Does Eastern Plumas Hospital - Portola Campus have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Eastern Plumas Hospital - Portola Campus. In a medical emergency, call 911.

Where is Eastern Plumas Hospital - Portola Campus?

500 First Avenue, Portola, CA 96122, in Plumas County, California.

What is the phone number of Eastern Plumas Hospital - Portola Campus?

(530) 832-6500, as listed by Medicare (CMS).

What is the Medicare star rating of Eastern Plumas Hospital - Portola Campus?

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.

Eastern Plumas Hospital - Portola Campus

Quick answers

Does Eastern Plumas Hospital - Portola Campus have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Eastern Plumas Hospital - Portola Campus. In a medical emergency, call 911.
Where is Eastern Plumas Hospital - Portola Campus?: 500 First Avenue, Portola, CA 96122, in Plumas County, California.
What is the phone number of Eastern Plumas Hospital - Portola Campus?: (530) 832-6500, as listed by Medicare (CMS).
What is the Medicare star rating of Eastern Plumas Hospital - Portola Campus?: 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][6][11][12][13]}

Conditions treated^[6][8][11]

Fractures
Tendon injuries
Carpal tunnel syndrome
Arthritis
Paralysis
Stroke recovery
Heart attack
Heart valve replacement recovery
Chronic heart failure

Treatments^{[4][5][7][11][13]}

Physical therapy
Occupational therapy
Speech therapy
Hand therapy
Pediatric therapy
Vestibular therapy
Cardiac therapy program
Respiratory therapy
Short-term rehabilitation (skilled nursing)
24-hour physician-staffed emergency room
24-hour advanced life support ambulance service
Clinical laboratory
Diagnostic imaging (X-ray, DEXA, CT, echocardiogram, 3-D mammogram, ultrasound, MRI)
Neurometrics testing
Pulmonary function testing
12-lead EKG and arterial blood gas
Outpatient procedures
Telemedicine
Post-operative rehabilitation
Swallowing therapy

Procedures^[5]

CT scan
MRI
Ultrasound
X-ray
DEXA scan
3-D mammogram
Echocardiogram
12-lead EKG
Pulmonary function testing
Outpatient procedures

Programs and centers^[4][5][8]

Skilled nursing facility
Senior Life Solutions
CalAIM Community Care
Ambulance service
Cardiac Therapy Program
Telemedicine program

Emergency care (hospital website)^[4][5][10]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	Patient Portal

Doctors and clinicians (87)

87 doctors and other clinicians list Eastern Plumas Hospital - Portola Campus 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 63 more: the button below opens the full list.

Other emergency rooms nearby

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

Plumas District Hospital28 mi · Quincy, CA · Critical Access Hospital
Tahoe Forest Hospital36 mi · Truckee, CA · Critical Access Hospital
Saint Mary's Regional Medical Center40 mi · Reno, NV · Acute Care Hospital
Renown Regional Medical Center41 mi · Reno, NV · Acute Care Hospital
VA Sierra Nevada Healthcare System41 mi · Reno, NV · Federal/VA Acute Care Hospital

Other hospitals nearby

Dini-Townsend Hospital at NNMH41 mi · Sparks, NV · 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

Eastern Plumas Hospital- Portola Campus DP/SNF0.1 mi · Portola, CA · 3 of 5 stars

All nursing homes 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.

Clinics and urgent care

Portola Medical Clinic1.1 mi · Portola, CA · Rural health clinic
Eastern Plumas Health Care District11 mi · Graeagle, CA · Rural health clinic
Eastern Plumas Health Care District17 mi · Loyalton, CA · Rural health clinic

Pharmacies

Compton & Crabtree, Inc.1.1 mi · Portola, CA · Community/retail pharmacy
Kibble Enterprises, Inc.1.1 mi · Portola, CA · Community/retail pharmacy

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 Eastern Plumas Hospital - Portola Campus 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.

Not reported to Medicare

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	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Too few cases to report
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.

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	Too few cases to report
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.

