Does Community Memorial Hospital - Ojai have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Community Memorial Hospital - Ojai. In a medical emergency, call 911.

Where is Community Memorial Hospital - Ojai?

1306 Maricopa Hwy, Ojai, CA 93023, in Ventura County, California.

What is the phone number of Community Memorial Hospital - Ojai?

(805) 646-1401, as listed by Medicare (CMS).

What is the Medicare star rating of Community Memorial Hospital - Ojai?

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

Community Memorial Hospital - Ojai — Ojai, CA

Quick answers

Does Community Memorial Hospital - Ojai have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Community Memorial Hospital - Ojai. In a medical emergency, call 911.
Where is Community Memorial Hospital - Ojai?: 1306 Maricopa Hwy, Ojai, CA 93023, in Ventura County, California.
What is the phone number of Community Memorial Hospital - Ojai?: (805) 646-1401, as listed by Medicare (CMS).
What is the Medicare star rating of Community Memorial Hospital - Ojai?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5]

Critical care
Imaging
Laboratory
Orthopedics
Rehabilitation (occupational, physical and speech therapy)
General surgery
Emergency care

Treatments^[4]

Procedures^[4]

Knee replacement
Robotic-assisted surgery (ROSA)
3-D mammography screening

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	MyChart

Recognition^[4]

DNV Healthcare accreditation

Doctors and clinicians (228)

228 doctors and other clinicians list Community Memorial Hospital - Ojai 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

And 204 more: the button below opens the full list.

Other emergency rooms nearby

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

Ventura County Medical Center11 mi · Ventura, CA · Acute Care Hospital
Community Memorial Hospital - Ventura12 mi · Ventura, CA · Acute Care Hospital
St Johns Regional Medical Center17 mi · Oxnard, CA · Acute Care Hospital
Santa Barbara Cottage Hospital26 mi · Santa Barbara, CA · Acute Care Hospital
Los Robles Hospital & Medical Center27 mi · Thousand Oaks, CA · Acute Care Hospital

Other hospitals nearby

Aurora Vista del Mar Hospital9.4 mi · Ventura, CA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Community Memorial Continuing Care Center0.2 mi · Ojai, CA · 5 of 5 stars
Ojai Health & Rehabilitation1.5 mi · Ojai, CA · 2 of 5 stars
Ventura Post Acute11 mi · Ventura, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Aceso Hospice, Inc7.4 mi · Ventura, CA
Pacific Crest Hospice of Ventura County LLC7.4 mi · Ventura, CA
Assisted Home Hospice11 mi · Ventura, CA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Advanced Quality Home Health Care, Inc11 mi · Ventura, CA
Assisted Home Care11 mi · Ventura, CA
Care Link Home Health Services, Inc11 mi · Ventura, CA

All home health agencies in the state →

Dialysis facilities

BMA Santa Paula11 mi · Santa Paula, CA · 4 of 5 stars
DaVita Santa Paula Dialysis11 mi · Santa Paula, CA · 3 of 5 stars
DaVita Ventura Dialysis11 mi · Ventura, CA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Pacific Surgery Center of Ventura11 mi · Ventura, CA
T Surgery Center11 mi · Ventura, CA
Ventura Endoscopy Center Partners LLC11 mi · Ventura, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Ojai Valley Community Health Center0.1 mi · Ojai, CA · Community health center
West Ventura Medical Clinic11 mi · Ventura, CA · Community health center
Pediatric Diagnostic Center11 mi · Ventura, CA · Community health center

Clinics and urgent care

Oakview Family Practice RHC3.3 mi · Oak View, CA · Rural health clinic
Community Memorial Health Center11 mi · Santa Paula, CA · Rural health clinic
Community Memorial Health System11 mi · Santa Paula, CA · Rural health clinic

Pharmacies

Eskandar RX Inc4.7 mi · Ojai, CA · Community/retail pharmacy
Health Aid Unlimited4.7 mi · Ojai, CA · Community/retail pharmacy
Pharmacyworx Inc4.7 mi · Ojai, CA · Community/retail pharmacy

Assisted living nearby

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

Haave House3.3 mi · Oak View, CA
Glen Park at Ojai4.7 mi · Ojai, CA
Mountain Vista Manor4.7 mi · Ojai, CA
Ojai Meadows4.7 mi · Ojai, CA

About the Medicare star rating

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

Medicare quality data

What Community Memorial Hospital - Ojai 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	75%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	65%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	86%National average: 74%
Area around the room “always” quiet at night	51%National average: 60%
Completed surveys	84Response rate: 26%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from 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 patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	14.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; 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 attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	114 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 39 common services exactly as Community Memorial Hospital - Ojai lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED FAC E M VISIT LEVEL 3 CDM	$1,575	$945	$63.97 – $3,651
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna Commercial — Aetna Commercial: $2,173 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,336 Aetna Medicare — Aetna Medicare: $882 Alignment Health Plan — Alignment Health Plan: $899.64 Americas Health Plan Medicare — Americas Health Plan Medicare: $899.64 Blue Cross of California — Blue Cross of California: $1,090.69 Blue Cross of California Medicare — Blue Cross of California Medicare: $882 Blue Shield Commercial — Blue Shield Commercial: $3,006.77 Blue Shield EPN — Blue Shield EPN: $2,622.05 Blue Shield Medicare — Blue Shield Medicare: $882
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED FAC E M VISIT LEVEL 3 CDM	$1,575	$945	$315 – $1,575
Emergency room visit (moderate): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $677.25 Kaiser Medicaid — Kaiser Medicaid: $551.25 MultiPlan — MultiPlan: $945 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $1,575 Valley Care IPA — Valley Care IPA: $1,575 Valley Care IPA Medicare — Valley Care IPA Medicare: $315
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED FAC E M VISIT LEVEL 4 CDM	$2,856	$1,713.60	$98.04 – $6,929
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna Commercial — Aetna Commercial: $6,447 Aetna Medical Rental Products — Aetna Medical Rental Products: $6,929 Aetna Medicare — Aetna Medicare: $1,599.36 Alignment Health Plan — Alignment Health Plan: $1,631.35 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,631.35 Blue Cross of California — Blue Cross of California: $1,667.21 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,599.36 Blue Shield Commercial — Blue Shield Commercial: $6,039.80 Blue Shield EPN — Blue Shield EPN: $5,267 Blue Shield Medicare — Blue Shield Medicare: $1,599.36
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED FAC E M VISIT LEVEL 4 CDM	$2,856	$1,713.60	$571.20 – $2,856
Emergency room visit (moderately high): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $1,228.08 Kaiser Medicaid — Kaiser Medicaid: $999.60 MultiPlan — MultiPlan: $1,713.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $2,856 Valley Care IPA — Valley Care IPA: $2,856 Valley Care IPA Medicare — Valley Care IPA Medicare: $571.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED FAC E M VISIT LEVEL 5 CDM	$3,318	$1,990.80	$100 – $7,878
Emergency room visit (high): 10 of 34 insurance plan rates Aetna Commercial — Aetna Commercial: $7,328 Aetna Medical Rental Products — Aetna Medical Rental Products: $7,878 Aetna Medicare — Aetna Medicare: $1,858.08 Alignment Health Plan — Alignment Health Plan: $1,895.24 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,895.24 Blue Cross of California — Blue Cross of California: $2,379.48 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,858.08 Blue Shield Commercial — Blue Shield Commercial: $6,039.80 Blue Shield EPN — Blue Shield EPN: $5,267 Blue Shield Medicare — Blue Shield Medicare: $1,858.08
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED FAC E M VISIT LEVEL 5 CDM	$3,318	$1,990.80	$663.60 – $3,318
Emergency room visit (high): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $1,426.74 Kaiser Medicaid — Kaiser Medicaid: $1,161.30 MultiPlan — MultiPlan: $1,990.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $3,318 Valley Care IPA — Valley Care IPA: $3,318 Valley Care IPA Medicare — Valley Care IPA Medicare: $663.60

