Does La Palma Intercommunity Hospital have an emergency room?

Yes. The hospital’s official website lists an emergency room at La Palma Intercommunity Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is La Palma Intercommunity Hospital?

7901 Walker Street, La Palma, CA 90623, in Orange County, California.

What is the phone number of La Palma Intercommunity Hospital?

(714) 670-7400, as listed by Medicare (CMS).

What is the Medicare star rating of La Palma Intercommunity Hospital?

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

La Palma Intercommunity Hospital

Quick answers

Does La Palma Intercommunity Hospital have an emergency room?: Yes. The hospital’s official website lists an emergency room at La Palma Intercommunity Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is La Palma Intercommunity Hospital?: 7901 Walker Street, La Palma, CA 90623, in Orange County, California.
What is the phone number of La Palma Intercommunity Hospital?: (714) 670-7400, as listed by Medicare (CMS).
What is the Medicare star rating of La Palma Intercommunity Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6][8]

Emergency Services
Behavioral Health Services
Surgical Services
Wound Care (Wound Healing Center)
Respiratory Therapy
Imaging Services
Intensive Care Unit
Geropsychiatry

Procedures^{[4][6][8][10]}

Joint replacement (Comprehensive Care for Joint Replacement)
Laser surgery
Arthroscopy
Laparoscopic surgery
Hip and knee replacement

Programs and centers^{[4][5][8][9][10][11][12][14]}

Comprehensive Care for Joint Replacement
Emergency Department Approved for Pediatrics (EDAP)
Certified Paramedic Receiving Center
Emergency department (24/7)
Pediatric emergency care (EDAP)
Emergency telemedicine services
Inpatient behavioral health program
Surgical services
Clinical laboratory
Respiratory therapy

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting times and visitor numbers may be limited and vary by unit; call 714-670-7400 about visiting hours^[7]
Patient portal	MyChart

Recognition^[4][5][8]

Joint Commission accreditation
Geriatric-Accredited Emergency Department
Emergency Department Approved for Pediatrics (EDAP), designated by the County of Los Angeles
Certified Paramedic Receiving Center (County of Los Angeles)

Doctors and clinicians (94)

94 doctors and other clinicians list La Palma Intercommunity Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 70 more: the button below opens the full list.

Other emergency rooms nearby

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

West Anaheim Medical Center3.0 mi · Anaheim, CA · Acute Care Hospital
UCI Health - Los Alamitos3.6 mi · Los Alamitos, CA · Acute Care Hospital
Dept of State Hospitals - Metropolitan - Psy4.7 mi · Norwalk, CA · Psychiatric Hospital
Coast Plaza Hospital5.5 mi · Norwalk, CA · Acute Care Hospital
AHMC Anaheim Regional Medical Center6.1 mi · Anaheim, CA · Acute Care Hospital

Other hospitals nearby

Anaheim Community Hospital, LLC3.0 mi · Anaheim, CA · Acute Care Hospital
College Hospital4.3 mi · Cerritos, CA · Psychiatric Hospital
Kindred Hospital -- La Mirada4.8 mi · La Mirada, CA · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Healthcare Center of Orange County1.9 mi · Buena Park, CA · 1 of 5 stars
Anaheim Terrace Care Center2.2 mi · Anaheim, CA · 3 of 5 stars
Buena Park Nursing Center2.4 mi · Buena Park, CA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Beneficial Hospice and Palliative Care0.0 mi · La Palma, CA
Calm Care, Inc1.4 mi · Buena Park, CA
Integrity Hospice1.4 mi · Buena Park, CA

All hospice providers in the state →

Home health agencies

Emc Home Health Providers, Inc0.0 mi · La Palma, CA · 2 of 5 stars
Network Providers for Home Health, Inc0.0 mi · La Palma, CA · 3 of 5 stars
Fast Recovery Home Health Care, Inc1.4 mi · Buena Park, CA

All home health agencies in the state →

Dialysis facilities

DaVita La Palma Dialysis1.4 mi · Buena Park, CA · 3 of 5 stars
DaVita Cerritos Dialysis2.1 mi · Cerritos, CA · 3 of 5 stars
DaVita Telegraph Dialysis4.0 mi · La Mirada, 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.

