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Acute Care Hospital

Hollywood Presbyterian Medical Center

Los Angeles, California · Los Angeles County · Emergency services listed

Summary

Hollywood Presbyterian Medical Center is an acute care hospital in Los Angeles, California. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 61 services, specialties and programs. Medicare lists 242 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of Hollywood Presbyterian Medical Center
Photo: Junkyardsparkle, CC0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
61Services listed

Quick answers

Does Hollywood Presbyterian Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Hollywood Presbyterian Medical Center. In a medical emergency, call 911.
Where is Hollywood Presbyterian Medical Center?
1300 N Vermont Ave, Los Angeles, CA 90027, in Los Angeles County, California.
What is the phone number of Hollywood Presbyterian Medical Center?
(213) 413-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Hollywood Presbyterian Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][11][12][13][16][17]

Conditions treated[17]

Treatments[4][6][11][13][17][18]

  • Acute and sub-acute rehabilitation
  • Sub-acute long-term care (Chalet)
  • Electrocardiograms
  • Treadmill testing with nuclear imaging
  • Holter monitoring
  • Tilt table testing
  • Echocardiogram (including stress testing)
  • Vascular ultrasound
  • Pacemaker and ICD evaluations
  • Cancer detection
  • Surgical services, including minimally invasive procedures

Procedures[4][5][13][18]

  • Fetal surgery
  • Minimally invasive surgery
  • da Vinci Xi robotic surgery
  • Cardiac catheterization
  • PTCA (percutaneous transluminal coronary angioplasty)
  • PCI (percutaneous coronary intervention)
  • Intravascular ultrasound
  • Peripheral angiography
  • PTA (percutaneous transluminal angioplasty) for ischemic limb
  • Transesophageal echocardiography (TEE)
  • Stent placement
  • Plaque excision of lower extremities
  • Catheter ablation
  • Permanent pacemaker placement
  • Implantable cardiac defibrillator placement
  • Cardiac resynchronization therapy
  • Minimally invasive hip and knee surgery
  • Computer assisted surgery

Programs and centers[4][5][6][10][15][17][18]

  • Neonatal ICU
  • NICU and high-risk pregnancy
  • Labor and delivery
  • Primary stroke care
  • Rapid Recovery Program
  • ER Express 3-track emergency evaluation system
  • Acute inpatient rehabilitation unit (28 beds)
  • Childbirth classes
  • Maternity tours

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes
Stroke designationCertified Primary Stroke Center

Visiting and practical information

VisitingGeneral visiting hours 8 a.m.-8 p.m.; labor/delivery, postpartum and NICU open around the clock; ED allows one visitor when safe[7]
ParkingVisitor garage off Fountain Ave: $3 per 30 min, $15 daily maximum; weekly passes available[8]
Interpreters and languagesED page states translation services and multilingual staff[6]
Patient portalFollowMyHealth

Recognition[6][13][14][18]

  • Certified STEMI Receiving Center
  • Get With The Guidelines-Stroke Gold Plus Quality Achievement Award
  • Target: Stroke Elite Plus Honor Roll
  • Baby-Friendly designation (Baby-Friendly USA)
  • Primary Stroke Center certification
  • STEMI Receiving Site designation
  • America's 100 Best Orthopedic Surgery (Healthgrades) 2026
  • Five-Star for Total Hip Replacement (Healthgrades) 2026

Doctors and clinicians (242)

242 doctors and other clinicians list Hollywood Presbyterian Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (242)

And 218 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Hollywood Presbyterian 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital60%National average: 71%
Nurses “always” communicated well66%National average: 80%
Doctors “always” communicated well69%National average: 80%
Staff “always” explained medicines before giving them50%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean64%National average: 74%
Area around the room “always” quiet at night40%National average: 60%
Completed surveys1,225Response rate: 24%

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)0.363No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.165Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.016Better 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 patients11%
Deaths within 30 days: heart failure patients7.7%
Deaths within 30 days: pneumonia patients14.5%
Deaths within 30 days: COPD patients6.8%
Deaths within 30 days: stroke patients13.7%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Complications after hip or knee replacement4%

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 attack13.8%
Readmitted within 30 days: heart failure21.9%
Readmitted within 30 days: pneumonia16.3%
Readmitted within 30 days: COPD19.3%
Readmitted within 30 days: coronary bypass surgeryToo few cases to report
Readmitted within 30 days: hip or knee replacement5.4%

