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Acute Care Hospital

Coastal Communities Hospital

Santa Ana, California · Orange County · Emergency services listed

Summary

Coastal Communities Hospital is an acute care hospital in Santa Ana, California. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 23 services, specialties and programs. Medicare lists 56 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(714) 754‑5454 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). 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
YesBirthing-friendly (CMS)
56Doctors and clinicians
23Services listed

Quick answers

Does Coastal Communities Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Coastal Communities Hospital. In a medical emergency, call 911.
Where is Coastal Communities Hospital?
2701 S Bristol St, Santa Ana, CA 92704, in Orange County, California.
What is the phone number of Coastal Communities Hospital?
(714) 754-5454, as listed by Medicare (CMS).
What is the Medicare star rating of Coastal Communities 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][6]

Conditions treated[4][5][6]

  • Stroke
  • GERD (gastroesophageal reflux disease)

Treatments[4]

  • Tracheostomy and ventilator care

Procedures[4]

Programs and centers[4]

  • Heartburn & Reflux Relief Center
  • Patient and Family Advisor program

Emergency care (hospital website)[5]

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

Visiting and practical information

Interpreters and languagesProfessional medical interpreters for limited-English-proficient and hearing-impaired patients[4]

Recognition[4][5]

  • Certified Primary Stroke Center
  • The Joint Commission Gold Seal of Approval

Doctors and clinicians (56)

56 doctors and other clinicians list Coastal Communities 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 (56)

And 32 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 Coastal Communities 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)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1051%National average: 72%
Would definitely recommend the hospital35%National average: 71%
Nurses “always” communicated well67%National average: 80%
Doctors “always” communicated well63%National average: 80%
Staff “always” explained medicines before giving them40%National average: 62%
Were given information about recovery at home76%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night42%National average: 60%
Completed surveys74Response rate: 6%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)0No 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 infections1.572No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.281Better 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 patientsToo few cases to report
Deaths within 30 days: pneumonia patients15%
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)0.93No different from the national rate
Complications after hip or knee replacementNot reported to Medicare

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 failureToo few cases to report
Readmitted within 30 days: pneumonia18.2%
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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)181 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)37%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Santa AnaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Coastal Communities 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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-VISIT LEVEL III $2,959 $2,959 $53.52 – $3,389
Emergency room visit (moderate): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $349.37
  • Altamed Health Services — AltaMed MCAL HMO: $89.56
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $331.90
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $2,959
  • Blue Shield — Blue Shield CA HMO: $1,331.10
  • Blue Shield — Blue Shield PPO: $1,331.10
  • Blue Shield — Blue Shield SR: $349.37
  • Brand New Day — Brand New Day/SR: $391.29
  • CalOptima — CalOptima (Traditional and Adult Expansion): $89.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-VISIT LEVEL III - SEPARATE SERVICE $2,959 $2,959 $53.52 – $3,389
Emergency room visit (moderate): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $349.37
  • Altamed Health Services — AltaMed MCAL HMO: $89.56
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $331.90
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $2,959
  • Blue Shield — Blue Shield CA HMO: $1,331.10
  • Blue Shield — Blue Shield PPO: $1,331.10
  • Blue Shield — Blue Shield SR: $349.37
  • Brand New Day — Brand New Day/SR: $391.29
  • CalOptima — CalOptima (Traditional and Adult Expansion): $89.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ER-VISIT LEVEL III $2,815 $2,815 $53.52 – $3,389
Emergency room visit (moderate): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $349.37
  • Altamed Health Services — AltaMed MCAL HMO: $89.56
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $331.90
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $2,815
  • Blue Shield — Blue Shield CA HMO: $1,331.10
  • Blue Shield — Blue Shield PPO: $1,331.10
  • Blue Shield — Blue Shield SR: $349.37
  • Brand New Day — Brand New Day/SR: $391.29
  • CalOptima — CalOptima (Traditional and Adult Expansion): $89.56
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-VISIT LEVEL IV $4,802 $4,802 $82.02 – $5,170
Emergency room visit (moderately high): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $534.04
  • Altamed Health Services — AltaMed MCAL HMO: $137.26
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $507.34
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4,802
  • Blue Shield — Blue Shield CA HMO: $2,034.69
  • Blue Shield — Blue Shield PPO: $2,034.69
  • Blue Shield — Blue Shield SR: $534.04
  • Brand New Day — Brand New Day/SR: $598.12
  • CalOptima — CalOptima (Traditional and Adult Expansion): $137.26
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-VISIT LEVEL IV - SEPARATE SERVICE $4,802 $4,802 $82.02 – $5,170
Emergency room visit (moderately high): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $534.04
  • Altamed Health Services — AltaMed MCAL HMO: $137.26
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $507.34
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4,802
  • Blue Shield — Blue Shield CA HMO: $2,034.69
  • Blue Shield — Blue Shield PPO: $2,034.69
  • Blue Shield — Blue Shield SR: $534.04
  • Brand New Day — Brand New Day/SR: $598.12
  • CalOptima — CalOptima (Traditional and Adult Expansion): $137.26
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ER-VISIT LEVEL IV $4,425 $4,425 $82.02 – $5,170
Emergency room visit (moderately high): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $534.04
  • Altamed Health Services — AltaMed MCAL HMO: $137.26
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $507.34
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4,425
  • Blue Shield — Blue Shield CA HMO: $2,034.69
  • Blue Shield — Blue Shield PPO: $2,034.69
  • Blue Shield — Blue Shield SR: $534.04
  • Brand New Day — Brand New Day/SR: $598.12
  • CalOptima — CalOptima (Traditional and Adult Expansion): $137.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-VISIT LEVEL V $7,034 $7,034 $129.70 – $7,034
Emergency room visit (high): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $762.20
  • Altamed Health Services — AltaMed MCAL HMO: $217.04
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $724.09
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $7,034
  • Blue Shield — Blue Shield CA HMO: $2,903.98
  • Blue Shield — Blue Shield PPO: $2,903.98
  • Blue Shield — Blue Shield SR: $762.20
  • Brand New Day — Brand New Day/SR: $853.66
  • CalOptima — CalOptima (Traditional and Adult Expansion): $217.04
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-VISIT LEVEL V - SEPARATE SERVICE $7,034 $7,034 $129.70 – $7,034
Emergency room visit (high): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $762.20
  • Altamed Health Services — AltaMed MCAL HMO: $217.04
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $724.09
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $7,034
  • Blue Shield — Blue Shield CA HMO: $2,903.98
  • Blue Shield — Blue Shield PPO: $2,903.98
  • Blue Shield — Blue Shield SR: $762.20
  • Brand New Day — Brand New Day/SR: $853.66
  • CalOptima — CalOptima (Traditional and Adult Expansion): $217.04
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ER-VISIT LEVEL V $6,352 $6,352 $129.70 – $6,352
Emergency room visit (high): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $762.20
  • Altamed Health Services — AltaMed MCAL HMO: $217.04
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $724.09
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $6,352
  • Blue Shield — Blue Shield CA HMO: $2,903.98
  • Blue Shield — Blue Shield PPO: $2,903.98
  • Blue Shield — Blue Shield SR: $762.20
  • Brand New Day — Brand New Day/SR: $853.66
  • CalOptima — CalOptima (Traditional and Adult Expansion): $217.04

