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Acute Care Hospital

Coast Plaza Hospital

Norwalk, California · Los Angeles County · Emergency services listed

Summary

Coast Plaza Hospital is an acute care hospital in Norwalk, California. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 80 services, specialties and programs. Medicare lists 93 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
127Beds (hospital website)
80Services listed

Quick answers

Does Coast Plaza Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Coast Plaza Hospital. In a medical emergency, call 911.
Where is Coast Plaza Hospital?
13100 Studerbaker Road, Norwalk, CA 90650, in Los Angeles County, California.
What is the phone number of Coast Plaza Hospital?
(562) 868-3751, as listed by Medicare (CMS).
What is the Medicare star rating of Coast Plaza Hospital?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][13][16]

Conditions treated[8][10][11][12][14][16][18][19][20]

Treatments[9][10][11][15][16][17][20][21]

Procedures[4][9][12][18][19]

  • TIF procedure (transoral incisionless fundoplication)
  • Transoral incisionless fundoplication (TIF)
  • Argon plasma coagulation colonoscopy
  • ERCP
  • PEG tube insertion
  • Joint replacement (knee, hip, shoulder)
  • Fracture management
  • Arthroscopy of knee and shoulder
  • Spine surgery
  • Soft tissue, tendon and muscle surgery
  • Interventional radiology drainage
  • Fine needle aspiration
  • PICC line insertion
  • Indwelling catheter insertion

Programs and centers[8][10][14][15][16][17][19]

  • Primary Stroke Center
  • Emergency department (24/7)
  • Inpatient behavioral health unit
  • Intensive outpatient psychiatric program (IOP)
  • Critical care unit
  • Pain management program
  • Hand program
  • Neuro/stroke rehabilitation
  • Fall reduction program
  • Teleneurology partnership with Keck Medicine of USC
  • TIF procedure program

Emergency care (hospital website)[5][8][10]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center certified by The Joint Commission and American Heart Association

Visiting and practical information

VisitingVisitor rules change; call the main hospital number for the current policy[6]
ParkingFree visitor parking in the lot behind the hospital; more parking near the Conference Center[22]
Interpreters and languagesVideo interpretation via Language Access Network in 250+ languages, incl. ASL (used for telestroke)[10]
Patient portalFollowMyHealth

Recognition[4][5][8][10]

  • The Joint Commission accredited
  • Leapfrog Full Transparency Badge
  • Primary Stroke Center certification (The Joint Commission and American Heart Association)

Doctors and clinicians (93)

93 doctors and other clinicians list Coast Plaza Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (93)

And 69 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 Coast Plaza Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 1 of 5 stars
Overall rating of the hospital1 of 5 stars
Would recommend the hospital1 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well1 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean1 of 5 stars
Quiet at night1 of 5 stars
Rated the hospital 9 or 10 out of 1042%National average: 72%
Would definitely recommend the hospital41%National average: 71%
Nurses “always” communicated well52%National average: 80%
Doctors “always” communicated well55%National average: 80%
Staff “always” explained medicines before giving them38%National average: 62%
Were given information about recovery at home71%National average: 86%
Room and bathroom “always” clean57%National average: 74%
Area around the room “always” quiet at night28%National average: 60%
Completed surveys119Response rate: 9%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.575No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.3Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients10.7%
Deaths within 30 days: pneumonia patients13.7%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.9No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.8%
Readmitted within 30 days: pneumonia18.4%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)157 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)42%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

