Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Kaiser Foundation Hospital - Walnut Creek

Walnut Creek, California · Contra Costa County · Emergency services listed

Summary

Kaiser Foundation Hospital - Walnut Creek is an acute care hospital in Walnut Creek, California. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 30 services, specialties and programs. Medicare lists 248 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

Compare

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)
30Services listed

Quick answers

Does Kaiser Foundation Hospital - Walnut Creek have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Kaiser Foundation Hospital - Walnut Creek. In a medical emergency, call 911.
Where is Kaiser Foundation Hospital - Walnut Creek?
1425 S Main Street, Walnut Creek, CA 94596, in Contra Costa County, California.
What is the phone number of Kaiser Foundation Hospital - Walnut Creek?
(925) 295-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Kaiser Foundation Hospital - Walnut Creek?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Programs and centers[5]

  • Palliative Care
  • Hospice
  • Home Health Care
  • Infusion Clinic
  • Newborn Care Center
  • Minor Injury Center
  • Varicose Vein Clinic

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Interpreters and languagesFree interpreter services, including sign language, 24/7 at all points of contact[4]

Recognition[4]

  • Birthing-Friendly Hospital (CMS)
  • California Children's Services (CCS) Approved Hospital

Doctors and clinicians (248)

248 doctors and other clinicians list Kaiser Foundation Hospital - Walnut Creek 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 (248)

And 224 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 Kaiser Foundation Hospital - Walnut Creek 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) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night1 of 5 stars
Rated the hospital 9 or 10 out of 1064%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night35%National average: 60%
Completed surveys633Response rate: 26%

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)0.797No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.032No different from the national benchmark
Surgical site infections after colon surgery1.86No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.298No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.2Better 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 patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patients9%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.14No different from the national rate
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2023 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 attack13.6%
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia20.3%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)63%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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 73 common services exactly as Kaiser Foundation Hospital - Walnut Creek 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPARTMENT VISIT LOW MDM $2,896 $1,621.76 $2,055
Emergency room visit (moderate): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $2,055
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM $4,844 $2,712.64 $3,165
Emergency room visit (moderately high): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $3,165
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM $7,536 $4,220.16 $4,555
Emergency room visit (high): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $4,555
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL CALCIUM TOTAL $345 $193.20 $8 – $25
Basic metabolic panel (blood test): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $25
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $8
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $8
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL $456 $255.36 $10 – $30
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $30
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $10
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $10
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL $770 $431.20 $45 – $140
Obstetric blood test panel: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $140
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $45
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $47
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $279 $156.24 $13 – $40
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $40
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $13
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $13
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $254 $142.24 $8 – $25
Kidney function panel: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $25
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $8
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $8
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $239 $133.84 $8 – $25
Liver function panel: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $25
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $8
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $8
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $148 $82.88 $3 – $10
Urine test (automated, with microscope): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $10
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $3
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $3
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $65 $36.40 $3 – $10
Urine test (manual, without microscope): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $10
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $3
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $3
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $100 $56 $2 – $7
Urine test (automated, without microscope): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $7
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $2
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $2
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $233 $130.48 $18 – $55
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $55
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $18
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $18
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY OF THYROID STIMULATING HORMONE TSH $277 $155.12 $16 – $50
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $50
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $16
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $17
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $220 $123.20 $8 – $25
Complete blood count (CBC) with differential: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $25
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $8
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $8
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: BLOOD COUNT COMPLETE AUTOMATED $160 $89.60 $6 – $20
Complete blood count (CBC), automated: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $20
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $6
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $7
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $160 $89.60 $3 – $10
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $10
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $3
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $3
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $253 $141.68 $5 – $15
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $15
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $5
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $5

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O CONTRAST MATERIAL $4,790 $2,682.40 $145 – $455
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $455
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $145
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $153
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $9,820 $5,499.20 $476 – $1,490
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $1,490
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $476
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $500
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: RADIOLOGIC EXAM CHEST 2 VIEWS $900 $504 $118 – $370
Chest X-ray, 2 views: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $370
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $118
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $124
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $1,050 $588 $142 – $445
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $445
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $142
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $149
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $5,860 $3,281.60 $323 – $1,010
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $1,010
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $323
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $339
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONTRAST MATERIAL $8,500 $4,760 $377 – $1,180
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $1,180
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $377
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $396
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $6,140 $3,438.40 $323 – $1,010
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $1,010
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $323
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $339
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $8,490 $4,754.40 $476 – $1,490
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $1,490
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $476
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $500
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $1,770 $991.20 $142 – $445
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $445
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $142
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $149
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $1,690 $946.40 $142 – $445
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $445
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $142
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $149
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL $1,280 $716.80 $142 – $445
Transvaginal ultrasound: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $445
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $142
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $149
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $670 $375.20 $125 – $390
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $390
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $125
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $131
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $900 $504 $160 – $500
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $500
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $160
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $168
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $670 $375.20 $133 – $415
Screening mammogram, both breasts: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $415
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $133
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $139

