Does Jewish Home & Rehab Center have an emergency room?

Medicare (CMS) data does not list emergency services at Jewish Home & Rehab Center. The closest hospitals that do: California Pacific Medical Center - Mission Bernal… (2.3 mi), UCSF Medical Center (3.1 mi) and Zuckerberg San Francisco General Hosp & Trauma Ctr (3.2 mi). In a medical emergency, call 911.

Where is Jewish Home & Rehab Center?

302 Silver Avenue, San Francisco, CA 94112, in San Francisco County, California.

What is the phone number of Jewish Home & Rehab Center?

(415) 334-2500, as listed by Medicare (CMS).

What is the Medicare star rating of Jewish Home & Rehab Center?

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

Jewish Home & Rehab Center — San Francisco, CA

Quick answers

Does Jewish Home & Rehab Center have an emergency room?: Medicare (CMS) data does not list emergency services at Jewish Home & Rehab Center. The closest hospitals that do: California Pacific Medical Center - Mission Bernal… (2.3 mi), UCSF Medical Center (3.1 mi) and Zuckerberg San Francisco General Hosp & Trauma Ctr (3.2 mi). In a medical emergency, call 911.
Where is Jewish Home & Rehab Center?: 302 Silver Avenue, San Francisco, CA 94112, in San Francisco County, California.
What is the phone number of Jewish Home & Rehab Center?: (415) 334-2500, as listed by Medicare (CMS).
What is the Medicare star rating of Jewish Home & Rehab Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Geriatric psychiatry
Internal medicine
Psychiatric nursing
Social work
Physical therapy
Occupational therapy
Speech therapy
Nutrition services
Recreational therapy

Treatments^[5]

Geriatric psychiatric evaluation and ongoing treatment
Group therapy
Recreational therapy
Pet therapy
Nutritional counseling
Speech and swallowing therapy
Physical therapy
Occupational therapy
Religious/spiritual services
Discharge planning

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

Behavioral health
Long-term care
Short-term care
Memory care
Assisted living
Acute geriatric psychiatry hospital (12 beds, voluntary and involuntary admissions)
Long-term care (skilled nursing)
Short-term care and rehabilitation
Mark Ross Foundation Alzheimer's Garden Unit
End-of-Life Care Program

Visiting and practical information

Visiting	Visits follow posted guidelines. Visitors enter through the Koret Building for screening, and masks are strongly encouraged. Visits are scheduled^[8]
Parking	Visitor parking costs $15. Visitors may park up to 30 minutes before their appointment^[8]

Nearest emergency rooms

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

California Pacific Medical Center - Mission Bernal…2.3 mi · San Francisco, CA · Acute Care Hospital
UCSF Medical Center3.1 mi · San Francisco, CA · Acute Care Hospital
Zuckerberg San Francisco General Hosp & Trauma Ctr3.2 mi · San Francisco, CA · Acute Care Hospital
AHMC Seton Medical Center3.2 mi · Daly City, CA · Acute Care Hospital
California Pacific Medical Ctr-Davies Campus Hosp3.4 mi · San Francisco, CA · Acute Care Hospital

Other hospitals nearby

Laguna Honda Hospital & Rehabilitation Center2.0 mi · San Francisco, CA · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

San Francisco Post Acute0.8 mi · San Francisco, CA · 5 of 5 stars
Jewish Home & Rehab Center D/P SNF0.9 mi · San Francisco, CA · 5 of 5 stars
Laguna Honda Hospital & Rehabilitation Ctr D/P SNF2.1 mi · San Francisco, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Abl Hospice LLC2.1 mi · Daly City, CA
Alliance Hospice2.1 mi · Daly City, CA
Crossroads Home Health & Hospice2.9 mi · San Francisco, CA

All hospice providers in the state →

Home health agencies

Aavi Home Health Services2.1 mi · Daly City, CA
Alliance Home Health2.1 mi · Daly City, CA
Crossroads Home Health & Hospice2.9 mi · San Francisco, CA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

RAI Ocean Avenue0.0 mi · San Francisco, CA · 4 of 5 stars
DaVita Colma Dialysis2.1 mi · Colma, CA · 4 of 5 stars
DaVita Westlake Daly City Dialysis Center2.1 mi · Daly City, CA · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Campus Surgery Center3.4 mi · Daly City, CA
NorthBay Ambulatory Surgery Center3.4 mi · Daly City, CA
Golden Gate Endoscopy Center4.2 mi · San Francisco, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Balboa Teen Health Center0.2 mi · San Francisco, CA · Community health center
Excelsior Clinic0.3 mi · San Francisco, CA · Community health center
North East Medical Services - Ocean0.8 mi · San Francisco, CA · Community health center

Clinics and urgent care

UCSF Health Medical Foundation2.6 mi · San Francisco, CA · Urgent care center
Carbon Health Medical Group of California PC3.5 mi · San Francisco, CA · Urgent care center
Kairo Medical Equipment LLC5.3 mi · San Francisco, CA · Urgent care center

Pharmacies

Central Drug Store0.0 mi · San Francisco, CA · Community/retail pharmacy
Walgreen Co0.0 mi · San Francisco, CA · Pharmacy
Walgreen Co0.0 mi · San Francisco, CA · Pharmacy

Assisted living nearby

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

Care and Care Residence II0.0 mi · San Francisco, CA
Fook Hong SF Care Home Inc.0.0 mi · San Francisco, CA
Golden Residential Care Home0.0 mi · San Francisco, CA
Guirola Resident Care0.0 mi · San Francisco, CA

About the Medicare star rating

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

Medicare quality data

What Jewish Home & Rehab 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.

