Does Keck Hospital of USC have an emergency room?

Medicare (CMS) data does not list emergency services at Keck Hospital of USC. The closest hospitals that do: Los Angeles General Medical Center (0.5 mi), Adventist Health White Memorial (1.1 mi) and East Los Angeles Doctors Hospital (2.9 mi). In a medical emergency, call 911.

Where is Keck Hospital of USC?

1500 San Pablo Street, Los Angeles, CA 90033, in Los Angeles County, California.

What is the phone number of Keck Hospital of USC?

(323) 442-8656, as listed by Medicare (CMS).

What is the Medicare star rating of Keck Hospital of USC?

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

Keck Hospital of USC — Los Angeles, CA

Quick answers

Does Keck Hospital of USC have an emergency room?: Medicare (CMS) data does not list emergency services at Keck Hospital of USC. The closest hospitals that do: Los Angeles General Medical Center (0.5 mi), Adventist Health White Memorial (1.1 mi) and East Los Angeles Doctors Hospital (2.9 mi). In a medical emergency, call 911.
Where is Keck Hospital of USC?: 1500 San Pablo Street, Los Angeles, CA 90033, in Los Angeles County, California.
What is the phone number of Keck Hospital of USC?: (323) 442-8656, as listed by Medicare (CMS).
What is the Medicare star rating of Keck Hospital of USC?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[7]

Digestive health care
Neurological care
Orthopedic care
Primary care
Psychiatric services
Spine care
Surgical care
Urological care

Visiting and practical information

Visiting	Visiting 8 a.m.-8 p.m.; up to 4 visitors per patient (2 in ICU); one visitor may stay overnight. Policy dated 9/27/2024^[8]
Parking	Parking structure open 24/7; first 2 hours free, then paid up to $20 daily max; valet and cashless payment available^[5]
Interpreters and languages	Free language assistance for 15 listed languages (Spanish, Chinese, Vietnamese, etc.); call (800) 872-2273^[9]
Patient portal	myUSCchart

Recognition^[6]

Vizient Top Performer (Bernard A. Birnbaum, MD, Award) 2026

Doctors and clinicians (1,130)

1,130 doctors and other clinicians list Keck Hospital of USC 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

Nurse Practitioner112
Anesthesiology92
Physician Assistant90
Diagnostic Radiology71
Internal Medicine57
Neurology46
Certified Registered Nurse Anesthetist (CRNA)44
Pathology34
Ophthalmology33
Gastroenterology32
Urology28
Hospitalist28

Doctors with a page on this site (1,130)

Aalap M. Mehta, DOInternal Medicine
Aaron J. Ahearn, MDGeneral Surgery
Aaron M. Wolfson, MDAdvanced Heart Failure and Transplant Cardiology
Aaron M. Yim, MDAnesthesiology
Abby Gayle C. ComesPhysician Assistant
Abdul Rahman Abualruz, MDDiagnostic Radiology
Abigail A. Makary, NPNurse Practitioner
Abigail M. Mazon, NPNurse Practitioner
Abtin Doroudinia, MDNuclear Medicine
Adam A. Garsa, MDRadiation Oncology
Adeyinka Owoyele, MDDiagnostic Radiology
Aditya Muralidharan, MDOrthopedic Surgery
Adrian J. Correa, MDPathology
Adrian Richey, MDUrology
Adupa P. Rao, MDCritical Care (Intensivists)
Agnes Y. Wu, MDPathology
Ahad A. Kebede, NPNurse Practitioner
Ahmet Baydur, MDPulmonary Disease
Ajay S. Vaidya, MDAdvanced Heart Failure and Transplant Cardiology
Akbar M. Nassiry, MDInternal Medicine
Alain M. De Leoz, NPNurse Practitioner
Alan H. Lee, MDSports Medicine
Albert Han, MDOtolaryngology
Albert Lee, MDAnesthesiology

And 1,106 more: the button below opens the full list.

Nearest emergency rooms

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

Los Angeles General Medical Center0.5 mi · Los Angeles, CA · Acute Care Hospital
Adventist Health White Memorial1.1 mi · Los Angeles, CA · Acute Care Hospital
East Los Angeles Doctors Hospital2.9 mi · Los Angeles, CA · Acute Care Hospital
Los Angeles Community Hospital3.1 mi · Los Angeles, CA · Acute Care Hospital
Monterey Park Hospital3.8 mi · Monterey Park, CA · Acute Care Hospital

Other hospitals nearby

Barlow Respiratory Hospital2.7 mi · Los Angeles, CA · Long-Term Acute Care Hospital
Gateways Hosp Mental Health Ctr3.4 mi · Los Angeles, CA · Psychiatric 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

Kei-Ai Los Angeles Healthcare Center0.6 mi · Los Angeles, CA · 1 of 5 stars
White Memorial Medical Ctr DP1.2 mi · Los Angeles, CA · 3 of 5 stars
Infinity Care of East Los Angeles1.4 mi · Los Angeles, CA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Emhospice LLC3.1 mi · Los Angeles, CA
KLN Comfort Care Hospice Inc3.1 mi · Los Angeles, CA
Santa Rosa Hospice3.4 mi · Alhambra, CA

All hospice providers in the state →

Home health agencies

Sierra Home Healthcare Services, Inc1.0 mi · Los Angeles, CA
Nurses and Angels Home Health, Inc2.1 mi · Los Angeles, CA
Reliable Nursing Care Home Health, Inc.3.1 mi · Los Angeles, CA

All home health agencies in the state →

Dialysis facilities

DaVita Boyle Heights Dialysis1.0 mi · Los Angeles, CA · 2 of 5 stars
DaVita East LA Plaza Dialysis1.0 mi · Los Angeles, CA · 3 of 5 stars
DaVita USC Kidney Center1.0 mi · Los Angeles, CA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Alliance Surgery Partners LLC1.0 mi · Los Angeles, CA
Downtown L A Ambulatory Surgical Center2.4 mi · Los Angeles, CA
Third Street Surgery Center2.4 mi · Los Angeles, 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

Wesley Health Centers - Zonal Ave0.4 mi · Los Angeles, CA · Community health center
Los Angeles Christian Health Centers at Exodus Recovery, Zonal Ave.0.4 mi · Los Angeles, CA · Community health center
Clinca MSR Oscar A. Romero-Ne0.5 mi · Los Angeles, CA · Community health center

Clinics and urgent care

American Current Care of California, a Medical Corporation2.4 mi · Los Angeles, CA · Urgent care center
County of Los Angeles2.4 mi · Los Angeles, CA · Urgent care center
Tokyo Galleria Urgent Care2.4 mi · Los Angeles, CA · Urgent care center

Pharmacies

Clinica MSR Oscar a Romero1.0 mi · Los Angeles, CA · Clinic pharmacy
County of Los Angeles1.0 mi · Los Angeles, CA · Community/retail pharmacy
Hygeia Apothecary Inc1.0 mi · Los Angeles, CA · Community/retail pharmacy

Assisted living nearby

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

Hollenbeck Palms1.0 mi · Los Angeles, CA
Sakura Gardens at Los Angeles1.0 mi · Los Angeles, CA
Wesley Health Centers-Skid Row Res Care Facility2.4 mi · Los Angeles, CA
Chalet Terrace Senior Living3.5 mi · Monterey Park, 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 Keck Hospital of USC reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	744Response rate: 28%

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)	0.565Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.153Better than the national benchmark
Surgical site infections after colon surgery	0.287Better than the national benchmark
Surgical site infections after abdominal hysterectomy	0.928No different from the national benchmark
MRSA bloodstream infections	0.143Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.644Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	7.7%
Deaths within 30 days: pneumonia patients	13.3%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	10.9%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	0.79Better than the national rate
Complications after hip or knee replacement	4.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	20.8%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	11.5%
Readmitted within 30 days: hip or knee replacement	4.3%

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)	78%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.

