Does Mad River Community Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mad River Community Hospital. In a medical emergency, call 911.

Where is Mad River Community Hospital?

3800 Janes Rd, Arcata, CA 95521, in Humboldt County, California.

What is the phone number of Mad River Community Hospital?

(707) 822-3621, as listed by Medicare (CMS).

What is the Medicare star rating of Mad River Community Hospital?

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

Does Medicare reduce its payments to Mad River Community Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Mad River Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.3094; 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).

Mad River Community Hospital — Phone, Address & ER

Quick answers

Does Mad River Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mad River Community Hospital. In a medical emergency, call 911.
Where is Mad River Community Hospital?: 3800 Janes Rd, Arcata, CA 95521, in Humboldt County, California.
What is the phone number of Mad River Community Hospital?: (707) 822-3621, as listed by Medicare (CMS).
What is the Medicare star rating of Mad River Community Hospital?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Mad River Community Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Mad River Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.3094; 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^[4][6]

Behavioral Health
Cardiopulmonary
Imaging
Laboratory
Occupational Health
Orthopedics
Rehab and Sports Medicine
Surgical Services
Wound Care and Hyperbaric Medicine
Pain Treatment
Home Health Care
Endoscopy

Procedures^[6]

Same day surgery

Programs and centers^[6]

Center for Wound Care & Hyperbaric Medicine
Pain Treatment Center

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours daily 9 a.m.-8:30 p.m.; minors not allowed to visit^[5]
Patient portal	https://mycarecorner.net/

Recognition^[6]

ACHC Seal of Approval

Doctors and clinicians (294)

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

Main specialties

And 270 more: the button below opens the full list.

Other emergency rooms nearby

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

Providence St Joseph Hospital8.2 mi · Eureka, CA · Acute Care Hospital
Sempervirens8.8 mi · Eureka, CA · Psychiatric Hospital
Providence Redwood Memorial Hospital22 mi · Fortuna, CA · Critical Access Hospital
Jerold Phelps Community Hospital57 mi · Garberville, CA · Critical Access Hospital
Sutter Coast Hospital61 mi · Crescent City, CA · Acute Care Hospital

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

Other hospitals near Arcata

Trinity Hospital61 mi · Weaverville, CA · Critical Access Hospital

Hospitals in Humboldt 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

Eureka Rehabilitation & Wellness Center, LP8.0 mi · Eureka, CA · 2 of 5 stars
Granada Rehabilitation & Wellness Center, LP8.4 mi · Eureka, CA · 3 of 5 stars
Seaview Rehabilitation & Wellness Center, LP13 mi · Eureka, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Humboldt, Inc.11 mi · Eureka, CA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Providence at Home With Compassus Home Health, Humboldt7.1 mi · Eureka, CA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC Eureka11 mi · Eureka, 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.

Humboldt Physicians Surgery and Laser Center, LLC11 mi · Eureka, 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

Humboldt Open Door Clinic1.2 mi · Arcata, CA · Community health center
NorthCountry Clinic1.5 mi · Arcata, CA · Community health center
Plaza Community Health Center1.9 mi · Arcata, CA · Community health center

Clinics and urgent care

Mad River Community Hospital4.5 mi · Arcata, CA · Rural health clinic
Humboldt Family Medical Center5.0 mi · McKinleyville, CA · Rural health clinic
Fortuna Family Medicine Inc23 mi · Fortuna, CA · Rural health clinic

Pharmacies

Craig Sumner4.5 mi · Arcata, CA · Community/retail pharmacy
Redwood Community Pharmacy5.0 mi · McKinleyville, CA · Community/retail pharmacy
Costco Wholesale Corporation7.1 mi · Eureka, CA · Community/retail pharmacy

Assisted living nearby

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

Timber Ridge at McKinleyville5.0 mi · McKinleyville, CA
Aguilar Manor7.1 mi · Eureka, CA
Alder Bay Assisted Living7.1 mi · Eureka, CA
Especially You Assisted Living Inc.7.1 mi · Eureka, 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 Mad River Community Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	81%National average: 80%
“Always” got help as soon as they wanted	68%National average: 64%
Staff “always” explained medicines before giving them	70%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	74%National average: 73%
Completed surveys	139Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged 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	11.2%
Deaths within 30 days: pneumonia patients	14.5%
Deaths within 30 days: COPD patients	9.7%
Serious complications (patient safety indicator PSI-90)	1.11No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

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	21.7%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	19.6%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	129 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	59%National average: 66%

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 Mad River Community Hospital, 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	NoCMS lists no payment reduction for this hospital.
Total HAC Score	0.3094Lower 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	0.9965Fewer readmissions than expected
Pneumonia	0.9649Fewer readmissions than expected
COPD (chronic lung disease)	1.0041More readmissions than expected
Hip or knee replacement	1.0051More 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	31.25 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)	45.00 out of 100
Safety (infections and sepsis care)	10.00 out of 100
Efficiency and cost reduction (Medicare spending)	70.00 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	0.91Below the national median hospital (1.00): Medicare spent less

