Does Lompoc Valley Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Lompoc Valley Medical Center. In a medical emergency, call 911.

Where is Lompoc Valley Medical Center?

1515 E Ocean Avenue, Lompoc, CA 93436, in Santa Barbara County, California.

What is the phone number of Lompoc Valley Medical Center?

(805) 737-3300, as listed by Medicare (CMS).

What is the Medicare star rating of Lompoc Valley Medical Center?

1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Lompoc Valley Medical Center for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Lompoc Valley Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.6200; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Lompoc Valley Medical Center — Phone, Address & ER

Quick answers

Does Lompoc Valley Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Lompoc Valley Medical Center. In a medical emergency, call 911.
Where is Lompoc Valley Medical Center?: 1515 E Ocean Avenue, Lompoc, CA 93436, in Santa Barbara County, California.
What is the phone number of Lompoc Valley Medical Center?: (805) 737-3300, as listed by Medicare (CMS).
What is the Medicare star rating of Lompoc Valley Medical Center?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Lompoc Valley Medical Center for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Lompoc Valley Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.6200; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[7][8][10][12][13][14][15][18][19]}

Bariatrics
Behavioral Health
Birthing Center
Cardiopulmonary
Critical Care
General Surgery
Imaging and Radiology
Nephrology
Neurology
Obstetrics and Gynecology
Oncology and Hematology
Orthopedics
Otolaryngology (ENT)
Pediatrics
Rehabilitation Services
Sleep Studies
Sports Medicine
Urogynecology
Wound Care
Emergency medicine
Medical/surgical
Physical therapy
Diagnostic radiology
Clinical laboratory
Sleep medicine

Conditions treated^[19][20]

Stroke
Cardiac and respiratory arrest
Head injury
Motor vehicle crash injuries
Abdominal trauma
Continuous bleeding
Severe allergic reaction
Seizures
Severe burns
Broken bones
Poisoning or overdose
Urinary incontinence
Overactive bladder
Pelvic organ prolapse
Chronic constipation
Endometriosis

Treatments^{[11][13][17][20][23]}

Medical weight loss (prescription-based)
Pelvic floor rehabilitation
Inpatient and outpatient physical therapy
Outpatient nutrition counseling

Procedures^{[8][12][14][17]}

Robotic surgery
Roux-en-Y gastric bypass
Sleeve gastrectomy
Laparoscopic and robotic-assisted bariatric surgery
Bone densitometry (DEXA)
CT scan
MRI
Breast tomosynthesis
Nuclear medicine
Ultrasound
X-ray and fluoroscopy
Hematology testing
Coagulation testing
Urinalysis
Cardiac marker testing
Urine drug testing

Programs and centers^{[6][7][10][12][13][14][16][18][19][20][23]}

Bariatric Program
Birthing Center
Sleep Disorder Center
Emergency Department (24/7)
Imaging & Radiology
Laboratory Services
Rehabilitation Services
Pelvic therapy services
Safe Sleep program
Critical Care Unit
Medical/Surgical Unit

Emergency care (hospital website)^[5][19]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Offers interpreter services and multilingual resources for Spanish-speaking and other patients (per 2026 news item)^[21]
Patient portal	FollowMyHealth

Recognition^{[4][6][15][17][21]}

Acute Stroke Ready Hospital (Santa Barbara County EMS, 2017)
American Heart Association Get With The Guidelines-Stroke Gold-Plus (2025)
Center of Excellence in Robotic Surgery (Surgical Review Corporation, 2023)
Leapfrog Full Transparency Badge (2026)
Aetna Institute of Quality bariatric facility 2026
ACAP Supporting the Safety Net Honorable Mention 2026
Accredited by the American Society for Metabolic and Bariatric Surgery

Doctors and clinicians (256)

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

Main specialties

And 232 more: the button below opens the full list.

Other emergency rooms nearby

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

Santa Ynez Valley Cottage Hospital18 mi · Solvang, CA · Critical Access Hospital
Marian Regional Medical Center22 mi · Santa Maria, CA · Acute Care Hospital
Goleta Valley Cottage Hospital39 mi · Santa Barbara, CA · Acute Care Hospital
Santa Barbara Cottage Hospital43 mi · Santa Barbara, CA · Acute Care Hospital
French Hospital Medical Center46 mi · San Luis Obispo, CA · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Lompoc

Santa Barbara County Psychiatric Health Facility40 mi · Santa Barbara, CA · Psychiatric Hospital

