Colusa Medical Center is an acute care hospital in Colusa, California. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 67 services, specialties and programs. Medicare lists 93 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
What is an acute care hospital?
A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Accredited by the Center for Improvement in Healthcare Quality (CIHQ)
CLIA certified laboratory
Doctors and clinicians (93)
93 doctors and other clinicians list Colusa Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 69 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Colusa Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Summary star rating (all survey topics)
Not reported to Medicare
Overall rating of the hospital
Not reported to Medicare
Would recommend the hospital
Not reported to Medicare
Nurses communicated well
Not reported to Medicare
Doctors communicated well
Not reported to Medicare
Staff explained medicines
Not reported to Medicare
Information about recovery at home
Not reported to Medicare
Room and bathroom kept clean
Not reported to Medicare
Quiet at night
Not reported to Medicare
Rated the hospital 9 or 10 out of 10
40%National average: 72%
Would definitely recommend the hospital
47%National average: 71%
Nurses “always” communicated well
63%National average: 80%
Doctors “always” communicated well
66%National average: 80%
Staff “always” explained medicines before giving them
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.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
Too few cases to report
Deaths within 30 days: heart failure patients
11%
Deaths within 30 days: pneumonia patients
15.3%
Deaths within 30 days: COPD patients
7.2%
Deaths within 30 days: stroke patients
Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients)
Not reported to Medicare
Readmitted within 30 days: heart attack
Too few cases to report
Readmitted within 30 days: heart failure
21.7%
Readmitted within 30 days: pneumonia
16.7%
Readmitted within 30 days: COPD
20.5%
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
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)
113 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)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Colusa Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$449.33
$269.60
$71.13 – $426.86
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $179.73
AETNA MEDICARE — AETNA MEDICARE: $71.13
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $224.67
ANTHEM MCAL — ANTHEM MCAL: $84.51
ANTHEM MEDICARE — ANTHEM MEDICARE: $71.13
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $343.74
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $381.93
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $71.13
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $84.51
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $71.13
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$735
$441
$98.83 – $698.25
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $294
AETNA MEDICARE — AETNA MEDICARE: $116.78
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $367.50
ANTHEM MCAL — ANTHEM MCAL: $101.80
ANTHEM MEDICARE — ANTHEM MEDICARE: $116.78
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $562.28
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $624.75
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $116.78
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $101.80
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $116.78
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$1,050
$630
$118.62 – $997.50
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $420
AETNA MEDICARE — AETNA MEDICARE: $159.75
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $525
ANTHEM MCAL — ANTHEM MCAL: $122.18
ANTHEM MEDICARE — ANTHEM MEDICARE: $159.75
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $803.25
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $892.50
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $159.75
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $122.18
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $159.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$210
$126
$34.43 – $199.50
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $84
AETNA MEDICARE — AETNA MEDICARE: $57.85
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $105
ANTHEM MCAL — ANTHEM MCAL: $35.46
ANTHEM MEDICARE — ANTHEM MEDICARE: $57.85
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $160.65
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $178.50
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $57.85
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $35.46
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $57.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$542.91
$325.75
$53.79 – $515.76
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $217.16
AETNA MEDICARE — AETNA MEDICARE: $84.93
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $271.46
ANTHEM MCAL — ANTHEM MCAL: $55.40
ANTHEM MEDICARE — ANTHEM MEDICARE: $84.93
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $415.33
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $461.47
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $84.93
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $55.40
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $84.93
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more
$534
$320.40
$213.60 – $550.02
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $213.60
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $267
ANTHEM MCAL — ANTHEM MCAL: $550.02
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $408.51
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $453.90
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $550.02
CORVEL COMMERCIAL- ALL PLANS — CORVEL COMMERCIAL- ALL PLANS: $427.20
GALAXY NETWORK - ALL PLANS — GALAXY NETWORK - ALL PLANS: $480.60
HEALTH NET MCAL — HEALTH NET MCAL: $550.02
MEDI-CAL — MEDI-CAL: $534
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more
$1,294.65
$776.79
$517.86 – $1,333.49
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $517.86
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $647.33
ANTHEM MCAL — ANTHEM MCAL: $1,333.49
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $990.41