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: BASIC METABOLIC PANEL (TOTAL CALCIUM) $48 $48 $7.53 – $48
Basic metabolic panel (blood test): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $27.70
  • Altamed Health Services — Altamed Health Services Senior: $8.46
  • Altamed Health Services — AltaMed MCAL HMO: $11.84
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $8.04
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $8.46
  • Blue Shield — Blue Shield CA HMO: $32.23
  • Blue Shield — Blue Shield PPO: $32.23
  • Blue Shield — Blue Shield SR: $8.46
  • Brand New Day — Brand New Day/SR: $9.48
  • CalOptima — CalOptima (Traditional and Adult Expansion): $11.84
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL (TOTAL CALCIUM) $48 $48 $25.20 – $48
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $31.20
  • First Health — First Health Commercial: $25.20
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $36
  • Interplan — Interplan PPO: $36
  • Kaiser — KAISER COMMERCIAL HMO: $29.56
  • Magellan — Magellan Behavioral Health Comm: $28.80
  • Magellan — Magellan Behavioral Health SR: $28.80
  • MultiPlan — MultiPlan PPO: $33.60
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $48
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $38.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $58 $58 $9.40 – $58
Comprehensive metabolic panel (blood test): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $34.60
  • Altamed Health Services — Altamed Health Services Senior: $10.56
  • Altamed Health Services — AltaMed MCAL HMO: $14.78
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $10.03
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $10.56
  • Blue Shield — Blue Shield CA HMO: $40.23
  • Blue Shield — Blue Shield PPO: $40.23
  • Blue Shield — Blue Shield SR: $10.56
  • Brand New Day — Brand New Day/SR: $11.83
  • CalOptima — CalOptima (Traditional and Adult Expansion): $14.78
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $58 $58 $30.45 – $58
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $37.70
  • First Health — First Health Commercial: $30.45
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $43.50
  • Interplan — Interplan PPO: $43.50
  • Kaiser — KAISER COMMERCIAL HMO: $35.72
  • Magellan — Magellan Behavioral Health Comm: $34.80
  • Magellan — Magellan Behavioral Health SR: $34.80
  • MultiPlan — MultiPlan PPO: $40.60
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $58
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $46.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $74 $74 $11.92 – $74
Cholesterol panel (lipid panel): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $43.85
  • Altamed Health Services — Altamed Health Services Senior: $13.39
  • Altamed Health Services — AltaMed MCAL HMO: $18.75
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $12.72
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $13.39
  • Blue Shield — Blue Shield CA HMO: $51.02
  • Blue Shield — Blue Shield PPO: $51.02
  • Blue Shield — Blue Shield SR: $13.39
  • Brand New Day — Brand New Day/SR: $15
  • CalOptima — CalOptima (Traditional and Adult Expansion): $18.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID CASCADE $8 $8 $2.40 – $30.48
Cholesterol panel (lipid panel): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $8
  • Altamed Health Services — Altamed Health Services Senior: $8
  • Altamed Health Services — AltaMed MCAL HMO: $8
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $7.60
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $8
  • Blue Shield — Blue Shield CA HMO: $30.48
  • Blue Shield — Blue Shield PPO: $30.48
  • Blue Shield — Blue Shield SR: $8
  • Brand New Day — Brand New Day/SR: $8.96
  • CalOptima — CalOptima (Traditional and Adult Expansion): $8
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $74 $74 $38.85 – $74
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $48.10
  • First Health — First Health Commercial: $38.85
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $55.50
  • Interplan — Interplan PPO: $55.50
  • Kaiser — KAISER COMMERCIAL HMO: $45.57
  • Magellan — Magellan Behavioral Health Comm: $44.40
  • Magellan — Magellan Behavioral Health SR: $44.40
  • MultiPlan — MultiPlan PPO: $51.80
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $74
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $59.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $48 $48 $7.73 – $48
Kidney function panel: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $28.44
  • Altamed Health Services — Altamed Health Services Senior: $8.68
  • Altamed Health Services — AltaMed MCAL HMO: $12.15
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $8.25
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $8.68
  • Blue Shield — Blue Shield CA HMO: $33.07
  • Blue Shield — Blue Shield PPO: $33.07
  • Blue Shield — Blue Shield SR: $8.68
  • Brand New Day — Brand New Day/SR: $9.72
  • CalOptima — CalOptima (Traditional and Adult Expansion): $12.15
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $48 $48 $25.20 – $48
Kidney function panel: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $31.20
  • First Health — First Health Commercial: $25.20
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $36
  • Interplan — Interplan PPO: $36
  • Kaiser — KAISER COMMERCIAL HMO: $29.56
  • Magellan — Magellan Behavioral Health Comm: $28.80
  • Magellan — Magellan Behavioral Health SR: $28.80
  • MultiPlan — MultiPlan PPO: $33.60
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $48
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $38.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $45 $45 $7.27 – $45
Liver function panel: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $26.74
  • Altamed Health Services — Altamed Health Services Senior: $8.17
  • Altamed Health Services — AltaMed MCAL HMO: $11.44
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $7.76
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $8.17
  • Blue Shield — Blue Shield CA HMO: $31.13
  • Blue Shield — Blue Shield PPO: $31.13
  • Blue Shield — Blue Shield SR: $8.17
  • Brand New Day — Brand New Day/SR: $9.15
  • CalOptima — CalOptima (Traditional and Adult Expansion): $11.44
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $45 $45 $23.62 – $45
Liver function panel: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $29.25
  • First Health — First Health Commercial: $23.62
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $33.75
  • Interplan — Interplan PPO: $33.75
  • Kaiser — KAISER COMMERCIAL HMO: $27.71
  • Magellan — Magellan Behavioral Health Comm: $27
  • Magellan — Magellan Behavioral Health SR: $27
  • MultiPlan — MultiPlan PPO: $31.50
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $45
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $36
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WMICROSCOPY $17 $17 $2.82 – $17
Urine test (automated, with microscope): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $10.35
  • Altamed Health Services — Altamed Health Services Senior: $3.17
  • Altamed Health Services — AltaMed MCAL HMO: $4.44
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $3.01
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $3.17
  • Blue Shield — Blue Shield CA HMO: $12.08
  • Blue Shield — Blue Shield PPO: $12.08
  • Blue Shield — Blue Shield SR: $3.17
  • Brand New Day — Brand New Day/SR: $3.55
  • CalOptima — CalOptima (Traditional and Adult Expansion): $4.44
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WMICROSCOPY $17 $17 $8.93 – $17
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $11.05
  • First Health — First Health Commercial: $8.93
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $12.75
  • Interplan — Interplan PPO: $12.75
  • Kaiser — KAISER COMMERCIAL HMO: $10.47
  • Magellan — Magellan Behavioral Health Comm: $10.20
  • Magellan — Magellan Behavioral Health SR: $10.20
  • MultiPlan — MultiPlan PPO: $11.90
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $17
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $13.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIPSTICK URINE NON-AUTO WO MICRO POC $19 $19 $2.58 – $19
Urine test (manual, without microscope): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $8.38
  • Altamed Health Services — Altamed Health Services Senior: $3.48
  • Altamed Health Services — AltaMed MCAL HMO: $4.87
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $3.31
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $3.48
  • Blue Shield — Blue Shield CA HMO: $13.26
  • Blue Shield — Blue Shield PPO: $13.26
  • Blue Shield — Blue Shield SR: $3.48
  • Brand New Day — Brand New Day/SR: $3.90
  • CalOptima — CalOptima (Traditional and Adult Expansion): $4.87
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIPSTICK URINE NON-AUTO WO MICRO POC $19 $19 $9.98 – $19
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $12.35
  • First Health — First Health Commercial: $9.98
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $14.25
  • Interplan — Interplan PPO: $14.25
  • Kaiser — KAISER COMMERCIAL HMO: $11.70
  • Magellan — Magellan Behavioral Health Comm: $11.40
  • Magellan — Magellan Behavioral Health SR: $11.40
  • MultiPlan — MultiPlan PPO: $13.30
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $19
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $15.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS COMP AUTO WO MICRO $12 $12 $2 – $12
Urine test (automated, without microscope): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $7.36
  • Altamed Health Services — Altamed Health Services Senior: $2.25
  • Altamed Health Services — AltaMed MCAL HMO: $3.15
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2.14
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $2.25
  • Blue Shield — Blue Shield CA HMO: $8.57
  • Blue Shield — Blue Shield PPO: $8.57
  • Blue Shield — Blue Shield SR: $2.25
  • Brand New Day — Brand New Day/SR: $2.52
  • CalOptima — CalOptima (Traditional and Adult Expansion): $3.15
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS COMP AUTO WO MICRO $12 $12 $6.30 – $12
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $7.80
  • First Health — First Health Commercial: $6.30
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $9
  • Interplan — Interplan PPO: $9
  • Kaiser — KAISER COMMERCIAL HMO: $7.39
