Does Hoag Memorial Hospital Presbyterian have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Hoag Memorial Hospital Presbyterian. In a medical emergency, call 911.

Where is Hoag Memorial Hospital Presbyterian?

One Hoag Drive, Newport Beach, CA 92663, in Orange County, California.

What is the phone number of Hoag Memorial Hospital Presbyterian?

(949) 764-4624, as listed by Medicare (CMS).

What is the Medicare star rating of Hoag Memorial Hospital Presbyterian?

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

Hoag Memorial Hospital Presbyterian

Quick answers

Does Hoag Memorial Hospital Presbyterian have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Hoag Memorial Hospital Presbyterian. In a medical emergency, call 911.
Where is Hoag Memorial Hospital Presbyterian?: One Hoag Drive, Newport Beach, CA 92663, in Orange County, California.
What is the phone number of Hoag Memorial Hospital Presbyterian?: (949) 764-4624, as listed by Medicare (CMS).
What is the Medicare star rating of Hoag Memorial Hospital Presbyterian?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][10]

Cancer
Heart and vascular
Neurosciences
Women's health
Orthopedics
Spine
Digestive health
Imaging and radiology
Acute rehabilitation
Emergency medicine
Obstetrics

Treatments^[4][9]

Infusion therapy
Breast ultrasound
Breast MRI

Procedures^[9]

Diagnostic mammography

Programs and centers^[4][9][10]

Hoag Family Cancer Institute
Jeffrey M. Carlton Heart & Vascular Institute
Pickup Family Neurosciences Institute
Sue & Bill Gross Women's Pavilion
Fudge Family Acute Rehabilitation Center
Hoag Infusion Center
Labor and delivery
Neonatal intensive care unit (NICU)
Hoag Breast Center

Emergency care (hospital website)^{[4][5][6][11]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Certified Comprehensive Stroke Center (DNV)

Visiting and practical information

Parking	Self-parking free first hour, $5 for 1-3.5 hours, $16 daily max; valet $16 flat^[5]
Patient portal	Hoag MyChart

Recognition^[6][7]

CMS 5-Star overall hospital quality rating
Certified Comprehensive Stroke Center (DNV Healthcare)
Certified Quality Breast Center of Excellence

Doctors and clinicians (2,348)

2,348 doctors and other clinicians list Hoag Memorial Hospital Presbyterian 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 2,324 more: the button below opens the full list.

Other emergency rooms nearby

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

Memorialcare Orange Coast Medical Center5.6 mi · Fountain Valley, CA · Acute Care Hospital
UCI Health - Fountain Valley6.1 mi · Fountain Valley, CA · Acute Care Hospital
Huntington Beach Hospital6.5 mi · Huntington Beach, CA · Acute Care Hospital
Coastal Communities Hospital6.6 mi · Santa Ana, CA · Acute Care Hospital
Foothill Regional Medical Center9.3 mi · Tustin, CA · Acute Care Hospital

Other hospitals nearby

College Hospital Costa Mesa2.2 mi · Costa Mesa, CA · Acute Care Hospital
Encompass Health Rehabilitation Hospital of Tustin8.8 mi · Tustin, 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

Crystal Cove Care Center0.2 mi · Newport Beach, CA · 3 of 5 stars
Pelican Ridge Post Acute0.3 mi · Newport Beach, CA · 3 of 5 stars
Newport Nursing and Rehabilitation Center0.5 mi · Newport Beach, CA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Aster Palliative and Hospice Care0.1 mi · Newport Beach, CA
Ahpc Orange County, Inc.3.2 mi · Newport Beach, CA
Hoag Hospice, LLC3.2 mi · Newport Beach, CA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Accentcare Home Health of California, Inc3.2 mi · Newport Beach, CA
Hoag Home Health3.2 mi · Newport Beach, CA
Advantage Health Systems4.0 mi · Costa Mesa, CA

All home health agencies in the state →

Dialysis facilities

Fmc-Newport Superior Dialysis0.1 mi · Newport Beach, CA · 4 of 5 stars
DaVita Newport Irvine Dialysis3.2 mi · Newport Beach, CA · 3 of 5 stars
DaVita Costa Mesa Dialysis4.0 mi · Costa Mesa, 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.

