Does Hemet Global Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Hemet Global Medical Center. In a medical emergency, call 911.

Where is Hemet Global Medical Center?

1117 East Devonshire, Hemet, CA 92543, in Riverside County, California.

What is the phone number of Hemet Global Medical Center?

(951) 652-2811, as listed by Medicare (CMS).

What is the Medicare star rating of Hemet Global Medical Center?

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

Hemet Global Medical Center — Hemet, CA

Quick answers

Does Hemet Global Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Hemet Global Medical Center. In a medical emergency, call 911.
Where is Hemet Global Medical Center?: 1117 East Devonshire, Hemet, CA 92543, in Riverside County, California.
What is the phone number of Hemet Global Medical Center?: (951) 652-2811, as listed by Medicare (CMS).
What is the Medicare star rating of Hemet Global Medical Center?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][14]}

Cardiology
Orthopedic surgery
General surgery
Radiation therapy
Stroke services
Emergency care
Endoscopy
Laboratory and pathology
Addiction treatment (Hemet Recovery Center)
Gastroenterology
Oncology
Neurology

Conditions treated^{[4][8][9][15]}

Stroke
Atrial fibrillation
Cardiac arrhythmia
Arthritis
Joint pain
Cancer

Treatments^[4][5][8][9]

Radiation therapy
Physical therapy
Speech therapy
Occupational therapy
IV thrombolytic therapy (tPA)
Total joint replacement
Pacemaker insertion
Intra-aortic balloon pump insertion
Bi-ventricular ICD insertion
Event monitoring
Drug therapy for arrhythmia

Procedures^{[4][5][7][9][10][11][14][17]}

Total joint replacement
Cardiac catheterization
Day surgery
Endoscopy
CT scan
MRI
Percutaneous coronary intervention
Fractional flow reserve measurement
Transthoracic echocardiogram
Exercise stress testing
Lexiscan testing
Stress echocardiography
Colonoscopy
Esophagogastroduodenoscopy (EGD)
Magnetic resonance imaging (MRI)
Arthroscopic surgery
Carpal tunnel surgery
Laparoscopic surgery
Hernia repair
Gallbladder removal
Tonsillectomy

Programs and centers^{[4][5][7][8][9][12][16]}

Hemet Recovery Center
Total Joint Replacement Program
Patient and Family Advisor program
24-hour emergency care
Primary stroke center
Cardiac catheterization laboratory
Interpretation services

Emergency care (hospital website)^{[4][5][8][16]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Certification (HFAP)

Visiting and practical information

Visiting	Visiting 8 a.m. to 8 p.m. via main entrance; day surgery 5:30 a.m.-6:30 p.m.; ICU open except 7-8:30 a.m. and 7-8:30 p.m.; two visitors per room^[6]
Interpreters and languages	Interpretation services are offered^[4][6]

Recognition^{[4][5][7][13]}

Joint Commission accredited
Primary Stroke Certification (Healthcare Facilities Accreditation Program)
The Joint Commission accreditation
College of American Pathologists (CAP) accreditation of pathology department

Doctors and clinicians (123)

123 doctors and other clinicians list Hemet Global 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 99 more: the button below opens the full list.

Other emergency rooms nearby

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

Menifee Global Medical Center12 mi · Sun City, CA · Acute Care Hospital
San Gorgonio Memorial Hospital13 mi · Banning, CA · Acute Care Hospital
Loma Linda University Medical Center-Murrieta15 mi · Murrieta, CA · Acute Care Hospital
Kaiser Foundation Hospital-Moreno Valley16 mi · Moreno Valley, CA · Acute Care Hospital
Riverside University Health System-Medical Center17 mi · Moreno Valley, CA · Acute Care Hospital

Other hospitals nearby

Kindred Hospital Riverside16 mi · Perris, CA · Long-Term Acute Care Hospital
Encompass Health Rehabilitation Hospital of Murrie…16 mi · Murrieta, CA · Inpatient Rehabilitation 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

Devonshire Care Center0.0 mi · Hemet, CA · 1 of 5 stars
San Jacinto Valley Post Acute0.0 mi · Hemet, CA · 5 of 5 stars
Hemet Valley Healthcare Center0.1 mi · Hemet, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Los Feliz Hospice Health Care13 mi · Beaumont, CA
Hope Hospice & Healthcare, Inc14 mi · Sun City, CA
Bridge Hospice16 mi · Murrieta, CA

All hospice providers in the state →

Home health agencies

Hemet Home Health Care3.8 mi · Hemet, CA · 2 of 5 stars
Bridge Home Health16 mi · Murrieta, CA
Kinder Care Home Health, Inc.20 mi · Wildomar, CA

All home health agencies in the state →

Dialysis facilities

DaVita Diamond Valley Dialysis Center3.6 mi · San Jacinto, CA · 3 of 5 stars
DaVita Hemet Dialysis Center4.5 mi · Hemet, CA · 3 of 5 stars
RAI - E. 6th St - Beaumont13 mi · Beaumont, 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.

Hemet Endoscopy Center3.8 mi · Hemet, CA
Hemet Healthcare Surgicenter3.8 mi · Hemet, CA
Podiatric Surgery Center3.8 mi · Hemet, 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

Neighborhood Healthcare ~ Devonshire Avenue0.2 mi · Hemet, CA · Community health center
Innercare Hemet0.3 mi · Hemet, CA · Community health center
Tri-State Community Health Center0.3 mi · Hemet, CA · Community health center

Clinics and urgent care

Apple Urgent Care, Inc.3.6 mi · San Jacinto, CA · Urgent care center
Apple Urgent Care, Inc3.8 mi · Hemet, CA · Urgent care center
Seven Star Medical Group Inc.3.8 mi · Hemet, CA · Urgent care center

Pharmacies

Gene Kim3.6 mi · San Jacinto, CA · Community/retail pharmacy
Hare Krishna Health Group Inc3.6 mi · San Jacinto, CA · Community/retail pharmacy
Petra Pharmacy Corp3.6 mi · San Jacinto, CA · Community/retail pharmacy

Assisted living nearby

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

Citrus Villa Assisted Living LLC3.6 mi · San Jacinto, CA
Gardenliving A3.6 mi · San Jacinto, CA
San Jacinto Assisted Living LLC3.6 mi · San Jacinto, CA
Serenity Care Home Resident Corp3.6 mi · San Jacinto, 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 Hemet Global 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	1 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	1 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	44%National average: 72%
Would definitely recommend the hospital	39%National average: 71%
Nurses “always” communicated well	67%National average: 80%
Doctors “always” communicated well	65%National average: 80%
Staff “always” explained medicines before giving them	49%National average: 62%
Were given information about recovery at home	80%National average: 86%
Room and bathroom “always” clean	52%National average: 74%
Area around the room “always” quiet at night	36%National average: 60%
Completed surveys	433Response rate: 12%

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)	0.235No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.442No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.317Better 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%
Deaths within 30 days: pneumonia patients	16.2%
Deaths within 30 days: COPD patients	8.5%
Deaths within 30 days: stroke patients	10.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	4%

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	22.1%
Readmitted within 30 days: pneumonia	20%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	213 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	48%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 53 common services exactly as Hemet Global 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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-LEVEL 3	$1,669	$1,669	$52.63 – $3,250
Emergency room visit (moderate): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,195 Aetna Healthcare — Aetna Senior: $349.37 Align Senior Care — Align Senior Care: $391.29 AltaMed — AltaMed Comm HMO (Ancillary): $349.37 AltaMed — AltaMed Health Services Senior: $349.37 AltaMed — AltaMed MCAL HMO: $89.56 AltaMed — AltaMed MCAL/PACE: $89.56 AltaMed — AltaMed SR/PACE: $349.37 Astiva — Astiva Medicare Advantage: $349.37 AVA Hospice — AVA HOSPICE: $1,669
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-LEVEL 3 SEPARATE SERVICE	$1,669	$1,669	$52.63 – $3,250
Emergency room visit (moderate): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,195 Aetna Healthcare — Aetna Senior: $349.37 Align Senior Care — Align Senior Care: $391.29 AltaMed — AltaMed Comm HMO (Ancillary): $349.37 AltaMed — AltaMed Health Services Senior: $349.37 AltaMed — AltaMed MCAL HMO: $89.56 AltaMed — AltaMed MCAL/PACE: $89.56 AltaMed — AltaMed SR/PACE: $349.37 Astiva — Astiva Medicare Advantage: $349.37 AVA Hospice — AVA HOSPICE: $1,669
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER-LEVEL 3	$1,669	$1,669	$876.22 – $1,669
Emergency room visit (moderate): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $1,335.20 First Health — First Health Commercial: $876.22 Magellan — Magellan Comm: $1,001.40 MultiPlan — MultiPlan PPO: $1,168.30 MultiPlan — MultiPlan WCOMP: $1,168.30 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $1,669 PNOA-Provider Network of America — PNOA-Provider Network of America: $1,335.20 Prime Health Services — Prime Health Services Commercial: $1,335.20 Private Pay — Private Pay: $1,669
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-LEVEL 4	$2,925	$2,925	$80.65 – $3,250
Emergency room visit (moderately high): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,195 Aetna Healthcare — Aetna Senior: $534.04 Align Senior Care — Align Senior Care: $598.12 AltaMed — AltaMed Comm HMO (Ancillary): $534.04 AltaMed — AltaMed Health Services Senior: $534.04 AltaMed — AltaMed MCAL HMO: $137.26 AltaMed — AltaMed MCAL/PACE: $137.26 AltaMed — AltaMed SR/PACE: $534.04 Astiva — Astiva Medicare Advantage: $534.04 AVA Hospice — AVA HOSPICE: $2,925
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-LEVEL 4 SEPARATE SERVICE	$2,925	$2,925	$80.65 – $3,250
Emergency room visit (moderately high): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,195 Aetna Healthcare — Aetna Senior: $534.04 Align Senior Care — Align Senior Care: $598.12 AltaMed — AltaMed Comm HMO (Ancillary): $534.04 AltaMed — AltaMed Health Services Senior: $534.04 AltaMed — AltaMed MCAL HMO: $137.26 AltaMed — AltaMed MCAL/PACE: $137.26 AltaMed — AltaMed SR/PACE: $534.04 Astiva — Astiva Medicare Advantage: $534.04 AVA Hospice — AVA HOSPICE: $2,925
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER-LEVEL 4	$2,925	$2,925	$1,535.62 – $2,925
Emergency room visit (moderately high): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $2,340 First Health — First Health Commercial: $1,535.62 Magellan — Magellan Comm: $1,755 MultiPlan — MultiPlan PPO: $2,047.50 MultiPlan — MultiPlan WCOMP: $2,047.50 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $2,925 PNOA-Provider Network of America — PNOA-Provider Network of America: $2,340 Prime Health Services — Prime Health Services Commercial: $2,340 Private Pay — Private Pay: $2,925
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-LEVEL 5	$3,552	$3,552	$127.53 – $3,552
Emergency room visit (high): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,195 Aetna Healthcare — Aetna Senior: $762.20 Align Senior Care — Align Senior Care: $853.66 AltaMed — AltaMed Comm HMO (Ancillary): $762.20 AltaMed — AltaMed Health Services Senior: $762.20 AltaMed — AltaMed MCAL HMO: $217.04 AltaMed — AltaMed MCAL/PACE: $217.04 AltaMed — AltaMed SR/PACE: $762.20 Astiva — Astiva Medicare Advantage: $762.20 AVA Hospice — AVA HOSPICE: $3,552
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-LEVEL 5 SEPARATE SERVICE	$3,552	$3,552	$127.53 – $3,552
Emergency room visit (high): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,195 Aetna Healthcare — Aetna Senior: $762.20 Align Senior Care — Align Senior Care: $853.66 AltaMed — AltaMed Comm HMO (Ancillary): $762.20 AltaMed — AltaMed Health Services Senior: $762.20 AltaMed — AltaMed MCAL HMO: $217.04 AltaMed — AltaMed MCAL/PACE: $217.04 AltaMed — AltaMed SR/PACE: $762.20 Astiva — Astiva Medicare Advantage: $762.20 AVA Hospice — AVA HOSPICE: $3,552
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER-LEVEL 5	$3,552	$3,552	$1,864.80 – $3,552
Emergency room visit (high): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $2,841.60 First Health — First Health Commercial: $1,864.80 Magellan — Magellan Comm: $2,131.20 MultiPlan — MultiPlan PPO: $2,486.40 MultiPlan — MultiPlan WCOMP: $2,486.40 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $3,552 PNOA-Provider Network of America — PNOA-Provider Network of America: $2,841.60 Prime Health Services — Prime Health Services Commercial: $2,841.60 Private Pay — Private Pay: $3,552