Hospitals in Santa Barbara County · Hospitals near me

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

Lompoc Valley Medical Center Comprehensive Care Ce0.6 mi · Lompoc, CA · 5 of 5 stars
Lompoc Skilled Nursing & Rehabilitation Center2.0 mi · Lompoc, CA · 5 of 5 stars
Atterdag Care Center17 mi · Solvang, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Superior Hospice Inc4.5 mi · Lompoc, CA
Santa Maria Hospice, Inc22 mi · Santa Maria, CA
Dignity Health Hospice22 mi · Santa Maria, CA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Superior Home Health4.5 mi · Lompoc, CA · 4.5 of 5 stars
Dignity Health Home Health22 mi · Santa Maria, CA · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Lompoc Artificial Kidney Center, LLC4.5 mi · Lompoc, CA
DaVita Central Coast Kidney Center15 mi · Santa Maria, CA · 3 of 5 stars
DaVita Discovery Home Training22 mi · Santa Maria, CA · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Lompoc Surgery Center, LLC4.5 mi · Lompoc, CA
Cypress Ambulatory Surgery Center22 mi · Santa Maria, CA
Grace Surgery Center22 mi · Santa Maria, 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

Bridgehouse- Lompoc0.8 mi · Lompoc, CA · Community health center
Mark's House1.5 mi · Lompoc, CA · Community health center
County Health Clinic - Lompoc1.8 mi · Lompoc, CA · Community health center

Clinics and urgent care

Santa Barbara County Public Health Department4.5 mi · Lompoc, CA · Urgent care center
Santa Barbara County Public Health Depet4.5 mi · Lompoc, CA · Urgent care center
Cottage Clinical Network, LLC11 mi · Buellton, CA · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC4.5 mi · Lompoc, CA · Community/retail pharmacy
Albertsons LLC4.5 mi · Lompoc, CA · Community/retail pharmacy
Santa Barbara County Auditor4.5 mi · Lompoc, CA · Clinic pharmacy

Assisted living nearby

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

Fountain Square of Lompoc4.5 mi · Lompoc, CA
Marsh's Board & Care4.5 mi · Lompoc, CA
Olive Grove Residential Care Home4.5 mi · Lompoc, CA
Purisima Hills4.5 mi · Lompoc, 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 Lompoc Valley Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	1 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	1 of 5 stars
Patients got help quickly from staff	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	1 of 5 stars
Care Coordination	1 of 5 stars
Symptoms After Stay	2 of 5 stars
Rated the hospital 9 or 10 out of 10	48%National average: 72%
Would definitely recommend the hospital	44%National average: 71%
Nurses “always” communicated well	67%National average: 80%
Doctors “always” communicated well	67%National average: 80%
“Always” got help as soon as they wanted	51%National average: 64%
Staff “always” explained medicines before giving them	47%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	74%National average: 73%
Completed surveys	190Response rate: 14%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Catheter-associated urinary tract infections (CAUTI)	0.896No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	1.199No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients	13.6%
Deaths within 30 days: pneumonia patients	21.1%
Deaths within 30 days: COPD patients	10.6%
Deaths within 30 days: stroke patients	11.4%
Serious complications (patient safety indicator PSI-90)	1.06No different from the national rate
Complications after hip or knee replacement	5.1%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	16.4%
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: hip or knee replacement	6.7%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	166 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	57%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Lompoc Valley Medical Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.6200Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	1.0385More readmissions than expected
Pneumonia	1.0857More readmissions than expected
COPD (chronic lung disease)	0.9804Fewer readmissions than expected
Hip or knee replacement	1.1096More readmissions than expected
No result published	Heart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	18.83 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	0.00 out of 100
Person and community engagement (patient survey)	22.00 out of 100
Safety (infections and sepsis care)	33.33 out of 100
Efficiency and cost reduction (Medicare spending)	20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.00Same as the national median hospital