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in San Francisco Best hospitals in San Francisco

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 81 common services exactly as Jewish Home & Rehab Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$82.56
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Veterans Administration — All Products: $82.56
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$134.84
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Veterans Administration — All Products: $134.84
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$183.37
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Veterans Administration — All Products: $183.37
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$66.86
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Veterans Administration — All Products: $66.86
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$98.37
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Veterans Administration — All Products: $98.37
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$110.42
Office consultation with a specialist (moderate): rates for 1 insurance plan Veterans Administration — All Products: $110.42
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$157.14
Office consultation with a specialist (moderate to high): rates for 1 insurance plan Veterans Administration — All Products: $157.14
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$127.41
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Veterans Administration — All Products: $127.41
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$146.69
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Veterans Administration — All Products: $146.69
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$264.95 – $278.89
Emergency room visit (moderate): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $278.89 Blue Shield of CA — Medicare Advantage HMO_PPO: $278.89 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $278.89 Chinese Community Health Plan — All Products: $278.89 Chinese Community Health Plan — Medicare Advantage: $278.89 For Your Benefits Under Astrana Health — Medicare Advantage: $278.89 HealthNet — Medicare Advantage: $264.95 Imperial Health — Medicare Advantage: $278.89 Imperial Health — Medicare Advantage (Psych): $278.89 NEMS — Medicare Advantage: $278.89
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$404.99 – $426.30
Emergency room visit (moderately high): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $426.30 Blue Shield of CA — Medicare Advantage HMO_PPO: $426.30 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $426.30 Chinese Community Health Plan — All Products: $426.30 Chinese Community Health Plan — Medicare Advantage: $426.30 For Your Benefits Under Astrana Health — Medicare Advantage: $426.30 HealthNet — Medicare Advantage: $404.99 Imperial Health — Medicare Advantage: $426.30 Imperial Health — Medicare Advantage (Psych): $426.30 NEMS — Medicare Advantage: $426.30
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$578.01 – $608.43
Emergency room visit (high): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $608.43 Blue Shield of CA — Medicare Advantage HMO_PPO: $608.43 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $608.43 Chinese Community Health Plan — All Products: $608.43 Chinese Community Health Plan — Medicare Advantage: $608.43 For Your Benefits Under Astrana Health — Medicare Advantage: $608.43 HealthNet — Medicare Advantage: $578.01 Imperial Health — Medicare Advantage: $608.43 Imperial Health — Medicare Advantage (Psych): $608.43 NEMS — Medicare Advantage: $608.43

