84.15
  • Aetna — Medicare Advantage: $228.29
  • Aetna — Medicare HMO for CHP: $228.29
  • Aetna — Medicare HMO for Non-CHP: $239.70
  • Aetna — PPO: $228.29
  • Alameda Alliance for Health — Managed Medi-Cal: $51
  • Alignment Health Plan — Medicare Advantage: $251.12
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $89.65 – $490.82
Family psychotherapy, with the patient: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $228.29
  • AARP — Medicare Complete UHC Sante: $228.29
  • Advantek — Table Mountain Rancheria Tribal Member: $228.29
  • Adventist — MCL CALVIVA SUB CAP: $147.92
  • Aetna — Medicare Advantage: $228.29
  • Aetna — Medicare HMO for CHP: $228.29
  • Aetna — Medicare HMO for Non-CHP: $239.70
  • Aetna — PPO: $228.29
  • Alameda Alliance for Health — Managed Medi-Cal: $89.65
  • Alignment Health Plan — Medicare Advantage: $251.12
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $3.47 – $280.92
Group psychotherapy: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $130.66
  • AARP — Medicare Complete UHC Sante: $130.66
  • Advantek — Table Mountain Rancheria Tribal Member: $130.66
  • Adventist — MCL CALVIVA SUB CAP: $5.73
  • Aetna — Medicare Advantage: $130.66
  • Aetna — Medicare HMO for CHP: $130.66
  • Aetna — Medicare HMO for Non-CHP: $137.19
  • Aetna — PPO: $130.66
  • Alameda Alliance for Health — Managed Medi-Cal: $3.47
  • Alignment Health Plan — Medicare Advantage: $143.73

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $65 – $10,827.19
Removal of breast growth (open surgery): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $5,035.90
  • AARP — Medicare Complete UHC Sante: $5,035.90
  • Advantek — Table Mountain Rancheria Tribal Member: $5,035.90
  • Adventist — MCL CALVIVA SUB CAP: $347.69
  • Aetna — HMOPOSPPO: $4,976
  • Aetna — Medicare Advantage: $5,035.90
  • Aetna — Medicare HMO for CHP: $5,035.90
  • Aetna — Medicare HMO for Non-CHP: $5,287.70
  • Aetna — PPO: $5,035.90
  • Aetna — Qualified Health Plan: $4,976
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $130 – $35,502.28
Total hip replacement: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $16,512.69
  • AARP — Medicare Complete UHC Sante: $16,512.69
  • Advantek — Table Mountain Rancheria Tribal Member: $16,512.69
  • Adventist — MCL CALVIVA SUB CAP: $2,457.18
  • Aetna — HMOPOSPPO: $7,920
  • Aetna — Medicare Advantage: $16,512.69
  • Aetna — Medicare HMO for CHP: $16,512.69
  • Aetna — Medicare HMO for Non-CHP: $17,338.32
  • Aetna — PPO: $16,512.69
  • Aetna — Qualified Health Plan: $7,920
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $90 – $35,502.28
Total knee replacement: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $16,512.69
  • AARP — Medicare Complete UHC Sante: $16,512.69
  • Advantek — Table Mountain Rancheria Tribal Member: $16,512.69
  • Adventist — MCL CALVIVA SUB CAP: $2,457.18
  • Aetna — HMOPOSPPO: $7,920
  • Aetna — Medicare Advantage: $16,512.69
  • Aetna — Medicare HMO for CHP: $16,512.69
  • Aetna — Medicare HMO for Non-CHP: $17,338.32
  • Aetna — PPO: $16,512.69
  • Aetna — Qualified Health Plan: $7,920
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $90 – $8,490
Shoulder arthroscopy: shaving of shoulder bone: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $143.22
  • AARP — Medicare Complete UHC Sante: $143.22
  • Advantek — Table Mountain Rancheria Tribal Member: $143.22
  • Adventist — MCL CALVIVA SUB CAP: $696
  • Aetna — HMOPOSPPO: $4,976
  • Aetna — Medicare Advantage: $143.22
  • Aetna — Medicare HMO for CHP: $143.22
  • Aetna — Medicare HMO for Non-CHP: $150.39
  • Aetna — PPO: $143.22
  • Aetna — Qualified Health Plan: $4,976
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $95 – $9,047.93
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $4,208.34
  • AARP — Medicare Complete UHC Sante: $4,208.34
  • Advantek — Table Mountain Rancheria Tribal Member: $4,208.34
  • Adventist — MCL CALVIVA SUB CAP: $909.15
  • Aetna — HMOPOSPPO: $5,784
