Does Garden Grove Hospital & Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Garden Grove Hospital & Medical Center. In a medical emergency, call 911.

Where is Garden Grove Hospital & Medical Center?

12601 Garden Grove Blvd, Garden Grove, CA 92843, in Orange County, California.

What is the phone number of Garden Grove Hospital & Medical Center?

(714) 537-5160, as listed by Medicare (CMS).

What is the Medicare star rating of Garden Grove Hospital & Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Garden Grove Hospital & Medical Center

Quick answers

Does Garden Grove Hospital & Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Garden Grove Hospital & Medical Center. In a medical emergency, call 911.
Where is Garden Grove Hospital & Medical Center?: 12601 Garden Grove Blvd, Garden Grove, CA 92843, in Orange County, California.
What is the phone number of Garden Grove Hospital & Medical Center?: (714) 537-5160, as listed by Medicare (CMS).
What is the Medicare star rating of Garden Grove Hospital & Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Treatments^[9][12]

Wound management
Debridement
Infection management
Bio-engineered tissue
Compression therapy
Nutritional support
Advanced dressing technology
Off-loading
Treatment of arterial and venous insufficiency
Mechanical ventilation

Procedures^[4][10]

MRI
Hip and knee replacement

Programs and centers^{[5][6][7][9][10][11][12]}

Geriatric emergency room
FastTrackCare ER arrival reservation
Wound Center
Comprehensive Care for Joint Replacement (CJR)
Community services (free screenings, immunizations, flu shots)
Respiratory care department
Case management
Intensive care unit
Medical/surgical unit

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visitors allowed 8am-8pm; only two visitors at a time; children 13 and under not allowed to visit patients^[8]
Parking	Free parking available along the side and rear of the building (stated for a 2026 hospital event)^[14]
Patient portal	MyChart

Recognition^{[4][5][7][15]}

Joint Commission accredited
Fully accredited by The Joint Commission
Laboratory services accredited by The Joint Commission
Imaging services accredited by the American College of Radiology (ACR)
Geriatric-Accredited Emergency Department (American College of Emergency Physicians)

Doctors and clinicians (99)

99 doctors and other clinicians list Garden Grove 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

And 75 more: the button below opens the full list.

Other emergency rooms nearby

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

UCI Health-Orange1.7 mi · Orange, CA · Acute Care Hospital
Children's Hospital of Orange County2.9 mi · Orange, CA · Children's Hospital
Providence St. Joseph Hospital2.9 mi · Orange, CA · Acute Care Hospital
Anaheim Global Medical Center3.2 mi · Anaheim, CA · Acute Care Hospital
UCI Health - Fountain Valley4.5 mi · Fountain Valley, CA · Acute Care Hospital

Other hospitals nearby

Healthbridge Children's Hospital - Orange4.6 mi · Orange, CA · Children's 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

Alta Gardens Care Center0.3 mi · Garden Grove, CA · 3 of 5 stars
The Grove Post Acute0.3 mi · Garden Grove, CA · 4 of 5 stars
Garden Park Care Center0.4 mi · Garden Grove, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Comfort Hospice Care, Inc1.2 mi · Garden Grove, CA
Pec Hospice1.2 mi · Garden Grove, CA
Advocare Hospice, Inc1.3 mi · Garden Grove, CA

All hospice providers in the state →

Home health agencies

Kamila Home Health, Inc1.2 mi · Garden Grove, CA
Pec Healthcare1.2 mi · Garden Grove, CA
United Integrity Home Health Inc1.2 mi · Garden Grove, CA

All home health agencies in the state →

Dialysis facilities

DaVita Garden Grove Harbor Dialysis1.2 mi · Garden Grove, CA · 3 of 5 stars
RAI - Garden Grove Blvd - Garden Grove1.2 mi · Garden Grove, CA · 4 of 5 stars
Rai-Harbor Blvd - Garden Grove1.3 mi · Garden Grove, CA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Orange County Eye Surgical Center1.2 mi · Garden Grove, CA
Ocvac-Asc LLC1.3 mi · Garden Grove, CA
La Veta Surgical Center2.4 mi · Orange, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

AltaMed Medical Group: Garden Grove, Harbor0.2 mi · Garden Grove, CA · Community health center
AltaMed Pharmacy - Garden Grove0.2 mi · Garden Grove, CA · Community health center
AltaMed Dental Group at Clinton Elementary0.7 mi · Garden Grove, CA · Community health center

Clinics and urgent care

3TITAN Medical Inc1.2 mi · Garden Grove, CA · Urgent care center
Ca Urgent Care1.2 mi · Garden Grove, CA · Urgent care center
Clinica Michoacan1.9 mi · Santa Ana, CA · Urgent care center

Pharmacies

Advanced Healthcare Pharmacy Inc1.2 mi · Garden Grove, CA · Community/retail pharmacy
Ana Pharmacy Corporation1.2 mi · Garden Grove, CA · Community/retail pharmacy
Avb Pharma Inc1.2 mi · Garden Grove, CA · Community/retail pharmacy

Assisted living nearby

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

Country Garden Guest Home1.2 mi · Garden Grove, CA
Holy Family Guest Home1.2 mi · Garden Grove, CA
Olive Grove1.2 mi · Garden Grove, CA
Palms Bay Guest Home1.2 mi · Garden Grove, CA

About the Medicare star rating

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

Medicare quality data

What Garden Grove 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	2 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	55%National average: 72%
Would definitely recommend the hospital	54%National average: 71%
Nurses “always” communicated well	63%National average: 80%
Doctors “always” communicated well	64%National average: 80%
Staff “always” explained medicines before giving them	43%National average: 62%
Were given information about recovery at home	77%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	32%National average: 60%
Completed surveys	480Response rate: 25%