Cerritos Endoscopic Medical Center2.1 mi · Cerritos, CA
Cerritos Surgery Center2.1 mi · Cerritos, CA
On Beach Surgery Center LLC3.1 mi · Buena Park, 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

AltaMed Dental Group at Steve Luther Elementary0.7 mi · La Palma, CA · Community health center
AltaMed Dental Group at Clara King Elementary1.1 mi · Cypress, CA · Community health center
KCS Buena Park Homeless Shelter Clinic1.6 mi · Buena Park, CA · Community health center

Clinics and urgent care

Marque Medical Clinic, Inc.1.4 mi · Buena Park, CA · Urgent care center
Orange County Urgent Care #3 Inc.2.2 mi · Cypress, CA · Urgent care center
Tustin Urgent Care, Apc2.2 mi · Cypress, CA · Urgent care center

Pharmacies

Big a Drug Stores Inc0.0 mi · La Palma, CA · Community/retail pharmacy
Four Seasons Pharmacy Inc0.0 mi · La Palma, CA · Community/retail pharmacy
Grace Community Pharmacy, Inc.0.0 mi · La Palma, CA · Community/retail pharmacy

Assisted living nearby

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

Ivy Park at La Palma0.0 mi · La Palma, CA
Attentive Care Facility1.4 mi · Buena Park, CA
Augustine Homes II1.4 mi · Buena Park, CA
Buena Park Elder Care1.4 mi · Buena 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 La Palma Intercommunity Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	1 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	57%National average: 72%
Would definitely recommend the hospital	55%National average: 71%
Nurses “always” communicated well	69%National average: 80%
Doctors “always” communicated well	66%National average: 80%
Staff “always” explained medicines before giving them	53%National average: 62%
Were given information about recovery at home	73%National average: 86%
Room and bathroom “always” clean	70%National average: 74%
Area around the room “always” quiet at night	38%National average: 60%
Completed surveys	390Response rate: 17%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.151Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.8%
Deaths within 30 days: heart failure patients	10.3%
Deaths within 30 days: pneumonia patients	10.4%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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	14.8%
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	204 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	71%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as La Palma Intercommunity Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Low Mdm 30-44 Minutes - 99203 - 76100003	$495	Not listed in the file	$82.05 – $495
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $86.15 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $82.05 Brand New Day — Brand New Day Exchange: $495 Caloptima — Caloptima Medi-Cal IP: $82.05 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $82.05 Health Net of CA — Health Net Of CA Medi-Cal: $87.79 LA Care Health Plan — L.A Care Health Plan Medi-Cal: $82.05 Molina — Molina Medi-Cal: $82.05 Traditional Medi - Cal — Traditional Medi-Cal: $82.05
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Moderate Mdm 45-59 Minutes - 99204 - 76100004	$809.46	Not listed in the file	$98.83 – $809.46
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $103.77 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $98.83 Brand New Day — Brand New Day Exchange: $809.46 Caloptima — Caloptima Medi-Cal IP: $98.83 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $98.83 Health Net of CA — Health Net Of CA Medi-Cal: $105.75 LA Care Health Plan — L.A Care Health Plan Medi-Cal: $98.83 Molina — Molina Medi-Cal: $98.83 Traditional Medi - Cal — Traditional Medi-Cal: $98.83
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New High Mdm 60-74 Minutes - 99205 - 76100005	$841.19	Not listed in the file	$118.62 – $841.19
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $124.55 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $118.62 Brand New Day — Brand New Day Exchange: $841.19 Caloptima — Caloptima Medi-Cal IP: $118.62 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $118.62 Health Net of CA — Health Net Of CA Medi-Cal: $126.92 LA Care Health Plan — L.A Care Health Plan Medi-Cal: $118.62 Molina — Molina Medi-Cal: $118.62 Traditional Medi - Cal — Traditional Medi-Cal: $118.62
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Low Mdm 20-29 Min - 99213 - 76100008	$522	Not listed in the file	$34.43 – $522
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $36.15 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $34.43 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $73.75 Brand New Day — Brand New Day Exchange: $522 Caloptima — Caloptima Medi-Cal IP: $34.43 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $34.43 Health Net of CA — Health Net Of CA Medi-Cal: $36.84 LA Care Health Plan — L.A Care Health Plan Medi-Cal: $34.43 Molina — Molina Medi-Cal: $34.43 Traditional Medi - Cal — Traditional Medi-Cal: $34.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Mod Mdm 30-39 Min - 99214 - 76100009	$786.39	Not listed in the file	$53.79 – $786.39
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $56.48 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $53.79 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $109.05 Brand New Day — Brand New Day Exchange: $786.39 Caloptima — Caloptima Medi-Cal IP: $53.79 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $53.79 Health Net of CA — Health Net Of CA Medi-Cal: $57.56 LA Care Health Plan — L.A Care Health Plan Medi-Cal: $53.79 Molina — Molina Medi-Cal: $53.79 Traditional Medi - Cal — Traditional Medi-Cal: $53.79
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hc Ed Level 3 - 99283 - 45000003	$2,399.11	$349	$63.97 – $2,399.11
Emergency room visit (moderate): 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $67.17 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $63.97 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $349.37 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $349.37 Brand New Day — Brand New Day Exchange: $524.06 Brand New Day — Brand New Day Medicare: $352.86 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $460.24 Caloptima — Caloptima Medi-Cal IP: $63.97 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $63.97 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $446.44
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hc Ed Level 4 - 99284 - 45000004	$3,573.47	$534	$98.04 – $3,573.47
Emergency room visit (moderately high): 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $102.94 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $98.04 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $534.03 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $534.03 Brand New Day — Brand New Day Exchange: $801.05 Brand New Day — Brand New Day Medicare: $539.37 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $703.50 Caloptima — Caloptima Medi-Cal IP: $98.04 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $98.04 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $682.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hc Ed Level 5 - 99285 - 45000005	$5,161.88	$762	$155.03 – $5,161.88
Emergency room visit (high): 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $162.78 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $155.03 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $762.20 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $762.20 Brand New Day — Brand New Day Exchange: $1,143.30 Brand New Day — Brand New Day Medicare: $769.82 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,004.08 Caloptima — Caloptima Medi-Cal IP: $155.03 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $155.03 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $973.96