  • Magellan — Magellan Behavioral Health Comm: $7.20
  • Magellan — Magellan Behavioral Health SR: $7.20
  • MultiPlan — MultiPlan PPO: $8.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $12
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $9.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SPECIFIC ANTIGEN TOTAL $101 $101 $16.37 – $101
PSA (prostate specific antigen) blood test: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $60.25
  • Altamed Health Services — Altamed Health Services Senior: $18.39
  • Altamed Health Services — AltaMed MCAL HMO: $25.75
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $17.47
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $18.39
  • Blue Shield — Blue Shield CA HMO: $70.07
  • Blue Shield — Blue Shield PPO: $70.07
  • Blue Shield — Blue Shield SR: $18.39
  • Brand New Day — Brand New Day/SR: $20.60
  • CalOptima — CalOptima (Traditional and Adult Expansion): $25.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PROSTATE SPECIFIC ANTIGEN TOTAL - LC $6 $6 $1.80 – $37.28
PSA (prostate specific antigen) blood test: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $6
  • Altamed Health Services — Altamed Health Services Senior: $6
  • Altamed Health Services — AltaMed MCAL HMO: $6
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $5.70
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $6
  • Blue Shield — Blue Shield CA HMO: $22.86
  • Blue Shield — Blue Shield PPO: $22.86
  • Blue Shield — Blue Shield SR: $6
  • Brand New Day — Brand New Day/SR: $6.72
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA POST PROSTATECTOMY - LC $33 $33 $9.90 – $70.06
PSA (prostate specific antigen) blood test: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $33
  • Altamed Health Services — Altamed Health Services Senior: $18.39
  • Altamed Health Services — AltaMed MCAL HMO: $25.75
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $17.47
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $18.39
  • Blue Shield — Blue Shield CA HMO: $70.06
  • Blue Shield — Blue Shield PPO: $70.06
  • Blue Shield — Blue Shield SR: $18.39
  • Brand New Day — Brand New Day/SR: $20.60
  • CalOptima — CalOptima (Traditional and Adult Expansion): $25.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) $93 $93 $14.95 – $93
Thyroid stimulating hormone (TSH) test: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $54.99
  • Altamed Health Services — Altamed Health Services Senior: $16.80
  • Altamed Health Services — AltaMed MCAL HMO: $23.52
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $15.96
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $16.80
  • Blue Shield — Blue Shield CA HMO: $64.01
  • Blue Shield — Blue Shield PPO: $64.01
  • Blue Shield — Blue Shield SR: $16.80
  • Brand New Day — Brand New Day/SR: $18.82
  • CalOptima — CalOptima (Traditional and Adult Expansion): $23.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C TSH $18 $18 $5.40 – $64.01
Thyroid stimulating hormone (TSH) test: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $18
  • Altamed Health Services — Altamed Health Services Senior: $16.80
  • Altamed Health Services — AltaMed MCAL HMO: $18
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $15.96
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $18
  • Blue Shield — Blue Shield CA HMO: $64.01
  • Blue Shield — Blue Shield PPO: $64.01
  • Blue Shield — Blue Shield SR: $16.80
  • Brand New Day — Brand New Day/SR: $18.82
  • CalOptima — CalOptima (Traditional and Adult Expansion): $18
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) $93 $93 $48.82 – $93
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $60.45
  • First Health — First Health Commercial: $48.82
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $69.75
  • Interplan — Interplan PPO: $69.75
  • Kaiser — KAISER COMMERCIAL HMO: $57.27
  • Magellan — Magellan Behavioral Health Comm: $55.80
  • Magellan — Magellan Behavioral Health SR: $55.80
  • MultiPlan — MultiPlan PPO: $65.10
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $93
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $74.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT WAUTO DIFF $44 $44 $6.92 – $44
Complete blood count (CBC) with differential: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $25.46
  • Altamed Health Services — Altamed Health Services Senior: $7.77
  • Altamed Health Services — AltaMed MCAL HMO: $10.88
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $7.38
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $7.77
  • Blue Shield — Blue Shield CA HMO: $29.60
  • Blue Shield — Blue Shield PPO: $29.60
  • Blue Shield — Blue Shield SR: $7.77
  • Brand New Day — Brand New Day/SR: $8.70
  • CalOptima — CalOptima (Traditional and Adult Expansion): $10.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT WAUTO DIFF $44 $44 $23.10 – $44
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $28.60
  • First Health — First Health Commercial: $23.10
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $33
  • Interplan — Interplan PPO: $33
  • Kaiser — KAISER COMMERCIAL HMO: $27.10
  • Magellan — Magellan Behavioral Health Comm: $26.40
  • Magellan — Magellan Behavioral Health SR: $26.40
  • MultiPlan — MultiPlan PPO: $30.80
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $44
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $35.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTOMATED (Hgb Hct RBC WBC PLATELET COUNT) $36 $36 $5.76 – $36
Complete blood count (CBC), automated: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $21.19
  • Altamed Health Services — Altamed Health Services Senior: $6.47
  • Altamed Health Services — AltaMed MCAL HMO: $9.06
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $6.15
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $6.47
  • Blue Shield — Blue Shield CA HMO: $24.65
  • Blue Shield — Blue Shield PPO: $24.65
  • Blue Shield — Blue Shield SR: $6.47
  • Brand New Day — Brand New Day/SR: $7.25
  • CalOptima — CalOptima (Traditional and Adult Expansion): $9.06
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTOMATED (Hgb Hct RBC WBC PLATELET COUNT) $36 $36 $18.90 – $36
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $23.40
  • First Health — First Health Commercial: $18.90
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $27
  • Interplan — Interplan PPO: $27
  • Kaiser — KAISER COMMERCIAL HMO: $22.17
  • Magellan — Magellan Behavioral Health Comm: $21.60
  • Magellan — Magellan Behavioral Health SR: $21.60
  • MultiPlan — MultiPlan PPO: $25.20
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $36
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $28.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $24 $24 $3.82 – $24
Blood clotting time test (prothrombin time, PT): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $12.86
  • Altamed Health Services — Altamed Health Services Senior: $4.29
  • Altamed Health Services — AltaMed MCAL HMO: $6.01
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4.08
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4.29
  • Blue Shield — Blue Shield CA HMO: $16.34
  • Blue Shield — Blue Shield PPO: $16.34
  • Blue Shield — Blue Shield SR: $4.29
  • Brand New Day — Brand New Day/SR: $4.80
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME INR POC $24 $24 $3.82 – $24
Blood clotting time test (prothrombin time, PT): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $12.86
  • Altamed Health Services — Altamed Health Services Senior: $4.29
  • Altamed Health Services — AltaMed MCAL HMO: $6.01
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4.08
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4.29
  • Blue Shield — Blue Shield CA HMO: $16.34
  • Blue Shield — Blue Shield PPO: $16.34
  • Blue Shield — Blue Shield SR: $4.29
  • Brand New Day — Brand New Day/SR: $4.80
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PROTHROMBIN TIME (PT) - LC $15 $15 $3.82 – $16.35
Blood clotting time test (prothrombin time, PT): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $12.86
  • Altamed Health Services — Altamed Health Services Senior: $4.29
  • Altamed Health Services — AltaMed MCAL HMO: $6.01
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4.08
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4.29
  • Blue Shield — Blue Shield CA HMO: $16.35
  • Blue Shield — Blue Shield PPO: $16.35
  • Blue Shield — Blue Shield SR: $4.29
  • Brand New Day — Brand New Day/SR: $4.80
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL (PTT) $33 $33 $5.35 – $33
Blood clotting test (partial thromboplastin time, PTT): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $19.65
  • Altamed Health Services — Altamed Health Services Senior: $6.01
  • Altamed Health Services — AltaMed MCAL HMO: $8.41
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $5.71
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $6.01
  • Blue Shield — Blue Shield CA HMO: $22.90
  • Blue Shield — Blue Shield PPO: $22.90
  • Blue Shield — Blue Shield SR: $6.01
  • Brand New Day — Brand New Day/SR: $6.73
  • CalOptima — CalOptima (Traditional and Adult Expansion): $8.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C THROMBOPLASTIN TIME PARTIAL(PTT)-LC $15 $15 $4.50 – $22.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $15
  • Altamed Health Services — Altamed Health Services Senior: $6.01
  • Altamed Health Services — AltaMed MCAL HMO: $8.41
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $5.71
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $6.01
  • Blue Shield — Blue Shield CA HMO: $22.90
  • Blue Shield — Blue Shield PPO: $22.90
  • Blue Shield — Blue Shield SR: $6.01
  • Brand New Day — Brand New Day/SR: $6.73
  • CalOptima — CalOptima (Traditional and Adult Expansion): $8.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL (PTT) $33 $33 $17.32 – $33
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $21.45
  • First Health — First Health Commercial: $17.32
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $24.75
  • Interplan — Interplan PPO: $24.75
  • Kaiser — KAISER COMMERCIAL HMO: $20.32
  • Magellan — Magellan Behavioral Health Comm: $19.80
  • Magellan — Magellan Behavioral Health SR: $19.80
  • MultiPlan — MultiPlan PPO: $23.10
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $33
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $26.40