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)	1.947No different from the national benchmark
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	0.121Better 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	9.1%
Deaths within 30 days: pneumonia patients	12.9%
Deaths within 30 days: COPD patients	8.3%
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)	0.86No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.2%
Readmitted within 30 days: pneumonia	19.4%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	134 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	72%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in 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 68 common services exactly as Garden Grove 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: Hc Office/Outpatient New Low Mdm 30-44 Minutes - 99203 - 76100003	$558.80	Not listed in the file	$82.05 – $558.80
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Brand New Day — Brand New Day Exchange: $558.80 Caloptima — Caloptima Medi-Cal IP: $82.05 Health Net of CA — Health Net Of CA Medi-Cal: $87.79 Molina — Molina Medi-Cal: $82.05 Traditional Medi-Cal — Traditional Medi-Cal: $82.05
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Moderate Mdm 45-59 Minutes - 99204 - 76100004	$720.05	Not listed in the file	$98.83 – $720.05
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Brand New Day — Brand New Day Exchange: $720.05 Caloptima — Caloptima Medi-Cal IP: $98.83 Health Net of CA — Health Net Of CA Medi-Cal: $105.75 Molina — Molina Medi-Cal: $98.83 Traditional Medi-Cal — Traditional Medi-Cal: $98.83
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New High Mdm 60-74 Minutes - 99205 - 76100005	$946.65	Not listed in the file	$118.62 – $946.65
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Brand New Day — Brand New Day Exchange: $946.65 Caloptima — Caloptima Medi-Cal IP: $118.62 Health Net of CA — Health Net Of CA Medi-Cal: $126.92 Molina — Molina Medi-Cal: $118.62 Traditional Medi-Cal — Traditional Medi-Cal: $118.62
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Low Mdm 20-29 Min - 99213 - 76100008	$522	Not listed in the file	$34.43 – $522
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Blue Shield Of CA — Blue Shield Of VA: $73.75 Brand New Day — Brand New Day Exchange: $522 Caloptima — Caloptima Medi-Cal IP: $34.43 Health Net of CA — Health Net Of CA Medi-Cal: $36.84 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: Hc Office/Outpatient Established Mod Mdm 30-39 Min - 99214 - 76100009	$643.49	Not listed in the file	$53.79 – $643.49
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Shield Of CA — Blue Shield Of VA: $109.05 Brand New Day — Brand New Day Exchange: $643.49 Caloptima — Caloptima Medi-Cal IP: $53.79 Health Net of CA — Health Net Of CA Medi-Cal: $57.56 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: Hc Ed Level 3 - 99283 - 45000003	$2,399.11	$349	$63.97 – $2,399.11
Emergency room visit (moderate): 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $446.44 Blue Shield Of CA — Blue Shield Of VA: $349.37 Brand New Day — Brand New Day Exchange: $524.06 Brand New Day — Brand New Day Medicare: $352.86 Caloptima — Caloptima Medi-Cal IP: $63.97 Central Health Plan — Central Health Plan Medicare: $349.37 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $489.12 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $510.08 Health Net of CA — Health Net Of CA Commercial PPO: $491.21 Health Net of CA — Health Net Of CA Medi-Cal: $68.45
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hc Ed Level 4 - 99284 - 45000004	$3,573.47	$534	$98.04 – $3,573.47
Emergency room visit (moderately high): 10 of 29 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $682.40 Blue Shield Of CA — Blue Shield Of VA: $534.03 Brand New Day — Brand New Day Exchange: $801.05 Brand New Day — Brand New Day Medicare: $539.37 Caloptima — Caloptima Medi-Cal IP: $98.04 Central Health Plan — Central Health Plan Medicare: $534.03 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $747.64 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $779.68 Health Net of CA — Health Net Of CA Commercial PPO: $750.85 Health Net of CA — Health Net Of CA Medi-Cal: $104.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hc Ed Level 5 - 99285 - 45000005	$5,161.88	$762	$155.03 – $5,161.88
Emergency room visit (high): 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $973.96 Blue Shield Of CA — Blue Shield Of VA: $762.20 Brand New Day — Brand New Day Exchange: $1,143.30 Brand New Day — Brand New Day Medicare: $769.82 Caloptima — Caloptima Medi-Cal IP: $155.03 Central Health Plan — Central Health Plan Medicare: $762.20 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,067.08 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,112.81 Health Net of CA — Health Net Of CA Commercial PPO: $1,071.65 Health Net of CA — Health Net Of CA Medi-Cal: $165.88