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

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

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

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: NEW Patient ORTHO Visit Level 3 $393 $393 $78.60 – $314.40
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $294.75
  • America's Health Network — HMO: $78.60
  • Blue Cross — HMO/PPO: $266.38
  • Blue Cross — Medi-Cal: $103.30
  • Blue Shield — HMO/PPO: $176.85
  • Central Health Plan — HMO: $216.15
  • Cigna — HMO/PPO: $184.32
  • Health Net — HMO/PPO: $187.46
  • Health Net Salud — HMO/PPO/EPO: $159.56
  • Health Net/Ambetter — HMO: $182.35
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT VISIT LEVEL 3 $638 $638 $103.30 – $510.40
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $478.50
  • America's Health Network — HMO: $127.60
  • Blue Cross — HMO/PPO: $432.44
  • Blue Cross — Medi-Cal: $103.30
  • Blue Shield — HMO/PPO: $287.10
  • Central Health Plan — HMO: $350.90
  • Cigna — HMO/PPO: $299.22
  • Health Net — HMO/PPO: $304.33
  • Health Net Salud — HMO/PPO/EPO: $259.03
  • Health Net/Ambetter — HMO: $296.03
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT NEW LEVEL 3 $374 $374 $74.80 – $299.20
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $280.50
  • America's Health Network — HMO: $74.80
  • Blue Cross — HMO/PPO: $253.50
  • Blue Cross — Medi-Cal: $103.30
  • Blue Shield — HMO/PPO: $168.30
  • Central Health Plan — HMO: $205.70
  • Cigna — HMO/PPO: $175.41
  • Health Net — HMO/PPO: $178.40
  • Health Net Salud — HMO/PPO/EPO: $151.84
  • Health Net/Ambetter — HMO: $173.54
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT FAMILY MEDICINE VISIT LEVEL 4 $675 $675 $135 – $540
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $506.25
  • America's Health Network — HMO: $135
  • Blue Cross — HMO/PPO: $457.52
  • Blue Cross — Medi-Cal: $154.94
  • Blue Shield — HMO/PPO: $303.75
  • Central Health Plan — HMO: $371.25
  • Cigna — HMO/PPO: $316.58
  • Health Net — HMO/PPO: $321.98
  • Health Net Salud — HMO/PPO/EPO: $274.05
  • Health Net/Ambetter — HMO: $313.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT NEW LEVEL 4 $675 $675 $135 – $540
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $506.25
  • America's Health Network — HMO: $135
  • Blue Cross — HMO/PPO: $457.52
  • Blue Cross — Medi-Cal: $154.94
  • Blue Shield — HMO/PPO: $303.75
  • Central Health Plan — HMO: $371.25
  • Cigna — HMO/PPO: $316.58
  • Health Net — HMO/PPO: $321.98
  • Health Net Salud — HMO/PPO/EPO: $274.05
  • Health Net/Ambetter — HMO: $313.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW Patient ORTHO Visit Level 4 $675 $675 $135 – $540
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $506.25
  • America's Health Network — HMO: $135
  • Blue Cross — HMO/PPO: $457.52
  • Blue Cross — Medi-Cal: $154.94
  • Blue Shield — HMO/PPO: $303.75
  • Central Health Plan — HMO: $371.25
  • Cigna — HMO/PPO: $316.58
  • Health Net — HMO/PPO: $321.98
  • Health Net Salud — HMO/PPO/EPO: $274.05
  • Health Net/Ambetter — HMO: $313.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW Patient Level 5 $735 $735 $147 – $588
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $551.25
  • America's Health Network — HMO: $147
  • Blue Cross — HMO/PPO: $498.18
  • Blue Cross — Medi-Cal: $201.94
  • Blue Shield — HMO/PPO: $330.75
  • Central Health Plan — HMO: $404.25
  • Cigna — HMO/PPO: $344.72
  • Health Net — HMO/PPO: $350.60
  • Health Net Salud — HMO/PPO/EPO: $298.41
  • Health Net/Ambetter — HMO: $341.04
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT VISIT LEVEL 5 $1,192 $1,192 $201.94 – $953.60
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $894
  • America's Health Network — HMO: $238.40
  • Blue Cross — HMO/PPO: $807.94
  • Blue Cross — Medi-Cal: $201.94
  • Blue Shield — HMO/PPO: $536.40
  • Central Health Plan — HMO: $655.60
  • Cigna — HMO/PPO: $559.05
  • Health Net — HMO/PPO: $568.58
  • Health Net Salud — HMO/PPO/EPO: $483.95
  • Health Net/Ambetter — HMO: $553.09
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT Office Visit Level 5 $735 $735 $147 – $588
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $551.25
  • America's Health Network — HMO: $147
  • Blue Cross — HMO/PPO: $498.18
  • Blue Cross — Medi-Cal: $201.94
  • Blue Shield — HMO/PPO: $330.75
  • Central Health Plan — HMO: $404.25
  • Cigna — HMO/PPO: $344.72
  • Health Net — HMO/PPO: $350.60
  • Health Net Salud — HMO/PPO/EPO: $298.41
  • Health Net/Ambetter — HMO: $341.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT FAMILY MEDICINE VISIT LEVEL 3 $388 $388 $77.60 – $310.40
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $291
  • America's Health Network — HMO: $77.60
  • Blue Cross — HMO/PPO: $262.99
  • Blue Cross — Medi-Cal: $83.66
  • Blue Shield — HMO/PPO: $174.60
  • Central Health Plan — HMO: $213.40
  • Cigna — HMO/PPO: $181.97
  • Health Net — HMO/PPO: $185.08
  • Health Net Salud — HMO/PPO/EPO: $157.53
  • Health Net/Ambetter — HMO: $180.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT EST LEVEL 3 $388 $388 $77.60 – $310.40
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $291
  • America's Health Network — HMO: $77.60
  • Blue Cross — HMO/PPO: $262.99
  • Blue Cross — Medi-Cal: $83.66
  • Blue Shield — HMO/PPO: $174.60
  • Central Health Plan — HMO: $213.40
  • Cigna — HMO/PPO: $181.97
  • Health Net — HMO/PPO: $185.08
  • Health Net Salud — HMO/PPO/EPO: $157.53
  • Health Net/Ambetter — HMO: $180.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED Patient Level 3 $388 $388 $77.60 – $310.40
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $291
  • America's Health Network — HMO: $77.60
  • Blue Cross — HMO/PPO: $262.99
  • Blue Cross — Medi-Cal: $83.66
  • Blue Shield — HMO/PPO: $174.60
  • Central Health Plan — HMO: $213.40
  • Cigna — HMO/PPO: $181.97
  • Health Net — HMO/PPO: $185.08
  • Health Net Salud — HMO/PPO/EPO: $157.53
  • Health Net/Ambetter — HMO: $180.03
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT FAMILY MEDICINE VISIT LEVEL 4 $464 $464 $92.80 – $371.20
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $348
  • America's Health Network — HMO: $92.80
  • Blue Cross — HMO/PPO: $314.50
  • Blue Cross — Medi-Cal: $118.20
  • Blue Shield — HMO/PPO: $208.80
  • Central Health Plan — HMO: $255.20
  • Cigna — HMO/PPO: $217.62
  • Health Net — HMO/PPO: $221.33
  • Health Net Salud — HMO/PPO/EPO: $188.38
  • Health Net/Ambetter — HMO: $215.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT Office Visit Level 4 $464 $464 $92.80 – $371.20
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $348
  • America's Health Network — HMO: $92.80
  • Blue Cross — HMO/PPO: $314.50
  • Blue Cross — Medi-Cal: $118.20
  • Blue Shield — HMO/PPO: $208.80
  • Central Health Plan — HMO: $255.20
  • Cigna — HMO/PPO: $217.62
  • Health Net — HMO/PPO: $221.33
  • Health Net Salud — HMO/PPO/EPO: $188.38
  • Health Net/Ambetter — HMO: $215.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT VISIT LEVEL 4 $522 $522 $104.40 – $417.60
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $391.50
  • America's Health Network — HMO: $104.40
  • Blue Cross — HMO/PPO: $353.81
  • Blue Cross — Medi-Cal: $118.20
  • Blue Shield — HMO/PPO: $234.90
  • Central Health Plan — HMO: $287.10
  • Cigna — HMO/PPO: $244.82
  • Health Net — HMO/PPO: $248.99
  • Health Net Salud — HMO/PPO/EPO: $211.93
  • Health Net/Ambetter — HMO: $242.21
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT FAMILY MEDICINE LEVEL 3 (40MN) $271 $271 $54.20 – $216.80
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $203.25
  • America's Health Network — HMO: $54.20
  • Blue Cross — HMO/PPO: $183.68
  • Blue Cross — Medi-Cal: $105.15
  • Blue Shield — HMO/PPO: $121.95
  • Central Health Plan — HMO: $149.05
  • Cigna — HMO/PPO: $127.10
  • Health Net — HMO/PPO: $129.27
  • Health Net Salud — HMO/PPO/EPO: $110.03
  • Health Net/Ambetter — HMO: $125.74
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT Level 3 $271 $271 $54.20 – $216.80
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $203.25
  • America's Health Network — HMO: $54.20
  • Blue Cross — HMO/PPO: $183.68
  • Blue Cross — Medi-Cal: $105.15
  • Blue Shield — HMO/PPO: $121.95
  • Central Health Plan — HMO: $149.05
  • Cigna — HMO/PPO: $127.10
  • Health Net — HMO/PPO: $129.27
  • Health Net Salud — HMO/PPO/EPO: $110.03
  • Health Net/Ambetter — HMO: $125.74
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULT FAMILY MEDICINE LEVEL 3 (40MN) $271 $271 $189.70 – $216.80
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $189.70
  • HealthSmart Preferred Care — All Commercial Plans: $203.25
  • Multiplan/PHCS — All Plans: $211.38
  • Pacific Health Alliance — PPO: $216.80
  • Three Rivers Provider Network — All Commercial Plans: $216.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT FAMILY MEDICINE LEVEL 4 (60MN) $388 $388 $77.60 – $310.40
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $291
  • America's Health Network — HMO: $77.60
  • Blue Cross — HMO/PPO: $262.99
  • Blue Cross — Medi-Cal: $150
  • Blue Shield — HMO/PPO: $174.60
  • Central Health Plan — HMO: $213.40
  • Cigna — HMO/PPO: $181.97
  • Health Net — HMO/PPO: $185.08
  • Health Net Salud — HMO/PPO/EPO: $157.53
  • Health Net/Ambetter — HMO: $180.03
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT Level 4 $388 $388 $77.60 – $310.40
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $291
  • America's Health Network — HMO: $77.60
  • Blue Cross — HMO/PPO: $262.99
  • Blue Cross — Medi-Cal: $150
  • Blue Shield — HMO/PPO: $174.60
  • Central Health Plan — HMO: $213.40
  • Cigna — HMO/PPO: $181.97
  • Health Net — HMO/PPO: $185.08
  • Health Net Salud — HMO/PPO/EPO: $157.53
  • Health Net/Ambetter — HMO: $180.03
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULT Level 4 $388 $388 $271.60 – $310.40
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $271.60
  • HealthSmart Preferred Care — All Commercial Plans: $291
  • Multiplan/PHCS — All Plans: $302.64
  • Pacific Health Alliance — PPO: $310.40
  • Three Rivers Provider Network — All Commercial Plans: $310.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW Patient Preventive 18-39yrs $506 $506 $101.20 – $404.80
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates
  • Affiliated Health Funds — PPO: $379.50
  • America's Health Network — HMO: $101.20
  • Blue Cross — HMO/PPO: $342.97
  • Blue Cross — Medi-Cal: $146.98
  • Blue Shield — HMO/PPO: $227.70
  • Central Health Plan — HMO: $278.30
  • Cigna — HMO/PPO: $237.31
  • Health Net — HMO/PPO: $241.36
  • Health Net Salud — HMO/PPO/EPO: $205.44
  • Health Net/Ambetter — HMO: $234.78
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW Patient Preventive 18-39yrs $506 $506 $354.20 – $404.80
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $354.20
  • HealthSmart Preferred Care — All Commercial Plans: $379.50
  • Multiplan/PHCS — All Plans: $394.68
  • Pacific Health Alliance — PPO: $404.80
  • Three Rivers Provider Network — All Commercial Plans: $404.80
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 $137.71
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Blue Cross — Medi-Cal: $137.71
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL 3 W/PROC $1,780 $1,780 $45.49 – $1,424
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1,335
  • AltaMed Health Network — HMO: $356.49
  • America's Health Network — HMO: $356.49
  • Blue Cross — HMO/PPO: $1,266
  • Blue Cross — Medi-Cal: $45.49
  • Blue Cross — Medicare Advantage: $356.49
  • Blue Shield — HMO/PPO: $534.73
  • Brand New Day — All Commercial Plans: $392.14
  • Bright Health — All Commercial Plans: $392.14
  • Central Health Plan — HMO: $463.43
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT 3 $1,780 $1,780 $45.49 – $1,424
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1,335
  • AltaMed Health Network — HMO: $356.49
  • America's Health Network — HMO: $356.49
  • Blue Cross — HMO/PPO: $1,266
  • Blue Cross — Medi-Cal: $45.49
  • Blue Cross — Medicare Advantage: $356.49
  • Blue Shield — HMO/PPO: $534.73
  • Brand New Day — All Commercial Plans: $392.14
  • Bright Health — All Commercial Plans: $392.14
  • Central Health Plan — HMO: $463.43
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT 3 $1,780 $1,780 $1,246 – $1,424
Emergency room visit (moderate): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $1,246
  • HealthSmart Preferred Care — All Commercial Plans: $1,335
  • Multiplan/PHCS — All Plans: $1,388.40
  • Pacific Health Alliance — PPO: $1,424
  • Three Rivers Provider Network — All Commercial Plans: $1,424
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT 4 $2,930 $2,930 $69.72 – $2,344
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $2,197.50
  • AltaMed Health Network — HMO: $553.39
  • America's Health Network — HMO: $553.39
  • Blue Cross — HMO/PPO: $1,266
  • Blue Cross — Medi-Cal: $69.72
  • Blue Cross — Medicare Advantage: $553.39
  • Blue Shield — HMO/PPO: $830.08
  • Brand New Day — All Commercial Plans: $608.72
  • Bright Health — All Commercial Plans: $608.72
  • Central Health Plan — HMO: $719.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL 4 W/PROC $2,930 $2,930 $69.72 – $2,344
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $2,197.50
  • AltaMed Health Network — HMO: $553.39
  • America's Health Network — HMO: $553.39
  • Blue Cross — HMO/PPO: $1,266
  • Blue Cross — Medi-Cal: $69.72
  • Blue Cross — Medicare Advantage: $553.39
  • Blue Shield — HMO/PPO: $830.08
  • Brand New Day — All Commercial Plans: $608.72
  • Bright Health — All Commercial Plans: $608.72
  • Central Health Plan — HMO: $719.40
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT 4 $2,930 $2,930 $2,051 – $2,344
Emergency room visit (moderately high): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $2,051
  • HealthSmart Preferred Care — All Commercial Plans: $2,197.50
  • Multiplan/PHCS — All Plans: $2,285.40
  • Pacific Health Alliance — PPO: $2,344
  • Three Rivers Provider Network — All Commercial Plans: $2,344
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT 5 $4,420 $4,420 $110.24 – $3,536
Emergency room visit (high): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $3,315
  • AltaMed Health Network — HMO: $802.53
  • America's Health Network — HMO: $802.53
  • Blue Cross — HMO/PPO: $1,266
  • Blue Cross — Medi-Cal: $110.24
  • Blue Cross — Medicare Advantage: $802.53
  • Blue Shield — HMO/PPO: $1,203.79
  • Brand New Day — All Commercial Plans: $882.78
  • Bright Health — All Commercial Plans: $882.78
  • Central Health Plan — HMO: $1,043.29
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL 5 W/PROC $4,420 $4,420 $110.24 – $3,536
Emergency room visit (high): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $3,315
  • AltaMed Health Network — HMO: $802.53
  • America's Health Network — HMO: $802.53
  • Blue Cross — HMO/PPO: $1,266
  • Blue Cross — Medi-Cal: $110.24
  • Blue Cross — Medicare Advantage: $802.53
  • Blue Shield — HMO/PPO: $1,203.79
  • Brand New Day — All Commercial Plans: $882.78
  • Bright Health — All Commercial Plans: $882.78
  • Central Health Plan — HMO: $1,043.29
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT LEVEL 5 W/PROC $4,420 $4,420 $3,094 – $3,536
Emergency room visit (high): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $3,094
  • HealthSmart Preferred Care — All Commercial Plans: $3,315
  • Multiplan/PHCS — All Plans: $3,447.60
  • Pacific Health Alliance — PPO: $3,536
  • Three Rivers Provider Network — All Commercial Plans: $3,536

