Does Glendora Hospital have an emergency room?

Medicare (CMS) data does not list emergency services at Glendora Hospital. The closest hospitals that do: Emanate Health Foothill Presbyterian Hospital (0.5 mi), Aurora Charter Oak (2.0 mi) and San Dimas Community Hospital (2.7 mi). In a medical emergency, call 911.

Where is Glendora Hospital?

150 West Route 66, Glendora, CA 91740, in Los Angeles County, California.

What is the phone number of Glendora Hospital?

(626) 852-5050, as listed by Medicare (CMS).

What is the Medicare star rating of Glendora Hospital?

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

Glendora Hospital — Phone, Address, ER & Ratings

Quick answers

Does Glendora Hospital have an emergency room?: Medicare (CMS) data does not list emergency services at Glendora Hospital. The closest hospitals that do: Emanate Health Foothill Presbyterian Hospital (0.5 mi), Aurora Charter Oak (2.0 mi) and San Dimas Community Hospital (2.7 mi). In a medical emergency, call 911.
Where is Glendora Hospital?: 150 West Route 66, Glendora, CA 91740, in Los Angeles County, California.
What is the phone number of Glendora Hospital?: (626) 852-5050, as listed by Medicare (CMS).
What is the Medicare star rating of Glendora Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][6][7]

Treatments^[6][7]

Medication stabilization and management
Crisis intervention and stabilization
Recreational therapy
Individual therapy
Group therapy
Substance abuse education and support

Procedures^[6][7]

Psychiatric assessment and diagnosis
Psychiatric evaluation

Programs and centers^[4][5][6][7]

Inpatient hospitalization
Partial hospitalization
Adult behavioral health program (age 18 and older)
Case management and discharge planning

Nearest emergency rooms

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

Emanate Health Foothill Presbyterian Hospital0.5 mi · Glendora, CA · Acute Care Hospital
Aurora Charter Oak2.0 mi · Covina, CA · Psychiatric Hospital
San Dimas Community Hospital2.7 mi · San Dimas, CA · Acute Care Hospital
Emanate Health Inter-Community Hospital3.1 mi · Covina, CA · Acute Care Hospital
Pomona Valley Hospital Medical Center7.3 mi · Pomona, CA · Acute Care Hospital

Find the closest emergency room to where you are →

Other hospitals near Glendora

City of Hope Helford Clinical Research Hospital6.1 mi · Duarte, CA · Dedicated Cancer Care Hospital
Casa Colina Hospital7.2 mi · Pomona, CA · Acute Care Hospital

All hospitals in Glendora · Hospitals in Los Angeles County · Hospitals near me

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

Mesa Glen Care Center0.3 mi · Glendora, CA
Glendora Canyon Transitional Care Unit0.4 mi · Glendora, CA · 2 of 5 stars
Gladstone Sub-Acute and Rehab Center1.1 mi · Glendora, CA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Alpha Hospice Services, Inc.0.9 mi · Glendora, CA
Capital Hospice Services0.9 mi · Glendora, CA
Care Unlimited Hospice Services, Inc.0.9 mi · Glendora, CA

All hospice providers in the state →

Home health agencies

Accu - Rite Health Services, Inc0.9 mi · Glendora, CA · 2.5 of 5 stars
Advent Home Health Care Services, Inc0.9 mi · Glendora, CA
Cali Express Home Health Care, Inc.0.9 mi · Glendora, CA

All home health agencies in the state →

Dialysis facilities

DaVita Glendora Foothills Dialysis0.9 mi · Glendora, CA · 4 of 5 stars
Mohan Dialysis Center of Glendora0.9 mi · Glendora, CA · 3 of 5 stars
RAI - Foothill Blvd - Glendora0.9 mi · Glendora, CA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Glendora Digestive Disease Institute0.9 mi · Glendora, CA
Glendora Surgery Center3.0 mi · Glendora, CA
Covina Surgery Center, LLC3.3 mi · Covina, 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

Azusa Health Center2.4 mi · Azusa, CA · Community health center
EVCHC - Covina Health Center3.3 mi · Covina, CA · Community health center
AltaMed PACE - Covina3.6 mi · Covina, CA · Community health center

Clinics and urgent care

CVG Urgent Care and Infusion Center3.2 mi · Covina, CA · Urgent care center
Jose Gabriel Castellanos, MD, Inc.3.3 mi · Covina, CA · Urgent care center
Medcove Urgent Care, Apc3.5 mi · Covina, CA · Urgent care center

Pharmacies

Albertsons LLC0.9 mi · Glendora, CA · Community/retail pharmacy
Garfield Beach CVS LLC0.9 mi · Glendora, CA · Pharmacy
Get Well LLC0.9 mi · Glendora, CA · Community/retail pharmacy

Assisted living nearby

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

All Together Care0.9 mi · Glendora, CA
Bradford Residential Care Inc.0.9 mi · Glendora, CA
Carindale Residential Care0.9 mi · Glendora, CA
Clearwater at Glendora0.9 mi · Glendora, 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 Glendora Hospital 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.

Not reported to Medicare. The latest Medicare release has no patient survey, infection, complication, readmission or emergency room results for this hospital. This is common for small, specialty and psychiatric hospitals.

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 52 common services exactly as Glendora Hospital 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 52 common services