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: LAB BASIC METABOLIC PNL CALCIUM TTL	$103	$103	$7.27 – $103
Basic metabolic panel (blood test): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $65.23 Aetna Healthcare — Aetna Senior: $8.46 Align Senior Care — Align Senior Care: $9.48 AltaMed — AltaMed Comm HMO (Ancillary): $8.46 AltaMed — AltaMed Health Services Senior: $8.46 AltaMed — AltaMed MCAL HMO: $11.84 AltaMed — AltaMed MCAL/PACE: $11.84 AltaMed — AltaMed SR/PACE: $8.46 Astiva — Astiva Medicare Advantage: $8.46 AVA Hospice — AVA HOSPICE: $103
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB BASIC METABOLIC PNL CALCIUM TTL	$103	$103	$54.08 – $103
Basic metabolic panel (blood test): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $82.40 First Health — First Health Commercial: $54.08 Magellan — Magellan Comm: $61.80 MultiPlan — MultiPlan PPO: $72.10 MultiPlan — MultiPlan WCOMP: $72.10 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $103 PNOA-Provider Network of America — PNOA-Provider Network of America: $82.40 Prime Health Services — Prime Health Services Commercial: $82.40 Private Pay — Private Pay: $103
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB BASIC METABOLIC PNL CALCIUM TTL	$103	$103	$7.58 – $103
Basic metabolic panel (blood test): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $103 Health Net — Health Net Enhanced PPO: $11.84 TRICARE — TRICARE: $7.58
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB COMPREHENSIVE METABOLIC PANEL	$126	$126	$9.19 – $126
Comprehensive metabolic panel (blood test): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $79.80 Aetna Healthcare — Aetna Senior: $10.56 Align Senior Care — Align Senior Care: $11.83 AltaMed — AltaMed Comm HMO (Ancillary): $10.56 AltaMed — AltaMed Health Services Senior: $10.56 AltaMed — AltaMed MCAL HMO: $14.78 AltaMed — AltaMed MCAL/PACE: $14.78 AltaMed — AltaMed SR/PACE: $10.56 Astiva — Astiva Medicare Advantage: $10.56 AVA Hospice — AVA HOSPICE: $126
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB COMPREHENSIVE METABOLIC PANEL	$126	$126	$66.15 – $126
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $100.80 First Health — First Health Commercial: $66.15 Magellan — Magellan Comm: $75.60 MultiPlan — MultiPlan PPO: $88.20 MultiPlan — MultiPlan WCOMP: $88.20 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $126 PNOA-Provider Network of America — PNOA-Provider Network of America: $100.80 Prime Health Services — Prime Health Services Commercial: $100.80 Private Pay — Private Pay: $126
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB COMPREHENSIVE METABOLIC PANEL	$126	$126	$9.46 – $126
Comprehensive metabolic panel (blood test): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $126 Health Net — Health Net Enhanced PPO: $14.78 TRICARE — TRICARE: $9.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB LIPID PANEL	$422	$422	$11.54 – $422
Cholesterol panel (lipid panel): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $267.25 Aetna Healthcare — Aetna Senior: $13.39 Align Senior Care — Align Senior Care: $15 AltaMed — AltaMed Comm HMO (Ancillary): $13.39 AltaMed — AltaMed Health Services Senior: $13.39 AltaMed — AltaMed MCAL HMO: $18.75 AltaMed — AltaMed MCAL/PACE: $18.75 AltaMed — AltaMed SR/PACE: $13.39 Astiva — Astiva Medicare Advantage: $13.39 AVA Hospice — AVA HOSPICE: $422
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB LIPID PANEL	$422	$422	$221.55 – $422
Cholesterol panel (lipid panel): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $337.60 First Health — First Health Commercial: $221.55 Magellan — Magellan Comm: $253.20 MultiPlan — MultiPlan PPO: $295.40 MultiPlan — MultiPlan WCOMP: $295.40 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $422 PNOA-Provider Network of America — PNOA-Provider Network of America: $337.60 Prime Health Services — Prime Health Services Commercial: $337.60 Private Pay — Private Pay: $422
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB LIPID PANEL	$422	$422	$11.99 – $422
Cholesterol panel (lipid panel): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $422 Health Net — Health Net Enhanced PPO: $18.75 TRICARE — TRICARE: $11.99
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB LIVER PANEL	$559	$559	$6.38 – $559
Liver function panel: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $354.01 Aetna Healthcare — Aetna Senior: $8.17 Align Senior Care — Align Senior Care: $9.15 AltaMed — AltaMed Comm HMO (Ancillary): $8.17 AltaMed — AltaMed Health Services Senior: $8.17 AltaMed — AltaMed MCAL HMO: $11.44 AltaMed — AltaMed MCAL/PACE: $11.44 AltaMed — AltaMed SR/PACE: $8.17 Astiva — Astiva Medicare Advantage: $8.17 AVA Hospice — AVA HOSPICE: $559
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB LIVER PANEL	$559	$559	$293.48 – $559
Liver function panel: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $447.20 First Health — First Health Commercial: $293.48 Magellan — Magellan Comm: $335.40 MultiPlan — MultiPlan PPO: $391.30 MultiPlan — MultiPlan WCOMP: $391.30 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $559 PNOA-Provider Network of America — PNOA-Provider Network of America: $447.20 Prime Health Services — Prime Health Services Commercial: $447.20 Private Pay — Private Pay: $559
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB LIVER PANEL	$559	$559	$7.32 – $559
Liver function panel: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $559 Health Net — Health Net Enhanced PPO: $11.44 TRICARE — TRICARE: $7.32
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB URINALYSIS AUTO W/MICROSCOPY	$118	$118	$2.77 – $118
Urine test (automated, with microscope): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $74.73 Aetna Healthcare — Aetna Senior: $3.17 Align Senior Care — Align Senior Care: $3.55 AltaMed — AltaMed Comm HMO (Ancillary): $3.17 AltaMed — AltaMed Health Services Senior: $3.17 AltaMed — AltaMed MCAL HMO: $4.44 AltaMed — AltaMed MCAL/PACE: $4.44 AltaMed — AltaMed SR/PACE: $3.17 Astiva — Astiva Medicare Advantage: $3.17 AVA Hospice — AVA HOSPICE: $118
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB URINALYSIS AUTO W/MICROSCOPY	$118	$118	$61.95 – $118
Urine test (automated, with microscope): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $94.40 First Health — First Health Commercial: $61.95 Magellan — Magellan Comm: $70.80 MultiPlan — MultiPlan PPO: $82.60 MultiPlan — MultiPlan WCOMP: $82.60 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $118 PNOA-Provider Network of America — PNOA-Provider Network of America: $94.40 Prime Health Services — Prime Health Services Commercial: $94.40 Private Pay — Private Pay: $118
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB URINALYSIS AUTO W/MICROSCOPY	$118	$118	$2.84 – $118
Urine test (automated, with microscope): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $118 Health Net — Health Net Enhanced PPO: $4.44 TRICARE — TRICARE: $2.84
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP STICK NON-AUTO WO MIC	$12	$12	$2.15 – $12
Urine test (manual, without microscope): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $7.60 Aetna Healthcare — Aetna Senior: $3.48 Align Senior Care — Align Senior Care: $3.90 AltaMed — AltaMed Comm HMO (Ancillary): $3.48 AltaMed — AltaMed Health Services Senior: $3.48 AltaMed — AltaMed MCAL HMO: $4.87 AltaMed — AltaMed MCAL/PACE: $4.87 AltaMed — AltaMed SR/PACE: $3.48 Astiva — Astiva Medicare Advantage: $3.48 AVA Hospice — AVA HOSPICE: $12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER-URINE DIP STICK NON-AUTO WO MIC	$12	$12	$2.15 – $12
Urine test (manual, without microscope): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $7.60 Aetna Healthcare — Aetna Senior: $3.48 Align Senior Care — Align Senior Care: $3.90 AltaMed — AltaMed Comm HMO (Ancillary): $3.48 AltaMed — AltaMed Health Services Senior: $3.48 AltaMed — AltaMed MCAL HMO: $4.87 AltaMed — AltaMed MCAL/PACE: $4.87 AltaMed — AltaMed SR/PACE: $3.48 Astiva — Astiva Medicare Advantage: $3.48 AVA Hospice — AVA HOSPICE: $12
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE DIP STICK NON-AUTO WO MIC	$12	$12	$6.30 – $12
Urine test (manual, without microscope): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $9.60 First Health — First Health Commercial: $6.30 Magellan — Magellan Comm: $7.20 MultiPlan — MultiPlan PPO: $8.40 MultiPlan — MultiPlan WCOMP: $8.40 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $12 PNOA-Provider Network of America — PNOA-Provider Network of America: $9.60 Prime Health Services — Prime Health Services Commercial: $9.60 Private Pay — Private Pay: $12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB URINALYSIS COMP AUTO W/O MICRO	$31	$31	$1.96 – $31
Urine test (automated, without microscope): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $19.63 Aetna Healthcare — Aetna Senior: $2.25 Align Senior Care — Align Senior Care: $2.52 AltaMed — AltaMed Comm HMO (Ancillary): $2.25 AltaMed — AltaMed Health Services Senior: $2.25 AltaMed — AltaMed MCAL HMO: $3.15 AltaMed — AltaMed MCAL/PACE: $3.15 AltaMed — AltaMed SR/PACE: $2.25 Astiva — Astiva Medicare Advantage: $2.25 AVA Hospice — AVA HOSPICE: $31
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB URINALYSISAUTO W/O MICROSCOPY	$72	$72	$1.96 – $72
Urine test (automated, without microscope): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $45.60 Aetna Healthcare — Aetna Senior: $2.25 Align Senior Care — Align Senior Care: $2.52 AltaMed — AltaMed Comm HMO (Ancillary): $2.25 AltaMed — AltaMed Health Services Senior: $2.25 AltaMed — AltaMed MCAL HMO: $3.15 AltaMed — AltaMed MCAL/PACE: $3.15 AltaMed — AltaMed SR/PACE: $2.25 Astiva — Astiva Medicare Advantage: $2.25 AVA Hospice — AVA HOSPICE: $72