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $796.95 $796.95 $3.55 – $637.56
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $597.71
  • AltaMed Health Network — HMO: $8.46
  • America's Health Network — HMO: $8.46
  • Blue Cross — HMO/PPO: $540.17
  • Blue Cross — Medi-Cal: $7.42
  • Blue Cross — Medicare Advantage: $8.46
  • Blue Shield — HMO/PPO: $12.69
  • Brand New Day — All Commercial Plans: $9.31
  • Bright Health — All Commercial Plans: $9.31
  • Central Health Plan — HMO: $11
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $7.49 $7.49 $5.24 – $5.99
Basic metabolic panel (blood test): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $5.24
  • HealthSmart Preferred Care — All Commercial Plans: $5.62
  • Multiplan/PHCS — All Plans: $5.84
  • Pacific Health Alliance — PPO: $5.99
  • Three Rivers Provider Network — All Commercial Plans: $5.99
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $998.55 $998.55 $4.44 – $798.84
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $748.91
  • AltaMed Health Network — HMO: $10.56
  • America's Health Network — HMO: $10.56
  • Blue Cross — HMO/PPO: $676.82
  • Blue Cross — Medi-Cal: $9.37
  • Blue Cross — Medicare Advantage: $10.56
  • Blue Shield — HMO/PPO: $15.84
  • Brand New Day — All Commercial Plans: $11.62
  • Bright Health — All Commercial Plans: $11.62
  • Central Health Plan — HMO: $13.73
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $141.24 $141.24 $98.87 – $112.99
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $98.87
  • HealthSmart Preferred Care — All Commercial Plans: $105.93
  • Multiplan/PHCS — All Plans: $110.17
  • Pacific Health Alliance — PPO: $112.99
  • Three Rivers Provider Network — All Commercial Plans: $112.99
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $1,001.70 $1,001.70 $20.08 – $801.36
Obstetric blood test panel: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $751.28
  • AltaMed Health Network — HMO: $47.81
  • America's Health Network — HMO: $47.81
  • Blue Cross — HMO/PPO: $678.95
  • Blue Cross — Medi-Cal: $36.55
  • Blue Cross — Medicare Advantage: $47.81
  • Blue Shield — HMO/PPO: $71.72
  • Brand New Day — All Commercial Plans: $52.59
  • Bright Health — All Commercial Plans: $52.59
  • Central Health Plan — HMO: $62.15
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $1,001.70 $1,001.70 $701.19 – $801.36
Obstetric blood test panel: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $701.19
  • HealthSmart Preferred Care — All Commercial Plans: $751.28
  • Multiplan/PHCS — All Plans: $781.33
  • Pacific Health Alliance — PPO: $801.36
  • Three Rivers Provider Network — All Commercial Plans: $801.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $518.70 $518.70 $5.62 – $414.96
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $389.03
  • AltaMed Health Network — HMO: $13.39
  • America's Health Network — HMO: $13.39
  • Blue Cross — HMO/PPO: $351.57
  • Blue Cross — Medi-Cal: $11.77
  • Blue Cross — Medicare Advantage: $13.39
  • Blue Shield — HMO/PPO: $20.09
  • Brand New Day — All Commercial Plans: $14.73
  • Bright Health — All Commercial Plans: $14.73
  • Central Health Plan — HMO: $17.41
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $518.70 $518.70 $363.09 – $414.96
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $363.09
  • HealthSmart Preferred Care — All Commercial Plans: $389.03
  • Multiplan/PHCS — All Plans: $404.59
  • Pacific Health Alliance — PPO: $414.96
  • Three Rivers Provider Network — All Commercial Plans: $414.96
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $542.85 $542.85 $3.65 – $434.28
Kidney function panel: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $407.14
  • AltaMed Health Network — HMO: $8.68
  • America's Health Network — HMO: $8.68
  • Blue Cross — HMO/PPO: $367.94
  • Blue Cross — Medi-Cal: $7.75
  • Blue Cross — Medicare Advantage: $8.68
  • Blue Shield — HMO/PPO: $13.02
  • Brand New Day — All Commercial Plans: $9.55
  • Bright Health — All Commercial Plans: $9.55
  • Central Health Plan — HMO: $11.28
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $845.30 $845.30 $591.71 – $676.24
Kidney function panel: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $591.71
  • HealthSmart Preferred Care — All Commercial Plans: $633.98
  • Multiplan/PHCS — All Plans: $659.33
  • Pacific Health Alliance — PPO: $676.24
  • Three Rivers Provider Network — All Commercial Plans: $676.24
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $6.67 $6.67 $3.13 – $19.43
Liver function panel: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $5
  • AltaMed Health Network — HMO: $8.17
  • America's Health Network — HMO: $8.17
  • Blue Cross — HMO/PPO: $4.52
  • Blue Cross — Medi-Cal: $6.51
  • Blue Cross — Medicare Advantage: $8.17
  • Blue Shield — HMO/PPO: $12.26
  • Brand New Day — All Commercial Plans: $8.99
  • Bright Health — All Commercial Plans: $8.99
  • Central Health Plan — HMO: $10.62
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $6.67 $6.67 $4.67 – $5.34
Liver function panel: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $4.67
  • HealthSmart Preferred Care — All Commercial Plans: $5
  • Multiplan/PHCS — All Plans: $5.20
  • Pacific Health Alliance — PPO: $5.34
  • Three Rivers Provider Network — All Commercial Plans: $5.34
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $6.42 $6.42 $1.33 – $7.54
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $4.82
  • AltaMed Health Network — HMO: $3.17
  • America's Health Network — HMO: $3.17
  • Blue Cross — HMO/PPO: $4.35
  • Blue Cross — Medi-Cal: $2.83
  • Blue Cross — Medicare Advantage: $3.17
  • Blue Shield — HMO/PPO: $4.76
  • Brand New Day — All Commercial Plans: $3.49
  • Bright Health — All Commercial Plans: $3.49
  • Central Health Plan — HMO: $4.12
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $6.42 $6.42 $4.49 – $5.14
Urine test (automated, with microscope): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $4.49
  • HealthSmart Preferred Care — All Commercial Plans: $4.82
  • Multiplan/PHCS — All Plans: $5.01
  • Pacific Health Alliance — PPO: $5.14
  • Three Rivers Provider Network — All Commercial Plans: $5.14
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $100.80 $100.80 $1.46 – $80.64
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $75.60
  • AltaMed Health Network — HMO: $3.48
  • America's Health Network — HMO: $3.48
  • Blue Cross — HMO/PPO: $68.32
  • Blue Cross — Medi-Cal: $2.19
  • Blue Cross — Medicare Advantage: $3.48
  • Blue Shield — HMO/PPO: $5.22
  • Brand New Day — All Commercial Plans: $3.83
  • Bright Health — All Commercial Plans: $3.83
  • Central Health Plan — HMO: $4.52
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS $96 $96 $1.46 – $76.80
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $72
  • AltaMed Health Network — HMO: $3.48
  • America's Health Network — HMO: $3.48
  • Blue Cross — HMO/PPO: $65.07
  • Blue Cross — Medi-Cal: $2.19
  • Blue Cross — Medicare Advantage: $3.48
  • Blue Shield — HMO/PPO: $5.22
  • Brand New Day — All Commercial Plans: $3.83
  • Bright Health — All Commercial Plans: $3.83
  • Central Health Plan — HMO: $4.52
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS $96 $96 $67.20 – $76.80
Urine test (manual, without microscope): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $67.20
  • HealthSmart Preferred Care — All Commercial Plans: $72
  • Multiplan/PHCS — All Plans: $74.88
  • Pacific Health Alliance — PPO: $76.80
  • Three Rivers Provider Network — All Commercial Plans: $76.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $120 $120 $0.95 – $96
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $90
  • AltaMed Health Network — HMO: $2.25
  • America's Health Network — HMO: $2.25
  • Blue Cross — HMO/PPO: $81.34
  • Blue Cross — Medi-Cal: $2
  • Blue Cross — Medicare Advantage: $2.25
  • Blue Shield — HMO/PPO: $3.38
  • Brand New Day — All Commercial Plans: $2.48
  • Bright Health — All Commercial Plans: $2.48
  • Central Health Plan — HMO: $2.93
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $6.93 $6.93 $4.85 – $5.54
Urine test (automated, without microscope): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $4.85
  • HealthSmart Preferred Care — All Commercial Plans: $5.20
  • Multiplan/PHCS — All Plans: $5.41
  • Pacific Health Alliance — PPO: $5.54
  • Three Rivers Provider Network — All Commercial Plans: $5.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL WITH FREE PSA -CRG 1 - LABCORP $6 $6 $2.81 – $43.73
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $4.50
  • AltaMed Health Network — HMO: $18.39
  • America's Health Network — HMO: $18.39
  • Blue Cross — HMO/PPO: $4.07
  • Blue Cross — Medi-Cal: $16.68
  • Blue Cross — Medicare Advantage: $18.39
  • Blue Shield — HMO/PPO: $27.59
  • Brand New Day — All Commercial Plans: $20.23
  • Bright Health — All Commercial Plans: $20.23
  • Central Health Plan — HMO: $23.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen, Free Pe ARUP $11.40 $11.40 $5.35 – $43.73
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $8.55
  • AltaMed Health Network — HMO: $18.39
  • America's Health Network — HMO: $18.39
  • Blue Cross — HMO/PPO: $7.73
  • Blue Cross — Medi-Cal: $16.68
  • Blue Cross — Medicare Advantage: $18.39
  • Blue Shield — HMO/PPO: $27.59
  • Brand New Day — All Commercial Plans: $20.23
  • Bright Health — All Commercial Plans: $20.23
  • Central Health Plan — HMO: $23.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $307.65 $307.65 $7.72 – $246.12
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $230.74
  • AltaMed Health Network — HMO: $18.39
  • America's Health Network — HMO: $18.39
  • Blue Cross — HMO/PPO: $208.53
  • Blue Cross — Medi-Cal: $16.68
  • Blue Cross — Medicare Advantage: $18.39
  • Blue Shield — HMO/PPO: $27.59
  • Brand New Day — All Commercial Plans: $20.23
  • Bright Health — All Commercial Plans: $20.23
  • Central Health Plan — HMO: $23.91
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID-STIMULATING HORMONE(TSH)-LABCORP $3.94 $3.94 $1.85 – $39.95
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $2.96
  • AltaMed Health Network — HMO: $16.80
  • America's Health Network — HMO: $16.80
  • Blue Cross — HMO/PPO: $2.67
  • Blue Cross — Medi-Cal: $15.06
  • Blue Cross — Medicare Advantage: $16.80
  • Blue Shield — HMO/PPO: $25.20
  • Brand New Day — All Commercial Plans: $18.48
  • Bright Health — All Commercial Plans: $18.48
  • Central Health Plan — HMO: $21.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $367.50 $367.50 $7.06 – $294
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $275.63
  • AltaMed Health Network — HMO: $16.80
  • America's Health Network — HMO: $16.80
  • Blue Cross — HMO/PPO: $249.09
  • Blue Cross — Medi-Cal: $15.06
  • Blue Cross — Medicare Advantage: $16.80
  • Blue Shield — HMO/PPO: $25.20
  • Brand New Day — All Commercial Plans: $18.48
  • Bright Health — All Commercial Plans: $18.48
  • Central Health Plan — HMO: $21.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $5.08 $5.08 $3.56 – $4.06
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $3.56
  • HealthSmart Preferred Care — All Commercial Plans: $3.81
  • Multiplan/PHCS — All Plans: $3.96
  • Pacific Health Alliance — PPO: $4.06
  • Three Rivers Provider Network — All Commercial Plans: $4.06
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $300.30 $300.30 $3.26 – $240.24
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $225.23
  • AltaMed Health Network — HMO: $7.77
  • America's Health Network — HMO: $7.77
  • Blue Cross — HMO/PPO: $203.54
  • Blue Cross — Medi-Cal: $6.89
  • Blue Cross — Medicare Advantage: $7.77
  • Blue Shield — HMO/PPO: $11.66
  • Brand New Day — All Commercial Plans: $8.55
  • Bright Health — All Commercial Plans: $8.55
  • Central Health Plan — HMO: $10.10
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFF - LABCORP $3.47 $3.47 $1.63 – $18.48
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $2.60
  • AltaMed Health Network — HMO: $7.77
  • America's Health Network — HMO: $7.77
  • Blue Cross — HMO/PPO: $2.35
  • Blue Cross — Medi-Cal: $6.89
  • Blue Cross — Medicare Advantage: $7.77
  • Blue Shield — HMO/PPO: $11.66
  • Brand New Day — All Commercial Plans: $8.55
  • Bright Health — All Commercial Plans: $8.55
  • Central Health Plan — HMO: $10.10
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $4.81 $4.81 $3.37 – $3.85
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $3.37
  • HealthSmart Preferred Care — All Commercial Plans: $3.61
  • Multiplan/PHCS — All Plans: $3.75
  • Pacific Health Alliance — PPO: $3.85
  • Three Rivers Provider Network — All Commercial Plans: $3.85
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $4.28 $4.28 $2.01 – $15.39
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $3.21
  • AltaMed Health Network — HMO: $6.47
  • America's Health Network — HMO: $6.47
  • Blue Cross — HMO/PPO: $2.90
  • Blue Cross — Medi-Cal: $5.82
  • Blue Cross — Medicare Advantage: $6.47
  • Blue Shield — HMO/PPO: $9.71
  • Brand New Day — All Commercial Plans: $7.12
  • Bright Health — All Commercial Plans: $7.12
  • Central Health Plan — HMO: $8.41
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $4.28 $4.28 $3 – $3.42
Complete blood count (CBC), automated: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $3
  • HealthSmart Preferred Care — All Commercial Plans: $3.21
  • Multiplan/PHCS — All Plans: $3.34
  • Pacific Health Alliance — PPO: $3.42
  • Three Rivers Provider Network — All Commercial Plans: $3.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME(PT)MIXING STUDY-LABCORP $30.19 $30.19 $1.80 – $24.15
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $22.64
  • AltaMed Health Network — HMO: $4.29
  • America's Health Network — HMO: $4.29
  • Blue Cross — HMO/PPO: $20.46
  • Blue Cross — Medi-Cal: $3.56
  • Blue Cross — Medicare Advantage: $4.29
  • Blue Shield — HMO/PPO: $6.44
  • Brand New Day — All Commercial Plans: $4.72
  • Bright Health — All Commercial Plans: $4.72
  • Central Health Plan — HMO: $5.58
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $4.28 $4.28 $1.80 – $10.20
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $3.21
  • AltaMed Health Network — HMO: $4.29
  • America's Health Network — HMO: $4.29
  • Blue Cross — HMO/PPO: $2.90
  • Blue Cross — Medi-Cal: $3.56
  • Blue Cross — Medicare Advantage: $4.29
  • Blue Shield — HMO/PPO: $6.44
  • Brand New Day — All Commercial Plans: $4.72
  • Bright Health — All Commercial Plans: $4.72
  • Central Health Plan — HMO: $5.58
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT/PTT -CRG 1 - LABCORP $2.38 $2.38 $1.12 – $10.20
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1.79
  • AltaMed Health Network — HMO: $4.29
  • America's Health Network — HMO: $4.29
  • Blue Cross — HMO/PPO: $1.61
  • Blue Cross — Medi-Cal: $3.56
  • Blue Cross — Medicare Advantage: $4.29
  • Blue Shield — HMO/PPO: $6.44
  • Brand New Day — All Commercial Plans: $4.72
  • Bright Health — All Commercial Plans: $4.72
  • Central Health Plan — HMO: $5.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT-D 1:1 MIX BILL -CRG 1 - LABCORP $19.36 $19.36 $2.52 – $15.49
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $14.52
  • AltaMed Health Network — HMO: $6.01
  • America's Health Network — HMO: $6.01
  • Blue Cross — HMO/PPO: $13.12
  • Blue Cross — Medi-Cal: $5.45
  • Blue Cross — Medicare Advantage: $6.01
  • Blue Shield — HMO/PPO: $9.02
  • Brand New Day — All Commercial Plans: $6.61
  • Bright Health — All Commercial Plans: $6.61
  • Central Health Plan — HMO: $7.81
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT - LABCORP $2.50 $2.50 $1.17 – $14.29
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1.88
  • AltaMed Health Network — HMO: $6.01
  • America's Health Network — HMO: $6.01
  • Blue Cross — HMO/PPO: $1.69
  • Blue Cross — Medi-Cal: $5.45
  • Blue Cross — Medicare Advantage: $6.01
  • Blue Shield — HMO/PPO: $9.02
  • Brand New Day — All Commercial Plans: $6.61
  • Bright Health — All Commercial Plans: $6.61
  • Central Health Plan — HMO: $7.81
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inhibitor Assay, PTT, Reflex LABCORP $95 $95 $2.52 – $76
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $71.25
  • AltaMed Health Network — HMO: $6.01
  • America's Health Network — HMO: $6.01
  • Blue Cross — HMO/PPO: $64.39
  • Blue Cross — Medi-Cal: $5.45
  • Blue Cross — Medicare Advantage: $6.01
  • Blue Shield — HMO/PPO: $9.02
  • Brand New Day — All Commercial Plans: $6.61
  • Bright Health — All Commercial Plans: $6.61
  • Central Health Plan — HMO: $7.81