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $160 $89.60 Not listed in the file
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $27,880 $15,612.80 Not listed in the file
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $27,640 $15,478.40 Not listed in the file
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $69,830 $39,104.80 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $8,730 $4,888.80 Not listed in the file
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $259 $145.04 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: "PT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." $231 $129.36 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: "OT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." $231 $129.36 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $600 $336 Not listed in the file
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $680 $380.80 Not listed in the file
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $810 $453.60 Not listed in the file
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES $791 $442.96 Not listed in the file
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES $1,040 $582.40 Not listed in the file
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES $720 $403.20 Not listed in the file
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $850 $476 Not listed in the file
Family psychotherapy, without the patient: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $1,060 $593.60 Not listed in the file
Family psychotherapy, with the patient: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY $950 $532 Not listed in the file
Group psychotherapy: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 50% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 16.7% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 17.6% (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 · Inpatient or outpatient In the file: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $14,360 $8,041.60 $4,627 – $14,491
Removal of breast growth (open surgery): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $14,491
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $4,627
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $4,862
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $16,360 $9,161.60 $15,548 – $48,690
Total hip replacement: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $48,690
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $15,548
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $16,336
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $46,000 $25,760 $15,548 – $48,690
Total knee replacement: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $48,690
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $15,548
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $16,336
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $9,360 $5,241.60 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: 90% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: 30.1% (a percentage in the contract, not a dollar amount)
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: 31.6% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $13,080 $7,324.80 $3,921 – $12,278
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $12,278
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $3,921
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $4,120
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $18,990 $10,634.40 $7,148 – $22,386
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $22,386
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $7,148
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $7,511
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $6,620 $3,707.20 $1,133 – $3,547
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $3,547
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,133
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,190
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $5,990 $3,354.40 $1,133 – $3,547
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $3,547
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,133
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,190
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $6,570 $3,679.20 $1,102 – $3,450
Colonoscopy (diagnostic): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $3,450
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,102
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,158
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $6,340 $3,550.40 $1,425 – $4,462
Colonoscopy with biopsy: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $4,462
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,425
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,497
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $6,190 $3,466.40 $1,425 – $4,462
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $4,462
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,425
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,497
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $5,190 $2,906.40 $1,425 – $4,462
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $4,462
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,425
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,497
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON CA SCRN NOT HI RSK IND $5,740 $3,214.40 $1,102 – $3,450
Screening colonoscopy (not high risk): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $3,450
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,102
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,158
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY $34,320 $19,219.20 $7,050 – $22,078
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $22,078
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $7,050
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $7,407
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $33,440 $18,726.40 $4,265 – $13,355
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $13,355
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $4,265
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $4,481
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING $68,460 $38,337.60 $12,581 – $39,398
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $39,398
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $12,581
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $13,218
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $21,880 $12,252.80 $3,842 – $12,031
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $12,031
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $3,842
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $4,037
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $6,540 $3,662.40 $837 – $2,620
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $2,620
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $837
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $879
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $6,010 $3,365.60 $1,076 – $3,369
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $3,369
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $1,076
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $1,130
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $9,480 $5,308.80 $2,360 – $7,390
Carpal tunnel release: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $7,390
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $2,360
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $2,479
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: POST-CATARACT LASER SURGERY $4,830 $2,704.80 $663 – $2,076
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $2,076
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $663
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $697
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $15,400 $8,624 $2,756 – $8,631
Cataract removal with lens implant: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $8,631
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $2,756
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $2,896

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 $29,246 – $117,396
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $117,396
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $31,609
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $29,246
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 $18,397 – $73,848
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $73,848
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $19,884
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $18,397
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 $24,216 – $97,204
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $97,204
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $26,173
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $24,216
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 $13,090 – $52,546
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [COMMERCIAL]: $52,546
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICAID]: $14,148
  • [KAISER FOUNDATION HEALTH PLAN, INC.] — [MEDICARE]: $13,090

Source: Kaiser Foundation Hospital - Walnut Creek’s standard charges file (healthy.kaiserpermanente.org, CSV, CMS template 3.0.1; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 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
Address1425 S Main Street, Walnut Creek, CA 94596
CountyContra Costa County
StateCalifornia
Phone(925) 295‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050072
Name in Medicare recordsKAISER FOUNDATION HOSPITAL - WALNUT CREEK
Profile levelMedicare data + hospital website
Name on the hospital’s websiteWalnut Creek Medical Center
Official websitehealthy.kaiserpermanente.org
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. Walnut Creek Medical Center | Kaiser Permanente — healthy.kaiserpermanente.org
  2. Departments & Specialties at Walnut Creek Medical Center — healthy.kaiserpermanente.org