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$8.46
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $8.46 Anthem Blue Cross — Medicare Advantage: $8.46 BAACN Canopy — Medicare Adv.: $8.46 Blue Shield of CA — Medicare Advantage HMO_PPO: $8.46 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $8.46 Chinese Community Health Plan — All Products: $8.46 Chinese Community Health Plan — Medicare Advantage: $8.46 For Your Benefits Under Astrana Health — Medicare Advantage: $8.46 HealthNet — Medicare Advantage: $8.04 Imperial Health — Medicare Advantage: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.56
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $10.56 Anthem Blue Cross — Medicare Advantage: $10.56 BAACN Canopy — Medicare Adv.: $10.56 Blue Shield of CA — Medicare Advantage HMO_PPO: $10.56 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $10.56 Chinese Community Health Plan — All Products: $10.56 Chinese Community Health Plan — Medicare Advantage: $10.56 For Your Benefits Under Astrana Health — Medicare Advantage: $10.56 HealthNet — Medicare Advantage: $10.03 Imperial Health — Medicare Advantage: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81
Obstetric blood test panel: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $47.81 Anthem Blue Cross — Medicare Advantage: $47.81 BAACN Canopy — Medicare Adv.: $47.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $47.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $47.81 Chinese Community Health Plan — All Products: $47.81 Chinese Community Health Plan — Medicare Advantage: $47.81 For Your Benefits Under Astrana Health — Medicare Advantage: $47.81 HealthNet — Medicare Advantage: $45.42 Imperial Health — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$13.39
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $13.39 Anthem Blue Cross — Medicare Advantage: $13.39 BAACN Canopy — Medicare Adv.: $13.39 Blue Shield of CA — Medicare Advantage HMO_PPO: $13.39 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $13.39 Chinese Community Health Plan — All Products: $13.39 Chinese Community Health Plan — Medicare Advantage: $13.39 For Your Benefits Under Astrana Health — Medicare Advantage: $13.39 HealthNet — Medicare Advantage: $12.72 Imperial Health — Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68
Kidney function panel: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $8.68 Anthem Blue Cross — Medicare Advantage: $8.68 BAACN Canopy — Medicare Adv.: $8.68 Blue Shield of CA — Medicare Advantage HMO_PPO: $8.68 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $8.68 Chinese Community Health Plan — All Products: $8.68 Chinese Community Health Plan — Medicare Advantage: $8.68 For Your Benefits Under Astrana Health — Medicare Advantage: $8.68 HealthNet — Medicare Advantage: $8.25 Imperial Health — Medicare Advantage: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.17
Liver function panel: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $8.17 Anthem Blue Cross — Medicare Advantage: $8.17 BAACN Canopy — Medicare Adv.: $8.17 Blue Shield of CA — Medicare Advantage HMO_PPO: $8.17 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $8.17 Chinese Community Health Plan — All Products: $8.17 Chinese Community Health Plan — Medicare Advantage: $8.17 For Your Benefits Under Astrana Health — Medicare Advantage: $8.17 HealthNet — Medicare Advantage: $7.76 Imperial Health — Medicare Advantage: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.17
Urine test (automated, with microscope): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $3.17 Anthem Blue Cross — Medicare Advantage: $3.17 BAACN Canopy — Medicare Adv.: $3.17 Blue Shield of CA — Medicare Advantage HMO_PPO: $3.17 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $3.17 Chinese Community Health Plan — All Products: $3.17 Chinese Community Health Plan — Medicare Advantage: $3.17 For Your Benefits Under Astrana Health — Medicare Advantage: $3.17 HealthNet — Medicare Advantage: $3.01 Imperial Health — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48
Urine test (manual, without microscope): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $3.48 Anthem Blue Cross — Medicare Advantage: $3.48 BAACN Canopy — Medicare Adv.: $3.48 Blue Shield of CA — Medicare Advantage HMO_PPO: $3.48 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $3.48 Chinese Community Health Plan — All Products: $3.48 Chinese Community Health Plan — Medicare Advantage: $3.48 For Your Benefits Under Astrana Health — Medicare Advantage: $3.48 HealthNet — Medicare Advantage: $3.31 Imperial Health — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.25
Urine test (automated, without microscope): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $2.25 Anthem Blue Cross — Medicare Advantage: $2.25 BAACN Canopy — Medicare Adv.: $2.25 Blue Shield of CA — Medicare Advantage HMO_PPO: $2.25 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $2.25 Chinese Community Health Plan — All Products: $2.25 Chinese Community Health Plan — Medicare Advantage: $2.25 For Your Benefits Under Astrana Health — Medicare Advantage: $2.25 HealthNet — Medicare Advantage: $2.14 Imperial Health — Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$18.39
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $18.39 Anthem Blue Cross — Medicare Advantage: $18.39 BAACN Canopy — Medicare Adv.: $18.39 Blue Shield of CA — Medicare Advantage HMO_PPO: $18.39 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $18.39 Chinese Community Health Plan — All Products: $18.39 Chinese Community Health Plan — Medicare Advantage: $18.39 For Your Benefits Under Astrana Health — Medicare Advantage: $18.39 HealthNet — Medicare Advantage: $17.47 Imperial Health — Medicare Advantage: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$16.80
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $16.80 Anthem Blue Cross — Medicare Advantage: $16.80 BAACN Canopy — Medicare Adv.: $16.80 Blue Shield of CA — Medicare Advantage HMO_PPO: $16.80 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $16.80 Chinese Community Health Plan — All Products: $16.80 Chinese Community Health Plan — Medicare Advantage: $16.80 For Your Benefits Under Astrana Health — Medicare Advantage: $16.80 HealthNet — Medicare Advantage: $15.96 Imperial Health — Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.77
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $7.77 Anthem Blue Cross — Medicare Advantage: $7.77 BAACN Canopy — Medicare Adv.: $7.77 Blue Shield of CA — Medicare Advantage HMO_PPO: $7.77 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $7.77 Chinese Community Health Plan — All Products: $7.77 Chinese Community Health Plan — Medicare Advantage: $7.77 For Your Benefits Under Astrana Health — Medicare Advantage: $7.77 HealthNet — Medicare Advantage: $7.38 Imperial Health — Medicare Advantage: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.47
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $6.47 Anthem Blue Cross — Medicare Advantage: $6.47 BAACN Canopy — Medicare Adv.: $6.47 Blue Shield of CA — Medicare Advantage HMO_PPO: $6.47 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $6.47 Chinese Community Health Plan — All Products: $6.47 Chinese Community Health Plan — Medicare Advantage: $6.47 For Your Benefits Under Astrana Health — Medicare Advantage: $6.47 HealthNet — Medicare Advantage: $6.15 Imperial Health — Medicare Advantage: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $4.29 Anthem Blue Cross — Medicare Advantage: $4.29 BAACN Canopy — Medicare Adv.: $4.29 Blue Shield of CA — Medicare Advantage HMO_PPO: $4.29 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $4.29 Chinese Community Health Plan — All Products: $4.29 Chinese Community Health Plan — Medicare Advantage: $4.29 For Your Benefits Under Astrana Health — Medicare Advantage: $4.29 HealthNet — Medicare Advantage: $4.08 Imperial Health — Medicare Advantage: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $6.01 Anthem Blue Cross — Medicare Advantage: $6.01 BAACN Canopy — Medicare Adv.: $6.01 Blue Shield of CA — Medicare Advantage HMO_PPO: $6.01 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $6.01 Chinese Community Health Plan — All Products: $6.01 Chinese Community Health Plan — Medicare Advantage: $6.01 For Your Benefits Under Astrana Health — Medicare Advantage: $6.01 HealthNet — Medicare Advantage: $5.71 Imperial Health — Medicare Advantage: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$101.47 – $106.81
