Quick answers Does Encino Hospital Medical Center have an emergency room? Yes. The hospital’s official website lists an emergency room at Encino Hospital Medical Center. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911. Where is Encino Hospital Medical Center? 16237 Ventura Blvd, Encino, CA 91436, in Los Angeles County, California. What is the phone number of Encino Hospital Medical Center? (818) 995-5000, as listed by Medicare (CMS). What is the Medicare star rating of Encino Hospital Medical Center? 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22). Laser surgery Arthroscopy Laparoscopic surgery Diagnostic radiology and fluoroscopy MRI CT scan Ultrasound Nuclear medicine Mammography Point-of-care testing Clinical chemistry Hematology Microbiology Blood bank Serology Immunology Primary Stroke Center Geriatric Emergency Department Accreditation FastTrackCare ER arrival reservation Geriatric-accredited Senior Emergency Department Senior behavioral health unit (13 beds) Acute Rehabilitation Unit (25 beds) Transfusion-free medicine program Emergency care (hospital website)[4] [5] [7] [8] Emergency room Yes Open 24/7 Yes Stroke designation Primary Stroke Center (The Joint Commission)
Visiting and practical information Primary Stroke Center (The Joint Commission) Geriatric Emergency Department Accreditation Primary Stroke Center certification (The Joint Commission) Get With The Guidelines-Stroke Silver Plus award (American Heart Association) 2026 Geriatric-accredited Emergency Department Doctors and clinicians (88) 88 doctors and other clinicians list Encino Hospital Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties Doctors with a page on this site (88) Aaron M. Shelub Infectious Disease Adrian S. Cruz, NP Nurse Practitioner Ahsan S. Janoo, MD Emergency Medicine Ali Hadadz, MD General Practice Alla Kryukova, CNA Certified Registered Nurse Anesthetist (CRNA) Annette G. Hamilton, NP Nurse Practitioner Arissa S. Tee, NP Nurse Practitioner Berj Dermendjian, DO Family Practice Brett Bartels, MD Emergency Medicine Brittany Brinley, DO Internal Medicine Cheryl R. Catalan, NP Nurse Practitioner Christy L. Davis, CNA Certified Registered Nurse Anesthetist (CRNA) Colton Roy, DO Emergency Medicine Dallas E. Smith, MD Emergency Medicine Daniel L. Shaw, NP Nurse Practitioner Daniel Ranchez, CNA Certified Registered Nurse Anesthetist (CRNA) Danny F. Farah, MD Internal Medicine David Matherly, MD Emergency Medicine Dylan G. Begun, DO Family Practice Edmond V. Derderian, MD Internal Medicine Eugene Karpus, MD Psychiatry Eyal Shtorch, MD Internal Medicine Francesca Castan, PA Physician Assistant Gaurav Garg, MD General Surgery And 64 more: the button below opens the full list.
See all 88 clinicians Other emergency rooms nearby Hospitals that list emergency services, by straight-line distance (not driving distance).
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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 Encino Hospital Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey) What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Summary star rating (all survey topics) ★★★★★ 1 of 5 stars Overall rating of the hospital 2 of 5 stars Would recommend the hospital 1 of 5 stars Nurses communicated well 1 of 5 stars Doctors communicated well 1 of 5 stars Staff explained medicines 1 of 5 stars Information about recovery at home 1 of 5 stars Room and bathroom kept clean 3 of 5 stars Quiet at night 1 of 5 stars Rated the hospital 9 or 10 out of 10 51% National average: 72% Would definitely recommend the hospital 55% National average: 71% Nurses “always” communicated well 62% National average: 80% Doctors “always” communicated well 64% National average: 80% Staff “always” explained medicines before giving them 47% National average: 62% Were given information about recovery at home 75% National average: 86% Room and bathroom “always” clean 67% National average: 74% Area around the room “always” quiet at night 41% National average: 60% Completed surveys 146Response rate: 16%
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 0 Better than the national benchmark
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.