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)	103 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 Eastern Plumas Hospital - Portola Campus 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 →

$ 11 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - Level 3	$1,662	$1,329.60	$222.28 – $1,612.14
Emergency room visit (moderate): 10 of 21 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $42.88 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Medicare — Medicare: 87.3% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - EMERGENCY DEPT VISIT LEVEL 3 ProFee	$350	$280	$66.39 – $280.67
Emergency room visit (moderate): 10 of 20 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $42.88 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Medicare — Medicare: 87.3% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - Level 4	$2,555	$2,044	$1,706.23 – $2,478.35
Emergency room visit (moderately high): 10 of 17 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $65.65 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - EMERGENCY DEPT VISIT LEVEL 4	$662	$529.60	$112.97 – $405.41
Emergency room visit (moderately high): 10 of 17 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $65.65 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - Level 5	$3,679	$2,943.20	$750.56 – $2,910.56
Emergency room visit (high): 10 of 13 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $103.92 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - EMERGENCY DEPT VISIT LEVEL 5 ProFee	$975	$780	$165.07
Emergency room visit (high): 10 of 13 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $103.92 ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) LP01 OHN MTN WEST UHC MA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) MUTUAL OF OMAHA COMPANIES CLAIMS DEPARTMENT - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$123	$98.40	$8.29
Basic metabolic panel (blood test): 10 of 13 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $7.27 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: BUN/Creat Ratio LC	$290	$232	$10.35 – $225.04
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $9.19 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP	$22	$17.60	$13.15
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$175	$140	$5.09 – $169.75
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $11.54 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$175	$140	$142.10 – $151.90
Kidney function panel: rates for 10 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $7.60 ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UMR - Commercial — All Plans: 17% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Commercial — All Plans: 95% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hct LC	$95	$76	$75.08 – $93.10
Liver function panel: rates for 8 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.38 ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA COMPLETE	$82	$65.60	$52.23
Urine test (automated, with microscope): rates for 3 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $2.77 Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis w/Micro	$68	$54.40	$52.02 – $78.03
Urine test (manual, without microscope): rates for 10 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $2.15 ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC	$224	$179.20	$18.02
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $16.35 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount) HUMANA INC. - Commercial — All Plans: 33% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA LC	$102	$81.60	$58.98 – $67.97
PSA (prostate specific antigen) blood test: rates for 4 insurance plans ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Panel With TSH LC:TSH LC	$198	$158.40	$16.46 – $192.06
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $14.76 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC	$288	$230.40	$7.61 – $223.49
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.75 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: AST LC	$43	$34.40	$25.71
Complete blood count (CBC) with differential: rates for 2 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.75 Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC Platelet No Differential LC	$88	$70.40	$6.34 – $72.56
Complete blood count (CBC), automated: 10 of 14 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $5.71 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT	$107	$85.60	$4.20 – $103.79
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $3.49 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: INR POCT	$56	$44.80	$33.48
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$85	$68	$82.45
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $5.34 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Commercial — All Plans: 95% (a percentage in the contract, not a dollar amount)