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: Hc Basic Metabolic Panel Calcium Total	$714.15	$8	$8.34 – $714.15
Basic metabolic panel (blood test): 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $10.81 Blue Shield Of CA — Blue Shield Of VA: $8.46 Brand New Day — Brand New Day Exchange: $12.69 Brand New Day — Brand New Day Medicare: $8.54 Caloptima — Caloptima Medi-Cal IP: $8.34 Central Health Plan — Central Health Plan Medicare: $8.46 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $11.84 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $12.35 Health Net of CA — Health Net Of CA Commercial PPO: $11.89 Health Net of CA — Health Net Of CA Medi-Cal: $8.92
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hc Metabolic Panel,Comprehensive	$1,248.75	$10	$10.55 – $1,248.75
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $13.49 Blue Shield Of CA — Blue Shield Of VA: $10.56 Brand New Day — Brand New Day Exchange: $15.84 Brand New Day — Brand New Day Medicare: $10.67 Caloptima — Caloptima Medi-Cal IP: $10.55 Central Health Plan — Central Health Plan Medicare: $10.56 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $14.78 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $15.42 Health Net of CA — Health Net Of CA Commercial PPO: $14.85 Health Net of CA — Health Net Of CA Medi-Cal: $11.29
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hc Lipid Panel	$869.40	$13	$13.24 – $869.40
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $17.11 Blue Shield Of CA — Blue Shield Of VA: $13.39 Brand New Day — Brand New Day Exchange: $20.09 Brand New Day — Brand New Day Medicare: $13.52 Caloptima — Caloptima Medi-Cal IP: $13.24 Central Health Plan — Central Health Plan Medicare: $13.39 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $18.75 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $19.55 Health Net of CA — Health Net Of CA Commercial PPO: $18.83 Health Net of CA — Health Net Of CA Medi-Cal: $14.17
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hc Renal Function Panel	$416.09	$8	$8.68 – $416.09
Kidney function panel: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $11.09 Blue Shield Of CA — Blue Shield Of VA: $8.68 Brand New Day — Brand New Day Exchange: $13.02 Brand New Day — Brand New Day Medicare: $8.77 Caloptima — Caloptima Medi-Cal IP: $8.72 Central Health Plan — Central Health Plan Medicare: $8.68 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $12.15 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $12.67 Health Net of CA — Health Net Of CA Commercial PPO: $12.20 Health Net of CA — Health Net Of CA Medi-Cal: $9.33
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hc Hepatic Function Panel	$643.80	$8	$7.32 – $643.80
Liver function panel: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $10.44 Blue Shield Of CA — Blue Shield Of VA: $8.17 Brand New Day — Brand New Day Exchange: $12.26 Brand New Day — Brand New Day Medicare: $8.25 Caloptima — Caloptima Medi-Cal IP: $7.32 Central Health Plan — Central Health Plan Medicare: $8.17 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $11.44 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $11.93 Health Net of CA — Health Net Of CA Commercial PPO: $11.49 Health Net of CA — Health Net Of CA Medi-Cal: $7.83
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/Scope	$311.66	$3	$3.17 – $311.66
Urine test (automated, with microscope): 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $4.05 Blue Shield Of CA — Blue Shield Of VA: $3.17 Brand New Day — Brand New Day Exchange: $4.76 Brand New Day — Brand New Day Medicare: $3.20 Caloptima — Caloptima Medi-Cal IP: $3.18 Central Health Plan — Central Health Plan Medicare: $3.17 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $4.44 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $4.63 Health Net of CA — Health Net Of CA Commercial PPO: $4.46 Health Net of CA — Health Net Of CA Medi-Cal: $3.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hc Urinalysis Nonauto W/O Scope	$96.12	$3	$2.47 – $96.12
Urine test (manual, without microscope): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $4.45 Blue Shield Of CA — Blue Shield Of VA: $3.48 Brand New Day — Brand New Day Exchange: $5.22 Brand New Day — Brand New Day Medicare: $3.51 Caloptima — Caloptima Medi-Cal IP: $2.47 Central Health Plan — Central Health Plan Medicare: $3.48 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $4.87 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $5.08 Health Net of CA — Health Net Of CA Commercial PPO: $4.89 Health Net of CA — Health Net Of CA Medi-Cal: $2.64
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/O Scope	$140.11	$2	$2.25 – $140.11
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $2.88 Blue Shield Of CA — Blue Shield Of VA: $2.25 Brand New Day — Brand New Day Exchange: $3.38 Brand New Day — Brand New Day Medicare: $2.27 Caloptima — Caloptima Medi-Cal IP: $2.25 Central Health Plan — Central Health Plan Medicare: $2.25 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $3.15 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $3.29 Health Net of CA — Health Net Of CA Commercial PPO: $3.16 Health Net of CA — Health Net Of CA Medi-Cal: $2.41
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312	$368.75	$18	$18.39 – $368.75
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $23.50 Blue Shield Of CA — Blue Shield Of VA: $18.39 Brand New Day — Brand New Day Exchange: $27.59 Brand New Day — Brand New Day Medicare: $18.57 Caloptima — Caloptima Medi-Cal IP: $18.76 Central Health Plan — Central Health Plan Medicare: $18.39 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $25.75 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $26.85 Health Net of CA — Health Net Of CA Commercial PPO: $25.86 Health Net of CA — Health Net Of CA Medi-Cal: $20.07
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Prostate Specific Antigen,Total	$170.50	$18	$18.39 – $368.75
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $23.50 Blue Shield Of CA — Blue Shield Of VA: $18.39 Brand New Day — Brand New Day Exchange: $27.59 Brand New Day — Brand New Day Medicare: $18.57 Caloptima — Caloptima Medi-Cal IP: $18.76 Central Health Plan — Central Health Plan Medicare: $18.39 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $25.75 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $26.85 Health Net of CA — Health Net Of CA Commercial PPO: $25.86 Health Net of CA — Health Net Of CA Medi-Cal: $20.07
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hc Assay Thyroid Stim Hormone	$423.95	$16	$16.80 – $423.95
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $21.47 Blue Shield Of CA — Blue Shield Of VA: $16.80 Brand New Day — Brand New Day Exchange: $25.20 Brand New Day — Brand New Day Medicare: $16.97 Caloptima — Caloptima Medi-Cal IP: $16.94 Central Health Plan — Central Health Plan Medicare: $16.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $23.52 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $24.53 Health Net of CA — Health Net Of CA Commercial PPO: $23.62 Health Net of CA — Health Net Of CA Medi-Cal: $18.13
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hc Complete Cbc & Auto Diff Wbc	$467.50	$7	$7.75 – $467.50
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $9.93 Blue Shield Of CA — Blue Shield Of VA: $7.77 Brand New Day — Brand New Day Exchange: $11.66 Brand New Day — Brand New Day Medicare: $7.85 Caloptima — Caloptima Medi-Cal IP: $7.75 Central Health Plan — Central Health Plan Medicare: $7.77 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $10.88 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $11.34 Health Net of CA — Health Net Of CA Commercial PPO: $10.92 Health Net of CA — Health Net Of CA Medi-Cal: $8.29
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hc Complete Cbc	$360	$6	$6.47 – $360
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $8.27 Blue Shield Of CA — Blue Shield Of VA: $6.47 Brand New Day — Brand New Day Exchange: $9.71 Brand New Day — Brand New Day Medicare: $6.53 Caloptima — Caloptima Medi-Cal IP: $6.55 Central Health Plan — Central Health Plan Medicare: $6.47 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $9.06 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $9.45 Health Net of CA — Health Net Of CA Commercial PPO: $9.10 Health Net of CA — Health Net Of CA Medi-Cal: $7.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hc Prothrombin Time	$261.41	$4	$4 – $261.41
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $5.48 Blue Shield Of CA — Blue Shield Of VA: $4.29 Brand New Day — Brand New Day Exchange: $6.44 Brand New Day — Brand New Day Medicare: $4.33 Caloptima — Caloptima Medi-Cal IP: $4 Central Health Plan — Central Health Plan Medicare: $4.29 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $6.01 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $6.26 Health Net of CA — Health Net Of CA Commercial PPO: $6.03 Health Net of CA — Health Net Of CA Medi-Cal: $4.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hc Thromboplas Time Partial	$305.91	$6	$6.01 – $305.91
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $7.68 Blue Shield Of CA — Blue Shield Of VA: $6.01 Brand New Day — Brand New Day Exchange: $9.02 Brand New Day — Brand New Day Medicare: $6.07 Caloptima — Caloptima Medi-Cal IP: $6.13 Central Health Plan — Central Health Plan Medicare: $6.01 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $8.41 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $8.77 Health Net of CA — Health Net Of CA Commercial PPO: $8.45 Health Net of CA — Health Net Of CA Medi-Cal: $6.56