CT scan of the head or brain, without contrast: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $106.81 Chinese Community Health Plan — All Products: $106.81 Chinese Community Health Plan — Medicare Advantage: $106.81 For Your Benefits Under Astrana Health — Medicare Advantage: $106.81 HealthNet — Medicare Advantage: $101.47 Imperial Health — Medicare Advantage: $106.81 Imperial Health — Medicare Advantage (Psych): $106.81 NEMS — Medicare Advantage: $106.81
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$338.61 – $356.43
MRI of the brain, before and after contrast: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $356.43 Blue Shield of CA — Medicare Advantage HMO_PPO: $356.43 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $356.43 Chinese Community Health Plan — All Products: $356.43 Chinese Community Health Plan — Medicare Advantage: $356.43 For Your Benefits Under Astrana Health — Medicare Advantage: $356.43 HealthNet — Medicare Advantage: $338.61 Imperial Health — Medicare Advantage: $356.43 Imperial Health — Medicare Advantage (Psych): $356.43 NEMS — Medicare Advantage: $356.43
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$84.46 – $88.91
Chest X-ray, 2 views: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $88.91 Blue Shield of CA — Medicare Advantage HMO_PPO: $88.91 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $88.91 Chinese Community Health Plan — All Products: $88.91 Chinese Community Health Plan — Medicare Advantage: $88.91 For Your Benefits Under Astrana Health — Medicare Advantage: $88.91 HealthNet — Medicare Advantage: $84.46 Imperial Health — Medicare Advantage: $88.91 Imperial Health — Medicare Advantage (Psych): $88.91 NEMS — Medicare Advantage: $88.91
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$101.47 – $106.81
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $106.81 Chinese Community Health Plan — All Products: $106.81 Chinese Community Health Plan — Medicare Advantage: $106.81 For Your Benefits Under Astrana Health — Medicare Advantage: $106.81 HealthNet — Medicare Advantage: $101.47 Imperial Health — Medicare Advantage: $106.81 Imperial Health — Medicare Advantage (Psych): $106.81 NEMS — Medicare Advantage: $106.81
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$231.58 – $243.77
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $243.77 Blue Shield of CA — Medicare Advantage HMO_PPO: $243.77 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $243.77 Chinese Community Health Plan — All Products: $243.77 Chinese Community Health Plan — Medicare Advantage: $243.77 For Your Benefits Under Astrana Health — Medicare Advantage: $243.77 HealthNet — Medicare Advantage: $231.58 Imperial Health — Medicare Advantage: $243.77 Imperial Health — Medicare Advantage (Psych): $243.77 NEMS — Medicare Advantage: $243.77
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$170.24 – $179.20
CT scan of the pelvis, with contrast: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $179.20 Blue Shield of CA — Medicare Advantage HMO_PPO: $179.20 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $179.20 Chinese Community Health Plan — All Products: $179.20 Chinese Community Health Plan — Medicare Advantage: $179.20 For Your Benefits Under Astrana Health — Medicare Advantage: $179.20 HealthNet — Medicare Advantage: $170.24 Imperial Health — Medicare Advantage: $179.20 Imperial Health — Medicare Advantage (Psych): $179.20 NEMS — Medicare Advantage: $179.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$231.58 – $243.77
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $243.77 Blue Shield of CA — Medicare Advantage HMO_PPO: $243.77 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $243.77 Chinese Community Health Plan — All Products: $243.77 Chinese Community Health Plan — Medicare Advantage: $243.77 For Your Benefits Under Astrana Health — Medicare Advantage: $243.77 HealthNet — Medicare Advantage: $231.58 Imperial Health — Medicare Advantage: $243.77 Imperial Health — Medicare Advantage (Psych): $243.77 NEMS — Medicare Advantage: $243.77
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$338.61 – $356.43
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $356.43 Blue Shield of CA — Medicare Advantage HMO_PPO: $356.43 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $356.43 Chinese Community Health Plan — All Products: $356.43 Chinese Community Health Plan — Medicare Advantage: $356.43 For Your Benefits Under Astrana Health — Medicare Advantage: $356.43 HealthNet — Medicare Advantage: $338.61 Imperial Health — Medicare Advantage: $356.43 Imperial Health — Medicare Advantage (Psych): $356.43 NEMS — Medicare Advantage: $356.43
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$101.47 – $106.81
Ultrasound of the abdomen, complete: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $106.81 Chinese Community Health Plan — All Products: $106.81 Chinese Community Health Plan — Medicare Advantage: $106.81 For Your Benefits Under Astrana Health — Medicare Advantage: $106.81 HealthNet — Medicare Advantage: $101.47 Imperial Health — Medicare Advantage: $106.81 Imperial Health — Medicare Advantage (Psych): $106.81 NEMS — Medicare Advantage: $106.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$101.47 – $106.81
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $106.81 Chinese Community Health Plan — All Products: $106.81 Chinese Community Health Plan — Medicare Advantage: $106.81 For Your Benefits Under Astrana Health — Medicare Advantage: $106.81 HealthNet — Medicare Advantage: $101.47 Imperial Health — Medicare Advantage: $106.81 Imperial Health — Medicare Advantage (Psych): $106.81 NEMS — Medicare Advantage: $106.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$101.47 – $106.81
Transvaginal ultrasound: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $106.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $106.81 Chinese Community Health Plan — All Products: $106.81 Chinese Community Health Plan — Medicare Advantage: $106.81 For Your Benefits Under Astrana Health — Medicare Advantage: $106.81 HealthNet — Medicare Advantage: $101.47 Imperial Health — Medicare Advantage: $106.81 Imperial Health — Medicare Advantage (Psych): $106.81 NEMS — Medicare Advantage: $106.81
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$159.70 – $168.11
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $168.11 Anthem Blue Cross — Medicare Advantage: $168.11 BAACN Canopy — Medicare Adv.: $168.11 Blue Shield of CA — Medicare Advantage HMO_PPO: $168.11 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $168.11 Chinese Community Health Plan — All Products: $168.11 Chinese Community Health Plan — Medicare Advantage: $168.11 For Your Benefits Under Astrana Health — Medicare Advantage: $168.11 HealthNet — Medicare Advantage: $159.70 Imperial Health — Medicare Advantage: $168.11
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$202.43 – $213.08
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $213.08 Anthem Blue Cross — Medicare Advantage: $213.08 BAACN Canopy — Medicare Adv.: $213.08 Blue Shield of CA — Medicare Advantage HMO_PPO: $213.08 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $213.08 Chinese Community Health Plan — All Products: $213.08 Chinese Community Health Plan — Medicare Advantage: $213.08 For Your Benefits Under Astrana Health — Medicare Advantage: $213.08 HealthNet — Medicare Advantage: $202.43 Imperial Health — Medicare Advantage: $213.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$163.72 – $172.34
Screening mammogram, both breasts: 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $172.34 Anthem Blue Cross — Medicare Advantage: $172.34 BAACN Canopy — Medicare Adv.: $172.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $172.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $172.34 Chinese Community Health Plan — All Products: $172.34 Chinese Community Health Plan — Medicare Advantage: $172.34 For Your Benefits Under Astrana Health — Medicare Advantage: $172.34 HealthNet — Medicare Advantage: $163.72 Imperial Health — Medicare Advantage: $172.34