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,100.45
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $1,333.49
CORVEL COMMERCIAL- ALL PLANS — CORVEL COMMERCIAL- ALL PLANS: $1,035.72
GALAXY NETWORK - ALL PLANS — GALAXY NETWORK - ALL PLANS: $1,165.19
HEALTH NET MCAL — HEALTH NET MCAL: $1,333.49
MEDI-CAL — MEDI-CAL: $1,294.65
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$1,433.25
$859.95
$63.97 – $1,361.59
Emergency room visit (moderate): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $1,003.28
AETNA MEDICARE — AETNA MEDICARE: $351.10
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $285.52
ANTHEM MCAL — ANTHEM MCAL: $65.89
ANTHEM MEDICARE — ANTHEM MEDICARE: $351.10
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,096.44
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,218.26
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $351.10
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $65.89
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,218.26
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$334.95
$200.97
$63.97 – $596.86
Emergency room visit (moderate): 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $133.98
AETNA MEDICARE — AETNA MEDICARE: $351.10
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $285.52
ANTHEM MCAL — ANTHEM MCAL: $65.89
ANTHEM MEDICARE — ANTHEM MEDICARE: $351.10
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $256.24
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $284.71
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $351.10
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $65.89
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $351.10
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$2,397.15
$1,438.29
$98.04 – $2,277.29
Emergency room visit (moderately high): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $1,500
AETNA MEDICARE — AETNA MEDICARE: $536.67
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $436.45
ANTHEM MCAL — ANTHEM MCAL: $100.98
ANTHEM MEDICARE — ANTHEM MEDICARE: $536.67
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,833.82
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $2,037.58
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $536.67
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $100.98
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,037.58
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$3,344.25
$2,006.55
$155.03 – $3,177.04
Emergency room visit (high): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $1,500
AETNA MEDICARE — AETNA MEDICARE: $765.95
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $622.91
ANTHEM MCAL — ANTHEM MCAL: $159.68
ANTHEM MEDICARE — ANTHEM MEDICARE: $765.95
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $2,558.35
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $2,842.61
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $765.95
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $159.68
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,842.61
Lab tests
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)
$219.45
$131.67
$8.46 – $208.48
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $87.78
AETNA MEDICARE — AETNA MEDICARE: $8.46
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $18.57
ANTHEM MCAL — ANTHEM MCAL: $9.99
ANTHEM MEDICARE — ANTHEM MEDICARE: $8.46
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $167.88
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $186.53
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $8.46
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $9.99
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $186.53
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$310.80
$186.48
$10.56 – $295.26
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $124.32
AETNA MEDICARE — AETNA MEDICARE: $10.56
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $32.82
ANTHEM MCAL — ANTHEM MCAL: $12.47
ANTHEM MEDICARE — ANTHEM MEDICARE: $10.56
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $237.76
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $264.18
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $10.56
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $12.47
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $264.18
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$416.85
$250.11
$13.39 – $396.01
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $166.74
AETNA MEDICARE — AETNA MEDICARE: $13.39
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $55.82
ANTHEM MCAL — ANTHEM MCAL: $15.82
ANTHEM MEDICARE — ANTHEM MEDICARE: $13.39
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $318.89
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $354.32
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $13.39
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $15.82
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $354.32
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$265.65
$159.39
$8.68 – $252.37
Kidney function panel: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $106.26
AETNA MEDICARE — AETNA MEDICARE: $8.68
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $23.06
ANTHEM MCAL — ANTHEM MCAL: $10.25
ANTHEM MEDICARE — ANTHEM MEDICARE: $8.68
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $203.22
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $225.80
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $8.68
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $10.25
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $225.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$217.35
$130.41
$8.17 – $206.48
Liver function panel: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $86.94
AETNA MEDICARE — AETNA MEDICARE: $8.17
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $17.76
ANTHEM MCAL — ANTHEM MCAL: $9.43
ANTHEM MEDICARE — ANTHEM MEDICARE: $8.17
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $166.27
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $184.75
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $8.17
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $9.43
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $184.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$197.40
$118.44
$3.17 – $187.53