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) · Hospital (facility) fee In the file: FC - Clinic Level 3, New Patient	$225	$168.75	$57.20 – $191.25
New patient office visit (about 30–44 minutes): 10 of 48 insurance plan rates Accountable Healthcare IPA — Managed Care: $67.32 Accountable Healthcare IPA — MediCal Managed Care: $57.20 Accountable Healthcare IPA — Medicare Managed Care: $84.15 Aetna — Managed Care: $79.11 Aetna — Medicare Managed Care: $84.15 AltaMed — MediCal Managed Care: $57.20 AltaMed — Medicare Managed Care: $84.15 Anthem Blue Cross — MediCal Managed Care: $57.20 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $84.15 Benevolence Healthcare — Covered California: $84.15
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FC - Clinic Level 3, New Patient	$225	$168.75	$135 – $2,969
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $135
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Clinic Level 4, New Patient	$300	$225	$68.90 – $255
New patient office visit (about 45–59 minutes): 10 of 48 insurance plan rates Accountable Healthcare IPA — Managed Care: $109.92 Accountable Healthcare IPA — MediCal Managed Care: $68.90 Accountable Healthcare IPA — Medicare Managed Care: $137.40 Aetna — Managed Care: $133.70 Aetna — Medicare Managed Care: $137.40 AltaMed — MediCal Managed Care: $68.90 AltaMed — Medicare Managed Care: $137.40 Anthem Blue Cross — MediCal Managed Care: $68.90 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $137.40 Benevolence Healthcare — Covered California: $137.40
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FC - Clinic Level 4, New Patient	$300	$225	$180 – $2,969
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $180
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Clinic Level 5, New Patient	$300	$225	$82.70 – $261.74
New patient office visit (about 60–74 minutes): 10 of 48 insurance plan rates Accountable Healthcare IPA — Managed Care: $149.57 Accountable Healthcare IPA — MediCal Managed Care: $82.70 Accountable Healthcare IPA — Medicare Managed Care: $186.96 Aetna — Managed Care: $171.93 Aetna — Medicare Managed Care: $186.96 AltaMed — MediCal Managed Care: $82.70 AltaMed — Medicare Managed Care: $186.96 Anthem Blue Cross — MediCal Managed Care: $82.70 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $186.96 Benevolence Healthcare — Covered California: $186.96
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FC - Clinic Level 5, New Patient	$300	$225	$180 – $2,969
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $180
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Follow Up 20-29 min (Attending)	$180	$135	$24 – $153
Established patient office visit (about 20–29 minutes): 10 of 50 insurance plan rates Accountable Healthcare IPA — Managed Care: $54.45 Accountable Healthcare IPA — MediCal Managed Care: $24 Accountable Healthcare IPA — Medicare Managed Care: $68.06 Aetna — Managed Care: $52.30 Aetna — Medicare Managed Care: $68.06 AltaMed — MediCal Managed Care: $24 AltaMed — Medicare Managed Care: $68.06 Anthem Blue Cross — MediCal Managed Care: $24 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $68.06 Benevolence Healthcare — Covered California: $68.06
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Clinic Level 3, Established Patient	$185	$138.75	$24 – $157.25
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates Accountable Healthcare IPA — Managed Care: $54.45 Accountable Healthcare IPA — MediCal Managed Care: $24 Accountable Healthcare IPA — Medicare Managed Care: $68.06 Aetna — Managed Care: $52.30 Aetna — Medicare Managed Care: $68.06 AltaMed — MediCal Managed Care: $24 AltaMed — Medicare Managed Care: $68.06 Anthem Blue Cross — MediCal Managed Care: $24 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $68.06 Benevolence Healthcare — Covered California: $68.06
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Clinic Follow Up 20-29 min (Attending)	$180	$135	$108 – $2,969
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $108
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Follow Up 30-39 min (Attending)	$250	$187.50	$37.50 – $212.50
Established patient office visit (about 30–39 minutes): 10 of 50 insurance plan rates Accountable Healthcare IPA — Managed Care: $80.10 Accountable Healthcare IPA — MediCal Managed Care: $37.50 Accountable Healthcare IPA — Medicare Managed Care: $100.12 Aetna — Managed Care: $80.52 Aetna — Medicare Managed Care: $100.12 AltaMed — MediCal Managed Care: $37.50 AltaMed — Medicare Managed Care: $100.12 Anthem Blue Cross — MediCal Managed Care: $37.50 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $100.12 Benevolence Healthcare — Covered California: $100.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Clinic Level 4, Established Patient	$180	$135	$37.50 – $153
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates Accountable Healthcare IPA — Managed Care: $80.10 Accountable Healthcare IPA — MediCal Managed Care: $37.50 Accountable Healthcare IPA — Medicare Managed Care: $100.12 Aetna — Managed Care: $80.52 Aetna — Medicare Managed Care: $100.12 AltaMed — MediCal Managed Care: $37.50 AltaMed — Medicare Managed Care: $100.12 Anthem Blue Cross — MediCal Managed Care: $37.50 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $100.12 Benevolence Healthcare — Covered California: $100.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Clinic Follow Up 30-39 min (Attending)	$250	$187.50	$150 – $2,969
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $150
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Preventive Visit, New, Age 18-39	$300	$225	$86.79 – $255
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates Accountable Healthcare IPA — MediCal Managed Care: $114.10 Aetna — Managed Care: $86.79 AltaMed — MediCal Managed Care: $114.10 Anthem Blue Cross — MediCal Managed Care: $114.10 Benevolence Healthcare — MediCal Managed Care: $114.10 Blue Shield — MediCal Managed Care: $114.10 Brand New Day — MediCal Managed Care: $114.10 Care First — MediCal Managed Care: $114.10 Cigna — Managed Care: $180 DaVita Healthplan — Managed Care: $150
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FC - Preventive Visit, New, Age 18-39	$300	$225	$180 – $2,969
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $180
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Preventive Visit, New, Age 40-64	$300	$225	$90 – $255
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates Accountable Healthcare IPA — MediCal Managed Care: $132.20 Aetna — Managed Care: $106.52 AltaMed — MediCal Managed Care: $132.20 Anthem Blue Cross — MediCal Managed Care: $132.20 Benevolence Healthcare — MediCal Managed Care: $132.20 Blue Shield — MediCal Managed Care: $132.20 Brand New Day — MediCal Managed Care: $132.20 Care First — MediCal Managed Care: $132.20 Cigna — Managed Care: $180 DaVita Healthplan — Managed Care: $150
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FC - Preventive Visit, New, Age 40-64	$300	$225	$180 – $2,969
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $180
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3	$1,161	$870.75	$44.60 – $1,603
Emergency room visit (moderate): 10 of 58 insurance plan rates Accountable Healthcare IPA — Managed Care: $278.86 Accountable Healthcare IPA — MediCal Managed Care: $44.60 Accountable Healthcare IPA — Medicare Managed Care: $348.58 Aetna — Managed Care: $1,220 Aetna — Medicare Managed Care: $348.58 AltaMed — MediCal Managed Care: $348.58 AltaMed — Medicare Managed Care: $348.58 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,126 Anthem Blue Cross — MediCal Managed Care: $44.60 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $348.58
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 3	$1,161	$870.75	$696.60 – $2,969
Emergency room visit (moderate): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $696.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4	$1,935	$1,451.25	$60 – $3,220
Emergency room visit (moderately high): 10 of 58 insurance plan rates Accountable Healthcare IPA — Managed Care: $428.85 Accountable Healthcare IPA — MediCal Managed Care: $68.35 Accountable Healthcare IPA — Medicare Managed Care: $536.06 Aetna — Managed Care: $1,220 Aetna — Medicare Managed Care: $536.06 AltaMed — MediCal Managed Care: $536.06 AltaMed — Medicare Managed Care: $536.06 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,126 Anthem Blue Cross — MediCal Managed Care: $68.35 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $536.06
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 4	$1,935	$1,451.25	$1,161 – $2,969
Emergency room visit (moderately high): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $1,161
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5	$2,946	$2,209.50	$75 – $3,220
Emergency room visit (high): 10 of 58 insurance plan rates Accountable Healthcare IPA — Managed Care: $617.47 Accountable Healthcare IPA — MediCal Managed Care: $108.08 Accountable Healthcare IPA — Medicare Managed Care: $771.83 Aetna — Managed Care: $1,220 Aetna — Medicare Managed Care: $771.83 AltaMed — MediCal Managed Care: $771.83 AltaMed — Medicare Managed Care: $771.83 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,126 Anthem Blue Cross — MediCal Managed Care: $108.08 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $771.83
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 5	$2,946	$2,209.50	$1,700 – $2,969
Emergency room visit (high): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $1,767.60