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$80	$48	$6.77 – $80
Basic metabolic panel (blood test): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $53.64 Aetna Medical Rental Products — Aetna Medical Rental Products: $57.58 Aetna Medicare — Aetna Medicare: $44.80 Alignment Health Plan — Alignment Health Plan: $45.70 Americas Health Plan Medicare — Americas Health Plan Medicare: $45.70 Blue Cross of California — Blue Cross of California: $11.99 Blue Cross of California Medicare — Blue Cross of California Medicare: $44.80 Blue Shield Commercial — Blue Shield Commercial: $39.16 Blue Shield EPN — Blue Shield EPN: $34.78 Blue Shield Medicare — Blue Shield Medicare: $44.80
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$80	$48	$16 – $80
Basic metabolic panel (blood test): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $34.40 Kaiser Medicaid — Kaiser Medicaid: $28 MultiPlan — MultiPlan: $48 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $80 Valley Care IPA — Valley Care IPA: $80 Valley Care IPA Medicare — Valley Care IPA Medicare: $16
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$100	$60	$8.45 – $100
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $66.99 Aetna Medical Rental Products — Aetna Medical Rental Products: $71.92 Aetna Medicare — Aetna Medicare: $56 Alignment Health Plan — Alignment Health Plan: $57.12 Americas Health Plan Medicare — Americas Health Plan Medicare: $57.12 Blue Cross of California — Blue Cross of California: $14.96 Blue Cross of California Medicare — Blue Cross of California Medicare: $56 Blue Shield Commercial — Blue Shield Commercial: $48.89 Blue Shield EPN — Blue Shield EPN: $43.42 Blue Shield Medicare — Blue Shield Medicare: $56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$100	$60	$20 – $100
Comprehensive metabolic panel (blood test): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $43 Kaiser Medicaid — Kaiser Medicaid: $35 MultiPlan — MultiPlan: $60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $100 Valley Care IPA — Valley Care IPA: $100 Valley Care IPA Medicare — Valley Care IPA Medicare: $20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL CDM	$89	$53.40	$10.71 – $91.15
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $84.91 Aetna Medical Rental Products — Aetna Medical Rental Products: $91.15 Aetna Medicare — Aetna Medicare: $49.84 Alignment Health Plan — Alignment Health Plan: $50.84 Americas Health Plan Medicare — Americas Health Plan Medicare: $50.84 Blue Cross of California — Blue Cross of California: $18.97 Blue Cross of California Medicare — Blue Cross of California Medicare: $49.84 Blue Shield Commercial — Blue Shield Commercial: $61.96 Blue Shield EPN — Blue Shield EPN: $55.04 Blue Shield Medicare — Blue Shield Medicare: $49.84
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$94	$56.40	$10.71 – $94
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $84.91 Aetna Medical Rental Products — Aetna Medical Rental Products: $91.15 Aetna Medicare — Aetna Medicare: $52.64 Alignment Health Plan — Alignment Health Plan: $53.69 Americas Health Plan Medicare — Americas Health Plan Medicare: $53.69 Blue Cross of California — Blue Cross of California: $18.97 Blue Cross of California Medicare — Blue Cross of California Medicare: $52.64 Blue Shield Commercial — Blue Shield Commercial: $61.96 Blue Shield EPN — Blue Shield EPN: $55.04 Blue Shield Medicare — Blue Shield Medicare: $52.64
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL CDM	$89	$53.40	$17.80 – $89
Cholesterol panel (lipid panel): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $38.27 Kaiser Medicaid — Kaiser Medicaid: $31.15 MultiPlan — MultiPlan: $53.40 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $89 Valley Care IPA — Valley Care IPA: $89 Valley Care IPA Medicare — Valley Care IPA Medicare: $17.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$61	$36.60	$6.94 – $61
Kidney function panel: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $55.07 Aetna Medical Rental Products — Aetna Medical Rental Products: $59.12 Aetna Medicare — Aetna Medicare: $34.16 Alignment Health Plan — Alignment Health Plan: $34.84 Americas Health Plan Medicare — Americas Health Plan Medicare: $34.84 Blue Cross of California — Blue Cross of California: $12.30 Blue Cross of California Medicare — Blue Cross of California Medicare: $34.16 Blue Shield Commercial — Blue Shield Commercial: $40.15 Blue Shield EPN — Blue Shield EPN: $35.66 Blue Shield Medicare — Blue Shield Medicare: $34.16
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$61	$36.60	$12.20 – $61
Kidney function panel: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $26.23 Kaiser Medicaid — Kaiser Medicaid: $21.35 MultiPlan — MultiPlan: $36.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $61 Valley Care IPA — Valley Care IPA: $61 Valley Care IPA Medicare — Valley Care IPA Medicare: $12.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$58	$34.80	$6.54 – $58
Liver function panel: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $51.78 Aetna Medical Rental Products — Aetna Medical Rental Products: $55.59 Aetna Medicare — Aetna Medicare: $32.48 Alignment Health Plan — Alignment Health Plan: $33.13 Americas Health Plan Medicare — Americas Health Plan Medicare: $33.13 Blue Cross of California — Blue Cross of California: $11.58 Blue Cross of California Medicare — Blue Cross of California Medicare: $32.48 Blue Shield Commercial — Blue Shield Commercial: $37.80 Blue Shield EPN — Blue Shield EPN: $33.57 Blue Shield Medicare — Blue Shield Medicare: $32.48
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$58	$34.80	$11.60 – $58
Liver function panel: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $24.94 Kaiser Medicaid — Kaiser Medicaid: $20.30 MultiPlan — MultiPlan: $34.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $58 Valley Care IPA — Valley Care IPA: $58 Valley Care IPA Medicare — Valley Care IPA Medicare: $11.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$23	$13.80	$2.54 – $23
Urine test (automated, with microscope): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $20.03 Aetna Medical Rental Products — Aetna Medical Rental Products: $21.51 Aetna Medicare — Aetna Medicare: $12.88 Alignment Health Plan — Alignment Health Plan: $13.14 Americas Health Plan Medicare — Americas Health Plan Medicare: $13.14 Blue Cross of California — Blue Cross of California: $4.49 Blue Cross of California Medicare — Blue Cross of California Medicare: $12.88 Blue Shield Commercial — Blue Shield Commercial: $14.66 Blue Shield EPN — Blue Shield EPN: $13.02 Blue Shield Medicare — Blue Shield Medicare: $12.88
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$23	$13.80	$4.60 – $23
Urine test (automated, with microscope): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $9.89 Kaiser Medicaid — Kaiser Medicaid: $8.05 MultiPlan — MultiPlan: $13.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $23 Valley Care IPA — Valley Care IPA: $23 Valley Care IPA Medicare — Valley Care IPA Medicare: $4.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSC	$17	$10.20	$2.78 – $17.41
Urine test (manual, without microscope): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $16.22 Aetna Medical Rental Products — Aetna Medical Rental Products: $17.41 Aetna Medicare — Aetna Medicare: $9.52 Alignment Health Plan — Alignment Health Plan: $9.71 Americas Health Plan Medicare — Americas Health Plan Medicare: $9.71 Blue Cross of California — Blue Cross of California: $4.93 Blue Cross of California Medicare — Blue Cross of California Medicare: $9.52 Blue Shield Commercial — Blue Shield Commercial: $11.82 Blue Shield EPN — Blue Shield EPN: $10.50 Blue Shield Medicare — Blue Shield Medicare: $9.52
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSC	$17	$10.20	$3.40 – $17
Urine test (manual, without microscope): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $7.31 Kaiser Medicaid — Kaiser Medicaid: $5.95 MultiPlan — MultiPlan: $10.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $17 Valley Care IPA — Valley Care IPA: $17 Valley Care IPA Medicare — Valley Care IPA Medicare: $3.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$13	$7.80	$1.80 – $15.31
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $14.26 Aetna Medical Rental Products — Aetna Medical Rental Products: $15.31 Aetna Medicare — Aetna Medicare: $7.28 Alignment Health Plan — Alignment Health Plan: $7.43 Americas Health Plan Medicare — Americas Health Plan Medicare: $7.43 Blue Cross of California — Blue Cross of California: $3.19 Blue Cross of California Medicare — Blue Cross of California Medicare: $7.28 Blue Shield Commercial — Blue Shield Commercial: $10.39 Blue Shield EPN — Blue Shield EPN: $9.23 Blue Shield Medicare — Blue Shield Medicare: $7.28
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$13	$7.80	$1.80 – $15.31
