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Children's Hospital

Lucile Salter Packard Children's HSP at Stanford

Palo Alto, California · Santa Clara County

Summary

Lucile Salter Packard Children's HSP at Stanford is a children's hospital in Palo Alto, California. Medicare data does not list emergency services. Its official website lists 79 services, specialties and programs. Medicare lists 57 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a children's hospital?

A hospital that treats babies, children and teenagers, with doctors and equipment made for young patients. More about hospital types

Call(650) 497‑8000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
361Beds (hospital website)
57Doctors and clinicians
79Services listed

Quick answers

Does Lucile Salter Packard Children's HSP at Stanford have an emergency room?
Medicare (CMS) data does not list emergency services at Lucile Salter Packard Children's HSP at Stanford. The closest hospitals that do: Stanford Health Care (1.3 mi), Palo Alto VA Medical Center (3.0 mi) and Kaiser Foundation Hospital - Redwood City (4.6 mi). In a medical emergency, call 911.
Where is Lucile Salter Packard Children's HSP at Stanford?
725 Welch Road, Palo Alto, CA 94304, in Santa Clara County, California.
What is the phone number of Lucile Salter Packard Children's HSP at Stanford?
(650) 497-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Lucile Salter Packard Children's HSP at Stanford?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][9][10][11][12]

Conditions treated[9][11][12][13][17][18][19][20]

Treatments[11][12][17][19]

Procedures[9][11][12][13][14][18]

  • Pulmonary artery reconstruction
  • Complex biventricular reconstruction
  • Unifocalization
  • Potts shunt (CEAL)
  • Cardiac catheterization
  • Electrophysiology study and ablation
  • Pacemaker implantation
  • Implantable cardioverter-defibrillator (ICD) implantation
  • Preterm PDA closure
  • Fetal echocardiography
  • Cardiopulmonary exercise stress testing
  • Robotic-assisted brain surgery (ROSA)

Programs and centers[4][11][12][15][16][18][19][20]

  • Brain & Behavior Center
  • Cancer Center
  • Heart Center
  • Pregnancy & Newborn Center
  • Pulmonary Center
  • Transplant Center
  • Perinatal Diagnostic Center
  • Betty Irene Moore Children's Heart Center
  • Pediatric Advanced Cardiac Therapies (PACT) Program
  • Single Ventricle Program
  • Center for Advanced Lung (CEAL) Therapies
  • Stanford Adult Congenital Heart Program
  • Complex Biventricular Reconstruction Program

Visiting and practical information

VisitingGeneral visiting hours 8 a.m.-9 p.m. daily; quiet hours 9 p.m.-8 a.m.; unit rules vary[5]
ParkingVisitors use the Main building garage (West garage with shuttle as alternative); first hour free then $2-$12 up to 24 hours[4]
Interpreters and languagesFree interpreter services: in-person Spanish, Cantonese, Mandarin, Vietnamese; phone/video in many languages; ASL video[6]
Patient portalMyChart

Recognition[7]

  • U.S. News & World Report Best Children's Hospitals 2026-2027, ranked in all specialties

Doctors and clinicians (57)

57 doctors and other clinicians list Lucile Salter Packard Children's HSP at Stanford as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (57)

And 33 more: the button below opens the full list.

Nearest emergency rooms

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Lucile Salter Packard Children's HSP at Stanford 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.

Not reported to Medicare

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)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

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

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 CaliforniaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Lucile Salter Packard Children's HSP at Stanford 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 →