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Hc Basic Metabolic Panel Calcium Total	$550.61	$8	$8.34 – $550.61
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $11.62 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $8.34 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $8.46 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $8.46 Brand New Day — Brand New Day Exchange: $12.69 Brand New Day — Brand New Day Medicare: $8.54 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $11.14 Caloptima — Caloptima Medi-Cal IP: $8.34 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $8.34 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $10.81
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hc Metabolic Panel,Comprehensive	$645.75	$10	$10.55 – $645.75
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $14.68 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $10.55 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $10.56 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $10.56 Brand New Day — Brand New Day Exchange: $15.84 Brand New Day — Brand New Day Medicare: $10.67 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $13.91 Caloptima — Caloptima Medi-Cal IP: $10.55 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $10.55 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $13.49
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hc Lipid Panel	$471.23	$13	$13.24 – $471.23
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $14.57 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $13.24 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $13.39 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $13.39 Brand New Day — Brand New Day Exchange: $20.09 Brand New Day — Brand New Day Medicare: $13.52 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $17.64 Caloptima — Caloptima Medi-Cal IP: $13.24 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $13.24 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $17.11
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hc Renal Function Panel	$416.09	$8	$8.68 – $416.09
Kidney function panel: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $11.93 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $8.72 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $8.68 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $8.68 Brand New Day — Brand New Day Exchange: $13.02 Brand New Day — Brand New Day Medicare: $8.77 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $11.43 Caloptima — Caloptima Medi-Cal IP: $8.72 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $8.72 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $11.09
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hc Hepatic Function Panel	$643.80	$8	$7.32 – $643.80
Liver function panel: 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $11.19 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $7.32 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $8.17 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $8.17 Brand New Day — Brand New Day Exchange: $12.26 Brand New Day — Brand New Day Medicare: $8.25 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $10.76 Caloptima — Caloptima Medi-Cal IP: $7.32 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $7.32 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $10.44
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/Scope	$221.09	$3	$3.17 – $221.09
Urine test (automated, with microscope): 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $4.59 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $3.18 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $3.17 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $3.17 Brand New Day — Brand New Day Exchange: $4.76 Brand New Day — Brand New Day Medicare: $3.20 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $4.18 Caloptima — Caloptima Medi-Cal IP: $3.18 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $3.18 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $4.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hc Urinalysis Nonauto W/O Scope	$96.12	$3	$2.47 – $96.12
Urine test (manual, without microscope): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $3.71 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $2.47 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $3.48 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $3.48 Brand New Day — Brand New Day Exchange: $5.22 Brand New Day — Brand New Day Medicare: $3.51 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $4.58 Caloptima — Caloptima Medi-Cal IP: $2.47 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $2.47 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $4.45
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/O Scope	$140.11	$2	$2.25 – $140.11
Urine test (automated, without microscope): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $2.97 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $2.25 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $2.25 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $2.25 Brand New Day — Brand New Day Exchange: $3.38 Brand New Day — Brand New Day Medicare: $2.27 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $2.96 Caloptima — Caloptima Medi-Cal IP: $2.25 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $2.25 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $2.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312	$376.17	$18	$18.39 – $376.17
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $26.03 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $18.76 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $18.39 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $18.39 Brand New Day — Brand New Day Exchange: $27.59 Brand New Day — Brand New Day Medicare: $18.57 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $24.23 Caloptima — Caloptima Medi-Cal IP: $18.76 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $18.76 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $23.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Prostate Specific Antigen,Total	$170.50	$18	$18.39 – $376.17
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $26.03 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $18.76 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $18.39 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $18.39 Brand New Day — Brand New Day Exchange: $27.59 Brand New Day — Brand New Day Medicare: $18.57 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $24.23 Caloptima — Caloptima Medi-Cal IP: $18.76 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $18.76 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $23.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hc Assay Thyroid Stim Hormone	$423.95	$16	$16.80 – $423.95
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $23.71 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $16.94 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $16.80 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $16.80 Brand New Day — Brand New Day Exchange: $25.20 Brand New Day — Brand New Day Medicare: $16.97 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $22.13 Caloptima — Caloptima Medi-Cal IP: $16.94 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $16.94 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $21.47
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hc Complete Cbc & Auto Diff Wbc	$244.63	$7	$7.75 – $244.63
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $10.62 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $7.75 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $7.77 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $7.77 Brand New Day — Brand New Day Exchange: $11.66 Brand New Day — Brand New Day Medicare: $7.85 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $10.24 Caloptima — Caloptima Medi-Cal IP: $7.75 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $7.75 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $9.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hc Complete Cbc	$204.40	$6	$6.47 – $204.40
Complete blood count (CBC), automated: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $8.67 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $6.55 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $6.47 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $6.47 Brand New Day — Brand New Day Exchange: $9.71 Brand New Day — Brand New Day Medicare: $6.53 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $8.52 Caloptima — Caloptima Medi-Cal IP: $6.55 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $6.55 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $8.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hc Prothrombin Time	$261.41	$4	$4 – $261.41
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $5.04 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $4 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $4.29 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $4.29 Brand New Day — Brand New Day Exchange: $6.44 Brand New Day — Brand New Day Medicare: $4.33 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $5.65 Caloptima — Caloptima Medi-Cal IP: $4 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $4 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $5.48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hc Thromboplas Time Partial	$305.91	$6	$6.01 – $305.91
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $7.98 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $6.13 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $6.01 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $6.01 Brand New Day — Brand New Day Exchange: $9.02 Brand New Day — Brand New Day Medicare: $6.07 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $7.92 Caloptima — Caloptima Medi-Cal IP: $6.13 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $6.13 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $7.68