Hoag Endoscopy Center0.1 mi · Newport Beach, CA
Hoag Outpatient Centers, LLC0.1 mi · Newport Beach, CA
Newport Bay Surgery Center, LLC0.1 mi · Newport Beach, 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

SOS Children & Family Health Center0.2 mi · Newport Beach, CA · Community health center
SOS-Dr. Robert & Dorothy Beauchamp Children & Family Dental Center0.2 mi · Newport Beach, CA · Community health center
Share Our Selves Community Health Center0.6 mi · Costa Mesa, CA · Community health center

Clinics and urgent care

Anaheim Urgent Care, Inc0.1 mi · Newport Beach, CA · Urgent care center
Cornerhealth Medical Group Inc1.7 mi · Costa Mesa, CA · Urgent care center
Csu, LLC1.7 mi · Costa Mesa, CA · Urgent care center

Pharmacies

Lido Pharmacy LLC0.1 mi · Newport Beach, CA · Community/retail pharmacy
Pacific Pharmacy Group0.1 mi · Newport Beach, CA · Community/retail pharmacy
Sweet Cute Inc0.1 mi · Newport Beach, CA · Community/retail pharmacy

Assisted living nearby

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

Atria Newport Beach0.1 mi · Newport Beach, CA
Atria Newport Plaza0.1 mi · Newport Beach, CA
Newport Beach Memory Care0.1 mi · Newport Beach, CA
Newport Beach Senior Villa0.1 mi · Newport Beach, 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 Hoag Memorial Hospital Presbyterian 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	81%National average: 72%
Would definitely recommend the hospital	84%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	77%National average: 74%
Area around the room “always” quiet at night	52%National average: 60%
Completed surveys	2,329Response rate: 20%

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)	0.08Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.347Better than the national benchmark
Surgical site infections after colon surgery	0.548No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.729No different from the national benchmark
MRSA bloodstream infections	0.746No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.424Better 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	10%
Deaths within 30 days: heart failure patients	11.2%
Deaths within 30 days: pneumonia patients	13.6%
Deaths within 30 days: COPD patients	6.9%
Deaths within 30 days: stroke patients	12%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	0.98No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	12.6%
Readmitted within 30 days: heart failure	19.9%
Readmitted within 30 days: pneumonia	15.9%
Readmitted within 30 days: COPD	18.4%
Readmitted within 30 days: coronary bypass surgery	8.3%
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	82%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 69 common services exactly as Hoag Memorial Hospital Presbyterian 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 →