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BMP	$11.54	$8.66	$5.77 – $42.30
Basic metabolic panel (blood test): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.77 Accountable Healthcare IPA — MediCal Managed Care: $7.27 Accountable Healthcare IPA — Medicare Managed Care: $8.46 Aetna — Managed Care: $12.04 Aetna — Medicare Managed Care: $8.46 AltaMed — MediCal Managed Care: $7.27 AltaMed — Medicare Managed Care: $8.46 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $25.08 Anthem Blue Cross — MediCal Managed Care: $7.27 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC - BMP	$11.54	$8.66	$5.77 – $42.30
Basic metabolic panel (blood test): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.77 Accountable Healthcare IPA — MediCal Managed Care: $7.27 Accountable Healthcare IPA — Medicare Managed Care: $8.46 Aetna — Managed Care: $12.04 Aetna — Medicare Managed Care: $8.46 AltaMed — MediCal Managed Care: $7.27 AltaMed — Medicare Managed Care: $8.46 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $25.08 Anthem Blue Cross — MediCal Managed Care: $7.27 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Basic Metabolic Panel	$11.97	$8.98	$5.99 – $42.30
Basic metabolic panel (blood test): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.77 Accountable Healthcare IPA — MediCal Managed Care: $7.27 Accountable Healthcare IPA — Medicare Managed Care: $8.46 Aetna — Managed Care: $12.04 Aetna — Medicare Managed Care: $8.46 AltaMed — MediCal Managed Care: $7.27 AltaMed — Medicare Managed Care: $8.46 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $25.08 Anthem Blue Cross — MediCal Managed Care: $7.27 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP	$14.41	$10.81	$7.21 – $52.80
Comprehensive metabolic panel (blood test): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $8.45 Accountable Healthcare IPA — MediCal Managed Care: $9.19 Accountable Healthcare IPA — Medicare Managed Care: $10.56 Aetna — Managed Care: $15.04 Aetna — Medicare Managed Care: $10.56 AltaMed — MediCal Managed Care: $9.19 AltaMed — Medicare Managed Care: $10.56 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $31.36 Anthem Blue Cross — MediCal Managed Care: $9.19 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC - CMP	$14.41	$10.81	$7.21 – $52.80
Comprehensive metabolic panel (blood test): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $8.45 Accountable Healthcare IPA — MediCal Managed Care: $9.19 Accountable Healthcare IPA — Medicare Managed Care: $10.56 Aetna — Managed Care: $15.04 Aetna — Medicare Managed Care: $10.56 AltaMed — MediCal Managed Care: $9.19 AltaMed — Medicare Managed Care: $10.56 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $31.36 Anthem Blue Cross — MediCal Managed Care: $9.19 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$14.41	$10.81	$7.21 – $52.80
Comprehensive metabolic panel (blood test): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $8.45 Accountable Healthcare IPA — MediCal Managed Care: $9.19 Accountable Healthcare IPA — Medicare Managed Care: $10.56 Aetna — Managed Care: $15.04 Aetna — Medicare Managed Care: $10.56 AltaMed — MediCal Managed Care: $9.19 AltaMed — Medicare Managed Care: $10.56 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $31.36 Anthem Blue Cross — MediCal Managed Care: $9.19 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Cholesterol Total (Lipid Panel)	$20.76	$15.57	$10.38 – $66.95
Cholesterol panel (lipid panel): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $10.71 Accountable Healthcare IPA — MediCal Managed Care: $11.54 Accountable Healthcare IPA — Medicare Managed Care: $13.39 Aetna — Managed Care: $19.06 Aetna — Medicare Managed Care: $13.39 AltaMed — MediCal Managed Care: $11.54 AltaMed — Medicare Managed Care: $13.39 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $39.68 Anthem Blue Cross — MediCal Managed Care: $11.54 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHX Cholesterol Total (Lipid Panel)	$20.76	$15.57	$12.46 – $2,969
Cholesterol panel (lipid panel): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $12.46
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Hepatic Function Panel (7)	$11.94	$8.96	$5.97 – $40.85
Liver function panel: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.54 Accountable Healthcare IPA — MediCal Managed Care: $6.38 Accountable Healthcare IPA — Medicare Managed Care: $8.17 Aetna — Managed Care: $11.63 Aetna — Medicare Managed Care: $8.17 AltaMed — MediCal Managed Care: $6.38 AltaMed — Medicare Managed Care: $8.17 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $24.22 Anthem Blue Cross — MediCal Managed Care: $6.38 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$11.14	$8.36	$5.57 – $40.85
Liver function panel: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.54 Accountable Healthcare IPA — MediCal Managed Care: $6.38 Accountable Healthcare IPA — Medicare Managed Care: $8.17 Aetna — Managed Care: $11.63 Aetna — Medicare Managed Care: $8.17 AltaMed — MediCal Managed Care: $6.38 AltaMed — Medicare Managed Care: $8.17 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $24.22 Anthem Blue Cross — MediCal Managed Care: $6.38 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHX Hepatic Function Panel (7)	$11.94	$8.96	$7.16 – $2,969
Liver function panel: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $7.16
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ZZZPHX Urinalysis Routine (w Micro)	$4.87	$3.65	$2.44 – $15.85
Urine test (automated, with microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $2.54 Accountable Healthcare IPA — MediCal Managed Care: $2.77 Accountable Healthcare IPA — Medicare Managed Care: $3.17 Aetna — Managed Care: $4.50 Aetna — Medicare Managed Care: $3.17 AltaMed — MediCal Managed Care: $2.77 AltaMed — Medicare Managed Care: $3.17 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $9.06 Anthem Blue Cross — MediCal Managed Care: $2.77 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Urinalysis, Complete	$17.05	$12.79	$2.54 – $15.85
Urine test (automated, with microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $2.54 Accountable Healthcare IPA — MediCal Managed Care: $2.77 Accountable Healthcare IPA — Medicare Managed Care: $3.17 Aetna — Managed Care: $4.50 Aetna — Medicare Managed Care: $3.17 AltaMed — MediCal Managed Care: $2.77 AltaMed — Medicare Managed Care: $3.17 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $9.06 Anthem Blue Cross — MediCal Managed Care: $2.77 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Microscopic	$4.15	$3.11	$2.08 – $15.85
Urine test (automated, with microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $2.54 Accountable Healthcare IPA — MediCal Managed Care: $2.77 Accountable Healthcare IPA — Medicare Managed Care: $3.17 Aetna — Managed Care: $4.50 Aetna — Medicare Managed Care: $3.17 AltaMed — MediCal Managed Care: $2.77 AltaMed — Medicare Managed Care: $3.17 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $9.06 Anthem Blue Cross — MediCal Managed Care: $2.77 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity, Urine	$3.49	$2.62	$1.75 – $17.40
Urine test (manual, without microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $2.78 Accountable Healthcare IPA — MediCal Managed Care: $2.15 Accountable Healthcare IPA — Medicare Managed Care: $3.48 Aetna — Managed Care: $3.64 Aetna — Medicare Managed Care: $3.48 AltaMed — MediCal Managed Care: $2.15 AltaMed — Medicare Managed Care: $3.48 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $7.04 Anthem Blue Cross — MediCal Managed Care: $2.15 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - Urine Dipstick	$11	$8.25	$2.15 – $17.40
Urine test (manual, without microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $2.78 Accountable Healthcare IPA — MediCal Managed Care: $2.15 Accountable Healthcare IPA — Medicare Managed Care: $3.48 Aetna — Managed Care: $3.64 Aetna — Medicare Managed Care: $3.48 AltaMed — MediCal Managed Care: $2.15 AltaMed — Medicare Managed Care: $3.48 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $7.04 Anthem Blue Cross — MediCal Managed Care: $2.15 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Specific Gravity, Urine	$3.49	$2.62	$2.09 – $2,969 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $2.09
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Macroscopic	$3.06	$2.30	$1.53 – $11.25
Urine test (automated, without microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $1.80 Accountable Healthcare IPA — MediCal Managed Care: $1.96 Accountable Healthcare IPA — Medicare Managed Care: $2.25 Aetna — Managed Care: $3.20 Aetna — Medicare Managed Care: $2.25 AltaMed — MediCal Managed Care: $1.96 AltaMed — Medicare Managed Care: $2.25 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $6.66 Anthem Blue Cross — MediCal Managed Care: $1.96 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC - Urinalysis Macroscopic	$3.06	$2.30	$1.53 – $11.25