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EK93000 (Routine EKG including interpretation and report)	$34.46	Not listed in the file	$19.67
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans Anthem Blue Cross — All Products: $19.67 Anthem Blue Cross — Medicare Advantage: $19.67 BAACN Canopy — Medicare Adv. (Psych): $13.78 Imperial Health — Medicare Advantage: $13.78 Imperial Health — Medicare Advantage (Psych): $13.78 Kaiser — Medicare Advantage (Psych): $10.34
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,146.54 – $3,312.15
Left heart catheterization (diagnostic): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $3,312.15 Blue Shield of CA — Medicare Advantage HMO_PPO: $3,312.15 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $3,312.15 Chinese Community Health Plan — All Products: $3,312.15 Chinese Community Health Plan — Medicare Advantage: $3,312.15 For Your Benefits Under Astrana Health — Medicare Advantage: $3,312.15 HealthNet — Medicare Advantage: $3,146.54 Imperial Health — Medicare Advantage: $3,312.15 Imperial Health — Medicare Advantage (Psych): $3,312.15 NEMS — Medicare Advantage: $3,312.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$7,570.17 – $7,968.60
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $7,968.60 Blue Shield of CA — Medicare Advantage HMO_PPO: $7,968.60 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $7,968.60 Chinese Community Health Plan — All Products: $7,968.60 Chinese Community Health Plan — Medicare Advantage: $7,968.60 For Your Benefits Under Astrana Health — Medicare Advantage: $7,968.60 HealthNet — Medicare Advantage: $7,570.17 Imperial Health — Medicare Advantage: $7,968.60 Imperial Health — Medicare Advantage (Psych): $7,968.60 NEMS — Medicare Advantage: $7,968.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$693.61
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Veterans Administration — All Products: $693.61
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$25,368.79 – $26,703.99
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $26,703.99 Blue Shield of CA — Medicare Advantage HMO_PPO: $26,703.99 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $26,703.99 Chinese Community Health Plan — All Products: $26,703.99 Chinese Community Health Plan — Medicare Advantage: $26,703.99 For Your Benefits Under Astrana Health — Medicare Advantage: $26,703.99 HealthNet — Medicare Advantage: $25,368.79 Imperial Health — Medicare Advantage: $26,703.99 Imperial Health — Medicare Advantage (Psych): $26,703.99 NEMS — Medicare Advantage: $26,703.99
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$833.47 – $877.34
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $877.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $877.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $877.34 Chinese Community Health Plan — All Products: $877.34 Chinese Community Health Plan — Medicare Advantage: $877.34 For Your Benefits Under Astrana Health — Medicare Advantage: $877.34 HealthNet — Medicare Advantage: $833.47 Imperial Health — Medicare Advantage: $877.34 Imperial Health — Medicare Advantage (Psych): $877.34 NEMS — Medicare Advantage: $877.34