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) In the file: Hc Ct Scan,Head/Brain,W/O Contrast Matl	$4,037.04	$133	$94.42 – $4,037.04
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $296.47 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $94.42 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $133.80 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $176.26 Caloptima — Caloptima Medi-Cal IP: $94.42 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $94.42 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $170.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hc Mri Brain Combo	$9,097.01	$446	$316.79 – $9,097.01
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $1,435.35 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $316.79 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $446.50 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $446.50 Brand New Day — Brand New Day Exchange: $669.75 Brand New Day — Brand New Day Medicare: $450.97 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $588.20 Caloptima — Caloptima Medi-Cal IP: $316.79 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $316.79 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $570.55
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hc Chest X-Ray 2 Vw	$727.23	$111	$18.13 – $727.23
Chest X-ray, 2 views: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $41.25 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $18.13 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $111.37 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $111.37 Brand New Day — Brand New Day Exchange: $167.06 Brand New Day — Brand New Day Medicare: $112.48 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $146.71 Caloptima — Caloptima Medi-Cal IP: $18.13 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $18.13 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $142.31
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hc X-Ray Lumbar Spine 4 Vw	$1,494.66	$133	$43.40 – $1,494.66
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $74.79 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $43.40 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $133.80 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $176.26 Caloptima — Caloptima Medi-Cal IP: $43.40 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $43.40 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $170.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hc Mri, Lumbar Spine	$6,398.88	$305	$181.42 – $6,398.88
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $867.15 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $181.42 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $305.38 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $305.38 Brand New Day — Brand New Day Exchange: $458.07 Brand New Day — Brand New Day Medicare: $308.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $402.29 Caloptima — Caloptima Medi-Cal IP: $181.42 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $181.42 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $390.22
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hc Ct Scan Of Pelvis Contrast	$5,082.28	$224	$222.88 – $5,082.28
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $381.84 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $222.88 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $224.48 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $224.48 Brand New Day — Brand New Day Exchange: $336.72 Brand New Day — Brand New Day Medicare: $226.72 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $295.72 Caloptima — Caloptima Medi-Cal IP: $222.88 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $222.88 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $286.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hc Mri Lower Extrem Jt, W/O Contrast	$6,273.25	$305	$206.20 – $6,273.25
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $588.11 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $206.20 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $305.38 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $305.38 Brand New Day — Brand New Day Exchange: $458.07 Brand New Day — Brand New Day Medicare: $308.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $402.29 Caloptima — Caloptima Medi-Cal IP: $206.20 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $206.20 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $390.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hc Ct Scan Abdomen/Pelvis W Contrast	$3,832.98	$446	$202.90 – $3,832.98
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $295.89 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $202.90 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $446.50 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $446.50 Brand New Day — Brand New Day Exchange: $669.75 Brand New Day — Brand New Day Medicare: $450.97 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $588.20 Caloptima — Caloptima Medi-Cal IP: $202.90 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $202.90 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $570.55
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hc Us, Abdom,B-Scan &/Or Real Time,Complete	$1,879.96	$133	$82.35 – $1,879.96
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $125.31 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $82.35 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $133.80 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $176.26 Caloptima — Caloptima Medi-Cal IP: $82.35 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $82.35 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $170.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hc Us, Ob >/= 14 Wks, Sngl Fetus	$1,553	$133	$90.65 – $1,553
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $142.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $90.65 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $133.80 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $176.26 Caloptima — Caloptima Medi-Cal IP: $90.65 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $90.65 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $170.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hc Ultrasound,Transvaginal	$1,760.59	$133	$70.84 – $1,760.59
Transvaginal ultrasound: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $101.89 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $70.84 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $133.80 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $133.80 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Day Medicare: $135.14 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $176.26 Caloptima — Caloptima Medi-Cal IP: $70.84 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $70.84 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $170.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Hc Mammography; Unilateral	$743.80	$101	$84.30 – $743.80
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $122.93 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $84.30 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $101.77 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $101.77 Brand New Day — Brand New Day Exchange: $152.66 Brand New Day — Brand New Day Medicare: $102.79 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $134.07 Caloptima — Caloptima Medi-Cal IP: $84.30 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $84.30 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $130.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hc Mammography; Bilateral	$906.90	$130	$108.06 – $906.90
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $155.43 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $108.06 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $130.44 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $130.44 Brand New Day — Brand New Day Exchange: $195.66 Brand New Day — Brand New Day Medicare: $131.74 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $171.84 Caloptima — Caloptima Medi-Cal IP: $108.06 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $108.06 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $166.68
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hc Mammogram, Screening	$506.25	$107	$88.39 – $506.25
Screening mammogram, both breasts: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $125.42 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $88.39 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $107.70 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $107.70 Brand New Day — Brand New Day Exchange: $161.55 Brand New Day — Brand New Day Medicare: $108.78 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $141.88 Caloptima — Caloptima Medi-Cal IP: $88.39 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $88.39 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $137.62