  • Aetna — Medicare Advantage: $4,208.34
  • Aetna — Medicare HMO for CHP: $4,208.34
  • Aetna — Medicare HMO for Non-CHP: $4,418.76
  • Aetna — PPO: $4,208.34
  • Aetna — Qualified Health Plan: $5,784
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $50 – $16,369.86
Removal of tonsils and adenoids (under age 12): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $7,613.89
  • AARP — Medicare Complete UHC Sante: $7,613.89
  • Advantek — Table Mountain Rancheria Tribal Member: $7,613.89
  • Adventist — MCL CALVIVA SUB CAP: $278.27
  • Aetna — HMOPOSPPO: $4,976
  • Aetna — Medicare Advantage: $7,613.89
  • Aetna — Medicare HMO for CHP: $7,613.89
  • Aetna — Medicare HMO for Non-CHP: $7,994.58
  • Aetna — PPO: $7,613.89
  • Aetna — Qualified Health Plan: $4,976
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $35 – $8,490
Upper GI endoscopy (diagnostic): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,166.53
  • AARP — Medicare Complete UHC Sante: $1,166.53
  • Advantek — Table Mountain Rancheria Tribal Member: $1,166.53
  • Adventist — MCL CALVIVA SUB CAP: $369.80
  • Aetna — HMOPOSPPO: $3,989
  • Aetna — Medicare Advantage: $1,166.53
  • Aetna — Medicare HMO for CHP: $1,166.53
  • Aetna — Medicare HMO for Non-CHP: $1,224.86
  • Aetna — PPO: $1,166.53
  • Aetna — Qualified Health Plan: $3,989
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $35 – $8,490
Upper GI endoscopy with biopsy: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,166.53
  • AARP — Medicare Complete UHC Sante: $1,166.53
  • Advantek — Table Mountain Rancheria Tribal Member: $1,166.53
  • Adventist — MCL CALVIVA SUB CAP: $386.40
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $1,166.53
  • Aetna — Medicare HMO for CHP: $1,166.53
  • Aetna — Medicare HMO for Non-CHP: $1,224.86
  • Aetna — PPO: $1,166.53
  • Aetna — Qualified Health Plan: $4,494
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $50 – $8,490
Colonoscopy (diagnostic): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,196.08
  • AARP — Medicare Complete UHC Sante: $1,196.08
  • Advantek — Table Mountain Rancheria Tribal Member: $1,196.08
  • Adventist — MCL CALVIVA SUB CAP: $487.13
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $1,196.08
  • Aetna — Medicare HMO for CHP: $1,196.08
  • Aetna — Medicare HMO for Non-CHP: $1,255.88
  • Aetna — PPO: $1,196.08
  • Aetna — Qualified Health Plan: $4,494
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $30 – $8,490
Colonoscopy with biopsy: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,539.08
  • AARP — Medicare Complete UHC Sante: $1,539.08
  • Advantek — Table Mountain Rancheria Tribal Member: $1,539.08
  • Adventist — MCL CALVIVA SUB CAP: $544.88
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $1,539.08
  • Aetna — Medicare HMO for CHP: $1,539.08
  • Aetna — Medicare HMO for Non-CHP: $1,616.03
  • Aetna — PPO: $1,539.08
  • Aetna — Qualified Health Plan: $4,494
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $30 – $8,490
Colonoscopy with removal of polyps (snare): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,539.08
  • AARP — Medicare Complete UHC Sante: $1,539.08
  • Advantek — Table Mountain Rancheria Tribal Member: $1,539.08
  • Adventist — MCL CALVIVA SUB CAP: $660.36
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $1,539.08
  • Aetna — Medicare HMO for CHP: $1,539.08
  • Aetna — Medicare HMO for Non-CHP: $1,616.03
  • Aetna — PPO: $1,539.08
  • Aetna — Qualified Health Plan: $4,494
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $30 – $8,490
Ultrasound of the lower bowel by endoscope: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,539.08
  • AARP — Medicare Complete UHC Sante: $1,539.08
  • Advantek — Table Mountain Rancheria Tribal Member: $1,539.08
  • Adventist — MCL CALVIVA SUB CAP: $279.92
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $1,539.08
  • Aetna — Medicare HMO for CHP: $1,539.08
  • Aetna — Medicare HMO for Non-CHP: $1,616.03