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)241 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)83%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Hollywood Presbyterian 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 →

$ 7 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office o/p new low 30 min Not listed in the file Not listed in the file $101.27 – $2,543.35
New patient office visit (about 30–44 minutes): 10 of 73 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45 min Not listed in the file Not listed in the file $68.90 – $2,543.35
New patient office visit (about 45–59 minutes): 10 of 73 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office o/p new hi 60 min Not listed in the file Not listed in the file $217.78 – $2,543.35
New patient office visit (about 60–74 minutes): 10 of 73 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20 min Not listed in the file Not listed in the file $24 – $2,543.35
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30 min Not listed in the file Not listed in the file $37.50 – $2,543.35
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: Off/op cnsltj new/est low 30 Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: Off/op cnsltj new/est mod 40 Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file Not listed in the file
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $2,069.05 – $2,543.35
Preventive checkup, new patient, age 40–64: 10 of 73 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $44.60 – $2,825.95
Emergency room visit (moderate): 10 of 114 insurance plan rates
  • Aetna — EPO: $2,167.19
  • Aetna — HMO: $2,167.19
  • Aetna — POS: $2,167.19
  • Aetna — PPO: $2,167.19
  • Cigna — All Other Commercial Products: $2,626
  • Cigna — HMO: $2,626
  • Cigna — Network: $2,626
  • Cigna — Open Access: $2,626
  • Heritage Provider Network — Commercial: $2,825.95
  • Heritage Provider Network — Covered California (Qualified Health Plan): $1,839
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $53.83 – $5,537.40
Emergency room visit (moderately high): 10 of 114 insurance plan rates
  • Aetna — EPO: $2,167.19
  • Aetna — HMO: $2,167.19
  • Aetna — POS: $2,167.19
  • Aetna — PPO: $2,167.19
  • Cigna — All Other Commercial Products: $2,863
  • Cigna — HMO: $2,863
  • Cigna — Network: $2,863
  • Cigna — Open Access: $2,863
  • Heritage Provider Network — Commercial: $2,825.95
  • Heritage Provider Network — Covered California (Qualified Health Plan): $1,839
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,753
Emergency room visit (high): 10 of 110 insurance plan rates
  • Aetna — EPO: $2,167.19
  • Aetna — HMO: $2,167.19
  • Aetna — POS: $2,167.19
  • Aetna — PPO: $2,167.19
  • Heritage Provider Network — Commercial: $2,825.95
  • Heritage Provider Network — Covered California (Qualified Health Plan): $1,839
  • Heritage Provider Network — Senior: $2,298.94
  • UnitedHealthcare of California — Commercial - All Payer: $3,753
  • UnitedHealthcare of California — Core: $2,787
  • UnitedHealthcare of California — HMO: $2,787