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Hc Left Heart Cath Inj Vetriculography, Rs/I	$15,281.80	$4,149	$549.26 – $15,281.80
Left heart catheterization (diagnostic): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $801 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $549.26 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $4,149.23 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $4,149.23 Brand New Day — Brand New Day Exchange: $6,223.85 Brand New Day — Brand New Day Medicare: $4,190.72 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $5,465.99 Caloptima — Caloptima Medi-Cal IP: $549.26 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $549.26 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $5,302.01
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Hc Electrophys Ev,R A-V Pace/Rec,W/ Induct	$23,175.70	$9,982	$256.67 – $23,175.70
Heart rhythm study (electrophysiology evaluation): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $898.34 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $256.67 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $9,982.51 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $9,982.51 Brand New Day — Brand New Day Exchange: $14,973.77 Brand New Day — Brand New Day Medicare: $10,082.34 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $13,150.46 Caloptima — Caloptima Medi-Cal IP: $256.67 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $256.67 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $12,755.94
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein	$43,086.70	$33,452	$880.47 – $43,086.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $1,408.46 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $880.47 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $33,452.92 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $33,452.92 Brand New Day — Brand New Day Exchange: $43,086.70 Brand New Day — Brand New Day Medicare: $33,787.45 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $43,086.70 Caloptima — Caloptima Medi-Cal IP: $880.47 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $880.47 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $42,747.11