Urine test (automated, with microscope): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $78.96
AETNA MEDICARE — AETNA MEDICARE: $3.17
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $6.26
ANTHEM MCAL — ANTHEM MCAL: $3.74
ANTHEM MEDICARE — ANTHEM MEDICARE: $3.17
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $151.01
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $167.79
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $3.17
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $3.74
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $167.79
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$84
$50.40
$1.89 – $79.80
Urine test (automated, without microscope): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $33.60
AETNA MEDICARE — AETNA MEDICARE: $2.25
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $1.89
ANTHEM MCAL — ANTHEM MCAL: $2.66
ANTHEM MEDICARE — ANTHEM MEDICARE: $2.25
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $64.26
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $71.40
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $2.25
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $2.66
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $71.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier QW In the file: Automated urinalysis test
$21
$12.60
$0.47 – $19.95
Urine test (automated, without microscope): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $8.40
AETNA MEDICARE — AETNA MEDICARE: $2.25
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $0.47
ANTHEM MCAL — ANTHEM MCAL: $2.66
ANTHEM MEDICARE — ANTHEM MEDICARE: $2.25
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $16.07
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $17.85
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $2.25
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $2.66
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $17.85
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$291.90
$175.14
$18.39 – $277.31
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $116.76
AETNA MEDICARE — AETNA MEDICARE: $18.39
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $53.68
ANTHEM MCAL — ANTHEM MCAL: $21.73
ANTHEM MEDICARE — ANTHEM MEDICARE: $18.39
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $223.30
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $248.12
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $18.39
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $21.73
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $248.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$351.75
$211.05
$16.80 – $334.16
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $140.70
AETNA MEDICARE — AETNA MEDICARE: $16.80
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $59.09
ANTHEM MCAL — ANTHEM MCAL: $19.86
ANTHEM MEDICARE — ANTHEM MEDICARE: $16.80
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $269.09
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $298.99
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $16.80
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $19.86
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $298.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$235.20
$141.12
$7.77 – $223.44
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $94.08
AETNA MEDICARE — AETNA MEDICARE: $7.77
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $18.28
ANTHEM MCAL — ANTHEM MCAL: $9.17
ANTHEM MEDICARE — ANTHEM MEDICARE: $7.77
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $179.93
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $199.92
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $7.77
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $9.17
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $199.92
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$184.80
$110.88
$6.47 – $175.56
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $73.92
AETNA MEDICARE — AETNA MEDICARE: $6.47
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $11.96
ANTHEM MCAL — ANTHEM MCAL: $7.64
ANTHEM MEDICARE — ANTHEM MEDICARE: $6.47
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $141.37
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $157.08
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $6.47
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $7.64
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $157.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$127.05
$76.23
$4.29 – $120.70
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $50.82
AETNA MEDICARE — AETNA MEDICARE: $4.29
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $5.45
ANTHEM MCAL — ANTHEM MCAL: $5.07
ANTHEM MEDICARE — ANTHEM MEDICARE: $4.29
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $97.19
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $107.99
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $4.29
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $5.07
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $107.99
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$44.10
$26.46
$2.65 – $41.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $17.64
AETNA MEDICARE — AETNA MEDICARE: $6.01
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $2.65
ANTHEM MCAL — ANTHEM MCAL: $7.09
ANTHEM MEDICARE — ANTHEM MEDICARE: $6.01
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $33.74
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $37.49
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $6.01
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $7.09
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $37.49
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast
$2,851.80
$1,711.08
$109.35 – $2,709.21
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $370.40
AETNA MEDICARE — AETNA MEDICARE: $134.46
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $109.35
ANTHEM MCAL — ANTHEM MCAL: $170.84
ANTHEM MEDICARE — ANTHEM MEDICARE: $134.46
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $2,181.63
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $2,424.03
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $134.46
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $170.84
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,424.03
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$6,385.05