  • Aetna — PPO: $1,539.08
  • Aetna — Qualified Health Plan: $4,494
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $949.72 – $8,490
Screening colonoscopy (not high risk): 10 of 67 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,196.08
  • AARP — Medicare Complete UHC Sante: $1,196.08
  • Advantek — Table Mountain Rancheria Tribal Member: $1,196.08
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $1,196.08
  • Aetna — Medicare HMO for CHP: $1,196.08
  • Aetna — Medicare HMO for Non-CHP: $1,255.88
  • Aetna — PPO: $1,196.08
  • Aetna — Qualified Health Plan: $4,494
  • Alignment Health Plan — Medicare Advantage: $1,315.69
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $155 – $23,546.02
Gallbladder removal by laparoscope: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $7,775.56
  • AARP — Medicare Complete UHC Sante: $7,775.56
  • Advantek — Table Mountain Rancheria Tribal Member: $7,775.56
  • Adventist — MCL CALVIVA SUB CAP: $769.10
  • Aetna — HMOPOSPPO: $8,924
  • Aetna — Medicare Advantage: $7,775.56
  • Aetna — Medicare HMO for CHP: $7,775.56
  • Aetna — Medicare HMO for Non-CHP: $8,164.34
  • Aetna — PPO: $7,775.56
  • Aetna — Qualified Health Plan: $6,251
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $65 – $9,900.74
Groin (inguinal) hernia repair, age 5 or older: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $4,604.99
  • AARP — Medicare Complete UHC Sante: $4,604.99
  • Advantek — Table Mountain Rancheria Tribal Member: $4,604.99
  • Adventist — MCL CALVIVA SUB CAP: $567.62
  • Aetna — HMOPOSPPO: $5,784
  • Aetna — Medicare Advantage: $4,604.99
  • Aetna — Medicare HMO for CHP: $4,604.99
  • Aetna — Medicare HMO for Non-CHP: $4,835.24
  • Aetna — PPO: $4,604.99
  • Aetna — Qualified Health Plan: $5,784
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $50 – $5,494
Prostate biopsy: 10 of 64 insurance plan rates
  • Adventist — MCL CALVIVA SUB CAP: $144.36
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Qualified Health Plan: $4,494
  • Alameda Alliance for Health — Managed Medi-Cal: $87.49
  • Blue Cross — Exchange HMO: $3,156
  • Blue Cross — HMOPPO: $5,447
  • Blue Cross — Managed Medi-Cal: $50
  • Blue Shield — EPN: $2,238.60
  • Blue Shield — EPOPPO: $4,696.21
  • Blue Shield — HMOPOS: $4,115.47
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $155 – $29,394.25
Prostate removal by laparoscope (radical prostatectomy): 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $13,671.74
  • AARP — Medicare Complete UHC Sante: $13,671.74
  • Advantek — Table Mountain Rancheria Tribal Member: $13,671.74
  • Adventist — MCL CALVIVA SUB CAP: $1,572.88
  • Aetna — HMOPOSPPO: $8,924
  • Aetna — Medicare Advantage: $13,671.74
  • Aetna — Medicare HMO for CHP: $13,671.74
  • Aetna — Medicare HMO for Non-CHP: $14,355.33
  • Aetna — PPO: $13,671.74
  • Aetna — Qualified Health Plan: $6,251
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $60 – $8,951.49
Hysteroscopy with biopsy of the uterus lining: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $4,163.48
  • AARP — Medicare Complete UHC Sante: $4,163.48
  • Advantek — Table Mountain Rancheria Tribal Member: $4,163.48
  • Adventist — MCL CALVIVA SUB CAP: $2,109.28
  • Aetna — HMOPOSPPO: $4,976
  • Aetna — Medicare Advantage: $4,163.48
  • Aetna — Medicare HMO for CHP: $4,163.48
  • Aetna — Medicare HMO for Non-CHP: $4,371.66
  • Aetna — PPO: $4,163.48
  • Aetna — Qualified Health Plan: $4,976
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RADP INJ INTERLAMINAR LMBR/SAC $2,424 $2,424 $220.03 – $4,053
Spinal injection, lower back (epidural), with imaging guidance: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $907.88
  • AARP — Medicare Complete UHC Sante: $907.88
  • Advantek — Table Mountain Rancheria Tribal Member: $907.88
  • Adventist — MCL CALVIVA SUB CAP: $363.05
  • Aetna — HMOPOSPPO: $3,989
  • Aetna — Medicare Advantage: $907.88
  • Aetna — Medicare HMO for CHP: $907.88