Urine test (automated, without microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $1.80 Accountable Healthcare IPA — MediCal Managed Care: $1.96 Accountable Healthcare IPA — Medicare Managed Care: $2.25 Aetna — Managed Care: $3.20 Aetna — Medicare Managed Care: $2.25 AltaMed — MediCal Managed Care: $1.96 AltaMed — Medicare Managed Care: $2.25 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $6.66 Anthem Blue Cross — MediCal Managed Care: $1.96 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Urinalysis, Routine (w Micro)	$80	$60	$1.80 – $68
Urine test (automated, without microscope): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $1.80 Accountable Healthcare IPA — MediCal Managed Care: $1.96 Accountable Healthcare IPA — Medicare Managed Care: $2.25 Aetna — Managed Care: $3.20 Aetna — Medicare Managed Care: $2.25 AltaMed — MediCal Managed Care: $1.96 AltaMed — Medicare Managed Care: $2.25 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $6.66 Anthem Blue Cross — MediCal Managed Care: $1.96 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen	$25.09	$18.82	$12.55 – $91.95
PSA (prostate specific antigen) blood test: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $14.71 Accountable Healthcare IPA — MediCal Managed Care: $16.35 Accountable Healthcare IPA — Medicare Managed Care: $18.39 Aetna — Managed Care: $26.19 Aetna — Medicare Managed Care: $18.39 AltaMed — MediCal Managed Care: $16.35 AltaMed — Medicare Managed Care: $18.39 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $54.51 Anthem Blue Cross — MediCal Managed Care: $16.35 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total With Free PSA Reflex-ARUP	$25.50	$19.13	$12.75 – $91.95
PSA (prostate specific antigen) blood test: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $14.71 Accountable Healthcare IPA — MediCal Managed Care: $16.35 Accountable Healthcare IPA — Medicare Managed Care: $18.39 Aetna — Managed Care: $26.19 Aetna — Medicare Managed Care: $18.39 AltaMed — MediCal Managed Care: $16.35 AltaMed — Medicare Managed Care: $18.39 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $54.51 Anthem Blue Cross — MediCal Managed Care: $16.35 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prostate Specific Antigen	$25.09	$18.82	$15.05 – $2,969
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $15.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$22.93	$17.20	$11.47 – $84
Thyroid stimulating hormone (TSH) test: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $13.44 Accountable Healthcare IPA — MediCal Managed Care: $14.76 Accountable Healthcare IPA — Medicare Managed Care: $16.80 Aetna — Managed Care: $23.91 Aetna — Medicare Managed Care: $16.80 AltaMed — MediCal Managed Care: $14.76 AltaMed — Medicare Managed Care: $16.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $49.80 Anthem Blue Cross — MediCal Managed Care: $14.76 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC - TSH	$22.93	$17.20	$11.47 – $84
Thyroid stimulating hormone (TSH) test: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $13.44 Accountable Healthcare IPA — MediCal Managed Care: $14.76 Accountable Healthcare IPA — Medicare Managed Care: $16.80 Aetna — Managed Care: $23.91 Aetna — Medicare Managed Care: $16.80 AltaMed — MediCal Managed Care: $14.76 AltaMed — Medicare Managed Care: $16.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $49.80 Anthem Blue Cross — MediCal Managed Care: $14.76 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Thyroid Cascade Profile	$20.97	$15.73	$10.49 – $84
Thyroid stimulating hormone (TSH) test: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $13.44 Accountable Healthcare IPA — MediCal Managed Care: $14.76 Accountable Healthcare IPA — Medicare Managed Care: $16.80 Aetna — Managed Care: $23.91 Aetna — Medicare Managed Care: $16.80 AltaMed — MediCal Managed Care: $14.76 AltaMed — Medicare Managed Care: $16.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $49.80 Anthem Blue Cross — MediCal Managed Care: $14.76 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC	$10.61	$7.96	$5.31 – $38.85
Complete blood count (CBC) with differential: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.22 Accountable Healthcare IPA — MediCal Managed Care: $6.75 Accountable Healthcare IPA — Medicare Managed Care: $7.77 Aetna — Managed Care: $11.07 Aetna — Medicare Managed Care: $7.77 AltaMed — MediCal Managed Care: $6.75 AltaMed — Medicare Managed Care: $7.77 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $23.04 Anthem Blue Cross — MediCal Managed Care: $6.75 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC - CBC	$10.61	$7.96	$5.31 – $38.85
Complete blood count (CBC) with differential: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.22 Accountable Healthcare IPA — MediCal Managed Care: $6.75 Accountable Healthcare IPA — Medicare Managed Care: $7.77 Aetna — Managed Care: $11.07 Aetna — Medicare Managed Care: $7.77 AltaMed — MediCal Managed Care: $6.75 AltaMed — Medicare Managed Care: $7.77 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $23.04 Anthem Blue Cross — MediCal Managed Care: $6.75 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX CBC with Differential/Platelet	$85	$63.75	$6.22 – $72.25
Complete blood count (CBC) with differential: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $6.22 Accountable Healthcare IPA — MediCal Managed Care: $6.75 Accountable Healthcare IPA — Medicare Managed Care: $7.77 Aetna — Managed Care: $11.07 Aetna — Medicare Managed Care: $7.77 AltaMed — MediCal Managed Care: $6.75 AltaMed — Medicare Managed Care: $7.77 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $23.04 Anthem Blue Cross — MediCal Managed Care: $6.75 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX CBC, Platelet, No Differential	$11.34	$8.51	$5.18 – $32.35
Complete blood count (CBC), automated: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $5.18 Accountable Healthcare IPA — MediCal Managed Care: $5.71 Accountable Healthcare IPA — Medicare Managed Care: $6.47 Aetna — Managed Care: $9.21 Aetna — Medicare Managed Care: $6.47 AltaMed — MediCal Managed Care: $5.71 AltaMed — Medicare Managed Care: $6.47 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $19.17 Anthem Blue Cross — MediCal Managed Care: $5.71 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHX CBC, Platelet, No Differential	$11.34	$8.51	$6.80 – $2,969
Complete blood count (CBC), automated: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $6.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHX Prothrombin/INR	$9.77	$7.33	$3.43 – $21.45
Blood clotting time test (prothrombin time, PT): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $3.43 Accountable Healthcare IPA — MediCal Managed Care: $3.49 Accountable Healthcare IPA — Medicare Managed Care: $4.29 Aetna — Managed Care: $5.59 Aetna — Medicare Managed Care: $4.29 AltaMed — MediCal Managed Care: $3.49 AltaMed — Medicare Managed Care: $4.29 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $11.67 Anthem Blue Cross — MediCal Managed Care: $3.49 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time	$5.37	$4.03	$2.69 – $21.45
Blood clotting time test (prothrombin time, PT): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $3.43 Accountable Healthcare IPA — MediCal Managed Care: $3.49 Accountable Healthcare IPA — Medicare Managed Care: $4.29 Aetna — Managed Care: $5.59 Aetna — Medicare Managed Care: $4.29 AltaMed — MediCal Managed Care: $3.49 AltaMed — Medicare Managed Care: $4.29 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $11.67 Anthem Blue Cross — MediCal Managed Care: $3.49 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHX Prothrombin/INR	$9.77	$7.33	$5.86 – $2,969
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $5.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time	$8.19	$6.14	$4.10 – $30.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $4.81 Accountable Healthcare IPA — MediCal Managed Care: $5.34 Accountable Healthcare IPA — Medicare Managed Care: $6.01 Aetna — Managed Care: $8.54 Aetna — Medicare Managed Care: $6.01 AltaMed — MediCal Managed Care: $5.34 AltaMed — Medicare Managed Care: $6.01 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $17.80 Anthem Blue Cross — MediCal Managed Care: $5.34 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lupus Anticoagulant Reflexive Panel-ARUP	$8.19	$6.14	$4.10 – $30.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $4.81 Accountable Healthcare IPA — MediCal Managed Care: $5.34 Accountable Healthcare IPA — Medicare Managed Care: $6.01 Aetna — Managed Care: $8.54 Aetna — Medicare Managed Care: $6.01 AltaMed — MediCal Managed Care: $5.34 AltaMed — Medicare Managed Care: $6.01 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $17.80 Anthem Blue Cross — MediCal Managed Care: $5.34 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time	$8.19	$6.14	$4.91 – $2,969
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $5.10