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca Not listed in the file Not listed in the file $7.27 – $2,543.35
Basic metabolic panel (blood test): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $9.19 – $2,543.35
Comprehensive metabolic panel (blood test): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel Not listed in the file Not listed in the file Not listed in the file
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Anthem — All Other Commercial Products: 179.62% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 179.62% (a percentage in the contract, not a dollar amount)
  • Anthem — Indemnity: 179.62% (a percentage in the contract, not a dollar amount)
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 179.62% (a percentage in the contract, not a dollar amount)
  • UnitedHealthcare of California — Commercial - All Payer: 120% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel Not listed in the file Not listed in the file $11.54 – $2,543.35
Cholesterol panel (lipid panel): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel Not listed in the file Not listed in the file $7.60 – $2,543.35
Kidney function panel: 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel Not listed in the file Not listed in the file $6.38 – $2,543.35
Liver function panel: 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.77 – $2,543.35
Urine test (automated, with microscope): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $2,069.05 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,543.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 98 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Heritage Provider Network — Senior: $2,069.05 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.96 – $2,543.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total Not listed in the file Not listed in the file $16.35 – $2,543.35
PSA (prostate specific antigen) blood test: 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $14.76 – $2,543.35
Thyroid stimulating hormone (TSH) test: 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $6.75 – $2,543.35
Complete blood count (CBC) with differential: 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated Not listed in the file Not listed in the file $5.71 – $2,543.35
Complete blood count (CBC), automated: 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time Not listed in the file Not listed in the file $3.49 – $2,543.35
Blood clotting time test (prothrombin time, PT): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.34 – $2,543.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 99 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $101.27 – $2,543.35
CT scan of the head or brain, without contrast: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $311.06 – $2,543.35
MRI of the brain, before and after contrast: 10 of 91 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $27.47 – $2,543.35
Chest X-ray, 2 views: 10 of 95 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $43.85 – $2,543.35
X-ray of the lower spine, at least 4 views: 10 of 95 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42.5% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $186 – $2,543.35
MRI of the lower back (lumbar spine), without contrast: 10 of 91 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $204.45 – $2,543.35
CT scan of the pelvis, with contrast: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $429.53 – $2,543.35
MRI of a leg joint (such as the knee), without contrast: 10 of 91 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $281.80 – $2,543.35
CT scan of the abdomen and pelvis, with contrast: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file Not listed in the file $83.20 – $2,543.35
Ultrasound of the abdomen, complete: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >= 14 wks sngl fetus Not listed in the file Not listed in the file $2,069.05 – $2,543.35
Pregnancy ultrasound (after the first trimester): 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $67.65 – $2,543.35
Transvaginal ultrasound: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $2,069.05 – $2,543.35
Diagnostic mammogram, one breast: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $2,069.05 – $2,543.35
Diagnostic mammogram, both breasts: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $2,069.05 – $2,543.35
Screening mammogram, both breasts: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $839.15 – $28,068
Left heart catheterization (diagnostic): 10 of 113 insurance plan rates
  • AltaMed — Medi-Cal: $3,925
  • Health Net of California — Tailored Network: $5,298
  • Heritage Provider Network — Commercial: $4,097.63
  • Heritage Provider Network — Senior: $2,069.05
  • Kaiser — Commercial: $28,068
  • Kaiser — Medi-Cal: $28,068
  • Kaiser — Medicare: $28,068
  • UnitedHealthcare of California — Commercial - All Payer: $7,435
  • UnitedHealthcare of California — Core: $6,832
  • UnitedHealthcare of California — HMO: $6,832
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $2,069.05 – $9,235
Heart rhythm study (electrophysiology evaluation): 10 of 101 insurance plan rates
  • Cigna — All Other Commercial Products: $8,962
  • Cigna — HMO: $8,962
  • Cigna — Network: $8,962
  • Cigna — Open Access: $8,962
  • Health Net of California — Tailored Network: $5,446
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • UnitedHealthcare of California — Commercial - All Payer: $9,235
  • UnitedHealthcare of California — Core: $8,492
  • UnitedHealthcare of California — HMO: $8,492
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $2,069.05 – $12,614
Heart rhythm study with ablation for atrial fibrillation: 10 of 101 insurance plan rates
  • Cigna — All Other Commercial Products: $11,030
  • Cigna — HMO: $11,030
  • Cigna — Network: $11,030
  • Cigna — Open Access: $11,030
  • Health Net of California — Tailored Network: $5,446
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • UnitedHealthcare of California — Commercial - All Payer: $12,614
  • UnitedHealthcare of California — Core: $11,320
  • UnitedHealthcare of California — HMO: $11,320
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $2,778 – $3,048
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • UnitedHealthcare of California — Commercial - All Payer: $3,048
  • UnitedHealthcare of California — Core: $2,778
  • UnitedHealthcare of California — HMO: $2,778
  • UnitedHealthcare of California — Navigate: $2,778
  • UnitedHealthcare of California — Select: $2,778
  • UnitedHealthcare of California — Select Plus: $2,778