ER wait times in Los Angeles Best hospitals in Los Angeles

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 Keck Hospital of USC 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 · Inpatient or outpatient · Hospital (facility) fee In the file: E+M-New Patient-Lvl Iii	$268	$268	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: E+M-New Patient-Lvl Iv	$390	$390	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: E+M-New Patient-Lvl V	$429	$429	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $78.20
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $29.50 Altamed Health Services — Medicaid Managed Care Plan: $12.69 Axminster Medical Group — All Commercial Plans: $10.15 Axminster Medical Group — Medicare Managed Care - Hmo: $8.46 Blue Cross — Anthem All Commercial Plans: $73.98 Blue Cross — Leased Network Workers Compensation Plan: $71.30 Blue Shield — Calpers Other Commercial Plan: $74.77 Blue Shield — Epn Exchange: $54.42 Blue Shield — Hmo/Ppo: $78.20 Cigna — Hmo/Ppo: $28.33
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Metabolic Panel Total Ca	$298	$298	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $97.63
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $36.85 Altamed Health Services — Medicaid Managed Care Plan: $15.84 Axminster Medical Group — All Commercial Plans: $12.67 Axminster Medical Group — Medicare Managed Care - Hmo: $10.56 Blue Cross — Anthem All Commercial Plans: $92.52 Blue Cross — Leased Network Workers Compensation Plan: $89.17 Blue Shield — Calpers Other Commercial Plan: $93.35 Blue Shield — Epn Exchange: $67.94 Blue Shield — Hmo/Ppo: $97.63 Cigna — Hmo/Ppo: $35.33
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehen Metabolic Panel	$467	$467	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $544.06
Obstetric blood test panel: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $178.72 Altamed Health Services — Medicaid Managed Care Plan: $71.72 Axminster Medical Group — All Commercial Plans: $57.37 Axminster Medical Group — Medicare Managed Care - Hmo: $47.81 Blue Cross — Anthem All Commercial Plans: $143.95 Blue Cross — Leased Network Workers Compensation Plan: $138.75 Blue Shield — Calpers Other Commercial Plan: $521.36 Blue Shield — Epn Exchange: $382.04 Blue Shield — Hmo/Ppo: $544.06 Cigna — Hmo/Ppo: $160.06
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 – $123.74
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $46.70 Altamed Health Services — Medicaid Managed Care Plan: $20.08 Axminster Medical Group — All Commercial Plans: $16.07 Axminster Medical Group — Medicare Managed Care - Hmo: $13.39 Blue Cross — Anthem All Commercial Plans: $117.06 Blue Cross — Leased Network Workers Compensation Plan: $112.83 Blue Shield — Calpers Other Commercial Plan: $118.31 Blue Shield — Epn Exchange: $86.11 Blue Shield — Hmo/Ppo: $123.74 Cigna — Hmo/Ppo: $44.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel	$184.25	$184.25	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $80.18
Kidney function panel: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $30.29 Altamed Health Services — Medicaid Managed Care Plan: $13.02 Axminster Medical Group — All Commercial Plans: $10.42 Axminster Medical Group — Medicare Managed Care - Hmo: $8.68 Blue Cross — Anthem All Commercial Plans: $75.86 Blue Cross — Leased Network Workers Compensation Plan: $73.12 Blue Shield — Calpers Other Commercial Plan: $76.66 Blue Shield — Epn Exchange: $55.80 Blue Shield — Hmo/Ppo: $80.18 Cigna — Hmo/Ppo: $29.05
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel	$469.75	$469.75	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $75.49
Liver function panel: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $28.48 Altamed Health Services — Medicaid Managed Care Plan: $12.26 Axminster Medical Group — All Commercial Plans: $9.80 Axminster Medical Group — Medicare Managed Care - Hmo: $8.17 Blue Cross — Anthem All Commercial Plans: $71.45 Blue Cross — Leased Network Workers Compensation Plan: $68.86 Blue Shield — Calpers Other Commercial Plan: $72.17 Blue Shield — Epn Exchange: $52.53 Blue Shield — Hmo/Ppo: $75.49 Cigna — Hmo/Ppo: $27.35
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel	$231	$231	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $29.28
Urine test (automated, with microscope): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $11.02 Altamed Health Services — Medicaid Managed Care Plan: $4.76 Axminster Medical Group — All Commercial Plans: $3.80 Axminster Medical Group — Medicare Managed Care - Hmo: $3.17 Blue Cross — Anthem All Commercial Plans: $26.72 Blue Cross — Leased Network Workers Compensation Plan: $25.75 Blue Shield — Calpers Other Commercial Plan: $28 Blue Shield — Epn Exchange: $20.38 Blue Shield — Hmo/Ppo: $29.28 Cigna — Hmo/Ppo: $10.61
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto W/Scope	$145	$145	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $23.60
Urine test (manual, without microscope): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $8.92 Altamed Health Services — Medicaid Managed Care Plan: $5.22 Axminster Medical Group — All Commercial Plans: $4.18 Axminster Medical Group — Medicare Managed Care - Hmo: $3.48 Blue Cross — Anthem All Commercial Plans: $20.77 Blue Cross — Leased Network Workers Compensation Plan: $20.02 Blue Shield — Calpers Other Commercial Plan: $22.56 Blue Shield — Epn Exchange: $16.42 Blue Shield — Hmo/Ppo: $23.60 Cigna — Hmo/Ppo: $11.64
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto W/O Scope	$22.50	$22.50	Not listed in the file
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 – $20.76
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $7.84 Altamed Health Services — Medicaid Managed Care Plan: $3.38 Axminster Medical Group — All Commercial Plans: $2.70 Axminster Medical Group — Medicare Managed Care - Hmo: $2.25 Blue Cross — Anthem All Commercial Plans: $19.66 Blue Cross — Leased Network Workers Compensation Plan: $18.95 Blue Shield — Calpers Other Commercial Plan: $19.84 Blue Shield — Epn Exchange: $14.44 Blue Shield — Hmo/Ppo: $20.76 Cigna — Hmo/Ppo: $7.52
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto W/O Scope	$89.75	$89.75	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $169.88
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $64.16 Altamed Health Services — Medicaid Managed Care Plan: $27.58 Axminster Medical Group — All Commercial Plans: $22.07 Axminster Medical Group — Medicare Managed Care - Hmo: $18.39 Blue Cross — Anthem All Commercial Plans: $160.78 Blue Cross — Leased Network Workers Compensation Plan: $154.97 Blue Shield — Calpers Other Commercial Plan: $162.42 Blue Shield — Epn Exchange: $118.22 Blue Shield — Hmo/Ppo: $169.88 Cigna — Hmo/Ppo: $61.54
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Assay Of Psa Total	$153	$153	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $155.14