$ 71 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC Clinic Use Lvl 3 New Pt $155 $77.50 $65.41 – $80.60
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $80.60
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $75.31
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $75.31
  • CIGNA — CIGNA COM ALT HMO PLAN: $65.41
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $80.60
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office/Outpatient New Low Mdm 30 Minutes $424 Not listed in the file $169.60 – $424
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $424
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $350.95
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $260.36
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $409.79
  • OPTUM — PB OPTUM CHD ALT PLANS: $212
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $233.20
  • UNITED HEALTHCARE — PB UHC PLANS: $407.31
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: Office/Outpatient New Low Mdm 30 Minutes $424 Not listed in the file $169.60 – $424
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • CIGNA — PB CIGNA HMO PLANS: $256.18
  • CIGNA — PB CIGNA PPO PLANS: $256.18
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC Clinic Use Lvl 4 New Pt $190 $95 $80.18 – $98.80
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $98.80
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $92.32
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $92.32
  • CIGNA — CIGNA COM ALT HMO PLAN: $80.18
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $98.80
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office/Outpatient New Moderate Mdm 45 Minutes $644 Not listed in the file $257.60 – $644
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $644
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $522.63
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $372.73
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $586.64
  • OPTUM — PB OPTUM CHD ALT PLANS: $322
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $354.20
  • UNITED HEALTHCARE — PB UHC PLANS: $611.88
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: Office/Outpatient New Moderate Mdm 45 Minutes $644 Not listed in the file $257.60 – $644
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • CIGNA — PB CIGNA HMO PLANS: $438.33
  • CIGNA — PB CIGNA PPO PLANS: $438.33
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC Clinic Use Lvl 5 New Pt $215 $107.50 $90.73 – $111.80
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $111.80
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $104.47
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $104.47
  • CIGNA — CIGNA COM ALT HMO PLAN: $90.73
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $111.80
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office/Outpatient New High Mdm 60 Minutes $799 Not listed in the file $319.60 – $799
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $799
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $650.50
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $435.33
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $685.16
  • CIGNA — PB CIGNA HMO PLANS: $729.28
  • CIGNA — PB CIGNA PPO PLANS: $729.28
  • OPTUM — PB OPTUM CHD ALT PLANS: $399.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $439.45
  • UNITED HEALTHCARE — PB UHC PLANS: $769.75
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier SA In the file: Office/Outpatient New High Mdm 60 Minutes|NURSE PRACTITIONER W PHYSICI $799 Not listed in the file $319.60 – $799
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $799
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $650.50
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $435.33
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $685.16
  • CIGNA — PB CIGNA HMO PLANS: $729.28
  • CIGNA — PB CIGNA PPO PLANS: $729.28
  • OPTUM — PB OPTUM CHD ALT PLANS: $399.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $439.45
  • UNITED HEALTHCARE — PB UHC PLANS: $769.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC Clinic Use Lvl 3 Estab Pt $121 $60.50 $51.06 – $62.92
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $62.92
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $58.79
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $58.79
  • CIGNA — CIGNA COM ALT HMO PLAN: $51.06
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $62.92
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC E&M Level 3 Estab Patient $623 $311.50 $262.91 – $323.96
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $323.96
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $302.72
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $302.72
  • CIGNA — CIGNA COM ALT HMO PLAN: $262.91
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $323.96
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/Outpatient Established Low Mdm 20 Min $299 Not listed in the file $119.60 – $299
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $288.82
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $227.25
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $182.82
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $287.74
  • CIGNA — PB CIGNA HMO PLANS: $270.37
  • CIGNA — PB CIGNA PPO PLANS: $270.37
  • OPTUM — PB OPTUM CHD ALT PLANS: $149.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $164.45
  • UNITED HEALTHCARE — PB UHC PLANS: $285.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC Clinic Use Lvl 4 Estab Pt $148 $74 $62.46 – $76.96
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $76.96
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $71.91
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $71.91
  • CIGNA — CIGNA COM ALT HMO PLAN: $62.46
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $76.96
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/Outpatient Established Mod Mdm 30 Min $423 Not listed in the file $169.20 – $423
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $423
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $342.88
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $247.29
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $389.21
  • CIGNA — PB CIGNA HMO PLANS: $389.94
  • CIGNA — PB CIGNA PPO PLANS: $389.94
  • OPTUM — PB OPTUM CHD ALT PLANS: $211.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $232.65
  • UNITED HEALTHCARE — PB UHC PLANS: $411.57
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: HC Office Consult Lvl 3 $282 $141 $119 – $146.64
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $146.64
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $137.02
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $137.02
  • CIGNA — CIGNA COM ALT HMO PLAN: $119
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $146.64
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: HC Level 3 Midlevel Consult $885 $442.50 $373.47 – $460.20
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $460.20
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $430.02
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $430.02
  • CIGNA — CIGNA COM ALT HMO PLAN: $373.47
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $460.20
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: HC Lactation Consult 30-45 Min $248 $124 $104.66 – $128.96
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $128.96
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $120.50
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $120.50
  • CIGNA — CIGNA COM ALT HMO PLAN: $104.66
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $128.96
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: HC Office Consult Lvl 4 $399 $199.50 $168.38 – $207.48
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $207.48
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $193.87
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $193.87
  • CIGNA — CIGNA COM ALT HMO PLAN: $168.38
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $207.48
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: HC Lactation Consult 45-60 Min $332 $166 $140.10 – $172.64
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $172.64
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $161.32
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $161.32
  • CIGNA — CIGNA COM ALT HMO PLAN: $140.10
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $172.64
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $730 Not listed in the file $292 – $712.75
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $712.75
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $667.55
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $361.87
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $569.55
  • OPTUM — PB OPTUM CHD ALT PLANS: $365
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $401.50
  • UNITED HEALTHCARE — PB UHC PLANS: $682.37