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises Not listed in the file Not listed in the file $10.96 – $2,543.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 96 insurance plan rates
  • Bella Vista IPA — Commercial - HMO: $45
  • Bella Vista IPA — Medicaid - HMO: $45
  • Bella Vista IPA — Medicare - HMO Risk: $45
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $45 – $2,543.35
Physical therapy evaluation (low complexity): 10 of 96 insurance plan rates
  • Bella Vista IPA — Commercial - HMO: $45
  • Bella Vista IPA — Medicaid - HMO: $45
  • Bella Vista IPA — Medicare - HMO Risk: $45
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $45 – $2,543.35
Physical therapy evaluation (moderate complexity): 10 of 96 insurance plan rates
  • Bella Vista IPA — Commercial - HMO: $45
  • Bella Vista IPA — Medicaid - HMO: $45
  • Bella Vista IPA — Medicare - HMO Risk: $45
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $45 – $2,543.35
Physical therapy evaluation (high complexity): 10 of 96 insurance plan rates
  • Bella Vista IPA — Commercial - HMO: $45
  • Bella Vista IPA — Medicaid - HMO: $45
  • Bella Vista IPA — Medicare - HMO Risk: $45
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 42.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file Not listed in the file $2,069.05 – $2,543.35
Group psychotherapy: 10 of 90 insurance plan rates
  • Heritage Provider Network — Commercial: $2,543.35
  • Heritage Provider Network — Senior: $2,069.05
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion Not listed in the file Not listed in the file $4,955 – $5,232
Removal of breast growth (open surgery): 10 of 28 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $5,232
  • UnitedHealthcare of California — Core: $4,955
  • UnitedHealthcare of California — HMO: $4,955
  • UnitedHealthcare of California — Navigate: $4,955
  • UnitedHealthcare of California — Select: $4,955
  • UnitedHealthcare of California — Select Plus: $4,955
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty Not listed in the file Not listed in the file $4,399.50 – $11,148
Total hip replacement: 10 of 104 insurance plan rates
  • Aetna — EPO: $4,399.50
  • Aetna — HMO: $4,399.50
  • Aetna — POS: $4,399.50
  • Aetna — PPO: $4,399.50
  • UnitedHealthcare of California — Commercial - All Payer: $11,148
  • UnitedHealthcare of California — Core: $9,909
  • UnitedHealthcare of California — HMO: $9,909
  • UnitedHealthcare of California — Navigate: $9,909
  • UnitedHealthcare of California — Select: $9,909
  • UnitedHealthcare of California — Select Plus: $9,909
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty Not listed in the file Not listed in the file $4,399.50 – $11,148
Total knee replacement: 10 of 104 insurance plan rates
  • Aetna — EPO: $4,399.50
  • Aetna — HMO: $4,399.50
  • Aetna — POS: $4,399.50
  • Aetna — PPO: $4,399.50
  • UnitedHealthcare of California — Commercial - All Payer: $11,148
  • UnitedHealthcare of California — Core: $9,909
  • UnitedHealthcare of California — HMO: $9,909
  • UnitedHealthcare of California — Navigate: $9,909
  • UnitedHealthcare of California — Select: $9,909
  • UnitedHealthcare of California — Select Plus: $9,909
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $848
Shoulder arthroscopy: shaving of shoulder bone: 10 of 89 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $848
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 110% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $4,399.50 – $6,157
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 104 insurance plan rates
  • Aetna — EPO: $4,399.50
  • Aetna — HMO: $4,399.50
  • Aetna — POS: $4,399.50
  • Aetna — PPO: $4,399.50
  • UnitedHealthcare of California — Commercial - All Payer: $6,157
  • UnitedHealthcare of California — Core: $5,831
  • UnitedHealthcare of California — HMO: $5,831
  • UnitedHealthcare of California — Navigate: $5,831
  • UnitedHealthcare of California — Select: $5,831
  • UnitedHealthcare of California — Select Plus: $5,831
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $4,399.50 – $5,232
Removal of tonsils and adenoids (under age 12): 10 of 38 insurance plan rates
  • Aetna — EPO: $4,399.50
  • Aetna — HMO: $4,399.50
  • Aetna — POS: $4,399.50
  • Aetna — PPO: $4,399.50
  • UnitedHealthcare of California — Commercial - All Payer: $5,232
  • UnitedHealthcare of California — Core: $4,955
  • UnitedHealthcare of California — HMO: $4,955
  • UnitedHealthcare of California — Navigate: $4,955
  • UnitedHealthcare of California — Select: $4,955
  • UnitedHealthcare of California — Select Plus: $4,955
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $4,018 – $4,307
Upper GI endoscopy (diagnostic): 10 of 98 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $4,018 – $4,307
Upper GI endoscopy with biopsy: 10 of 104 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $4,018 – $4,307
Colonoscopy (diagnostic): 10 of 98 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $4,018 – $4,307
Colonoscopy with biopsy: 10 of 98 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $4,018 – $4,307