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB URINE BILE AUTO W/O MICRO	$27	$27	$1.96 – $27
Urine test (automated, without microscope): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $17.10 Aetna Healthcare — Aetna Senior: $2.25 Align Senior Care — Align Senior Care: $2.52 AltaMed — AltaMed Comm HMO (Ancillary): $2.25 AltaMed — AltaMed Health Services Senior: $2.25 AltaMed — AltaMed MCAL HMO: $3.15 AltaMed — AltaMed MCAL/PACE: $3.15 AltaMed — AltaMed SR/PACE: $2.25 Astiva — Astiva Medicare Advantage: $2.25 AVA Hospice — AVA HOSPICE: $27
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PROSTATIC SPECIFIC ANTIGEN TOTAL	$220	$220	$16.35 – $220
PSA (prostate specific antigen) blood test: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $139.33 Aetna Healthcare — Aetna Senior: $18.39 Align Senior Care — Align Senior Care: $20.60 AltaMed — AltaMed Comm HMO (Ancillary): $18.39 AltaMed — AltaMed Health Services Senior: $18.39 AltaMed — AltaMed MCAL HMO: $25.75 AltaMed — AltaMed MCAL/PACE: $25.75 AltaMed — AltaMed SR/PACE: $18.39 Astiva — Astiva Medicare Advantage: $18.39 AVA Hospice — AVA HOSPICE: $220
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PROSTATE SPECIFIC ANTIGEN TOTAL - LC	$6	$6	$2.70 – $36.42
PSA (prostate specific antigen) blood test: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $3.80 Aetna Healthcare — Aetna Senior: $6 Align Senior Care — Align Senior Care: $6.72 AltaMed — AltaMed Comm HMO (Ancillary): $6 AltaMed — AltaMed Health Services Senior: $6 AltaMed — AltaMed MCAL HMO: $6 AltaMed — AltaMed MCAL/PACE: $6 AltaMed — AltaMed SR/PACE: $6 Astiva — Astiva Medicare Advantage: $6 AVA Hospice — AVA HOSPICE: $6
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB PROSTATIC SPECIFIC ANTIGEN TOTAL	$220	$220	$115.50 – $220
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $176 First Health — First Health Commercial: $115.50 Magellan — Magellan Comm: $132 MultiPlan — MultiPlan PPO: $154 MultiPlan — MultiPlan WCOMP: $154 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $220 PNOA-Provider Network of America — PNOA-Provider Network of America: $176 Prime Health Services — Prime Health Services Commercial: $176 Private Pay — Private Pay: $220
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEWBORN SCREENING-THS	$106	$106	$14.76 – $106
Thyroid stimulating hormone (TSH) test: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $67.13 Aetna Healthcare — Aetna Senior: $16.80 Align Senior Care — Align Senior Care: $18.82 AltaMed — AltaMed Comm HMO (Ancillary): $16.80 AltaMed — AltaMed Health Services Senior: $16.80 AltaMed — AltaMed MCAL HMO: $23.52 AltaMed — AltaMed MCAL/PACE: $23.52 AltaMed — AltaMed SR/PACE: $16.80 Astiva — Astiva Medicare Advantage: $16.80 AVA Hospice — AVA HOSPICE: $106
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB TSH	$338	$338	$14.76 – $338
Thyroid stimulating hormone (TSH) test: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $214.06 Aetna Healthcare — Aetna Senior: $16.80 Align Senior Care — Align Senior Care: $18.82 AltaMed — AltaMed Comm HMO (Ancillary): $16.80 AltaMed — AltaMed Health Services Senior: $16.80 AltaMed — AltaMed MCAL HMO: $23.52 AltaMed — AltaMed MCAL/PACE: $23.52 AltaMed — AltaMed SR/PACE: $16.80 Astiva — Astiva Medicare Advantage: $16.80 AVA Hospice — AVA HOSPICE: $338
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: B-LAB TSH SENSITIVE	$127	$127	$14.76 – $127
Thyroid stimulating hormone (TSH) test: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $80.43 Aetna Healthcare — Aetna Senior: $16.80 Align Senior Care — Align Senior Care: $18.82 AltaMed — AltaMed Comm HMO (Ancillary): $16.80 AltaMed — AltaMed Health Services Senior: $16.80 AltaMed — AltaMed MCAL HMO: $23.52 AltaMed — AltaMed MCAL/PACE: $23.52 AltaMed — AltaMed SR/PACE: $16.80 Astiva — Astiva Medicare Advantage: $16.80 AVA Hospice — AVA HOSPICE: $127
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB COMPLETE BLOOD COUNT W/AUTO DIFF	$193	$193	$6.75 – $193
Complete blood count (CBC) with differential: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $122.23 Aetna Healthcare — Aetna Senior: $7.77 Align Senior Care — Align Senior Care: $8.70 AltaMed — AltaMed Comm HMO (Ancillary): $7.77 AltaMed — AltaMed Health Services Senior: $7.77 AltaMed — AltaMed MCAL HMO: $10.88 AltaMed — AltaMed MCAL/PACE: $10.88 AltaMed — AltaMed SR/PACE: $7.77 Astiva — Astiva Medicare Advantage: $7.77 AVA Hospice — AVA HOSPICE: $193
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB COMPLETE BLOOD COUNT W/AUTO DIFF	$193	$193	$101.32 – $193
Complete blood count (CBC) with differential: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $154.40 First Health — First Health Commercial: $101.32 Magellan — Magellan Comm: $115.80 MultiPlan — MultiPlan PPO: $135.10 MultiPlan — MultiPlan WCOMP: $135.10 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $193 PNOA-Provider Network of America — PNOA-Provider Network of America: $154.40 Prime Health Services — Prime Health Services Commercial: $154.40 Private Pay — Private Pay: $193
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB COMPLETE BLOOD COUNT W/AUTO DIFF	$193	$193	$6.96 – $193
Complete blood count (CBC) with differential: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $193 Health Net — Health Net Enhanced PPO: $10.88 TRICARE — TRICARE: $6.96
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB HEMOGRAM	$111	$111	$5.71 – $111
Complete blood count (CBC), automated: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $70.30 Aetna Healthcare — Aetna Senior: $6.47 Align Senior Care — Align Senior Care: $7.25 AltaMed — AltaMed Comm HMO (Ancillary): $6.47 AltaMed — AltaMed Health Services Senior: $6.47 AltaMed — AltaMed MCAL HMO: $9.06 AltaMed — AltaMed MCAL/PACE: $9.06 AltaMed — AltaMed SR/PACE: $6.47 Astiva — Astiva Medicare Advantage: $6.47 AVA Hospice — AVA HOSPICE: $111
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB HEMOGRAM	$111	$111	$58.28 – $111
Complete blood count (CBC), automated: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $88.80 First Health — First Health Commercial: $58.28 Magellan — Magellan Comm: $66.60 MultiPlan — MultiPlan PPO: $77.70 MultiPlan — MultiPlan WCOMP: $77.70 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $111 PNOA-Provider Network of America — PNOA-Provider Network of America: $88.80 Prime Health Services — Prime Health Services Commercial: $88.80 Private Pay — Private Pay: $111
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB HEMOGRAM	$111	$111	$5.80 – $111
Complete blood count (CBC), automated: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $111 Health Net — Health Net Enhanced PPO: $9.06 TRICARE — TRICARE: $5.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PROTHROMBIN TIME	$161	$161	$3.49 – $161
Blood clotting time test (prothrombin time, PT): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $101.96 Aetna Healthcare — Aetna Senior: $4.29 Align Senior Care — Align Senior Care: $4.80 AltaMed — AltaMed Comm HMO (Ancillary): $4.29 AltaMed — AltaMed Health Services Senior: $4.29 AltaMed — AltaMed MCAL HMO: $6.01 AltaMed — AltaMed MCAL/PACE: $6.01 AltaMed — AltaMed SR/PACE: $4.29 Astiva — Astiva Medicare Advantage: $4.29 AVA Hospice — AVA HOSPICE: $161
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB PROTHROMBIN TIME	$161	$161	$84.52 – $161
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $128.80 First Health — First Health Commercial: $84.52 Magellan — Magellan Comm: $96.60 MultiPlan — MultiPlan PPO: $112.70 MultiPlan — MultiPlan WCOMP: $112.70 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $161 PNOA-Provider Network of America — PNOA-Provider Network of America: $128.80 Prime Health Services — Prime Health Services Commercial: $128.80 Private Pay — Private Pay: $161
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAB PROTHROMBIN TIME	$161	$161	$3.84 – $161
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $161 Health Net — Health Net Enhanced PPO: $6.01 TRICARE — TRICARE: $3.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PART THROMBOPLASTIN TIME	$179	$179	$5.34 – $179
Blood clotting test (partial thromboplastin time, PTT): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $113.36 Aetna Healthcare — Aetna Senior: $6.01 Align Senior Care — Align Senior Care: $6.73 AltaMed — AltaMed Comm HMO (Ancillary): $6.01 AltaMed — AltaMed Health Services Senior: $6.01 AltaMed — AltaMed MCAL HMO: $8.41 AltaMed — AltaMed MCAL/PACE: $8.41 AltaMed — AltaMed SR/PACE: $6.01 Astiva — Astiva Medicare Advantage: $6.01 AVA Hospice — AVA HOSPICE: $179
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PTT PLASMA OR WHOLE BLOOD - LC	$4	$4	$1.80 – $13.24
Blood clotting test (partial thromboplastin time, PTT): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2.53 Aetna Healthcare — Aetna Senior: $4 Align Senior Care — Align Senior Care: $4.48 AltaMed — AltaMed Comm HMO (Ancillary): $4 AltaMed — AltaMed Health Services Senior: $4 AltaMed — AltaMed MCAL HMO: $4 AltaMed — AltaMed MCAL/PACE: $4 AltaMed — AltaMed SR/PACE: $4 Astiva — Astiva Medicare Advantage: $4 AVA Hospice — AVA HOSPICE: $4
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB PART THROMBOPLASTIN TIME	$179	$179	$93.98 – $179
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $143.20 First Health — First Health Commercial: $93.98 Magellan — Magellan Comm: $107.40 MultiPlan — MultiPlan PPO: $125.30 MultiPlan — MultiPlan WCOMP: $125.30 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $179 PNOA-Provider Network of America — PNOA-Provider Network of America: $143.20 Prime Health Services — Prime Health Services Commercial: $143.20 Private Pay — Private Pay: $179