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC Metabolic Pnl Basic $1,035 $517.50 $502.91
Basic metabolic panel (blood test): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $399.51
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $502.91
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $399.51
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC Basic Metabolic Panel $568 $284 $275.99
Basic metabolic panel (blood test): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $219.25
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $275.99
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $219.25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC Metabolic Pnl Comp $1,243 $621.50 $603.97
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $479.80
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $603.97
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $479.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC Comprehensive Metabolic Panel $789 $394.50 $383.38
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $304.55
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $383.38
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $304.55
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC Lipid Panel - Calculated Ld $662 $331 $321.67
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $255.53
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $321.67
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $321.67
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $255.53
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC Renal Function Panel $1,006 $503 $488.82
Kidney function panel: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $388.32
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $488.82
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $488.82
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $388.32
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC Hepatic Fxn Panel $861 $430.50 $418.36
Liver function panel: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $332.35
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $418.36
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $418.36
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $332.35
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC Hepatic Function Panel $410 $205 $199.22
Liver function panel: rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $158.26
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $199.22
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $199.22
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $158.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC Ua Auto W Micro $669 $334.50 $325.07
Urine test (automated, with microscope): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $258.23
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $325.07
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $325.07
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $258.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC Urine Routine-Micro $426 $213 $206.99
Urine test (automated, with microscope): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $164.44
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $206.99
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $164.44
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC Specific Gravity $74 $37 $35.96
Urine test (manual, without microscope): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $28.56
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $35.96
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $35.96
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $28.56
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC Myoglobin Scrn Urin $85 $42.50 $41.30
Urine test (manual, without microscope): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $32.81
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $41.30
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $41.30
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $32.81
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC Urinalysis Dipstick WO Micro $186 $93 $90.38
Urine test (manual, without microscope): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $71.80
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $90.38
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $90.38
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $71.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC Urinalysis Auto Without Micro $366 $183 $177.84
Urine test (automated, without microscope): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $141.28
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $177.84
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $177.84
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $141.28
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC Urn Screen POC $366 $183 $177.84
Urine test (automated, without microscope): rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $141.28
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $177.84
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $177.84
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $141.28
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC Psa $584 $292 $283.77
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $225.42
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $283.77
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $283.77
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $225.42
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC Psa Ultrasensitive $584 $292 $283.77
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $225.42
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $283.77
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $283.77
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $225.42
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC Tfpsa Psa Total $584 $292 $283.77
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $225.42
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $283.77
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $283.77
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $225.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC Highly Sensitive Tsh $661 $330.50 $321.18
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $255.15
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $321.18
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $321.18
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $255.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC Tshft4 Tsh $661 $330.50 $321.18
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $255.15
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $321.18
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $321.18
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $255.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC 102 Nbs/Tsh $20.17 $10.08 $9.80
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $7.79
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $9.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC Cbc Auto W Diff $821 $410.50 $398.92
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $316.91
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $398.92
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $398.92
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $316.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC Cbc W/Auto Diff $445 $222.50 $216.23
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $171.77
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $216.23
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $171.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC 402 Chla Immuno Cyto $10.06 $5.03 $4.89
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $4.89
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC Complete Blood Count $444 $222 $215.74
Complete blood count (CBC), automated: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $171.38
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $215.74
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $215.74
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $171.38
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC Cbc Auto WO Diff $717 $358.50 $348.39
Complete blood count (CBC), automated: rates for 5 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $276.76
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $348.39
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $348.39
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $276.76
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC Cbc Automated $360 $180 $174.92
Complete blood count (CBC), automated: rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $138.96
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $174.92
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $138.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC Prothrombin Time $410 $205 $199.22
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $158.26
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $199.22
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $158.26
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC Patient Pt Inh Scrn $331 $165.50 $160.83
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $127.77
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $160.83
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $127.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC Control Pt Inh Scrn $331 $165.50 $160.83