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) In the file: Hc Therapeutic Exercises, Ea 15 Min	$309	$32	$9.14 – $309
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $16.51 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $9.14 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $32.07 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $32.07 Brand New Day — Brand New Day Exchange: $48.11 Brand New Day — Brand New Day Medicare: $32.39 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $42.25 Caloptima — Caloptima Medi-Cal IP: $9.14 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $9.14 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $40.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Therapeutic Exercises Complex, Ea 15 Min	$169.60	$32	$9.14 – $309
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $16.51 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $9.14 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $32.07 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $32.07 Brand New Day — Brand New Day Exchange: $48.11 Brand New Day — Brand New Day Medicare: $32.39 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $42.25 Caloptima — Caloptima Medi-Cal IP: $9.14 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $9.14 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $40.98
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Low Complexity, 20 Min	$693.54	$108	$108.30 – $693.54
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $108.30 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $108.30 Brand New Day — Brand New Day Exchange: $162.45 Brand New Day — Brand New Day Medicare: $109.38 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $142.67 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $138.39 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $151.62 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $108.30 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $158.12 Health Net of CA — Health Net Of CA Commercial PPO: $152.27
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Moderate Complexity, 30 Min	$791.94	$108	$108.31 – $791.94
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $108.31 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $108.31 Brand New Day — Brand New Day Exchange: $162.47 Brand New Day — Brand New Day Medicare: $109.39 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $142.68 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $138.40 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $151.63 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $108.31 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $158.13 Health Net of CA — Health Net Of CA Commercial PPO: $152.28
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, High Complexity, 45 Min	$1,310.93	$108	$108.32 – $1,310.93
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $142.34 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $135.56 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $108.32 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $108.32 Brand New Day — Brand New Day Exchange: $162.48 Brand New Day — Brand New Day Medicare: $109.40 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $142.70 Caloptima — Caloptima Medi-Cal IP: $135.56 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $135.56 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $138.41
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Hc Psytx Pt&/Family 30 Minutes	$943.33	$227	$18.98 – $943.33
Psychotherapy, 30 minutes: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $118.62 Beacon Health — Beacon Health Strategies: $300 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $18.98 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $227.16 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $73.17 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $299.25 Caloptima — Caloptima Medi-Cal IP: $18.98 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $18.98
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Hc Psychotherapy Patient &/ Family 45 Minutes	$1,061.86	$227	$67.16 – $1,061.86
Psychotherapy, 45 minutes: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $118.62 Beacon Health — Beacon Health Strategies: $300 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $67.16 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $227.16 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $97.02 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $299.25 Caloptima — Caloptima Medi-Cal IP: $67.16 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $67.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Hc Psychotherapy W/Patient 60 Minutes	$577.60	$227	$38.01 – $577.60
Psychotherapy, 60 minutes: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $102.92 Beacon Health — Beacon Health Strategies: $300 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $38.01 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $227.16 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $142.58 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $299.25 Caloptima — Caloptima Medi-Cal IP: $38.01 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $38.01
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/O Patient	$620	$227	$51 – $620
Family psychotherapy, without the patient: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $90.97 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $51 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $227.16 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $104.88 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $299.25 Caloptima — Caloptima Medi-Cal IP: $51 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $51 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $290.27
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/Patient	$620	$227	$51 – $620
Family psychotherapy, with the patient: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $94.13 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $51 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $227.16 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $109.42 Brand New Day — Brand New Day Exchange: $340.74 Brand New Day — Brand New Day Medicare: $229.43 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $299.25 Caloptima — Caloptima Medi-Cal IP: $51 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $51 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $290.27
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy	$543.09	$130	$5.23 – $543.09
Group psychotherapy: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $5.23 Beacon Health — Beacon Health Strategies: $300 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $20.77 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $130.02 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $25.70 Brand New Day — Brand New Day Exchange: $195.03 Brand New Day — Brand New Day Medicare: $131.32 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $171.28 Caloptima — Caloptima Medi-Cal IP: $20.77 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $20.77
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy Iop	$543.09	$130	$5.23 – $543.09
Group psychotherapy: 10 of 31 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $5.23 Beacon Health — Beacon Health Strategies: $300 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $20.77 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $130.02 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $25.70 Brand New Day — Brand New Day Exchange: $195.03 Brand New Day — Brand New Day Medicare: $131.32 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $171.28 Caloptima — Caloptima Medi-Cal IP: $20.77 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $20.77