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-HEADBRAIN WO CONT $2,319 $2,319 $114.15 – $2,319
CT scan of the head or brain, without contrast: 10 of 118 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $440.33
  • Altamed Health Services — Altamed Health Services Senior: $133.80
  • Altamed Health Services — AltaMed MCAL HMO: $395.29
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $127.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $282.35
  • Blue Shield — Blue Shield CA HMO: $509.78
  • Blue Shield — Blue Shield PPO: $509.78
  • Blue Shield — Blue Shield SR: $133.80
  • Brand New Day — Brand New Day/SR: $149.86
  • CalOptima — CalOptima (Traditional and Adult Expansion): $395.29
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEADBRAIN WO CONT $2,319 $2,319 $1,217.48 – $2,319
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $1,507.35
  • First Health — First Health Commercial: $1,217.48
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $1,739.25
  • Interplan — Interplan PPO: $1,739.25
  • Kaiser — KAISER COMMERCIAL HMO: $1,428.04
  • Magellan — Magellan Behavioral Health Comm: $1,391.40
  • Magellan — Magellan Behavioral Health SR: $1,391.40
  • MultiPlan — MultiPlan PPO: $1,623.30
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $2,319
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $1,855.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-BRAIN WO CONT WCONT $7,505 $7,505 $360 – $7,505
MRI of the brain, before and after contrast: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $916.96
  • Altamed Health Services — Altamed Health Services Senior: $446.51
  • Altamed Health Services — AltaMed MCAL HMO: $1,913.80
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $424.18
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $1,367
  • Blue Shield — Blue Shield CA HMO: $1,701.20
  • Blue Shield — Blue Shield PPO: $1,701.20
  • Blue Shield — Blue Shield SR: $446.51
  • Brand New Day — Brand New Day/SR: $500.09
  • CalOptima — CalOptima (Traditional and Adult Expansion): $1,913.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-BRAIN WO CONT WCONT $7,505 $7,505 $3,940.12 – $7,505
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $4,878.25
  • First Health — First Health Commercial: $3,940.12
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $5,628.75
  • Interplan — Interplan PPO: $5,628.75
  • Kaiser — KAISER COMMERCIAL HMO: $4,621.58
  • Magellan — Magellan Behavioral Health Comm: $4,503
  • Magellan — Magellan Behavioral Health SR: $4,503
  • MultiPlan — MultiPlan PPO: $5,253.50
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $7,505
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $6,004
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $484 $484 $27.47 – $484
Chest X-ray, 2 views: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $53.81
  • Altamed Health Services — Altamed Health Services Senior: $111.38
  • Altamed Health Services — AltaMed MCAL HMO: $38.46
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $105.81
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $27.47
  • Blue Shield — Blue Shield CA HMO: $424.36
  • Blue Shield — Blue Shield PPO: $424.36
  • Blue Shield — Blue Shield SR: $111.38
  • Brand New Day — Brand New Day/SR: $124.75
  • CalOptima — CalOptima (Traditional and Adult Expansion): $38.46
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $484 $484 $254.10 – $484
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $314.60
  • First Health — First Health Commercial: $254.10
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $363
  • Interplan — Interplan PPO: $363
  • Kaiser — KAISER COMMERCIAL HMO: $298.05
  • Magellan — Magellan Behavioral Health Comm: $290.40
  • Magellan — Magellan Behavioral Health SR: $290.40
  • MultiPlan — MultiPlan PPO: $338.80
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $484
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $387.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS $652 $652 $52.62 – $652
X-ray of the lower spine, at least 4 views: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $113.40
  • Altamed Health Services — Altamed Health Services Senior: $133.80
  • Altamed Health Services — AltaMed MCAL HMO: $99.72
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $127.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $71.23
  • Blue Shield — Blue Shield CA HMO: $509.78
  • Blue Shield — Blue Shield PPO: $509.78
  • Blue Shield — Blue Shield SR: $133.80
  • Brand New Day — Brand New Day/SR: $149.86
  • CalOptima — CalOptima (Traditional and Adult Expansion): $99.72
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS $652 $652 $342.30 – $652
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $423.80
  • First Health — First Health Commercial: $342.30
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $489
  • Interplan — Interplan PPO: $489
  • Kaiser — KAISER COMMERCIAL HMO: $401.50
  • Magellan — Magellan Behavioral Health Comm: $391.20
  • Magellan — Magellan Behavioral Health SR: $391.20
  • MultiPlan — MultiPlan PPO: $456.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $652
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $521.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-SPINAL CANAL LUMBAR WO CONT $4,690 $4,690 $223.20 – $4,690
MRI of the lower back (lumbar spine), without contrast: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $916.96
  • Altamed Health Services — Altamed Health Services Senior: $305.38
  • Altamed Health Services — AltaMed MCAL HMO: $1,156.20
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $290.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $825.86
  • Blue Shield — Blue Shield CA HMO: $1,163.50
  • Blue Shield — Blue Shield PPO: $1,163.50
  • Blue Shield — Blue Shield SR: $305.38
  • Brand New Day — Brand New Day/SR: $342.03
  • CalOptima — CalOptima (Traditional and Adult Expansion): $1,156.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-SPINAL CANAL LUMBAR WO CONT $4,690 $4,690 $2,462.25 – $4,690
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $3,048.50
  • First Health — First Health Commercial: $2,462.25
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $3,517.50
  • Interplan — Interplan PPO: $3,517.50
  • Kaiser — KAISER COMMERCIAL HMO: $2,888.10
  • Magellan — Magellan Behavioral Health Comm: $2,814
  • Magellan — Magellan Behavioral Health SR: $2,814
  • MultiPlan — MultiPlan PPO: $3,283
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $4,690
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $3,752
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W-CONT $3,727 $3,727 $192.60 – $3,727
CT scan of the pelvis, with contrast: 10 of 118 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $673.73
  • Altamed Health Services — Altamed Health Services Senior: $224.49
  • Altamed Health Services — AltaMed MCAL HMO: $509.12
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $213.27
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $363.66
  • Blue Shield — Blue Shield CA HMO: $855.31
  • Blue Shield — Blue Shield PPO: $855.31
  • Blue Shield — Blue Shield SR: $224.49
  • Brand New Day — Brand New Day/SR: $251.43
  • CalOptima — CalOptima (Traditional and Adult Expansion): $509.12
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W-CONT $3,727 $3,727 $1,956.68 – $3,727
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $2,422.55
  • First Health — First Health Commercial: $1,956.68
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $2,795.25
  • Interplan — Interplan PPO: $2,795.25
  • Kaiser — KAISER COMMERCIAL HMO: $2,295.09
  • Magellan — Magellan Behavioral Health Comm: $2,236.20
  • Magellan — Magellan Behavioral Health SR: $2,236.20
  • MultiPlan — MultiPlan PPO: $2,608.90
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $3,727
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $2,981.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI-LOWER EXTREMITY ANY JNT WO CONT LT $4,690 $4,690 $236.30 – $4,690
MRI of a leg joint (such as the knee), without contrast: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $916.96
  • Altamed Health Services — Altamed Health Services Senior: $305.38
  • Altamed Health Services — AltaMed MCAL HMO: $784.14
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $290.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $560.10
  • Blue Shield — Blue Shield CA HMO: $1,163.50
  • Blue Shield — Blue Shield PPO: $1,163.50
  • Blue Shield — Blue Shield SR: $305.38
  • Brand New Day — Brand New Day/SR: $342.03
  • CalOptima — CalOptima (Traditional and Adult Expansion): $784.14
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI-LOWER EXTREMITY ANY JNT WO CONT RT $4,690 $4,690 $236.30 – $4,690
MRI of a leg joint (such as the knee), without contrast: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $916.96
  • Altamed Health Services — Altamed Health Services Senior: $305.38
  • Altamed Health Services — AltaMed MCAL HMO: $784.14
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $290.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $560.10
  • Blue Shield — Blue Shield CA HMO: $1,163.50
  • Blue Shield — Blue Shield PPO: $1,163.50
  • Blue Shield — Blue Shield SR: $305.38
  • Brand New Day — Brand New Day/SR: $342.03
  • CalOptima — CalOptima (Traditional and Adult Expansion): $784.14
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI-LOWER EXTREMITY ANY JNT WO CONT BIL $7,034 $7,034 $236.30 – $7,034
MRI of a leg joint (such as the knee), without contrast: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $916.96
  • Altamed Health Services — Altamed Health Services Senior: $673.78
  • Altamed Health Services — AltaMed MCAL HMO: $784.14
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $640.09
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $560.10
  • Blue Shield — Blue Shield CA HMO: $2,567.10
  • Blue Shield — Blue Shield PPO: $2,567.10
  • Blue Shield — Blue Shield SR: $673.78
  • Brand New Day — Brand New Day/SR: $754.63
  • CalOptima — CalOptima (Traditional and Adult Expansion): $784.14
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABDOMEN PELVIS W-CONT $7,682 $7,682 $281.80 – $7,682
CT scan of the abdomen and pelvis, with contrast: 10 of 118 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $713.26
  • Altamed Health Services — Altamed Health Services Senior: $446.51
  • Altamed Health Services — AltaMed MCAL HMO: $394.52
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $424.18
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $281.80
  • Blue Shield — Blue Shield CA HMO: $1,701.20
  • Blue Shield — Blue Shield PPO: $1,701.20
  • Blue Shield — Blue Shield SR: $446.51
  • Brand New Day — Brand New Day/SR: $500.09
  • CalOptima — CalOptima (Traditional and Adult Expansion): $394.52
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABDOMEN PELVIS W-CONT $7,682 $7,682 $4,033.05 – $7,682
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $4,993.30
  • First Health — First Health Commercial: $4,033.05
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $5,761.50
  • Interplan — Interplan PPO: $5,761.50
  • Kaiser — KAISER COMMERCIAL HMO: $4,730.58
  • Magellan — Magellan Behavioral Health Comm: $4,609.20
  • Magellan — Magellan Behavioral Health SR: $4,609.20
  • MultiPlan — MultiPlan PPO: $5,377.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $7,682
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $6,145.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE $1,427 $1,427 $99.84 – $1,427
Ultrasound of the abdomen, complete: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $272.54
  • Altamed Health Services — Altamed Health Services Senior: $133.80
  • Altamed Health Services — AltaMed MCAL HMO: $167.08
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $127.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $119.34
  • Blue Shield — Blue Shield CA HMO: $509.78
  • Blue Shield — Blue Shield PPO: $509.78
  • Blue Shield — Blue Shield SR: $133.80
  • Brand New Day — Brand New Day/SR: $149.86
  • CalOptima — CalOptima (Traditional and Adult Expansion): $167.08
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE $1,427 $1,427 $749.18 – $1,427
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $927.55
  • First Health — First Health Commercial: $749.18
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $1,070.25
  • Interplan — Interplan PPO: $1,070.25
  • Kaiser — KAISER COMMERCIAL HMO: $878.75
  • Magellan — Magellan Behavioral Health Comm: $856.20
  • Magellan — Magellan Behavioral Health SR: $856.20
  • MultiPlan — MultiPlan PPO: $998.90
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $1,427
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $1,141.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMP>14WK SGL GEST $1,618 $1,618 $113.18 – $1,618
Pregnancy ultrasound (after the first trimester): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $272.54
  • Altamed Health Services — Altamed Health Services Senior: $133.80
  • Altamed Health Services — AltaMed MCAL HMO: $189.41
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $127.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $135.29
  • Blue Shield — Blue Shield CA HMO: $509.78
  • Blue Shield — Blue Shield PPO: $509.78
  • Blue Shield — Blue Shield SR: $133.80
  • Brand New Day — Brand New Day/SR: $149.86
  • CalOptima — CalOptima (Traditional and Adult Expansion): $189.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB COMP>14WK SGL GEST $1,618 $1,618 $849.45 – $1,618
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $1,051.70
  • First Health — First Health Commercial: $849.45
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $1,213.50
  • Interplan — Interplan PPO: $1,213.50
  • Kaiser — KAISER COMMERCIAL HMO: $996.36
  • Magellan — Magellan Behavioral Health Comm: $970.80
  • Magellan — Magellan Behavioral Health SR: $970.80
  • MultiPlan — MultiPlan PPO: $1,132.60
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $1,618
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $1,294.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,161 $1,161 $81.18 – $1,161
Transvaginal ultrasound: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $259.02
  • Altamed Health Services — Altamed Health Services Senior: $133.80
  • Altamed Health Services — AltaMed MCAL HMO: $135.86
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $127.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $97.04
  • Blue Shield — Blue Shield CA HMO: $509.78
  • Blue Shield — Blue Shield PPO: $509.78
  • Blue Shield — Blue Shield SR: $133.80
  • Brand New Day — Brand New Day/SR: $149.86
  • CalOptima — CalOptima (Traditional and Adult Expansion): $135.86
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,161 $1,161 $609.52 – $1,161
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $754.65
  • First Health — First Health Commercial: $609.52
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $870.75
  • Interplan — Interplan PPO: $870.75
  • Kaiser — KAISER COMMERCIAL HMO: $714.94
  • Magellan — Magellan Behavioral Health Comm: $696.60
  • Magellan — Magellan Behavioral Health SR: $696.60
  • MultiPlan — MultiPlan PPO: $812.70
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $1,161
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $928.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY DIAGNOSTIC UNILATERAL $810 $810 $94.82 – $810
Diagnostic mammogram, one breast: 10 of 113 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $258.36
  • Altamed Health Services — Altamed Health Services Senior: $101.77
  • Altamed Health Services — AltaMed MCAL HMO: $163.91
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $96.68
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $117.08
  • Blue Shield — Blue Shield CA HMO: $387.74
  • Blue Shield — Blue Shield PPO: $387.74
  • Blue Shield — Blue Shield SR: $101.77
  • Brand New Day — Brand New Day/SR: $113.98
  • CalOptima — CalOptima (Traditional and Adult Expansion): $163.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAPHY DIAGNOSTIC UNILATERAL $810 $810 $425.25 – $810
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $526.50
  • First Health — First Health Commercial: $425.25
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $607.50
  • Interplan — Interplan PPO: $607.50
  • Kaiser — KAISER COMMERCIAL HMO: $498.80
  • Magellan — Magellan Behavioral Health Comm: $486
  • Magellan — Magellan Behavioral Health SR: $486
  • MultiPlan — MultiPlan PPO: $567
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $810
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $648
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY DIAGNOSTIC BILATERAL $810 $810 $120.88 – $810
Diagnostic mammogram, both breasts: 10 of 113 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $330.60
  • Altamed Health Services — Altamed Health Services Senior: $130.44
  • Altamed Health Services — AltaMed MCAL HMO: $207.24
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $123.92
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $148.03
  • Blue Shield — Blue Shield CA HMO: $496.98
  • Blue Shield — Blue Shield PPO: $496.98
  • Blue Shield — Blue Shield SR: $130.44
  • Brand New Day — Brand New Day/SR: $146.09
  • CalOptima — CalOptima (Traditional and Adult Expansion): $207.24
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAPHY DIAGNOSTIC BILATERAL $810 $810 $425.25 – $810
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $526.50
  • First Health — First Health Commercial: $425.25
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $607.50
  • Interplan — Interplan PPO: $607.50
  • Kaiser — KAISER COMMERCIAL HMO: $498.80
  • Magellan — Magellan Behavioral Health Comm: $486
  • Magellan — Magellan Behavioral Health SR: $486
  • MultiPlan — MultiPlan PPO: $567
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $810
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $648
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY SCREENING BILATERAL $810 $810 $100.25 – $810
Screening mammogram, both breasts: 10 of 113 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $273.01
  • Altamed Health Services — Altamed Health Services Senior: $107.70
  • Altamed Health Services — AltaMed MCAL HMO: $167.23
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $102.31
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $119.45
  • Blue Shield — Blue Shield CA HMO: $410.34
  • Blue Shield — Blue Shield PPO: $410.34
  • Blue Shield — Blue Shield SR: $107.70
  • Brand New Day — Brand New Day/SR: $120.62
  • CalOptima — CalOptima (Traditional and Adult Expansion): $167.23
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAPHY SCREENING BILATERAL $810 $810 $425.25 – $810
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $526.50
  • First Health — First Health Commercial: $425.25
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $607.50
  • Interplan — Interplan PPO: $607.50
  • Kaiser — KAISER COMMERCIAL HMO: $498.80
  • Magellan — Magellan Behavioral Health Comm: $486
  • Magellan — Magellan Behavioral Health SR: $486
  • MultiPlan — MultiPlan PPO: $567
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $810
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $648
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MAMMOGRAPHY SCREENING UNILATERAL $810 $810 $51.16 – $810
Screening mammogram, both breasts: 10 of 113 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $273.01
  • Altamed Health Services — Altamed Health Services Senior: $53.85
  • Altamed Health Services — AltaMed MCAL HMO: $167.23
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $51.16
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $119.45
  • Blue Shield — Blue Shield CA HMO: $205.17
  • Blue Shield — Blue Shield PPO: $205.17
  • Blue Shield — Blue Shield SR: $53.85
  • Brand New Day — Brand New Day/SR: $60.31
  • CalOptima — CalOptima (Traditional and Adult Expansion): $167.23