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 · Inpatient or outpatient In the file: 70450 - CT Brain/Head w/o Contrast	$2,169	$1,735.20	$134.61 – $2,103.93
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $26.51 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) LP01 OHN MTN WEST UHC MA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: 70450 - CT Brain/Head w/o Contrast Report	$346	$276.80	$39.54
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $26.51 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) LP01 OHN MTN WEST UHC MA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: 70553 - MRI Brain w/ + w/o Contrast	$3,929	$3,143.20	$3,489.91
MRI of the brain, before and after contrast: rates for 3 insurance plans ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: 70553 - MRI Brain w/ + w/o Contrast Report	$655	$524	$88.68
MRI of the brain, before and after contrast: rates for 2 insurance plans HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 - XR Chest 2 Views	$414	$331.20	$247 – $334.31
Chest X-ray, 2 views: 10 of 15 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $7.19 ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 - XR Chest 2 Views Report	$89	$71.20	$2.05 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views: 10 of 14 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $7.19 AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE - Medic — Medicare Supplemental: 68% (a percentage in the contract, not a dollar amount) AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GREATWESTHEALTHCARE-CIGNA - Commercial — All Plans: 15% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: 72110 - XR Spine Lumbosacral 4+ Views	$713	$570.40	$72.83
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $11.48 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: 72110 - XR Spine Lumbosacral 4+ Views Report	$128	$102.40	$12.35
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $11.48 BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 - MRI Spine Lumbar w/o Contrast	$2,418	$1,934.40	$1,249.48
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 - MRI Spine Lumbar w/o Contrast Report	$424	$339.20	$67.52
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis wo	$2,578	$2,062.40	$77.76 – $1,594.84
CT scan of the pelvis, with contrast: rates for 1 insurance plan BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 - MRI LE Joint w/o Contrast Left	$2,418	$1,934.40	$1,249.48
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $102.22 AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 - MRI LE Joint w/o Contrast Left Report	$388	$310.40	$33.98
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $102.22 AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Commercial — All Plans: 95% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 - MRI LE Joint w/o Contrast Bilat Report	$776	$620.80	$61.78
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 - CT Abdomen and Pelvis w/ Contrast	$7,000	$5,600	$322.19 – $6,790
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $73.77 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 - CT Abdomen and Pelvis w/ Contrast Report	$764	$611.20	$75.48 – $84.43
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $73.77 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) KAISER FOUNDATION HEALTH PLAN INC - Commercial — All Plans: 42% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 - US Abdomen Complete	$1,226	$980.80	$403.09
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $21.78 AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Commercial — All Plans: 33% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UMR - Commercial — All Plans: 17% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 - US Abdomen Complete Report	$327	$261.60	$20.55
Ultrasound of the abdomen, complete: rates for 7 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $21.78 AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: 76805 - US OB > 14 Weeks Limited	$787	$629.60	$243.51
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $24.69 ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: 76805 - US Greater Than 14 Weeks Report	$403	$322.40	$162.36
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $24.69
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830 - US Transvaginal Non-OB	$508	$406.40	$204.11 – $238.96
Transvaginal ultrasound: rates for 4 insurance plans ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830 - US Transvaginal Non-OB Report	$280	$224	$29.19 – $29.46
Transvaginal ultrasound: rates for 3 insurance plans BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MG Mammo Diagnostic Right CAD	$519	$415.20	$91.72
Diagnostic mammogram, one breast: rates for 3 insurance plans AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: 77065 - Report Mammo Diag Dig CAD LT	$301	$240.80	$7.51 – $34.84
Diagnostic mammogram, one breast: rates for 3 insurance plans BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: 77065 MG Mammo Implant Digital Diag RT	$834	$667.20	$166.80 – $392.31
Diagnostic mammogram, one breast: rates for 2 insurance plans BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Bilat Mammo Diagnostic CAD	$1,433	$1,146.40	$154.70 – $1,218.05
Diagnostic mammogram, both breasts: rates for 3 insurance plans ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: 77066 - Report MG Mammo Digital Diagnostic CAD Bilat	$258	$206.40	$45.32
Diagnostic mammogram, both breasts: rates for 3 insurance plans HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MG Mammo Digital Diagnostic CAD Bilat.	$665	$532	$651.70
Diagnostic mammogram, both breasts: rates for 3 insurance plans HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Commercial — All Plans: 95% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: 77063 ref ADD-ON technical mg mammo BIL	$700	$560	$96.98
Screening mammogram, both breasts: rates for 7 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $31.27 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: 77067 - MG Mammo Digital Screening Bilateral. Report	$197	$157.60	$34.84 – $51.27
Screening mammogram, both breasts: rates for 4 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $31.27 HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Bilat Mammo Diagnostic CAD	$1,165	$932	$103.90 – $1,106.75
Screening mammogram, both breasts: rates for 3 insurance plans BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) UMR - Commercial — All Plans: 17% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Commercial — All Plans: 95% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: PT Therapeutic Exercise Units	$279	$223.20	$58.98 – $270.63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $13.37 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 - OT Therapeutic Exercise Units	$186	$148.80	$17.67 – $180.42
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $13.37 AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 - PT Evaluation Units Low Complexity	$261	$208.80	$253.17
Physical therapy evaluation (low complexity): rates for 9 insurance plans AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UMR - Commercial — All Plans: 17% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 - PT Evaluation Units Moderate Complexity	$261	$208.80	$253.17
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates AETNA - Commercial — All Plans: 23% (a percentage in the contract, not a dollar amount) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) MUTUAL OF OMAHA COMPANIES CLAIMS DEPARTMENT - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UMR - Commercial — All Plans: 17% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 - PT Evaluation Units High Complexity	$261	$208.80	$99.75 – $122.77
Physical therapy evaluation (high complexity): rates for 1 insurance plan Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: 43235 EGD FLEX TRANSORAL DX W/BX	$1,625	$1,300	$652.92
Upper GI endoscopy (diagnostic): rates for 2 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD TRANSORAL DIAGNOSTIC	$397	$317.60	$54.98 – $107.34
Upper GI endoscopy (diagnostic): rates for 2 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: 43239 Egd biopsy single/multiple	$2,161	$1,728.80	$1,872.78
Upper GI endoscopy with biopsy: rates for 4 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) HUMANA INC. - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: 43239 - EGD W BX SINGLE MULTIPLE PRO FEE	$454	$363.20	$26.77 – $124.03
Upper GI endoscopy with biopsy: rates for 3 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $6.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: 45378 COLONOSCOPY FLEXIBLE DIAGNOSTIC4	$2,100	$1,680	$420 – $987.84
Colonoscopy (diagnostic): rates for 5 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $7.93 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE INSURANCE COMPANY - Commercial — All Plans: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: 45378 - COLONOSCOPY FLEXIBLE; DIAGNOSTIC INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee	$600	$480	$35.60 – $160.48
Colonoscopy (diagnostic): rates for 3 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $7.93 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: 45380 - COLONOSCOPY FLEXIBLE; WITH BIOPSY SINGLE OR MULTIPLE ProFee	$709	$567.20	$218.09
Colonoscopy with biopsy: rates for 5 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $8.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: 45380 Colonoscopy and biopsy	$2,267	$1,813.60	$1,355.21
Colonoscopy with biopsy: rates for 5 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $8.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA - Medicare Advantage — Medicare Advantage: 68% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: 45385 Colonoscopy w/lesion removal	$2,510	$2,008	$3,181.55
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans BCBS FEP - Blue Cross — Blue Cross: 95% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) CALIFORNIA PHYSICIANS SERVICE DBA BLUE SHIELD CA - Blue Cros — Blue Cross: 85.5% (a percentage in the contract, not a dollar amount) GOVERNMENT EMPLOYEES HEALTH ASSOCIATION - Commercial — All Plans: 24% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/REM LESION SNARE TECHNIQUE	$839	$671.20	$211.07 – $225.91
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans PARTNERSHIP HEALTHPLAN OF CALIFORNIA - Medicaid HMO — Medicaid HMO: $10.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM BC LIFE & HEALTH INS CO - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) BLUE CROSS OF CALIFORNIA (CA) - Blue Cross — Blue Cross: 90% (a percentage in the contract, not a dollar amount) Medicare - Medicare — Medicare: 68% (a percentage in the contract, not a dollar amount)