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $58.56 Altamed Health Services — Medicaid Managed Care Plan: $25.20 Axminster Medical Group — All Commercial Plans: $20.16 Axminster Medical Group — Medicare Managed Care - Hmo: $16.80 Blue Cross — Anthem All Commercial Plans: $146.89 Blue Cross — Leased Network Workers Compensation Plan: $141.59 Blue Shield — Calpers Other Commercial Plan: $148.33 Blue Shield — Epn Exchange: $107.96 Blue Shield — Hmo/Ppo: $155.14 Cigna — Hmo/Ppo: $56.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Assay Thyroid Stim Hormone	$130.50	$130.50	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: Tsh(1)	$10.35	$10.35	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $71.78
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $27.11 Altamed Health Services — Medicaid Managed Care Plan: $11.66 Axminster Medical Group — All Commercial Plans: $9.32 Axminster Medical Group — Medicare Managed Care - Hmo: $7.77 Blue Cross — Anthem All Commercial Plans: $67.97 Blue Cross — Leased Network Workers Compensation Plan: $65.52 Blue Shield — Calpers Other Commercial Plan: $68.64 Blue Shield — Epn Exchange: $49.96 Blue Shield — Hmo/Ppo: $71.78 Cigna — Hmo/Ppo: $26.01
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Cbc W/Auto Diff Wbc	$84	$84	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $59.75
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $22.56 Altamed Health Services — Medicaid Managed Care Plan: $9.70 Axminster Medical Group — All Commercial Plans: $7.76 Axminster Medical Group — Medicare Managed Care - Hmo: $6.47 Blue Cross — Anthem All Commercial Plans: $56.56 Blue Cross — Leased Network Workers Compensation Plan: $54.51 Blue Shield — Calpers Other Commercial Plan: $57.13 Blue Shield — Epn Exchange: $41.58 Blue Shield — Hmo/Ppo: $59.75 Cigna — Hmo/Ppo: $21.68
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Cbc Automated	$84	$84	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $36.29
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $13.70 Altamed Health Services — Medicaid Managed Care Plan: $6.44 Axminster Medical Group — All Commercial Plans: $5.15 Axminster Medical Group — Medicare Managed Care - Hmo: $4.29 Blue Cross — Anthem All Commercial Plans: $34.43 Blue Cross — Leased Network Workers Compensation Plan: $33.18 Blue Shield — Calpers Other Commercial Plan: $34.70 Blue Shield — Epn Exchange: $25.25 Blue Shield — Hmo/Ppo: $36.29 Cigna — Hmo/Ppo: $14.37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time	$214.75	$214.75	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time (Poc)	$214.75	$214.75	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $55.39
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $20.93 Altamed Health Services — Medicaid Managed Care Plan: $9.02 Axminster Medical Group — All Commercial Plans: $7.21 Axminster Medical Group — Medicare Managed Care - Hmo: $6.01 Blue Cross — Anthem All Commercial Plans: $52.50 Blue Cross — Leased Network Workers Compensation Plan: $50.60 Blue Shield — Calpers Other Commercial Plan: $52.96 Blue Shield — Epn Exchange: $38.55 Blue Shield — Hmo/Ppo: $55.39 Cigna — Hmo/Ppo: $20.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Thromboplastin Time Partial Plasma/Whole Blood	$135.50	$135.50	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: Ptt (4)	$13	$13	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$134.46 – $1,980.05
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $468.94 Aetna — Medicare Managed Care Plan: $134.46 Altamed Health Services — Medicaid Managed Care Plan: $201.69 Axminster Medical Group — All Commercial Plans: $161.36 Blue Cross — Anthem All Commercial Plans: $1,171.74 Blue Cross — Leased Network Workers Compensation Plan: $1,129.39 Blue Shield — Calpers Other Commercial Plan: $1,897.45 Blue Shield — Epn Exchange: $1,390.40 Blue Shield — Hmo/Ppo: $1,980.05 Cigna — Hmo/Ppo: $707.40
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Head/Brain W/O Dye	$4,581.50	$4,581.50	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$448.71 – $10,432.44
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $976.53 Aetna — Medicare Managed Care Plan: $448.71 Altamed Health Services — Medicaid Managed Care Plan: $673.06 Axminster Medical Group — All Commercial Plans: $538.45 Blue Cross — Anthem All Commercial Plans: $5,452.17 Blue Cross — Leased Network Workers Compensation Plan: $5,255.12 Blue Shield — Calpers Other Commercial Plan: $9,997.25 Blue Shield — Epn Exchange: $7,325.68 Blue Shield — Hmo/Ppo: $10,432.44 Cigna — Hmo/Ppo: $2,474.58
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Brain Stem W/O + W/Dye	$10,188.25	$10,188.25	Not listed in the file
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	$57.31 – $584.73
Chest X-ray, 2 views: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $57.31 Aetna — Medicare Managed Care Plan: $111.93 Altamed Health Services — Medicaid Managed Care Plan: $167.89 Axminster Medical Group — All Commercial Plans: $134.31 Blue Cross — Anthem All Commercial Plans: $209.63 Blue Cross — Leased Network Workers Compensation Plan: $202.05 Blue Shield — Calpers Other Commercial Plan: $210.23 Blue Shield — Epn Exchange: $154.05 Blue Shield — Hmo/Ppo: $219.38 Cigna — Hmo/Ppo: $584.73
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views	$934	$934	Not listed in the file
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	$113.34 – $707.40
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $120.77 Aetna — Medicare Managed Care Plan: $134.46 Altamed Health Services — Medicaid Managed Care Plan: $201.69 Axminster Medical Group — All Commercial Plans: $161.36 Blue Cross — Anthem All Commercial Plans: $228.93 Blue Cross — Leased Network Workers Compensation Plan: $220.66 Blue Shield — Calpers Other Commercial Plan: $368.14 Blue Shield — Epn Exchange: $269.76 Blue Shield — Hmo/Ppo: $384.16 Cigna — Hmo/Ppo: $707.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Radex Spine Lumbosacral Minimum 4 Views	$2,005	$2,005	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$306.88 – $5,207.19
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $976.53 Aetna — Medicare Managed Care Plan: $306.88 Altamed Health Services — Medicaid Managed Care Plan: $460.32 Axminster Medical Group — All Commercial Plans: $368.26 Blue Cross — Anthem All Commercial Plans: $3,069.43 Blue Cross — Leased Network Workers Compensation Plan: $2,958.49 Blue Shield — Calpers Other Commercial Plan: $4,989.97 Blue Shield — Epn Exchange: $3,656.50 Blue Shield — Hmo/Ppo: $5,207.19 Cigna — Hmo/Ppo: $1,576.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Lumbar Spine W/O Dye	$5,213	$5,213	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$225.59 – $2,869.04
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $717.50 Aetna — Medicare Managed Care Plan: $225.59 Altamed Health Services — Medicaid Managed Care Plan: $338.39 Axminster Medical Group — All Commercial Plans: $270.71 Blue Cross — Anthem All Commercial Plans: $1,693.82 Blue Cross — Leased Network Workers Compensation Plan: $1,632.60 Blue Shield — Calpers Other Commercial Plan: $2,749.36 Blue Shield — Epn Exchange: $2,014.64 Blue Shield — Hmo/Ppo: $2,869.04 Cigna — Hmo/Ppo: $1,182.23
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Pelvis W/Dye	$5,016	$5,016	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$306.88 – $4,627.28