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT HEART CATH W-INJVENTRICULOGRAPHY $10,732 $10,732 $762.86 – $10,732
Left heart catheterization (diagnostic): 10 of 120 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $7,998
  • Altamed Health Services — Altamed Health Services Senior: $4,149.23
  • Altamed Health Services — AltaMed MCAL HMO: $1,068
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $3,941.77
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $762.86
  • Blue Shield — Blue Shield CA HMO: $15,808.56
  • Blue Shield — Blue Shield PPO: $15,808.56
  • Blue Shield — Blue Shield SR: $4,149.23
  • Brand New Day — Brand New Day/SR: $4,647.14
  • CalOptima — CalOptima (Traditional and Adult Expansion): $1,068
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LT HEART CATH W-INJVENTRICULOGRAPHY $10,732 $10,732 $5,634.30 – $10,732
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $6,975.80
  • First Health — First Health Commercial: $5,634.30
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $8,049
  • Interplan — Interplan PPO: $8,049
  • Kaiser — KAISER COMMERCIAL HMO: $6,608.77
  • Magellan — Magellan Behavioral Health Comm: $6,439.20
  • Magellan — Magellan Behavioral Health SR: $6,439.20
  • MultiPlan — MultiPlan PPO: $7,512.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $10,732
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $8,585.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP EVAL WO INDUCTIONARTYTHMIA $22,495 $22,495 $660 – $22,495
Heart rhythm study (electrophysiology evaluation): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $5,959
  • Altamed Health Services — Altamed Health Services Senior: $9,982.52
  • Altamed Health Services — AltaMed MCAL HMO: $1,197.78
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $9,483.39
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $855.56
  • Blue Shield — Blue Shield CA HMO: $38,033.41
  • Blue Shield — Blue Shield PPO: $38,033.41
  • Blue Shield — Blue Shield SR: $9,982.52
  • Brand New Day — Brand New Day/SR: $11,180.42
  • CalOptima — CalOptima (Traditional and Adult Expansion): $1,197.78
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP EVAL WO INDUCTIONARTYTHMIA $22,495 $22,495 $11,809.88 – $22,495
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $14,621.75
  • First Health — First Health Commercial: $11,809.88
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $16,871.25
  • Interplan — Interplan PPO: $16,871.25
  • Kaiser — KAISER COMMERCIAL HMO: $13,852.42
  • Magellan — Magellan Behavioral Health Comm: $13,497
  • Magellan — Magellan Behavioral Health SR: $13,497
  • MultiPlan — MultiPlan PPO: $15,746.50
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $22,495
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $17,996
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP ABL AFIB $79,415 $79,415 $880.47 – $79,415
Heart rhythm study with ablation for atrial fibrillation: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $5,959
  • Altamed Health Services — Altamed Health Services Senior: $33,452.93
  • Altamed Health Services — AltaMed MCAL HMO: $1,232.66
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $31,780.28
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $880.47
  • Blue Shield — Blue Shield CA HMO: $127,455.66
  • Blue Shield — Blue Shield PPO: $127,455.66
  • Blue Shield — Blue Shield SR: $33,452.93
  • Brand New Day — Brand New Day/SR: $37,467.28
  • CalOptima — CalOptima (Traditional and Adult Expansion): $1,232.66
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP ABL AFIB $79,415 $79,415 $41,692.88 – $79,415
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $51,619.75
  • First Health — First Health Commercial: $41,692.88
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $59,561.25
  • Interplan — Interplan PPO: $59,561.25
  • Kaiser — KAISER COMMERCIAL HMO: $48,903.76
  • Magellan — Magellan Behavioral Health Comm: $47,649
  • Magellan — Magellan Behavioral Health SR: $47,649
  • MultiPlan — MultiPlan PPO: $55,590.50
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $79,415
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $63,532