Colonoscopy with removal of polyps (snare): 10 of 98 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $4,018 – $4,307
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $2,195 – $2,670
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $2,670
  • UnitedHealthcare of California — Core: $2,195
  • UnitedHealthcare of California — HMO: $2,195
  • UnitedHealthcare of California — Navigate: $2,195
  • UnitedHealthcare of California — Select: $2,195
  • UnitedHealthcare of California — Select Plus: $2,195
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $7,194.60 – $9,235
Gallbladder removal by laparoscope: 10 of 98 insurance plan rates
  • Aetna — EPO: $7,194.60
  • Aetna — HMO: $7,194.60
  • Aetna — POS: $7,194.60
  • Aetna — PPO: $7,194.60
  • UnitedHealthcare of California — Commercial - All Payer: $9,235
  • UnitedHealthcare of California — Core: $8,492
  • UnitedHealthcare of California — HMO: $8,492
  • UnitedHealthcare of California — Navigate: $8,492
  • UnitedHealthcare of California — Select: $8,492
  • UnitedHealthcare of California — Select Plus: $8,492
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $5,831 – $6,157
Groin (inguinal) hernia repair, age 5 or older: 10 of 94 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $6,157
  • UnitedHealthcare of California — Core: $5,831
  • UnitedHealthcare of California — HMO: $5,831
  • UnitedHealthcare of California — Navigate: $5,831
  • UnitedHealthcare of California — Select: $5,831
  • UnitedHealthcare of California — Select Plus: $5,831
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate Not listed in the file Not listed in the file $4,018 – $4,307
Prostate biopsy: 10 of 84 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $4,307
  • UnitedHealthcare of California — Core: $4,018
  • UnitedHealthcare of California — HMO: $4,018
  • UnitedHealthcare of California — Navigate: $4,018
  • UnitedHealthcare of California — Select: $4,018
  • UnitedHealthcare of California — Select Plus: $4,018
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $7,194.60 – $11,148
Prostate removal by laparoscope (radical prostatectomy): 10 of 32 insurance plan rates
  • Aetna — EPO: $7,194.60
  • Aetna — HMO: $7,194.60
  • Aetna — POS: $7,194.60
  • Aetna — PPO: $7,194.60
  • UnitedHealthcare of California — Commercial - All Payer: $11,148
  • UnitedHealthcare of California — Core: $9,909
  • UnitedHealthcare of California — HMO: $9,909
  • UnitedHealthcare of California — Navigate: $9,909
  • UnitedHealthcare of California — Select: $9,909
  • UnitedHealthcare of California — Select Plus: $9,909
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $4,955 – $5,232
Hysteroscopy with biopsy of the uterus lining: 10 of 98 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $5,232
  • UnitedHealthcare of California — Core: $4,955
  • UnitedHealthcare of California — HMO: $4,955
  • UnitedHealthcare of California — Navigate: $4,955
  • UnitedHealthcare of California — Select: $4,955
  • UnitedHealthcare of California — Select Plus: $4,955
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $2,195 – $2,670
Spinal injection, lower back (epidural), with imaging guidance: 10 of 84 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $2,670
  • UnitedHealthcare of California — Core: $2,195
  • UnitedHealthcare of California — HMO: $2,195
  • UnitedHealthcare of California — Navigate: $2,195
  • UnitedHealthcare of California — Select: $2,195
  • UnitedHealthcare of California — Select Plus: $2,195
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $2,195 – $2,670
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $2,670
  • UnitedHealthcare of California — Core: $2,195
  • UnitedHealthcare of California — HMO: $2,195
  • UnitedHealthcare of California — Navigate: $2,195
  • UnitedHealthcare of California — Select: $2,195
  • UnitedHealthcare of California — Select Plus: $2,195
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $4,955 – $5,232
Carpal tunnel release: 10 of 94 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $5,232
  • UnitedHealthcare of California — Core: $4,955
  • UnitedHealthcare of California — HMO: $4,955
  • UnitedHealthcare of California — Navigate: $4,955
  • UnitedHealthcare of California — Select: $4,955
  • UnitedHealthcare of California — Select Plus: $4,955
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery Not listed in the file Not listed in the file $186.15 – $2,670
Laser treatment of clouding after cataract surgery: 10 of 84 insurance plan rates
  • UnitedHealthcare of California — Commercial - All Payer: $2,670
  • UnitedHealthcare of California — Core: $2,195
  • UnitedHealthcare of California — HMO: $2,195
  • UnitedHealthcare of California — Navigate: $2,195
  • UnitedHealthcare of California — Select: $2,195
  • UnitedHealthcare of California — Select Plus: $2,195
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $2,000 – $5,232
Cataract removal with lens implant: 10 of 30 insurance plan rates
  • Kern Health Systems — Medi-Cal: $2,000
  • UnitedHealthcare of California — Commercial - All Payer: $5,232
  • UnitedHealthcare of California — Core: $4,955
  • UnitedHealthcare of California — HMO: $4,955