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $976.53 Aetna — Medicare Managed Care Plan: $306.88 Altamed Health Services — Medicaid Managed Care Plan: $460.32 Axminster Medical Group — All Commercial Plans: $368.26 Blue Cross — Anthem All Commercial Plans: $2,758.45 Blue Cross — Leased Network Workers Compensation Plan: $2,658.76 Blue Shield — Calpers Other Commercial Plan: $4,434.26 Blue Shield — Epn Exchange: $3,249.29 Blue Shield — Hmo/Ppo: $4,627.28 Cigna — Hmo/Ppo: $1,576.72
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: Mri Jnt Of Lwr Extre W/O Dye Lt	$6,276.25	$6,276.25	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Mri Jnt Of Lwr Extre W/O Dye Rt	$6,276.25	$6,276.25	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$448.71 – $2,959.66
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $759.59 Aetna — Medicare Managed Care Plan: $448.71 Altamed Health Services — Medicaid Managed Care Plan: $673.06 Axminster Medical Group — All Commercial Plans: $538.45 Blue Cross — Anthem All Commercial Plans: $1,803.52 Blue Cross — Leased Network Workers Compensation Plan: $1,738.34 Blue Shield — Calpers Other Commercial Plan: $2,836.20 Blue Shield — Epn Exchange: $2,078.28 Blue Shield — Hmo/Ppo: $2,959.66 Cigna — Hmo/Ppo: $2,474.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Abd + Pelv W/Contrast	$10,459.75	$10,459.75	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$134.46 – $828.98
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $290.25 Aetna — Medicare Managed Care Plan: $134.46 Altamed Health Services — Medicaid Managed Care Plan: $201.69 Axminster Medical Group — All Commercial Plans: $161.36 Blue Cross — Anthem All Commercial Plans: $494.24 Blue Cross — Leased Network Workers Compensation Plan: $476.38 Blue Shield — Calpers Other Commercial Plan: $794.40 Blue Shield — Epn Exchange: $582.11 Blue Shield — Hmo/Ppo: $828.98 Cigna — Hmo/Ppo: $707.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Exam Abdom Complete	$2,868.25	$2,868.25	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$134.46 – $880.34
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $290.25 Aetna — Medicare Managed Care Plan: $134.46 Altamed Health Services — Medicaid Managed Care Plan: $201.69 Axminster Medical Group — All Commercial Plans: $161.36 Blue Cross — Anthem All Commercial Plans: $512.72 Blue Cross — Leased Network Workers Compensation Plan: $494.19 Blue Shield — Calpers Other Commercial Plan: $843.61 Blue Shield — Epn Exchange: $618.17 Blue Shield — Hmo/Ppo: $880.34 Cigna — Hmo/Ppo: $707.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Ob Us >/= 14 Wks Sngl Fetus	$1,343.50	$1,343.50	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$134.46 – $707.40
Transvaginal ultrasound: 10 of 21 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $275.85 Aetna — Medicare Managed Care Plan: $134.46 Altamed Health Services — Medicaid Managed Care Plan: $201.69 Axminster Medical Group — All Commercial Plans: $161.36 Blue Cross — Anthem All Commercial Plans: $383.66 Blue Cross — Leased Network Workers Compensation Plan: $369.79 Blue Shield — Calpers Other Commercial Plan: $614.84 Blue Shield — Epn Exchange: $450.54 Blue Shield — Hmo/Ppo: $641.61 Cigna — Hmo/Ppo: $707.40
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Transvaginal Us Non-Ob	$1,644	$1,644	Not listed in the file
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	$157.87 – $828.21
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $275.15 Blue Cross — Anthem All Commercial Plans: $689.98 Blue Cross — Leased Network Workers Compensation Plan: $665.04 Blue Shield — Calpers Other Commercial Plan: $793.66 Blue Shield — Epn Exchange: $581.57 Blue Shield — Hmo/Ppo: $828.21 Cigna — Hmo/Ppo: $535.39 Unitedhealthcare — Choice/Choice+Options Ppo Other Commercial Plan: $157.87 Unitedhealthcare — Hmo: $157.87 Unitedhealthcare — Navigate/Select & Core Exchange: $157.87
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$97.95 – $279.16
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $97.95 Altamed Health Services — Medicaid Managed Care Plan: $146.93 Axminster Medical Group — All Commercial Plans: $117.54 Elite Physicians Group — Medicaid Managed Care: $195.90 Health Care Support — All Commercial Plans: $122.44 Kaiser — All Commercial Plans: $279.16 Pacific Pace — Medicaid Managed Care Plan: $170.43 Providence Health Network — Medicare Managed Care Plan: $115.58 Riverside Physician Network — All Commercial Plans: $142.03 Seoul Medical Group — All Commercial Plans: $127.34
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	$201.42 – $1,242.90
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $352.07 Blue Cross — Anthem All Commercial Plans: $883.31 Blue Cross — Leased Network Workers Compensation Plan: $851.39 Blue Shield — Calpers Other Commercial Plan: $1,191.05 Blue Shield — Epn Exchange: $872.76 Blue Shield — Hmo/Ppo: $1,242.90 Cigna — Hmo/Ppo: $686.03 Unitedhealthcare — Choice/Choice+Options Ppo Other Commercial Plan: $201.42 Unitedhealthcare — Hmo: $201.42 Unitedhealthcare — Navigate/Select & Core Exchange: $201.42
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$120.80 – $344.28
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $120.80 Altamed Health Services — Medicaid Managed Care Plan: $181.20 Axminster Medical Group — All Commercial Plans: $144.96 Elite Physicians Group — Medicaid Managed Care: $241.60 Health Care Support — All Commercial Plans: $151 Kaiser — All Commercial Plans: $344.28 Pacific Pace — Medicaid Managed Care Plan: $210.19 Providence Health Network — Medicare Managed Care Plan: $142.54 Riverside Physician Network — All Commercial Plans: $175.16 Seoul Medical Group — All Commercial Plans: $157.04
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	$166.58 – $1,258.90
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $290.74 Blue Cross — Anthem All Commercial Plans: $729.47 Blue Cross — Leased Network Workers Compensation Plan: $703.11 Blue Shield — Calpers Other Commercial Plan: $1,206.38 Blue Shield — Epn Exchange: $884 Blue Shield — Hmo/Ppo: $1,258.90 Cigna — Hmo/Ppo: $566.14 Unitedhealthcare — Choice/Choice+Options Ppo Other Commercial Plan: $166.58 Unitedhealthcare — Hmo: $166.58 Unitedhealthcare — Navigate/Select & Core Exchange: $166.58
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Screening Mammography Bi 2-View Breast Inc Cad	$659.25	$659.25	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$108.84 – $310.19
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $108.84 Altamed Health Services — Medicaid Managed Care Plan: $163.26 Axminster Medical Group — All Commercial Plans: $130.61 Elite Physicians Group — Medicaid Managed Care: $217.68 Health Care Support — All Commercial Plans: $136.05 Kaiser — All Commercial Plans: $310.19 Pacific Pace — Medicaid Managed Care Plan: $189.38 Providence Health Network — Medicare Managed Care Plan: $128.43 Riverside Physician Network — All Commercial Plans: $157.82 Seoul Medical Group — All Commercial Plans: $141.49