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $14.26 Aetna Medical Rental Products — Aetna Medical Rental Products: $15.31 Aetna Medicare — Aetna Medicare: $7.28 Alignment Health Plan — Alignment Health Plan: $7.43 Americas Health Plan Medicare — Americas Health Plan Medicare: $7.43 Blue Cross of California — Blue Cross of California: $3.19 Blue Cross of California Medicare — Blue Cross of California Medicare: $7.28 Blue Shield Commercial — Blue Shield Commercial: $10.39 Blue Shield EPN — Blue Shield EPN: $9.23 Blue Shield Medicare — Blue Shield Medicare: $7.28
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$13	$7.80	$2.60 – $13
Urine test (automated, without microscope): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $5.59 Kaiser Medicaid — Kaiser Medicaid: $4.55 MultiPlan — MultiPlan: $7.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $13 Valley Care IPA — Valley Care IPA: $13 Valley Care IPA Medicare — Valley Care IPA Medicare: $2.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$130	$78	$14.71 – $130
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $116.65 Aetna Medical Rental Products — Aetna Medical Rental Products: $125.24 Aetna Medicare — Aetna Medicare: $72.80 Alignment Health Plan — Alignment Health Plan: $74.26 Americas Health Plan Medicare — Americas Health Plan Medicare: $74.26 Blue Cross of California — Blue Cross of California: $26.06 Blue Cross of California Medicare — Blue Cross of California Medicare: $72.80 Blue Shield Commercial — Blue Shield Commercial: $85.07 Blue Shield EPN — Blue Shield EPN: $75.56 Blue Shield Medicare — Blue Shield Medicare: $72.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$130	$78	$26 – $130
PSA (prostate specific antigen) blood test: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $55.90 Kaiser Medicaid — Kaiser Medicaid: $45.50 MultiPlan — MultiPlan: $78 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $130 Valley Care IPA — Valley Care IPA: $130 Valley Care IPA Medicare — Valley Care IPA Medicare: $26
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH CDM	$119	$71.40	$13.44 – $119
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $106.48 Aetna Medical Rental Products — Aetna Medical Rental Products: $114.31 Aetna Medicare — Aetna Medicare: $66.64 Alignment Health Plan — Alignment Health Plan: $67.97 Americas Health Plan Medicare — Americas Health Plan Medicare: $67.97 Blue Cross of California — Blue Cross of California: $23.81 Blue Cross of California Medicare — Blue Cross of California Medicare: $66.64 Blue Shield Commercial — Blue Shield Commercial: $77.69 Blue Shield EPN — Blue Shield EPN: $69 Blue Shield Medicare — Blue Shield Medicare: $66.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$119	$71.40	$13.44 – $119
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $106.48 Aetna Medical Rental Products — Aetna Medical Rental Products: $114.31 Aetna Medicare — Aetna Medicare: $66.64 Alignment Health Plan — Alignment Health Plan: $67.97 Americas Health Plan Medicare — Americas Health Plan Medicare: $67.97 Blue Cross of California — Blue Cross of California: $23.81 Blue Cross of California Medicare — Blue Cross of California Medicare: $66.64 Blue Shield Commercial — Blue Shield Commercial: $77.69 Blue Shield EPN — Blue Shield EPN: $69 Blue Shield Medicare — Blue Shield Medicare: $66.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH CDM	$119	$71.40	$23.80 – $119
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $51.17 Kaiser Medicaid — Kaiser Medicaid: $41.65 MultiPlan — MultiPlan: $71.40 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $119 Valley Care IPA — Valley Care IPA: $119 Valley Care IPA Medicare — Valley Care IPA Medicare: $23.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$55	$33	$6.22 – $55
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $49.29 Aetna Medical Rental Products — Aetna Medical Rental Products: $52.92 Aetna Medicare — Aetna Medicare: $30.80 Alignment Health Plan — Alignment Health Plan: $31.42 Americas Health Plan Medicare — Americas Health Plan Medicare: $31.42 Blue Cross of California — Blue Cross of California: $11.01 Blue Cross of California Medicare — Blue Cross of California Medicare: $30.80 Blue Shield Commercial — Blue Shield Commercial: $35.95 Blue Shield EPN — Blue Shield EPN: $31.93 Blue Shield Medicare — Blue Shield Medicare: $30.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$55	$33	$11 – $55
Complete blood count (CBC) with differential: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $23.65 Kaiser Medicaid — Kaiser Medicaid: $19.25 MultiPlan — MultiPlan: $33 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $55 Valley Care IPA — Valley Care IPA: $55 Valley Care IPA Medicare — Valley Care IPA Medicare: $11
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$46	$27.60	$5.18 – $46
Complete blood count (CBC), automated: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $41.02 Aetna Medical Rental Products — Aetna Medical Rental Products: $44.04 Aetna Medicare — Aetna Medicare: $25.76 Alignment Health Plan — Alignment Health Plan: $26.28 Americas Health Plan Medicare — Americas Health Plan Medicare: $26.28 Blue Cross of California — Blue Cross of California: $9.17 Blue Cross of California Medicare — Blue Cross of California Medicare: $25.76 Blue Shield Commercial — Blue Shield Commercial: $29.92 Blue Shield EPN — Blue Shield EPN: $26.58 Blue Shield Medicare — Blue Shield Medicare: $25.76
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$46	$27.60	$9.20 – $46
Complete blood count (CBC), automated: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $19.78 Kaiser Medicaid — Kaiser Medicaid: $16.10 MultiPlan — MultiPlan: $27.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $46 Valley Care IPA — Valley Care IPA: $46 Valley Care IPA Medicare — Valley Care IPA Medicare: $9.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME CDM	$28	$16.80	$3.43 – $28
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $24.91 Aetna Medical Rental Products — Aetna Medical Rental Products: $26.74 Aetna Medicare — Aetna Medicare: $15.68 Alignment Health Plan — Alignment Health Plan: $15.99 Americas Health Plan Medicare — Americas Health Plan Medicare: $15.99 Blue Cross of California — Blue Cross of California: $6.08 Blue Cross of California Medicare — Blue Cross of California Medicare: $15.68 Blue Shield Commercial — Blue Shield Commercial: $18.17 Blue Shield EPN — Blue Shield EPN: $16.14 Blue Shield Medicare — Blue Shield Medicare: $15.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$28	$16.80	$3.43 – $28
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $24.91 Aetna Medical Rental Products — Aetna Medical Rental Products: $26.74 Aetna Medicare — Aetna Medicare: $15.68 Alignment Health Plan — Alignment Health Plan: $15.99 Americas Health Plan Medicare — Americas Health Plan Medicare: $15.99 Blue Cross of California — Blue Cross of California: $6.08 Blue Cross of California Medicare — Blue Cross of California Medicare: $15.68 Blue Shield Commercial — Blue Shield Commercial: $18.17 Blue Shield EPN — Blue Shield EPN: $16.14 Blue Shield Medicare — Blue Shield Medicare: $15.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME CDM	$28	$16.80	$5.60 – $28
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $12.04 Kaiser Medicaid — Kaiser Medicaid: $9.80 MultiPlan — MultiPlan: $16.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $28 Valley Care IPA — Valley Care IPA: $28 Valley Care IPA Medicare — Valley Care IPA Medicare: $5.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$42	$25.20	$4.81 – $42
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $38.05 Aetna Medical Rental Products — Aetna Medical Rental Products: $40.85 Aetna Medicare — Aetna Medicare: $23.52 Alignment Health Plan — Alignment Health Plan: $23.99 Americas Health Plan Medicare — Americas Health Plan Medicare: $23.99 Blue Cross of California — Blue Cross of California: $8.52 Blue Cross of California Medicare — Blue Cross of California Medicare: $23.52 Blue Shield Commercial — Blue Shield Commercial: $27.74 Blue Shield EPN — Blue Shield EPN: $24.64 Blue Shield Medicare — Blue Shield Medicare: $23.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL	$42	$25.20	$4.81 – $42
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $38.05 Aetna Medical Rental Products — Aetna Medical Rental Products: $40.85 Aetna Medicare — Aetna Medicare: $23.52 Alignment Health Plan — Alignment Health Plan: $23.99 Americas Health Plan Medicare — Americas Health Plan Medicare: $23.99 Blue Cross of California — Blue Cross of California: $8.52 Blue Cross of California Medicare — Blue Cross of California Medicare: $23.52 Blue Shield Commercial — Blue Shield Commercial: $27.74 Blue Shield EPN — Blue Shield EPN: $24.64 Blue Shield Medicare — Blue Shield Medicare: $23.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$42	$25.20	$8.40 – $42
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $18.06 Kaiser Medicaid — Kaiser Medicaid: $14.70 MultiPlan — MultiPlan: $25.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $42 Valley Care IPA — Valley Care IPA: $42 Valley Care IPA Medicare — Valley Care IPA Medicare: $8.40