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain CODE STROKE	$2,500	$1,875	$101.27 – $2,125
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $101.27 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $515 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $397.22 Anthem Blue Cross — MediCal Managed Care: $101.27 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain w/o Contrast	$94.86	$71.15	$47.43 – $397.22
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $101.27 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $191.44 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $397.22 Anthem Blue Cross — MediCal Managed Care: $101.27 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Brain CODE STROKE	$2,500	$1,875	$1,500 – $2,969
CT scan of the head or brain, without contrast: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $1,500
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain w+w/o Contrast	$2,000	$1,500	$311.06 – $1,848.30
MRI of the brain, before and after contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $359.67 Accountable Healthcare IPA — MediCal Managed Care: $311.06 Accountable Healthcare IPA — Medicare Managed Care: $449.59 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $449.59 AltaMed — MediCal Managed Care: $449.59 AltaMed — Medicare Managed Care: $449.59 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,848.30 Anthem Blue Cross — MediCal Managed Care: $311.06 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $449.59
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI IACs w+w/o Contrast	$2,000	$1,500	$311.06 – $1,848.30
MRI of the brain, before and after contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $359.67 Accountable Healthcare IPA — MediCal Managed Care: $311.06 Accountable Healthcare IPA — Medicare Managed Care: $449.59 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $449.59 AltaMed — MediCal Managed Care: $449.59 AltaMed — Medicare Managed Care: $449.59 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,848.30 Anthem Blue Cross — MediCal Managed Care: $311.06 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $449.59
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Sella w+w/o Contrast	$2,000	$1,500	$311.06 – $1,848.30
MRI of the brain, before and after contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $359.67 Accountable Healthcare IPA — MediCal Managed Care: $311.06 Accountable Healthcare IPA — Medicare Managed Care: $449.59 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $449.59 AltaMed — MediCal Managed Care: $449.59 AltaMed — Medicare Managed Care: $449.59 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,848.30 Anthem Blue Cross — MediCal Managed Care: $311.06 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $449.59
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest X-Ray PA and Lat	$25.13	$18.85	$12.57 – $155.18
Chest X-ray, 2 views: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $88.68 Accountable Healthcare IPA — MediCal Managed Care: $27.47 Accountable Healthcare IPA — Medicare Managed Care: $110.85 Aetna — Managed Care: $23.40 Aetna — Medicare Managed Care: $110.85 AltaMed — MediCal Managed Care: $110.85 AltaMed — Medicare Managed Care: $110.85 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $71.07 Anthem Blue Cross — MediCal Managed Care: $27.47 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $110.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC - Chest X-Ray PA and Lat	$25.13	$18.85	$12.57 – $155.18
Chest X-ray, 2 views: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $88.68 Accountable Healthcare IPA — MediCal Managed Care: $27.47 Accountable Healthcare IPA — Medicare Managed Care: $110.85 Aetna — Managed Care: $23.40 Aetna — Medicare Managed Care: $110.85 AltaMed — MediCal Managed Care: $110.85 AltaMed — Medicare Managed Care: $110.85 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $71.07 Anthem Blue Cross — MediCal Managed Care: $27.47 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $110.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 Views	$25.13	$18.85	$12.57 – $155.18
Chest X-ray, 2 views: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $88.68 Accountable Healthcare IPA — MediCal Managed Care: $27.47 Accountable Healthcare IPA — Medicare Managed Care: $110.85 Aetna — Managed Care: $23.40 Aetna — Medicare Managed Care: $110.85 AltaMed — MediCal Managed Care: $110.85 AltaMed — Medicare Managed Care: $110.85 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $71.07 Anthem Blue Cross — MediCal Managed Care: $27.47 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $110.85
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Lumbar Spine Complete	$42.83	$32.12	$21.42 – $187.42
X-ray of the lower spine, at least 4 views: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $43.85 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $49.30 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $77.61 Anthem Blue Cross — MediCal Managed Care: $43.85 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Lumbar Spine Complete	$42.83	$32.12	$25.70 – $2,969
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $25.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine w/o Contrast	$1,350	$1,012.50	$186 – $1,147.50
MRI of the lower back (lumbar spine), without contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $243.44 Accountable Healthcare IPA — MediCal Managed Care: $186 Accountable Healthcare IPA — Medicare Managed Care: $304.30 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $304.30 AltaMed — MediCal Managed Care: $304.30 AltaMed — Medicare Managed Care: $304.30 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $1,040.54 Anthem Blue Cross — MediCal Managed Care: $186 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $304.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lumbar Spine w/o Contrast	$1,350	$1,012.50	$810 – $2,969
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $810
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$225.75	$169.31	$112.88 – $574.21
CT scan of the pelvis, with contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $179.29 Accountable Healthcare IPA — MediCal Managed Care: $204.45 Accountable Healthcare IPA — Medicare Managed Care: $224.11 Aetna — Managed Care: $292.91 Aetna — Medicare Managed Care: $224.11 AltaMed — MediCal Managed Care: $224.11 AltaMed — Medicare Managed Care: $224.11 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $574.21 Anthem Blue Cross — MediCal Managed Care: $204.45 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $224.11
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 44258606 - CT PELVIS W	$206.45	$154.84	$103.23 – $574.21
CT scan of the pelvis, with contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $179.29 Accountable Healthcare IPA — MediCal Managed Care: $204.45 Accountable Healthcare IPA — Medicare Managed Care: $224.11 Aetna — Managed Care: $292.91 Aetna — Medicare Managed Care: $224.11 AltaMed — MediCal Managed Care: $224.11 AltaMed — Medicare Managed Care: $224.11 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $574.21 Anthem Blue Cross — MediCal Managed Care: $204.45 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $224.11
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$225.75	$169.31	$135.45 – $2,969
CT scan of the pelvis, with contrast: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $135.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Left	$1,350	$1,012.50	$196.92 – $1,147.50