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 33 common services exactly as Lompoc Valley Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 33 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERG ROOM INTERMEDIATE	$1,217.25	$608.62	$351.09 – $1,217.25
Emergency room visit (moderate): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $876.42 AETNA — MEDICARE: $351.09 ANTHEM_BCBS — COMMERCIAL: $982.32 ANTHEM_BCBS — MEDICARE: $351.09 BLUE_SHIELD — MEDICARE: $351.09 BLUE_SHIELD_NATIONAL — COMMERCIAL: $1,043.18 CIGNA_HMO — COMMERCIAL: $1,022.49 CIGNA_PPO — COMMERCIAL: $1,022.49 COVENTRY — COMMERCIAL: $876.42 COVENTRY — MEDICARE: $351.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERG ROOM EXTENDED	$1,884.75	$942.38	$536.66 – $1,884.75
Emergency room visit (moderately high): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $1,357.02 AETNA — MEDICARE: $536.66 ANTHEM_BCBS — COMMERCIAL: $1,520.99 ANTHEM_BCBS — MEDICARE: $536.66 BLUE_SHIELD — MEDICARE: $536.66 BLUE_SHIELD_NATIONAL — COMMERCIAL: $1,615.23 CIGNA_HMO — COMMERCIAL: $1,583.19 CIGNA_PPO — COMMERCIAL: $1,583.19 COVENTRY — COMMERCIAL: $1,357.02 COVENTRY — MEDICARE: $536.66
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERG ROOM CRITICAL/TRAUMA	$3,652.25	$1,826.12	$765.93 – $3,652.25
Emergency room visit (high): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $2,629.62 AETNA — MEDICARE: $765.93 ANTHEM_BCBS — COMMERCIAL: $2,947.37 ANTHEM_BCBS — MEDICARE: $765.93 BLUE_SHIELD — MEDICARE: $765.93 BLUE_SHIELD_NATIONAL — COMMERCIAL: $3,129.98 CIGNA_HMO — COMMERCIAL: $3,067.89 CIGNA_PPO — COMMERCIAL: $3,067.89 COVENTRY — COMMERCIAL: $2,629.62 COVENTRY — MEDICARE: $765.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERG ROOM COMPREHENSIVE	$2,942.25	$1,471.12	$765.93 – $2,942.25
Emergency room visit (high): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $2,118.42 AETNA — MEDICARE: $765.93 ANTHEM_BCBS — COMMERCIAL: $2,374.40 ANTHEM_BCBS — MEDICARE: $765.93 BLUE_SHIELD — MEDICARE: $765.93 BLUE_SHIELD_NATIONAL — COMMERCIAL: $2,521.51 CIGNA_HMO — COMMERCIAL: $2,471.49 CIGNA_PPO — COMMERCIAL: $2,471.49 COVENTRY — COMMERCIAL: $2,118.42 COVENTRY — MEDICARE: $765.93