Complications and deaths What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients Too few cases to report Deaths within 30 days: heart failure patients 10.8% Deaths within 30 days: pneumonia patients 10.6% Deaths within 30 days: COPD patients 8.1% Deaths within 30 days: stroke patients Too few cases to report Deaths within 30 days: coronary bypass surgery (CABG) Not reported to Medicare Serious complications (patient safety indicator PSI-90) 0.94 No different from the national rate Complications after hip or knee replacement Too few cases to report
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions) What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients) Not reported to Medicare Readmitted within 30 days: heart attack Too few cases to report Readmitted within 30 days: heart failure 20.7% Readmitted within 30 days: pneumonia 17.1% Readmitted within 30 days: COPD 20.3% Readmitted within 30 days: coronary bypass surgery Not reported to Medicare Readmitted within 30 days: hip or knee replacement Too few cases to report
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Emergency room volume (patients per year) Low (under 20,000) Average (median) time patients spent in the emergency room before leaving (OP-18b) 134 minutes National average: 162 minutes Patients who left the emergency room before being seen (OP-22) 2% National average: 2% Sepsis patients who got all the recommended early care (SEP-1) 69% National average: 65%
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.
See every measure on Medicare Care Compare →
ER wait times and Medicare ratings nearby How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Encino Hospital Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean Hospital charge The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount. Cash price The price the hospital offers if you pay yourself, without insurance (“discounted cash price”). Insurance rates The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance. Hospital and doctor fees A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services. How to use hospital prices: estimates, financial assistance and your rights →
Office and emergency visits Service Hospital charge Cash price Insurance rates (lowest – highest) New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M-NP LVL III - 99203 - 6901003 $341.07 Not listed in the file $82.05 – $341.07 New patient office visit (about 30–44 minutes): rates for 8 insurance plans AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.05 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $86.15 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $82.05 Health Net of CA — Health Net Of CA Medi-Cal : $87.79 Health Net of CA — Health Net Of CA Medi-Cal IPA : $82.05 LA Care Health Plan — L.A Care Health Plan Medi-Cal : $82.05 Molina — Molina Medi-Cal : $82.05 Traditional Medi-Cal — Traditional Medi-Cal : $82.05 Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M-EP LVL III - 99213 - 6906005 $341.07 Not listed in the file $34.43 – $341.07 Established patient office visit (about 20–29 minutes): rates for 9 insurance plans AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $34.43 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $36.15 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $73.75 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $34.43 Health Net of CA — Health Net Of CA Medi-Cal : $36.84 Health Net of CA — Health Net Of CA Medi-Cal IPA : $34.43 LA Care Health Plan — L.A Care Health Plan Medi-Cal : $34.43 Molina — Molina Medi-Cal : $34.43 Traditional Medi-Cal — Traditional Medi-Cal : $34.43 Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: E&M-EP LVL IV - 99214 - 6906006 $341.07 Not listed in the file $53.79 – $341.07 Established patient office visit (about 30–39 minutes): rates for 9 insurance plans AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $53.79 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $56.48 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $109.05 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $53.79 Health Net of CA — Health Net Of CA Medi-Cal : $57.56 Health Net of CA — Health Net Of CA Medi-Cal IPA : $53.79 LA Care Health Plan — L.A Care Health Plan Medi-Cal : $53.79 Molina — Molina Medi-Cal : $53.79 Traditional Medi-Cal — Traditional Medi-Cal : $53.79 Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT, LEVEL III *(P) - 99283 - 6100137 $661 $349 $63.97 – $1,800 Emergency room visit (moderate): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $446.43 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $63.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $356.36 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $349.37 Alignment — Alignment Medicare : $349.37 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $446.44 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $67.17 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $349.37 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $349.37 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $63.97 Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL III (MODERATE) - 99283 - 6100524 $1,800 $349 $63.97 – $1,800 Emergency room visit (moderate): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $446.43 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $63.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $356.36 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $349.37 Alignment — Alignment Medicare : $349.37 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $446.44 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $67.17 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $349.37 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $349.37 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $63.97 Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT, LEVEL IV*(P) - 99284 - 6100138 $1,063 $534 $98.04 – $2,600 Emergency room visit (moderately high): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $682.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $544.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $534.03 Alignment — Alignment Medicare : $534.03 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $682.40 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $102.94 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $534.03 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $534.03 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $98.04 Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL IV (EXTENDED) - 99284 - 6100526 $2,600 $534 $98.04 – $2,600 Emergency room visit (moderately high): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $682.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $98.04 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $544.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $534.03 Alignment — Alignment Medicare : $534.03 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $682.40 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $102.94 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $534.03 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $534.03 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $98.04 Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT, LEVEL V*(P) - 99285 - 6100139 $1,626.30 $762 $155.03 – $3,800 Emergency room visit (high): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $973.95 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $155.03 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $777.44 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $762.20 Alignment — Alignment Medicare : $762.20 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $973.96 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $162.78 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $762.20 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $762.20 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $155.03 Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL V(COMPRHENSIVE) - 99285 - 6100527 $3,800 $762 $155.03 – $3,800 Emergency room visit (high): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $973.95 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $155.03 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $777.44 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $762.20 Alignment — Alignment Medicare : $762.20 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $973.96 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $162.78 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $762.20 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $762.20 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $155.03