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$150.33 – $250.71
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans Blue Cross — Anthem All Commercial Plans: $250.71 Blue Cross — Leased Network Workers Compensation Plan: $241.65 Blue Shield — Calpers Other Commercial Plan: $205.15 Blue Shield — Epn Exchange: $150.33 Blue Shield — Hmo/Ppo: $214.08
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$4,169.67 – $23,634
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $18,252 Aetna — Medicare Managed Care Plan: $4,169.67 Altamed Health Services — Medicaid Managed Care Plan: $6,254.50 Axminster Medical Group — All Commercial Plans: $5,003.60 Blue Shield — Calpers Other Commercial Plan: $14,233 Blue Shield — Epn Exchange: $10,376 Blue Shield — Hmo/Ppo: $14,817 Elite Physicians Group — Medicaid Managed Care: $8,339.33 Health Care Support — All Commercial Plans: $5,212.08 Kaiser — All Commercial Plans: $11,883.55
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Left Hrt Cath W/Ventrclgrphy	$6,952	$6,952	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$2,284.94 – $28,590.26
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $21,905 Aetna — Medicare Managed Care Plan: $10,031.67 Altamed Health Services — Medicaid Managed Care Plan: $15,047.51 Axminster Medical Group — All Commercial Plans: $12,038 Blue Shield — Calpers Other Commercial Plan: $3,118.23 Blue Shield — Epn Exchange: $2,284.94 Blue Shield — Hmo/Ppo: $3,253.97 Elite Physicians Group — Medicaid Managed Care: $20,063.34 Health Care Support — All Commercial Plans: $12,539.59 Kaiser — All Commercial Plans: $28,590.26
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Compre Electrophysiologic W/O Arrhyt Induction	$27,885.25	$27,885.25	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$11,025 – $95,810.31
Heart rhythm study with ablation for atrial fibrillation: 10 of 18 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $19,165 Aetna — Medicare Managed Care Plan: $33,617.65 Altamed Health Services — Medicaid Managed Care Plan: $50,426.48 Axminster Medical Group — All Commercial Plans: $40,341.18 Blue Shield — Calpers Other Commercial Plan: $15,123 Blue Shield — Epn Exchange: $11,025 Blue Shield — Hmo/Ppo: $15,743 Elite Physicians Group — Medicaid Managed Care: $67,235.31 Health Care Support — All Commercial Plans: $42,022.07 Kaiser — All Commercial Plans: $95,810.31
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Tx Atrial Fib Pulm Vein Isol	$32,724.75	$32,724.75	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,104.48 – $6,477.54
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $1,755.03 Aetna — Medicare Managed Care Plan: $1,104.48 Altamed Health Services — Medicaid Managed Care Plan: $1,656.72 Axminster Medical Group — All Commercial Plans: $1,325.38 Blue Cross — Anthem All Commercial Plans: $1,731.13 Blue Cross — Leased Network Workers Compensation Plan: $1,668.57 Blue Shield — Calpers Other Commercial Plan: $6,207.33 Blue Shield — Epn Exchange: $4,548.54 Blue Shield — Hmo/Ppo: $6,477.54 Elite Physicians Group — Medicaid Managed Care: $2,208.97
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Polysomnography	$6,213.75	$6,213.75	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$32.07 – $134.72
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $32.07 Altamed Health Services — Medicaid Managed Care Plan: $48.10 Axminster Medical Group — All Commercial Plans: $38.48 Blue Shield — Calpers Other Commercial Plan: $129.10 Blue Shield — Epn Exchange: $94.60 Blue Shield — Hmo/Ppo: $134.72 Elite Physicians Group — Medicaid Managed Care: $64.14 Health Care Support — All Commercial Plans: $40.09 Kaiser — All Commercial Plans: $91.40 Pacific Pace — Medicaid Managed Care Plan: $55.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Therapeutic Exercises 15 Min - Pt	$293.50	$293.50	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GPKX In the file: Therapeutic Exercises 15 Min - Pt Exhausted Visit	$293.50	$293.50	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$106.80 – $304.38
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $106.80 Altamed Health Services — Medicaid Managed Care Plan: $160.20 Axminster Medical Group — All Commercial Plans: $128.16 Elite Physicians Group — Medicaid Managed Care: $213.60 Health Care Support — All Commercial Plans: $133.50 Kaiser — All Commercial Plans: $304.38 Pacific Pace — Medicaid Managed Care Plan: $185.83 Providence Health Network — Medicare Managed Care Plan: $126.02 Riverside Physician Network — All Commercial Plans: $154.86 Seoul Medical Group — All Commercial Plans: $138.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Pt Eval Low Complex 20 Min	$668.75	$668.75	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GPKX In the file: Pt Eval Low Complex 20 Min Exhausted Visit	$668.75	$668.75	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$103.01 – $293.58
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $103.01 Altamed Health Services — Medicaid Managed Care Plan: $154.52 Axminster Medical Group — All Commercial Plans: $123.61 Elite Physicians Group — Medicaid Managed Care: $206.02 Health Care Support — All Commercial Plans: $128.76 Kaiser — All Commercial Plans: $293.58 Pacific Pace — Medicaid Managed Care Plan: $179.24 Providence Health Network — Medicare Managed Care Plan: $121.55 Riverside Physician Network — All Commercial Plans: $149.36 Seoul Medical Group — All Commercial Plans: $133.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Pt Eval Mod Complex 30 Min	$782.50	$782.50	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GPKX In the file: Pt Eval Mod Complex 30 Min Exhausted Visit	$782.50	$782.50	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$107.57 – $306.57
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $107.57 Altamed Health Services — Medicaid Managed Care Plan: $161.35 Axminster Medical Group — All Commercial Plans: $129.08 Elite Physicians Group — Medicaid Managed Care: $215.14 Health Care Support — All Commercial Plans: $134.46 Kaiser — All Commercial Plans: $306.57 Pacific Pace — Medicaid Managed Care Plan: $187.17 Providence Health Network — Medicare Managed Care Plan: $126.93 Riverside Physician Network — All Commercial Plans: $155.98 Seoul Medical Group — All Commercial Plans: $139.84
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Pt Eval High Complex 45 Min	$962.75	$962.75	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier 95GP In the file: Pt Eval High Complex 45 Min Telehealth	$962.75	$962.75	Not listed in the file
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	$130.21 – $650.62
Family psychotherapy, without the patient: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $228.29 Altamed Health Services — Medicaid Managed Care Plan: $342.43 Axminster Medical Group — All Commercial Plans: $273.95 Blue Shield — Calpers Other Commercial Plan: $177.70 Blue Shield — Epn Exchange: $130.21 Blue Shield — Hmo/Ppo: $185.43 Elite Physicians Group — Medicaid Managed Care: $456.58 Health Care Support — All Commercial Plans: $285.36 Kaiser — All Commercial Plans: $650.62 Pacific Pace — Medicaid Managed Care Plan: $397.22
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	$149.42 – $650.62
Family psychotherapy, with the patient: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $228.29 Altamed Health Services — Medicaid Managed Care Plan: $342.43 Axminster Medical Group — All Commercial Plans: $273.95 Blue Shield — Calpers Other Commercial Plan: $203.91 Blue Shield — Epn Exchange: $149.42 Blue Shield — Hmo/Ppo: $212.79 Elite Physicians Group — Medicaid Managed Care: $456.58 Health Care Support — All Commercial Plans: $285.36 Kaiser — All Commercial Plans: $650.62 Pacific Pace — Medicaid Managed Care Plan: $397.22
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	$58.54 – $372.38
Group psychotherapy: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $130.66 Altamed Health Services — Medicaid Managed Care Plan: $195.99 Axminster Medical Group — All Commercial Plans: $156.79 Blue Shield — Calpers Other Commercial Plan: $79.89 Blue Shield — Epn Exchange: $58.54 Blue Shield — Hmo/Ppo: $83.36 Elite Physicians Group — Medicaid Managed Care: $261.32 Health Care Support — All Commercial Plans: $163.33 Kaiser — All Commercial Plans: $372.38 Pacific Pace — Medicaid Managed Care Plan: $227.35