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 · modifier GP In the file: PT-THERAPUETIC PROCEDURE 1 AREAS 15MN EXERCISE $83 $83 $13.15 – $315
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $58.93
  • Altamed Health Services — Altamed Health Services Senior: $32.07
  • Altamed Health Services — AltaMed MCAL HMO: $22.01
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $30.47
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $15.72
  • Blue Shield — Blue Shield CA HMO: $122.19
  • Blue Shield — Blue Shield PPO: $122.19
  • Blue Shield — Blue Shield SR: $32.07
  • Brand New Day — Brand New Day/SR: $35.92
  • CalOptima — CalOptima (Traditional and Adult Expansion): $22.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT-THERAPUETIC PROCEDURE 1 AREAS 15MN EXERCISE $83 $83 $13.15 – $315
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $58.93
  • Altamed Health Services — Altamed Health Services Senior: $32.07
  • Altamed Health Services — AltaMed MCAL HMO: $22.01
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $30.47
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $15.72
  • Blue Shield — Blue Shield CA HMO: $122.19
  • Blue Shield — Blue Shield PPO: $122.19
  • Blue Shield — Blue Shield SR: $32.07
  • Brand New Day — Brand New Day/SR: $35.92
  • CalOptima — CalOptima (Traditional and Adult Expansion): $22.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT-THERAPUETIC PROCEDURE 1 AREAS 15MN EXERCISE $83 $83 $43.58 – $83
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $53.95
  • First Health — First Health Commercial: $43.58
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $62.25
  • Interplan — Interplan PPO: $62.25
  • Kaiser — KAISER COMMERCIAL HMO: $51.11
  • Magellan — Magellan Behavioral Health Comm: $49.80
  • Magellan — Magellan Behavioral Health SR: $49.80
  • MultiPlan — MultiPlan PPO: $58.10
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $83
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $66.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT-EVALUATION LOW COMPLEXITY $1,032 $1,032 $90.30 – $1,032
Physical therapy evaluation (low complexity): 10 of 105 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $159.99
  • Altamed Health Services — Altamed Health Services Senior: $108.69
  • Altamed Health Services — AltaMed MCAL HMO: $309.60
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $103.26
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $361.20
  • Blue Shield — Blue Shield CA HMO: $414.11
  • Blue Shield — Blue Shield PPO: $414.11
  • Blue Shield — Blue Shield SR: $108.69
  • Brand New Day — Brand New Day/SR: $121.73
  • CalOptima — CalOptima PACE: $108.69
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT-EVALUATION LOW COMPLEXITY $1,032 $1,032 $541.80 – $1,032
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $670.80
  • First Health — First Health Commercial: $541.80
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $774
  • Interplan — Interplan PPO: $774
  • Kaiser — KAISER COMMERCIAL HMO: $635.51
  • Magellan — Magellan Behavioral Health Comm: $619.20
  • Magellan — Magellan Behavioral Health SR: $619.20
  • MultiPlan — MultiPlan PPO: $722.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $1,032
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $825.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT-EVALUATION MODERATE COMPLEXITY $1,032 $1,032 $95.81 – $1,032
Physical therapy evaluation (moderate complexity): 10 of 105 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $159.99
  • Altamed Health Services — Altamed Health Services Senior: $108.69
  • Altamed Health Services — AltaMed MCAL HMO: $309.60
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $103.26
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $361.20
  • Blue Shield — Blue Shield CA HMO: $414.11
  • Blue Shield — Blue Shield PPO: $414.11
  • Blue Shield — Blue Shield SR: $108.69
  • Brand New Day — Brand New Day/SR: $121.73
  • CalOptima — CalOptima PACE: $108.69
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT-EVALUATION MODERATE COMPLEXITY $1,032 $1,032 $541.80 – $1,032
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $670.80
  • First Health — First Health Commercial: $541.80
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $774
  • Interplan — Interplan PPO: $774
  • Kaiser — KAISER COMMERCIAL HMO: $635.51
  • Magellan — Magellan Behavioral Health Comm: $619.20
  • Magellan — Magellan Behavioral Health SR: $619.20
  • MultiPlan — MultiPlan PPO: $722.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $1,032
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $825.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT-EVALUATION HIGH COMPLEXITY $1,032 $1,032 $102.88 – $1,032
Physical therapy evaluation (high complexity): 10 of 113 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $159.99
  • Altamed Health Services — Altamed Health Services Senior: $108.69
  • Altamed Health Services — AltaMed MCAL HMO: $189.78
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $103.26
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $135.56
  • Blue Shield — Blue Shield CA HMO: $414.11
  • Blue Shield — Blue Shield PPO: $414.11
  • Blue Shield — Blue Shield SR: $108.69
  • Brand New Day — Brand New Day/SR: $121.73
  • CalOptima — CalOptima (Traditional and Adult Expansion): $189.78
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT-EVALUATION HIGH COMPLEXITY $1,032 $1,032 $541.80 – $1,032
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $670.80
  • First Health — First Health Commercial: $541.80
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $774
  • Interplan — Interplan PPO: $774
  • Kaiser — KAISER COMMERCIAL HMO: $635.51
  • Magellan — Magellan Behavioral Health Comm: $619.20
  • Magellan — Magellan Behavioral Health SR: $619.20
  • MultiPlan — MultiPlan PPO: $722.40
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $1,032
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $825.60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30MIN W-PATIENT $520 $520 $52.87 – $520
Psychotherapy, 30 minutes: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $284.65
  • Altamed Health Services — Altamed Health Services Senior: $227.17
  • Altamed Health Services — AltaMed MCAL HMO: $74.02
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $215.81
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $52.87
  • Blue Shield — Blue Shield CA HMO: $865.52
  • Blue Shield — Blue Shield PPO: $865.52
  • Blue Shield — Blue Shield SR: $227.17
  • Brand New Day — Brand New Day/SR: $254.43
  • CalOptima — CalOptima (Traditional and Adult Expansion): $74.02
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30MIN W-PATIENT $520 $520 $273 – $520
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $338
  • First Health — First Health Commercial: $273
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $390
  • Interplan — Interplan PPO: $390
  • Kaiser — KAISER COMMERCIAL HMO: $320.22
  • Magellan — Magellan Behavioral Health Comm: $312
  • Magellan — Magellan Behavioral Health SR: $312
  • MultiPlan — MultiPlan PPO: $364
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $520
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $416
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45MIN W-PATIENT $520 $520 $67.16 – $520
Psychotherapy, 45 minutes: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $284.65
  • Altamed Health Services — Altamed Health Services Senior: $227.17
  • Altamed Health Services — AltaMed MCAL HMO: $94.02
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $215.81
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $67.16
  • Blue Shield — Blue Shield CA HMO: $865.52
  • Blue Shield — Blue Shield PPO: $865.52
  • Blue Shield — Blue Shield SR: $227.17
  • Brand New Day — Brand New Day/SR: $254.43
  • CalOptima — CalOptima (Traditional and Adult Expansion): $94.02
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45MIN W-PATIENT $520 $520 $273 – $520
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $338
  • First Health — First Health Commercial: $273
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $390
  • Interplan — Interplan PPO: $390
  • Kaiser — KAISER COMMERCIAL HMO: $320.22
  • Magellan — Magellan Behavioral Health Comm: $312
  • Magellan — Magellan Behavioral Health SR: $312
  • MultiPlan — MultiPlan PPO: $364
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $520
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $416
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60MIN W-PATIENT $520 $520 $98.02 – $520
Psychotherapy, 60 minutes: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $284.65
  • Altamed Health Services — Altamed Health Services Senior: $227.17
  • Altamed Health Services — AltaMed MCAL HMO: $137.23
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $215.81
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $98.02
  • Blue Shield — Blue Shield CA HMO: $865.52
  • Blue Shield — Blue Shield PPO: $865.52
  • Blue Shield — Blue Shield SR: $227.17
  • Brand New Day — Brand New Day/SR: $254.43
  • CalOptima — CalOptima (Traditional and Adult Expansion): $137.23
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60MIN W-PATIENT $520 $520 $273 – $520
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $338
  • First Health — First Health Commercial: $273
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $390
  • Interplan — Interplan PPO: $390
  • Kaiser — KAISER COMMERCIAL HMO: $320.22
  • Magellan — Magellan Behavioral Health Comm: $312
  • Magellan — Magellan Behavioral Health SR: $312
  • MultiPlan — MultiPlan PPO: $364
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $520
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $416
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY 50MIN WO PATIENT $2,546 $2,546 $86.64 – $2,546
Family psychotherapy, without the patient: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,393.68
  • Altamed Health Services — Altamed Health Services Senior: $227.17
  • Altamed Health Services — AltaMed MCAL HMO: $121.30
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $215.81
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $86.64
  • Blue Shield — Blue Shield CA HMO: $865.52
  • Blue Shield — Blue Shield PPO: $865.52
  • Blue Shield — Blue Shield SR: $227.17
  • Brand New Day — Brand New Day/SR: $254.43
  • CalOptima — CalOptima (Traditional and Adult Expansion): $121.30
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY 50MIN WO PATIENT $2,546 $2,546 $1,336.65 – $2,546
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $1,654.90
  • First Health — First Health Commercial: $1,336.65
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $1,909.50
  • Interplan — Interplan PPO: $1,909.50
  • Kaiser — KAISER COMMERCIAL HMO: $1,567.83
  • Magellan — Magellan Behavioral Health Comm: $1,527.60
  • Magellan — Magellan Behavioral Health SR: $1,527.60
  • MultiPlan — MultiPlan PPO: $1,782.20
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $2,546
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $2,036.80
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY 50MIN W-PATIENT $2,546 $2,546 $89.65 – $2,546
Family psychotherapy, with the patient: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,393.68
  • Altamed Health Services — Altamed Health Services Senior: $227.17
  • Altamed Health Services — AltaMed MCAL HMO: $125.51
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $215.81
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $89.65
  • Blue Shield — Blue Shield CA HMO: $865.52
  • Blue Shield — Blue Shield PPO: $865.52
  • Blue Shield — Blue Shield SR: $227.17
  • Brand New Day — Brand New Day/SR: $254.43
  • CalOptima — CalOptima (Traditional and Adult Expansion): $125.51
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY 50MIN W-PATIENT $2,546 $2,546 $1,336.65 – $2,546
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $1,654.90
  • First Health — First Health Commercial: $1,336.65
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $1,909.50
  • Interplan — Interplan PPO: $1,909.50
  • Kaiser — KAISER COMMERCIAL HMO: $1,567.83
  • Magellan — Magellan Behavioral Health Comm: $1,527.60
  • Magellan — Magellan Behavioral Health SR: $1,527.60
  • MultiPlan — MultiPlan PPO: $1,782.20
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $2,546
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $2,036.80
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY 30MIN $291 $291 $4.16 – $480
Group psychotherapy: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $159.29
  • Altamed Health Services — Altamed Health Services Senior: $130.02
  • Altamed Health Services — AltaMed MCAL HMO: $6.97
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $123.52
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4.98
  • Blue Shield — Blue Shield CA HMO: $495.38
  • Blue Shield — Blue Shield PPO: $495.38
  • Blue Shield — Blue Shield SR: $130.02
  • Brand New Day — Brand New Day/SR: $145.62
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6.97
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY 45MIN $291 $291 $4.16 – $480
Group psychotherapy: 10 of 114 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $159.29
  • Altamed Health Services — Altamed Health Services Senior: $130.02
  • Altamed Health Services — AltaMed MCAL HMO: $6.97
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $123.52
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4.98
  • Blue Shield — Blue Shield CA HMO: $495.38
  • Blue Shield — Blue Shield PPO: $495.38
  • Blue Shield — Blue Shield SR: $130.02
  • Brand New Day — Brand New Day/SR: $145.62
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6.97
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CD PARTIAL HOSP FULL DAY $2,546 $2,546 $4.16 – $2,546
Group psychotherapy: 10 of 61 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,393.68
  • Altamed Health Services — AltaMed MCAL HMO: $6.97
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4.98
  • CalOptima — CalOptima (Traditional and Adult Expansion): $6.97
  • CalOptima — Monarch Health Plan/CalOptima: $6.97
  • Champus — Champus: $125.43
  • CHOC Health Alliance — CHOC Health Alliance/CalOptima: $6.97
  • Cigna — Cigna HMO: $1,316.54
  • Cigna — Cigna PPO: $1,316.54
  • Cigna — Cigna/Outside Payors: $1,654.90