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 W/O CONTRAST	$2,368	$2,368	$119.50 – $2,368
CT scan of the head or brain, without contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,293.64 Aetna Healthcare — Aetna Senior: $133.80 Align Senior Care — Align Senior Care: $149.86 AltaMed — AltaMed Comm HMO (Ancillary): $133.80 AltaMed — AltaMed Health Services Senior: $133.80 AltaMed — AltaMed MCAL HMO: $395.29 AltaMed — AltaMed MCAL/PACE: $395.29 AltaMed — AltaMed SR/PACE: $133.80 Astiva — Astiva Medicare Advantage: $133.80 AVA Hospice — AVA HOSPICE: $2,368
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O CONTRAST	$2,368	$2,368	$1,243.20 – $2,368
CT scan of the head or brain, without contrast: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $1,894.40 First Health — First Health Commercial: $1,243.20 Magellan — Magellan Comm: $1,420.80 MultiPlan — MultiPlan PPO: $1,657.60 MultiPlan — MultiPlan WCOMP: $1,657.60 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $2,368 PNOA-Provider Network of America — PNOA-Provider Network of America: $1,894.40 Prime Health Services — Prime Health Services Commercial: $1,894.40 Private Pay — Private Pay: $2,368
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT BRAIN W/O CONTRAST	$2,368	$2,368	$97.01 – $2,368
CT scan of the head or brain, without contrast: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $2,368 Health Net — Health Net Enhanced PPO: $159.78 TRICARE — TRICARE: $97.01
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO/W CONTRAST	$4,323	$4,323	$367.05 – $4,323
MRI of the brain, before and after contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,361.65 Aetna Healthcare — Aetna Senior: $446.51 Align Senior Care — Align Senior Care: $500.09 AltaMed — AltaMed Comm HMO (Ancillary): $446.51 AltaMed — AltaMed Health Services Senior: $446.51 AltaMed — AltaMed MCAL HMO: $1,913.80 AltaMed — AltaMed MCAL/PACE: $1,913.80 AltaMed — AltaMed SR/PACE: $446.51 Astiva — Astiva Medicare Advantage: $446.51 AVA Hospice — AVA HOSPICE: $4,323
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI INT AUDITORY CANAL WWO	$5,403	$5,403	$367.05 – $5,403
MRI of the brain, before and after contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,951.66 Aetna Healthcare — Aetna Senior: $446.51 Align Senior Care — Align Senior Care: $500.09 AltaMed — AltaMed Comm HMO (Ancillary): $446.51 AltaMed — AltaMed Health Services Senior: $446.51 AltaMed — AltaMed MCAL HMO: $1,913.80 AltaMed — AltaMed MCAL/PACE: $1,913.80 AltaMed — AltaMed SR/PACE: $446.51 Astiva — Astiva Medicare Advantage: $446.51 AVA Hospice — AVA HOSPICE: $5,403
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO/W CONTRAST	$4,323	$4,323	$2,269.58 – $4,323
MRI of the brain, before and after contrast: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $3,458.40 First Health — First Health Commercial: $2,269.58 Magellan — Magellan Comm: $2,593.80 MultiPlan — MultiPlan PPO: $3,026.10 MultiPlan — MultiPlan WCOMP: $3,026.10 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $4,323 PNOA-Provider Network of America — PNOA-Provider Network of America: $3,458.40 Prime Health Services — Prime Health Services Commercial: $3,458.40 Private Pay — Private Pay: $4,323
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR CHEST IN UNIT 2 VIEW	$578	$578	$27.47 – $578
Chest X-ray, 2 views: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $315.76 Aetna Healthcare — Aetna Senior: $111.38 Align Senior Care — Align Senior Care: $124.75 AltaMed — AltaMed Comm HMO (Ancillary): $111.38 AltaMed — AltaMed Health Services Senior: $111.38 AltaMed — AltaMed MCAL HMO: $38.46 AltaMed — AltaMed MCAL/PACE: $38.46 AltaMed — AltaMed SR/PACE: $111.38 Astiva — Astiva Medicare Advantage: $111.38 AVA Hospice — AVA HOSPICE: $578
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR CHEST 2 VIEW PA LAT	$496	$496	$27.47 – $496
Chest X-ray, 2 views: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $270.96 Aetna Healthcare — Aetna Senior: $111.38 Align Senior Care — Align Senior Care: $124.75 AltaMed — AltaMed Comm HMO (Ancillary): $111.38 AltaMed — AltaMed Health Services Senior: $111.38 AltaMed — AltaMed MCAL HMO: $38.46 AltaMed — AltaMed MCAL/PACE: $38.46 AltaMed — AltaMed SR/PACE: $111.38 Astiva — Astiva Medicare Advantage: $111.38 AVA Hospice — AVA HOSPICE: $496
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR CHEST W/FLUORO 2 VIEWS	$587	$587	$27.47 – $587
Chest X-ray, 2 views: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $320.68 Aetna Healthcare — Aetna Senior: $111.38 Align Senior Care — Align Senior Care: $124.75 AltaMed — AltaMed Comm HMO (Ancillary): $111.38 AltaMed — AltaMed Health Services Senior: $111.38 AltaMed — AltaMed MCAL HMO: $38.46 AltaMed — AltaMed MCAL/PACE: $38.46 AltaMed — AltaMed SR/PACE: $111.38 Astiva — Astiva Medicare Advantage: $111.38 AVA Hospice — AVA HOSPICE: $587
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR LUMBAR SPINE MIN 4 VIEWS	$962	$962	$51.74 – $962
X-ray of the lower spine, at least 4 views: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $525.54 Aetna Healthcare — Aetna Senior: $133.80 Align Senior Care — Align Senior Care: $149.86 AltaMed — AltaMed Comm HMO (Ancillary): $133.80 AltaMed — AltaMed Health Services Senior: $133.80 AltaMed — AltaMed MCAL HMO: $99.72 AltaMed — AltaMed MCAL/PACE: $99.72 AltaMed — AltaMed SR/PACE: $133.80 Astiva — Astiva Medicare Advantage: $133.80 AVA Hospice — AVA HOSPICE: $962
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CR LUMBAR SPINE MIN 4 VIEWS	$962	$962	$505.05 – $962
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $769.60 First Health — First Health Commercial: $505.05 Magellan — Magellan Comm: $577.20 MultiPlan — MultiPlan PPO: $673.40 MultiPlan — MultiPlan WCOMP: $673.40 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $962 PNOA-Provider Network of America — PNOA-Provider Network of America: $769.60 Prime Health Services — Prime Health Services Commercial: $769.60 Private Pay — Private Pay: $962
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CR LUMBAR SPINE MIN 4 VIEWS	$962	$962	$49.03 – $962
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $962 Health Net — Health Net Enhanced PPO: $80.75 TRICARE — TRICARE: $49.03
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR W/O CONTRAST	$4,316	$4,316	$219.48 – $4,316
MRI of the lower back (lumbar spine), without contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,357.83 Aetna Healthcare — Aetna Senior: $305.38 Align Senior Care — Align Senior Care: $342.03 AltaMed — AltaMed Comm HMO (Ancillary): $305.38 AltaMed — AltaMed Health Services Senior: $305.38 AltaMed — AltaMed MCAL HMO: $1,156.20 AltaMed — AltaMed MCAL/PACE: $1,156.20 AltaMed — AltaMed SR/PACE: $305.38 Astiva — Astiva Medicare Advantage: $305.38 AVA Hospice — AVA HOSPICE: $4,316
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR W/O CONTRAST	$4,316	$4,316	$2,265.90 – $4,316
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $3,452.80 First Health — First Health Commercial: $2,265.90 Magellan — Magellan Comm: $2,589.60 MultiPlan — MultiPlan PPO: $3,021.20 MultiPlan — MultiPlan WCOMP: $3,021.20 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $4,316 PNOA-Provider Network of America — PNOA-Provider Network of America: $3,452.80 Prime Health Services — Prime Health Services Commercial: $3,452.80 Private Pay — Private Pay: $4,316
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LUMBAR W/O CONTRAST	$4,316	$4,316	$174.73 – $4,316
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $4,316 Health Net — Health Net Enhanced PPO: $287.78 TRICARE — TRICARE: $174.73
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,863	$3,863	$209.80 – $3,863
CT scan of the pelvis, with contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,110.36 Aetna Healthcare — Aetna Senior: $224.49 Align Senior Care — Align Senior Care: $251.43 AltaMed — AltaMed Comm HMO (Ancillary): $224.49 AltaMed — AltaMed Health Services Senior: $224.49 AltaMed — AltaMed MCAL HMO: $509.12 AltaMed — AltaMed MCAL/PACE: $509.12 AltaMed — AltaMed SR/PACE: $224.49 Astiva — Astiva Medicare Advantage: $224.49 AVA Hospice — AVA HOSPICE: $3,863
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SACRUM COCCYX W CONT	$3,086	$3,086	$209.80 – $3,086
CT scan of the pelvis, with contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,685.88 Aetna Healthcare — Aetna Senior: $224.49 Align Senior Care — Align Senior Care: $251.43 AltaMed — AltaMed Comm HMO (Ancillary): $224.49 AltaMed — AltaMed Health Services Senior: $224.49 AltaMed — AltaMed MCAL HMO: $509.12 AltaMed — AltaMed MCAL/PACE: $509.12 AltaMed — AltaMed SR/PACE: $224.49 Astiva — Astiva Medicare Advantage: $224.49 AVA Hospice — AVA HOSPICE: $3,086
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ IV ORAL (BARIUM)	$2,331	$2,331	$209.80 – $2,331
CT scan of the pelvis, with contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $1,273.43 Aetna Healthcare — Aetna Senior: $224.49 Align Senior Care — Align Senior Care: $251.43 AltaMed — AltaMed Comm HMO (Ancillary): $224.49 AltaMed — AltaMed Health Services Senior: $224.49 AltaMed — AltaMed MCAL HMO: $509.12 AltaMed — AltaMed MCAL/PACE: $509.12 AltaMed — AltaMed SR/PACE: $224.49 Astiva — Astiva Medicare Advantage: $224.49 AVA Hospice — AVA HOSPICE: $2,331
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXTREMITY JOINT	$4,316	$4,316	$232.37 – $4,316
MRI of a leg joint (such as the knee), without contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,357.83 Aetna Healthcare — Aetna Senior: $305.38 Align Senior Care — Align Senior Care: $342.03 AltaMed — AltaMed Comm HMO (Ancillary): $305.38 AltaMed — AltaMed Health Services Senior: $305.38 AltaMed — AltaMed MCAL HMO: $784.14 AltaMed — AltaMed MCAL/PACE: $784.14 AltaMed — AltaMed SR/PACE: $305.38 Astiva — Astiva Medicare Advantage: $305.38 AVA Hospice — AVA HOSPICE: $4,316
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXTREMITY JOINT	$4,316	$4,316	$2,265.90 – $4,316
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $3,452.80 First Health — First Health Commercial: $2,265.90 Magellan — Magellan Comm: $2,589.60 MultiPlan — MultiPlan PPO: $3,021.20 MultiPlan — MultiPlan WCOMP: $3,021.20 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $4,316 PNOA-Provider Network of America — PNOA-Provider Network of America: $3,452.80 Prime Health Services — Prime Health Services Commercial: $3,452.80 Private Pay — Private Pay: $4,316
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LOWER EXTREMITY JOINT	$4,316	$4,316	$186.88 – $4,316
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $4,316 Health Net — Health Net Enhanced PPO: $307.80 TRICARE — TRICARE: $186.88
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W/CONTRAST	$3,988	$3,988	$281.80 – $3,988
CT scan of the abdomen and pelvis, with contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,178.64 Aetna Healthcare — Aetna Senior: $446.51 Align Senior Care — Align Senior Care: $500.09 AltaMed — AltaMed Comm HMO (Ancillary): $446.51 AltaMed — AltaMed Health Services Senior: $446.51 AltaMed — AltaMed MCAL HMO: $394.52 AltaMed — AltaMed MCAL/PACE: $394.52 AltaMed — AltaMed SR/PACE: $446.51 Astiva — Astiva Medicare Advantage: $446.51 AVA Hospice — AVA HOSPICE: $3,988
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W/ IV ORAL (BARIUM)	$4,504	$4,504	$281.80 – $4,504
CT scan of the abdomen and pelvis, with contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,460.54 Aetna Healthcare — Aetna Senior: $446.51 Align Senior Care — Align Senior Care: $500.09 AltaMed — AltaMed Comm HMO (Ancillary): $446.51 AltaMed — AltaMed Health Services Senior: $446.51 AltaMed — AltaMed MCAL HMO: $394.52 AltaMed — AltaMed MCAL/PACE: $394.52 AltaMed — AltaMed SR/PACE: $446.51 Astiva — Astiva Medicare Advantage: $446.51 AVA Hospice — AVA HOSPICE: $4,504
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W/ IV ORAL (GASTROGRAF	$4,504	$4,504	$281.80 – $4,504
CT scan of the abdomen and pelvis, with contrast: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,460.54 Aetna Healthcare — Aetna Senior: $446.51 Align Senior Care — Align Senior Care: $500.09 AltaMed — AltaMed Comm HMO (Ancillary): $446.51 AltaMed — AltaMed Health Services Senior: $446.51 AltaMed — AltaMed MCAL HMO: $394.52 AltaMed — AltaMed MCAL/PACE: $394.52 AltaMed — AltaMed SR/PACE: $446.51 Astiva — Astiva Medicare Advantage: $446.51 AVA Hospice — AVA HOSPICE: $4,504
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN	$1,830	$1,830	$98.18 – $1,830
Ultrasound of the abdomen, complete: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $999.73 Aetna Healthcare — Aetna Senior: $133.80 Align Senior Care — Align Senior Care: $149.86 AltaMed — AltaMed Comm HMO (Ancillary): $133.80 AltaMed — AltaMed Health Services Senior: $133.80 AltaMed — AltaMed MCAL HMO: $167.08 AltaMed — AltaMed MCAL/PACE: $167.08 AltaMed — AltaMed SR/PACE: $133.80 Astiva — Astiva Medicare Advantage: $133.80 AVA Hospice — AVA HOSPICE: $1,830
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN	$1,830	$1,830	$960.75 – $1,830
Ultrasound of the abdomen, complete: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $1,464 First Health — First Health Commercial: $960.75 Magellan — Magellan Comm: $1,098 MultiPlan — MultiPlan PPO: $1,281 MultiPlan — MultiPlan WCOMP: $1,281 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $1,830 PNOA-Provider Network of America — PNOA-Provider Network of America: $1,464 Prime Health Services — Prime Health Services Commercial: $1,464 Private Pay — Private Pay: $1,830
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US ABDOMEN	$1,830	$1,830	$104.25 – $1,830
Ultrasound of the abdomen, complete: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $1,830 Health Net — Health Net Enhanced PPO: $171.71 TRICARE — TRICARE: $104.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB > 14WKS SNGL	$1,346	$1,346	$111.30 – $1,346
Pregnancy ultrasound (after the first trimester): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $735.32 Aetna Healthcare — Aetna Senior: $133.80 Align Senior Care — Align Senior Care: $149.86 AltaMed — AltaMed Comm HMO (Ancillary): $133.80 AltaMed — AltaMed Health Services Senior: $133.80 AltaMed — AltaMed MCAL HMO: $189.41 AltaMed — AltaMed MCAL/PACE: $189.41 AltaMed — AltaMed SR/PACE: $133.80 Astiva — Astiva Medicare Advantage: $133.80 AVA Hospice — AVA HOSPICE: $1,346
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB > 14WKS SNGL	$1,346	$1,346	$706.65 – $1,346
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $1,076.80 First Health — First Health Commercial: $706.65 Magellan — Magellan Comm: $807.60 MultiPlan — MultiPlan PPO: $942.20 MultiPlan — MultiPlan WCOMP: $942.20 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $1,346 PNOA-Provider Network of America — PNOA-Provider Network of America: $1,076.80 Prime Health Services — Prime Health Services Commercial: $1,076.80 Private Pay — Private Pay: $1,346
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US OB > 14WKS SNGL	$1,346	$1,346	$124.01 – $1,346
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $1,346 Health Net — Health Net Enhanced PPO: $204.26 TRICARE — TRICARE: $124.01
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL	$1,370	$1,370	$79.83 – $1,370
Transvaginal ultrasound: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $748.43 Aetna Healthcare — Aetna Senior: $133.80 Align Senior Care — Align Senior Care: $149.86 AltaMed — AltaMed Comm HMO (Ancillary): $133.80 AltaMed — AltaMed Health Services Senior: $133.80 AltaMed — AltaMed MCAL HMO: $135.86 AltaMed — AltaMed MCAL/PACE: $135.86 AltaMed — AltaMed SR/PACE: $133.80 Astiva — Astiva Medicare Advantage: $133.80 AVA Hospice — AVA HOSPICE: $1,370
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL	$1,370	$1,370	$719.25 – $1,370
Transvaginal ultrasound: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $1,096 First Health — First Health Commercial: $719.25 Magellan — Magellan Comm: $822 MultiPlan — MultiPlan PPO: $959 MultiPlan — MultiPlan WCOMP: $959 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $1,370 PNOA-Provider Network of America — PNOA-Provider Network of America: $1,096 Prime Health Services — Prime Health Services Commercial: $1,096 Private Pay — Private Pay: $1,370
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US PELVIC TRANSVAGINAL	$1,370	$1,370	$107.63 – $1,370
Transvaginal ultrasound: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $1,370 Health Net — Health Net Enhanced PPO: $177.28 TRICARE — TRICARE: $107.63