MRI of a leg joint (such as the knee), without contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $243.44 Accountable Healthcare IPA — MediCal Managed Care: $196.92 Accountable Healthcare IPA — Medicare Managed Care: $304.30 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $304.30 AltaMed — MediCal Managed Care: $304.30 AltaMed — Medicare Managed Care: $304.30 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $935.12 Anthem Blue Cross — MediCal Managed Care: $196.92 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $304.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Right	$1,350	$1,012.50	$196.92 – $1,147.50
MRI of a leg joint (such as the knee), without contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $243.44 Accountable Healthcare IPA — MediCal Managed Care: $196.92 Accountable Healthcare IPA — Medicare Managed Care: $304.30 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $304.30 AltaMed — MediCal Managed Care: $304.30 AltaMed — Medicare Managed Care: $304.30 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $935.12 Anthem Blue Cross — MediCal Managed Care: $196.92 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $304.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip w/o Contrast Left	$1,350	$1,012.50	$196.92 – $1,147.50
MRI of a leg joint (such as the knee), without contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $243.44 Accountable Healthcare IPA — MediCal Managed Care: $196.92 Accountable Healthcare IPA — Medicare Managed Care: $304.30 Aetna — Managed Care: $912 Aetna — Medicare Managed Care: $304.30 AltaMed — MediCal Managed Care: $304.30 AltaMed — Medicare Managed Care: $304.30 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $935.12 Anthem Blue Cross — MediCal Managed Care: $196.92 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $304.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis w/ Contrast	$205.62	$154.22	$102.81 – $629.43
CT scan of the abdomen and pelvis, with contrast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $359.67 Accountable Healthcare IPA — MediCal Managed Care: $281.80 Accountable Healthcare IPA — Medicare Managed Care: $449.59 Aetna — Managed Care: $310.09 Aetna — Medicare Managed Care: $449.59 AltaMed — MediCal Managed Care: $449.59 AltaMed — Medicare Managed Care: $449.59 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $611.40 Anthem Blue Cross — MediCal Managed Care: $281.80 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $449.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis w/ Contrast	$205.62	$154.22	$123.37 – $2,969
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $123.37
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$117.67	$88.25	$58.84 – $187.42
Ultrasound of the abdomen, complete: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $83.20 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $118.49 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $167.55 Anthem Blue Cross — MediCal Managed Care: $83.20 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete	$117.67	$88.25	$70.60 – $2,969
Ultrasound of the abdomen, complete: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $70.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks	$123.62	$92.72	$61.81 – $187.42
Pregnancy ultrasound (after the first trimester): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $94.32 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $118.49 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $173.81 Anthem Blue Cross — MediCal Managed Care: $94.32 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Twins Greater Than 14 Wks	$123.62	$92.72	$61.81 – $187.42
Pregnancy ultrasound (after the first trimester): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $94.32 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $118.49 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $173.81 Anthem Blue Cross — MediCal Managed Care: $94.32 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks	$123.62	$92.72	$74.17 – $2,969
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $74.17
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 41480420 - US EVS	$107.30	$80.48	$53.65 – $187.42
Transvaginal ultrasound: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $107.10 Accountable Healthcare IPA — MediCal Managed Care: $67.65 Accountable Healthcare IPA — Medicare Managed Care: $133.87 Aetna — Managed Care: $112.61 Aetna — Medicare Managed Care: $133.87 AltaMed — MediCal Managed Care: $133.87 AltaMed — Medicare Managed Care: $133.87 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $130.06 Anthem Blue Cross — MediCal Managed Care: $67.65 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $133.87
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 41480420 - US EVS	$107.30	$80.48	$64.38 – $2,969
Transvaginal ultrasound: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $64.38
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Mammogram Diagnostic Left	$440	$330	$112.32 – $374
Diagnostic mammogram, one breast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $112.51 Accountable Healthcare IPA — MediCal Managed Care: $117.08 Accountable Healthcare IPA — Medicare Managed Care: $140.64 Aetna — Managed Care: $112.32 Aetna — Medicare Managed Care: $140.64 AltaMed — MediCal Managed Care: $117.08 AltaMed — Medicare Managed Care: $140.64 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $233.91 Anthem Blue Cross — MediCal Managed Care: $117.08 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $140.64
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Mammogram Diagnostic Right	$440	$330	$112.32 – $374
Diagnostic mammogram, one breast: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $112.51 Accountable Healthcare IPA — MediCal Managed Care: $117.08 Accountable Healthcare IPA — Medicare Managed Care: $140.64 Aetna — Managed Care: $112.32 Aetna — Medicare Managed Care: $140.64 AltaMed — MediCal Managed Care: $117.08 AltaMed — Medicare Managed Care: $140.64 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $233.91 Anthem Blue Cross — MediCal Managed Care: $117.08 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $140.64
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Mammogram Diagnostic Left	$440	$330	$264 – $2,969
Diagnostic mammogram, one breast: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $264
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Mammogram Diagnostic Bilateral	$825	$618.75	$124 – $701.25
Diagnostic mammogram, both breasts: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $142.05 Accountable Healthcare IPA — MediCal Managed Care: $148.03 Accountable Healthcare IPA — Medicare Managed Care: $177.56 Aetna — Managed Care: $143.73 Aetna — Medicare Managed Care: $177.56 AltaMed — MediCal Managed Care: $148.03 AltaMed — Medicare Managed Care: $177.56 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $299.44 Anthem Blue Cross — MediCal Managed Care: $148.03 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $177.56
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Mammogram Diagnostic Bilateral	$825	$618.75	$495 – $2,969
Diagnostic mammogram, both breasts: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $495
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Mammogram Screening	$495	$371.25	$115.31 – $420.75
Screening mammogram, both breasts: 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $115.31 Accountable Healthcare IPA — MediCal Managed Care: $119.45 Accountable Healthcare IPA — Medicare Managed Care: $144.14 Aetna — Managed Care: $118.69 Aetna — Medicare Managed Care: $144.14 AltaMed — MediCal Managed Care: $119.45 AltaMed — Medicare Managed Care: $144.14 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $247.29 Anthem Blue Cross — MediCal Managed Care: $119.45 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $144.14
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Mammogram Screening	$495	$371.25	$297 – $2,969
Screening mammogram, both breasts: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $297