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

What the prices mean

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

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

Show the prices of 80 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 3 NEW PATIENT	$864.46	$864.46	$81.09 – $648.35
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $648.35 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $129.67 Cigna Open Access — PPO: $172.89 Health Net of California — HMO/PPO/POS: $617.22 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OUTPATIENT NEW LEVEL 3	$918.63	$918.63	$81.09 – $688.97
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $688.97 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $137.79 Cigna Open Access — PPO: $183.73 Health Net of California — HMO/PPO/POS: $655.90 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WC OUTPATIENT NEW LEVEL 3	$962.26	$962.26	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 4 NEW PATIENT	$1,106.45	$1,106.45	$81.09 – $829.84
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $829.84 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $165.97 Cigna Open Access — PPO: $221.29 Health Net of California — HMO/PPO/POS: $790.01 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OUTPATIENT NEW LEVEL 4	$782.59	$782.59	$81.09 – $586.94
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $586.94 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $117.39 Cigna Open Access — PPO: $156.52 Health Net of California — HMO/PPO/POS: $558.77 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 4 NEW PATIENT	$1,159.01	$1,159.01	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 5 NEW PATIENT	$1,303.91	$1,303.91	$81.09 – $977.93
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $977.93 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $195.59 Cigna Open Access — PPO: $260.78 Health Net of California — HMO/PPO/POS: $930.99 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OUTPATIENT NEW LEVEL 5	$1,868.56	$1,868.56	$81.09 – $1,401.42
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $1,401.42 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $280.28 Cigna Open Access — PPO: $373.71 Health Net of California — HMO/PPO/POS: $1,334.15 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 5 NEW PATIENT	$1,365.85	$1,365.85	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OUTPATIENT EST LEVEL 3	$622.46	$622.46	$81.09 – $572.91
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $466.85 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $93.37 Cigna Open Access — PPO: $124.49 Health Net of California — HMO/PPO/POS: $444.44 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 3 ESTAB PATIENT	$864.46	$864.46	$81.09 – $648.35
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $648.35 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $129.67 Cigna Open Access — PPO: $172.89 Health Net of California — HMO/PPO/POS: $617.22 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WC OUTPATIENT EST LEVEL 3	$652.03	$652.03	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OUTPATIENT EST LEVEL 4	$933.07	$933.07	$81.09 – $699.80
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $699.80 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $139.96 Cigna Open Access — PPO: $186.61 Health Net of California — HMO/PPO/POS: $666.21 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 4 ESTAB PATIENT	$1,106.45	$1,106.45	$81.09 – $829.84
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $829.84 Aetna — Medicare Advantage: $163.74 Anthem Blue Cross — HMO/PPO: $572.91 Anthem Blue Cross Pathway — EPO: $572.91 Blue Shield of California — Managed Medicaid: $165.97 Cigna Open Access — PPO: $221.29 Health Net of California — HMO/PPO/POS: $790.01 Humboldt Del Norte Foundation — HMO: $139.02 Humboldt Del Norte Foundation — PPO: $81.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT LEVEL 4 ESTAB PATIENT	$1,159.01	$1,159.01	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL III	$3,055.01	$3,055.01	$156.09 – $2,291.26
Emergency room visit (moderate): rates for 9 insurance plans Aetna — HMO/PPO: $2,291.26 Aetna — Medicare Advantage: $351.82 Anthem Blue Cross — HMO/PPO: $1,230.96 Anthem Blue Cross Pathway — EPO: $1,230.96 Blue Shield of California — Managed Medicaid: $458.25 Cigna Open Access — PPO: $611 Health Net of California — HMO/PPO/POS: $2,181.28 Humboldt Del Norte Foundation — HMO: $267.59 Humboldt Del Norte Foundation — PPO: $156.09