$3,831.03
$364.91 – $6,065.80
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $670
AETNA MEDICARE — AETNA MEDICARE: $448.71
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $364.91
ANTHEM MCAL — ANTHEM MCAL: $612.22
ANTHEM MEDICARE — ANTHEM MEDICARE: $448.71
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $448.71
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $612.22
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,000
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$748.65
$449.19
$39.42 – $711.22
Chest X-ray, 2 views: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $43.52
AETNA MEDICARE — AETNA MEDICARE: $111.93
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $91.03
ANTHEM MCAL — ANTHEM MCAL: $40.60
ANTHEM MEDICARE — ANTHEM MEDICARE: $111.93
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $572.72
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $636.35
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $111.93
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $40.60
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $636.35
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$1,386
$831.60
$62.90 – $1,316.70
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $95.24
AETNA MEDICARE — AETNA MEDICARE: $134.46
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $109.35
ANTHEM MCAL — ANTHEM MCAL: $64.79
ANTHEM MEDICARE — ANTHEM MEDICARE: $134.46
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,060.29
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,178.10
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $134.46
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $64.79
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,178.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$4,678
$2,806.80
$249.57 – $4,444.10
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $670
AETNA MEDICARE — AETNA MEDICARE: $306.88
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $249.57
ANTHEM MCAL — ANTHEM MCAL: $401.76
ANTHEM MEDICARE — ANTHEM MEDICARE: $306.88
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $3,578.67
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $3,976.30
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $306.88
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $401.76
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,976.30
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$4,714.50
$2,828.70
$183.46 – $4,478.78
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $566.82
AETNA MEDICARE — AETNA MEDICARE: $225.60
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $183.46
ANTHEM MCAL — ANTHEM MCAL: $302.06
ANTHEM MEDICARE — ANTHEM MEDICARE: $225.60
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $3,606.59
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,007.33
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $225.60
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $302.06
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,007.33
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint without contrast
$1,874
$1,124.40
$249.57 – $1,780.30
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $670
AETNA MEDICARE — AETNA MEDICARE: $306.88
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $249.57
ANTHEM MCAL — ANTHEM MCAL: $576.91
ANTHEM MEDICARE — ANTHEM MEDICARE: $306.88
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,433.61
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,592.90
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $306.88
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $576.91
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,592.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint without contrast
$1,874
$1,124.40
$249.57 – $1,780.30
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $670
AETNA MEDICARE — AETNA MEDICARE: $306.88
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $249.57
ANTHEM MCAL — ANTHEM MCAL: $576.91
ANTHEM MEDICARE — ANTHEM MEDICARE: $306.88
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,433.61
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,592.90
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $306.88
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $576.91
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,592.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$7,589.40
$4,553.64
$364.91 – $7,209.93
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $600.10
AETNA MEDICARE — AETNA MEDICARE: $448.71
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $364.91
ANTHEM MCAL — ANTHEM MCAL: $416.34
ANTHEM MEDICARE — ANTHEM MEDICARE: $448.71
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $448.71
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $416.34
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,000
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$1,754.55
$1,052.73
$109.35 – $1,666.82
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $229.16
AETNA MEDICARE — AETNA MEDICARE: $134.46
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $109.35
ANTHEM MCAL — ANTHEM MCAL: $122.92
ANTHEM MEDICARE — ANTHEM MEDICARE: $134.46
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,342.23
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,491.37
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $134.46
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $122.92
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,491.37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$1,197
$718.20
$109.35 – $1,137.15
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $229.16
AETNA MEDICARE — AETNA MEDICARE: $134.46
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $109.35
ANTHEM MCAL — ANTHEM MCAL: $139.35
ANTHEM MEDICARE — ANTHEM MEDICARE: $134.46
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $915.71
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,017.45
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $134.46
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $139.35
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,017.45
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$622.65
$373.59
$97.04 – $591.52
Transvaginal ultrasound: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $217.80
AETNA MEDICARE — AETNA MEDICARE: $134.46