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $127.77
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $160.83
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $127.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC Thromplas Ptt $564 $282 $274.05
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $217.70
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $274.05
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC Pttinh 5 Min Normal Plasma $564 $282 $274.05
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $217.70
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $274.05
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC Ptt Inh 5 Min Pt $463 $231.50 $224.97
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $178.72
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $224.97
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT Head WO Contrast $8,648 $4,324 $4,202.06
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $4,073.21
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $4,202.06
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $4,202.06
  • CIGNA — CIGNA COM ALT HMO PLAN: $3,649.46
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $4,073.21
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI Brain W&WO Contrast $15,635 $7,817.50 $7,597.05
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $7,364.09
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $7,597.05
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $7,597.05
  • CIGNA — CIGNA COM ALT HMO PLAN: $6,597.97
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $7,364.09
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI Brain W & WO Con Lmtd $4,009 $2,004.50 $1,947.97
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,947.97
  • CIGNA — CIGNA COM ALT HMO PLAN: $1,691.80
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC Xr Chest 2v $2,373 $1,186.50 $1,001.41 – $1,153.04
Chest X-ray, 2 views: rates for 8 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $1,117.68
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,153.04
  • CIGNA — CIGNA COM ALT HMO PLAN: $1,001.41
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $1,117.68
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC Xr Chest Decub 2v $2,073 $1,036.50 $874.81 – $1,007.27
Chest X-ray, 2 views: rates for 8 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $976.38
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,007.27
  • CIGNA — CIGNA COM ALT HMO PLAN: $874.81
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $976.38
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC Xr Spine Lumbar 4v+ $2,255 $1,127.50 $951.61 – $1,095.70
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $1,062.11
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,095.70
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $1,095.70
  • CIGNA — CIGNA COM ALT HMO PLAN: $951.61
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $1,062.11
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI L Spine WO Contrast $12,294 $6,147 $5,973.65
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $5,790.47
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $5,973.65
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $5,973.65
  • CIGNA — CIGNA COM ALT HMO PLAN: $5,188.07
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $5,790.47
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI Spine Lumbar WO Cont Limited $8,238 $4,119 $4,002.84
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $3,880.10
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $4,002.84
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $4,002.84
  • CIGNA — CIGNA COM ALT HMO PLAN: $3,476.44
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT Pelvis W Contrast $12,682 $6,341 $6,162.18
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $5,973.22
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $6,162.18
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $6,162.18
  • CIGNA — CIGNA COM ALT HMO PLAN: $5,351.80
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $5,973.22
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MR Limited Stress Scan Jt $7,796 $3,898 $3,788.08
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $3,671.92
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $3,788.08
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $3,788.08
  • CIGNA — CIGNA COM ALT HMO PLAN: $3,289.91
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $3,671.92
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI Lower Ext Jt WO Cont $12,294 $6,147 $5,973.65
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $5,790.47
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $5,973.65
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $5,973.65
  • CIGNA — CIGNA COM ALT HMO PLAN: $5,188.07
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $5,790.47
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI Lower Ext Multi Jts Lmtd WO Cont $6,212 $3,106 $3,018.41
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $2,925.85
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $3,018.41
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $3,018.41
  • CIGNA — CIGNA COM ALT HMO PLAN: $2,621.46
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $2,925.85
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT Abd & Pelv W Cont $16,912 $8,456 $8,217.54
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $7,965.55
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $8,217.54
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $8,217.54
  • CIGNA — CIGNA COM ALT HMO PLAN: $7,136.86
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $7,965.55
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US Abdomen Complete $4,273 $2,136.50 $1,803.21 – $2,076.25
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $2,012.58
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $2,076.25
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $2,076.25
  • CIGNA — CIGNA COM ALT HMO PLAN: $1,803.21
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $2,012.58
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC Abdomen Complete W Cont $3,993 $1,996.50 $1,685.05 – $1,940.20
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $1,880.70
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,940.20
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $1,940.20
  • CIGNA — CIGNA COM ALT HMO PLAN: $1,685.05
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $1,880.70
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US Comp > 1st Tri 1st Gest $2,665 $1,332.50 $1,124.63 – $1,294.92
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $1,255.22
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,294.92
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $1,294.92
  • CIGNA — CIGNA COM ALT HMO PLAN: $1,124.63
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $1,255.22
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US Transvaginal Non OB $2,736 $1,368 $1,154.59 – $1,329.42
Transvaginal ultrasound: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $1,288.66
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $1,329.42
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $1,329.42
  • CIGNA — CIGNA COM ALT HMO PLAN: $1,154.59
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $1,288.66
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC Cath Lt Hrt W Lt Ventrclogrphy $36,642 $18,321 $17,804.35
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $63,035
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $17,804.35
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $17,804.35
  • CIGNA — CIGNA COM ALT HMO PLAN: $20,493.87
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $63,035
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC Ep Stdy WO Induction $37,317 $18,658.50 $18,132.33
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $18,132.33
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $18,132.33
  • CIGNA — CIGNA COM ALT HMO PLAN: $20,871.40
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC Ep Stdy W Abltn Pulm Vein Afib $73,295 $36,647.50 $35,614.04
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $35,614.04
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $35,614.04
  • CIGNA — CIGNA COM ALT HMO PLAN: $40,993.89
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC Polysomnography 4+ 6+ Yrs $14,478 $7,239 $6,109.72 – $7,528.56
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $7,528.56
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $7,034.86
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $7,034.86
  • CIGNA — CIGNA COM ALT HMO PLAN: $6,109.72
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $7,528.56
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC Tx Strgth Rom Flex Ea 15 Min $642 $321 $270.92 – $333.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $333.84
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $311.95
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $311.95
  • CIGNA — CIGNA COM ALT HMO PLAN: $270.92
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic Px 1/> Areas Each 15 Min Exercises $129 Not listed in the file $51.60 – $129
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $85.53
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $99.06
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $129
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $129