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL III	$3,200.12	$3,200.12	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL IV	$3,800.60	$3,800.60	$252.26 – $2,850.45
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — HMO/PPO: $2,850.45 Aetna — Medicare Advantage: $541.05 Anthem Blue Cross — HMO/PPO: $1,893.06 Anthem Blue Cross Pathway — EPO: $1,893.06 Blue Shield of California — Managed Medicaid: $570.09 Cigna Open Access — PPO: $760.12 Health Net of California — HMO/PPO/POS: $2,713.63 Humboldt Del Norte Foundation — HMO: $432.44 Humboldt Del Norte Foundation — PPO: $252.26
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL IV	$3,981.13	$3,981.13	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRAUMA ALERT W/O NOTIFICATION (1)	$9,631.77	$9,631.77	$367.71 – $7,223.83
Emergency room visit (high): rates for 9 insurance plans Aetna — HMO/PPO: $7,223.83 Aetna — Medicare Advantage: $779 Anthem Blue Cross — HMO/PPO: $2,725.66 Anthem Blue Cross Pathway — EPO: $2,725.66 Blue Shield of California — Managed Medicaid: $1,444.77 Cigna Open Access — PPO: $1,926.35 Health Net of California — HMO/PPO/POS: $6,877.08 Humboldt Del Norte Foundation — HMO: $630.36 Humboldt Del Norte Foundation — PPO: $367.71
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL V	$4,507.04	$4,507.04	$367.71 – $3,380.28
Emergency room visit (high): rates for 9 insurance plans Aetna — HMO/PPO: $3,380.28 Aetna — Medicare Advantage: $779 Anthem Blue Cross — HMO/PPO: $2,725.66 Anthem Blue Cross Pathway — EPO: $2,725.66 Blue Shield of California — Managed Medicaid: $676.06 Cigna Open Access — PPO: $901.41 Health Net of California — HMO/PPO/POS: $3,218.03 Humboldt Del Norte Foundation — HMO: $630.36 Humboldt Del Norte Foundation — PPO: $367.71
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TRAUMA ALERT W/O NOTIFICATION (1)	$10,089.28	$10,089.28	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PA	$244.40	$244.40	$8.46 – $183.30
Basic metabolic panel (blood test): rates for 9 insurance plans Aetna — HMO/PPO: $183.30 Aetna — Medicare Advantage: $8.46 Anthem Blue Cross — HMO/PPO: $23.04 Anthem Blue Cross Pathway — EPO: $23.04 Blue Shield of California — Managed Medicaid: $36.66 Cigna Open Access — PPO: $48.88 Health Net of California — HMO/PPO/POS: $174.50 Humboldt Del Norte Foundation — HMO: $15.04 Humboldt Del Norte Foundation — PPO: $11.28
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PA	$256.01	$256.01	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL (14) COMPREHENSIVE	$69.84	$69.84	$10.48 – $52.38
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Aetna — HMO/PPO: $52.38 Aetna — Medicare Advantage: $10.56 Anthem Blue Cross — HMO/PPO: $28.76 Anthem Blue Cross Pathway — EPO: $28.76 Blue Shield of California — Managed Medicaid: $10.48 Cigna Open Access — PPO: $13.97 Health Net of California — HMO/PPO/POS: $49.87 Humboldt Del Norte Foundation — HMO: $18.78 Humboldt Del Norte Foundation — PPO: $14.09
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE PANEL	$302.19	$302.19	$10.56 – $226.64
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Aetna — HMO/PPO: $226.64 Aetna — Medicare Advantage: $10.56 Anthem Blue Cross — HMO/PPO: $28.76 Anthem Blue Cross Pathway — EPO: $28.76 Blue Shield of California — Managed Medicaid: $45.33 Cigna Open Access — PPO: $60.44 Health Net of California — HMO/PPO/POS: $215.76 Humboldt Del Norte Foundation — HMO: $18.78 Humboldt Del Norte Foundation — PPO: $14.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: METABOLIC PANEL (14) COMPREHENSIVE	$73.16	$73.16	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRENATAL PANEL	$185.42	$185.42	$27.81 – $139.07
Obstetric blood test panel: rates for 9 insurance plans Aetna — HMO/PPO: $139.07 Aetna — Medicare Advantage: $47.81 Anthem Blue Cross — HMO/PPO: $130.22 Anthem Blue Cross Pathway — EPO: $130.22 Blue Shield of California — Managed Medicaid: $27.81 Cigna Open Access — PPO: $37.08 Health Net of California — HMO/PPO/POS: $132.39 Humboldt Del Norte Foundation — HMO: $84.99 Humboldt Del Norte Foundation — PPO: $63.74
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PRENATAL PANEL	$194.23	$194.23	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL w/direct LDL	$47.92	$47.92	$7.19 – $36.47
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — HMO/PPO: $35.94 Aetna — Medicare Advantage: $13.39 Anthem Blue Cross — HMO/PPO: $36.47 Anthem Blue Cross Pathway — EPO: $36.47 Blue Shield of California — Managed Medicaid: $7.19 Cigna Open Access — PPO: $9.58 Health Net of California — HMO/PPO/POS: $34.21 Humboldt Del Norte Foundation — HMO: $23.81 Humboldt Del Norte Foundation — PPO: $17.86