  • Aetna — Medicare HMO for Non-CHP: $953.27
  • Aetna — PPO: $907.88
  • Aetna — Qualified Health Plan: $3,989
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Network by Design — PPO: 70% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $4,535 $4,535 $143.34 – $8,490
Nerve root injection, lower back, with imaging guidance: 10 of 97 insurance plan rates
  • AARP — Medicare Complete Out of Area: $1,137.58
  • AARP — Medicare Complete UHC Sante: $1,137.58
  • Advantek — Table Mountain Rancheria Tribal Member: $1,137.58
  • Adventist — MCL CALVIVA SUB CAP: $236.51
  • Aetna — HMOPOSPPO: $3,989
  • Aetna — Medicare Advantage: $1,137.58
  • Aetna — Medicare HMO for CHP: $1,137.58
  • Aetna — Medicare HMO for Non-CHP: $1,194.46
  • Aetna — PPO: $1,137.58
  • Aetna — Qualified Health Plan: $3,989
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file Not listed in the file
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Network by Design — PPO: 70% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $60 – $8,490
Carpal tunnel release: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $2,511.53
  • AARP — Medicare Complete UHC Sante: $2,511.53
  • Advantek — Table Mountain Rancheria Tribal Member: $2,511.53
  • Adventist — MCL CALVIVA SUB CAP: $522.77
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $2,511.53
  • Aetna — Medicare HMO for CHP: $2,511.53
  • Aetna — Medicare HMO for Non-CHP: $2,637.11
  • Aetna — PPO: $2,511.53
  • Aetna — Qualified Health Plan: $4,494
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $50 – $5,494
Laser treatment of clouding after cataract surgery: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $707.39
  • AARP — Medicare Complete UHC Sante: $707.39
  • Advantek — Table Mountain Rancheria Tribal Member: $707.39
  • Adventist — MCL CALVIVA SUB CAP: $307.15
  • Aetna — HMOPOSPPO: $4,494
  • Aetna — Medicare Advantage: $707.39
  • Aetna — Medicare HMO for CHP: $707.39
  • Aetna — Medicare HMO for Non-CHP: $742.76
  • Aetna — PPO: $707.39
  • Aetna — Qualified Health Plan: $4,494
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $140 – $12,957
Cataract removal with lens implant: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $2,968.25
  • AARP — Medicare Complete UHC Sante: $2,968.25
  • Advantek — Table Mountain Rancheria Tribal Member: $2,968.25
  • Adventist — MCL CALVIVA SUB CAP: $1,658.60
  • Aetna — HMOPOSPPO: $7,120
  • Aetna — Medicare Advantage: $2,968.25
  • Aetna — Medicare HMO for CHP: $2,968.25
  • Aetna — Medicare HMO for Non-CHP: $3,116.66
  • Aetna — PPO: $2,968.25
  • Aetna — Qualified Health Plan: $7,120

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $65 – $8,531
Vaginal delivery, with care before and after: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $2,132.29
  • AARP — Medicare Complete UHC Sante: $2,132.29
  • Advantek — Table Mountain Rancheria Tribal Member: $2,132.29
  • Adventist — MCL CALVIVA SUB CAP: $3,450.50
  • Aetna — Medicare Advantage: $2,132.29
  • Aetna — Medicare HMO for CHP: $2,132.29
  • Aetna — Medicare HMO for Non-CHP: $2,238.91
  • Aetna — PPO: $2,132.29
  • Alameda Alliance for Health — Managed Medi-Cal: $2,091.21
  • Alignment Health Plan — Medicare Advantage: $2,345.52
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $90 – $8,531
Cesarean delivery (C-section), with care before and after: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $2,359.30
  • AARP — Medicare Complete UHC Sante: $2,359.30
  • Advantek — Table Mountain Rancheria Tribal Member: $2,359.30
  • Adventist — MCL CALVIVA SUB CAP: $2,295.10
  • Aetna — Medicare Advantage: $2,359.30
  • Aetna — Medicare HMO for CHP: $2,359.30
  • Aetna — Medicare HMO for Non-CHP: $2,477.27
  • Aetna — PPO: $2,359.30
  • Alameda Alliance for Health — Managed Medi-Cal: $1,390.97
  • Alignment Health Plan — Medicare Advantage: $2,595.23
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $65 – $7,804