Source: Eastern Plumas Hospital - Portola Campus’s standard charges file (ephc.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 16, 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	500 First Avenue, Portola, CA 96122
County	Plumas County
State	California
Phone	(530) 832‑6500
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	051300
Name in Medicare records	EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS
Profile level	Medicare data + hospital website
Name on the hospital’s website	Eastern Plumas Health Care (Portola)
Official website	ephc.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.

Eastern Plumas Hospital - Portola Campus

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^{[4][5][6][11][12][13]}

Conditions treated^[6][8][11]

Treatments^{[4][5][7][11][13]}

Procedures^[5]

Programs and centers^[4][5][8]

Emergency care (hospital website)^[4][5][10]

Visiting and practical information

Doctors and clinicians (87)

Main specialties

Doctors with a page on this site (87)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Eastern Plumas Hospital - Portola Campus

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6][11][12][13]

Conditions treated[6][8][11]

Treatments[4][5][7][11][13]

Procedures[5]

Programs and centers[4][5][8]

Emergency care (hospital website)[4][5][10]

Visiting and practical information

Doctors and clinicians (87)

Main specialties

Doctors with a page on this site (87)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^{[4][5][6][11][12][13]}

Conditions treated^[6][8][11]

Treatments^{[4][5][7][11][13]}

Procedures^[5]

Programs and centers^[4][5][8]

Emergency care (hospital website)^[4][5][10]