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: Hc Ct Scan,Head/Brain,W/O Contrast Matl	$5,370	$133	$94.42 – $5,370
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $170.97 Blue Shield Of CA — Blue Shield Of VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 Caloptima — Caloptima Medi-Cal IP: $94.42 Central Health Plan — Central Health Plan Medicare: $133.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $187.32 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $195.35 Health Net of CA — Health Net Of CA Commercial PPO: $188.12 Health Net of CA — Health Net Of CA Medi-Cal: $101.03
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hc Mri Brain Combo	$9,097.01	$446	$316.79 – $9,097.01
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $570.55 Blue Shield Of CA — Blue Shield Of VA: $446.50 Brand New Day — Brand New Day Exchange: $669.75 Brand New Day — Brand New Day Medicare: $450.97 Caloptima — Caloptima Medi-Cal IP: $316.79 Central Health Plan — Central Health Plan Medicare: $446.50 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $625.10 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $651.89 Health Net of CA — Health Net Of CA Commercial PPO: $627.78 Health Net of CA — Health Net Of CA Medi-Cal: $338.97
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hc Chest X-Ray 2 Vw	$879.30	$111	$18.13 – $879.30
Chest X-ray, 2 views: 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $142.31 Blue Shield Of CA — Blue Shield Of VA: $111.37 Brand New Day — Brand New Day Exchange: $167.06 Brand New Day — Brand New Day Medicare: $112.48 Caloptima — Caloptima Medi-Cal IP: $18.13 Central Health Plan — Central Health Plan Medicare: $111.37 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $155.92 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $162.60 Health Net of CA — Health Net Of CA Commercial PPO: $156.59 Health Net of CA — Health Net Of CA Medi-Cal: $19.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hc X-Ray Lumbar Spine 4 Vw	$1,494.66	$133	$43.40 – $1,494.66
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $170.97 Blue Shield Of CA — Blue Shield Of VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 Caloptima — Caloptima Medi-Cal IP: $43.40 Central Health Plan — Central Health Plan Medicare: $133.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $187.32 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $195.35 Health Net of CA — Health Net Of CA Commercial PPO: $188.12 Health Net of CA — Health Net Of CA Medi-Cal: $46.44
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hc Mri, Lumbar Spine	$6,212.50	$305	$181.42 – $6,212.50
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $390.22 Blue Shield Of CA — Blue Shield Of VA: $305.38 Brand New Day — Brand New Day Exchange: $458.07 Brand New Day — Brand New Day Medicare: $308.43 Caloptima — Caloptima Medi-Cal IP: $181.42 Central Health Plan — Central Health Plan Medicare: $305.38 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $427.53 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $445.85 Health Net of CA — Health Net Of CA Commercial PPO: $429.36 Health Net of CA — Health Net Of CA Medi-Cal: $194.12
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hc Ct Scan Of Pelvis Contrast	$5,082.28	$224	$222.88 – $5,082.28
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $286.85 Blue Shield Of CA — Blue Shield Of VA: $224.48 Brand New Day — Brand New Day Exchange: $336.72 Brand New Day — Brand New Day Medicare: $226.72 Caloptima — Caloptima Medi-Cal IP: $222.88 Central Health Plan — Central Health Plan Medicare: $224.48 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $314.27 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $327.74 Health Net of CA — Health Net Of CA Commercial PPO: $315.62 Health Net of CA — Health Net Of CA Medi-Cal: $238.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hc Mri Lower Extrem Jt, W/O Contrast	$6,090.54	$305	$206.20 – $6,090.54
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $390.22 Blue Shield Of CA — Blue Shield Of VA: $305.38 Brand New Day — Brand New Day Exchange: $458.07 Brand New Day — Brand New Day Medicare: $308.43 Caloptima — Caloptima Medi-Cal IP: $206.20 Central Health Plan — Central Health Plan Medicare: $305.38 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $427.53 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $445.85 Health Net of CA — Health Net Of CA Commercial PPO: $429.36 Health Net of CA — Health Net Of CA Medi-Cal: $220.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hc Ct Scan Abdomen/Pelvis W Contrast	$9,123.98	$446	$202.90 – $9,123.98
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $570.55 Blue Shield Of CA — Blue Shield Of VA: $446.50 Brand New Day — Brand New Day Exchange: $669.75 Brand New Day — Brand New Day Medicare: $450.97 Caloptima — Caloptima Medi-Cal IP: $202.90 Central Health Plan — Central Health Plan Medicare: $446.50 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $625.10 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $651.89 Health Net of CA — Health Net Of CA Commercial PPO: $627.78 Health Net of CA — Health Net Of CA Medi-Cal: $217.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hc Us, Abdom,B-Scan &/Or Real Time,Complete	$2,441.38	$133	$82.35 – $2,441.38
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $170.97 Blue Shield Of CA — Blue Shield Of VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 Caloptima — Caloptima Medi-Cal IP: $82.35 Central Health Plan — Central Health Plan Medicare: $133.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $187.32 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $195.35 Health Net of CA — Health Net Of CA Commercial PPO: $188.12 Health Net of CA — Health Net Of CA Medi-Cal: $88.11
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hc Us, Ob >/= 14 Wks, Sngl Fetus	$1,553	$133	$90.65 – $1,553
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $170.97 Blue Shield Of CA — Blue Shield Of VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 Caloptima — Caloptima Medi-Cal IP: $90.65 Central Health Plan — Central Health Plan Medicare: $133.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $187.32 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $195.35 Health Net of CA — Health Net Of CA Commercial PPO: $188.12 Health Net of CA — Health Net Of CA Medi-Cal: $97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hc Ultrasound,Transvaginal	$1,709.31	$133	$70.84 – $1,709.31
Transvaginal ultrasound: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $170.97 Blue Shield Of CA — Blue Shield Of VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 Caloptima — Caloptima Medi-Cal IP: $70.84 Central Health Plan — Central Health Plan Medicare: $133.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $187.32 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $195.35 Health Net of CA — Health Net Of CA Commercial PPO: $188.12 Health Net of CA — Health Net Of CA Medi-Cal: $75.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Hc Mammography; Unilateral	$743.80	$101	$84.30 – $743.80
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $130.04 Blue Shield Of CA — Blue Shield Of VA: $101.77 Brand New Day — Brand New Day Exchange: $152.66 Brand New Day — Brand New Day Medicare: $102.79 Caloptima — Caloptima Medi-Cal IP: $84.30 Central Health Plan — Central Health Plan Medicare: $101.77 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $142.48 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $148.58 Health Net of CA — Health Net Of CA Commercial PPO: $143.09 Health Net of CA — Health Net Of CA Medi-Cal: $90.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hc Mammography; Bilateral	$906.90	$130	$108.06 – $906.90
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $166.68 Blue Shield Of CA — Blue Shield Of VA: $130.44 Brand New Day — Brand New Day Exchange: $195.66 Brand New Day — Brand New Day Medicare: $131.74 Caloptima — Caloptima Medi-Cal IP: $108.06 Central Health Plan — Central Health Plan Medicare: $130.44 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $182.62 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $190.44 Health Net of CA — Health Net Of CA Commercial PPO: $183.40 Health Net of CA — Health Net Of CA Medi-Cal: $115.62
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hc Mammogram, Screening	$506.25	$107	$88.39 – $506.25
Screening mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $137.62 Blue Shield Of CA — Blue Shield Of VA: $107.70 Brand New Day — Brand New Day Exchange: $161.55 Brand New Day — Brand New Day Medicare: $108.78 Caloptima — Caloptima Medi-Cal IP: $88.39 Central Health Plan — Central Health Plan Medicare: $107.70 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $150.78 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $157.24 Health Net of CA — Health Net Of CA Commercial PPO: $151.43 Health Net of CA — Health Net Of CA Medi-Cal: $94.58