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $109.35
ANTHEM MCAL — ANTHEM MCAL: $99.95
ANTHEM MEDICARE — ANTHEM MEDICARE: $134.46
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $476.33
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $529.25
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $134.46
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $99.95
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $529.25
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 50 In the file: Screening mammography
$227.85
$136.71
$113.93 – $230.33
Screening mammogram, both breasts: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $228.54
AETNA MEDICARE — AETNA MEDICARE: $135.49
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $113.93
ANTHEM MCAL — ANTHEM MCAL: $185.12
ANTHEM MEDICARE — ANTHEM MEDICARE: $135.49
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $174.31
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $193.67
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $135.49
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $185.12
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $193.67
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$165.90
$99.54
$16.02 – $157.61
Electrocardiogram (ECG/EKG) with reading: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $66.36
AETNA MEDICARE — AETNA MEDICARE: $16.02
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $82.95
ANTHEM MCAL — ANTHEM MCAL: $42.40
ANTHEM MEDICARE — ANTHEM MEDICARE: $16.02
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $126.91
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $141.02
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $16.02
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $42.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $141.02
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · modifier GY In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$165.90
$99.54
$16.02 – $157.61
Electrocardiogram (ECG/EKG) with reading: 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $66.36
AETNA MEDICARE — AETNA MEDICARE: $16.02
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $82.95
ANTHEM MCAL — ANTHEM MCAL: $42.40
ANTHEM MEDICARE — ANTHEM MEDICARE: $16.02
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $126.91
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $141.02
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $16.02
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $42.40
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $16.02
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)
$1,185
$711
$499.27 – $1,877.62
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $1,087.02
AETNA MEDICARE — AETNA MEDICARE: $1,104.48
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $898.21
ANTHEM MCAL — ANTHEM MCAL: $514.25
ANTHEM MEDICARE — ANTHEM MEDICARE: $1,104.48
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $906.53
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $1,007.25
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $1,104.48
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $514.25
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,007.25
Physical therapy and mental health
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$199.50
$119.70
$15.72 – $189.53
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $33.17
AETNA MEDICARE — AETNA MEDICARE: $30.47
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $99.75
ANTHEM MCAL — ANTHEM MCAL: $16.19
ANTHEM MEDICARE — ANTHEM MEDICARE: $30.47
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $152.62
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $169.58
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $30.47
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $16.19
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $169.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$190.05
$114.03
$15.72 – $180.55
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $33.17
AETNA MEDICARE — AETNA MEDICARE: $30.47
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $95.03
ANTHEM MCAL — ANTHEM MCAL: $16.19
ANTHEM MEDICARE — ANTHEM MEDICARE: $30.47
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $145.39
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $161.54
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $30.47
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $16.19
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $161.54
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$198.45
$119.07
$88.44 – $204.40
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $88.44
AETNA MEDICARE — AETNA MEDICARE: $103.01
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $99.23
ANTHEM MCAL — ANTHEM MCAL: $204.40
ANTHEM MEDICARE — ANTHEM MEDICARE: $103.01
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $151.81
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $168.68
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $103.01
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $204.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $168.68
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes
$198.45
$119.07
$88.44 – $204.40
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $88.44
AETNA MEDICARE — AETNA MEDICARE: $103.01
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $99.23
ANTHEM MCAL — ANTHEM MCAL: $204.40
ANTHEM MEDICARE — ANTHEM MEDICARE: $103.01
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $151.81
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $168.68
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $103.01
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $204.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $168.68
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$299.25
$179.55
$88.44 – $308.23
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $88.44
AETNA MEDICARE — AETNA MEDICARE: $103.01
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $149.63
ANTHEM MCAL — ANTHEM MCAL: $308.23
ANTHEM MEDICARE — ANTHEM MEDICARE: $103.01
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $228.93
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $254.36
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $103.01
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $308.23