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	$16,898.44	$5,011	$302.26 – $16,898.44
Removal of breast growth (open surgery): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $317.37 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $302.26 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $5,011.22 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $5,011.22 Brand New Day — Brand New Day Exchange: $7,516.83 Brand New Day — Brand New Day Medicare: $5,061.33 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $6,601.53 Caloptima — Caloptima Medi-Cal IP: $302.26 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $302.26 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $6,403.48
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee Arthroscopy/Surgery - 29881 - OR36029881	$17,250	$4,187	$790.35 – $17,250
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $829.87 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $790.35 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $4,187.71 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $4,187.71 Brand New Day — Brand New Day Exchange: $6,281.57 Brand New Day — Brand New Day Medicare: $4,229.59 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $5,516.68 Caloptima — Caloptima Medi-Cal IP: $790.35 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $790.35 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $5,351.18
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Diagnostic	$6,196.80	$1,160	$321.48 – $6,196.80
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $337.55 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $321.48 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,160.81 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,160.81 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Day Medicare: $1,172.42 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,529.19 Caloptima — Caloptima Medi-Cal IP: $321.48 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $321.48 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,483.32
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Biopsy Single/Multiple	$5,669.74	$1,160	$335.91 – $5,669.74
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $352.71 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $335.91 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,160.81 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,160.81 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Day Medicare: $1,172.42 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,529.19 Caloptima — Caloptima Medi-Cal IP: $335.91 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $335.91 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,483.32
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071	$4,845.30	$1,190	$423.48 – $6,238.32
Colonoscopy (diagnostic): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $444.65 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $423.48 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,190.22 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,567.94 Caloptima — Caloptima Medi-Cal IP: $423.48 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $423.48 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,520.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Diagnostic	$6,238.32	$1,190	$423.48 – $6,238.32
Colonoscopy (diagnostic): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $444.65 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $423.48 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,190.22 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,567.94 Caloptima — Caloptima Medi-Cal IP: $423.48 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $423.48 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,520.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068	$4,845.30	$1,190	$423.48 – $6,238.32
Colonoscopy (diagnostic): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $444.65 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $423.48 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,190.22 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,567.94 Caloptima — Caloptima Medi-Cal IP: $423.48 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $423.48 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,520.90
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Biopsy	$8,129.02	$1,531	$473.68 – $8,129.02
Colonoscopy with biopsy: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $497.36 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $473.68 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,531.54 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,531.54 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Day Medicare: $1,546.86 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $2,017.57 Caloptima — Caloptima Medi-Cal IP: $473.68 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $473.68 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,957.05
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Remv Lesn,Snare	$7,892.25	$1,531	$574.08 – $7,892.25
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $602.78 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $574.08 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,531.54 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,531.54 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Day Medicare: $1,546.86 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $2,017.57 Caloptima — Caloptima Medi-Cal IP: $574.08 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $574.08 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,957.05
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Hc Colonoscopy Flex Endoscope Us	$3,763.80	$1,531	$169.77 – $3,763.80
Ultrasound of the lower bowel by endoscope: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $178.13 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $169.77 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,531.54 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,531.54 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Day Medicare: $1,546.86 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $2,017.57 Caloptima — Caloptima Medi-Cal IP: $169.77 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $169.77 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,957.05
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - G0121 - 75000071	$4,845.30	$1,190	$1,190.22 – $4,845.30
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,190.22 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Day Medicare: $1,202.12 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,567.94 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,520.90 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $1,666.31 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $1,190.22 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,737.72 Health Net of CA — Health Net Of CA Commercial PPO: $1,673.45
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Hc Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible	$6,790.65	$4,582	$493.45 – $12,300
Groin (inguinal) hernia repair, age 5 or older: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $518.12 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $493.45 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $4,582.43 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $4,582.43 Brand New Day — Brand New Day Exchange: $6,790.65 Brand New Day — Brand New Day Medicare: $4,628.25 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $6,036.66 Caloptima — Caloptima Medi-Cal IP: $493.45 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $493.45 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $5,855.56
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp I/Hern Init Reduc >5 Yr	$12,300	$4,582	$493.45 – $12,300
Groin (inguinal) hernia repair, age 5 or older: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $518.12 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $493.45 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $4,582.43 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $4,582.43 Brand New Day — Brand New Day Exchange: $6,873.65 Brand New Day — Brand New Day Medicare: $4,628.25 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $6,036.66 Caloptima — Caloptima Medi-Cal IP: $493.45 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $493.45 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $5,855.56
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Hc Biopsy Of Prostate,Needle/Punch	$1,850.94	$2,566	$131.78 – $1,850.94
Prostate biopsy: 10 of 23 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $131.78 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,850.94 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,850.94 Brand New Day — Brand New Day Exchange: $1,850.94 Brand New Day — Brand New Day Medicare: $1,850.94 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,850.94 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,850.94 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $1,850.94 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $1,850.94 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $1,850.94
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy	$13,125	$4,143	$251.48 – $13,125
Hysteroscopy with biopsy of the uterus lining: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $264.05 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $251.48 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $4,143.08 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $4,143.08 Brand New Day — Brand New Day Exchange: $6,214.62 Brand New Day — Brand New Day Medicare: $4,184.51 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $5,457.89 Caloptima — Caloptima Medi-Cal IP: $251.48 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $251.48 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $5,294.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img - 62323 - 36100565	$3,756.76	$903	$220.03 – $3,756.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $231.03 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $220.03 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $903.43 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $903.43 Brand New Day — Brand New Day Exchange: $1,355.15 Brand New Day — Brand New Day Medicare: $912.46 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,190.13 Caloptima — Caloptima Medi-Cal IP: $220.03 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $220.03 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,154.43
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,789.50	$1,132	$205.61 – $1,789.50
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $215.89 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $205.61 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $1,132 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $1,132 Brand New Day — Brand New Day Exchange: $1,698 Brand New Day — Brand New Day Medicare: $1,143.32 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $1,491.24 Caloptima — Caloptima Medi-Cal IP: $205.61 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $205.61 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $1,446.50
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Hc Cataract Secondary Discission (Yag Laser)	$2,218.15	$703	$267.01 – $2,218.15
Laser treatment of clouding after cataract surgery: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $280.36 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $267.01 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $703.91 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $703.91 Brand New Day — Brand New Day Exchange: $1,055.87 Brand New Day — Brand New Day Medicare: $710.95 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $927.30 Caloptima — Caloptima Medi-Cal IP: $267.01 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $267.01 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $899.48
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl Ctrc Rmvl W/O Ecp	$12,508.10	$2,953	$1,441.87 – $12,508.10
Cataract removal with lens implant: 10 of 30 insurance plan rates Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $1,513.96 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $1,441.87 Blue Shield Of Promise — Blue Shield Of Promise Medicare: $2,953.70 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $2,953.70 Brand New Day — Brand New Day Exchange: $4,430.55 Brand New Day — Brand New Day Medicare: $2,983.24 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $3,891.06 Caloptima — Caloptima Medi-Cal IP: $1,441.87 COUNTY OF ORANGE (MSN) — COUNTY OF ORANGE (MSN) Medi-Cal: $1,441.87 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $3,774.32