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: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $50.34
Basic metabolic panel (blood test): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $8.46 Blue Cross — All Commercial Plans: $50.34 Cigna — Network Benefit/Open Access Plus Hmo: $41.34 Unitedhealthcare — All Commercial Plans: $10.15 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10.15
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel	$101.61	$66.05	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $62.96
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $10.56 Blue Cross — All Commercial Plans: $62.96 Cigna — Network Benefit/Open Access Plus Hmo: $50.87 Unitedhealthcare — All Commercial Plans: $12.67 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $12.67
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehen Metabolic Panel	$129.71	$84.31	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $232.11
Obstetric blood test panel: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $47.81 Blue Cross — All Commercial Plans: $97.96 Cigna — Network Benefit/Open Access Plus Hmo: $232.11 Unitedhealthcare — All Commercial Plans: $57.37 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $57.37
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $79.66
Cholesterol panel (lipid panel): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $13.39 Blue Cross — All Commercial Plans: $79.66 Cigna — Network Benefit/Open Access Plus Hmo: $65.18 Unitedhealthcare — All Commercial Plans: $16.07 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $16.07
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Advanced Lipid Panel	$12.40	$8.06	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hemoglobin Fractj/Quantj Electrophoresis #	$10.19	$6.62	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $51.62
Kidney function panel: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $8.68 Blue Cross — All Commercial Plans: $51.62 Cigna — Network Benefit/Open Access Plus Hmo: $42.92 Unitedhealthcare — All Commercial Plans: $10.42 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10.42
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Panel	$110.97	$72.13	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $48.62
Liver function panel: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $8.17 Blue Cross — All Commercial Plans: $48.62 Cigna — Network Benefit/Open Access Plus Hmo: $39.75 Unitedhealthcare — All Commercial Plans: $9.80 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $9.80
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$110.97	$72.13	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $18.18
Urine test (automated, with microscope): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $3.17 Blue Cross — All Commercial Plans: $18.18 Cigna — Network Benefit/Open Access Plus Hmo: $15.90 Unitedhealthcare — All Commercial Plans: $3.80 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $3.80
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Auto W/Scope	$106.96	$69.52	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $17.49
Urine test (manual, without microscope): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $3.48 Blue Cross — All Commercial Plans: $14.14 Cigna — Network Benefit/Open Access Plus Hmo: $17.49 Unitedhealthcare — All Commercial Plans: $4.18 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $13.38
Urine test (automated, without microscope): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $2.25 Blue Cross — All Commercial Plans: $13.38 Cigna — Network Benefit/Open Access Plus Hmo: $11.13 Unitedhealthcare — All Commercial Plans: $2.70 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $2.70
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ph Urine Dipstick	$28.09	$18.26	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $109.41
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $18.39 Blue Cross — All Commercial Plans: $109.41 Cigna — Network Benefit/Open Access Plus Hmo: $89.03 Unitedhealthcare — All Commercial Plans: $22.07 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $22.07
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen (Psa) Total	$159.11	$103.42	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psa Ultrasensitive	$243.50	$158.28	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $99.96
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $16.80 Blue Cross — All Commercial Plans: $99.96 Cigna — Network Benefit/Open Access Plus Hmo: $81.08 Unitedhealthcare — All Commercial Plans: $20.16 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $20.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Tsh	$155.10	$100.82	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Assay of Thyroid Stimulating Hormone Tsh #	$11.02	$7.16	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $46.26
Complete blood count (CBC) with differential: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $7.77 Blue Cross — All Commercial Plans: $46.26 Cigna — Network Benefit/Open Access Plus Hmo: $38.16 Unitedhealthcare — All Commercial Plans: $9.32 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $9.32
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc With Diff Auto	$144.40	$93.86	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $38.49
Complete blood count (CBC), automated: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $6.47 Blue Cross — All Commercial Plans: $38.49 Cigna — Network Benefit/Open Access Plus Hmo: $31.80 Unitedhealthcare — All Commercial Plans: $7.76 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $7.76
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Blood Count Complete Automated	$70.86	$46.06	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $23.43
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $4.29 Blue Cross — All Commercial Plans: $23.43 Cigna — Network Benefit/Open Access Plus Hmo: $20.67 Unitedhealthcare — All Commercial Plans: $5.15 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $5.15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$78.61	$51.10	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $35.72
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $6.01 Blue Cross — All Commercial Plans: $35.72 Cigna — Network Benefit/Open Access Plus Hmo: $28.62 Unitedhealthcare — All Commercial Plans: $7.21 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $7.21
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Activated Ptt	$98.68	$64.14	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial Plasma/Whole Blood #	$94.01	$61.11	Not listed in the file