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE $4,674.60 $4,674.60 $103.30 – $3,739.68
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $3,505.95
  • AltaMed Health Network — HMO: $137.36
  • America's Health Network — HMO: $137.36
  • Blue Cross — HMO/PPO: $3,168.44
  • Blue Cross — Medi-Cal: $103.30
  • Blue Cross — Medicare Advantage: $137.36
  • Blue Shield — HMO/PPO: $206.04
  • Brand New Day — All Commercial Plans: $151.10
  • Bright Health — All Commercial Plans: $151.10
  • Central Health Plan — HMO: $178.57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE $4,674.60 $4,674.60 $3,272.22 – $3,739.68
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $3,272.22
  • HealthSmart Preferred Care — All Commercial Plans: $3,505.95
  • Multiplan/PHCS — All Plans: $3,646.19
  • Pacific Health Alliance — PPO: $3,739.68
  • Three Rivers Provider Network — All Commercial Plans: $3,739.68
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & W/DYE $8,163.75 $8,163.75 $317.28 – $6,531
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $6,122.81
  • AltaMed Health Network — HMO: $480.50
  • America's Health Network — HMO: $480.50
  • Blue Cross — HMO/PPO: $5,533.39
  • Blue Cross — Medi-Cal: $317.28
  • Blue Cross — Medicare Advantage: $480.50
  • Blue Shield — HMO/PPO: $720.75
  • Brand New Day — All Commercial Plans: $528.55
  • Bright Health — All Commercial Plans: $528.55
  • Central Health Plan — HMO: $624.65
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & W/DYE $8,163.75 $8,163.75 $5,714.63 – $6,531
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $5,714.63
  • HealthSmart Preferred Care — All Commercial Plans: $6,122.81
  • Multiplan/PHCS — All Plans: $6,367.73
  • Pacific Health Alliance — PPO: $6,531
  • Three Rivers Provider Network — All Commercial Plans: $6,531
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST XR TWO VIEWS $592.20 $592.20 $28.03 – $473.76
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $444.15
  • AltaMed Health Network — HMO: $113.54
  • America's Health Network — HMO: $113.54
  • Blue Cross — HMO/PPO: $401.39
  • Blue Cross — Medi-Cal: $28.03
  • Blue Cross — Medicare Advantage: $113.54
  • Blue Shield — HMO/PPO: $170.30
  • Brand New Day — All Commercial Plans: $124.89
  • Bright Health — All Commercial Plans: $124.89
  • Central Health Plan — HMO: $147.60
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST XR TWO VIEWS $592.20 $592.20 $414.54 – $473.76
Chest X-ray, 2 views: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $414.54
  • HealthSmart Preferred Care — All Commercial Plans: $444.15
  • Multiplan/PHCS — All Plans: $461.92
  • Pacific Health Alliance — PPO: $473.76
  • Three Rivers Provider Network — All Commercial Plans: $473.76
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4 VIEWS MIN $1,342.95 $1,342.95 $44.73 – $1,074.36
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1,007.21
  • AltaMed Health Network — HMO: $137.36
  • America's Health Network — HMO: $137.36
  • Blue Cross — HMO/PPO: $910.25
  • Blue Cross — Medi-Cal: $44.73
  • Blue Cross — Medicare Advantage: $137.36
  • Blue Shield — HMO/PPO: $206.04
  • Brand New Day — All Commercial Plans: $151.10
  • Bright Health — All Commercial Plans: $151.10
  • Central Health Plan — HMO: $178.57
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4 VIEWS MIN $1,342.95 $1,342.95 $940.07 – $1,074.36
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $940.07
  • HealthSmart Preferred Care — All Commercial Plans: $1,007.21
  • Multiplan/PHCS — All Plans: $1,047.50
  • Pacific Health Alliance — PPO: $1,074.36
  • Three Rivers Provider Network — All Commercial Plans: $1,074.36
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 $3,370.50 $3,370.50 $189.72 – $2,696.40
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $2,527.88
  • AltaMed Health Network — HMO: $306.16
  • America's Health Network — HMO: $306.16
  • Blue Cross — HMO/PPO: $2,284.52
  • Blue Cross — Medi-Cal: $189.72
  • Blue Cross — Medicare Advantage: $306.16
  • Blue Shield — HMO/PPO: $459.24
  • Brand New Day — All Commercial Plans: $336.77
  • Bright Health — All Commercial Plans: $336.77
  • Central Health Plan — HMO: $398.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE $3,370.50 $3,370.50 $2,359.35 – $2,696.40
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $2,359.35
  • HealthSmart Preferred Care — All Commercial Plans: $2,527.88
  • Multiplan/PHCS — All Plans: $2,628.99
  • Pacific Health Alliance — PPO: $2,696.40
  • Three Rivers Provider Network — All Commercial Plans: $2,696.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $3,378.90 $3,378.90 $208.54 – $2,703.12
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $2,534.18
  • AltaMed Health Network — HMO: $229.56
  • America's Health Network — HMO: $229.56
  • Blue Cross — HMO/PPO: $2,290.22
  • Blue Cross — Medi-Cal: $208.54
  • Blue Cross — Medicare Advantage: $229.56
  • Blue Shield — HMO/PPO: $344.34
  • Brand New Day — All Commercial Plans: $252.52
  • Bright Health — All Commercial Plans: $252.52
  • Central Health Plan — HMO: $298.43
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $3,378.90 $3,378.90 $2,365.23 – $2,703.12
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $2,365.23
  • HealthSmart Preferred Care — All Commercial Plans: $2,534.18
  • Multiplan/PHCS — All Plans: $2,635.54
  • Pacific Health Alliance — PPO: $2,703.12
  • Three Rivers Provider Network — All Commercial Plans: $2,703.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT LOW EXTREM W/O CON LT $6,557.25 $6,557.25 $296.97 – $5,245.80
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $4,917.94
  • AltaMed Health Network — HMO: $306.16
  • America's Health Network — HMO: $306.16
  • Blue Cross — HMO/PPO: $4,444.50
  • Blue Cross — Medi-Cal: $398.29
  • Blue Cross — Medicare Advantage: $306.16
  • Blue Shield — HMO/PPO: $459.24
  • Brand New Day — All Commercial Plans: $336.77
  • Bright Health — All Commercial Plans: $336.77
  • Central Health Plan — HMO: $398.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT LOW EXTREM W/O CON BILAT $9,836.40 $9,836.40 $296.97 – $7,869.12
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $7,377.30
  • AltaMed Health Network — HMO: $306.16
  • America's Health Network — HMO: $306.16
  • Blue Cross — HMO/PPO: $6,667.11
  • Blue Cross — Medi-Cal: $398.29
  • Blue Cross — Medicare Advantage: $306.16
  • Blue Shield — HMO/PPO: $459.24
  • Brand New Day — All Commercial Plans: $336.77
  • Bright Health — All Commercial Plans: $336.77
  • Central Health Plan — HMO: $398.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT LOW EXTREM W/O CON RT $6,557.25 $6,557.25 $296.97 – $5,245.80
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $4,917.94
  • AltaMed Health Network — HMO: $306.16
  • America's Health Network — HMO: $306.16
  • Blue Cross — HMO/PPO: $4,444.50
  • Blue Cross — Medi-Cal: $398.29
  • Blue Cross — Medicare Advantage: $306.16
  • Blue Shield — HMO/PPO: $459.24
  • Brand New Day — All Commercial Plans: $336.77
  • Bright Health — All Commercial Plans: $336.77
  • Central Health Plan — HMO: $398.01
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST $7,366.80 $7,366.80 $287.44 – $5,893.44
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $5,525.10
  • AltaMed Health Network — HMO: $480.50
  • America's Health Network — HMO: $480.50
  • Blue Cross — HMO/PPO: $4,993.22
  • Blue Cross — Medi-Cal: $287.44
  • Blue Cross — Medicare Advantage: $480.50
  • Blue Shield — HMO/PPO: $720.75
  • Brand New Day — All Commercial Plans: $528.55
  • Bright Health — All Commercial Plans: $528.55
  • Central Health Plan — HMO: $624.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST $7,366.80 $7,366.80 $5,156.76 – $5,893.44
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $5,156.76
  • HealthSmart Preferred Care — All Commercial Plans: $5,525.10
  • Multiplan/PHCS — All Plans: $5,746.10
  • Pacific Health Alliance — PPO: $5,893.44
  • Three Rivers Provider Network — All Commercial Plans: $5,893.44
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $1,482.60 $1,482.60 $84.86 – $1,186.08
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1,111.95
  • AltaMed Health Network — HMO: $137.36
  • America's Health Network — HMO: $137.36
  • Blue Cross — HMO/PPO: $1,004.91
  • Blue Cross — Medi-Cal: $84.86
  • Blue Cross — Medicare Advantage: $137.36
  • Blue Shield — HMO/PPO: $206.04
  • Brand New Day — All Commercial Plans: $151.10
  • Bright Health — All Commercial Plans: $151.10
  • Central Health Plan — HMO: $178.57
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $1,482.60 $1,482.60 $1,037.82 – $1,186.08
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $1,037.82
  • HealthSmart Preferred Care — All Commercial Plans: $1,111.95
  • Multiplan/PHCS — All Plans: $1,156.43
  • Pacific Health Alliance — PPO: $1,186.08
  • Three Rivers Provider Network — All Commercial Plans: $1,186.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS $1,333.50 $1,333.50 $130.50 – $1,066.80
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $1,000.13
  • AltaMed Health Network — HMO: $137.36
  • America's Health Network — HMO: $137.36
  • Blue Cross — HMO/PPO: $903.85
  • Blue Cross — Medi-Cal: $130.50
  • Blue Cross — Medicare Advantage: $137.36
  • Blue Shield — HMO/PPO: $206.04
  • Brand New Day — All Commercial Plans: $151.10
  • Bright Health — All Commercial Plans: $151.10
  • Central Health Plan — HMO: $178.57
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS $1,333.50 $1,333.50 $933.45 – $1,066.80
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $933.45
  • HealthSmart Preferred Care — All Commercial Plans: $1,000.13
  • Multiplan/PHCS — All Plans: $1,040.13
  • Pacific Health Alliance — PPO: $1,066.80
  • Three Rivers Provider Network — All Commercial Plans: $1,066.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $846.30 $846.30 $69 – $677.04
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $634.73
  • AltaMed Health Network — HMO: $137.36
  • America's Health Network — HMO: $137.36
  • Blue Cross — HMO/PPO: $573.62
  • Blue Cross — Medi-Cal: $69
  • Blue Cross — Medicare Advantage: $137.36
  • Blue Shield — HMO/PPO: $206.04
  • Brand New Day — All Commercial Plans: $151.10
  • Bright Health — All Commercial Plans: $151.10
  • Central Health Plan — HMO: $178.57
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $846.30 $846.30 $592.41 – $677.04
Transvaginal ultrasound: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $592.41
  • HealthSmart Preferred Care — All Commercial Plans: $634.73
  • Multiplan/PHCS — All Plans: $660.11
  • Pacific Health Alliance — PPO: $677.04
  • Three Rivers Provider Network — All Commercial Plans: $677.04
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $83.17 – $247.23
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • America's Health Network — HMO: $103.96
  • Blue Cross — Medi-Cal: $119.42
  • Blue Cross — Medicare Advantage: $103.96
  • Blue Shield — HMO/PPO: $155.95
  • Brand New Day — All Commercial Plans: $114.36
  • Bright Health — All Commercial Plans: $114.36
  • Central Health Plan — HMO: $135.15
  • Health Net — HMO/PPO: $247.23
  • Health Net Salud — HMO/PPO/EPO: $189.63
  • Health Net/Ambetter — HMO: $242.34
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $106.57 – $316.77
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • America's Health Network — HMO: $133.21
  • Blue Cross — Medi-Cal: $150.99
  • Blue Cross — Medicare Advantage: $133.21
  • Blue Shield — HMO/PPO: $199.81
  • Brand New Day — All Commercial Plans: $146.53
  • Bright Health — All Commercial Plans: $146.53
  • Central Health Plan — HMO: $173.17
  • Health Net — HMO/PPO: $316.77
  • Health Net Salud — HMO/PPO/EPO: $242.97
  • Health Net/Ambetter — HMO: $310.51
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $87.94 – $261.41
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • America's Health Network — HMO: $109.93
  • Blue Cross — Medi-Cal: $121.84
  • Blue Cross — Medicare Advantage: $109.93
  • Blue Shield — HMO/PPO: $164.89
  • Brand New Day — All Commercial Plans: $120.92
  • Bright Health — All Commercial Plans: $120.92
  • Central Health Plan — HMO: $142.90
  • Health Net — HMO/PPO: $261.41
  • Health Net Salud — HMO/PPO/EPO: $200.51
  • Health Net/Ambetter — HMO: $256.24