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FC - EKG 12 Lead Interpretation and Report	$39	$29.25	$12.36 – $84.99
Electrocardiogram (ECG/EKG) with reading: 10 of 49 insurance plan rates Accountable Healthcare IPA — Managed Care: $12.36 Accountable Healthcare IPA — MediCal Managed Care: $28.70 Accountable Healthcare IPA — Medicare Managed Care: $15.45 Aetna — Managed Care: $23.45 Aetna — Medicare Managed Care: $15.45 AltaMed — MediCal Managed Care: $28.70 AltaMed — Medicare Managed Care: $15.45 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $84.99 Anthem Blue Cross — MediCal Managed Care: $28.70 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $15.45
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FC - EKG 12 Lead Interpretation and Report	$39	$29.25	$23.40 – $2,969
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $23.40

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Exercise Charges	$131	$98.25	$10.96 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Accountable Healthcare IPA — Managed Care: $25.60 Accountable Healthcare IPA — MediCal Managed Care: $10.96 Accountable Healthcare IPA — Medicare Managed Care: $32 Aetna — Managed Care: $25.62 Aetna — Medicare Managed Care: $32 AltaMed — MediCal Managed Care: $10.96 AltaMed — Medicare Managed Care: $32 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — MediCal Managed Care: $10.96 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT - Therapeutic Exercises, 15 minutes	$131	$98.25	$10.96 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Accountable Healthcare IPA — Managed Care: $25.60 Accountable Healthcare IPA — MediCal Managed Care: $10.96 Accountable Healthcare IPA — Medicare Managed Care: $32 Aetna — Managed Care: $25.62 Aetna — Medicare Managed Care: $32 AltaMed — MediCal Managed Care: $10.96 AltaMed — Medicare Managed Care: $32 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — MediCal Managed Care: $10.96 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Charges	$143	$107.25	$10.96 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates Accountable Healthcare IPA — Managed Care: $25.60 Accountable Healthcare IPA — MediCal Managed Care: $10.96 Accountable Healthcare IPA — Medicare Managed Care: $32 Aetna — Managed Care: $25.62 Aetna — Medicare Managed Care: $32 AltaMed — MediCal Managed Care: $10.96 AltaMed — Medicare Managed Care: $32 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — MediCal Managed Care: $10.96 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $32
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Complexity	$525	$393.75	$69.56 – $446.25
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Accountable Healthcare IPA — Managed Care: $87.04 Accountable Healthcare IPA — Medicare Managed Care: $108.80 Aetna — Managed Care: $69.56 Aetna — Medicare Managed Care: $108.80 AltaMed — Medicare Managed Care: $108.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $108.80 Benevolence Healthcare — Covered California: $108.80 Benevolence Healthcare — Medicare Managed Care: $108.80 Blue Shield — Commercial: $250
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation - Low Complexity	$525	$393.75	$69.56 – $446.25
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Accountable Healthcare IPA — Managed Care: $87.04 Accountable Healthcare IPA — Medicare Managed Care: $108.80 Aetna — Managed Care: $69.56 Aetna — Medicare Managed Care: $108.80 AltaMed — Medicare Managed Care: $108.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $108.80 Benevolence Healthcare — Covered California: $108.80 Benevolence Healthcare — Medicare Managed Care: $108.80 Blue Shield — Commercial: $250
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Low Complexity	$525	$393.75	$315 – $2,969
Physical therapy evaluation (low complexity): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $315
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Moderate Complexity	$525	$393.75	$69.56 – $446.25
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Accountable Healthcare IPA — Managed Care: $87.04 Accountable Healthcare IPA — Medicare Managed Care: $108.80 Aetna — Managed Care: $69.56 Aetna — Medicare Managed Care: $108.80 AltaMed — Medicare Managed Care: $108.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $108.80 Benevolence Healthcare — Covered California: $108.80 Benevolence Healthcare — Medicare Managed Care: $108.80 Blue Shield — Commercial: $250
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation - Moderate Complexity	$525	$393.75	$69.56 – $446.25
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Accountable Healthcare IPA — Managed Care: $87.04 Accountable Healthcare IPA — Medicare Managed Care: $108.80 Aetna — Managed Care: $69.56 Aetna — Medicare Managed Care: $108.80 AltaMed — Medicare Managed Care: $108.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $108.80 Benevolence Healthcare — Covered California: $108.80 Benevolence Healthcare — Medicare Managed Care: $108.80 Blue Shield — Commercial: $250
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Moderate Complexity	$525	$393.75	$315 – $2,969
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $315
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: High Complexity	$525	$393.75	$69.56 – $446.25
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Accountable Healthcare IPA — Managed Care: $87.04 Accountable Healthcare IPA — Medicare Managed Care: $108.80 Aetna — Managed Care: $69.56 Aetna — Medicare Managed Care: $108.80 AltaMed — Medicare Managed Care: $108.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $108.80 Benevolence Healthcare — Covered California: $108.80 Benevolence Healthcare — Medicare Managed Care: $108.80 Blue Shield — Commercial: $250
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation - High Complexity	$525	$393.75	$69.56 – $446.25
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Accountable Healthcare IPA — Managed Care: $87.04 Accountable Healthcare IPA — Medicare Managed Care: $108.80 Aetna — Managed Care: $69.56 Aetna — Medicare Managed Care: $108.80 AltaMed — Medicare Managed Care: $108.80 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $147 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $108.80 Benevolence Healthcare — Covered California: $108.80 Benevolence Healthcare — Medicare Managed Care: $108.80 Blue Shield — Commercial: $250
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: High Complexity	$525	$393.75	$315 – $2,969
Physical therapy evaluation (high complexity): rates for 3 insurance plans Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — MediCal Managed Care: $1,700 Kaiser — Commercial: $315
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HOPS- Psytx Pt & Family 30 Minutes	$330	$247.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HOPS- Psytx Pt & Family 30 Minutes	$330	$247.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IOP- Individual Therapy 16-37 Minutes	$660	$495	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HOPS- Psytx Pt & Family 45 Minutes	$495	$371.25	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HOPS- Psytx Pt & Family 45 Minutes	$495	$371.25	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IOP- Individual Therapy 38-52 Minutes	$660	$495	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IOP- Individual Therapy 53 Minutes or More	$660	$495	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IOP- Individual Therapy 53 Minutes or More	$660	$495	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHP- Individual Therapy 53 Minutes	$660	$495	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HOPS- Family Psytx without PT	$190	$142.50	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HOPS- Family Psytx without PT	$190	$142.50	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IOP -Family Session Without Patient 26 Minutes or	$190	$142.50	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HOPS- Family Psytx with PT	$180	$135	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HOPS- Family Psytx with PT	$180	$135	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IOP -Family Session With Patient 26 Minutes or Mor	$180	$135	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HOPS- Group Psych	$165	$123.75	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HOPS- Group Psych	$165	$123.75	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IOP- Group Psych 45-50 Minutes	$165	$123.75	Not listed in the file