Vaginal delivery after a previous C-section, with care before and after: 10 of 98 insurance plan rates
  • AARP — Medicare Complete Out of Area: $2,219.64
  • AARP — Medicare Complete UHC Sante: $2,219.64
  • Advantek — Table Mountain Rancheria Tribal Member: $2,219.64
  • Adventist — MCL CALVIVA SUB CAP: $3,586.52
  • Aetna — Medicare Advantage: $2,219.64
  • Aetna — Medicare HMO for CHP: $2,219.64
  • Aetna — Medicare HMO for Non-CHP: $2,330.62
  • Aetna — PPO: $2,219.64
  • Alameda Alliance for Health — Managed Medi-Cal: $2,173.65
  • Alignment Health Plan — Medicare Advantage: $2,441.60

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $1,953 – $203,910.30
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 69 insurance plan rates
  • AARP — Medicare Complete Out of Area: $94,842
  • AARP — Medicare Complete UHC Sante: $94,842
  • Advantek — Table Mountain Rancheria Tribal Member: $94,842
  • Aetna — HMOPOSPPO: $89,770
  • Aetna — Medicare Advantage: $94,842
  • Aetna — Medicare HMO for CHP: $94,842
  • Aetna — Medicare HMO for Non-CHP: $99,584.10
  • Aetna — PPO: $94,842
  • Aetna — Qualified Health Plan: $55,635
  • Alignment Health Plan — Medicare Advantage: $104,326.20
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $1,953 – $40,668.76
Hip or knee replacement (major joint of the leg), without major complications: 10 of 69 insurance plan rates
  • AARP — Medicare Complete Out of Area: $18,915.70
  • AARP — Medicare Complete UHC Sante: $18,915.70
  • Advantek — Table Mountain Rancheria Tribal Member: $18,915.70
  • Aetna — HMOPOSPPO: $13,834
  • Aetna — Medicare Advantage: $18,915.70
  • Aetna — Medicare HMO for CHP: $18,915.70
  • Aetna — Medicare HMO for Non-CHP: $19,861.49
  • Aetna — PPO: $18,915.70
  • Aetna — Qualified Health Plan: $6,777
  • Alignment Health Plan — Medicare Advantage: $20,807.27
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $1,953 – $51,318.87
Neck (cervical) spinal fusion, without complications: 10 of 69 insurance plan rates
  • AARP — Medicare Complete Out of Area: $23,869.24
  • AARP — Medicare Complete UHC Sante: $23,869.24
  • Advantek — Table Mountain Rancheria Tribal Member: $23,869.24
  • Aetna — HMOPOSPPO: $5,545
  • Aetna — Medicare Advantage: $23,869.24
  • Aetna — Medicare HMO for CHP: $23,869.24
  • Aetna — Medicare HMO for Non-CHP: $25,062.70
  • Aetna — PPO: $23,869.24
  • Aetna — Qualified Health Plan: $3,569
  • Alignment Health Plan — Medicare Advantage: $26,256.16
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,953 – $29,275
Uterus and ovary surgery (not for cancer), without complications: 10 of 69 insurance plan rates
  • AARP — Medicare Complete Out of Area: $12,262.62
  • AARP — Medicare Complete UHC Sante: $12,262.62
  • Advantek — Table Mountain Rancheria Tribal Member: $12,262.62
  • Aetna — HMOPOSPPO: $5,545
  • Aetna — Medicare Advantage: $12,262.62
  • Aetna — Medicare HMO for CHP: $12,262.62
  • Aetna — Medicare HMO for Non-CHP: $12,875.75
  • Aetna — PPO: $12,262.62
  • Aetna — Qualified Health Plan: $3,569
  • Alignment Health Plan — Medicare Advantage: $13,488.88

Source: Clovis Community Medical Center’s standard charges file (mrfs.hyvehealthcare.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 11, 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 typeAcute Care Hospital
Address2755 Herndon Ave, Clovis, CA 93611
CountyFresno County
StateCalifornia
Phone(559) 324‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050492
Name in Medicare recordsCLOVIS COMMUNITY MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitecommunitymedical.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Community Medical Centers - Clovis Community Medical Center — communitymedical.org
  2. Awards and Recognitions — communitymedical.org
  3. Community Medical Centers - Clovis Community Medical Center — communitymedical.org
  4. Community Medical Centers - At Clovis Community Medical Center — communitymedical.org
  5. Community Medical Centers - Stroke — communitymedical.org