  • CIGNA — PB CIGNA HMO PLANS: $111.33
  • CIGNA — PB CIGNA PPO PLANS: $111.33
  • OPTUM — PB OPTUM CHD ALT PLANS: $64.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $70.95
  • UNITED HEALTHCARE — PB UHC PLANS: $127.36
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC Pt Eval Low Complexity $688 $344 $290.34 – $357.76
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $357.76
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $334.30
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $334.30
  • CIGNA — CIGNA COM ALT HMO PLAN: $290.34
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $357.76
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Physical Therapy Evaluation Low Complex 20 Mins $350 Not listed in the file $140 – $350
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $236.94
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $285.28
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $350
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $350
  • CIGNA — PB CIGNA HMO PLANS: $313.25
  • CIGNA — PB CIGNA PPO PLANS: $313.25
  • OPTUM — PB OPTUM CHD ALT PLANS: $175
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $192.50
  • UNITED HEALTHCARE — PB UHC PLANS: $350
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC Pt Eval Mod Complexity $1,029 $514.50 $434.24 – $535.08
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $535.08
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $499.99
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $499.99
  • CIGNA — CIGNA COM ALT HMO PLAN: $434.24
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $535.08
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Physical Therapy Evaluation Mod Complex 30 Mins $362 Not listed in the file $144.80 – $362
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $236.94
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $285.28
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $362
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $362
  • CIGNA — PB CIGNA HMO PLANS: $313.25
  • CIGNA — PB CIGNA PPO PLANS: $313.25
  • OPTUM — PB OPTUM CHD ALT PLANS: $181
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $199.10
  • UNITED HEALTHCARE — PB UHC PLANS: $358.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC Pt Eval High Complexity $1,373 $686.50 $579.41 – $713.96
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $713.96
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $667.14
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $667.14
  • CIGNA — CIGNA COM ALT HMO PLAN: $579.41
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $713.96
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Physical Therapy Evaluation High Complex 45 Mins $362 Not listed in the file $144.80 – $362
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $236.94
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $285.28
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $362
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $362
  • CIGNA — PB CIGNA HMO PLANS: $313.25
  • CIGNA — PB CIGNA PPO PLANS: $313.25
  • OPTUM — PB OPTUM CHD ALT PLANS: $181
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $199.10
  • UNITED HEALTHCARE — PB UHC PLANS: $358.36
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psychotherapy W/Patient 30 Minutes $318 Not listed in the file $100.71 – $311.46
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • AETNA — PB AETNA CONTRACT: $311.46
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $212.33
  • OPTUM — PB OPTUM CHD ALT PLANS: $159
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $174.90
  • UNITED HEALTHCARE — PB UHC PLANS: $270.25
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Psychotherapy W/Patient 30 Minutes $318 Not listed in the file $100.71 – $311.46
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $146.63
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $230.78
  • CIGNA — PB CIGNA HMO PLANS: $207.08
  • CIGNA — PB CIGNA PPO PLANS: $207.08
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy W/Patient 30 Minutes $318 Not listed in the file $100.71 – $311.46
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $100.71
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $158.50
  • CIGNA — PB CIGNA HMO PLANS: $236.23
  • CIGNA — PB CIGNA PPO PLANS: $236.23
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psychotherapy W/Patient 45 Minutes $436 Not listed in the file $161.13 – $427.82
Psychotherapy, 45 minutes: rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $427.82
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $265.61
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $161.13
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $253.60
  • CIGNA — PB CIGNA HMO PLANS: $314
  • CIGNA — PB CIGNA PPO PLANS: $314
  • OPTUM — PB OPTUM CHD ALT PLANS: $218
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $239.80
  • UNITED HEALTHCARE — PB UHC PLANS: $359.21
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psychotherapy W/Patient 60 Minutes $632 Not listed in the file $171.20 – $632
Psychotherapy, 60 minutes: rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $620.42
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $386.63
  • CIGNA — PB CIGNA HMO PLANS: $470.57
  • CIGNA — PB CIGNA PPO PLANS: $470.57
  • OPTUM — PB OPTUM CHD ALT PLANS: $316
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $347.60
  • UNITED HEALTHCARE — PB UHC PLANS: $538.34
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Psychotherapy W/Patient 60 Minutes $632 Not listed in the file $171.20 – $632
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $171.20
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $269.45
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy W/Patient 60 Minutes $632 Not listed in the file $171.20 – $632
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $632
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $632
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC Therapy Family WO Patient 26-50 Min $641 $320.50 $270.50 – $333.32
Family psychotherapy, without the patient: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $333.32
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $311.46
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $311.46
  • CIGNA — CIGNA COM ALT HMO PLAN: $270.50
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $333.32
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Family Psychotherapy W/O Patient Present 50 Mins $515 Not listed in the file $161.13 – $505.61
Family psychotherapy, without the patient: rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $505.61
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $312.54
  • CIGNA — PB CIGNA HMO PLANS: $337.48
  • CIGNA — PB CIGNA PPO PLANS: $337.48
  • OPTUM — PB OPTUM CHD ALT PLANS: $257.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $283.25
  • UNITED HEALTHCARE — PB UHC PLANS: $386.07
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: Family Psychotherapy W/O Patient Present 50 Mins $515 Not listed in the file $161.13 – $505.61
Family psychotherapy, without the patient: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $161.13
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $253.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC Therapy Family Conjoint 26-50 Min $762 $381 $321.56 – $396.24
Family psychotherapy, with the patient: rates for 9 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $396.24
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: $370.26
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: $370.26
  • CIGNA — CIGNA COM ALT HMO PLAN: $321.56
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $8,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $396.24
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $28,538 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Family Psychotherapy W/Patient Present 50 Mins $515 Not listed in the file $206 – $515
Family psychotherapy, with the patient: rates for 9 insurance plans
  • AETNA — PB AETNA CONTRACT: $505.61
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $386.15
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $515
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $515
  • CIGNA — PB CIGNA HMO PLANS: $349.08
  • CIGNA — PB CIGNA PPO PLANS: $349.08
  • OPTUM — PB OPTUM CHD ALT PLANS: $257.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $283.25
  • UNITED HEALTHCARE — PB UHC PLANS: $399.33
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Group Psychotherapy $163 Not listed in the file $65.20 – $159.46
Group psychotherapy: rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $159.46
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $110.80
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $88.62
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $139.48
  • OPTUM — PB OPTUM CHD ALT PLANS: $81.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $89.65
  • UNITED HEALTHCARE — PB UHC PLANS: $107.59
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: Group Psychotherapy $163 Not listed in the file $65.20 – $159.46
Group psychotherapy: rates for 2 insurance plans
  • CIGNA — PB CIGNA HMO PLANS: $82.38
  • CIGNA — PB CIGNA PPO PLANS: $82.38
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group Psychotherapy $163 Not listed in the file $65.20 – $159.46
Group psychotherapy: rates for 2 insurance plans
  • CIGNA — PB CIGNA HMO PLANS: $94.04
  • CIGNA — PB CIGNA PPO PLANS: $94.04