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 head/brain w/o dye	Not listed in the file	Not listed in the file	$134.46 – $797.36
CT scan of the head or brain, without contrast: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $797.36 Cigna — Network Benefit/Open Access Plus Hmo: $328.42 Unitedhealthcare — All Commercial Plans: $177.90 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $166.79
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$448.71 – $3,710.13
MRI of the brain, before and after contrast: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $448.71 Blue Cross — All Commercial Plans: $3,710.13 Cigna — Network Benefit/Open Access Plus Hmo: $1,048.85 Unitedhealthcare — All Commercial Plans: $601.74 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $564.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$110.62 – $140.73
Chest X-ray, 2 views: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $111.93 Blue Cross — All Commercial Plans: $140.73 Cigna — Network Benefit/Open Access Plus Hmo: $110.62 Unitedhealthcare — All Commercial Plans: $132.18 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $123.92
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$134.46 – $188.52
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $155.79 Cigna — Network Benefit/Open Access Plus Hmo: $188.52 Unitedhealthcare — All Commercial Plans: $177.90 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $166.79
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$306.88 – $2,088.70
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $306.88 Blue Cross — All Commercial Plans: $2,088.70 Cigna — Network Benefit/Open Access Plus Hmo: $604.38 Unitedhealthcare — All Commercial Plans: $376 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $352.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$225.59 – $1,152.62
CT scan of the pelvis, with contrast: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $225.59 Blue Cross — All Commercial Plans: $1,152.62 Cigna — Network Benefit/Open Access Plus Hmo: $860.34 Unitedhealthcare — All Commercial Plans: $291.89 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $273.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$306.88 – $1,877.09
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $306.88 Blue Cross — All Commercial Plans: $1,877.09 Cigna — Network Benefit/Open Access Plus Hmo: $688.64 Unitedhealthcare — All Commercial Plans: $376 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $352.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$448.71 – $1,210.49
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $448.71 Blue Cross — All Commercial Plans: $1,210.49 Cigna — Network Benefit/Open Access Plus Hmo: $1,078.14 Unitedhealthcare — All Commercial Plans: $601.74 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $564.14
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$134.46 – $373.85
Ultrasound of the abdomen, complete: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $336.32 Cigna — Network Benefit/Open Access Plus Hmo: $373.85 Unitedhealthcare — All Commercial Plans: $177.90 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $166.79
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$134.46 – $423.14
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $348.90 Cigna — Network Benefit/Open Access Plus Hmo: $423.14 Unitedhealthcare — All Commercial Plans: $177.90 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $166.79
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$134.46 – $413.60
Transvaginal ultrasound: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $261.07 Cigna — Network Benefit/Open Access Plus Hmo: $413.60 Unitedhealthcare — All Commercial Plans: $177.90 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $166.79
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$136.01 – $463.08
Diagnostic mammogram, one breast: rates for 4 insurance plans Blue Cross — All Commercial Plans: $463.08 Cigna — Network Benefit/Open Access Plus Hmo: $415.86 Unitedhealthcare — All Commercial Plans: $145.07 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $136.01
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$97.95
Diagnostic mammogram, one breast: rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $97.95
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$173.37 – $592.83
Diagnostic mammogram, both breasts: rates for 4 insurance plans Blue Cross — All Commercial Plans: $592.83 Cigna — Network Benefit/Open Access Plus Hmo: $532.83 Unitedhealthcare — All Commercial Plans: $184.93 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $173.37
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$120.80
Diagnostic mammogram, both breasts: rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $120.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$143.27 – $489.63
Screening mammogram, both breasts: rates for 4 insurance plans Blue Cross — All Commercial Plans: $489.63 Cigna — Network Benefit/Open Access Plus Hmo: $439.71 Unitedhealthcare — All Commercial Plans: $152.82 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $143.27
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$108.84
Screening mammogram, both breasts: rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $108.84

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$71.89 – $166.96
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Aetna — All Commercial Plans: $71.89 Blue Cross — All Commercial Plans: $166.96
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$4,169.67 – $25,907
Left heart catheterization (diagnostic): rates for 8 insurance plans Aetna — All Commercial Plans: $10,100.97 Aetna — Medicare Managed Care Plan: $4,169.67 Blue Cross — All Commercial Plans: $19,761 Blue Shield — Epn/Ifp Other Commercial Plan: $11,947.77 Blue Shield — Hmo/Pos: $12,534.49 Blue Shield — Ppo/Epo: $15,350.75 Unitedhealthcare — All Commercial Plans: $25,907 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $16,952
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$10,031.67 – $27,754
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans Aetna — All Commercial Plans: $13,314.34 Aetna — Medicare Managed Care Plan: $10,031.67 Blue Cross — All Commercial Plans: $14,654 Unitedhealthcare — All Commercial Plans: $27,754 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $18,084
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	Not listed in the file	Not listed in the file	$11,947.77 – $40,068
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — All Commercial Plans: $19,002.28 Aetna — Medicare Managed Care Plan: $33,617.65 Blue Cross — All Commercial Plans: $22,207 Blue Shield — Epn/Ifp Other Commercial Plan: $11,947.77 Blue Shield — Hmo/Pos: $12,534.49 Blue Shield — Ppo/Epo: $15,350.75 Unitedhealthcare — All Commercial Plans: $40,068 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $26,632
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,104.48 – $2,219.69
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Aetna — All Commercial Plans: $2,219.69 Aetna — Medicare Managed Care Plan: $1,104.48 Blue Cross — All Commercial Plans: $1,152.86