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $252.86 – $37,500
Removal of breast growth (open surgery): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,710
  • Altamed Health Services — Altamed Health Services Senior: $5,011.23
  • Altamed Health Services — AltaMed MCAL HMO: $423.16
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,760.67
  • Blue Shield — Blue Shield CA HMO: $19,092.79
  • Blue Shield — Blue Shield PPO: $19,092.79
  • Blue Shield — Blue Shield SR: $5,011.23
  • Brand New Day — Brand New Day/SR: $5,612.58
  • CalOptima — CalOptima (Traditional and Adult Expansion): $423.16
  • CalOptima — CalOptima PACE: $5,035.90
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT Not listed in the file Not listed in the file $1,787.04 – $50,000
Total hip replacement: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $4,747
  • Altamed Health Services — Altamed Health Services Senior: $16,431.78
  • Altamed Health Services — AltaMed MCAL HMO: $2,990.55
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $15,610.19
  • Blue Shield — Blue Shield CA HMO: $62,605.08
  • Blue Shield — Blue Shield PPO: $62,605.08
  • Blue Shield — Blue Shield SR: $16,431.78
  • Brand New Day — Brand New Day/SR: $18,403.59
  • CalOptima — CalOptima (Traditional and Adult Expansion): $2,990.55
  • CalOptima — CalOptima PACE: $16,512.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: TOTAL KNEE REPLACEMENT Not listed in the file Not listed in the file $1,787.04 – $50,000
Total knee replacement: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $4,747
  • Altamed Health Services — Altamed Health Services Senior: $16,431.78
  • Altamed Health Services — AltaMed MCAL HMO: $2,990.55
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $15,610.19
  • Blue Shield — Blue Shield CA HMO: $62,605.08
  • Blue Shield — Blue Shield PPO: $62,605.08
  • Blue Shield — Blue Shield SR: $16,431.78
  • Brand New Day — Brand New Day/SR: $18,403.59
  • CalOptima — CalOptima (Traditional and Adult Expansion): $2,990.55
  • CalOptima — CalOptima PACE: $16,512.69
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHOULDER ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $238 – $50,000
Shoulder arthroscopy: shaving of shoulder bone: 10 of 66 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,710
  • Altamed Health Services — AltaMed MCAL HMO: $847.08
  • CalOptima — CalOptima (Traditional and Adult Expansion): $847.08
  • CalOptima — Monarch Health Plan/CalOptima: $847.08
  • Champus — Champus: $50,000
  • CHOC Health Alliance — CHOC Health Alliance/CalOptima: $847.08
  • Cigna — Cigna HMO: $6,727
  • Cigna — Cigna PPO: $6,727
  • County of Orange — Medical Safety Net/MSN: $847.08
  • Family Choice — Family Choice MCAL HMO: $847.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $661.20 – $37,500
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $3,305
  • Altamed Health Services — Altamed Health Services Senior: $4,187.72
  • Altamed Health Services — AltaMed MCAL HMO: $1,106.49
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $3,978.33
  • Blue Shield — Blue Shield CA HMO: $15,955.21
  • Blue Shield — Blue Shield PPO: $15,955.21
  • Blue Shield — Blue Shield SR: $4,187.72
  • Brand New Day — Brand New Day/SR: $4,690.25
  • CalOptima — CalOptima (Traditional and Adult Expansion): $1,106.49
  • CalOptima — CalOptima PACE: $4,208.34
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS Not listed in the file Not listed in the file $268.94 – $37,500
Upper GI endoscopy (diagnostic): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,677
  • Altamed Health Services — Altamed Health Services Senior: $4,320.10
  • Altamed Health Services — AltaMed MCAL HMO: $450.07
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,104.10
  • Blue Shield — Blue Shield CA HMO: $16,459.58
  • Blue Shield — Blue Shield PPO: $16,459.58
  • Blue Shield — Blue Shield SR: $4,320.10
  • Brand New Day — Brand New Day/SR: $4,838.51
  • CalOptima — CalOptima (Traditional and Adult Expansion): $450.07
  • CalOptima — CalOptima PACE: $4,320.82
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY Not listed in the file Not listed in the file $281.02 – $37,500
Upper GI endoscopy with biopsy: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,138
  • Altamed Health Services — Altamed Health Services Senior: $4,320.10
  • Altamed Health Services — AltaMed MCAL HMO: $470.27
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,104.10
  • Blue Shield — Blue Shield CA HMO: $16,459.58
  • Blue Shield — Blue Shield PPO: $16,459.58
  • Blue Shield — Blue Shield SR: $4,320.10
  • Brand New Day — Brand New Day/SR: $4,838.51
  • CalOptima — CalOptima (Traditional and Adult Expansion): $470.27
  • CalOptima — CalOptima PACE: $4,320.82
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 5259PT In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $354.28 – $37,500
Colonoscopy (diagnostic): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,138
  • Altamed Health Services — Altamed Health Services Senior: $4,249.39
  • Altamed Health Services — AltaMed MCAL HMO: $592.87
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,036.92
  • Blue Shield — Blue Shield CA HMO: $16,190.18
  • Blue Shield — Blue Shield PPO: $16,190.18
  • Blue Shield — Blue Shield SR: $4,249.39
  • Brand New Day — Brand New Day/SR: $4,759.32
  • CalOptima — CalOptima (Traditional and Adult Expansion): $592.87
  • CalOptima — CalOptima PACE: $4,249.76
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $396.28 – $37,500
Colonoscopy with biopsy: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,138
  • Altamed Health Services — Altamed Health Services Senior: $4,366.44
  • Altamed Health Services — AltaMed MCAL HMO: $663.15
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,148.12
  • Blue Shield — Blue Shield CA HMO: $16,636.14
  • Blue Shield — Blue Shield PPO: $16,636.14
  • Blue Shield — Blue Shield SR: $4,366.44
  • Brand New Day — Brand New Day/SR: $4,890.41
  • CalOptima — CalOptima (Traditional and Adult Expansion): $663.15
  • CalOptima — CalOptima PACE: $4,367.39
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: LESION REMOVAL COLONOSCOPY Not listed in the file Not listed in the file $480.26 – $37,500
Colonoscopy with removal of polyps (snare): 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,138
  • Altamed Health Services — Altamed Health Services Senior: $4,366.44
  • Altamed Health Services — AltaMed MCAL HMO: $803.71
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,148.12
  • Blue Shield — Blue Shield CA HMO: $16,636.14
  • Blue Shield — Blue Shield PPO: $16,636.14
  • Blue Shield — Blue Shield SR: $4,366.44
  • Brand New Day — Brand New Day/SR: $4,890.41
  • CalOptima — CalOptima (Traditional and Adult Expansion): $803.71
  • CalOptima — CalOptima PACE: $4,367.39
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 22 In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $559.34 – $37,500
Gallbladder removal by laparoscope: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $8,830
  • Altamed Health Services — Altamed Health Services Senior: $7,737.46
  • Altamed Health Services — AltaMed MCAL HMO: $936.04
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $7,350.59
  • Blue Shield — Blue Shield CA HMO: $29,479.72
  • Blue Shield — Blue Shield PPO: $29,479.72
  • Blue Shield — Blue Shield SR: $7,737.46
  • Brand New Day — Brand New Day/SR: $8,665.96
  • CalOptima — CalOptima (Traditional and Adult Expansion): $936.04
  • CalOptima — CalOptima PACE: $7,775.56
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP IHERN INIT REDUC >5 YR $18,138 $18,138 $412.81 – $18,138
Groin (inguinal) hernia repair, age 5 or older: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $3,305
  • Altamed Health Services — Altamed Health Services Senior: $4,582.43
  • Altamed Health Services — AltaMed MCAL HMO: $690.83
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,353.31
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $18,138
  • Blue Shield — Blue Shield CA HMO: $17,459.06
  • Blue Shield — Blue Shield PPO: $17,459.06
  • Blue Shield — Blue Shield SR: $4,582.43
  • Brand New Day — Brand New Day/SR: $5,132.32
  • CalOptima — CalOptima (Traditional and Adult Expansion): $690.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PRP IHERN INIT REDUC >5 YR $18,138 $18,138 $9,522.45 – $18,138
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $11,789.70
  • First Health — First Health Commercial: $9,522.45
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $13,603.50
  • Interplan — Interplan PPO: $13,603.50
  • Kaiser — KAISER COMMERCIAL HMO: $11,169.38
  • Magellan — Magellan Behavioral Health Comm: $10,882.80
  • Magellan — Magellan Behavioral Health SR: $10,882.80
  • MultiPlan — MultiPlan PPO: $12,696.60
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $18,138
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $14,510.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR INGUINAL HERNIA Not listed in the file Not listed in the file $412.81 – $37,500
Groin (inguinal) hernia repair, age 5 or older: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $3,305
  • Altamed Health Services — Altamed Health Services Senior: $4,582.43
  • Altamed Health Services — AltaMed MCAL HMO: $690.83
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,353.31
  • Blue Shield — Blue Shield CA HMO: $17,459.06
  • Blue Shield — Blue Shield PPO: $17,459.06
  • Blue Shield — Blue Shield SR: $4,582.43
  • Brand New Day — Brand New Day/SR: $5,132.32
  • CalOptima — CalOptima (Traditional and Adult Expansion): $690.83
  • CalOptima — CalOptima PACE: $4,604.99
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE SGL OR MULTI $6,626 $6,626 $104.99 – $6,626
Prostate biopsy: 10 of 75 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $6,423
  • Altamed Health Services — AltaMed MCAL HMO: $175.70
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $6,626
  • Blue Shield — Blue Shield CA HMO: $2,444.99
  • Blue Shield — Blue Shield PPO: $2,444.99
  • CalOptima — CalOptima (Traditional and Adult Expansion): $175.70
  • CalOptima — Monarch Health Plan/CalOptima: $175.70
  • Champus — Champus: $6,626
  • CHOC Health Alliance — CHOC Health Alliance/CalOptima: $175.70
  • Choice Physicians Network — Choice Physicians Network: $3,313
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE SGL OR MULTI $6,626 $6,626 $3,478.65 – $6,626
Prostate biopsy: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $4,306.90
  • First Health — First Health Commercial: $3,478.65
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $4,969.50
  • Interplan — Interplan PPO: $4,969.50
  • Kaiser — KAISER COMMERCIAL HMO: $4,080.29
  • Magellan — Magellan Behavioral Health Comm: $3,975.60
  • Magellan — Magellan Behavioral Health SR: $3,975.60
  • MultiPlan — MultiPlan PPO: $4,638.20
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $6,626
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $5,300.80
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 $210.38 – $37,500
Hysteroscopy with biopsy of the uterus lining: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,710
  • Altamed Health Services — Altamed Health Services Senior: $4,143.08
  • Altamed Health Services — AltaMed MCAL HMO: $352.07
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $3,935.93
  • Blue Shield — Blue Shield CA HMO: $15,785.13
  • Blue Shield — Blue Shield PPO: $15,785.13
  • Blue Shield — Blue Shield SR: $4,143.08
  • Brand New Day — Brand New Day/SR: $4,640.25
  • CalOptima — CalOptima (Traditional and Adult Expansion): $352.07
  • CalOptima — CalOptima PACE: $4,163.48
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ DX TX LSP CAUD EPID W IMG $3,803 $3,803 $220.03 – $3,803
Spinal injection, lower back (epidural), with imaging guidance: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,081.76
  • Altamed Health Services — Altamed Health Services Senior: $903.43
  • Altamed Health Services — AltaMed MCAL HMO: $308.04
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $858.26
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $220.03
  • Blue Shield — Blue Shield CA HMO: $3,442.07
  • Blue Shield — Blue Shield PPO: $3,442.07
  • Blue Shield — Blue Shield SR: $903.43
  • Brand New Day — Brand New Day/SR: $1,011.84
  • CalOptima — CalOptima (Traditional and Adult Expansion): $308.04
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ DX TX LSP CAUD EPID W IMG $3,803 $3,803 $1,996.58 – $3,803
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $2,471.95
  • First Health — First Health Commercial: $1,996.58
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $2,852.25
  • Interplan — Interplan PPO: $2,852.25
  • Kaiser — KAISER COMMERCIAL HMO: $2,341.89
  • Magellan — Magellan Behavioral Health Comm: $2,281.80
  • Magellan — Magellan Behavioral Health SR: $2,281.80
  • MultiPlan — MultiPlan PPO: $2,662.10
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $3,803
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $3,042.40
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 $220.03 – $37,500
Spinal injection, lower back (epidural), with imaging guidance: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,677
  • Altamed Health Services — Altamed Health Services Senior: $4,287.93
  • Altamed Health Services — AltaMed MCAL HMO: $308.04
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $4,073.53
  • Blue Shield — Blue Shield CA HMO: $16,337.01
  • Blue Shield — Blue Shield PPO: $16,337.01
  • Blue Shield — Blue Shield SR: $4,287.93
  • Brand New Day — Brand New Day/SR: $4,802.48
  • CalOptima — CalOptima (Traditional and Adult Expansion): $308.04
  • CalOptima — CalOptima PACE: $4,288.49
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL LT $3,047 $3,047 $172.01 – $3,954
Nerve root injection, lower back, with imaging guidance: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,677
  • Altamed Health Services — Altamed Health Services Senior: $1,132.01
  • Altamed Health Services — AltaMed MCAL HMO: $287.85
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $1,075.41
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $3,047
  • Blue Shield — Blue Shield CA HMO: $4,312.96
  • Blue Shield — Blue Shield PPO: $4,312.96
  • Blue Shield — Blue Shield SR: $1,132.01
  • Brand New Day — Brand New Day/SR: $1,267.85
  • CalOptima — CalOptima (Traditional and Adult Expansion): $287.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL RT $3,047 $3,047 $172.01 – $3,954
Nerve root injection, lower back, with imaging guidance: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,677
  • Altamed Health Services — Altamed Health Services Senior: $1,132.01
  • Altamed Health Services — AltaMed MCAL HMO: $287.85
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $1,075.41
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $3,047
  • Blue Shield — Blue Shield CA HMO: $4,312.96
  • Blue Shield — Blue Shield PPO: $4,312.96
  • Blue Shield — Blue Shield SR: $1,132.01
  • Brand New Day — Brand New Day/SR: $1,267.85
  • CalOptima — CalOptima (Traditional and Adult Expansion): $287.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL BIL $4,570 $4,570 $172.01 – $5,931
Nerve root injection, lower back, with imaging guidance: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $1,677
  • Altamed Health Services — Altamed Health Services Senior: $1,698.01
  • Altamed Health Services — AltaMed MCAL HMO: $287.85
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $1,613.11
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $4,570
  • Blue Shield — Blue Shield CA HMO: $6,469.42
  • Blue Shield — Blue Shield PPO: $6,469.42
  • Blue Shield — Blue Shield SR: $1,698.01
  • Brand New Day — Brand New Day/SR: $1,901.77
  • CalOptima — CalOptima (Traditional and Adult Expansion): $287.85
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-NEUROPLASTYTRNSPSTN MDN NRV CARPAL TUNNEL $14,195 $14,195 $350 – $14,195
Carpal tunnel release: 10 of 118 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,254
  • Altamed Health Services — Altamed Health Services Senior: $2,499.22
  • Altamed Health Services — AltaMed MCAL HMO: $636.24
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,374.26
  • ALTAMED MCAL HMO (ANCILLARY) — ALTAMED MCAL HMO (ANCILLARY): $14,195
  • Blue Shield — Blue Shield CA HMO: $9,522.03
  • Blue Shield — Blue Shield PPO: $9,522.03
  • Blue Shield — Blue Shield SR: $2,499.22
  • Brand New Day — Brand New Day/SR: $2,799.13
  • CalOptima — CalOptima (Traditional and Adult Expansion): $636.24
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER-NEUROPLASTYTRNSPSTN MDN NRV CARPAL TUNNEL $14,195 $14,195 $7,452.38 – $14,195
Carpal tunnel release: 10 of 13 insurance plan rates
  • Cigna — Cigna/Outside Payors: $9,226.75
  • First Health — First Health Commercial: $7,452.38
  • HealthSmart — HEALTHSMART PREFERRED NETWORK: $10,646.25
  • Interplan — Interplan PPO: $10,646.25
  • Kaiser — KAISER COMMERCIAL HMO: $8,741.28
  • Magellan — Magellan Behavioral Health Comm: $8,517
  • Magellan — Magellan Behavioral Health SR: $8,517
  • MultiPlan — MultiPlan PPO: $9,936.50
  • Other Non Contracted Plans — Other Non Contracted Insurance Plans: $14,195
  • PNOA-Provider Network of America — PNOA-Provider Network of America: $11,356
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $380.20 – $37,500
Carpal tunnel release: 10 of 119 insurance plan rates
  • Aetna — Aetna All Commercial Payers: $2,138
  • Altamed Health Services — Altamed Health Services Senior: $2,499.22
  • Altamed Health Services — AltaMed MCAL HMO: $636.24
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,374.26
  • Blue Shield — Blue Shield CA HMO: $9,522.03
  • Blue Shield — Blue Shield PPO: $9,522.03
  • Blue Shield — Blue Shield SR: $2,499.22
  • Brand New Day — Brand New Day/SR: $2,799.13
  • CalOptima — CalOptima (Traditional and Adult Expansion): $636.24
  • CalOptima — CalOptima PACE: $2,511.53