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: BASIC METABOLIC PANEL	$151.25	$75.62	$8.46 – $151.25
Basic metabolic panel (blood test): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $108.90 AETNA — MEDICARE: $8.46 ANTHEM_BCBS — COMMERCIAL: $42.32 ANTHEM_BCBS — MEDICARE: $8.46 BLUE_SHIELD — MEDICARE: $8.46 BLUE_SHIELD_NATIONAL — COMMERCIAL: $13.29 CIGNA_HMO — COMMERCIAL: $127.05 CIGNA_PPO — COMMERCIAL: $127.05 COVENTRY — COMMERCIAL: $108.90 COVENTRY — MEDICARE: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL	$243.50	$121.75	$10.56 – $243.50
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $175.32 AETNA — MEDICARE: $10.56 ANTHEM_BCBS — COMMERCIAL: $52.92 ANTHEM_BCBS — MEDICARE: $10.56 BLUE_SHIELD — MEDICARE: $10.56 BLUE_SHIELD_NATIONAL — COMMERCIAL: $16.59 CIGNA_HMO — COMMERCIAL: $204.54 CIGNA_PPO — COMMERCIAL: $204.54 COVENTRY — COMMERCIAL: $175.32 COVENTRY — MEDICARE: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSETRIC PANEL	$213.50	$106.75	$47.81 – $213.50
Obstetric blood test panel: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $153.72 AETNA — MEDICARE: $47.81 ANTHEM_BCBS — COMMERCIAL: $82.35 ANTHEM_BCBS — MEDICARE: $47.81 BLUE_SHIELD — MEDICARE: $47.81 BLUE_SHIELD_NATIONAL — COMMERCIAL: $209.44 CIGNA_HMO — COMMERCIAL: $179.34 CIGNA_PPO — COMMERCIAL: $179.34 COVENTRY — COMMERCIAL: $153.72 COVENTRY — MEDICARE: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$215.75	$107.88	$13.39 – $215.75
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $155.34 AETNA — MEDICARE: $13.39 ANTHEM_BCBS — COMMERCIAL: $66.96 ANTHEM_BCBS — MEDICARE: $13.39 BLUE_SHIELD — MEDICARE: $13.39 BLUE_SHIELD_NATIONAL — COMMERCIAL: $21.03 CIGNA_HMO — COMMERCIAL: $181.23 CIGNA_PPO — COMMERCIAL: $181.23 COVENTRY — COMMERCIAL: $155.34 COVENTRY — MEDICARE: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$181.25	$90.62	$8.68 – $181.25
Kidney function panel: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $130.50 AETNA — MEDICARE: $8.68 ANTHEM_BCBS — COMMERCIAL: $43.40 ANTHEM_BCBS — MEDICARE: $8.68 BLUE_SHIELD — MEDICARE: $8.68 BLUE_SHIELD_NATIONAL — COMMERCIAL: $13.62 CIGNA_HMO — COMMERCIAL: $152.25 CIGNA_PPO — COMMERCIAL: $152.25 COVENTRY — COMMERCIAL: $130.50 COVENTRY — MEDICARE: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER PANEL	$118.25	$59.12	$8.17 – $118.25
Liver function panel: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $85.14 AETNA — MEDICARE: $8.17 ANTHEM_BCBS — COMMERCIAL: $40.87 ANTHEM_BCBS — MEDICARE: $8.17 BLUE_SHIELD — MEDICARE: $8.17 BLUE_SHIELD_NATIONAL — COMMERCIAL: $12.83 CIGNA_HMO — COMMERCIAL: $99.33 CIGNA_PPO — COMMERCIAL: $99.33 COVENTRY — COMMERCIAL: $85.14 COVENTRY — MEDICARE: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$119.75	$59.88	$8.17 – $119.75
Liver function panel: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $86.22 AETNA — MEDICARE: $8.17 ANTHEM_BCBS — COMMERCIAL: $40.87 ANTHEM_BCBS — MEDICARE: $8.17 BLUE_SHIELD — MEDICARE: $8.17 BLUE_SHIELD_NATIONAL — COMMERCIAL: $12.83 CIGNA_HMO — COMMERCIAL: $100.59 CIGNA_PPO — COMMERCIAL: $100.59 COVENTRY — COMMERCIAL: $86.22 COVENTRY — MEDICARE: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS, COMPLETE	$150	$75	$3.17 – $150
Urine test (automated, with microscope): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $108 AETNA — MEDICARE: $3.17 ANTHEM_BCBS — COMMERCIAL: $15.28 ANTHEM_BCBS — MEDICARE: $3.17 BLUE_SHIELD — MEDICARE: $3.17 BLUE_SHIELD_NATIONAL — COMMERCIAL: $4.98 CIGNA_HMO — COMMERCIAL: $126 CIGNA_PPO — COMMERCIAL: $126 COVENTRY — COMMERCIAL: $108 COVENTRY — MEDICARE: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE CLINITEST	$36.50	$18.25	$3.48 – $36.50
Urine test (manual, without microscope): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $26.28 AETNA — MEDICARE: $3.48 ANTHEM_BCBS — COMMERCIAL: $11.88 ANTHEM_BCBS — MEDICARE: $3.48 BLUE_SHIELD — MEDICARE: $3.48 BLUE_SHIELD_NATIONAL — COMMERCIAL: $4.01 CIGNA_HMO — COMMERCIAL: $30.66 CIGNA_PPO — COMMERCIAL: $30.66 COVENTRY — COMMERCIAL: $26.28 COVENTRY — MEDICARE: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS, CHEMICAL ONLY	$36.50	$18.25	$2.25 – $36.50
Urine test (automated, without microscope): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $26.28 AETNA — MEDICARE: $2.25 ANTHEM_BCBS — COMMERCIAL: $11.24 ANTHEM_BCBS — MEDICARE: $2.25 BLUE_SHIELD — MEDICARE: $2.25 BLUE_SHIELD_NATIONAL — COMMERCIAL: $3.53 CIGNA_HMO — COMMERCIAL: $30.66 CIGNA_PPO — COMMERCIAL: $30.66 COVENTRY — COMMERCIAL: $26.28 COVENTRY — MEDICARE: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC ANTIGEN TOTAL	$194	$97	$18.39 – $194