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$32.07 – $76.33
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Aetna — All Commercial Plans: $76.33 Aetna — Medicare Managed Care Plan: $32.07
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$106.80 – $204.50
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — All Commercial Plans: $204.50 Aetna — Medicare Managed Care Plan: $106.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$103.01 – $204.50
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — All Commercial Plans: $204.50 Aetna — Medicare Managed Care Plan: $103.01
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$107.57 – $204.50
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — All Commercial Plans: $204.50 Aetna — Medicare Managed Care Plan: $107.57

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$5,035.90 – $13,426
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — All Commercial Plans: $11,033.11 Aetna — Medicare Managed Care Plan: $5,035.90 Blue Cross — All Commercial Plans: $10,342 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42 Unitedhealthcare — All Commercial Plans: $13,426 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10,171
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$6,121.02 – $38,734
Total hip replacement: rates for 8 insurance plans Aetna — All Commercial Plans: $18,186.14 Aetna — Medicare Managed Care Plan: $16,512.69 Blue Cross — All Commercial Plans: $15,987 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42 Unitedhealthcare — All Commercial Plans: $38,734 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $25,721
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$6,121.02 – $38,734
Total knee replacement: rates for 8 insurance plans Aetna — All Commercial Plans: $18,186.14 Aetna — Medicare Managed Care Plan: $16,512.69 Blue Cross — All Commercial Plans: $22,207 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42 Unitedhealthcare — All Commercial Plans: $38,734 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $25,721
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,043 – $14,654
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — All Commercial Plans: $11,033.11 Blue Cross — All Commercial Plans: $14,654 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42 Unitedhealthcare — All Commercial Plans: $1,572 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $1,043
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$4,208.34 – $16,686
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans Aetna — All Commercial Plans: $14,620.60 Aetna — Medicare Managed Care Plan: $4,208.34 Blue Cross — All Commercial Plans: $13,655 Blue Shield — Epn/Ifp Other Commercial Plan: $7,568.88 Blue Shield — Hmo/Pos: $7,940.57 Blue Shield — Ppo/Epo: $9,724.66 Unitedhealthcare — All Commercial Plans: $16,686 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $13,562
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$6,121.02 – $13,655
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Aetna — All Commercial Plans: $11,033.11 Aetna — Medicare Managed Care Plan: $7,613.89 Blue Cross — All Commercial Plans: $13,655 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42 Unitedhealthcare — All Commercial Plans: $13,426 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10,171
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$1,166.53 – $7,889.75
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — All Commercial Plans: $7,889.75 Aetna — Medicare Managed Care Plan: $1,166.53 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $4,002.21 Blue Shield — Hmo/Pos: $4,198.75 Blue Shield — Ppo/Epo: $5,142.12 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,166.53 – $9,581.60
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $1,166.53 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,196.08 – $9,581.60
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $1,196.08 Blue Cross — All Commercial Plans: $3,380 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,539.08 – $9,581.60
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $3,380 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,539.08 – $9,581.60
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $3,380 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,539.08 – $9,581.60
Ultrasound of the lower bowel by endoscope: rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $4,002.21 Blue Shield — Hmo/Pos: $4,198.75 Blue Shield — Ppo/Epo: $5,142.12 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,196.08 – $9,581.60
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $1,196.08 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $1,235.98 Blue Shield — Hmo/Pos: $1,296.67 Blue Shield — Ppo/Epo: $1,588.01 Unitedhealthcare — All Commercial Plans: $4,314 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $2,868
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$7,775.56 – $27,754