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$586	$351.60	$63.34 – $1,373.84
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $1,296.53 Aetna Medical Rental Products — Aetna Medical Rental Products: $1,373.84 Aetna Medicare — Aetna Medicare: $328.16 Alignment Health Plan — Alignment Health Plan: $334.72 Americas Health Plan Medicare — Americas Health Plan Medicare: $334.72 Blue Cross of California — Blue Cross of California: $417.71 Blue Cross of California Medicare — Blue Cross of California Medicare: $328.16 Blue Shield Commercial — Blue Shield Commercial: $1,087.96 Blue Shield EPN — Blue Shield EPN: $971.07 Blue Shield Medicare — Blue Shield Medicare: $328.16
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$586	$351.60	$117.20 – $586
CT scan of the head or brain, without contrast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $251.98 Kaiser Medicaid — Kaiser Medicaid: $205.10 MultiPlan — MultiPlan: $351.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $586 Valley Care IPA — Valley Care IPA: $586 Valley Care IPA Medicare — Valley Care IPA Medicare: $117.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/O W/DYE	$2,286	$1,371.60	$199.79 – $5,732.44
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $2,696.75 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,857.55 Aetna Medicare — Aetna Medicare: $1,280.16 Alignment Health Plan — Alignment Health Plan: $1,305.76 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,305.76 Blue Cross of California — Blue Cross of California: $1,393.93 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,280.16 Blue Shield Commercial — Blue Shield Commercial: $5,732.44 Blue Shield EPN — Blue Shield EPN: $5,116.56 Blue Shield Medicare — Blue Shield Medicare: $1,280.16
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/O W/DYE	$2,286	$1,371.60	$457.20 – $2,286
MRI of the brain, before and after contrast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $982.98 Kaiser Medicaid — Kaiser Medicaid: $800.10 MultiPlan — MultiPlan: $1,371.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $2,286 Valley Care IPA — Valley Care IPA: $2,286 Valley Care IPA Medicare — Valley Care IPA Medicare: $457.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$266	$159.60	$21.64 – $266
Chest X-ray, 2 views: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $154.40 Aetna Medical Rental Products — Aetna Medical Rental Products: $163.61 Aetna Medicare — Aetna Medicare: $148.96 Alignment Health Plan — Alignment Health Plan: $151.94 Americas Health Plan Medicare — Americas Health Plan Medicare: $151.94 Blue Cross of California — Blue Cross of California: $347.71 Blue Cross of California Medicare — Blue Cross of California Medicare: $148.96 Blue Shield Commercial — Blue Shield Commercial: $121.17 Blue Shield EPN — Blue Shield EPN: $108.15 Blue Shield Medicare — Blue Shield Medicare: $148.96
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$266	$159.60	$53.20 – $266
Chest X-ray, 2 views: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $114.38 Kaiser Medicaid — Kaiser Medicaid: $93.10 MultiPlan — MultiPlan: $159.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $266 Valley Care IPA — Valley Care IPA: $266 Valley Care IPA Medicare — Valley Care IPA Medicare: $53.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$422	$253.20	$38.38 – $422
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $333.83 Aetna Medical Rental Products — Aetna Medical Rental Products: $353.74 Aetna Medicare — Aetna Medicare: $236.32 Alignment Health Plan — Alignment Health Plan: $241.05 Americas Health Plan Medicare — Americas Health Plan Medicare: $241.05 Blue Cross of California — Blue Cross of California: $417.71 Blue Cross of California Medicare — Blue Cross of California Medicare: $236.32 Blue Shield Commercial — Blue Shield Commercial: $210.67 Blue Shield EPN — Blue Shield EPN: $188.04 Blue Shield Medicare — Blue Shield Medicare: $236.32
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$422	$253.20	$84.40 – $422
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $181.46 Kaiser Medicaid — Kaiser Medicaid: $147.70 MultiPlan — MultiPlan: $253.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $422 Valley Care IPA — Valley Care IPA: $422 Valley Care IPA Medicare — Valley Care IPA Medicare: $84.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$1,368	$820.80	$116.25 – $2,861.75
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $2,696.75 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,857.55 Aetna Medicare — Aetna Medicare: $766.08 Alignment Health Plan — Alignment Health Plan: $781.40 Americas Health Plan Medicare — Americas Health Plan Medicare: $781.40 Blue Cross of California — Blue Cross of California: $953.34 Blue Cross of California Medicare — Blue Cross of California Medicare: $766.08 Blue Shield Commercial — Blue Shield Commercial: $2,861.75 Blue Shield EPN — Blue Shield EPN: $2,554.29 Blue Shield Medicare — Blue Shield Medicare: $766.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE LIMITED	$1,368	$820.80	$116.25 – $2,861.75
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $2,696.75 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,857.55 Aetna Medicare — Aetna Medicare: $766.08 Alignment Health Plan — Alignment Health Plan: $781.40 Americas Health Plan Medicare — Americas Health Plan Medicare: $781.40 Blue Cross of California — Blue Cross of California: $953.34 Blue Cross of California Medicare — Blue Cross of California Medicare: $766.08 Blue Shield Commercial — Blue Shield Commercial: $2,861.75 Blue Shield EPN — Blue Shield EPN: $2,554.29 Blue Shield Medicare — Blue Shield Medicare: $766.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$1,368	$820.80	$273.60 – $1,368
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $588.24 Kaiser Medicaid — Kaiser Medicaid: $478.80 MultiPlan — MultiPlan: $820.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $1,368 Valley Care IPA — Valley Care IPA: $1,368 Valley Care IPA Medicare — Valley Care IPA Medicare: $273.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$1,155	$693	$162.67 – $2,102.13
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $1,983.84 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,102.13 Aetna Medicare — Aetna Medicare: $646.80 Alignment Health Plan — Alignment Health Plan: $659.74 Americas Health Plan Medicare — Americas Health Plan Medicare: $659.74 Blue Cross of California — Blue Cross of California: $700.83 Blue Cross of California Medicare — Blue Cross of California Medicare: $646.80 Blue Shield Commercial — Blue Shield Commercial: $1,576.49 Blue Shield EPN — Blue Shield EPN: $1,407.12 Blue Shield Medicare — Blue Shield Medicare: $646.80
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$1,155	$693	$231 – $1,155
CT scan of the pelvis, with contrast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $496.65 Kaiser Medicaid — Kaiser Medicaid: $404.25 MultiPlan — MultiPlan: $693 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $1,155 Valley Care IPA — Valley Care IPA: $1,155 Valley Care IPA Medicare — Valley Care IPA Medicare: $231
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,368	$820.80	$133.62 – $2,857.55
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $2,696.75 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,857.55 Aetna Medicare — Aetna Medicare: $766.08 Alignment Health Plan — Alignment Health Plan: $781.40 Americas Health Plan Medicare — Americas Health Plan Medicare: $781.40 Blue Cross of California — Blue Cross of California: $953.34 Blue Cross of California Medicare — Blue Cross of California Medicare: $766.08 Blue Shield Commercial — Blue Shield Commercial: $2,549.39 Blue Shield EPN — Blue Shield EPN: $2,275.49 Blue Shield Medicare — Blue Shield Medicare: $766.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,368	$820.80	$273.60 – $1,368
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $588.24 Kaiser Medicaid — Kaiser Medicaid: $478.80 MultiPlan — MultiPlan: $820.80 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $1,368 Valley Care IPA — Valley Care IPA: $1,368 Valley Care IPA Medicare — Valley Care IPA Medicare: $273.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN PELVIS W CONTRAST	$1,810	$1,086	$204.68 – $2,225.48