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NMR LIPOPROFILE	$87.89	$87.89	$13.18 – $65.92
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — HMO/PPO: $65.92 Aetna — Medicare Advantage: $13.39 Anthem Blue Cross — HMO/PPO: $36.47 Anthem Blue Cross Pathway — EPO: $36.47 Blue Shield of California — Managed Medicaid: $13.18 Cigna Open Access — PPO: $17.58 Health Net of California — HMO/PPO/POS: $62.75 Humboldt Del Norte Foundation — HMO: $23.81 Humboldt Del Norte Foundation — PPO: $17.86
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$382.86	$382.86	$13.39 – $287.15
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — HMO/PPO: $287.15 Aetna — Medicare Advantage: $13.39 Anthem Blue Cross — HMO/PPO: $36.47 Anthem Blue Cross Pathway — EPO: $36.47 Blue Shield of California — Managed Medicaid: $57.43 Cigna Open Access — PPO: $76.57 Health Net of California — HMO/PPO/POS: $273.36 Humboldt Del Norte Foundation — HMO: $23.81 Humboldt Del Norte Foundation — PPO: $17.86
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$248.03	$248.03	$8.68 – $186.02
Kidney function panel: rates for 9 insurance plans Aetna — HMO/PPO: $186.02 Aetna — Medicare Advantage: $8.68 Anthem Blue Cross — HMO/PPO: $23.64 Anthem Blue Cross Pathway — EPO: $23.64 Blue Shield of California — Managed Medicaid: $37.20 Cigna Open Access — PPO: $49.61 Health Net of California — HMO/PPO/POS: $177.09 Humboldt Del Norte Foundation — HMO: $15.44 Humboldt Del Norte Foundation — PPO: $11.58
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$259.81	$259.81	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCT PANEL	$234.77	$234.77	$8.17 – $176.08
Liver function panel: rates for 9 insurance plans Aetna — HMO/PPO: $176.08 Aetna — Medicare Advantage: $8.17 Anthem Blue Cross — HMO/PPO: $22.25 Anthem Blue Cross Pathway — EPO: $22.25 Blue Shield of California — Managed Medicaid: $35.22 Cigna Open Access — PPO: $46.95 Health Net of California — HMO/PPO/POS: $167.63 Humboldt Del Norte Foundation — HMO: $14.53 Humboldt Del Norte Foundation — PPO: $10.90
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCT PANEL	$245.92	$245.92	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MICROSCOPIC ONLY- Male	$90.29	$90.29	$3.17 – $67.72
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — HMO/PPO: $67.72 Aetna — Medicare Advantage: $3.17 Anthem Blue Cross — HMO/PPO: $8.63 Anthem Blue Cross Pathway — EPO: $8.63 Blue Shield of California — Managed Medicaid: $13.54 Cigna Open Access — PPO: $18.06 Health Net of California — HMO/PPO/POS: $64.47 Humboldt Del Norte Foundation — HMO: $5.63 Humboldt Del Norte Foundation — PPO: $4.22
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUT/MIC FEMALE	$52	$52	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE MICROSCOPIC ONLY- Male	$94.58	$94.58	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NITRAZINE POC	$99.93	$99.93	$3.48 – $74.95
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — HMO/PPO: $74.95 Aetna — Medicare Advantage: $3.48 Anthem Blue Cross — HMO/PPO: $9.48 Anthem Blue Cross Pathway — EPO: $9.48 Blue Shield of California — Managed Medicaid: $14.99 Cigna Open Access — PPO: $19.99 Health Net of California — HMO/PPO/POS: $71.35 Humboldt Del Norte Foundation — HMO: $5.57 Humboldt Del Norte Foundation — PPO: $4.18
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS POC	$51	$51	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NITRAZINE POC	$104.68	$104.68	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP ONLY	$65.02	$65.02	$2.25 – $48.77
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — HMO/PPO: $48.77 Aetna — Medicare Advantage: $2.25 Anthem Blue Cross — HMO/PPO: $6.13 Anthem Blue Cross Pathway — EPO: $6.13 Blue Shield of California — Managed Medicaid: $9.75 Cigna Open Access — PPO: $13 Health Net of California — HMO/PPO/POS: $46.42 Humboldt Del Norte Foundation — HMO: $3.98 Humboldt Del Norte Foundation — PPO: $2.99
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .URINALYSIS AUT DIPST	$65.02	$65.02	$2.25 – $48.77
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — HMO/PPO: $48.77 Aetna — Medicare Advantage: $2.25 Anthem Blue Cross — HMO/PPO: $6.13 Anthem Blue Cross Pathway — EPO: $6.13 Blue Shield of California — Managed Medicaid: $9.75 Cigna Open Access — PPO: $13 Health Net of California — HMO/PPO/POS: $46.42 Humboldt Del Norte Foundation — HMO: $3.98 Humboldt Del Norte Foundation — PPO: $2.99