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 $29.27
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Blue Cross — Medi-Cal: $29.27
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $778.12 – $9,681.69
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates
  • America's Health Network — HMO: $4,071.36
  • Blue Cross — HMO/PPO: $6,169
  • Blue Cross — Medi-Cal: $778.12
  • Blue Cross — Medicare Advantage: $4,071.36
  • Blue Shield — HMO/PPO: $6,107.03
  • Brand New Day — All Commercial Plans: $4,478.49
  • Bright Health — All Commercial Plans: $4,478.49
  • Central Health Plan — HMO: $5,292.76
  • Health Net — HMO/PPO: $9,681.69
  • Health Net Salud — HMO/PPO/EPO: $7,426.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $608.39 – $22,189.11
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates
  • America's Health Network — HMO: $9,331
  • Blue Cross — HMO/PPO: $4,387
  • Blue Cross — Medi-Cal: $608.39
  • Blue Cross — Medicare Advantage: $9,331
  • Blue Shield — HMO/PPO: $13,996.50
  • Brand New Day — All Commercial Plans: $10,264.10
  • Bright Health — All Commercial Plans: $10,264.10
  • Central Health Plan — HMO: $12,130.30
  • Health Net — HMO/PPO: $22,189.11
  • Health Net Salud — HMO/PPO/EPO: $17,019.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $898.08 – $70,566.11
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates
  • America's Health Network — HMO: $29,674.56
  • Blue Cross — HMO/PPO: $7,452
  • Blue Cross — Medi-Cal: $898.08
  • Blue Cross — Medicare Advantage: $29,674.56
  • Blue Shield — HMO/PPO: $44,511.84
  • Brand New Day — All Commercial Plans: $32,642.02
  • Bright Health — All Commercial Plans: $32,642.02
  • Central Health Plan — HMO: $38,576.93
  • Health Net — HMO/PPO: $70,566.11
  • Health Net Salud — HMO/PPO/EPO: $54,126.40
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 $355.03 – $3,106.45
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates
  • America's Health Network — HMO: $1,306.33
  • Blue Cross — Medi-Cal: $355.03
  • Blue Cross — Medicare Advantage: $1,306.33
  • Blue Shield — HMO/PPO: $1,959.50
  • Brand New Day — All Commercial Plans: $1,436.96
  • Bright Health — All Commercial Plans: $1,436.96
  • Central Health Plan — HMO: $1,698.23
  • Health Net — HMO/PPO: $3,106.45
  • Health Net Salud — HMO/PPO/EPO: $2,382.75
  • Health Net/Ambetter — HMO: $3,045.06