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$5,035.90 – $14,352.32
Removal of breast growth (open surgery): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $5,476 Aetna — Medicare Managed Care Plan: $5,035.90 Altamed Health Services — Medicaid Managed Care Plan: $7,553.85 Axminster Medical Group — All Commercial Plans: $6,043.08 Blue Shield — Calpers Other Commercial Plan: $7,804 Blue Shield — Epn Exchange: $5,689 Blue Shield — Hmo/Ppo: $8,124 Cigna — Hmo/Ppo: $7,041 Elite Physicians Group — Medicaid Managed Care: $10,071.80 Health Care Support — All Commercial Plans: $6,294.88
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	$7,041 – $47,061.16
Total hip replacement: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $12,777 Aetna — Medicare Managed Care Plan: $16,512.69 Altamed Health Services — Medicaid Managed Care Plan: $24,769.03 Axminster Medical Group — All Commercial Plans: $19,815.23 Blue Shield — Calpers Other Commercial Plan: $15,291 Blue Shield — Epn Exchange: $11,147 Blue Shield — Hmo/Ppo: $15,918 Cigna — Hmo/Ppo: $7,041 Elite Physicians Group — Medicaid Managed Care: $33,025.38 Health Care Support — All Commercial Plans: $20,640.86
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	$7,041 – $47,061.16
Total knee replacement: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $12,777 Aetna — Medicare Managed Care Plan: $16,512.69 Altamed Health Services — Medicaid Managed Care Plan: $24,769.03 Axminster Medical Group — All Commercial Plans: $19,815.23 Blue Shield — Calpers Other Commercial Plan: $15,291 Blue Shield — Epn Exchange: $11,147 Blue Shield — Hmo/Ppo: $15,918 Cigna — Hmo/Ppo: $7,041 Elite Physicians Group — Medicaid Managed Care: $33,025.38 Health Care Support — All Commercial Plans: $20,640.86
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,122 – $19,165
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $19,165 Blue Shield — Calpers Other Commercial Plan: $13,113 Blue Shield — Epn Exchange: $9,560 Blue Shield — Hmo/Ppo: $13,651 Cigna — Hmo/Ppo: $7,041 Unitedhealthcare — Choice/Choice+Options Ppo Other Commercial Plan: $1,269 Unitedhealthcare — Hmo: $1,201 Unitedhealthcare — Navigate/Select & Core Exchange: $1,122
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$4,208.34 – $19,165
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $19,165 Aetna — Medicare Managed Care Plan: $4,208.34 Altamed Health Services — Medicaid Managed Care Plan: $6,312.51 Axminster Medical Group — All Commercial Plans: $5,050.01 Blue Shield — Calpers Other Commercial Plan: $13,113 Blue Shield — Epn Exchange: $9,560 Blue Shield — Hmo/Ppo: $13,651 Cigna — Hmo/Ppo: $8,770 Elite Physicians Group — Medicaid Managed Care: $8,416.68 Health Care Support — All Commercial Plans: $5,260.42
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	$5,476 – $21,699.59
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $5,476 Aetna — Medicare Managed Care Plan: $7,613.89 Altamed Health Services — Medicaid Managed Care Plan: $11,420.84 Axminster Medical Group — All Commercial Plans: $9,136.67 Blue Shield — Calpers Other Commercial Plan: $8,014 Blue Shield — Epn Exchange: $5,842 Blue Shield — Hmo/Ppo: $8,343 Cigna — Hmo/Ppo: $7,041 Elite Physicians Group — Medicaid Managed Care: $15,227.78 Health Care Support — All Commercial Plans: $9,517.36
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$1,166.53 – $6,033
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $2,966 Aetna — Medicare Managed Care Plan: $1,166.53 Altamed Health Services — Medicaid Managed Care Plan: $1,749.80 Axminster Medical Group — All Commercial Plans: $1,399.84 Blue Shield — Calpers Other Commercial Plan: $3,412 Blue Shield — Epn Exchange: $2,487 Blue Shield — Hmo/Ppo: $3,552 Cigna — Hmo/Ppo: $4,451 Elite Physicians Group — Medicaid Managed Care: $2,333.07 Health Care Support — All Commercial Plans: $1,458.17
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,166.53 – $6,193
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $1,166.53 Altamed Health Services — Medicaid Managed Care Plan: $1,749.80 Axminster Medical Group — All Commercial Plans: $1,399.84 Blue Shield — Calpers Other Commercial Plan: $3,412 Blue Shield — Epn Exchange: $2,487 Blue Shield — Hmo/Ppo: $3,552 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $2,333.07 Health Care Support — All Commercial Plans: $1,458.17
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,196.08 – $6,193
Colonoscopy (diagnostic): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $1,196.08 Altamed Health Services — Medicaid Managed Care Plan: $1,794.12 Axminster Medical Group — All Commercial Plans: $1,435.30 Blue Shield — Calpers Other Commercial Plan: $3,616 Blue Shield — Epn Exchange: $2,636 Blue Shield — Hmo/Ppo: $3,765 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $2,392.16 Health Care Support — All Commercial Plans: $1,495.10
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	$1,539.08 – $6,193
Colonoscopy with biopsy: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $1,539.08 Altamed Health Services — Medicaid Managed Care Plan: $2,308.62 Axminster Medical Group — All Commercial Plans: $1,846.90 Blue Shield — Calpers Other Commercial Plan: $3,616 Blue Shield — Epn Exchange: $2,636 Blue Shield — Hmo/Ppo: $3,765 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $3,078.16 Health Care Support — All Commercial Plans: $1,923.85
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy And Biopsy	$4,381.25	$4,381.25	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,539.08 – $6,193
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $1,539.08 Altamed Health Services — Medicaid Managed Care Plan: $2,308.62 Axminster Medical Group — All Commercial Plans: $1,846.90 Blue Shield — Calpers Other Commercial Plan: $4,134 Blue Shield — Epn Exchange: $3,013 Blue Shield — Hmo/Ppo: $4,303 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $3,078.16 Health Care Support — All Commercial Plans: $1,923.85
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,539.08 – $6,193
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $1,539.08 Altamed Health Services — Medicaid Managed Care Plan: $2,308.62 Axminster Medical Group — All Commercial Plans: $1,846.90 Blue Shield — Calpers Other Commercial Plan: $3,616 Blue Shield — Epn Exchange: $2,636 Blue Shield — Hmo/Ppo: $3,765 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $3,078.16 Health Care Support — All Commercial Plans: $1,923.85
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy W/Endoscope Us	$3,187.75	$3,187.75	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,196.08 – $6,193