Lab tests Service Hospital charge Cash price Insurance rates (lowest – highest) Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BSC METABLC PNL $932.90 $8 $8.34 – $932.90 Basic metabolic panel (blood test): 10 of 44 insurance plan rates Aetna — Coventry Workers Compensation : $10.81 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $8.34 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $8.63 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $8.46 Alignment — Alignment Medicare : $8.46 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $10.81 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $11.62 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $8.46 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $8.46 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $8.34 Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABLC PN $1,048.50 $10 $10.55 – $1,048.50 Comprehensive metabolic panel (blood test): 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $13.49 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $10.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $10.77 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $10.56 Alignment — Alignment Medicare : $10.56 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $13.49 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $14.68 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $10.56 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $10.56 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $10.55 Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL - 80061 - 4100160 $50 $13 $13.24 – $723.50 Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $17.11 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $13.24 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $13.66 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $13.39 Alignment — Alignment Medicare : $13.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $17.11 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $14.57 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $13.39 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $13.39 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $13.24 Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL - 80061 - 4150062 $338.68 $13 $13.24 – $723.50 Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $17.11 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $13.24 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $13.66 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $13.39 Alignment — Alignment Medicare : $13.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $17.11 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $14.57 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $13.39 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $13.39 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $13.24 Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL - 80061 - 4100062 $723.50 $13 $13.24 – $723.50 Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $17.11 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $13.24 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $13.66 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $13.39 Alignment — Alignment Medicare : $13.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $17.11 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $14.57 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $13.39 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $13.39 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $13.24 Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATC FUNC PNL $1,365.40 $8 $7.32 – $1,365.40 Liver function panel: 10 of 44 insurance plan rates Aetna — Coventry Workers Compensation : $10.44 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $7.32 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $8.33 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $8.17 Alignment — Alignment Medicare : $8.17 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $10.44 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $11.19 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $8.17 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $8.17 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $7.32 Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W/MICRO - 81001 - 4101001 $15.85 $3 $3.17 – $186.11 Urine test (automated, with microscope): 10 of 44 insurance plan rates Aetna — Coventry Workers Compensation : $4.05 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $3.18 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.23 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $3.17 Alignment — Alignment Medicare : $3.17 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $4.05 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $4.59 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $3.17 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $3.17 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $3.18 Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W/MICRO - 81001 - 4151001 $186.11 $3 $3.17 – $186.11 Urine test (automated, with microscope): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $4.05 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $3.18 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.23 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $3.17 Alignment — Alignment Medicare : $3.17 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $4.05 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $4.59 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $3.17 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $3.17 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $3.18 Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE DIP (DIPSTICK)W/O MICRO $33 $3 $2.47 – $33 Urine test (manual, without microscope): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $4.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3.55 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $3.48 Alignment — Alignment Medicare : $3.48 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $4.45 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $3.71 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $3.48 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $3.48 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $2.47 Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS W/O MICRO $11.25 $2 $2.25 – $11.25 Urine test (automated, without microscope): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $2.88 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.25 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $2.30 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $2.25 Alignment — Alignment Medicare : $2.25 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $2.88 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $2.97 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $2.25 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $2.25 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $2.25 PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL LC - 84153 - 4100067 $4.89 $18 $1 – $268.50 PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $4.89 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $4.89 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4.89 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $4.89 Alignment — Alignment Medicare : $4.89 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $4.89 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $4.89 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $4.89 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $4.89 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $4.89 PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: LC 010322 PROSTATE-SPEC AG,SER $2.43 $18 $1 – $268.50 PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $2.43 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $2.43 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $2.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $2.43 Alignment — Alignment Medicare : $2.43 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $2.43 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $2.43 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $2.43 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $2.43 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $2.43 PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: LC 140731 PSA,ULTRASENS W/O SR $28.72 $18 $1 – $268.50 PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $23.50 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $18.76 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $18.76 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $18.39 Alignment — Alignment Medicare : $18.39 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $23.50 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $26.03 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $18.39 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $18.39 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $18.76 Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH - 84443 - 4104443 $278.90 $16 $16.80 – $278.90 Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $21.