  • UnitedHealthcare of California — Navigate: $4,955
  • UnitedHealthcare of California — Select: $4,955
  • UnitedHealthcare of California — Select Plus: $4,955
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 90% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetrical care Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
  • Asian Heritage PACE — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Bella Vista IPA — Medicaid - HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Brand New Day — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery Not listed in the file Not listed in the file Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
  • Asian Heritage PACE — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Bella Vista IPA — Medicaid - HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Brand New Day — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates
  • Accountable IPA — Medi-Cal HMO: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem — Medi-Cal Managed Care: 100% (a percentage in the contract, not a dollar amount)
  • Asian Heritage PACE — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Bella Vista IPA — Medicaid - HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Brand New Day — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC Not listed in the file Not listed in the file $28,483 – $146,630
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 79 insurance plan rates
  • Cigna — All Other Commercial Products: $30,394
  • Cigna — HMO: $30,394
  • Cigna — Network: $30,394
  • Cigna — Open Access: $30,394
  • Health Net of California — Commercial: $32,000
  • Health Net of California — Tailored Network: $32,000
  • Optum — Commercial HMO/POS: $28,483
  • Optum — Medicare Advantage: $28,483
  • UnitedHealthcare of California — Commercial - All Payer: $146,630
  • UnitedHealthcare of California — Core: $146,630
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC Not listed in the file Not listed in the file $15,827.40 – $87,670.16
Hip or knee replacement (major joint of the leg), without major complications: 10 of 65 insurance plan rates
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medicare: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — PACE: 100% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical Spinal Fusion without CC/MCC Not listed in the file Not listed in the file $20,330.64 – $21,179.94
Neck (cervical) spinal fusion, without complications: 10 of 69 insurance plan rates
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 63.1% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 63.1% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 63.1% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 63.1% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC Not listed in the file Not listed in the file $10,185.67 – $12,093.10
Uterus and ovary surgery (not for cancer), without complications: 10 of 65 insurance plan rates
  • Access Senior Healthcare — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AHMC — HMO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Self-Funded EPO/PPO: 120% (a percentage in the contract, not a dollar amount)
  • AHMC — Senior HMO: 100% (a percentage in the contract, not a dollar amount)
  • AIDS Healthcare Foundation — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alta Hospital Systems — Medicare: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • AltaMed — PACE: 100% (a percentage in the contract, not a dollar amount)

Source: Hollywood Presbyterian Medical Center’s standard charges file (hollywoodpresbyterian.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 12, 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 typeAcute Care Hospital
Address1300 N Vermont Ave, Los Angeles, CA 90027
CountyLos Angeles County
StateCalifornia
Phone(213) 413‑3000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050063
Name in Medicare recordsHOLLYWOOD PRESBYTERIAN MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteCHA Hollywood Presbyterian Medical Center
Official websitehollywoodpresbyterian.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Our Services — hollywoodpresbyterian.com
  2. CHA Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  3. Emergency Services — hollywoodpresbyterian.com
  4. Visiting CHA HPMC — hollywoodpresbyterian.com
  5. Directions & Parking — hollywoodpresbyterian.com
  6. Childbirth Classes - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  7. Women's Services - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  8. Labor & Delivery - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  9. Cardiology and Cardiovascular Surgery - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  10. Baby-Friendly - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  11. Maternity Tours - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  12. NICU and High Risk Pregnancy - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  13. Acute Inpatient Rehabilitation and Therapy Services - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com
  14. Orthopedic Services - Hollywood Presbyterian Medical Center — hollywoodpresbyterian.com