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE $244.65 $244.65 $11.18 – $218
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $183.49
  • AltaMed Health Network — HMO: $32.53
  • America's Health Network — HMO: $32.53
  • Blue Cross — HMO/PPO: $218
  • Blue Cross — Medi-Cal: $11.18
  • Blue Cross — Medicare Advantage: $32.53
  • Blue Shield — HMO/PPO: $48.80
  • Brand New Day — All Commercial Plans: $35.78
  • Bright Health — All Commercial Plans: $35.78
  • Central Health Plan — HMO: $42.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES EA 15 MIN $244.65 $244.65 $11.18 – $218
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $183.49
  • AltaMed Health Network — HMO: $32.53
  • America's Health Network — HMO: $32.53
  • Blue Cross — HMO/PPO: $218
  • Blue Cross — Medi-Cal: $11.18
  • Blue Cross — Medicare Advantage: $32.53
  • Blue Shield — HMO/PPO: $48.80
  • Brand New Day — All Commercial Plans: $35.78
  • Bright Health — All Commercial Plans: $35.78
  • Central Health Plan — HMO: $42.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES EA 15 MIN $244.65 $244.65 $171.26 – $195.72
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $171.26
  • HealthSmart Preferred Care — All Commercial Plans: $183.49
  • Multiplan/PHCS — All Plans: $190.83
  • Pacific Health Alliance — PPO: $195.72
  • Three Rivers Provider Network — All Commercial Plans: $195.72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW CMPLXTY $495.60 $495.60 $88.94 – $396.48
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • Affiliated Health Funds — PPO: $371.70
  • AltaMed Health Network — HMO: $111.17
  • America's Health Network — HMO: $111.17
  • Blue Cross — HMO/PPO: $218
  • Blue Cross — Medicare Advantage: $111.17
  • Blue Shield — HMO/PPO: $166.76
  • Brand New Day — All Commercial Plans: $122.29
  • Bright Health — All Commercial Plans: $122.29
  • Central Health Plan — HMO: $144.52
  • Cigna — HMO/PPO: $209
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW CMPLXTY $495.60 $495.60 $346.92 – $396.48
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $346.92
  • HealthSmart Preferred Care — All Commercial Plans: $371.70
  • Multiplan/PHCS — All Plans: $386.57
  • Pacific Health Alliance — PPO: $396.48
  • Three Rivers Provider Network — All Commercial Plans: $396.48
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD CMPLXTY $668.85 $668.85 $88.94 – $535.08
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • Affiliated Health Funds — PPO: $501.64
  • AltaMed Health Network — HMO: $111.17
  • America's Health Network — HMO: $111.17
  • Blue Cross — HMO/PPO: $218
  • Blue Cross — Medicare Advantage: $111.17
  • Blue Shield — HMO/PPO: $166.76
  • Brand New Day — All Commercial Plans: $122.29
  • Bright Health — All Commercial Plans: $122.29
  • Central Health Plan — HMO: $144.52
  • Cigna — HMO/PPO: $209
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD CMPLXTY $668.85 $668.85 $468.20 – $535.08
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $468.20
  • HealthSmart Preferred Care — All Commercial Plans: $501.64
  • Multiplan/PHCS — All Plans: $521.70
  • Pacific Health Alliance — PPO: $535.08
  • Three Rivers Provider Network — All Commercial Plans: $535.08
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH CMPLXTY $791.70 $791.70 $88.94 – $633.36
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $593.78
  • AltaMed Health Network — HMO: $111.17
  • America's Health Network — HMO: $111.17
  • Blue Cross — HMO/PPO: $218
  • Blue Cross — Medi-Cal: $138.27
  • Blue Cross — Medicare Advantage: $111.17
  • Blue Shield — HMO/PPO: $166.76
  • Brand New Day — All Commercial Plans: $122.29
  • Bright Health — All Commercial Plans: $122.29
  • Central Health Plan — HMO: $144.52
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH CMPLXTY $791.70 $791.70 $554.19 – $633.36
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $554.19
  • HealthSmart Preferred Care — All Commercial Plans: $593.78
  • Multiplan/PHCS — All Plans: $617.53
  • Pacific Health Alliance — PPO: $633.36
  • Three Rivers Provider Network — All Commercial Plans: $633.36
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV PSYCHOTHERAPHY 30 MIN $393.75 $393.75 $69.19 – $473.71
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $295.31
  • AltaMed Health Network — HMO: $199.21
  • America's Health Network — HMO: $199.21
  • Blue Cross — HMO/PPO: $266.88
  • Blue Cross — Medi-Cal: $69.19
  • Blue Cross — Medicare Advantage: $199.21
  • Blue Shield — HMO/PPO: $298.81
  • Brand New Day — All Commercial Plans: $219.13
  • Bright Health — All Commercial Plans: $219.13
  • Central Health Plan — HMO: $258.97
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIV PSYCHOTHERAPHY 30 MIN $393.75 $393.75 $275.63 – $315
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $275.63
  • HealthSmart Preferred Care — All Commercial Plans: $295.31
  • Multiplan/PHCS — All Plans: $307.13
  • Pacific Health Alliance — PPO: $315
  • Three Rivers Provider Network — All Commercial Plans: $315
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV PSYCHOTHERAPHY 45 MIN $446.25 $446.25 $91.43 – $473.71
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $334.69
  • AltaMed Health Network — HMO: $199.21
  • America's Health Network — HMO: $199.21
  • Blue Cross — HMO/PPO: $302.47
  • Blue Cross — Medi-Cal: $91.43
  • Blue Cross — Medicare Advantage: $199.21
  • Blue Shield — HMO/PPO: $298.81
  • Brand New Day — All Commercial Plans: $219.13
  • Bright Health — All Commercial Plans: $219.13
  • Central Health Plan — HMO: $258.97
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIV PSYCHOTHERAPHY 45 MIN $446.25 $446.25 $312.38 – $357
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $312.38
  • HealthSmart Preferred Care — All Commercial Plans: $334.69
  • Multiplan/PHCS — All Plans: $348.08
  • Pacific Health Alliance — PPO: $357
  • Three Rivers Provider Network — All Commercial Plans: $357
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV PSYCHOTHERAPHY 60 MIN $498.75 $498.75 $134.61 – $473.71
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $374.06
  • AltaMed Health Network — HMO: $199.21
  • America's Health Network — HMO: $199.21
  • Blue Cross — HMO/PPO: $338.05
  • Blue Cross — Medi-Cal: $134.61
  • Blue Cross — Medicare Advantage: $199.21
  • Blue Shield — HMO/PPO: $298.81
  • Brand New Day — All Commercial Plans: $219.13
  • Bright Health — All Commercial Plans: $219.13
  • Central Health Plan — HMO: $258.97
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIV PSYCHOTHERAPHY 60 MIN $498.75 $498.75 $349.13 – $399
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $349.13
  • HealthSmart Preferred Care — All Commercial Plans: $374.06
  • Multiplan/PHCS — All Plans: $389.03
  • Pacific Health Alliance — PPO: $399
  • Three Rivers Provider Network — All Commercial Plans: $399
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 $88.37 – $473.71
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • America's Health Network — HMO: $199.21
  • Blue Cross — Medi-Cal: $88.37
  • Blue Cross — Medicare Advantage: $199.21
  • Blue Shield — HMO/PPO: $298.81
  • Brand New Day — All Commercial Plans: $219.13
  • Bright Health — All Commercial Plans: $219.13
  • Central Health Plan — HMO: $258.97
  • Health Net — HMO/PPO: $473.71
  • Health Net Salud — HMO/PPO/EPO: $363.35
  • Health Net/Ambetter — HMO: $464.35
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 $91.44 – $473.71
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • America's Health Network — HMO: $199.21
  • Blue Cross — Medi-Cal: $91.44
  • Blue Cross — Medicare Advantage: $199.21
  • Blue Shield — HMO/PPO: $298.81
  • Brand New Day — All Commercial Plans: $219.13
  • Bright Health — All Commercial Plans: $219.13
  • Central Health Plan — HMO: $258.97
  • Health Net — HMO/PPO: $473.71
  • Health Net Salud — HMO/PPO/EPO: $363.35
  • Health Net/Ambetter — HMO: $464.35
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY $288.75 $288.75 $24.44 – $264.84
Group psychotherapy: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $216.56
  • AltaMed Health Network — HMO: $111.37
  • America's Health Network — HMO: $111.37
  • Blue Cross — HMO/PPO: $195.71
  • Blue Cross — Medi-Cal: $24.44
  • Blue Cross — Medicare Advantage: $111.37
  • Blue Shield — HMO/PPO: $167.06
  • Brand New Day — All Commercial Plans: $122.51
  • Bright Health — All Commercial Plans: $122.51
  • Central Health Plan — HMO: $144.78
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY $288.75 $288.75 $202.13 – $231
Group psychotherapy: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $202.13
  • HealthSmart Preferred Care — All Commercial Plans: $216.56
  • Multiplan/PHCS — All Plans: $225.23
  • Pacific Health Alliance — PPO: $231
  • Three Rivers Provider Network — All Commercial Plans: $231