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $139.68 AETNA — MEDICARE: $18.39 ANTHEM_BCBS — COMMERCIAL: $91.98 ANTHEM_BCBS — MEDICARE: $18.39 BLUE_SHIELD — MEDICARE: $18.39 BLUE_SHIELD_NATIONAL — COMMERCIAL: $28.87 CIGNA_HMO — COMMERCIAL: $162.96 CIGNA_PPO — COMMERCIAL: $162.96 COVENTRY — COMMERCIAL: $139.68 COVENTRY — MEDICARE: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$161.50	$80.75	$16.80 – $161.50
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $116.28 AETNA — MEDICARE: $16.80 ANTHEM_BCBS — COMMERCIAL: $84.04 ANTHEM_BCBS — MEDICARE: $16.80 BLUE_SHIELD — MEDICARE: $16.80 BLUE_SHIELD_NATIONAL — COMMERCIAL: $26.36 CIGNA_HMO — COMMERCIAL: $135.66 CIGNA_PPO — COMMERCIAL: $135.66 COVENTRY — COMMERCIAL: $116.28 COVENTRY — MEDICARE: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTOMATED DIFF	$128.25	$64.12	$7.77 – $128.25
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $92.34 AETNA — MEDICARE: $7.77 ANTHEM_BCBS — COMMERCIAL: $38.88 ANTHEM_BCBS — MEDICARE: $7.77 BLUE_SHIELD — MEDICARE: $7.77 BLUE_SHIELD_NATIONAL — COMMERCIAL: $12.20 CIGNA_HMO — COMMERCIAL: $107.73 CIGNA_PPO — COMMERCIAL: $107.73 COVENTRY — COMMERCIAL: $92.34 COVENTRY — MEDICARE: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM & PLT AUTO	$39	$19.50	$6.47 – $39
Complete blood count (CBC), automated: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $28.08 AETNA — MEDICARE: $6.47 ANTHEM_BCBS — COMMERCIAL: $32.35 ANTHEM_BCBS — MEDICARE: $6.47 BLUE_SHIELD — MEDICARE: $6.47 BLUE_SHIELD_NATIONAL — COMMERCIAL: $10.15 CIGNA_HMO — COMMERCIAL: $32.76 CIGNA_PPO — COMMERCIAL: $32.76 COVENTRY — COMMERCIAL: $28.08 COVENTRY — MEDICARE: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: CORRECTED PROTIME	$99.25	$49.62	$4.29 – $99.25
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $71.46 AETNA — MEDICARE: $4.29 ANTHEM_BCBS — COMMERCIAL: $19.69 ANTHEM_BCBS — MEDICARE: $4.29 BLUE_SHIELD — MEDICARE: $4.29 BLUE_SHIELD_NATIONAL — COMMERCIAL: $6.17 CIGNA_HMO — COMMERCIAL: $83.37 CIGNA_PPO — COMMERCIAL: $83.37 COVENTRY — COMMERCIAL: $71.46 COVENTRY — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME(BACKUP)	$99.25	$49.62	$4.29 – $99.25
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $71.46 AETNA — MEDICARE: $4.29 ANTHEM_BCBS — COMMERCIAL: $19.69 ANTHEM_BCBS — MEDICARE: $4.29 BLUE_SHIELD — MEDICARE: $4.29 BLUE_SHIELD_NATIONAL — COMMERCIAL: $6.17 CIGNA_HMO — COMMERCIAL: $83.37 CIGNA_PPO — COMMERCIAL: $83.37 COVENTRY — COMMERCIAL: $71.46 COVENTRY — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME (PT)	$99.25	$49.62	$4.29 – $99.25
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $71.46 AETNA — MEDICARE: $4.29 ANTHEM_BCBS — COMMERCIAL: $19.69 ANTHEM_BCBS — MEDICARE: $4.29 BLUE_SHIELD — MEDICARE: $4.29 BLUE_SHIELD_NATIONAL — COMMERCIAL: $6.17 CIGNA_HMO — COMMERCIAL: $83.37 CIGNA_PPO — COMMERCIAL: $83.37 COVENTRY — COMMERCIAL: $71.46 COVENTRY — MEDICARE: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: CORRECTED PTT	$104.25	$52.12	$6.01 – $104.25
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $75.06 AETNA — MEDICARE: $6.01 ANTHEM_BCBS — COMMERCIAL: $30.03 ANTHEM_BCBS — MEDICARE: $6.01 BLUE_SHIELD — MEDICARE: $6.01 BLUE_SHIELD_NATIONAL — COMMERCIAL: $9.41 CIGNA_HMO — COMMERCIAL: $87.57 CIGNA_PPO — COMMERCIAL: $87.57 COVENTRY — COMMERCIAL: $75.06 COVENTRY — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: APTT(BACKUP)	$96	$48	$6.01 – $96
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $69.12 AETNA — MEDICARE: $6.01 ANTHEM_BCBS — COMMERCIAL: $30.03 ANTHEM_BCBS — MEDICARE: $6.01 BLUE_SHIELD — MEDICARE: $6.01 BLUE_SHIELD_NATIONAL — COMMERCIAL: $9.41 CIGNA_HMO — COMMERCIAL: $80.64 CIGNA_PPO — COMMERCIAL: $80.64 COVENTRY — COMMERCIAL: $69.12 COVENTRY — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$96	$48	$6.01 – $96
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $69.12 AETNA — MEDICARE: $6.01 ANTHEM_BCBS — COMMERCIAL: $30.03 ANTHEM_BCBS — MEDICARE: $6.01 BLUE_SHIELD — MEDICARE: $6.01 BLUE_SHIELD_NATIONAL — COMMERCIAL: $9.41 CIGNA_HMO — COMMERCIAL: $80.64 CIGNA_PPO — COMMERCIAL: $80.64 COVENTRY — COMMERCIAL: $69.12 COVENTRY — MEDICARE: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT HEAD W/O CONTRAST	$2,220.75	$1,110.38	$134.46 – $2,220.75
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $1,598.94 AETNA — MEDICARE: $134.46 ANTHEM_BCBS — COMMERCIAL: $670.36 ANTHEM_BCBS — MEDICARE: $134.46 BLUE_SHIELD — MEDICARE: $134.46 BLUE_SHIELD_NATIONAL — COMMERCIAL: $1,055.68 CIGNA_HMO — COMMERCIAL: $2,220.75 CIGNA_PPO — COMMERCIAL: $2,220.75 COVENTRY — COMMERCIAL: $1,598.94 COVENTRY — MEDICARE: $134.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI BRAIN/STEM W/O CONR ADDL SEQ WIT	$6,278.75	$3,139.38	$448.70 – $6,278.75