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $2,100.25 Aetna Medical Rental Products — Aetna Medical Rental Products: $2,225.48 Aetna Medicare — Aetna Medicare: $1,013.60 Alignment Health Plan — Alignment Health Plan: $1,033.87 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,033.87 Blue Cross of California — Blue Cross of California: $1,393.93 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,013.60 Blue Shield Commercial — Blue Shield Commercial: $1,639.12 Blue Shield EPN — Blue Shield EPN: $1,463.02 Blue Shield Medicare — Blue Shield Medicare: $1,013.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN PELVIS W CONTRAST	$1,810	$1,086	$362 – $1,810
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $778.30 Kaiser Medicaid — Kaiser Medicaid: $633.50 MultiPlan — MultiPlan: $1,086 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $1,810 Valley Care IPA — Valley Care IPA: $1,810 Valley Care IPA Medicare — Valley Care IPA Medicare: $362
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$624	$374.40	$72.34 – $850.27
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $802.42 Aetna Medical Rental Products — Aetna Medical Rental Products: $850.27 Aetna Medicare — Aetna Medicare: $349.44 Alignment Health Plan — Alignment Health Plan: $356.43 Americas Health Plan Medicare — Americas Health Plan Medicare: $356.43 Blue Cross of California — Blue Cross of California: $417.71 Blue Cross of California Medicare — Blue Cross of California Medicare: $349.44 Blue Shield Commercial — Blue Shield Commercial: $455.30 Blue Shield EPN — Blue Shield EPN: $406.38 Blue Shield Medicare — Blue Shield Medicare: $349.44
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$624	$374.40	$124.80 – $624
Ultrasound of the abdomen, complete: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $268.32 Kaiser Medicaid — Kaiser Medicaid: $218.40 MultiPlan — MultiPlan: $374.40 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $624 Valley Care IPA — Valley Care IPA: $624 Valley Care IPA Medicare — Valley Care IPA Medicare: $124.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$624	$374.40	$83.71 – $850.27
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $802.42 Aetna Medical Rental Products — Aetna Medical Rental Products: $850.27 Aetna Medicare — Aetna Medicare: $349.44 Alignment Health Plan — Alignment Health Plan: $356.43 Americas Health Plan Medicare — Americas Health Plan Medicare: $356.43 Blue Cross of California — Blue Cross of California: $417.71 Blue Cross of California Medicare — Blue Cross of California Medicare: $349.44 Blue Shield Commercial — Blue Shield Commercial: $483.39 Blue Shield EPN — Blue Shield EPN: $431.46 Blue Shield Medicare — Blue Shield Medicare: $349.44
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$624	$374.40	$124.80 – $624
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $268.32 Kaiser Medicaid — Kaiser Medicaid: $218.40 MultiPlan — MultiPlan: $374.40 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $624 Valley Care IPA — Valley Care IPA: $624 Valley Care IPA Medicare — Valley Care IPA Medicare: $124.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$624	$374.40	$80.24 – $808.13
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $762.66 Aetna Medical Rental Products — Aetna Medical Rental Products: $808.13 Aetna Medicare — Aetna Medicare: $349.44 Alignment Health Plan — Alignment Health Plan: $356.43 Americas Health Plan Medicare — Americas Health Plan Medicare: $356.43 Blue Cross of California — Blue Cross of California: $417.71 Blue Cross of California Medicare — Blue Cross of California Medicare: $349.44 Blue Shield Commercial — Blue Shield Commercial: $351.86 Blue Shield EPN — Blue Shield EPN: $314.06 Blue Shield Medicare — Blue Shield Medicare: $349.44
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$624	$374.40	$124.80 – $624
Transvaginal ultrasound: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $268.32 Kaiser Medicaid — Kaiser Medicaid: $218.40 MultiPlan — MultiPlan: $374.40 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $624 Valley Care IPA — Valley Care IPA: $624 Valley Care IPA Medicare — Valley Care IPA Medicare: $124.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$215	$129	$53.75 – $792.10
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $747.52 Aetna Medical Rental Products — Aetna Medical Rental Products: $792.10 Aetna Medicare — Aetna Medicare: $120.40 Alignment Health Plan — Alignment Health Plan: $122.81 Americas Health Plan Medicare — Americas Health Plan Medicare: $122.81 Blue Cross of California — Blue Cross of California: $144.07 Blue Cross of California Medicare — Blue Cross of California Medicare: $120.40 Blue Shield Commercial — Blue Shield Commercial: $456.65 Blue Shield EPN — Blue Shield EPN: $407.59 Blue Shield Medicare — Blue Shield Medicare: $120.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$215	$129	$43 – $215
Diagnostic mammogram, one breast: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $92.45 Kaiser Medicaid — Kaiser Medicaid: $75.25 MultiPlan — MultiPlan: $129 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $215 Valley Care IPA — Valley Care IPA: $215 Valley Care IPA Medicare — Valley Care IPA Medicare: $43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$630	$378	$104.24 – $1,013.62
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $956.58 Aetna Medical Rental Products — Aetna Medical Rental Products: $1,013.62 Aetna Medicare — Aetna Medicare: $352.80 Alignment Health Plan — Alignment Health Plan: $359.86 Americas Health Plan Medicare — Americas Health Plan Medicare: $359.86 Blue Cross of California — Blue Cross of California: $184.64 Blue Cross of California Medicare — Blue Cross of California Medicare: $352.80 Blue Shield Commercial — Blue Shield Commercial: $663.64 Blue Shield EPN — Blue Shield EPN: $592.34 Blue Shield Medicare — Blue Shield Medicare: $352.80
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$630	$378	$126 – $630
Diagnostic mammogram, both breasts: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $270.90 Kaiser Medicaid — Kaiser Medicaid: $220.50 MultiPlan — MultiPlan: $378 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $630 Valley Care IPA — Valley Care IPA: $630 Valley Care IPA Medicare — Valley Care IPA Medicare: $126
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$521	$312.60	$86.07 – $837.05
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $789.95 Aetna Medical Rental Products — Aetna Medical Rental Products: $837.05 Aetna Medicare — Aetna Medicare: $107.59 Alignment Health Plan — Alignment Health Plan: $109.74 Americas Health Plan Medicare — Americas Health Plan Medicare: $109.74 Blue Cross of California — Blue Cross of California: $152.46 Blue Cross of California Medicare — Blue Cross of California Medicare: $107.59 Blue Shield Commercial — Blue Shield Commercial: $672.50 Blue Shield EPN — Blue Shield EPN: $600.25 Blue Shield Medicare — Blue Shield Medicare: $107.59
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN UNIL/BIL W CAD	$287	$172.20	$71.75 – $837.05
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $789.95 Aetna Medical Rental Products — Aetna Medical Rental Products: $837.05 Aetna Medicare — Aetna Medicare: $107.59 Alignment Health Plan — Alignment Health Plan: $109.74 Americas Health Plan Medicare — Americas Health Plan Medicare: $109.74 Blue Cross of California — Blue Cross of California: $152.46 Blue Cross of California Medicare — Blue Cross of California Medicare: $107.59 Blue Shield Commercial — Blue Shield Commercial: $672.50 Blue Shield EPN — Blue Shield EPN: $600.25 Blue Shield Medicare — Blue Shield Medicare: $107.59
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$521	$312.60	$104.20 – $521
Screening mammogram, both breasts: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $224.03 Kaiser Medicaid — Kaiser Medicaid: $182.35 MultiPlan — MultiPlan: $312.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $521 Valley Care IPA — Valley Care IPA: $521 Valley Care IPA Medicare — Valley Care IPA Medicare: $104.20