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 $214.93 – $11,325.25
Removal of breast growth (open surgery): 10 of 22 insurance plan rates
  • America's Health Network — HMO: $4,762.51
  • Blue Cross — HMO/PPO: $3,153
  • Blue Cross — Medi-Cal: $214.93
  • Blue Cross — Medicare Advantage: $4,762.51
  • Blue Shield — HMO/PPO: $7,143.77
  • Brand New Day — All Commercial Plans: $5,238.76
  • Bright Health — All Commercial Plans: $5,238.76
  • Central Health Plan — HMO: $6,191.26
  • Cigna — HMO/PPO: $1,497
  • Health Net — HMO/PPO: $11,325.25
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 $1,518.98 – $39,103.75
Total hip replacement: 10 of 21 insurance plan rates
  • America's Health Network — HMO: $16,443.97
  • Blue Cross — HMO/PPO: $4,935
  • Blue Cross — Medi-Cal: $1,518.98
  • Blue Cross — Medicare Advantage: $16,443.97
  • Blue Shield — HMO/PPO: $24,665.95
  • Brand New Day — All Commercial Plans: $18,088.36
  • Bright Health — All Commercial Plans: $18,088.36
  • Central Health Plan — HMO: $21,377.16
  • Health Net — HMO/PPO: $39,103.75
  • Health Net Salud — HMO/PPO/EPO: $29,993.80
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 $1,518.98 – $39,103.75
Total knee replacement: 10 of 21 insurance plan rates
  • America's Health Network — HMO: $16,443.97
  • Blue Cross — HMO/PPO: $7,452
  • Blue Cross — Medi-Cal: $1,518.98
  • Blue Cross — Medicare Advantage: $16,443.97
  • Blue Shield — HMO/PPO: $24,665.95
  • Brand New Day — All Commercial Plans: $18,088.36
  • Bright Health — All Commercial Plans: $18,088.36
  • Central Health Plan — HMO: $21,377.16
  • Health Net — HMO/PPO: $39,103.75
  • Health Net Salud — HMO/PPO/EPO: $29,993.80
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 $430.26 – $4,387
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • Blue Cross — HMO/PPO: $4,387
  • Blue Cross — Medi-Cal: $430.26
  • Cigna — HMO/PPO: $1,497
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $562.02 – $9,617.14
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
  • America's Health Network — HMO: $4,044.21
  • Blue Cross — HMO/PPO: $4,187
  • Blue Cross — Medi-Cal: $562.02
  • Blue Cross — Medicare Advantage: $4,044.21
  • Blue Shield — HMO/PPO: $6,066.32
  • Brand New Day — All Commercial Plans: $4,448.63
  • Bright Health — All Commercial Plans: $4,448.63
  • Central Health Plan — HMO: $5,257.48
  • Cigna — HMO/PPO: $1,734
  • Health Net — HMO/PPO: $9,617.14
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 $172.02 – $17,399.58
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates
  • America's Health Network — HMO: $7,316.90
  • Blue Cross — HMO/PPO: $4,187
  • Blue Cross — Medi-Cal: $172.02
  • Blue Cross — Medicare Advantage: $7,316.90
  • Blue Shield — HMO/PPO: $10,975.35
  • Brand New Day — All Commercial Plans: $8,048.59
  • Bright Health — All Commercial Plans: $8,048.59
  • Central Health Plan — HMO: $9,511.97
  • Cigna — HMO/PPO: $1,497
  • Health Net — HMO/PPO: $17,399.58
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 $228.60 – $2,693.30
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,132.59
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $228.60
  • Blue Cross — Medicare Advantage: $1,132.59
  • Blue Shield — HMO/PPO: $1,698.89
  • Brand New Day — All Commercial Plans: $1,245.85
  • Bright Health — All Commercial Plans: $1,245.85
  • Central Health Plan — HMO: $1,472.37
  • Cigna — HMO/PPO: $986
  • Health Net — HMO/PPO: $2,693.30
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 $238.86 – $2,693.30
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,132.59
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $238.86
  • Blue Cross — Medicare Advantage: $1,132.59
  • Blue Shield — HMO/PPO: $1,698.89
  • Brand New Day — All Commercial Plans: $1,245.85
  • Bright Health — All Commercial Plans: $1,245.85
  • Central Health Plan — HMO: $1,472.37
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $2,693.30
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 $301.13 – $2,715.50
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,141.93
  • Blue Cross — HMO/PPO: $1,850
  • Blue Cross — Medi-Cal: $301.13
  • Blue Cross — Medicare Advantage: $1,141.93
  • Blue Shield — HMO/PPO: $1,712.89
  • Brand New Day — All Commercial Plans: $1,256.12
  • Bright Health — All Commercial Plans: $1,256.12
  • Central Health Plan — HMO: $1,484.51
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $2,715.50
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 $336.83 – $3,506.17
Colonoscopy with biopsy: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,474.42
  • Blue Cross — HMO/PPO: $1,850
  • Blue Cross — Medi-Cal: $336.83
  • Blue Cross — Medicare Advantage: $1,474.42
  • Blue Shield — HMO/PPO: $2,211.63
  • Brand New Day — All Commercial Plans: $1,621.86
  • Bright Health — All Commercial Plans: $1,621.86
  • Central Health Plan — HMO: $1,916.74
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $3,506.17
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 $408.22 – $3,506.17
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,474.42
  • Blue Cross — HMO/PPO: $1,850
  • Blue Cross — Medi-Cal: $408.22
  • Blue Cross — Medicare Advantage: $1,474.42
  • Blue Shield — HMO/PPO: $2,211.63
  • Brand New Day — All Commercial Plans: $1,621.86
  • Bright Health — All Commercial Plans: $1,621.86
  • Central Health Plan — HMO: $1,916.74
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $3,506.17
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 $173.04 – $3,506.17
Ultrasound of the lower bowel by endoscope: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,474.42
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $173.04
  • Blue Cross — Medicare Advantage: $1,474.42
  • Blue Shield — HMO/PPO: $2,211.63
  • Brand New Day — All Commercial Plans: $1,621.86
  • Bright Health — All Commercial Plans: $1,621.86
  • Central Health Plan — HMO: $1,916.74
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $3,506.17
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND $2,623.95 $2,623.95 $1,107.67 – $2,715.50
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • Affiliated Health Funds — PPO: $1,967.96
  • AltaMed Health Network — HMO: $1,141.93
  • America's Health Network — HMO: $1,141.93
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medicare Advantage: $1,141.93
  • Blue Shield — HMO/PPO: $1,712.89
  • Brand New Day — All Commercial Plans: $1,256.12
  • Bright Health — All Commercial Plans: $1,256.12
  • Central Health Plan — HMO: $1,484.51
  • Cigna — HMO/PPO: $1,300
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND $2,623.95 $2,623.95 $1,836.77 – $2,099.16
Screening colonoscopy (not high risk): rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $1,836.77
  • HealthSmart Preferred Care — All Commercial Plans: $1,967.96
  • Multiplan/PHCS — All Plans: $2,046.68
  • Pacific Health Alliance — PPO: $2,099.16
  • Three Rivers Provider Network — All Commercial Plans: $2,099.16
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 $475.44 – $17,143.50
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates
  • Affiliated Health Funds — PPO: $5,788
  • America's Health Network — HMO: $7,209.21
  • Blue Cross — HMO/PPO: $7,452
  • Blue Cross — Medi-Cal: $475.44
  • Blue Cross — Medicare Advantage: $7,209.21
  • Blue Shield — HMO/PPO: $10,813.81
  • Brand New Day — All Commercial Plans: $7,930.13
  • Bright Health — All Commercial Plans: $7,930.13
  • Central Health Plan — HMO: $9,371.97
  • Cigna — HMO/PPO: $2,995
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 $350.89 – $10,279.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $4,322.62
  • Blue Cross — HMO/PPO: $4,187
  • Blue Cross — Medi-Cal: $350.89
  • Blue Cross — Medicare Advantage: $4,322.62
  • Blue Shield — HMO/PPO: $6,483.93
  • Brand New Day — All Commercial Plans: $4,754.88
  • Bright Health — All Commercial Plans: $4,754.88
  • Central Health Plan — HMO: $5,619.41
  • Cigna — HMO/PPO: $1,734
  • Health Net — HMO/PPO: $10,279.20
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $6,059.55 $6,059.55 $89.24 – $6,051.69
Prostate biopsy: 10 of 29 insurance plan rates
  • Affiliated Health Funds — PPO: $4,544.66
  • AltaMed Health Network — HMO: $2,544.87
  • America's Health Network — HMO: $2,544.87
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $89.24
  • Blue Cross — Medicare Advantage: $2,544.87
  • Blue Shield — HMO/PPO: $3,817.30
  • Brand New Day — All Commercial Plans: $2,799.35
  • Bright Health — All Commercial Plans: $2,799.35
  • Central Health Plan — HMO: $3,308.32
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $6,059.55 $6,059.55 $4,241.69 – $4,847.64
Prostate biopsy: rates for 5 insurance plans
  • HealthRisk Resource Group — All Commercial Plans: $4,241.69
  • HealthSmart Preferred Care — All Commercial Plans: $4,544.66
  • Multiplan/PHCS — All Plans: $4,726.45
  • Pacific Health Alliance — PPO: $4,847.64
  • Three Rivers Provider Network — All Commercial Plans: $4,847.64
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 $972.33 – $30,584.19
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates
  • America's Health Network — HMO: $12,861.31
  • Blue Cross — HMO/PPO: $5,552
  • Blue Cross — Medi-Cal: $972.33
  • Blue Cross — Medicare Advantage: $12,861.31
  • Blue Shield — HMO/PPO: $19,291.96
  • Brand New Day — All Commercial Plans: $14,147.44
  • Bright Health — All Commercial Plans: $14,147.44
  • Central Health Plan — HMO: $16,719.70
  • Health Net — HMO/PPO: $30,584.19
  • Health Net Salud — HMO/PPO/EPO: $23,459.03
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 $1,303.92 – $9,288.90
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $3,906.18
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $1,303.92
  • Blue Cross — Medicare Advantage: $3,906.18
  • Blue Shield — HMO/PPO: $5,859.27
  • Brand New Day — All Commercial Plans: $4,296.80
  • Bright Health — All Commercial Plans: $4,296.80
  • Central Health Plan — HMO: $5,078.03
  • Cigna — HMO/PPO: $1,497
  • Health Net — HMO/PPO: $9,288.90
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 $224.43 – $2,054.69
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $864.04
  • Blue Cross — HMO/PPO: $1,850
  • Blue Cross — Medi-Cal: $224.43
  • Blue Cross — Medicare Advantage: $864.04
  • Blue Shield — HMO/PPO: $1,296.06
  • Brand New Day — All Commercial Plans: $950.45
  • Bright Health — All Commercial Plans: $950.45
  • Central Health Plan — HMO: $1,123.25
  • Cigna — HMO/PPO: $986
  • Health Net — HMO/PPO: $2,054.69
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 $146.21 – $2,708.15
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $1,138.83
  • Blue Cross — HMO/PPO: $1,850
  • Blue Cross — Medi-Cal: $146.21
  • Blue Cross — Medicare Advantage: $1,138.83
  • Blue Shield — HMO/PPO: $1,708.25
  • Brand New Day — All Commercial Plans: $1,252.72
  • Bright Health — All Commercial Plans: $1,252.72
  • Central Health Plan — HMO: $1,480.48
  • Cigna — HMO/PPO: $986
  • Health Net — HMO/PPO: $2,708.15
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 $323.17 – $5,736.64
Carpal tunnel release: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $2,412.38
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $323.17
  • Blue Cross — Medicare Advantage: $2,412.38
  • Blue Shield — HMO/PPO: $3,618.57
  • Brand New Day — All Commercial Plans: $2,653.62
  • Bright Health — All Commercial Plans: $2,653.62
  • Central Health Plan — HMO: $3,136.09
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $5,736.64
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 $189.87 – $2,428
Laser treatment of clouding after cataract surgery: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $726.26
  • Blue Cross — HMO/PPO: $2,428
  • Blue Cross — Medi-Cal: $189.87
  • Blue Cross — Medicare Advantage: $726.26
  • Blue Shield — HMO/PPO: $1,089.39
  • Brand New Day — All Commercial Plans: $798.89
  • Bright Health — All Commercial Plans: $798.89
  • Central Health Plan — HMO: $944.14
  • Cigna — HMO/PPO: $1,300
  • Health Net — HMO/PPO: $1,727.04
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 $1,025.31 – $6,923.87
Cataract removal with lens implant: 10 of 22 insurance plan rates
  • America's Health Network — HMO: $2,911.63
  • Blue Cross — HMO/PPO: $5,552
  • Blue Cross — Medi-Cal: $1,025.31
  • Blue Cross — Medicare Advantage: $2,911.63
  • Blue Shield — HMO/PPO: $4,367.45
  • Brand New Day — All Commercial Plans: $3,202.80
  • Bright Health — All Commercial Plans: $3,202.80
  • Central Health Plan — HMO: $3,785.12
  • Cigna — HMO/PPO: $2,521
  • Health Net — HMO/PPO: $6,923.87