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 $2,375 – $303,808.65
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 97 insurance plan rates
  • Altamed Health Services — Altamed Health Services Senior: $3,548
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,800
  • Blue Shield — Blue Shield CA HMO: $206,140.52
  • Blue Shield — Blue Shield PPO: $206,140.52
  • Blue Shield — Blue Shield SR: $102,049.76
  • Brand New Day — Brand New Day/SR: $108,172.75
  • CalOptima — CalOptima PACE: $102,049.76
  • CalOptima — OneCare Pace: $102,049.76
  • Central Health Plan of California — Central Health Plan Senior: $102,049.76
  • Champion Health Plan — Champion Health Plan Senior: $110,213.74
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $800 – $94,090.76
Spinal fusion (not neck), without major complications: 10 of 99 insurance plan rates
  • Altamed Health Services — Altamed Health Services Senior: $3,548
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,800
  • Blue Shield — Blue Shield CA HMO: $79,292.17
  • Blue Shield — Blue Shield PPO: $79,292.17
  • Blue Shield — Blue Shield SR: $39,253.55
  • Brand New Day — Brand New Day/SR: $41,608.76
  • CalOptima — CalOptima PACE: $39,253.55
  • CalOptima — OneCare Pace: $39,253.55
  • Central Health Plan of California — Central Health Plan Senior: $39,253.55
  • Champion Health Plan — Champion Health Plan Senior: $42,393.83
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 $800 – $51,599.74
Hip or knee replacement (major joint of the leg), without major complications: 10 of 99 insurance plan rates
  • Altamed Health Services — Altamed Health Services Senior: $3,548
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,800
  • Blue Shield — Blue Shield CA HMO: $43,484.13
  • Blue Shield — Blue Shield PPO: $43,484.13
  • Blue Shield — Blue Shield SR: $21,526.80
  • Brand New Day — Brand New Day/SR: $22,818.41
  • CalOptima — CalOptima PACE: $21,526.80
  • CalOptima — OneCare Pace: $21,526.80
  • Central Health Plan of California — Central Health Plan Senior: $21,526.80
  • Champion Health Plan — Champion Health Plan Senior: $23,248.94
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 $800 – $64,192.19
Neck (cervical) spinal fusion, without complications: 10 of 99 insurance plan rates
  • Altamed Health Services — Altamed Health Services Senior: $3,548
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,800
  • Blue Shield — Blue Shield CA HMO: $54,096.05
  • Blue Shield — Blue Shield PPO: $54,096.05
  • Blue Shield — Blue Shield SR: $26,780.22
  • Brand New Day — Brand New Day/SR: $28,387.03
  • CalOptima — CalOptima PACE: $26,780.22
  • CalOptima — OneCare Pace: $26,780.22
  • Central Health Plan of California — Central Health Plan Senior: $26,780.22
  • Champion Health Plan — Champion Health Plan Senior: $28,922.64
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 $800 – $51,987.52
Uterus and ovary surgery (not for cancer), without complications: 10 of 99 insurance plan rates
  • Altamed Health Services — Altamed Health Services Senior: $3,548
  • AltaMed Health Services — SCAN/AltaMed/Capitation: $2,800
  • Blue Shield — Blue Shield CA HMO: $29,231.32
  • Blue Shield — Blue Shield PPO: $29,231.32
  • Blue Shield — Blue Shield SR: $14,470.95
  • Brand New Day — Brand New Day/SR: $15,339.21
  • CalOptima — CalOptima PACE: $14,470.95
  • CalOptima — OneCare Pace: $14,470.95
  • Central Health Plan of California — Central Health Plan Senior: $14,470.95
  • Champion Health Plan — Champion Health Plan Senior: $15,628.63

Source: Coastal Communities Hospital’s standard charges file (southcoastglobalmedicalcenter.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 15, 2026; retrieved November 5, 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
Address2701 S Bristol St, Santa Ana, CA 92704
CountyOrange County
StateCalifornia
Phone(714) 754‑5454
Emergency servicesYes
OwnershipProprietary
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050747
Name in Medicare recordsCOASTAL COMMUNITIES HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSouth Coast Global Medical Center
Official websitesouthcoastglobalmedicalcenter.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 2026-11-02.

  1. Home - South Coast Global Medical Center — southcoastglobalmedicalcenter.com
  2. 24-Hour Emergency Care - South Coast Global Medical Center — southcoastglobalmedicalcenter.com
  3. Stroke Services - South Coast Global Medical Center — southcoastglobalmedicalcenter.com