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: Hc Left Heart Cath Inj Vetriculography, Rs/I	$15,281.80	$4,149	$549.26 – $15,281.80
Left heart catheterization (diagnostic): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $5,302.01 Blue Shield Of CA — Blue Shield Of VA: $4,149.23 Brand New Day — Brand New Day Exchange: $6,223.85 Brand New Day — Brand New Day Medicare: $4,190.72 Caloptima — Caloptima Medi-Cal IP: $549.26 Central Health Plan — Central Health Plan Medicare: $4,149.23 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $5,808.92 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $6,057.88 Health Net of CA — Health Net Of CA Commercial PPO: $5,833.82 Health Net of CA — Health Net Of CA Medi-Cal: $587.71
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Hc Electrophys Ev,R A-V Pace/Rec,W/ Induct	$23,175.70	$9,982	$256.67 – $23,175.70
Heart rhythm study (electrophysiology evaluation): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $12,755.94 Blue Shield Of CA — Blue Shield Of VA: $9,982.51 Brand New Day — Brand New Day Exchange: $14,973.77 Brand New Day — Brand New Day Medicare: $10,082.34 Caloptima — Caloptima Medi-Cal IP: $256.67 Central Health Plan — Central Health Plan Medicare: $9,982.51 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $13,975.51 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $14,574.46 Health Net of CA — Health Net Of CA Commercial PPO: $14,035.41 Health Net of CA — Health Net Of CA Medi-Cal: $274.64
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein	$43,086.70	$33,452	$880.47 – $43,086.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $42,747.11 Blue Shield Of CA — Blue Shield Of VA: $33,452.92 Brand New Day — Brand New Day Exchange: $43,086.70 Brand New Day — Brand New Day Medicare: $33,787.45 Caloptima — Caloptima Medi-Cal IP: $880.47 Central Health Plan — Central Health Plan Medicare: $33,452.92 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $43,086.70 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $43,086.70 Health Net of CA — Health Net Of CA Commercial PPO: $43,086.70 Health Net of CA — Health Net Of CA Medi-Cal: $942.10
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$4,687.20	$1,099	$274.60 – $4,687.20
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,404.42 Blue Shield Of CA — Blue Shield Of VA: $1,099.07 Brand New Day — Brand New Day Exchange: $1,648.61 Brand New Day — Brand New Day Medicare: $1,110.06 Caloptima — Caloptima Medi-Cal IP: $274.60 Central Health Plan — Central Health Plan Medicare: $1,099.07 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,538.70 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,604.64 Health Net of CA — Health Net Of CA Commercial PPO: $1,545.29 Health Net of CA — Health Net Of CA Medi-Cal: $293.82