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$25,271	$15,162.60	$855.56 – $25,271
Heart rhythm study (electrophysiology evaluation): 10 of 32 insurance plan rates Aetna Commercial — Aetna Commercial: $16,707 Aetna Medical Rental Products — Aetna Medical Rental Products: $17,558 Aetna Medicare — Aetna Medicare: $14,151.76 Alignment Health Plan — Alignment Health Plan: $14,434.80 Americas Health Plan Medicare — Americas Health Plan Medicare: $14,434.80 Blue Cross of California — Blue Cross of California: $31,163.97 Blue Cross of California Medicare — Blue Cross of California Medicare: $14,151.76 Blue Shield Commercial — Blue Shield Commercial: $1,785.82 Blue Shield EPN — Blue Shield EPN: $1,593.95 Blue Shield Medicare — Blue Shield Medicare: $14,151.76
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$25,271	$15,162.60	$5,054.20 – $25,271
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $10,866.53 Kaiser Medicaid — Kaiser Medicaid: $8,844.85 MultiPlan — MultiPlan: $15,162.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $25,271 Valley Care IPA — Valley Care IPA: $25,271 Valley Care IPA Medicare — Valley Care IPA Medicare: $5,054.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATIO	$60,047	$36,028.20	$834.91 – $60,047
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $35,126 Aetna Medical Rental Products — Aetna Medical Rental Products: $37,178 Aetna Medicare — Aetna Medicare: $33,626.32 Alignment Health Plan — Alignment Health Plan: $34,298.85 Americas Health Plan Medicare — Americas Health Plan Medicare: $34,298.85 Blue Cross of California — Blue Cross of California: $104,435.18 Blue Cross of California Medicare — Blue Cross of California Medicare: $33,626.32 Blue Shield Commercial — Blue Shield Commercial: $17,914.49 Blue Shield EPN — Blue Shield EPN: $15,788.33 Blue Shield Medicare — Blue Shield Medicare: $33,626.32
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATIO	$60,047	$36,028.20	$12,009.40 – $60,047
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $25,820.21 Kaiser Medicaid — Kaiser Medicaid: $21,016.45 MultiPlan — MultiPlan: $36,028.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $60,047 Valley Care IPA — Valley Care IPA: $60,047 Valley Care IPA Medicare — Valley Care IPA Medicare: $12,009.40