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGR	$25,910	$25,910	$762.86 – $25,910
Left heart catheterization (diagnostic): 10 of 91 insurance plan rates Aetna Healthcare — Aetna Comm: $8,265 Aetna Healthcare — Aetna Senior: $4,149.23 Align Senior Care — Align Senior Care: $4,647.14 AltaMed — AltaMed Comm HMO (Ancillary): $4,149.23 AltaMed — AltaMed Health Services Senior: $4,149.23 AltaMed — AltaMed MCAL HMO: $1,068 AltaMed — AltaMed MCAL/PACE: $1,068 AltaMed — AltaMed SR/PACE: $4,149.23 Astiva — Astiva Medicare Advantage: $4,149.23 AVA Hospice — AVA HOSPICE: $25,910
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGR	$25,910	$25,910	$13,602.75 – $25,910
Left heart catheterization (diagnostic): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $20,728 First Health — First Health Commercial: $13,602.75 Magellan — Magellan Comm: $15,546 MultiPlan — MultiPlan PPO: $18,137 MultiPlan — MultiPlan WCOMP: $18,137 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $25,910 PNOA-Provider Network of America — PNOA-Provider Network of America: $20,728 Prime Health Services — Prime Health Services Commercial: $20,728 Private Pay — Private Pay: $25,910
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGR	$25,910	$25,910	$800.25 – $25,910
Left heart catheterization (diagnostic): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $25,910 Health Net — Health Net Enhanced PPO: $1,318.06 TRICARE — TRICARE: $800.25
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP STDY W/O INDUCTIO	$29,189	$29,189	$703.82 – $29,189
Heart rhythm study (electrophysiology evaluation): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $18,485.39 Aetna Healthcare — Aetna Senior: $9,982.52 Align Senior Care — Align Senior Care: $11,180.42 AltaMed — AltaMed Comm HMO (Ancillary): $9,982.52 AltaMed — AltaMed Health Services Senior: $9,982.52 AltaMed — AltaMed MCAL HMO: $1,197.78 AltaMed — AltaMed MCAL/PACE: $1,197.78 AltaMed — AltaMed SR/PACE: $9,982.52 Astiva — Astiva Medicare Advantage: $9,982.52 AVA Hospice — AVA HOSPICE: $29,189
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP STDY W/O INDUCTIO	$29,189	$29,189	$15,324.22 – $29,189
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $23,351.20 First Health — First Health Commercial: $15,324.22 Magellan — Magellan Comm: $17,513.40 MultiPlan — MultiPlan PPO: $20,432.30 MultiPlan — MultiPlan WCOMP: $20,432.30 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $29,189 PNOA-Provider Network of America — PNOA-Provider Network of America: $23,351.20 Prime Health Services — Prime Health Services Commercial: $23,351.20 Private Pay — Private Pay: $29,189
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMP EP STDY W/O INDUCTIO	$29,189	$29,189	$5,721.04 – $29,189
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $29,189 Health Net — Health Net Enhanced PPO: $5,721.04 TRICARE — TRICARE: $18,972.85
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL	$44,008	$44,008	$880.47 – $44,008
Heart rhythm study with ablation for atrial fibrillation: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $27,870.27 Aetna Healthcare — Aetna Senior: $33,452.93 Align Senior Care — Align Senior Care: $37,467.28 AltaMed — AltaMed Comm HMO (Ancillary): $33,452.93 AltaMed — AltaMed Health Services Senior: $33,452.93 AltaMed — AltaMed MCAL HMO: $1,232.66 AltaMed — AltaMed MCAL/PACE: $1,232.66 AltaMed — AltaMed SR/PACE: $33,452.93 Astiva — Astiva Medicare Advantage: $33,452.93 AVA Hospice — AVA HOSPICE: $44,008
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL	$44,008	$44,008	$23,104.20 – $44,008
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $35,206.40 First Health — First Health Commercial: $23,104.20 Magellan — Magellan Comm: $26,404.80 MultiPlan — MultiPlan PPO: $30,805.60 MultiPlan — MultiPlan WCOMP: $30,805.60 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $44,008 PNOA-Provider Network of America — PNOA-Provider Network of America: $35,206.40 Prime Health Services — Prime Health Services Commercial: $35,206.40 Private Pay — Private Pay: $44,008
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TX ATRIAL FIB PULM VEIN ISOL	$44,008	$44,008	$687.77 – $44,008
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $44,008 Health Net — Health Net Enhanced PPO: $1,132.80 TRICARE — TRICARE: $687.77