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$35.44 – $37.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $37.31 Anthem Blue Cross — Medicare Advantage: $37.31 BAACN Canopy — Medicare Adv.: $37.31 Blue Shield of CA — Medicare Advantage HMO_PPO: $37.31 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $37.31 Chinese Community Health Plan — All Products: $37.31 Chinese Community Health Plan — Medicare Advantage: $37.31 For Your Benefits Under Astrana Health — Medicare Advantage: $37.31 HealthNet — Medicare Advantage: $35.44 Imperial Health — Medicare Advantage: $37.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: Therapeutic Exercise	$71.38	Not listed in the file	$21.41 – $28.55
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans BAACN Canopy — Medicare Adv. (Psych): $28.55 Imperial Health — Medicare Advantage: $28.55 Imperial Health — Medicare Advantage (Psych): $28.55 Kaiser — Medicare Advantage (Psych): $21.41 On Lok Senior Health — Medicare Advantage: $166 United Healthcare — Medicare Advantage: $65
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Therapeutic Exercise	$71.38	Not listed in the file	$21.41 – $28.55
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans BAACN Canopy — Medicare Adv. (Psych): $28.55 Imperial Health — Medicare Advantage: $28.55 Imperial Health — Medicare Advantage (Psych): $28.55 Kaiser — Medicare Advantage (Psych): $21.41 On Lok Senior Health — Medicare Advantage: $166 United Healthcare — Medicare Advantage: $65
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$120.11 – $126.43
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $126.43 Anthem Blue Cross — Medicare Advantage: $126.43 BAACN Canopy — Medicare Adv.: $126.43 Blue Shield of CA — Medicare Advantage HMO_PPO: $126.43 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $126.43 Chinese Community Health Plan — All Products: $126.43 Chinese Community Health Plan — Medicare Advantage: $126.43 For Your Benefits Under Astrana Health — Medicare Advantage: $126.43 HealthNet — Medicare Advantage: $120.11 Imperial Health — Medicare Advantage: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Eval LowComplex 20 Min	$243.78	Not listed in the file	$73.13 – $97.51
Physical therapy evaluation (low complexity): rates for 6 insurance plans BAACN Canopy — Medicare Adv. (Psych): $97.51 Imperial Health — Medicare Advantage: $97.51 Imperial Health — Medicare Advantage (Psych): $97.51 Kaiser — Medicare Advantage (Psych): $73.13 On Lok Senior Health — Medicare Advantage: $166 United Healthcare — Medicare Advantage: $65
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$106.09
Physical therapy evaluation (low complexity): rates for 1 insurance plan Veterans Administration — All Products: $106.09
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$120.11 – $126.43
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $126.43 Anthem Blue Cross — Medicare Advantage: $126.43 BAACN Canopy — Medicare Adv.: $126.43 Blue Shield of CA — Medicare Advantage HMO_PPO: $126.43 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $126.43 Chinese Community Health Plan — All Products: $126.43 Chinese Community Health Plan — Medicare Advantage: $126.43 For Your Benefits Under Astrana Health — Medicare Advantage: $126.43 HealthNet — Medicare Advantage: $120.11 Imperial Health — Medicare Advantage: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Eval Mod Complex 30 Min	$243.78	Not listed in the file	$73.13 – $97.51
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans BAACN Canopy — Medicare Adv. (Psych): $97.51 Imperial Health — Medicare Advantage: $97.51 Imperial Health — Medicare Advantage (Psych): $97.51 Kaiser — Medicare Advantage (Psych): $73.13 On Lok Senior Health — Medicare Advantage: $166 United Healthcare — Medicare Advantage: $65
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$106.09
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Veterans Administration — All Products: $106.09
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$120.11 – $126.43
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Anthem Blue Cross — All Products: $126.43 Anthem Blue Cross — Medicare Advantage: $126.43 BAACN Canopy — Medicare Adv.: $126.43 Blue Shield of CA — Medicare Advantage HMO_PPO: $126.43 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $126.43 Chinese Community Health Plan — All Products: $126.43 Chinese Community Health Plan — Medicare Advantage: $126.43 For Your Benefits Under Astrana Health — Medicare Advantage: $126.43 HealthNet — Medicare Advantage: $120.11 Imperial Health — Medicare Advantage: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Eval High Complex 45 Min	$243.78	Not listed in the file	$73.13 – $97.51
Physical therapy evaluation (high complexity): rates for 6 insurance plans BAACN Canopy — Medicare Adv. (Psych): $97.51 Imperial Health — Medicare Advantage: $97.51 Imperial Health — Medicare Advantage (Psych): $97.51 Kaiser — Medicare Advantage (Psych): $73.13 On Lok Senior Health — Medicare Advantage: $166 United Healthcare — Medicare Advantage: $65
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$106.09
Physical therapy evaluation (high complexity): rates for 1 insurance plan Veterans Administration — All Products: $106.09
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$172.27 – $181.34
Psychotherapy, 30 minutes: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $181.34 Chinese Community Health Plan — All Products: $181.34 Chinese Community Health Plan — Medicare Advantage: $181.34 For Your Benefits Under Astrana Health — Medicare Advantage: $181.34 HealthNet — Medicare Advantage: $172.27 Imperial Health — Medicare Advantage: $181.34 Imperial Health — Medicare Advantage (Psych): $181.34 NEMS — Medicare Advantage: $181.34
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$72.31
Psychotherapy, 30 minutes: rates for 1 insurance plan Veterans Administration — All Products: $72.31
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$172.27 – $181.34
Psychotherapy, 45 minutes: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $181.34 Chinese Community Health Plan — All Products: $181.34 Chinese Community Health Plan — Medicare Advantage: $181.34 For Your Benefits Under Astrana Health — Medicare Advantage: $181.34 HealthNet — Medicare Advantage: $172.27 Imperial Health — Medicare Advantage: $181.34 Imperial Health — Medicare Advantage (Psych): $181.34 NEMS — Medicare Advantage: $181.34
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$95.45
Psychotherapy, 45 minutes: rates for 1 insurance plan Veterans Administration — All Products: $95.45
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$172.27 – $181.34
Psychotherapy, 60 minutes: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $181.34 Chinese Community Health Plan — All Products: $181.34 Chinese Community Health Plan — Medicare Advantage: $181.34 For Your Benefits Under Astrana Health — Medicare Advantage: $181.34 HealthNet — Medicare Advantage: $172.27 Imperial Health — Medicare Advantage: $181.34 Imperial Health — Medicare Advantage (Psych): $181.34 NEMS — Medicare Advantage: $181.34
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$141.19
Psychotherapy, 60 minutes: rates for 1 insurance plan Veterans Administration — All Products: $141.19
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$172.27 – $181.34
Family psychotherapy, without the patient: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $181.34 Chinese Community Health Plan — All Products: $181.34 Chinese Community Health Plan — Medicare Advantage: $181.34 For Your Benefits Under Astrana Health — Medicare Advantage: $181.34 HealthNet — Medicare Advantage: $172.27 Imperial Health — Medicare Advantage: $181.34 Imperial Health — Medicare Advantage (Psych): $181.34 NEMS — Medicare Advantage: $181.34
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$99.64
Family psychotherapy, without the patient: rates for 1 insurance plan Veterans Administration — All Products: $99.64
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$172.27 – $181.34
Family psychotherapy, with the patient: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO: $181.34 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $181.34 Chinese Community Health Plan — All Products: $181.34 Chinese Community Health Plan — Medicare Advantage: $181.34 For Your Benefits Under Astrana Health — Medicare Advantage: $181.34 HealthNet — Medicare Advantage: $172.27 Imperial Health — Medicare Advantage: $181.34 Imperial Health — Medicare Advantage (Psych): $181.34 NEMS — Medicare Advantage: $181.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$107.68
Family psychotherapy, with the patient: rates for 1 insurance plan Veterans Administration — All Products: $107.68
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$98.60 – $103.79
Group psychotherapy: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $103.79 Blue Shield of CA — Medicare Advantage HMO_PPO: $103.79 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $103.79 Chinese Community Health Plan — All Products: $103.79 Chinese Community Health Plan — Medicare Advantage: $103.79 For Your Benefits Under Astrana Health — Medicare Advantage: $103.79 HealthNet — Medicare Advantage: $98.60 Imperial Health — Medicare Advantage: $103.79 Imperial Health — Medicare Advantage (Psych): $103.79 NEMS — Medicare Advantage: $103.79
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier N/A In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$25.37
Group psychotherapy: rates for 1 insurance plan Veterans Administration — All Products: $25.37