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS	$5	$5	$0.75 – $6.13
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — HMO/PPO: $3.75 Aetna — Medicare Advantage: $2.25 Anthem Blue Cross — HMO/PPO: $6.13 Anthem Blue Cross Pathway — EPO: $6.13 Blue Shield of California — Managed Medicaid: $0.75 Cigna Open Access — PPO: $1 Health Net of California — HMO/PPO/POS: $3.57 Humboldt Del Norte Foundation — HMO: $3.98 Humboldt Del Norte Foundation — PPO: $2.99
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL (LABCORP)	$121.60	$121.60	$18.24 – $91.20
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — HMO/PPO: $91.20 Aetna — Medicare Advantage: $18.39 Anthem Blue Cross — HMO/PPO: $50.09 Anthem Blue Cross Pathway — EPO: $50.09 Blue Shield of California — Managed Medicaid: $18.24 Cigna Open Access — PPO: $24.32 Health Net of California — HMO/PPO/POS: $86.82 Humboldt Del Norte Foundation — HMO: $32.70 Humboldt Del Norte Foundation — PPO: $24.53
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE ANTIGENSERUM	$121.60	$121.60	$18.24 – $91.20
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — HMO/PPO: $91.20 Aetna — Medicare Advantage: $18.39 Anthem Blue Cross — HMO/PPO: $50.09 Anthem Blue Cross Pathway — EPO: $50.09 Blue Shield of California — Managed Medicaid: $18.24 Cigna Open Access — PPO: $24.32 Health Net of California — HMO/PPO/POS: $86.82 Humboldt Del Norte Foundation — HMO: $32.70 Humboldt Del Norte Foundation — PPO: $24.53
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA ULTRASENSITIVE	$29.17	$29.17	$4.38 – $50.09
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — HMO/PPO: $21.88 Aetna — Medicare Advantage: $18.39 Anthem Blue Cross — HMO/PPO: $50.09 Anthem Blue Cross Pathway — EPO: $50.09 Blue Shield of California — Managed Medicaid: $4.38 Cigna Open Access — PPO: $5.83 Health Net of California — HMO/PPO/POS: $20.83 Humboldt Del Norte Foundation — HMO: $32.70 Humboldt Del Norte Foundation — PPO: $24.53
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH)	$110.77	$110.77	$16.62 – $83.08
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — HMO/PPO: $83.08 Aetna — Medicare Advantage: $16.80 Anthem Blue Cross — HMO/PPO: $45.76 Anthem Blue Cross Pathway — EPO: $45.76 Blue Shield of California — Managed Medicaid: $16.62 Cigna Open Access — PPO: $22.15 Health Net of California — HMO/PPO/POS: $79.09 Humboldt Del Norte Foundation — HMO: $29.87 Humboldt Del Norte Foundation — PPO: $22.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID CASCADING REFLEX	$68	$68	$10.20 – $51
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — HMO/PPO: $51 Aetna — Medicare Advantage: $16.80 Anthem Blue Cross — HMO/PPO: $45.76 Anthem Blue Cross Pathway — EPO: $45.76 Blue Shield of California — Managed Medicaid: $10.20 Cigna Open Access — PPO: $13.60 Health Net of California — HMO/PPO/POS: $48.55 Humboldt Del Norte Foundation — HMO: $29.87 Humboldt Del Norte Foundation — PPO: $22.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$99.93	$99.93	$14.99 – $74.95
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — HMO/PPO: $74.95 Aetna — Medicare Advantage: $16.80 Anthem Blue Cross — HMO/PPO: $45.76 Anthem Blue Cross Pathway — EPO: $45.76 Blue Shield of California — Managed Medicaid: $14.99 Cigna Open Access — PPO: $19.99 Health Net of California — HMO/PPO/POS: $71.35 Humboldt Del Norte Foundation — HMO: $29.87 Humboldt Del Norte Foundation — PPO: $22.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO/MIC MALE	$191.43	$191.43	$7.77 – $143.57
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — HMO/PPO: $143.57 Aetna — Medicare Advantage: $7.77 Anthem Blue Cross — HMO/PPO: $21.16 Anthem Blue Cross Pathway — EPO: $21.16 Blue Shield of California — Managed Medicaid: $28.71 Cigna Open Access — PPO: $38.29 Health Net of California — HMO/PPO/POS: $136.68 Humboldt Del Norte Foundation — HMO: $13.81 Humboldt Del Norte Foundation — PPO: $10.36
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO/MIC FEMALE	$191.43	$191.43	$7.77 – $143.57
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — HMO/PPO: $143.57 Aetna — Medicare Advantage: $7.77 Anthem Blue Cross — HMO/PPO: $21.16 Anthem Blue Cross Pathway — EPO: $21.16 Blue Shield of California — Managed Medicaid: $28.71 Cigna Open Access — PPO: $38.29 Health Net of California — HMO/PPO/POS: $136.68 Humboldt Del Norte Foundation — HMO: $13.81 Humboldt Del Norte Foundation — PPO: $10.36
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLIDE	$191.43	$191.43	$7.77 – $143.57