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: Hc Therapeutic Exercises Complex, Ea 15 Min	$169.60	$32	$9.14 – $309
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $40.98 Blue Shield Of CA — Blue Shield Of VA: $32.07 Brand New Day — Brand New Day Exchange: $48.11 Brand New Day — Brand New Day Medicare: $32.39 Caloptima — Caloptima Medi-Cal IP: $9.14 Central Health Plan — Central Health Plan Medicare: $32.07 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $44.90 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $46.82 Health Net of CA — Health Net Of CA Commercial PPO: $45.09 Health Net of CA — Health Net Of CA Medi-Cal: $9.78
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Therapeutic Exercises, Ea 15 Min	$309	$32	$9.14 – $309
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $40.98 Blue Shield Of CA — Blue Shield Of VA: $32.07 Brand New Day — Brand New Day Exchange: $48.11 Brand New Day — Brand New Day Medicare: $32.39 Caloptima — Caloptima Medi-Cal IP: $9.14 Central Health Plan — Central Health Plan Medicare: $32.07 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $44.90 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $46.82 Health Net of CA — Health Net Of CA Commercial PPO: $45.09 Health Net of CA — Health Net Of CA Medi-Cal: $9.78
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Low Complexity, 20 Min	$693.54	$108	$108.30 – $693.54
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $138.39 Blue Shield Of CA — Blue Shield Of VA: $108.30 Brand New Day — Brand New Day Exchange: $162.45 Brand New Day — Brand New Day Medicare: $109.38 Central Health Plan — Central Health Plan Medicare: $108.30 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $151.62 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $158.12 Health Net of CA — Health Net Of CA Commercial PPO: $152.27 Health Net of CA — Health Net Of CA Medicare: $108.30 Health Net of CA — Health Net of CA Tricare: $108.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Moderate Complexity, 30 Min	$954.56	$108	$108.31 – $954.56
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $138.40 Blue Shield Of CA — Blue Shield Of VA: $108.31 Brand New Day — Brand New Day Exchange: $162.47 Brand New Day — Brand New Day Medicare: $109.39 Central Health Plan — Central Health Plan Medicare: $108.31 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $151.63 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $158.13 Health Net of CA — Health Net Of CA Commercial PPO: $152.28 Health Net of CA — Health Net Of CA Medicare: $108.31 Health Net of CA — Health Net of CA Tricare: $108.31
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, High Complexity, 45 Min	$1,310.93	$108	$108.32 – $1,310.93
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $138.41 Blue Shield Of CA — Blue Shield Of VA: $108.32 Brand New Day — Brand New Day Exchange: $162.48 Brand New Day — Brand New Day Medicare: $109.40 Caloptima — Caloptima Medi-Cal IP: $135.56 Central Health Plan — Central Health Plan Medicare: $108.32 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $151.65 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $158.15 Health Net of CA — Health Net Of CA Commercial PPO: $152.30 Health Net of CA — Health Net Of CA Medi-Cal: $145.05
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Hc Psytx Pt&/Family 30 Minutes	$849.49	$227	$18.98 – $849.49
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $290.27 Blue Shield Of CA — Blue Shield Of VA: $73.17 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 Caloptima — Caloptima Medi-Cal IP: $18.98 Central Health Plan — Central Health Plan Medicare: $227.16 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $318.02 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $331.65 Health Net of CA — Health Net Of CA Commercial PPO: $319.39 Health Net of CA — Health Net Of CA Medi-Cal: $20.31
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Hc Psychotherapy Patient &/ Family 45 Minutes	$849.49	$227	$67.16 – $849.49
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $290.27 Blue Shield Of CA — Blue Shield Of VA: $97.02 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 Caloptima — Caloptima Medi-Cal IP: $67.16 Central Health Plan — Central Health Plan Medicare: $227.16 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $318.02 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $331.65 Health Net of CA — Health Net Of CA Commercial PPO: $319.39 Health Net of CA — Health Net Of CA Medi-Cal: $71.86
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Hc Psychotherapy W/Patient 60 Minutes	$577.60	$227	$38.01 – $577.60
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $290.27 Blue Shield Of CA — Blue Shield Of VA: $142.58 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 Caloptima — Caloptima Medi-Cal IP: $38.01 Central Health Plan — Central Health Plan Medicare: $227.16 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $318.02 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $331.65 Health Net of CA — Health Net Of CA Commercial PPO: $319.39 Health Net of CA — Health Net Of CA Medi-Cal: $40.67
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/O Patient	$620	$227	$51 – $620
Family psychotherapy, without the patient: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $290.27 Blue Shield Of CA — Blue Shield Of VA: $104.88 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 Caloptima — Caloptima Medi-Cal IP: $51 Central Health Plan — Central Health Plan Medicare: $227.16 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $318.02 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $331.65 Health Net of CA — Health Net Of CA Commercial PPO: $319.39 Health Net of CA — Health Net Of CA Medi-Cal: $54.57
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/Patient	$620	$227	$51 – $620
Family psychotherapy, with the patient: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $290.27 Blue Shield Of CA — Blue Shield Of VA: $109.42 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 Caloptima — Caloptima Medi-Cal IP: $51 Central Health Plan — Central Health Plan Medicare: $227.16 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $318.02 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $331.65 Health Net of CA — Health Net Of CA Commercial PPO: $319.39 Health Net of CA — Health Net Of CA Medi-Cal: $54.57
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy Iop	$442.24	$130	$20.77 – $442.24
Group psychotherapy: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $166.14 Blue Shield Of CA — Blue Shield Of VA: $25.70 Brand New Day — Brand New Day Exchange: $195.03 Brand New Day — Brand New Day Medicare: $131.32 Caloptima — Caloptima Medi-Cal IP: $20.77 Central Health Plan — Central Health Plan Medicare: $130.02 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $182.03 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $189.83 Health Net of CA — Health Net Of CA Commercial PPO: $182.81 Health Net of CA — Health Net Of CA Medi-Cal: $22.22
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy	$262	$130	$20.77 – $442.24
Group psychotherapy: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $166.14 Blue Shield Of CA — Blue Shield Of VA: $25.70 Brand New Day — Brand New Day Exchange: $195.03 Brand New Day — Brand New Day Medicare: $131.32 Caloptima — Caloptima Medi-Cal IP: $20.77 Central Health Plan — Central Health Plan Medicare: $130.02 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $182.03 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $189.83 Health Net of CA — Health Net Of CA Commercial PPO: $182.81 Health Net of CA — Health Net Of CA Medi-Cal: $22.22