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $1,196.08 Altamed Health Services — Medicaid Managed Care Plan: $1,794.12 Axminster Medical Group — All Commercial Plans: $1,435.30 Blue Shield — Calpers Other Commercial Plan: $3,616 Blue Shield — Epn Exchange: $2,636 Blue Shield — Hmo/Ppo: $3,765 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $2,392.16 Health Care Support — All Commercial Plans: $1,495.10
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	$7,775.56 – $24,710
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $16,883 Aetna — Medicare Managed Care Plan: $7,775.56 Altamed Health Services — Medicaid Managed Care Plan: $11,663.34 Axminster Medical Group — All Commercial Plans: $9,330.67 Blue Shield — Calpers Other Commercial Plan: $14,728 Blue Shield — Epn Exchange: $10,737 Blue Shield — Hmo/Ppo: $15,332 Cigna — Hmo/Ppo: $18,272 Elite Physicians Group — Medicaid Managed Care: $15,551.12 Health Care Support — All Commercial Plans: $9,719.45
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$4,604.99 – $18,263
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $8,212 Aetna — Medicare Managed Care Plan: $4,604.99 Altamed Health Services — Medicaid Managed Care Plan: $6,907.49 Axminster Medical Group — All Commercial Plans: $5,525.99 Blue Shield — Calpers Other Commercial Plan: $10,042 Blue Shield — Epn Exchange: $7,321 Blue Shield — Hmo/Ppo: $10,454 Cigna — Hmo/Ppo: $8,770 Elite Physicians Group — Medicaid Managed Care: $9,209.99 Health Care Support — All Commercial Plans: $5,756.24
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$3,511 – $6,193
Prostate biopsy: rates for 4 insurance plans Blue Shield — Calpers Other Commercial Plan: $4,816 Blue Shield — Epn Exchange: $3,511 Blue Shield — Hmo/Ppo: $5,014 Cigna — Hmo/Ppo: $6,193
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Needle Biopsy Any Approach	$8,213.75	$8,213.75	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$5,036 – $38,964.47
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $16,883 Aetna — Medicare Managed Care Plan: $13,671.74 Altamed Health Services — Medicaid Managed Care Plan: $20,507.61 Axminster Medical Group — All Commercial Plans: $16,406.09 Blue Shield — Calpers Other Commercial Plan: $6,908 Blue Shield — Epn Exchange: $5,036 Blue Shield — Hmo/Ppo: $7,191 Cigna — Hmo/Ppo: $7,041 Elite Physicians Group — Medicaid Managed Care: $27,343.48 Health Care Support — All Commercial Plans: $17,089.68
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$4,163.48 – $18,252
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $18,252 Aetna — Medicare Managed Care Plan: $4,163.48 Altamed Health Services — Medicaid Managed Care Plan: $6,245.23 Axminster Medical Group — All Commercial Plans: $4,996.18 Blue Shield — Calpers Other Commercial Plan: $10,990 Blue Shield — Epn Exchange: $8,012 Blue Shield — Hmo/Ppo: $11,441 Cigna — Hmo/Ppo: $7,041 Elite Physicians Group — Medicaid Managed Care: $8,326.97 Health Care Support — All Commercial Plans: $5,204.36
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hysteroscopy Biopsy	$12,035.75	$12,035.75	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$907.88 – $4,451
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $2,966 Aetna — Medicare Managed Care Plan: $907.88 Altamed Health Services — Medicaid Managed Care Plan: $1,361.82 Axminster Medical Group — All Commercial Plans: $1,089.46 Blue Shield — Calpers Other Commercial Plan: $2,680 Blue Shield — Epn Exchange: $1,954 Blue Shield — Hmo/Ppo: $2,790 Cigna — Hmo/Ppo: $4,451 Elite Physicians Group — Medicaid Managed Care: $1,815.76 Health Care Support — All Commercial Plans: $1,134.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac	$4,291	$4,291	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$1,137.58 – $4,451
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $2,966 Aetna — Medicare Managed Care Plan: $1,137.58 Altamed Health Services — Medicaid Managed Care Plan: $1,706.37 Axminster Medical Group — All Commercial Plans: $1,365.10 Blue Shield — Calpers Other Commercial Plan: $2,680 Blue Shield — Epn Exchange: $1,954 Blue Shield — Hmo/Ppo: $2,790 Cigna — Hmo/Ppo: $4,451 Elite Physicians Group — Medicaid Managed Care: $2,275.16 Health Care Support — All Commercial Plans: $1,421.97
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level	$6,231.50	$6,231.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level Lt	$6,231.50	$6,231.50	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,511.53 – $13,822
Carpal tunnel release: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $2,511.53 Altamed Health Services — Medicaid Managed Care Plan: $3,767.30 Axminster Medical Group — All Commercial Plans: $3,013.84 Blue Shield — Calpers Other Commercial Plan: $7,372 Blue Shield — Epn Exchange: $5,375 Blue Shield — Hmo/Ppo: $7,675 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $5,023.06 Health Care Support — All Commercial Plans: $3,139.41
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$707.39 – $6,193
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $3,863 Aetna — Medicare Managed Care Plan: $707.39 Altamed Health Services — Medicaid Managed Care Plan: $1,061.08 Axminster Medical Group — All Commercial Plans: $848.87 Blue Shield — Calpers Other Commercial Plan: $1,791 Blue Shield — Epn Exchange: $1,306 Blue Shield — Hmo/Ppo: $1,865 Cigna — Hmo/Ppo: $6,193 Elite Physicians Group — Medicaid Managed Care: $1,414.78 Health Care Support — All Commercial Plans: $884.24
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: After Cataract Laser Surgery	$2,751.50	$2,751.50	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: After Cataract Laser Surgery Bi	$4,617.25	$4,617.25	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,968.25 – $14,173
Cataract removal with lens implant: 10 of 19 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $10,951 Aetna — Medicare Managed Care Plan: $2,968.25 Altamed Health Services — Medicaid Managed Care Plan: $4,452.37 Axminster Medical Group — All Commercial Plans: $3,561.90 Blue Shield — Calpers Other Commercial Plan: $13,615 Blue Shield — Epn Exchange: $9,926 Blue Shield — Hmo/Ppo: $14,173 Cigna — Hmo/Ppo: $13,089 Elite Physicians Group — Medicaid Managed Care: $5,936.49 Health Care Support — All Commercial Plans: $3,710.31
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$7,774	$7,774	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$5,983 – $8,543
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans Blue Shield — Calpers Other Commercial Plan: $8,206 Blue Shield — Epn Exchange: $5,983 Blue Shield — Hmo/Ppo: $8,543