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — HMO/PPO: $143.57 Aetna — Medicare Advantage: $7.77 Anthem Blue Cross — HMO/PPO: $21.16 Anthem Blue Cross Pathway — EPO: $21.16 Blue Shield of California — Managed Medicaid: $28.71 Cigna Open Access — PPO: $38.29 Health Net of California — HMO/PPO/POS: $136.68 Humboldt Del Norte Foundation — HMO: $13.81 Humboldt Del Norte Foundation — PPO: $10.36
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM	$186.61	$186.61	$6.47 – $139.96
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — HMO/PPO: $139.96 Aetna — Medicare Advantage: $6.47 Anthem Blue Cross — HMO/PPO: $17.62 Anthem Blue Cross Pathway — EPO: $17.62 Blue Shield of California — Managed Medicaid: $27.99 Cigna Open Access — PPO: $37.32 Health Net of California — HMO/PPO/POS: $133.24 Humboldt Del Norte Foundation — HMO: $11.49 Humboldt Del Norte Foundation — PPO: $8.62
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM	$195.47	$195.47	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME	$111.98	$111.98	$4.29 – $83.99
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — HMO/PPO: $83.99 Aetna — Medicare Advantage: $4.29 Anthem Blue Cross — HMO/PPO: $11.69 Anthem Blue Cross Pathway — EPO: $11.69 Blue Shield of California — Managed Medicaid: $16.80 Cigna Open Access — PPO: $22.40 Health Net of California — HMO/PPO/POS: $79.95 Humboldt Del Norte Foundation — HMO: $6.99 Humboldt Del Norte Foundation — PPO: $5.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$26.49	$26.49	$3.97 – $19.87
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — HMO/PPO: $19.87 Aetna — Medicare Advantage: $4.29 Anthem Blue Cross — HMO/PPO: $11.69 Anthem Blue Cross Pathway — EPO: $11.69 Blue Shield of California — Managed Medicaid: $3.97 Cigna Open Access — PPO: $5.30 Health Net of California — HMO/PPO/POS: $18.91 Humboldt Del Norte Foundation — HMO: $6.99 Humboldt Del Norte Foundation — PPO: $5.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME SJ	$102.05	$102.05	$4.29 – $76.54
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — HMO/PPO: $76.54 Aetna — Medicare Advantage: $4.29 Anthem Blue Cross — HMO/PPO: $11.69 Anthem Blue Cross Pathway — EPO: $11.69 Blue Shield of California — Managed Medicaid: $15.31 Cigna Open Access — PPO: $20.41 Health Net of California — HMO/PPO/POS: $72.86 Humboldt Del Norte Foundation — HMO: $6.99 Humboldt Del Norte Foundation — PPO: $5.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$169.77	$169.77	$6.01 – $127.33
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — HMO/PPO: $127.33 Aetna — Medicare Advantage: $6.01 Anthem Blue Cross — HMO/PPO: $16.37 Anthem Blue Cross Pathway — EPO: $16.37 Blue Shield of California — Managed Medicaid: $25.47 Cigna Open Access — PPO: $33.95 Health Net of California — HMO/PPO/POS: $121.22 Humboldt Del Norte Foundation — HMO: $10.67 Humboldt Del Norte Foundation — PPO: $8
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT SJ	$169.77	$169.77	$6.01 – $127.33
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — HMO/PPO: $127.33 Aetna — Medicare Advantage: $6.01 Anthem Blue Cross — HMO/PPO: $16.37 Anthem Blue Cross Pathway — EPO: $16.37 Blue Shield of California — Managed Medicaid: $25.47 Cigna Open Access — PPO: $33.95 Health Net of California — HMO/PPO/POS: $121.22 Humboldt Del Norte Foundation — HMO: $10.67 Humboldt Del Norte Foundation — PPO: $8
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT SJ	$177.83	$177.83	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN W/O IV CONTRAST	$2,405.54	$2,405.54	$135.01 – $1,804.16
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — HMO/PPO: $1,804.16 Aetna — Medicare Advantage: $135.12 Anthem Blue Cross — HMO/PPO: $472.77 Anthem Blue Cross Pathway — EPO: $472.77 Blue Shield of California — Managed Medicaid: $360.83 Cigna Open Access — PPO: $481.11 Health Net of California — HMO/PPO/POS: $1,717.56 Humboldt Del Norte Foundation — HMO: $180.02 Humboldt Del Norte Foundation — PPO: $135.01
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O IV CONTRAST	$2,519.80	$2,519.80	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W/ & W/O IV CONTRAST	$5,807.96	$5,807.96	$453.77 – $4,355.97
MRI of the brain, before and after contrast: rates for 9 insurance plans Aetna — HMO/PPO: $4,355.97 Aetna — Medicare Advantage: $453.77 Anthem Blue Cross — HMO/PPO: $1,587.70 Anthem Blue Cross Pathway — EPO: $1,587.70 Blue Shield of California — Managed Medicaid: $871.19 Cigna Open Access — PPO: $1,161.59 Health Net of California — HMO/PPO/POS: $4,146.88 Humboldt Del Norte Foundation — HMO: $617.41 Humboldt Del Norte Foundation — PPO: $463.06