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 $2,133.03 – $4,935
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • Blue Cross — HMO/PPO: $4,935
  • Blue Cross — Medi-Cal: $2,133.03
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 $2,343.49 – $4,935
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • Blue Cross — HMO/PPO: $4,935
  • Blue Cross — Medi-Cal: $2,343.49
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 $2,217.12 – $4,387
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • Blue Cross — HMO/PPO: $4,387
  • Blue Cross — Medi-Cal: $2,217.12

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 $93,181.87 – $192,127.56
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates
  • America's Health Network — HMO: $96,063.78
  • Blue Cross — Medicare Advantage: $96,063.78
  • Blue Shield — HMO/PPO: $144,095.67
  • Brand New Day — All Commercial Plans: $105,670.16
  • Bright Health — All Commercial Plans: $105,670.16
  • Central Health Plan — HMO: $115,084.41
  • Heritage Provider Network — All Commercial Plans: $100,866.97
  • LA Care — Covered California: $96,063.78
  • OmniCare Medical Group — HMO: $93,181.87
  • Optum Health Plan of California — HMO: $120,079.73
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 $18,530.40 – $38,207
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates
  • America's Health Network — HMO: $19,103.50
  • Blue Cross — Medicare Advantage: $19,103.50
  • Blue Shield — HMO/PPO: $28,655.25
  • Brand New Day — All Commercial Plans: $21,013.85
  • Bright Health — All Commercial Plans: $21,013.85
  • Central Health Plan — HMO: $22,885.99
  • Heritage Provider Network — All Commercial Plans: $20,058.68
  • LA Care — Covered California: $19,103.50
  • OmniCare Medical Group — HMO: $18,530.40
  • Optum Health Plan of California — HMO: $23,879.38
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 $23,162.94 – $47,758.64
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates
  • America's Health Network — HMO: $23,879.32
  • Blue Cross — Medicare Advantage: $23,879.32
  • Blue Shield — HMO/PPO: $35,818.98
  • Brand New Day — All Commercial Plans: $26,267.25
  • Bright Health — All Commercial Plans: $26,267.25
  • Central Health Plan — HMO: $28,607.43
  • Heritage Provider Network — All Commercial Plans: $25,073.29
  • LA Care — Covered California: $23,879.32
  • OmniCare Medical Group — HMO: $23,162.94
  • Optum Health Plan of California — HMO: $29,849.15
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 $11,928.11 – $24,594.04
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates
  • America's Health Network — HMO: $12,297.02
  • Blue Cross — Medicare Advantage: $12,297.02
  • Blue Shield — HMO/PPO: $18,445.53
  • Brand New Day — All Commercial Plans: $13,526.72
  • Bright Health — All Commercial Plans: $13,526.72
  • Central Health Plan — HMO: $14,731.83
  • Heritage Provider Network — All Commercial Plans: $12,911.87
  • LA Care — Covered California: $12,297.02
  • OmniCare Medical Group — HMO: $11,928.11
  • Optum Health Plan of California — HMO: $15,371.28

Source: Coast Plaza Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 4, 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
Address13100 Studerbaker Road, Norwalk, CA 90650
CountyLos Angeles County
StateCalifornia
Phone(562) 868‑3751
Emergency servicesYes
OwnershipProprietary
Medicare overall rating1 of 5 stars
CMS Certification Number050771
Name in Medicare recordsCOAST PLAZA HOSPITAL
Profile levelMedicare data + hospital website
Official websitecoastplazahospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Coast Plaza Hospital — coastplazahospital.com
  2. About Us — coastplazahospital.com
  3. Visitors — coastplazahospital.com
  4. Emergency Department – Coast Plaza Hospital — coastplazahospital.com
  5. Radiology and Imaging – Coast Plaza Hospital — coastplazahospital.com
  6. Primary Stroke Center – Coast Plaza Hospital — coastplazahospital.com
  7. Cardiology – Coast Plaza Hospital — coastplazahospital.com
  8. Orthopedics – Coast Plaza Hospital — coastplazahospital.com
  9. Surgical Services – Coast Plaza Hospital — coastplazahospital.com
  10. Behavioral Health – Coast Plaza Hospital — coastplazahospital.com
  11. Rehabilitation – Coast Plaza Hospital — coastplazahospital.com
  12. Our Services – Coast Plaza Hospital — coastplazahospital.com
  13. Critical Care – Coast Plaza Hospital — coastplazahospital.com
  14. Gastroenterology – Coast Plaza Hospital — coastplazahospital.com
  15. TIF Procedure – Coast Plaza Hospital — coastplazahospital.com
  16. Pulmonary – Coast Plaza Hospital — coastplazahospital.com
  17. Urology – Coast Plaza Hospital — coastplazahospital.com
  18. Locations – Coast Plaza Hospital — coastplazahospital.com