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$301	$180.60	$12.58 – $654
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $169.76 Aetna Medical Rental Products — Aetna Medical Rental Products: $182.37 Aetna Medicare — Aetna Medicare: $168.56 Alignment Health Plan — Alignment Health Plan: $171.93 Americas Health Plan Medicare — Americas Health Plan Medicare: $171.93 Blue Cross of California — Blue Cross of California: $45.13 Blue Cross of California Medicare — Blue Cross of California Medicare: $168.56 Blue Shield Commercial — Blue Shield Commercial: $654 Blue Shield EPN — Blue Shield EPN: $604 Blue Shield Medicare — Blue Shield Medicare: $168.56
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$301	$180.60	$60.20 – $301
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $129.43 Kaiser Medicaid — Kaiser Medicaid: $105.35 MultiPlan — MultiPlan: $180.60 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $301 Valley Care IPA — Valley Care IPA: $301 Valley Care IPA Medicare — Valley Care IPA Medicare: $60.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$310	$186	$77.50 – $654
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna Commercial — Aetna Commercial: $453.37 Aetna Medical Rental Products — Aetna Medical Rental Products: $487.06 Aetna Medicare — Aetna Medicare: $173.60 Alignment Health Plan — Alignment Health Plan: $177.07 Americas Health Plan Medicare — Americas Health Plan Medicare: $177.07 Blue Cross of California — Blue Cross of California: $152.43 Blue Cross of California Medicare — Blue Cross of California Medicare: $173.60 Blue Shield Commercial — Blue Shield Commercial: $654 Blue Shield EPN — Blue Shield EPN: $604 Blue Shield Medicare — Blue Shield Medicare: $173.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$310	$186	$62 – $310
Physical therapy evaluation (low complexity): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $133.30 Kaiser Medicaid — Kaiser Medicaid: $108.50 MultiPlan — MultiPlan: $186 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $310 Valley Care IPA — Valley Care IPA: $310 Valley Care IPA Medicare — Valley Care IPA Medicare: $62
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$414	$248.40	$103.50 – $654
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna Commercial — Aetna Commercial: $453.37 Aetna Medical Rental Products — Aetna Medical Rental Products: $487.06 Aetna Medicare — Aetna Medicare: $231.84 Alignment Health Plan — Alignment Health Plan: $236.48 Americas Health Plan Medicare — Americas Health Plan Medicare: $236.48 Blue Cross of California — Blue Cross of California: $152.43 Blue Cross of California Medicare — Blue Cross of California Medicare: $231.84 Blue Shield Commercial — Blue Shield Commercial: $654 Blue Shield EPN — Blue Shield EPN: $604 Blue Shield Medicare — Blue Shield Medicare: $231.84
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$414	$248.40	$82.80 – $414
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $178.02 Kaiser Medicaid — Kaiser Medicaid: $144.90 MultiPlan — MultiPlan: $248.40 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $414 Valley Care IPA — Valley Care IPA: $414 Valley Care IPA Medicare — Valley Care IPA Medicare: $82.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$517	$310.20	$105 – $654
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $453.37 Aetna Medical Rental Products — Aetna Medical Rental Products: $487.06 Aetna Medicare — Aetna Medicare: $289.52 Alignment Health Plan — Alignment Health Plan: $295.31 Americas Health Plan Medicare — Americas Health Plan Medicare: $295.31 Blue Cross of California — Blue Cross of California: $152.43 Blue Cross of California Medicare — Blue Cross of California Medicare: $289.52 Blue Shield Commercial — Blue Shield Commercial: $654 Blue Shield EPN — Blue Shield EPN: $604 Blue Shield Medicare — Blue Shield Medicare: $289.52
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$517	$310.20	$103.40 – $517
Physical therapy evaluation (high complexity): rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $222.31 Kaiser Medicaid — Kaiser Medicaid: $180.95 MultiPlan — MultiPlan: $310.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $517 Valley Care IPA — Valley Care IPA: $517 Valley Care IPA Medicare — Valley Care IPA Medicare: $103.40