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee Arthroscopy/Surgery	$8,373.22	$4,187	$790.35 – $8,373.22
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $5,351.18 Blue Shield Of CA — Blue Shield Of VA: $4,187.71 Brand New Day — Brand New Day Exchange: $6,281.57 Brand New Day — Brand New Day Medicare: $4,229.59 Caloptima — Caloptima Medi-Cal IP: $790.35 Central Health Plan — Central Health Plan Medicare: $4,187.71 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $5,862.79 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $6,114.06 Health Net of CA — Health Net Of CA Commercial PPO: $5,887.92 Health Net of CA — Health Net Of CA Medi-Cal: $845.67
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Diagnostic	$6,196.80	$1,160	$321.48 – $6,196.80
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,483.32 Blue Shield Of CA — Blue Shield Of VA: $1,160.81 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Day Medicare: $1,172.42 Caloptima — Caloptima Medi-Cal IP: $321.48 Central Health Plan — Central Health Plan Medicare: $1,160.81 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,625.13 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,694.78 Health Net of CA — Health Net Of CA Commercial PPO: $1,632.10 Health Net of CA — Health Net Of CA Medi-Cal: $343.98
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Biopsy Single/Multiple	$6,016.31	$1,160	$335.91 – $6,016.31
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,483.32 Blue Shield Of CA — Blue Shield Of VA: $1,160.81 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Day Medicare: $1,172.42 Caloptima — Caloptima Medi-Cal IP: $335.91 Central Health Plan — Central Health Plan Medicare: $1,160.81 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,625.13 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,694.78 Health Net of CA — Health Net Of CA Commercial PPO: $1,632.10 Health Net of CA — Health Net Of CA Medi-Cal: $359.42
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071	$6,056.63	$1,190	$423.48 – $6,238.32
Colonoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,520.90 Blue Shield Of CA — Blue Shield Of VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 Caloptima — Caloptima Medi-Cal IP: $423.48 Central Health Plan — Central Health Plan Medicare: $1,190.22 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,666.31 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,737.72 Health Net of CA — Health Net Of CA Commercial PPO: $1,673.45 Health Net of CA — Health Net Of CA Medi-Cal: $453.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Diagnostic	$6,238.32	$1,190	$423.48 – $6,238.32
Colonoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,520.90 Blue Shield Of CA — Blue Shield Of VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 Caloptima — Caloptima Medi-Cal IP: $423.48 Central Health Plan — Central Health Plan Medicare: $1,190.22 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,666.31 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,737.72 Health Net of CA — Health Net Of CA Commercial PPO: $1,673.45 Health Net of CA — Health Net Of CA Medi-Cal: $453.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068	$6,056.63	$1,190	$423.48 – $6,238.32
Colonoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,520.90 Blue Shield Of CA — Blue Shield Of VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 Caloptima — Caloptima Medi-Cal IP: $423.48 Central Health Plan — Central Health Plan Medicare: $1,190.22 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,666.31 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,737.72 Health Net of CA — Health Net Of CA Commercial PPO: $1,673.45 Health Net of CA — Health Net Of CA Medi-Cal: $453.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Biopsy	$7,892.25	$1,531	$473.68 – $7,892.25
Colonoscopy with biopsy: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,957.05 Blue Shield Of CA — Blue Shield Of VA: $1,531.54 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Day Medicare: $1,546.86 Caloptima — Caloptima Medi-Cal IP: $473.68 Central Health Plan — Central Health Plan Medicare: $1,531.54 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $2,144.16 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $2,236.05 Health Net of CA — Health Net Of CA Commercial PPO: $2,153.35 Health Net of CA — Health Net Of CA Medi-Cal: $506.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Remv Lesn,Snare	$7,892.25	$1,531	$574.08 – $7,892.25
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,957.05 Blue Shield Of CA — Blue Shield Of VA: $1,531.54 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Day Medicare: $1,546.86 Caloptima — Caloptima Medi-Cal IP: $574.08 Central Health Plan — Central Health Plan Medicare: $1,531.54 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $2,144.16 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $2,236.05 Health Net of CA — Health Net Of CA Commercial PPO: $2,153.35 Health Net of CA — Health Net Of CA Medi-Cal: $614.27
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Hc Colonoscopy Flex Endoscope Us	$3,763.80	$1,531	$169.77 – $3,763.80
Ultrasound of the lower bowel by endoscope: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,957.05 Blue Shield Of CA — Blue Shield Of VA: $1,531.54 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Day Medicare: $1,546.86 Caloptima — Caloptima Medi-Cal IP: $169.77 Central Health Plan — Central Health Plan Medicare: $1,531.54 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $2,144.16 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $2,236.05 Health Net of CA — Health Net Of CA Commercial PPO: $2,153.35 Health Net of CA — Health Net Of CA Medi-Cal: $181.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - G0121 - 75000071	$6,056.63	$1,190	$1,190.22 – $6,056.63
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,520.90 Blue Shield Of CA — Blue Shield Of VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 Central Health Plan — Central Health Plan Medicare: $1,190.22 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,666.31 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,737.72 Health Net of CA — Health Net Of CA Commercial PPO: $1,673.45 Health Net of CA — Health Net Of CA Medicare: $1,190.22 Health Net of CA — Health Net of CA Tricare: $1,190.22
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Hc Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible	$6,790.65	$4,582	$493.45 – $6,790.65
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $5,855.56 Blue Shield Of CA — Blue Shield Of VA: $4,582.43 Brand New Day — Brand New Day Exchange: $6,790.65 Brand New Day — Brand New Day Medicare: $4,628.25 Caloptima — Caloptima Medi-Cal IP: $493.45 Central Health Plan — Central Health Plan Medicare: $4,582.43 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $6,415.40 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $6,690.35 Health Net of CA — Health Net Of CA Commercial PPO: $6,442.90 Health Net of CA — Health Net Of CA Medi-Cal: $527.99
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Hc Biopsy Of Prostate,Needle/Punch	$1,850.94	$2,566	$555.28 – $1,850.94
Prostate biopsy: 10 of 23 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,850.94 Blue Shield Of CA — Blue Shield Of VA: $1,850.94 Brand New Day — Brand New Day Exchange: $1,850.94 Brand New Day — Brand New Day Medicare: $1,850.94 Central Health Plan — Central Health Plan Medicare: $1,850.94 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,850.94 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,850.94 Health Net of CA — Health Net Of CA Commercial PPO: $1,850.94 Health Net of CA — Health Net Of CA Medicare: $1,850.94 Health Net of CA — Health Net of CA Tricare: $1,850.94
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img - 62323 - 36100565	$3,756.76	$903	$220.03 – $3,756.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,154.43 Blue Shield Of CA — Blue Shield Of VA: $903.43 Brand New Day — Brand New Day Exchange: $1,355.15 Brand New Day — Brand New Day Medicare: $912.46 Caloptima — Caloptima Medi-Cal IP: $220.03 Central Health Plan — Central Health Plan Medicare: $903.43 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,264.80 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,319.01 Health Net of CA — Health Net Of CA Commercial PPO: $1,270.22 Health Net of CA — Health Net Of CA Medi-Cal: $235.43
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,789.50	$1,132	$205.61 – $1,789.50
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $1,446.50 Blue Shield Of CA — Blue Shield Of VA: $1,132 Brand New Day — Brand New Day Exchange: $1,698 Brand New Day — Brand New Day Medicare: $1,143.32 Caloptima — Caloptima Medi-Cal IP: $205.61 Central Health Plan — Central Health Plan Medicare: $1,132 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $1,584.80 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,652.72 Health Net of CA — Health Net Of CA Commercial PPO: $1,591.59 Health Net of CA — Health Net Of CA Medi-Cal: $220
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Hc Cataract Secondary Discission (Yag Laser)	$2,218.15	$703	$267.01 – $2,218.15
Laser treatment of clouding after cataract surgery: 10 of 27 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $899.48 Blue Shield Of CA — Blue Shield Of VA: $703.91 Brand New Day — Brand New Day Exchange: $1,055.87 Brand New Day — Brand New Day Medicare: $710.95 Caloptima — Caloptima Medi-Cal IP: $267.01 Central Health Plan — Central Health Plan Medicare: $703.91 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $985.47 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,027.71 Health Net of CA — Health Net Of CA Commercial PPO: $989.70 Health Net of CA — Health Net Of CA Medi-Cal: $285.70