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $254.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes
$299.25
$179.55
$88.44 – $308.23
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $88.44
AETNA MEDICARE — AETNA MEDICARE: $103.01
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $149.63
ANTHEM MCAL — ANTHEM MCAL: $308.23
ANTHEM MEDICARE — ANTHEM MEDICARE: $103.01
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $228.93
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $254.36
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $103.01
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $308.23
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $254.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes
$402.15
$241.29
$88.44 – $382.04
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $88.44
AETNA MEDICARE — AETNA MEDICARE: $103.01
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $201.08
ANTHEM MCAL — ANTHEM MCAL: $200.28
ANTHEM MEDICARE — ANTHEM MEDICARE: $103.01
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $307.64
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $341.83
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $103.01
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $200.28
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $341.83
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes
$656.25
$393.75
$75.84 – $623.44
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $262.50
AETNA MEDICARE — AETNA MEDICARE: $228.29
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $185.65
ANTHEM MCAL — ANTHEM MCAL: $78.11
ANTHEM MEDICARE — ANTHEM MEDICARE: $228.29
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $502.03
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $557.81
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $228.29
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $78.11
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $228.29
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes
$735
$441
$96.33 – $698.25
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $294
AETNA MEDICARE — AETNA MEDICARE: $228.29
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $185.65
ANTHEM MCAL — ANTHEM MCAL: $99.22
ANTHEM MEDICARE — ANTHEM MEDICARE: $228.29
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $562.28
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $624.75
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $228.29
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $99.22
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $228.29
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour
$735
$441
$140.60 – $698.25
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $294
AETNA MEDICARE — AETNA MEDICARE: $228.29
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $185.65
ANTHEM MCAL — ANTHEM MCAL: $144.82
ANTHEM MEDICARE — ANTHEM MEDICARE: $228.29
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $562.28
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $624.75
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $228.29
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $144.82
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $228.29
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes
$735
$441
$124.28 – $698.25
Family psychotherapy, without the patient: 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $294
AETNA MEDICARE — AETNA MEDICARE: $228.29
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $185.65
ANTHEM MCAL — ANTHEM MCAL: $128
ANTHEM MEDICARE — ANTHEM MEDICARE: $228.29
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $562.28
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $624.75
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $228.29
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $128
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $228.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes
$735
$441
$128.59 – $698.25
Family psychotherapy, with the patient: 10 of 21 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $294
AETNA MEDICARE — AETNA MEDICARE: $228.29
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $185.65
ANTHEM MCAL — ANTHEM MCAL: $132.45
ANTHEM MEDICARE — ANTHEM MEDICARE: $228.29
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $562.28
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $624.75
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $228.29
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $132.45
CMSP MEDICARE - ALL PLANS — CMSP MEDICARE - ALL PLANS: $228.29
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis
$24,664.50
$14,798.70
$1,489.20 – $28,071.59
Total hip replacement: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $4,450
AETNA MEDICARE — AETNA MEDICARE: $16,512.70
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $13,428.85
ANTHEM MCAL — ANTHEM MCAL: $1,533.88
ANTHEM MEDICARE — ANTHEM MEDICARE: $16,512.70
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $16,512.70
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $1,533.88
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,400
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee
$24,664.50
$14,798.70
$1,489.20 – $28,071.59
Total knee replacement: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $4,450
AETNA MEDICARE — AETNA MEDICARE: $16,512.70
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $13,428.85
ANTHEM MCAL — ANTHEM MCAL: $1,533.88
ANTHEM MEDICARE — ANTHEM MEDICARE: $16,512.70
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $16,512.70
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $1,533.88
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,400
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope
$11,852.40
$7,111.44
$143.22 – $11,259.78
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,770
AETNA MEDICARE — AETNA MEDICARE: $143.22
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $5,926.20
ANTHEM MCAL — ANTHEM MCAL: $434.47
ANTHEM MEDICARE — ANTHEM MEDICARE: $143.22
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $143.22
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $434.47
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope
$8,873.55
$5,324.13
$551 – $8,429.87
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $3,500