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,800.23 – $4,000.24
Removal of breast growth (open surgery): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $4,000.24 Blue Shield of CA — Medicare Advantage HMO_PPO: $4,000.24 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $4,000.24 Chinese Community Health Plan — All Products: $4,000.24 Chinese Community Health Plan — Medicare Advantage: $4,000.24 For Your Benefits Under Astrana Health — Medicare Advantage: $4,000.24 HealthNet — Medicare Advantage: $3,800.23 Imperial Health — Medicare Advantage: $4,000.24 Imperial Health — Medicare Advantage (Psych): $4,000.24 NEMS — Medicare Advantage: $4,000.24
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,460.92 – $13,116.76
Total hip replacement: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $13,116.76 Blue Shield of CA — Medicare Advantage HMO_PPO: $13,116.76 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $13,116.76 Chinese Community Health Plan — All Products: $13,116.76 Chinese Community Health Plan — Medicare Advantage: $13,116.76 For Your Benefits Under Astrana Health — Medicare Advantage: $13,116.76 HealthNet — Medicare Advantage: $12,460.92 Imperial Health — Medicare Advantage: $13,116.76 Imperial Health — Medicare Advantage (Psych): $13,116.76 NEMS — Medicare Advantage: $13,116.76
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,460.92 – $13,116.76
Total knee replacement: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $13,116.76 Blue Shield of CA — Medicare Advantage HMO_PPO: $13,116.76 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $13,116.76 Chinese Community Health Plan — All Products: $13,116.76 Chinese Community Health Plan — Medicare Advantage: $13,116.76 For Your Benefits Under Astrana Health — Medicare Advantage: $13,116.76 HealthNet — Medicare Advantage: $12,460.92 Imperial Health — Medicare Advantage: $13,116.76 Imperial Health — Medicare Advantage (Psych): $13,116.76 NEMS — Medicare Advantage: $13,116.76
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$3,175.73 – $3,342.87
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $3,342.87 Blue Shield of CA — Medicare Advantage HMO_PPO: $3,342.87 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $3,342.87 Chinese Community Health Plan — All Products: $3,342.87 Chinese Community Health Plan — Medicare Advantage: $3,342.87 For Your Benefits Under Astrana Health — Medicare Advantage: $3,342.87 HealthNet — Medicare Advantage: $3,175.73 Imperial Health — Medicare Advantage: $3,342.87 Imperial Health — Medicare Advantage (Psych): $3,342.87 NEMS — Medicare Advantage: $3,342.87
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,745.65 – $6,048.05
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $6,048.05 Blue Shield of CA — Medicare Advantage HMO_PPO: $6,048.05 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $6,048.05 Chinese Community Health Plan — All Products: $6,048.05 Chinese Community Health Plan — Medicare Advantage: $6,048.05 For Your Benefits Under Astrana Health — Medicare Advantage: $6,048.05 HealthNet — Medicare Advantage: $5,745.65 Imperial Health — Medicare Advantage: $6,048.05 Imperial Health — Medicare Advantage (Psych): $6,048.05 NEMS — Medicare Advantage: $6,048.05
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$880.30 – $926.63
Upper GI endoscopy (diagnostic): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $926.63 Blue Shield of CA — Medicare Advantage HMO_PPO: $926.63 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $926.63 Chinese Community Health Plan — All Products: $926.63 Chinese Community Health Plan — Medicare Advantage: $926.63 For Your Benefits Under Astrana Health — Medicare Advantage: $926.63 HealthNet — Medicare Advantage: $880.30 Imperial Health — Medicare Advantage: $926.63 Imperial Health — Medicare Advantage (Psych): $926.63 NEMS — Medicare Advantage: $926.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$880.30 – $926.63
Upper GI endoscopy with biopsy: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $926.63 Blue Shield of CA — Medicare Advantage HMO_PPO: $926.63 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $926.63 Chinese Community Health Plan — All Products: $926.63 Chinese Community Health Plan — Medicare Advantage: $926.63 For Your Benefits Under Astrana Health — Medicare Advantage: $926.63 HealthNet — Medicare Advantage: $880.30 Imperial Health — Medicare Advantage: $926.63 Imperial Health — Medicare Advantage (Psych): $926.63 NEMS — Medicare Advantage: $926.63
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$902.60 – $950.10
Colonoscopy (diagnostic): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $950.10 Blue Shield of CA — Medicare Advantage HMO_PPO: $950.10 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $950.10 Chinese Community Health Plan — All Products: $950.10 Chinese Community Health Plan — Medicare Advantage: $950.10 For Your Benefits Under Astrana Health — Medicare Advantage: $950.10 HealthNet — Medicare Advantage: $902.60 Imperial Health — Medicare Advantage: $950.10 Imperial Health — Medicare Advantage (Psych): $950.10 NEMS — Medicare Advantage: $950.10
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,161.43 – $1,222.56
Colonoscopy with biopsy: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $1,222.56 Blue Shield of CA — Medicare Advantage HMO_PPO: $1,222.56 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $1,222.56 Chinese Community Health Plan — All Products: $1,222.56 Chinese Community Health Plan — Medicare Advantage: $1,222.56 For Your Benefits Under Astrana Health — Medicare Advantage: $1,222.56 HealthNet — Medicare Advantage: $1,161.43 Imperial Health — Medicare Advantage: $1,222.56 Imperial Health — Medicare Advantage (Psych): $1,222.56 NEMS — Medicare Advantage: $1,222.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,161.43 – $1,222.56
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $1,222.56 Blue Shield of CA — Medicare Advantage HMO_PPO: $1,222.56 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $1,222.56 Chinese Community Health Plan — All Products: $1,222.56 Chinese Community Health Plan — Medicare Advantage: $1,222.56 For Your Benefits Under Astrana Health — Medicare Advantage: $1,222.56 HealthNet — Medicare Advantage: $1,161.43 Imperial Health — Medicare Advantage: $1,222.56 Imperial Health — Medicare Advantage (Psych): $1,222.56 NEMS — Medicare Advantage: $1,222.56
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,161.43 – $1,222.56
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $1,222.56 Blue Shield of CA — Medicare Advantage HMO_PPO: $1,222.56 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $1,222.56 Chinese Community Health Plan — All Products: $1,222.56 Chinese Community Health Plan — Medicare Advantage: $1,222.56 For Your Benefits Under Astrana Health — Medicare Advantage: $1,222.56 HealthNet — Medicare Advantage: $1,161.43 Imperial Health — Medicare Advantage: $1,222.56 Imperial Health — Medicare Advantage (Psych): $1,222.56 NEMS — Medicare Advantage: $1,222.56
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$902.60 – $950.10
Screening colonoscopy (not high risk): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $950.10 Blue Shield of CA — Medicare Advantage HMO_PPO: $950.10 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $950.10 Chinese Community Health Plan — All Products: $950.10 Chinese Community Health Plan — Medicare Advantage: $950.10 For Your Benefits Under Astrana Health — Medicare Advantage: $950.10 HealthNet — Medicare Advantage: $902.60 Imperial Health — Medicare Advantage: $950.10 Imperial Health — Medicare Advantage (Psych): $950.10 NEMS — Medicare Advantage: $950.10
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,867.65 – $6,176.47
Gallbladder removal by laparoscope: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $6,176.47 Blue Shield of CA — Medicare Advantage HMO_PPO: $6,176.47 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $6,176.47 Chinese Community Health Plan — All Products: $6,176.47 Chinese Community Health Plan — Medicare Advantage: $6,176.47 For Your Benefits Under Astrana Health — Medicare Advantage: $6,176.47 HealthNet — Medicare Advantage: $5,867.65 Imperial Health — Medicare Advantage: $6,176.47 Imperial Health — Medicare Advantage (Psych): $6,176.47 NEMS — Medicare Advantage: $6,176.47
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,475.05 – $3,657.95
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $3,657.95 Blue Shield of CA — Medicare Advantage HMO_PPO: $3,657.95 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $3,657.95 Chinese Community Health Plan — All Products: $3,657.95 Chinese Community Health Plan — Medicare Advantage: $3,657.95 For Your Benefits Under Astrana Health — Medicare Advantage: $3,657.95 HealthNet — Medicare Advantage: $3,475.05 Imperial Health — Medicare Advantage: $3,657.95 Imperial Health — Medicare Advantage (Psych): $3,657.95 NEMS — Medicare Advantage: $3,657.95
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$10,317.07 – $10,860.07
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $10,860.07 Blue Shield of CA — Medicare Advantage HMO_PPO: $10,860.07 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $10,860.07 Chinese Community Health Plan — All Products: $10,860.07 Chinese Community Health Plan — Medicare Advantage: $10,860.07 For Your Benefits Under Astrana Health — Medicare Advantage: $10,860.07 HealthNet — Medicare Advantage: $10,317.07 Imperial Health — Medicare Advantage: $10,860.07 Imperial Health — Medicare Advantage (Psych): $10,860.07 NEMS — Medicare Advantage: $10,860.07
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,141.88 – $3,307.24
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $3,307.24 Blue Shield of CA — Medicare Advantage HMO_PPO: $3,307.24 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $3,307.24 Chinese Community Health Plan — All Products: $3,307.24 Chinese Community Health Plan — Medicare Advantage: $3,307.24 For Your Benefits Under Astrana Health — Medicare Advantage: $3,307.24 HealthNet — Medicare Advantage: $3,141.88 Imperial Health — Medicare Advantage: $3,307.24 Imperial Health — Medicare Advantage (Psych): $3,307.24 NEMS — Medicare Advantage: $3,307.24
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.11 – $721.17
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $721.17 Blue Shield of CA — Medicare Advantage HMO_PPO: $721.17 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $721.17 Chinese Community Health Plan — All Products: $721.17 Chinese Community Health Plan — Medicare Advantage: $721.17 For Your Benefits Under Astrana Health — Medicare Advantage: $721.17 HealthNet — Medicare Advantage: $685.11 Imperial Health — Medicare Advantage: $721.17 Imperial Health — Medicare Advantage (Psych): $721.17 NEMS — Medicare Advantage: $721.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$858.45 – $903.63
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $903.63 Blue Shield of CA — Medicare Advantage HMO_PPO: $903.63 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $903.63 Chinese Community Health Plan — All Products: $903.63 Chinese Community Health Plan — Medicare Advantage: $903.63 For Your Benefits Under Astrana Health — Medicare Advantage: $903.63 HealthNet — Medicare Advantage: $858.45 Imperial Health — Medicare Advantage: $903.63 Imperial Health — Medicare Advantage (Psych): $903.63 NEMS — Medicare Advantage: $903.63
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,895.27 – $1,995.02
Carpal tunnel release: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $1,995.02 Blue Shield of CA — Medicare Advantage HMO_PPO: $1,995.02 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $1,995.02 Chinese Community Health Plan — All Products: $1,995.02 Chinese Community Health Plan — Medicare Advantage: $1,995.02 For Your Benefits Under Astrana Health — Medicare Advantage: $1,995.02 HealthNet — Medicare Advantage: $1,895.27 Imperial Health — Medicare Advantage: $1,995.02 Imperial Health — Medicare Advantage (Psych): $1,995.02 NEMS — Medicare Advantage: $1,995.02
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$533.81 – $561.91
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $561.91 Blue Shield of CA — Medicare Advantage HMO_PPO: $561.91 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $561.91 Chinese Community Health Plan — All Products: $561.91 Chinese Community Health Plan — Medicare Advantage: $561.91 For Your Benefits Under Astrana Health — Medicare Advantage: $561.91 HealthNet — Medicare Advantage: $533.81 Imperial Health — Medicare Advantage: $561.91 Imperial Health — Medicare Advantage (Psych): $561.91 NEMS — Medicare Advantage: $561.91
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,239.92 – $2,357.81
Cataract removal with lens implant: rates for 10 insurance plans BAACN Canopy — Medicare Adv.: $2,357.81 Blue Shield of CA — Medicare Advantage HMO_PPO: $2,357.81 Blue Shield of CA — Medicare Advantage HMO_PPO(Psych): $2,357.81 Chinese Community Health Plan — All Products: $2,357.81 Chinese Community Health Plan — Medicare Advantage: $2,357.81 For Your Benefits Under Astrana Health — Medicare Advantage: $2,357.81 HealthNet — Medicare Advantage: $2,239.92 Imperial Health — Medicare Advantage: $2,357.81 Imperial Health — Medicare Advantage (Psych): $2,357.81 NEMS — Medicare Advantage: $2,357.81