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: OB Care Antepartum Vag Dlvr & Postpartum $8,136 Not listed in the file $3,254.40 – $8,136
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $7,980.84
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $5,941.52
  • CIGNA — PB CIGNA HMO PLANS: $7,171.43
  • CIGNA — PB CIGNA PPO PLANS: $7,171.43
  • OPTUM — PB OPTUM CHD ALT PLANS: $4,068
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $4,474.80
  • UNITED HEALTHCARE — PB UHC PLANS: $8,136
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: OB Care Antepartum Vag Dlvr & Postpartum $8,136 Not listed in the file $3,254.40 – $8,136
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $4,532.19
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $7,133.23
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OB Care Antepartum Vag Dlvr & Postpartum $8,136 Not listed in the file $3,254.40 – $8,136
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $8,136
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $8,136
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: OB Antepartum Care Cesarean Dlvr & Postpartum $9,101 Not listed in the file $3,640.40 – $9,101
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • AETNA — PB AETNA CONTRACT: $7,980.84
  • BLUE CROSS — LPCH PB BLUE CROSS CONTRACT: $6,706.22
  • CIGNA — PB CIGNA HMO PLANS: $7,879.75
  • CIGNA — PB CIGNA PPO PLANS: $7,879.75
  • OPTUM — PB OPTUM CHD ALT PLANS: $4,550.50
  • OPTUM — PB OPTUM HEALTH ALT PLANS: $5,005.55
  • UNITED HEALTHCARE — PB UHC PLANS: $9,014.29
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: OB Antepartum Care Cesarean Dlvr & Postpartum $9,101 Not listed in the file $3,640.40 – $9,101
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $4,429.11
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $6,970.99
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: OB Antepartum Care Cesarean Dlvr & Postpartum $9,101 Not listed in the file $3,640.40 – $9,101
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • BLUE SHIELD — PB BLUE SHIELD COVERED CA IFP PLAN: $9,101
  • BLUE SHIELD — PB BLUE SHIELD PLAN: $9,101