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $4,520.70 AETNA — MEDICARE: $448.70 ANTHEM_BCBS — COMMERCIAL: $3,119.25 ANTHEM_BCBS — MEDICARE: $448.70 BLUE_SHIELD — MEDICARE: $448.70 BLUE_SHIELD_NATIONAL — COMMERCIAL: $5,562.31 CIGNA_HMO — COMMERCIAL: $3,131 CIGNA_PPO — COMMERCIAL: $3,131 COVENTRY — COMMERCIAL: $4,520.70 COVENTRY — MEDICARE: $448.70
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: CHEST 2V PORTABLE	$497	$248.50	$111.92 – $497
Chest X-ray, 2 views: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $357.84 AETNA — MEDICARE: $111.92 ANTHEM_BCBS — COMMERCIAL: $116.66 ANTHEM_BCBS — MEDICARE: $111.92 BLUE_SHIELD — MEDICARE: $111.92 BLUE_SHIELD_NATIONAL — COMMERCIAL: $117.43 CIGNA_HMO — COMMERCIAL: $417.48 CIGNA_PPO — COMMERCIAL: $417.48 COVENTRY — COMMERCIAL: $357.84 COVENTRY — MEDICARE: $111.92
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: CHEST 2V PA & LAT	$426.25	$213.12	$111.92 – $426.25
Chest X-ray, 2 views: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $306.90 AETNA — MEDICARE: $111.92 ANTHEM_BCBS — COMMERCIAL: $116.66 ANTHEM_BCBS — MEDICARE: $111.92 BLUE_SHIELD — MEDICARE: $111.92 BLUE_SHIELD_NATIONAL — COMMERCIAL: $117.43 CIGNA_HMO — COMMERCIAL: $358.05 CIGNA_PPO — COMMERCIAL: $358.05 COVENTRY — COMMERCIAL: $306.90 COVENTRY — MEDICARE: $111.92
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: L SPINE 4 5 VIEWS	$821.25	$410.62	$130.97 – $821.25
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $591.30 AETNA — MEDICARE: $134.46 ANTHEM_BCBS — COMMERCIAL: $130.97 ANTHEM_BCBS — MEDICARE: $134.46 BLUE_SHIELD — MEDICARE: $134.46 BLUE_SHIELD_NATIONAL — COMMERCIAL: $204.52 CIGNA_HMO — COMMERCIAL: $689.85 CIGNA_PPO — COMMERCIAL: $689.85 COVENTRY — COMMERCIAL: $591.30 COVENTRY — MEDICARE: $134.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI LUMBAR SPINE W/O CONTR	$4,130.25	$2,065.12	$306.88 – $4,130.25
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $2,973.78 AETNA — MEDICARE: $306.88 ANTHEM_BCBS — COMMERCIAL: $1,756.05 ANTHEM_BCBS — MEDICARE: $306.88 BLUE_SHIELD — MEDICARE: $306.88 BLUE_SHIELD_NATIONAL — COMMERCIAL: $2,776.70 CIGNA_HMO — COMMERCIAL: $3,131 CIGNA_PPO — COMMERCIAL: $3,131 COVENTRY — COMMERCIAL: $2,973.78 COVENTRY — MEDICARE: $306.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT PELVIS WITH CONTRAST	$3,254	$1,627	$225.59 – $3,254
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $2,342.88 AETNA — MEDICARE: $225.59 ANTHEM_BCBS — COMMERCIAL: $969.05 ANTHEM_BCBS — MEDICARE: $225.59 BLUE_SHIELD — MEDICARE: $225.59 BLUE_SHIELD_NATIONAL — COMMERCIAL: $1,529.70 CIGNA_HMO — COMMERCIAL: $2,430 CIGNA_PPO — COMMERCIAL: $2,430 COVENTRY — COMMERCIAL: $2,342.88 COVENTRY — MEDICARE: $225.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI LOWER JOINT W/O CONTRAST	$4,313	$2,156.50	$306.88 – $4,313
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $3,105.36 AETNA — MEDICARE: $306.88 ANTHEM_BCBS — COMMERCIAL: $1,578.14 ANTHEM_BCBS — MEDICARE: $306.88 BLUE_SHIELD — MEDICARE: $306.88 BLUE_SHIELD_NATIONAL — COMMERCIAL: $2,472.18 CIGNA_HMO — COMMERCIAL: $3,131 CIGNA_PPO — COMMERCIAL: $3,131 COVENTRY — COMMERCIAL: $3,105.36 COVENTRY — MEDICARE: $306.88
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT ABD & PELVIS W/CONT	$5,418.50	$2,709.25	$448.70 – $5,418.50
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $3,901.32 AETNA — MEDICARE: $448.70 ANTHEM_BCBS — COMMERCIAL: $1,003.56 ANTHEM_BCBS — MEDICARE: $448.70 BLUE_SHIELD — MEDICARE: $448.70 BLUE_SHIELD_NATIONAL — COMMERCIAL: $1,587.55 CIGNA_HMO — COMMERCIAL: $2,430 CIGNA_PPO — COMMERCIAL: $2,430 COVENTRY — COMMERCIAL: $3,901.32 COVENTRY — MEDICARE: $448.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: MAMMOGRAPHY BILATERAL SCREENING WITH IMPLANTS	$475.75	$237.88	$99.75 – $475.75
Screening mammogram, both breasts: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $342.54 AETNA — MEDICARE: $99.75 ANTHEM_BCBS — COMMERCIAL: $405.92 ANTHEM_BCBS — MEDICARE: $99.75 BLUE_SHIELD — MEDICARE: $99.75 BLUE_SHIELD_NATIONAL — COMMERCIAL: $466.71 CIGNA_HMO — COMMERCIAL: $399.63 CIGNA_PPO — COMMERCIAL: $399.63 COVENTRY — COMMERCIAL: $342.54 COVENTRY — MEDICARE: $99.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: CAD SCREENING MAMMOGRAPHY	$149.50	$74.75	$89.70 – $149.50
Screening mammogram, both breasts: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $107.64 AETNA — MEDICARE: $99.75 ANTHEM_BCBS — COMMERCIAL: $149.50 ANTHEM_BCBS — MEDICARE: $99.75 BLUE_SHIELD — MEDICARE: $99.75 BLUE_SHIELD_NATIONAL — COMMERCIAL: $146.66 CIGNA_HMO — COMMERCIAL: $125.58 CIGNA_PPO — COMMERCIAL: $125.58 COVENTRY — COMMERCIAL: $107.64 COVENTRY — MEDICARE: $99.75