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	Not listed in the file
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan HealthNet — Medicare Advantage: 95% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan HealthNet — Medicare Advantage: 95% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan HealthNet — Medicare Advantage: 95% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan HealthNet — Medicare Advantage: 95% (a percentage in the contract, not a dollar amount)

Source: Jewish Home & Rehab Center’s standard charges file (jewishliving.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Psychiatric Hospital
Address	302 Silver Avenue, San Francisco, CA 94112
County	San Francisco County
State	California
Phone	(415) 334‑2500
Emergency services	Not listed
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	054089
Name in Medicare records	JEWISH HOME & REHAB CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	San Francisco Campus for Jewish Living (formerly the Jewish Home)
Official website	sfcjl.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

San Francisco Campus for Jewish Living — sfcjl.org
San Francisco Campus for Jewish Living - Acute Geriatric Psychiatry Hospital Admission Information — sfcjl.org
San Francisco Campus for Jewish Living - Long-Term Care Admission Information — sfcjl.org
San Francisco Campus for Jewish Living - Short-term and Rehabilitation Services Admission Information — sfcjl.org
San Francisco Campus for Jewish Living - Visitations — sfcjl.org

Jewish Home & Rehab Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[5]

Treatments^[5]

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

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Jewish Home & Rehab Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[5]

Treatments[5]

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

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[5]

Treatments^[5]

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