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $16.94 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $17.14 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $16.80 Alignment — Alignment Medicare : $16.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $21.47 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $23.71 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $16.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $16.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $16.94 Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH - 84443 - 4154443 $185.80 $16 $16.80 – $278.90 Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $21.47 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $16.94 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $17.14 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $16.80 Alignment — Alignment Medicare : $16.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $21.47 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $23.71 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $16.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $16.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $16.94 Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC/DIFF&PLATLT - 85025 - 4105028 $310.50 $7 $7.75 – $310.50 Complete blood count (CBC) with differential: 10 of 44 insurance plan rates Aetna — Coventry Workers Compensation : $9.93 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $7.75 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $7.93 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $7.77 Alignment — Alignment Medicare : $7.77 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $9.93 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $10.62 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $7.77 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $7.77 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $7.75 Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC/DIFF&PLATLT - 85025 - 4155028 $193.12 $7 $7.75 – $310.50 Complete blood count (CBC) with differential: 10 of 44 insurance plan rates Aetna — Coventry Workers Compensation : $9.93 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $7.75 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $7.93 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $7.77 Alignment — Alignment Medicare : $7.77 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $9.93 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $10.62 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $7.77 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $7.77 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $7.75 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED LC $4.53 $6 $1.36 – $253.30 Complete blood count (CBC), automated: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $4.53 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $4.53 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4.53 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $4.53 Alignment — Alignment Medicare : $4.53 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $4.53 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $4.53 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $4.53 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $4.53 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $4.53 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM AUTO - 85027 - 4155021 $75.14 $6 $1.36 – $253.30 Complete blood count (CBC), automated: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $8.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $6.47 Alignment — Alignment Medicare : $6.47 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $8.27 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $8.67 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $6.47 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $6.47 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $6.55 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM AUTO - 85027 - 4105021 $253.30 $6 $1.36 – $253.30 Complete blood count (CBC), automated: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $8.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $6.47 Alignment — Alignment Medicare : $6.47 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $8.27 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $8.67 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $6.47 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $6.47 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $6.55 Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROM TIME - 85610 - 4105610 $230.20 $4 $4 – $230.20 Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $5.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $4 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4.38 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $4.29 Alignment — Alignment Medicare : $4.29 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $5.48 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $5.04 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $4.29 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $4.29 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $4 Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROM TIME - 85610 - 4155610 $125.19 $4 $4 – $230.20 Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $5.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $4 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4.38 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $4.29 Alignment — Alignment Medicare : $4.29 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $5.48 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $5.04 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $4.29 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $4.29 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $4 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT PLASMA - 85730 - 4155730 $185.80 $6 $6.01 – $266.60 Blood clotting test (partial thromboplastin time, PTT): 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $7.68 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $6.01 Alignment — Alignment Medicare : $6.01 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $7.68 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $7.98 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $6.01 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $6.01 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $6.13 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT PLASMA - 85730 - 4105730 $266.60 $6 $6.01 – $266.60 Blood clotting test (partial thromboplastin time, PTT): 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $7.68 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $6.01 Alignment — Alignment Medicare : $6.01 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $7.68 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $7.98 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $6.01 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $6.01 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $6.13 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT LC $28 $6 $6.01 – $266.60 Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $7.68 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $6.13 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $6.01 Alignment — Alignment Medicare : $6.01 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $7.68 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $7.98 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $6.01 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $6.01 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $6.13