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $1,537,157.94 $17,000 – $45,673
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $45,673
  • CIGNA — CIGNA COM ALT HMO PLAN: $43,000
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $17,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $45,673
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $38,730
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $38,730
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $38,730
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: 43.14% (a percentage in the contract, not a dollar amount)
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: 43.14% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO PLANS: 47.5% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $371,366.90 $12,363 – $38,730
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $12,858
  • CIGNA — CIGNA COM ALT HMO PLAN: $12,677
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $17,000
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $12,858
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $38,730
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $38,730
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $38,730
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: 43.14% (a percentage in the contract, not a dollar amount)
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: 43.14% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO PLANS: 47.5% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $55,894.98 $3,100 – $12,858
Uterus and ovary surgery (not for cancer), without complications: rates for 10 insurance plans
  • AETNA — AETNA ALL OTHER PLANS: $12,858
  • CIGNA — CIGNA COM ALT HMO PLAN: $12,677
  • HEALTH NET — HEALTHNET HMO, PPO, POS, EPO, CANOPY HEALTHNET HMO, OTHER-IN: $3,100
  • MERITAIN HEALTH — AETNA ALL OTHER PLANS: $12,858
  • SUTTER — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $9,871
  • UMR — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $9,871
  • UNITED HEALTHCARE — SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS: $9,871
  • BLUE SHIELD — STANFORD HEALTHCARE ALLIANCE PLAN: 29.32% (a percentage in the contract, not a dollar amount)
  • BLUE SHIELD OUT OF STATE — STANFORD HEALTHCARE ALLIANCE PLAN: 29.32% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO PLANS: 47.5% (a percentage in the contract, not a dollar amount)