AETNA MEDICARE — AETNA MEDICARE: $4,208.34
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $3,422.41
ANTHEM MCAL — ANTHEM MCAL: $567.53
ANTHEM MEDICARE — ANTHEM MEDICARE: $4,208.34
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $4,208.34
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $567.53
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$5,335.05
$3,201.03
$234.18 – $5,068.30
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,400
AETNA MEDICARE — AETNA MEDICARE: $1,166.53
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $948.68
ANTHEM MCAL — ANTHEM MCAL: $241.21
ANTHEM MEDICARE — ANTHEM MEDICARE: $1,166.53
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,081.31
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,534.79
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $1,166.53
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $241.21
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$5,335.05
$3,201.03
$295.23 – $5,068.30
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,400
AETNA MEDICARE — AETNA MEDICARE: $1,196.08
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $972.71
ANTHEM MCAL — ANTHEM MCAL: $304.09
ANTHEM MEDICARE — ANTHEM MEDICARE: $1,196.08
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,081.31
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,534.79
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $1,196.08
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $304.09
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$5,335.05
$3,201.03
$330.23 – $5,068.30
Colonoscopy with biopsy: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,400
AETNA MEDICARE — AETNA MEDICARE: $1,539.08
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $1,251.64
ANTHEM MCAL — ANTHEM MCAL: $340.14
ANTHEM MEDICARE — ANTHEM MEDICARE: $1,539.08
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,081.31
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,534.79
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $1,539.08
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $340.14
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$5,335.05
$3,201.03
$400.22 – $5,068.30
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,400
AETNA MEDICARE — AETNA MEDICARE: $1,539.08
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $1,251.64
ANTHEM MCAL — ANTHEM MCAL: $412.23
ANTHEM MEDICARE — ANTHEM MEDICARE: $1,539.08
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,081.31
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,534.79
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $1,539.08
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $412.23
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)
$16,275
$9,765
$493.45 – $15,461.25
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $3,500
AETNA MEDICARE — AETNA MEDICARE: $4,604.99
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $3,744.99
ANTHEM MCAL — ANTHEM MCAL: $508.25
ANTHEM MEDICARE — ANTHEM MEDICARE: $4,604.99
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $4,604.99
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $508.25
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate gland
$400
$240
$200 – $2,400
Prostate biopsy: 10 of 13 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,400
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $200
ANTHEM MCAL — ANTHEM MCAL: $412
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $306
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $340
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $412
CORVEL COMMERCIAL- ALL PLANS — CORVEL COMMERCIAL- ALL PLANS: $320
GALAXY NETWORK - ALL PLANS — GALAXY NETWORK - ALL PLANS: $360
HEALTH NET MCAL — HEALTH NET MCAL: $412
MEDI-CAL — MEDI-CAL: $400
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope
$7,812.36
$4,687.42
$175.32 – $7,421.74
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,770
AETNA MEDICARE — AETNA MEDICARE: $4,163.48
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $3,385.93
ANTHEM MCAL — ANTHEM MCAL: $180.58
ANTHEM MEDICARE — ANTHEM MEDICARE: $4,163.48
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $4,163.48
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $180.58
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$2,796.15
$1,677.69
$220.03 – $4,400
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $1,850
AETNA MEDICARE — AETNA MEDICARE: $907.88
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $738.33
ANTHEM MCAL — ANTHEM MCAL: $226.63
ANTHEM MEDICARE — ANTHEM MEDICARE: $907.88
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $2,139.05
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $2,376.73
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $907.88
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $226.63
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,400
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$3,416.49
$2,049.89
$143.34 – $3,245.67
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $1,850
AETNA MEDICARE — AETNA MEDICARE: $1,137.58
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $925.13
ANTHEM MCAL — ANTHEM MCAL: $147.64
ANTHEM MEDICARE — ANTHEM MEDICARE: $1,137.58
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $2,613.61
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $2,904.02
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $1,137.58
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $147.64
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,200
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve
$7,293.30
$4,375.98
$316.83 – $6,928.64
Carpal tunnel release: 10 of 22 insurance plan rates
AETNA COMM- ALL OTHER PLANS — AETNA COMM- ALL OTHER PLANS: $2,400
AETNA MEDICARE — AETNA MEDICARE: $2,511.53
ANTHEM BLUE CROSS - ALL OTHER PLANS — ANTHEM BLUE CROSS - ALL OTHER PLANS: $2,042.49
ANTHEM MCAL — ANTHEM MCAL: $326.33
ANTHEM MEDICARE — ANTHEM MEDICARE: $2,511.53
BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,184
BLUE SHIELD HMO/PPO - ALL OTHER PLANS — BLUE SHIELD HMO/PPO - ALL OTHER PLANS: $4,649
BLUE SHIELD MEDICARE — BLUE SHIELD MEDICARE: $2,511.53
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS — CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS: $326.33
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.