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$64,630.17	$48,472.63	$2,969 – $90,482.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates Accountable Healthcare IPA — Managed Care: $51,704.13 Accountable Healthcare IPA — Medicare Managed Care: $64,630.17 Aetna — Medicare Managed Care: $64,630.17 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $64,630.17 Benevolence Healthcare — Covered California: $64,630.17 Benevolence Healthcare — Medicare Managed Care: $64,630.17 Blue Shield — Medicare Managed Care: $64,630.17 Brand New Day — Medicare Managed Care: $64,630.17 Care First — Medicare Managed Care: $64,630.17
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$12,743.30	$9,557.48	$2,969 – $17,840.62
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates Accountable Healthcare IPA — Managed Care: $10,194.64 Accountable Healthcare IPA — Medicare Managed Care: $12,743.30 Aetna — Medicare Managed Care: $12,743.30 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $12,743.30 Benevolence Healthcare — Covered California: $12,743.30 Benevolence Healthcare — Medicare Managed Care: $12,743.30 Blue Shield — Medicare Managed Care: $12,743.30 Brand New Day — Medicare Managed Care: $12,743.30 Care First — Medicare Managed Care: $12,743.30
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$16,128.47	$12,096.35	$2,969 – $22,579.86
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates Accountable Healthcare IPA — Managed Care: $12,902.78 Accountable Healthcare IPA — Medicare Managed Care: $16,128.47 Aetna — Medicare Managed Care: $16,128.47 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $16,128.47 Benevolence Healthcare — Covered California: $16,128.47 Benevolence Healthcare — Medicare Managed Care: $16,128.47 Blue Shield — Medicare Managed Care: $16,128.47 Brand New Day — Medicare Managed Care: $16,128.47 Care First — Medicare Managed Care: $16,128.47
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,196.70	$6,147.53	$2,969 – $11,475.38
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates Accountable Healthcare IPA — Managed Care: $6,557.36 Accountable Healthcare IPA — Medicare Managed Care: $8,196.70 Aetna — Medicare Managed Care: $8,196.70 Anthem Blue Cross — HMO/PPO/EPO/Indemnity/Workers Comp: $2,969 Anthem Blue Cross — Medicare Managed Care HMO and PPO: $8,196.70 Benevolence Healthcare — Covered California: $8,196.70 Benevolence Healthcare — Medicare Managed Care: $8,196.70 Blue Shield — Medicare Managed Care: $8,196.70 Brand New Day — Medicare Managed Care: $8,196.70 Care First — Medicare Managed Care: $8,196.70

Source: Glendora Hospital’s standard charges file (rca.elevatepfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 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	Psychiatric Hospital
Address	150 West Route 66, Glendora, CA 91740
County	Los Angeles County
State	California
Phone	(626) 852‑5050
Emergency services	Not listed
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	054157
Name in Medicare records	GLENDORA HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(626) 852‑5000^[8]
Official website	glendorahospital.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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 2026-10-31.

Glendora Hospital | — glendorahospital.com
Our Services | Glendora Hospital — glendorahospital.com
Inpatient Hospitalization | Glendora Hospital — glendorahospital.com
Behavioral Health | Glendora Hospital — glendorahospital.com
Contact | Glendora Hospital — glendorahospital.com

Glendora Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][6][7]

Treatments^[6][7]

Procedures^[6][7]

Programs and centers^[4][5][6][7]

Nearest emergency rooms

Other hospitals near Glendora

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Glendora Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][6][7]

Treatments[6][7]

Procedures[6][7]

Programs and centers[4][5][6][7]

Nearest emergency rooms

Other hospitals near Glendora

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][6][7]

Treatments^[6][7]

Procedures^[6][7]

Programs and centers^[4][5][6][7]