Imaging (X-ray, CT, MRI, ultrasound, mammogram) Service Hospital charge Cash price Insurance rates (lowest – highest) CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CTHWOSTRK $2,817.90 $133 $94.42 – $2,817.90 CT scan of the head or brain, without contrast: 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $94.42 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $296.47 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $94.42 MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN WO/W $ $4,543.50 $446 $316.79 – $4,543.50 MRI of the brain, before and after contrast: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $570.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $316.79 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $455.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $446.50 Alignment — Alignment Medicare : $446.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $570.55 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $1,435.35 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $446.50 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $446.50 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $316.79 Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST TWO VIEW $503.20 $111 $18.13 – $503.20 Chest X-ray, 2 views: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $142.31 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $18.13 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $113.60 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $111.37 Alignment — Alignment Medicare : $111.37 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $142.31 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $41.25 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $111.37 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $111.37 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $18.13 X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE L/S MIN4V $725.20 $133 $43.40 – $725.20 X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $43.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $74.79 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $43.40 X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR Lumbar Spine Bending Views $637.20 $133 $43.40 – $725.20 X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $43.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $74.79 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $43.40 MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI SP LUMB W/O$ $4,181.60 $305 $181.42 – $4,181.60 MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $390.22 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $181.42 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $311.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $305.38 Alignment — Alignment Medicare : $305.38 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $390.22 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $867.15 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $305.38 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $305.38 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $181.42 CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST $2,731.80 $224 $222.88 – $2,731.80 CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $286.85 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $222.88 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $228.97 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $224.48 Alignment — Alignment Medicare : $224.48 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $286.85 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $381.84 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $224.48 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $224.48 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $222.88 MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LE JNT W/O $ $4,348.80 $305 $206.20 – $4,348.80 MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $390.22 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $206.20 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $311.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $305.38 Alignment — Alignment Medicare : $305.38 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $390.22 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $588.11 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $305.38 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $305.38 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $206.20 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD/PELVIS WITH CONT $6,017.50 $446 $202.90 – $6,017.50 CT scan of the abdomen and pelvis, with contrast: 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $570.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $202.90 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $455.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $446.50 Alignment — Alignment Medicare : $446.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $570.55 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $295.89 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $446.50 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $446.50 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $202.90 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS WITH CONTRAST $2,352.28 $446 $202.90 – $6,017.50 CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $570.55 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $202.90 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $455.43 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $446.50 Alignment — Alignment Medicare : $446.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $570.55 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $295.89 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $446.50 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $446.50 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $202.90 Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $1,576 $133 $82.35 – $1,576 Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $82.35 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $125.31 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $82.35 Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB>14WK SGL $825.10 $133 $90.65 – $825.10 Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $90.65 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $142.05 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $90.65 Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL - 76830 - 5066855 $825.10 $133 $70.84 – $825.10 Transvaginal ultrasound: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $70.84 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $101.89 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $70.84 Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL - 76830 - 5066830 $677.60 $133 $70.84 – $825.10 Transvaginal ultrasound: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $170.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $70.84 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $136.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $133.80 Alignment — Alignment Medicare : $133.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $170.97 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $101.89 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $133.80 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $70.84
Heart tests and sleep study Service Hospital charge Cash price Insurance rates (lowest – highest) Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH LEFT HEART W/VENTRCLGRPH $15,281.80 $4,149 $549.26 – $15,281.80 Left heart catheterization (diagnostic): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $5,301.97 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $549.26 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,232.21 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $4,149.23 Alignment — Alignment Medicare : $4,149.23 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $5,302.01 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $801 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $4,149.23 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $4,149.23 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $549.26
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) In the file: PT THER EX PTA 15 MINS $126 $32 $9.14 – $209.50 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $40.98 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $9.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $32.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $32.07 Alignment — Alignment Medicare : $32.07 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $40.98 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $16.51 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $32.07 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $32.07 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $9.14 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THER EXER EA15 - 97110 - 6051538 $126 $32 $9.14 – $209.50 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $40.98 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $9.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $32.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $32.07 Alignment — Alignment Medicare : $32.07 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $40.98 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $16.51 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $32.07 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $32.07 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $9.14 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THER EXER 15 #2 - 97110 - 6051540 $209.50 $32 $9.14 – $209.50 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $40.98 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $9.