Gallbladder removal by laparoscope: rates for 8 insurance plans Aetna — All Commercial Plans: $16,404.41 Aetna — Medicare Managed Care Plan: $7,775.56 Blue Cross — All Commercial Plans: $22,207 Blue Shield — Epn/Ifp Other Commercial Plan: $11,947.77 Blue Shield — Hmo/Pos: $12,534.49 Blue Shield — Ppo/Epo: $15,350.75 Unitedhealthcare — All Commercial Plans: $27,754 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $18,084
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$4,604.99 – $16,686
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Aetna — All Commercial Plans: $14,620.60 Aetna — Medicare Managed Care Plan: $4,604.99 Blue Cross — All Commercial Plans: $13,655 Blue Shield — Epn/Ifp Other Commercial Plan: $7,568.88 Blue Shield — Hmo/Pos: $7,940.57 Blue Shield — Ppo/Epo: $9,724.66 Unitedhealthcare — All Commercial Plans: $16,686 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $13,562
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$4,880 – $9,581.60
Prostate biopsy: rates for 7 insurance plans Aetna — All Commercial Plans: $9,581.60 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $7,251 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $4,880
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$4,002.21 – $38,734
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans Aetna — All Commercial Plans: $16,404.41 Aetna — Medicare Managed Care Plan: $13,671.74 Blue Cross — All Commercial Plans: $17,653 Blue Shield — Epn/Ifp Other Commercial Plan: $4,002.21 Blue Shield — Hmo/Pos: $4,198.75 Blue Shield — Ppo/Epo: $5,142.12 Unitedhealthcare — All Commercial Plans: $38,734 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $25,721
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	$4,163.48 – $13,426
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans Aetna — All Commercial Plans: $11,033.11 Aetna — Medicare Managed Care Plan: $4,163.48 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42 Unitedhealthcare — All Commercial Plans: $13,426 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10,171
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$907.88 – $7,889.75
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — All Commercial Plans: $7,889.75 Aetna — Medicare Managed Care Plan: $907.88 Blue Cross — All Commercial Plans: $3,380 Blue Shield — Epn/Ifp Other Commercial Plan: $4,002.21 Blue Shield — Hmo/Pos: $4,198.75 Blue Shield — Ppo/Epo: $5,142.12 Unitedhealthcare — All Commercial Plans: $4,314 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $2,868
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$1,137.58 – $7,889.75
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — All Commercial Plans: $7,889.75 Aetna — Medicare Managed Care Plan: $1,137.58 Blue Cross — All Commercial Plans: $3,380 Blue Shield — Epn/Ifp Other Commercial Plan: $4,002.21 Blue Shield — Hmo/Pos: $4,198.75 Blue Shield — Ppo/Epo: $5,142.12 Unitedhealthcare — All Commercial Plans: $4,314 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $2,868
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,511.53 – $13,426
Carpal tunnel release: rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $2,511.53 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $13,426 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10,171
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$707.39 – $9,581.60
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans Aetna — All Commercial Plans: $9,581.60 Aetna — Medicare Managed Care Plan: $707.39 Blue Cross — All Commercial Plans: $7,754 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37 Unitedhealthcare — All Commercial Plans: $4,314 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $2,868
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,968.25 – $17,653
Cataract removal with lens implant: rates for 8 insurance plans Aetna — All Commercial Plans: $16,404.41 Aetna — Medicare Managed Care Plan: $2,968.25 Blue Cross — All Commercial Plans: $17,653 Blue Shield — Epn/Ifp Other Commercial Plan: $11,641.72 Blue Shield — Hmo/Pos: $12,213.41 Blue Shield — Ppo/Epo: $14,957.53 Unitedhealthcare — All Commercial Plans: $13,426 Unitedhealthcare — Select/Select Plus Other Commercial Plan: $10,171

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$5,355.90 – $15,987
Vaginal delivery, with care before and after: rates for 4 insurance plans Blue Cross — All Commercial Plans: $15,987 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$6,121.02 – $15,987
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans Blue Cross — All Commercial Plans: $15,987 Blue Shield — Epn/Ifp Other Commercial Plan: $6,121.02 Blue Shield — Hmo/Pos: $6,421.61 Blue Shield — Ppo/Epo: $7,864.42
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$5,355.90 – $14,654
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans Blue Cross — All Commercial Plans: $14,654 Blue Shield — Epn/Ifp Other Commercial Plan: $5,355.90 Blue Shield — Hmo/Pos: $5,618.91 Blue Shield — Ppo/Epo: $6,881.37