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: RANGE OF MOTION 15 MIN	$167	$167	$12.93 – $315
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $213 Aetna Healthcare — Aetna Senior: $30.59 Align Senior Care — Align Senior Care: $34.26 AltaMed — AltaMed Comm HMO (Ancillary): $30.59 AltaMed — AltaMed Health Services Senior: $30.59 AltaMed — AltaMed MCAL HMO: $22.01 AltaMed — AltaMed MCAL/PACE: $22.01 AltaMed — AltaMed SR/PACE: $30.59 Astiva — Astiva Medicare Advantage: $30.59 AVA Hospice — AVA HOSPICE: $167
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RANGE OF MOTION 15 MIN	$167	$167	$87.68 – $167
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $133.60 First Health — First Health Commercial: $87.68 Magellan — Magellan Comm: $100.20 MultiPlan — MultiPlan PPO: $116.90 MultiPlan — MultiPlan WCOMP: $116.90 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $167 PNOA-Provider Network of America — PNOA-Provider Network of America: $133.60 Prime Health Services — Prime Health Services Commercial: $133.60 Private Pay — Private Pay: $167
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RANGE OF MOTION 15 MIN	$167	$167	$26.01 – $167
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $167 Health Net — Health Net Enhanced PPO: $42.83 TRICARE — TRICARE: $26.01
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEXITY	$260	$260	$76.44 – $341.49
Physical therapy evaluation (low complexity): 10 of 83 insurance plan rates Aetna Healthcare — Aetna Comm: $213 Aetna Healthcare — Aetna Senior: $103.17 Align Senior Care — Align Senior Care: $115.55 AltaMed — AltaMed Comm HMO (Ancillary): $103.17 AltaMed — AltaMed Health Services Senior: $103.17 AltaMed — AltaMed MCAL HMO: $78 AltaMed — AltaMed MCAL/PACE: $78 AltaMed — AltaMed SR/PACE: $103.17 Astiva — Astiva Medicare Advantage: $103.17 AVA Hospice — AVA HOSPICE: $260
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEXITY	$260	$260	$136.50 – $260
Physical therapy evaluation (low complexity): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $208 First Health — First Health Commercial: $136.50 Magellan — Magellan Comm: $156 MultiPlan — MultiPlan PPO: $182 MultiPlan — MultiPlan WCOMP: $182 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $260 PNOA-Provider Network of America — PNOA-Provider Network of America: $208 Prime Health Services — Prime Health Services Commercial: $208 Private Pay — Private Pay: $260
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL LOW COMPLEXITY	$260	$260	$87.69 – $260
Physical therapy evaluation (low complexity): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $260 Health Net — Health Net Enhanced PPO: $144.44 TRICARE — TRICARE: $87.69
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MODERATE COMPLEXITY	$260	$260	$76.44 – $341.49
Physical therapy evaluation (moderate complexity): 10 of 83 insurance plan rates Aetna Healthcare — Aetna Comm: $213 Aetna Healthcare — Aetna Senior: $103.17 Align Senior Care — Align Senior Care: $115.55 AltaMed — AltaMed Comm HMO (Ancillary): $103.17 AltaMed — AltaMed Health Services Senior: $103.17 AltaMed — AltaMed MCAL HMO: $78 AltaMed — AltaMed MCAL/PACE: $78 AltaMed — AltaMed SR/PACE: $103.17 Astiva — Astiva Medicare Advantage: $103.17 AVA Hospice — AVA HOSPICE: $260
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MODERATE COMPLEXITY	$260	$260	$136.50 – $260
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $208 First Health — First Health Commercial: $136.50 Magellan — Magellan Comm: $156 MultiPlan — MultiPlan PPO: $182 MultiPlan — MultiPlan WCOMP: $182 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $260 PNOA-Provider Network of America — PNOA-Provider Network of America: $208 Prime Health Services — Prime Health Services Commercial: $208 Private Pay — Private Pay: $260
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL MODERATE COMPLEXITY	$260	$260	$87.69 – $260
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $260 Health Net — Health Net Enhanced PPO: $144.44 TRICARE — TRICARE: $87.69
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEXITY	$260	$260	$95.94 – $341.49
Physical therapy evaluation (high complexity): 10 of 85 insurance plan rates Aetna Healthcare — Aetna Comm: $213 Aetna Healthcare — Aetna Senior: $103.17 Align Senior Care — Align Senior Care: $115.55 AltaMed — AltaMed Comm HMO (Ancillary): $103.17 AltaMed — AltaMed Health Services Senior: $103.17 AltaMed — AltaMed MCAL HMO: $189.78 AltaMed — AltaMed MCAL/PACE: $189.78 AltaMed — AltaMed SR/PACE: $103.17 Astiva — Astiva Medicare Advantage: $103.17 AVA Hospice — AVA HOSPICE: $260
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEXITY	$260	$260	$136.50 – $260
Physical therapy evaluation (high complexity): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $208 First Health — First Health Commercial: $136.50 Magellan — Magellan Comm: $156 MultiPlan — MultiPlan PPO: $182 MultiPlan — MultiPlan WCOMP: $182 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $260 PNOA-Provider Network of America — PNOA-Provider Network of America: $208 Prime Health Services — Prime Health Services Commercial: $208 Private Pay — Private Pay: $260
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL HIGH COMPLEXITY	$260	$260	$87.69 – $260
Physical therapy evaluation (high complexity): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $260 Health Net — Health Net Enhanced PPO: $144.44 TRICARE — TRICARE: $87.69
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CD PARTIAL HOSP FULL DAY-ALCOHOL	$383	$383	$4.09 – $675
Group psychotherapy: 10 of 87 insurance plan rates Aetna Healthcare — Aetna Comm: $242.55 Aetna Healthcare — Aetna Senior: $130.02 Align Senior Care — Align Senior Care: $145.62 AltaMed — AltaMed Comm HMO (Ancillary): $130.02 AltaMed — AltaMed Health Services Senior: $130.02 AltaMed — AltaMed MCAL HMO: $6.97 AltaMed — AltaMed MCAL/PACE: $6.97 AltaMed — AltaMed SR/PACE: $130.02 Astiva — Astiva Medicare Advantage: $130.02 AVA Hospice — AVA HOSPICE: $383
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CD PARTIAL HOSP FULL DAY (SAGE)	$383	$383	$4.09 – $675
Group psychotherapy: 10 of 87 insurance plan rates Aetna Healthcare — Aetna Comm: $242.55 Aetna Healthcare — Aetna Senior: $130.02 Align Senior Care — Align Senior Care: $145.62 AltaMed — AltaMed Comm HMO (Ancillary): $130.02 AltaMed — AltaMed Health Services Senior: $130.02 AltaMed — AltaMed MCAL HMO: $6.97 AltaMed — AltaMed MCAL/PACE: $6.97 AltaMed — AltaMed SR/PACE: $130.02 Astiva — Astiva Medicare Advantage: $130.02 AVA Hospice — AVA HOSPICE: $383
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL HOSPITALIZATION-LESS INTENSIVE	$398	$398	$4.09 – $875
Group psychotherapy: 10 of 87 insurance plan rates Aetna Healthcare — Aetna Comm: $252.05 Aetna Healthcare — Aetna Senior: $130.02 Align Senior Care — Align Senior Care: $145.62 AltaMed — AltaMed Comm HMO (Ancillary): $130.02 AltaMed — AltaMed Health Services Senior: $130.02 AltaMed — AltaMed MCAL HMO: $6.97 AltaMed — AltaMed MCAL/PACE: $6.97 AltaMed — AltaMed SR/PACE: $130.02 Astiva — Astiva Medicare Advantage: $130.02 AVA Hospice — AVA HOSPICE: $398