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $32.71 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $32.07 Alignment — Alignment Medicare : $32.07 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $40.98 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $16.51 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $32.07 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $32.07 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $9.14 Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: EVAL COMP $410 $108 $108.30 – $584.80 Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna — Coventry Workers Compensation : $138.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.47 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.30 Alignment — Alignment Medicare : $108.30 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.39 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.30 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.30 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $162.45 Brand New Day — Brand New Day Medicare : $109.38 CORVEL — Corvel Workers Compensation : $135.54 Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: EVAL INT - 97161 - 6041402 $410 $108 $108.30 – $584.80 Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna — Coventry Workers Compensation : $138.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.47 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.30 Alignment — Alignment Medicare : $108.30 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.39 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.30 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.30 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $162.45 Brand New Day — Brand New Day Medicare : $109.38 CORVEL — Corvel Workers Compensation : $135.54 Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: EVAL INT - 97161 - 6051402 $410 $108 $108.30 – $584.80 Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna — Coventry Workers Compensation : $138.39 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.47 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.30 Alignment — Alignment Medicare : $108.30 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.39 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.30 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.30 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $162.45 Brand New Day — Brand New Day Medicare : $109.38 CORVEL — Corvel Workers Compensation : $135.54 Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX $481 $108 $108.31 – $481 Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Aetna — Coventry Workers Compensation : $138.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.31 Alignment — Alignment Medicare : $108.31 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.40 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.31 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.31 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $162.47 Brand New Day — Brand New Day Medicare : $109.39 CORVEL — Corvel Workers Compensation : $135.55 Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN $481 $108 $108.31 – $481 Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Aetna — Coventry Workers Compensation : $138.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.48 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.31 Alignment — Alignment Medicare : $108.31 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.40 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.31 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.31 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $162.47 Brand New Day — Brand New Day Medicare : $109.39 CORVEL — Corvel Workers Compensation : $135.55 Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX $546 $108 $108.32 – $546 Physical therapy evaluation (high complexity): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $138.41 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $135.56 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.32 Alignment — Alignment Medicare : $108.32 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.41 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $142.34 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.32 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.32 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $135.56 Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN $546 $108 $108.32 – $546 Physical therapy evaluation (high complexity): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $138.41 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $135.56 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $110.49 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $108.32 Alignment — Alignment Medicare : $108.32 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $138.41 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $142.34 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $108.32 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $108.32 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $135.56 Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FMLY W/O PT 30 $119.40 $227 $35.82 – $297.80 Family psychotherapy, without the patient: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $119.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $119.40 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $119.40 Alignment — Alignment Medicare : $119.40 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $119.40 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $90.97 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $104.88 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $119.40 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $51 Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FMLY W/O PT 60 $297.80 $227 $35.82 – $297.80 Family psychotherapy, without the patient: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $290.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $227.16 Alignment — Alignment Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $290.27 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $90.97 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $104.88 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $227.16 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $51 Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FMLY THRPY 60MN $447.40 $227 $51 – $447.40 Family psychotherapy, with the patient: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $290.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $227.16 Alignment — Alignment Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $290.27 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $94.13 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $109.42 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $227.16 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $51 Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FMLY THRPY 45MN $335.50 $227 $51 – $447.40 Family psychotherapy, with the patient: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $290.27 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $51 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $231.70 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $227.16 Alignment — Alignment Medicare : $227.16 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $290.27 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $94.13 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $109.42 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $227.16 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $51 Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: THRPY GRP 60MIN $238.70 $130 $5.23 – $238.70 Group psychotherapy: 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $166.14 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $20.77 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $132.62 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $130.02 Alignment — Alignment Medicare : $130.02 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $166.14 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $5.23 Beacon — Carelon Beacon Health Strategies Commercial : $238.70 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $25.70 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $130.02 Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: THRPY GRP 15MIN $59.50 $130 $5.23 – $238.70 Group psychotherapy: 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $59.50 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $20.77 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $59.50 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $59.50 Alignment — Alignment Medicare : $59.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $59.50 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $5.23 Beacon — Carelon Beacon Health Strategies Commercial : $59.50 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $25.70 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $59.50 Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: THRPY GRP 30MIN $119.40 $130 $5.23 – $238.70 Group psychotherapy: 10 of 43 insurance plan rates Aetna — Coventry Workers Compensation : $119.40 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $20.77 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $119.40 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $119.40 Alignment — Alignment Medicare : $119.40 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $119.40 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $5.23 Beacon — Carelon Beacon Health Strategies Commercial : $119.40 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $25.70 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $119.40