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	$68,632 – $292,040.40
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates Aetna — Medicare Managed Care Plan: $93,023.13 Alignment Health Plan — Medicare Managed Care Plan: $93,023.13 Blue Cross — All Commercial Plans: $116,401 Blue Cross — Medicare Managed Care Plan: $93,023.13 Blue Shield — Epn/Ifp Other Commercial Plan: $224,410.40 Blue Shield — Hmo/Pos: $224,642.01 Blue Shield — Medicare Managed Care Plan: $93,023.13 Blue Shield — Ppo/Epo: $292,040.40 Caloptima — Medicare Managed Care Plan: $93,023.13 Cigna — Medicare Managed Care Plan: $93,023.13
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	$85,060.81 – $110,695.37
Spinal fusion (not neck), without major complications: rates for 7 insurance plans Blue Shield — Epn/Ifp Other Commercial Plan: $85,060.81 Blue Shield — Hmo/Pos: $85,148.60 Blue Shield — Ppo/Epo: $110,695.37 Cigna — Ppo: 67% (a percentage in the contract, not a dollar amount) Healthnet — All Commercial Plans: 55.64% (a percentage in the contract, not a dollar amount) Kaiser — All Commercial Plans: 84.2% (a percentage in the contract, not a dollar amount) Multiplan — Phcs All Commercial Plans: 23.77% (a percentage in the contract, not a dollar amount)
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	$18,683.28 – $57,059
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates Aetna — Medicare Managed Care Plan: $18,683.28 Alignment Health Plan — Medicare Managed Care Plan: $18,683.28 Blue Cross — Medicare Managed Care Plan: $18,683.28 Blue Shield — Epn/Ifp Other Commercial Plan: $43,845.42 Blue Shield — Hmo/Pos: $43,890.67 Blue Shield — Medicare Managed Care Plan: $18,683.28 Blue Shield — Ppo/Epo: $57,059 Caloptima — Medicare Managed Care Plan: $18,683.28 Cigna — Medicare Managed Care Plan: $18,683.28 Cigna — Network Benefit/Open Access Plus Hmo: $23,326
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	$17,495 – $71,636.21
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates Aetna — Medicare Managed Care Plan: $23,533.32 Alignment Health Plan — Medicare Managed Care Plan: $23,533.32 Blue Cross — Medicare Managed Care Plan: $23,533.32 Blue Shield — Epn/Ifp Other Commercial Plan: $55,046.87 Blue Shield — Hmo/Pos: $55,103.68 Blue Shield — Medicare Managed Care Plan: $23,533.32 Blue Shield — Ppo/Epo: $71,636.21 Caloptima — Medicare Managed Care Plan: $23,533.32 Cigna — Medicare Managed Care Plan: $23,533.32 Cigna — Network Benefit/Open Access Plus Hmo: $17,495
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	$12,169.23 – $36,272.03
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $12,169.23 Alignment Health Plan — Medicare Managed Care Plan: $12,169.23 Blue Cross — Medicare Managed Care Plan: $12,169.23 Blue Shield — Epn/Ifp Other Commercial Plan: $27,872.24 Blue Shield — Hmo/Pos: $27,901.01 Blue Shield — Medicare Managed Care Plan: $12,169.23 Blue Shield — Ppo/Epo: $36,272.03 Caloptima — Medicare Managed Care Plan: $12,169.23 Cigna — Medicare Managed Care Plan: $12,169.23 Healthnet — Medicare Managed Care Plan: $12,169.23

Source: Hoag Memorial Hospital Presbyterian’s standard charges file (downloads.ctfassets.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	One Hoag Drive, Newport Beach, CA 92663
County	Orange County
State	California
Phone	(949) 764‑4624
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050224
Name in Medicare records	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Profile level	Medicare data + hospital website
Name on the hospital’s website	Hoag Hospital Newport Beach
Official website	hoag.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Hoag Hospital Newport Beach — hoag.org
Contact Us - Hoag Hospital Newport Beach — hoag.org
Awards & Accreditations — hoag.org
About Hoag — hoag.org
Mammography Service — hoag.org
Sue & Bill Gross Women’s Pavilion — hoag.org
Visitor Information — hoag.org