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LTRT In the file: TOTAL HIP REPLACEMENT	Not listed in the file	Not listed in the file	$1,757.26 – $50,000
Total hip replacement: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $16,431.78 Align Senior Care — Align Senior Care: $18,403.59 AltaMed — AltaMed Comm HMO (Ancillary): $16,431.78 AltaMed — AltaMed Health Services Senior: $16,431.78 AltaMed — AltaMed MCAL HMO: $2,990.55 AltaMed — AltaMed MCAL/PACE: $2,990.55 AltaMed — AltaMed SR/PACE: $16,431.78 Astiva — Astiva Medicare Advantage: $16,431.78 Blue Cross — Blue Cross Medi-cal: $2,242.92
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LTRT In the file: TOTAL HIP REPLACEMENT	Not listed in the file	Not listed in the file	$1,012.28 – $1,667.27
Total hip replacement: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $1,667.27 TRICARE — TRICARE: $1,012.28
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LTRT In the file: TOTAL KNEE REPLACEMENT	Not listed in the file	Not listed in the file	$1,757.26 – $50,000
Total knee replacement: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $16,431.78 Align Senior Care — Align Senior Care: $18,403.59 AltaMed — AltaMed Comm HMO (Ancillary): $16,431.78 AltaMed — AltaMed Health Services Senior: $16,431.78 AltaMed — AltaMed MCAL HMO: $2,990.55 AltaMed — AltaMed MCAL/PACE: $2,990.55 AltaMed — AltaMed SR/PACE: $16,431.78 Astiva — Astiva Medicare Advantage: $16,431.78 Blue Cross — Blue Cross Medi-cal: $2,242.92
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LTRT In the file: TOTAL KNEE REPLACEMENT	Not listed in the file	Not listed in the file	$1,010 – $1,663.52
Total knee replacement: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $1,663.52 TRICARE — TRICARE: $1,010
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LTRT In the file: SHOULDER ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$466 – $50,000
Shoulder arthroscopy: shaving of shoulder bone: 10 of 50 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $29,100 AltaMed — AltaMed MCAL HMO: $847.08 AltaMed — AltaMed MCAL/PACE: $847.08 Blue Cross — Blue Cross Medi-cal: $635.31 Choice Physicians Network — Choice Physicians Network: $5,200 Cigna — Cigna: $2,193 CLEVER CARE HEALTH PLAN SR — CLEVER CARE HEALTH PLAN SR: $50,000 Health Net — Health Net Comm: $12,250 Health Net — Health Net Enhanced PPO: $1,000
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LTRT In the file: SHOULDER ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$127.04 – $209.24
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $209.24 TRICARE — TRICARE: $127.04
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LTRT In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$650.18 – $6,888
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $4,187.72 Align Senior Care — Align Senior Care: $4,690.25 AltaMed — AltaMed Comm HMO (Ancillary): $4,187.72 AltaMed — AltaMed Health Services Senior: $4,187.72 AltaMed — AltaMed MCAL HMO: $1,106.49 AltaMed — AltaMed MCAL/PACE: $1,106.49 AltaMed — AltaMed SR/PACE: $4,187.72 Astiva — Astiva Medicare Advantage: $4,187.72 Blue Cross — Blue Cross Medi-cal: $829.87
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LTRT In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$455.61 – $750.41
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $750.41 TRICARE — TRICARE: $455.61
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY EGD	$4,837	$4,837	$264.46 – $4,837
Upper GI endoscopy (diagnostic): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,907.04 Aetna Healthcare — Aetna Senior: $1,160.82 Align Senior Care — Align Senior Care: $1,300.12 AltaMed — AltaMed Comm HMO (Ancillary): $1,160.82 AltaMed — AltaMed Health Services Senior: $1,160.82 AltaMed — AltaMed MCAL HMO: $450.07 AltaMed — AltaMed MCAL/PACE: $450.07 AltaMed — AltaMed SR/PACE: $1,160.82 Astiva — Astiva Medicare Advantage: $1,160.82 AVA Hospice — AVA HOSPICE: $4,837
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY EGD	$4,837	$4,837	$2,539.43 – $4,837
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $3,869.60 First Health — First Health Commercial: $2,539.43 Magellan — Magellan Comm: $2,902.20 MultiPlan — MultiPlan PPO: $3,385.90 MultiPlan — MultiPlan WCOMP: $3,385.90 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $4,837 PNOA-Provider Network of America — PNOA-Provider Network of America: $3,869.60 Prime Health Services — Prime Health Services Commercial: $3,869.60 Private Pay — Private Pay: $4,837
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESOPHAGOGASTRODUODENOSCOPY EGD	$4,837	$4,837	$294.41 – $4,837
Upper GI endoscopy (diagnostic): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $4,837 Health Net — Health Net Enhanced PPO: $484.90 TRICARE — TRICARE: $294.41
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD WITH BIOPSY	$4,837	$4,837	$276.33 – $4,837
Upper GI endoscopy with biopsy: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $2,907.04 Aetna Healthcare — Aetna Senior: $1,160.82 Align Senior Care — Align Senior Care: $1,300.12 AltaMed — AltaMed Comm HMO (Ancillary): $1,160.82 AltaMed — AltaMed Health Services Senior: $1,160.82 AltaMed — AltaMed MCAL HMO: $470.27 AltaMed — AltaMed MCAL/PACE: $470.27 AltaMed — AltaMed SR/PACE: $1,160.82 Astiva — Astiva Medicare Advantage: $1,160.82 AVA Hospice — AVA HOSPICE: $4,837
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD WITH BIOPSY	$4,837	$4,837	$2,539.43 – $4,837
Upper GI endoscopy with biopsy: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $3,869.60 First Health — First Health Commercial: $2,539.43 Magellan — Magellan Comm: $2,902.20 MultiPlan — MultiPlan PPO: $3,385.90 MultiPlan — MultiPlan WCOMP: $3,385.90 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $4,837 PNOA-Provider Network of America — PNOA-Provider Network of America: $3,869.60 Prime Health Services — Prime Health Services Commercial: $3,869.60 Private Pay — Private Pay: $4,837
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD WITH BIOPSY	$4,837	$4,837	$383.18 – $4,837
Upper GI endoscopy with biopsy: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $4,837 Health Net — Health Net Enhanced PPO: $631.11 TRICARE — TRICARE: $383.18
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG FLEXIBLE	$5,364	$5,364	$348.37 – $5,364
Colonoscopy (diagnostic): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $3,223.76 Aetna Healthcare — Aetna Senior: $1,190.22 Align Senior Care — Align Senior Care: $1,333.05 AltaMed — AltaMed Comm HMO (Ancillary): $1,190.22 AltaMed — AltaMed Health Services Senior: $1,190.22 AltaMed — AltaMed MCAL HMO: $592.87 AltaMed — AltaMed MCAL/PACE: $592.87 AltaMed — AltaMed SR/PACE: $1,190.22 Astiva — Astiva Medicare Advantage: $1,190.22 AVA Hospice — AVA HOSPICE: $5,364
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG FLEXIBLE	$5,364	$5,364	$2,816.10 – $5,364
Colonoscopy (diagnostic): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $4,291.20 First Health — First Health Commercial: $2,816.10 Magellan — Magellan Comm: $3,218.40 MultiPlan — MultiPlan PPO: $3,754.80 MultiPlan — MultiPlan WCOMP: $3,754.80 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $5,364 PNOA-Provider Network of America — PNOA-Provider Network of America: $4,291.20 Prime Health Services — Prime Health Services Commercial: $4,291.20 Private Pay — Private Pay: $5,364
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY DIAG FLEXIBLE	$5,364	$5,364	$342.36 – $5,364
Colonoscopy (diagnostic): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $5,364 Health Net — Health Net Enhanced PPO: $563.89 TRICARE — TRICARE: $342.36
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH BIOPSY	$5,364	$5,364	$389.67 – $5,364
Colonoscopy with biopsy: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $3,223.76 Aetna Healthcare — Aetna Senior: $1,531.54 Align Senior Care — Align Senior Care: $1,715.32 AltaMed — AltaMed Comm HMO (Ancillary): $1,531.54 AltaMed — AltaMed Health Services Senior: $1,531.54 AltaMed — AltaMed MCAL HMO: $663.15 AltaMed — AltaMed MCAL/PACE: $663.15 AltaMed — AltaMed SR/PACE: $1,531.54 Astiva — Astiva Medicare Advantage: $1,531.54 AVA Hospice — AVA HOSPICE: $5,364
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH BIOPSY	$5,364	$5,364	$2,816.10 – $5,364
Colonoscopy with biopsy: rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $4,291.20 First Health — First Health Commercial: $2,816.10 Magellan — Magellan Comm: $3,218.40 MultiPlan — MultiPlan PPO: $3,754.80 MultiPlan — MultiPlan WCOMP: $3,754.80 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $5,364 PNOA-Provider Network of America — PNOA-Provider Network of America: $4,291.20 Prime Health Services — Prime Health Services Commercial: $4,291.20 Private Pay — Private Pay: $5,364
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY WITH BIOPSY	$5,364	$5,364	$436.56 – $5,364
Colonoscopy with biopsy: rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $5,364 Health Net — Health Net Enhanced PPO: $719.04 TRICARE — TRICARE: $436.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYPECTOMY COLONOSCOPY	$5,364	$5,364	$472.26 – $5,364
Colonoscopy with removal of polyps (snare): 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $3,223.76 Aetna Healthcare — Aetna Senior: $1,531.54 Align Senior Care — Align Senior Care: $1,715.32 AltaMed — AltaMed Comm HMO (Ancillary): $1,531.54 AltaMed — AltaMed Health Services Senior: $1,531.54 AltaMed — AltaMed MCAL HMO: $803.71 AltaMed — AltaMed MCAL/PACE: $803.71 AltaMed — AltaMed SR/PACE: $1,531.54 Astiva — Astiva Medicare Advantage: $1,531.54 AVA Hospice — AVA HOSPICE: $5,364
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYPECTOMY COLONOSCOPY	$5,364	$5,364	$2,816.10 – $5,364
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Cigna Behavioral Health — Cigna Behavioral Health: $4,291.20 First Health — First Health Commercial: $2,816.10 Magellan — Magellan Comm: $3,218.40 MultiPlan — MultiPlan PPO: $3,754.80 MultiPlan — MultiPlan WCOMP: $3,754.80 Other Commercial Non-Contracted — Other Commercial Non-Contracted: $5,364 PNOA-Provider Network of America — PNOA-Provider Network of America: $4,291.20 Prime Health Services — Prime Health Services Commercial: $4,291.20 Private Pay — Private Pay: $5,364
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYPECTOMY COLONOSCOPY	$5,364	$5,364	$452.41 – $5,364
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans AltaMed — AltaMed Comm HMO (Ancillary): $5,364 Health Net — Health Net Enhanced PPO: $745.15 TRICARE — TRICARE: $452.41
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 5374 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,200 – $15,775
Gallbladder removal by laparoscope: 10 of 84 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $7,737.46 Align Senior Care — Align Senior Care: $8,665.96 AltaMed — AltaMed Comm HMO (Ancillary): $7,737.46 AltaMed — AltaMed Health Services Senior: $7,737.46 AltaMed — AltaMed MCAL HMO: $15,000 AltaMed — AltaMed MCAL/PACE: $15,000 AltaMed — AltaMed SR/PACE: $7,737.46 Astiva — Astiva Medicare Advantage: $7,737.46 Blue Shield — Blue Shield ACA/Covered CA (EPN): $21,742.26
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 5374 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$547.70 – $902.08
Gallbladder removal by laparoscope: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $902.08 TRICARE — TRICARE: $547.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50LTRT In the file: REPAIR INGUINAL HERNIA	Not listed in the file	Not listed in the file	$405.93 – $9,285
Groin (inguinal) hernia repair, age 5 or older: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $7,769.93 Align Senior Care — Align Senior Care: $8,702.32 AltaMed — AltaMed Comm HMO (Ancillary): $7,769.93 AltaMed — AltaMed Health Services Senior: $7,769.93 AltaMed — AltaMed MCAL HMO: $690.83 AltaMed — AltaMed MCAL/PACE: $690.83 AltaMed — AltaMed SR/PACE: $7,769.93 Astiva — Astiva Medicare Advantage: $7,769.93 Blue Cross — Blue Cross Medi-cal: $518.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50LTRT In the file: REPAIR INGUINAL HERNIA	Not listed in the file	Not listed in the file	$662.92 – $1,091.87
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $1,091.87 TRICARE — TRICARE: $662.92
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$206.88 – $6,888
Hysteroscopy with biopsy of the uterus lining: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $4,143.08 Align Senior Care — Align Senior Care: $4,640.25 AltaMed — AltaMed Comm HMO (Ancillary): $4,143.08 AltaMed — AltaMed Health Services Senior: $4,143.08 AltaMed — AltaMed MCAL HMO: $352.07 AltaMed — AltaMed MCAL/PACE: $352.07 AltaMed — AltaMed SR/PACE: $4,143.08 Astiva — Astiva Medicare Advantage: $4,143.08 Blue Cross — Blue Cross Medi-cal: $264.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$1,169.06 – $1,925.52
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $1,925.52 TRICARE — TRICARE: $1,169.06
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LTRT In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$373.86 – $6,888
Carpal tunnel release: 10 of 90 insurance plan rates Aetna Healthcare — Aetna Comm: $6,888 Aetna Healthcare — Aetna Senior: $2,499.22 Align Senior Care — Align Senior Care: $2,799.13 AltaMed — AltaMed Comm HMO (Ancillary): $2,499.22 AltaMed — AltaMed Health Services Senior: $2,499.22 AltaMed — AltaMed MCAL HMO: $636.24 AltaMed — AltaMed MCAL/PACE: $636.24 AltaMed — AltaMed SR/PACE: $2,499.22 Astiva — Astiva Medicare Advantage: $2,499.22 Blue Cross — Blue Cross Medi-cal: $477.18
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LTRT In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$432.06 – $711.63
Carpal tunnel release: rates for 2 insurance plans Health Net — Health Net Enhanced PPO: $711.63 TRICARE — TRICARE: $432.06