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: UGI EGD;SIMPLE $2,230.47 $1,160 $321.48 – $2,230.47 Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $1,483.31 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $321.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $1,184.03 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $1,160.81 Alignment — Alignment Medicare : $1,160.81 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $1,483.32 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $337.55 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $1,160.81 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $1,160.81 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $321.48 Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy $6,490.30 $1,190 $423.48 – $6,490.30 Colonoscopy (diagnostic): 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $1,520.89 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $423.48 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $1,214.02 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $1,190.22 Alignment — Alignment Medicare : $1,190.22 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $1,520.90 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $444.65 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $1,190.22 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $1,190.22 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $423.48 Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr $8,283.63 $4,582 $493.45 – $8,283.63 Groin (inguinal) hernia repair, age 5 or older: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $5,855.52 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $493.45 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $4,674.08 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $4,582.43 Alignment — Alignment Medicare : $4,582.43 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $5,855.56 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $518.12 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $4,582.43 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $4,582.43 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $493.45 Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac $4,338.30 $903 $220.03 – $4,338.30 Spinal injection, lower back (epidural), with imaging guidance: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $1,154.42 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $220.03 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $921.50 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $903.43 Alignment — Alignment Medicare : $903.43 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $1,154.43 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $231.03 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $903.43 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $903.43 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $220.03 Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 $6,000 $1,132 $205.61 – $6,000 Nerve root injection, lower back, with imaging guidance: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $1,446.49 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $205.61 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $1,154.64 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $1,132 Alignment — Alignment Medicare : $1,132 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $1,446.50 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $215.89 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $1,132 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $1,132 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $205.61 Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp $5,180.18 $2,953 $1,441.87 – $5,180.18 Cataract removal with lens implant: 10 of 42 insurance plan rates Aetna — Coventry Workers Compensation : $3,774.30 AIDS Healthcare Foundation — Aids Health Care Foundation Medi-Cal : $1,441.87 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $3,012.77 AIDS Healthcare Foundation — Aids Health Care Foundation MSSP : $2,953.70 Alignment — Alignment Medicare : $2,953.70 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $3,774.32 Anthem Blue Cross — Anthem Blue Cross Medi-cal : $1,513.96 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $2,953.70 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $2,953.70 Blue Shield Of Promise — Blue Sheild Of Promise Medi-Cal : $1,441.87
Hospital stays (whole stay, MS-DRG) Service Hospital charge Cash price Insurance rates (lowest – highest) Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $92,770 $48,150 – $168,099.40 Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 35 insurance plan rates Aetna — Coventry Workers Compensation : $137,692.76 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $94,625.50 Alignment — Alignment Medicare : $92,770.10 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $107,984.38 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $92,770.09 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $92,770.10 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $116,219.66 Brand New Day — Brand New Day Medicare : $93,697.80 CORVEL — Corvel Workers Compensation : $105,757.90 Employer Direct Healthcare — Employer Direct Healthcare : $120,601.12 Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $18,491 $7,650 – $33,506.49 Hip or knee replacement (major joint of the leg), without major complications: 10 of 35 insurance plan rates Aetna — Coventry Workers Compensation : $26,900.53 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $18,861.23 Alignment — Alignment Medicare : $18,491.40 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $21,524.04 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $18,491.44 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $18,491.40 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $22,915.33 Brand New Day — Brand New Day Medicare : $18,676.31 CORVEL — Corvel Workers Compensation : $21,080.24 Employer Direct Healthcare — Employer Direct Healthcare : $24,038.87 Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC Not listed in the file $23,337 $7,200 – $42,287.53 Neck (cervical) spinal fusion, without complications: 10 of 35 insurance plan rates Aetna — Coventry Workers Compensation : $33,775.79 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $23,804.25 Alignment — Alignment Medicare : $23,337.50 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $27,164.84 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $23,337.49 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $23,337.50 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $29,002.64 Brand New Day — Brand New Day Medicare : $23,570.88 CORVEL — Corvel Workers Compensation : $26,604.74 Employer Direct Healthcare — Employer Direct Healthcare : $30,338.74 Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC Not listed in the file $11,982 $6,750 – $21,712.74 Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates Aetna — Coventry Workers Compensation : $17,101.88 AIDS Healthcare Foundation — Aids Health Care Foundation Medicare : $12,222.46 Alignment — Alignment Medicare : $11,982.80 AMERICAS CHOICE PROVIDER NETWORK — Americas Choice Provider Network Workers Compensation : $13,947.92 BLUE SHIELD OF CA, VA — Blue Shield of CA, VA : $11,982.75 Blue Shield Of Promise — Blue Sheild Of Promise Duals : $11,982.80 Brand New Day — Brand New Day Exchange (01-01-2022 to 12-31-2026) : $14,739.52 Brand New Day — Brand New Day Medicare : $12,102.63 CORVEL — Corvel Workers Compensation : $13,660.34 Employer Direct Healthcare — Employer Direct Healthcare : $15,577.58
Source: Encino Hospital Medical Center’s standard charges file (encinomed.org, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 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.