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	$92,265	$48,150 – $178,792.65
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $139,204.76 Blue Shield Of CA — Blue Shield Of VA: $92,265.87 Brand New Day — Brand New Day Medicare: $93,188.56 Central Health Plan — Central Health Plan Medicare: $92,265.90 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $119,945.63 Health Net of CA — Health Net Of CA Commercial: $167,185.76 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $134,708.17 Health Net of CA — Health Net Of CA Commercial PPO: $129,725.81 Health Net of CA — Health Net Of CA Medicare: $92,265.90 Health Net of CA — Health Net of CA Tricare: $92,265.87
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$52,465.87
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Aetna — Aetna Coventry Workers Compensation: $52,465.87
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	$18,536	$7,650 – $34,930.06
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $26,989.54 Blue Shield Of CA — Blue Shield Of VA: $18,536.79 Brand New Day — Brand New Day Medicare: $18,722.17 Central Health Plan — Central Health Plan Medicare: $18,536.80 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $24,097.83 Health Net of CA — Health Net Of CA Commercial: $33,588.66 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $27,063.71 Health Net of CA — Health Net Of CA Commercial PPO: $26,062.73 Health Net of CA — Health Net Of CA Medicare: $18,536.80 Health Net of CA — Health Net of CA Tricare: $18,536.79
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	$23,346	$7,200 – $43,857.56
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $35,292.80 Blue Shield Of CA — Blue Shield Of VA: $23,346.98 Brand New Day — Brand New Day Medicare: $23,580.47 Central Health Plan — Central Health Plan Medicare: $23,347 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $30,351.07 Health Net of CA — Health Net Of CA Commercial: $42,304.73 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $34,086.59 Health Net of CA — Health Net Of CA Commercial PPO: $32,825.85 Health Net of CA — Health Net Of CA Medicare: $23,347 Health Net of CA — Health Net of CA Tricare: $23,346.98
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	$12,076	$6,750 – $26,193.65
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates Aetna — Aetna Coventry Workers Compensation: $16,666.76 Blue Shield Of CA — Blue Shield Of VA: $12,076.26 Brand New Day — Brand New Day Medicare: $12,197.06 Central Health Plan — Central Health Plan Medicare: $12,076.30 Employer Direct Healthcare — Employer Direct Healthcare Commercial: $15,699.14 Health Net of CA — Health Net Of CA Commercial: $21,882.18 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $17,631.34 Health Net of CA — Health Net Of CA Commercial PPO: $16,979.22 Health Net of CA — Health Net Of CA Medicare: $12,076.30 Health Net of CA — Health Net of CA Tricare: $12,076.26

Source: Garden Grove Hospital & Medical Center’s standard charges file (gardengrovehospital.com, 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.

Hospital information

Hospital type	Acute Care Hospital
Address	12601 Garden Grove Blvd, Garden Grove, CA 92843
County	Orange County
State	California
Phone	(714) 537‑5160
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
CMS Certification Number	050230
Name in Medicare records	GARDEN GROVE HOSPITAL & MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	gardengrovehospital.com
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.

About Us - Garden Grove Hospital Medical Center — gardengrovehospital.com
Trusted Care in Orange County | Garden Grove Hospital — gardengrovehospital.com
24/7 Emergency Care Near You - Emergency Department — gardengrovehospital.com
Geriatric Emergency Care | Garden Grove Senior ER — gardengrovehospital.com
Patients & Visitors Info | Garden Grove Hospital Guide — gardengrovehospital.com
Wound Care Center | Garden Grove Hospital Healing — gardengrovehospital.com
Joint Replacement Care | Garden Grove Hospital Orthopedics — gardengrovehospital.com
Community Health Services | Garden Grove Hospital — gardengrovehospital.com
Other Medical Services | Garden Grove Hospital Care — gardengrovehospital.com
A Special Edition of MORNING CONNECT: EMERGENCY PREPAREDNESS WORKSHOP Thursday, October 29, 2026 I 8:30 AM - 12:00 PM - — gardengrovehospital.com
Awards & Recognitions | Garden Grove Hospital — gardengrovehospital.com