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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$93,754	$48,150 – $169,883.46
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 23 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $93,754.70 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $93,754.67 Brand New Day — Brand New Day Medicare: $94,692.25 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $159,359.89 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $157,034.54 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $121,881.07 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $93,754.67 Health Net of CA — Health Net Of CA Commercial: $169,883.46 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $136,881.82 Health Net of CA — Health Net Of CA Commercial PPO: $131,819.07
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$59,185.87
Spinal fusion (not neck), without major complications: rates for 1 insurance plan COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $59,185.87
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	$18,826	$7,650 – $34,112.77
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $18,826 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $18,826.03 Brand New Day — Brand New Day Medicare: $19,014.26 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $31,133.56 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $30,446.45 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $24,473.84 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $18,826.03 Health Net of CA — Health Net Of CA Commercial: $34,112.77 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $27,486 Health Net of CA — Health Net Of CA Commercial PPO: $26,469.40
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC	Not listed in the file	$23,714	$7,200 – $42,970.66
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $23,714.50 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $23,714.49 Brand New Day — Brand New Day Medicare: $23,951.65 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $39,090.74 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $39,813.21 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $30,828.84 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $23,714.49 Health Net of CA — Health Net Of CA Commercial: $42,970.66 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $34,623.16 Health Net of CA — Health Net Of CA Commercial PPO: $33,342.57
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 CCMCC	Not listed in the file	$12,260	$6,750 – $24,179.38
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates Blue Shield Of Promise — Blue Shield Of Promise Medicare: $12,260.40 Blue Shiled Of CA Triwest — Blue Shield of CA TriWest Healthcare VA: $12,260.39 Brand New Day — Brand New Day Medicare: $12,383 CA FOUNDATION FOR MEDICAL CARE — CA FOUNDATION FOR MEDICAL CARE Worker Compensation: $19,793.05 COVENTRY fka AETNA Worker Comp — COVENTRY - fka AETNA - Workers Compensation: $18,801.49 Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus: $15,938.51 HEALTH NET FEDERAL SERVICES TRICARE — HEALTH NET FEDERAL SERVICES TRICARE: $12,260.39 Health Net of CA — Health Net Of CA Commercial: $22,215.83 Health Net of CA — Health Net Of CA Commercial Ins Exchange: $17,900.17 Health Net of CA — Health Net Of CA Commercial PPO: $17,238.11

Source: La Palma Intercommunity Hospital’s standard charges file (lapalmaintercommunityhospital.com, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 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	7901 Walker Street, La Palma, CA 90623
County	Orange County
State	California
Phone	(714) 670‑7400
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
CMS Certification Number	050580
Name in Medicare records	LA PALMA INTERCOMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	lapalmaintercommunityhospital.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Fact Sheet — lapalmaintercommunityhospital.com
Emergency Services — lapalmaintercommunityhospital.com
Services — lapalmaintercommunityhospital.com
Visitors Guide — lapalmaintercommunityhospital.com
Trusted Community Healthcare Services in La Palma, CA — lapalmaintercommunityhospital.com
Emergency Room FAQs for Quick Patient Information — lapalmaintercommunityhospital.com
Expert Surgical Services with Advanced Technology — lapalmaintercommunityhospital.com
Behavioral Health Services Supporting Emotional Wellness — lapalmaintercommunityhospital.com
Clinical Laboratory Testing and Diagnostic Services — lapalmaintercommunityhospital.com
Emergency Telemedicine Services for Fast Virtual Care — lapalmaintercommunityhospital.com