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	Not listed in the file	Not listed in the file	$2,200 – $303,808.65
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 80 insurance plan rates Aetna Healthcare — Aetna Comm: $117,921.87 Aetna Healthcare — Aetna Senior: $98,542.52 Align Senior Care — Align Senior Care: $110,367.62 AltaMed — AltaMed Health Services Senior: $3,548 AltaMed — AltaMed SR/PACE: $3,548 Astiva — Astiva Medicare Advantage: $98,542.52 AVA Hospice — AVA HOSPICE: $303,808.65 Blue Shield — Blue Shield ACA/Covered CA (EPN): $130,076.12 Blue Shield — Blue Shield Commercial: $158,653.45 Blue Shield — Blue Shield Senior: $98,542.52
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$2,200 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 80 insurance plan rates Aetna Healthcare — Aetna Comm: $79,728.89 Aetna Healthcare — Aetna Senior: $37,165.71 Align Senior Care — Align Senior Care: $41,625.59 AltaMed — AltaMed Health Services Senior: $3,548 AltaMed — AltaMed SR/PACE: $3,548 Astiva — Astiva Medicare Advantage: $37,165.71 AVA Hospice — AVA HOSPICE: $79,728.89 Blue Shield — Blue Shield ACA/Covered CA (EPN): $49,058.74 Blue Shield — Blue Shield Commercial: $59,836.79 Blue Shield — Blue Shield Senior: $37,165.71
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	Not listed in the file	Not listed in the file	$2,200 – $35,546.56
Hip or knee replacement (major joint of the leg), without major complications: 10 of 80 insurance plan rates Aetna Healthcare — Aetna Comm: $23,250.96 Aetna Healthcare — Aetna Senior: $19,839.64 Align Senior Care — Align Senior Care: $22,220.40 AltaMed — AltaMed Health Services Senior: $3,548 AltaMed — AltaMed SR/PACE: $3,548 Astiva — Astiva Medicare Advantage: $19,839.64 AVA Hospice — AVA HOSPICE: $27,601.38 Blue Shield — Blue Shield ACA/Covered CA (EPN): $26,188.32 Blue Shield — Blue Shield Commercial: $31,941.82 Blue Shield — Blue Shield Senior: $19,839.64
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,200 – $44,989.28
Neck (cervical) spinal fusion, without complications: 10 of 80 insurance plan rates Aetna Healthcare — Aetna Comm: $29,427.43 Aetna Healthcare — Aetna Senior: $24,974.32 Align Senior Care — Align Senior Care: $27,971.23 AltaMed — AltaMed Health Services Senior: $3,548 AltaMed — AltaMed SR/PACE: $3,548 Astiva — Astiva Medicare Advantage: $24,974.32 AVA Hospice — AVA HOSPICE: $34,258.62 Blue Shield — Blue Shield ACA/Covered CA (EPN): $32,966.10 Blue Shield — Blue Shield Commercial: $40,208.65 Blue Shield — Blue Shield Senior: $24,974.32
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	Not listed in the file	Not listed in the file	$2,200 – $51,987.52
Uterus and ovary surgery (not for cancer), without complications: 10 of 80 insurance plan rates Aetna Healthcare — Aetna Comm: $14,955.40 Aetna Healthcare — Aetna Senior: $12,943.27 Align Senior Care — Align Senior Care: $14,496.46 AltaMed — AltaMed Health Services Senior: $3,548 AltaMed — AltaMed SR/PACE: $3,548 Astiva — Astiva Medicare Advantage: $12,943.27 AVA Hospice — AVA HOSPICE: $51,987.52 Blue Shield — Blue Shield ACA/Covered CA (EPN): $17,085.12 Blue Shield — Blue Shield Commercial: $20,838.67 Blue Shield — Blue Shield Senior: $12,943.27

Source: Hemet Global Medical Center’s standard charges file (hemetglobalmedicalcenter.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 15, 2026; retrieved October 31, 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	1117 East Devonshire, Hemet, CA 92543
County	Riverside County
State	California
Phone	(951) 652‑2811
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050390
Name in Medicare records	HEMET GLOBAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	hemetglobalmedicalcenter.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.

Home - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Services — hemetglobalmedicalcenter.com
Patients & Visitors — hemetglobalmedicalcenter.com
About — hemetglobalmedicalcenter.com
Stroke Services - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Cardiology Care - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Day Surgery Services - Hemet Global Medical Center — hemetglobalmedicalcenter.com
General Surgery Services - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Interpretation Services - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Laboratory & Pathology Services - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Endoscopy Services - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Orthopedic Surgery - Hemet Global Medical Center — hemetglobalmedicalcenter.com
24-Hour Emergency Care - Hemet Global Medical Center — hemetglobalmedicalcenter.com
Magnetic Resonance Imaging - Hemet Global Medical Center — hemetglobalmedicalcenter.com

Hemet Global Medical Center

Summary

Profile from official sources

At a glance