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,816	$1,089.60	$100 – $3,637
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Aetna Commercial — Aetna Commercial: $3,455 Aetna Medical Rental Products — Aetna Medical Rental Products: $3,637 Aetna Medicare — Aetna Medicare: $1,016.96 Alignment Health Plan — Alignment Health Plan: $1,037.30 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,037.30 Blue Cross of California — Blue Cross of California: $2,820.40 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,016.96 Blue Shield Commercial — Blue Shield Commercial: $1,273.61 Blue Shield EPN — Blue Shield EPN: $1,110.65 Blue Shield Medicare — Blue Shield Medicare: $1,016.96
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$2,172	$1,303.20	$220.03 – $6,000.91
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $3,455 Aetna Medical Rental Products — Aetna Medical Rental Products: $3,637 Aetna Medicare — Aetna Medicare: $1,216.32 Alignment Health Plan — Alignment Health Plan: $1,240.65 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,240.65 Blue Cross of California — Blue Cross of California: $2,820.40 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,216.32 Blue Shield Commercial — Blue Shield Commercial: $6,000.91 Blue Shield EPN — Blue Shield EPN: $5,288.70 Blue Shield Medicare — Blue Shield Medicare: $1,216.32
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$2,172	$1,303.20	$434.40 – $2,172
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $933.96 Kaiser Medicaid — Kaiser Medicaid: $760.20 MultiPlan — MultiPlan: $1,303.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $2,172 Valley Care IPA — Valley Care IPA: $2,172 Valley Care IPA Medicare — Valley Care IPA Medicare: $434.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S	$2,172	$1,303.20	$205.61 – $6,000.91
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Aetna Commercial — Aetna Commercial: $3,455 Aetna Medical Rental Products — Aetna Medical Rental Products: $3,637 Aetna Medicare — Aetna Medicare: $1,216.32 Alignment Health Plan — Alignment Health Plan: $1,240.65 Americas Health Plan Medicare — Americas Health Plan Medicare: $1,240.65 Blue Cross of California — Blue Cross of California: $3,533.95 Blue Cross of California Medicare — Blue Cross of California Medicare: $1,216.32 Blue Shield Commercial — Blue Shield Commercial: $6,000.91 Blue Shield EPN — Blue Shield EPN: $5,288.70 Blue Shield Medicare — Blue Shield Medicare: $1,216.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S	$2,172	$1,303.20	$434.40 – $2,172
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans Gold Coast Health Plan — Gold Coast Health Plan: $933.96 Kaiser Medicaid — Kaiser Medicaid: $760.20 MultiPlan — MultiPlan: $1,303.20 Non-Contracted Commercial Insurance — Non-Contracted Commercial Insurance: $2,172 Valley Care IPA — Valley Care IPA: $2,172 Valley Care IPA Medicare — Valley Care IPA Medicare: $434.40

Source: Community Memorial Hospital - Ojai’s standard charges file (mycmh.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	1306 Maricopa Hwy, Ojai, CA 93023
County	Ventura County
State	California
Phone	(805) 646‑1401
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	051334
Name in Medicare records	COMMUNITY MEMORIAL HOSPITAL - OJAI
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(805) 948‑1401^[4]
Official website	mycmh.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Community Memorial Hospital - Ojai — mycmh.org
Emergency Care — mycmh.org

Community Memorial Hospital - Ojai

Summary

Profile from official sources

At a glance