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W/ & W/O IV CONTRAST	$6,083.84	$6,083.84	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$986.70	$986.70	$74.76 – $740.03
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — HMO/PPO: $740.03 Aetna — Medicare Advantage: $111.88 Anthem Blue Cross — HMO/PPO: $391.43 Anthem Blue Cross Pathway — EPO: $391.43 Blue Shield of California — Managed Medicaid: $148.01 Cigna Open Access — PPO: $197.34 Health Net of California — HMO/PPO/POS: $704.50 Humboldt Del Norte Foundation — HMO: $99.68 Humboldt Del Norte Foundation — PPO: $74.76
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$1,033.57	$1,033.57	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR L-SPINE MIN 4 VI	$992.08	$992.08	$135.01 – $744.06
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — HMO/PPO: $744.06 Aetna — Medicare Advantage: $135.12 Anthem Blue Cross — HMO/PPO: $472.77 Anthem Blue Cross Pathway — EPO: $472.77 Blue Shield of California — Managed Medicaid: $148.81 Cigna Open Access — PPO: $198.42 Health Net of California — HMO/PPO/POS: $708.35 Humboldt Del Norte Foundation — HMO: $180.02 Humboldt Del Norte Foundation — PPO: $135.01
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR L-SPINE MIN 4 VI	$1,039.20	$1,039.20	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR L-SPINE W/O IV CONTRAST	$3,268.78	$3,268.78	$276.67 – $2,451.59
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Aetna — HMO/PPO: $2,451.59 Aetna — Medicare Advantage: $307.13 Anthem Blue Cross — HMO/PPO: $1,074.62 Anthem Blue Cross Pathway — EPO: $1,074.62 Blue Shield of California — Managed Medicaid: $490.32 Cigna Open Access — PPO: $653.76 Health Net of California — HMO/PPO/POS: $2,333.91 Humboldt Del Norte Foundation — HMO: $368.90 Humboldt Del Norte Foundation — PPO: $276.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR L-SPINE W/O IV CONTRAST	$3,424.05	$3,424.05	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ IV CONTRAST	$3,484.29	$3,484.29	$226.19 – $2,613.22
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — HMO/PPO: $2,613.22 Aetna — Medicare Advantage: $226.19 Anthem Blue Cross — HMO/PPO: $791.41 Anthem Blue Cross Pathway — EPO: $791.41 Blue Shield of California — Managed Medicaid: $522.64 Cigna Open Access — PPO: $696.86 Health Net of California — HMO/PPO/POS: $2,487.78 Humboldt Del Norte Foundation — HMO: $322.78 Humboldt Del Norte Foundation — PPO: $242.09
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SACRUM W/ IV CONTRAST	$3,484.29	$3,484.29	$226.19 – $2,613.22
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — HMO/PPO: $2,613.22 Aetna — Medicare Advantage: $226.19 Anthem Blue Cross — HMO/PPO: $791.41 Anthem Blue Cross Pathway — EPO: $791.41 Blue Shield of California — Managed Medicaid: $522.64 Cigna Open Access — PPO: $696.86 Health Net of California — HMO/PPO/POS: $2,487.78 Humboldt Del Norte Foundation — HMO: $322.78 Humboldt Del Norte Foundation — PPO: $242.09
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/ IV CONTRAST	$3,649.79	$3,649.79	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR JOINT LOWER EXT RT W/O IV CONTRAST	$2,938.90	$2,938.90	$276.67 – $2,204.18
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Aetna — HMO/PPO: $2,204.18 Aetna — Medicare Advantage: $307.13 Anthem Blue Cross — HMO/PPO: $1,074.62 Anthem Blue Cross Pathway — EPO: $1,074.62 Blue Shield of California — Managed Medicaid: $440.84 Cigna Open Access — PPO: $587.78 Health Net of California — HMO/PPO/POS: $2,098.37 Humboldt Del Norte Foundation — HMO: $368.90 Humboldt Del Norte Foundation — PPO: $276.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR JOINT LOWER EXT LT W/O IV CONTRAST	$2,938.90	$2,938.90	$276.67 – $2,204.18
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Aetna — HMO/PPO: $2,204.18 Aetna — Medicare Advantage: $307.13 Anthem Blue Cross — HMO/PPO: $1,074.62 Anthem Blue Cross Pathway — EPO: $1,074.62 Blue Shield of California — Managed Medicaid: $440.84 Cigna Open Access — PPO: $587.78 Health Net of California — HMO/PPO/POS: $2,098.37 Humboldt Del Norte Foundation — HMO: $368.90 Humboldt Del Norte Foundation — PPO: $276.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR JOINT LOWER EXT RT W/O IV CONTRAST	$3,078.50	$3,078.50	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W/ IV CONTRAST	$3,484.29	$3,484.29	$453.77 – $2,613.22