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	$118,943.76 – $432,839.99
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 71 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $271,032.47 Aetna — Medicare Managed Care Plan: $118,943.76 Altamed Health Services — Medicaid Managed Care Plan: $178,415.64 Altamed Health Services — Medicare Managed Care Plan: $178,415.64 Axminster Medical Group — All Commercial Plans: $142,732.51 Axminster Medical Group — Medicare Managed Care - Hmo: $118,943.76 Bakersfield Memorial Hospital — Medicare Managed Care Plan: $118,943.76 Blue Cross — Anthem All Commercial Plans: $432,839.99 Blue Cross — Leased Network Workers Compensation Plan: $416,708.15 Blue Cross — Senior Medicare: $118,943.76
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$71,452.26 – $99,230.52
Spinal fusion (not neck), without major complications: 10 of 14 insurance plan rates Blue Shield — Calpers Other Commercial Plan: $95,264.45 Blue Shield — Epn Exchange: $71,452.26 Blue Shield — Hmo/Ppo: $99,230.52 Aetna — Asa: Signature Product Other Commercial Plan: 44.5% (a percentage in the contract, not a dollar amount) Alhambra Hospital Medical Center — All Commercial Plans: 28.3% (a percentage in the contract, not a dollar amount) Allied Pacific Of California — All Commercial Plans: 35% (a percentage in the contract, not a dollar amount) Altamed Health Network — All Commercial Plans: 30.9% (a percentage in the contract, not a dollar amount) Calvos Selectcare — All Commercial Plans: 40% (a percentage in the contract, not a dollar amount) Emanate Health — All Commercial Plans: 29.4% (a percentage in the contract, not a dollar amount) First Health/Coventry — Lease All Commercial Plans: 65% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$23,726.69 – $85,344.18
Hip or knee replacement (major joint of the leg), without major complications: 10 of 71 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $53,440.17 Aetna — Medicare Managed Care Plan: $23,726.69 Altamed Health Services — Medicaid Managed Care Plan: $35,590.03 Altamed Health Services — Medicare Managed Care Plan: $35,590.03 Axminster Medical Group — All Commercial Plans: $28,472.03 Axminster Medical Group — Medicare Managed Care - Hmo: $23,726.69 Bakersfield Memorial Hospital — Medicare Managed Care Plan: $23,726.69 Blue Cross — Anthem All Commercial Plans: $85,344.18 Blue Cross — Leased Network Workers Compensation Plan: $82,163.42 Blue Cross — Senior Medicare: $23,726.69
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	$29,938.79 – $108,015.32
Neck (cervical) spinal fusion, without complications: 10 of 71 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $67,636.22 Aetna — Medicare Managed Care Plan: $29,938.79 Altamed Health Services — Medicaid Managed Care Plan: $44,908.18 Altamed Health Services — Medicare Managed Care Plan: $44,908.18 Axminster Medical Group — All Commercial Plans: $35,926.55 Axminster Medical Group — Medicare Managed Care - Hmo: $29,938.79 Bakersfield Memorial Hospital — Medicare Managed Care Plan: $29,938.79 Blue Cross — Anthem All Commercial Plans: $108,015.32 Blue Cross — Leased Network Workers Compensation Plan: $103,989.61 Blue Cross — Senior Medicare: $29,938.79
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	$15,383.27 – $54,894.77
Uterus and ovary surgery (not for cancer), without complications: 10 of 71 insurance plan rates Aetna — Gatekeeper/Non-Gatekeeper All Commercial Plans: $34,373.59 Aetna — Medicare Managed Care Plan: $15,383.27 Altamed Health Services — Medicaid Managed Care Plan: $23,074.90 Altamed Health Services — Medicare Managed Care Plan: $23,074.90 Axminster Medical Group — All Commercial Plans: $18,459.92 Axminster Medical Group — Medicare Managed Care - Hmo: $15,383.27 Bakersfield Memorial Hospital — Medicare Managed Care Plan: $15,383.27 Blue Cross — Anthem All Commercial Plans: $54,894.77 Blue Cross — Leased Network Workers Compensation Plan: $52,848.86 Blue Cross — Senior Medicare: $15,383.27

Source: Keck Hospital of USC’s standard charges file (hospitalpricedisclosure.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1500 San Pablo Street, Los Angeles, CA 90033
County	Los Angeles County
State	California
Phone	(323) 442‑8656
Emergency services	Not listed
Ownership	Voluntary non-profit - Other
Medicare overall rating	5 of 5 stars
CMS Certification Number	050696
Name in Medicare records	KECK HOSPITAL OF USC
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(800) 872‑2273^[7]
Official website	keckmedicine.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Keck Hospital of USC — keckmedicine.org
Parking — keckmedicine.org
Keck Hospital of USC - Keck Medicine of USC — keckmedicine.org
Keck Hospital of USC - Keck Medicine of USC — keckmedicine.org
Visitor Safety Policy (Keck and USC Norris hospitals), as of 9/27/2024 — keckmedicine.org
Interpreter Services - Keck Medicine of USC — keckmedicine.org

Keck Hospital of USC

Summary

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