Source: Lucile Salter Packard Children's HSP at Stanford’s standard charges file (stanfordchildrens.org, JSON, 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 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 typeChildren's Hospital
Address725 Welch Road, Palo Alto, CA 94304
CountySanta Clara County
StateCalifornia
Phone(650) 497‑8000
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number053305
Name in Medicare recordsLUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLucile Packard Children's Hospital Stanford
Official websitestanfordchildrens.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Lucile Packard Children's Hospital Stanford — stanfordchildrens.org
  2. Visiting Information and Guidelines — stanfordchildrens.org
  3. Interpreter Services — stanfordchildrens.org
  4. About Stanford Medicine Children's Health — stanfordchildrens.org
  5. ROSA™ Technology - Stanford Medicine Children's Health — stanfordchildrens.org
  6. Pediatric Neurosurgery Care Team - Stanford Medicine Children's Health — stanfordchildrens.org
  7. Betty Irene Moore Children's Heart Center - Lucile Packard Children's Hospital Stanford - Stanford Medicine Children's H — stanfordchildrens.org
  8. Pediatric Heart Surgery - Stanford Medicine Children's Health — stanfordchildrens.org
  9. When Your Child Needs a Heart Procedure - Betty Irene Moore Children's Heart Center - Stanford Medicine Children's Healt — stanfordchildrens.org
  10. Research & Innovation - Betty Irene Moore Children's Heart Center - Stanford Medicine Children's Health — stanfordchildrens.org
  11. Contact & Location - Betty Irene Moore Children's Heart Center - Stanford Medicine Children's Health — stanfordchildrens.org
  12. Care Team - Pediatric Cardiothoracic Surgery at Betty Irene Moore Children's Heart Center - Stanford Medicine Children's — stanfordchildrens.org
  13. Bass Childhood Cancer Center - Stanford Medicine Children's Health — stanfordchildrens.org
  14. Pediatric Cardiology - Stanford Medicine Children's Health — stanfordchildrens.org
  15. Heart Transplant - Stanford Medicine Children's Health — stanfordchildrens.org
  16. Adult Congenital Heart Program - Stanford Medicine Children's Health — stanfordchildrens.org