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY DIAGNOSTIC	$4,726.50	$2,363.25	$942.86 – $4,726.50
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $3,403.08 AETNA — MEDICARE: $1,104.48 ANTHEM_BCBS — COMMERCIAL: $942.86 ANTHEM_BCBS — MEDICARE: $1,104.48 BLUE_SHIELD — MEDICARE: $1,104.48 BLUE_SHIELD_NATIONAL — COMMERCIAL: $3,464.02 CIGNA_HMO — COMMERCIAL: $3,970.26 CIGNA_PPO — COMMERCIAL: $3,970.26 COVENTRY — COMMERCIAL: $3,403.08 COVENTRY — MEDICARE: $1,104.48

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) · modifier GP In the file: THERAPEUTIC EXERCISE (15 MIN)	$116.75	$58.38	$30.47 – $116.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $84.06 AETNA — MEDICARE: $30.47 ANTHEM_BCBS — COMMERCIAL: $116.75 ANTHEM_BCBS — MEDICARE: $30.47 BLUE_SHIELD — MEDICARE: $30.47 BLUE_SHIELD_NATIONAL — COMMERCIAL: $114.53 CIGNA_HMO — COMMERCIAL: $98.07 CIGNA_PPO — COMMERCIAL: $98.07 COVENTRY — COMMERCIAL: $84.06 COVENTRY — MEDICARE: $30.47
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT LOW EVAL	$228	$114	$103 – $228
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $164.16 AETNA — MEDICARE: $103 ANTHEM_BCBS — COMMERCIAL: $228 ANTHEM_BCBS — MEDICARE: $103 BLUE_SHIELD — MEDICARE: $103 BLUE_SHIELD_NATIONAL — COMMERCIAL: $223.67 CIGNA_HMO — COMMERCIAL: $191.52 CIGNA_PPO — COMMERCIAL: $191.52 COVENTRY — COMMERCIAL: $164.16 COVENTRY — MEDICARE: $103
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT MOD EVAL	$247.25	$123.62	$103 – $247.25
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $178.02 AETNA — MEDICARE: $103 ANTHEM_BCBS — COMMERCIAL: $247.25 ANTHEM_BCBS — MEDICARE: $103 BLUE_SHIELD — MEDICARE: $103 BLUE_SHIELD_NATIONAL — COMMERCIAL: $242.55 CIGNA_HMO — COMMERCIAL: $207.69 CIGNA_PPO — COMMERCIAL: $207.69 COVENTRY — COMMERCIAL: $178.02 COVENTRY — MEDICARE: $103
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT HI EVAL	$283.75	$141.88	$103 – $283.75
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates AETNA — COMMERCIAL: $204.30 AETNA — MEDICARE: $103 ANTHEM_BCBS — COMMERCIAL: $283.75 ANTHEM_BCBS — MEDICARE: $103 BLUE_SHIELD — MEDICARE: $103 BLUE_SHIELD_NATIONAL — COMMERCIAL: $278.36 CIGNA_HMO — COMMERCIAL: $238.35 CIGNA_PPO — COMMERCIAL: $238.35 COVENTRY — COMMERCIAL: $204.30 COVENTRY — MEDICARE: $103

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: SPINAL CANAL OF LOWER BACK OR SACRUM INJ	$1,858	$929	$907.88 – $1,858
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates AETNA — COMMERCIAL: $1,337.76 AETNA — MEDICARE: $907.88 ANTHEM_BCBS — COMMERCIAL: $1,858 ANTHEM_BCBS — MEDICARE: $907.88 BLUE_SHIELD — MEDICARE: $907.88 BLUE_SHIELD_NATIONAL — COMMERCIAL: $1,822.70 CIGNA_HMO — COMMERCIAL: $1,858 CIGNA_PPO — COMMERCIAL: $1,858 COVENTRY — COMMERCIAL: $1,337.76 COVENTRY — MEDICARE: $907.88

Source: Lompoc Valley Medical Center’s standard charges file (lompocvalleymedicalcenter.pg.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (lompocvalleymedicalcenter.pg.revenuemasters.com), because the hospital has no cms-hpt.txt file; both are 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	1515 E Ocean Avenue, Lompoc, CA 93436
County	Santa Barbara County
State	California
Phone	(805) 737‑3300
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050110
Name in Medicare records	LOMPOC VALLEY MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	lompocvmc.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Lompoc Valley Medical Center home — lompocvmc.com
Emergency Room — lompocvmc.com
Awards & Accreditations — lompocvmc.com
Lompoc Valley Medical Center — lompocvmc.com
Services — lompocvmc.com
Inpatient Hospital Services - Lompoc Valley Medical Center — lompocvmc.com
Outpatient Dietitian Services - Lompoc Valley Medical Center — lompocvmc.com
Laboratory Services - Lompoc Valley Medical Center — lompocvmc.com
Rehabilitation Services - Lompoc Valley Medical Center — lompocvmc.com
Imaging & Radiology - Lompoc Valley Medical Center — lompocvmc.com
Awards & Accreditations - Lompoc Valley Medical Center — lompocvmc.com
Awards and Recognitions - Lompoc Valley Medical Center — lompocvmc.com
Bariatrics - Lompoc Valley Medical Center — lompocvmc.com
Medical Surgical Services - Lompoc Valley Medical Center — lompocvmc.com
Emergency Room - Lompoc Valley Medical Center — lompocvmc.com
Pelvic Therapy Services - Lompoc Valley Medical Center — lompocvmc.com
Lompoc Valley Medical Center Earns National “Safety Net” Award - Lompoc Valley Medical Center — lompocvmc.com
Our Rehabilitation Services - Lompoc Valley Medical Center — lompocvmc.com

Lompoc Valley Medical Center

Summary

Profile from official sources

At a glance