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — HMO/PPO: $2,613.22 Aetna — Medicare Advantage: $453.77 Anthem Blue Cross — HMO/PPO: $1,587.70 Anthem Blue Cross Pathway — EPO: $1,587.70 Blue Shield of California — Managed Medicaid: $522.64 Cigna Open Access — PPO: $696.86 Health Net of California — HMO/PPO/POS: $2,487.78 Humboldt Del Norte Foundation — HMO: $617.41 Humboldt Del Norte Foundation — PPO: $463.06
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W/ IV CONTRAST	$3,649.79	$3,649.79	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN SURVEY	$1,119.90	$1,119.90	$135.01 – $839.93
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — HMO/PPO: $839.93 Aetna — Medicare Advantage: $135.12 Anthem Blue Cross — HMO/PPO: $472.77 Anthem Blue Cross Pathway — EPO: $472.77 Blue Shield of California — Managed Medicaid: $167.99 Cigna Open Access — PPO: $223.98 Health Net of California — HMO/PPO/POS: $799.61 Humboldt Del Norte Foundation — HMO: $180.02 Humboldt Del Norte Foundation — PPO: $135.01
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN SURVEY	$1,173.10	$1,173.10	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >14 WEEKS	$1,286.42	$1,286.42	$135.01 – $964.82
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — HMO/PPO: $964.82 Aetna — Medicare Advantage: $135.12 Anthem Blue Cross — HMO/PPO: $472.77 Anthem Blue Cross Pathway — EPO: $472.77 Blue Shield of California — Managed Medicaid: $192.96 Cigna Open Access — PPO: $257.28 Health Net of California — HMO/PPO/POS: $918.50 Humboldt Del Norte Foundation — HMO: $180.02 Humboldt Del Norte Foundation — PPO: $135.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >14 WEEKS	$1,347.52	$1,347.52	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ENDOVAGINAL NON PREGNANT	$1,095.39	$1,095.39	$135.01 – $821.54
Transvaginal ultrasound: rates for 9 insurance plans Aetna — HMO/PPO: $821.54 Aetna — Medicare Advantage: $135.12 Anthem Blue Cross — HMO/PPO: $472.77 Anthem Blue Cross Pathway — EPO: $472.77 Blue Shield of California — Managed Medicaid: $164.31 Cigna Open Access — PPO: $219.08 Health Net of California — HMO/PPO/POS: $782.11 Humboldt Del Norte Foundation — HMO: $180.02 Humboldt Del Norte Foundation — PPO: $135.01
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ENDOVAGINAL NON PREGNANT	$1,147.42	$1,147.42	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL DIAG UNILATERAL RT W/ CAD	$703.12	$703.12	$92.64 – $527.34
Diagnostic mammogram, one breast: rates for 9 insurance plans Aetna — HMO/PPO: $527.34 Aetna — Medicare Advantage: $92.64 Anthem Blue Cross — HMO/PPO: $349.03 Anthem Blue Cross Pathway — EPO: $349.03 Blue Shield of California — Managed Medicaid: $105.47 Cigna Open Access — PPO: $140.62 Health Net of California — HMO/PPO/POS: $502.03 Humboldt Del Norte Foundation — HMO: $492.18 Humboldt Del Norte Foundation — PPO: $492.18
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL DIAG UNILATERAL LT W/ CAD	$703.12	$703.12	$92.64 – $527.34
Diagnostic mammogram, one breast: rates for 9 insurance plans Aetna — HMO/PPO: $527.34 Aetna — Medicare Advantage: $92.64 Anthem Blue Cross — HMO/PPO: $349.03 Anthem Blue Cross Pathway — EPO: $349.03 Blue Shield of California — Managed Medicaid: $105.47 Cigna Open Access — PPO: $140.62 Health Net of California — HMO/PPO/POS: $502.03 Humboldt Del Norte Foundation — HMO: $492.18 Humboldt Del Norte Foundation — PPO: $492.18
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG DIGITAL DIAG UNILATERAL RT W/ CAD	$736.52	$736.52	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL DIAGNOSTIC BILATERAL W/ CAD	$1,075.14	$1,075.14	$118.09 – $806.36
Diagnostic mammogram, both breasts: rates for 9 insurance plans Aetna — HMO/PPO: $806.36 Aetna — Medicare Advantage: $118.09 Anthem Blue Cross — HMO/PPO: $533.70 Anthem Blue Cross Pathway — EPO: $533.70 Blue Shield of California — Managed Medicaid: $161.27 Cigna Open Access — PPO: $215.03 Health Net of California — HMO/PPO/POS: $767.65 Humboldt Del Norte Foundation — HMO: $752.60 Humboldt Del Norte Foundation — PPO: $752.60
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG DIGITAL DIAGNOSTIC BILATERAL W/ CAD	$1,126.21	$1,126.21	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL SCREEN UNILATERAL LT W/CAD	$551.42	$551.42	$82.71 – $413.57
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — HMO/PPO: $413.57 Aetna — Medicare Advantage: $97.76 Anthem Blue Cross — HMO/PPO: $273.72 Anthem Blue Cross Pathway — EPO: $273.72 Blue Shield of California — Managed Medicaid: $82.71 Cigna Open Access — PPO: $110.28 Health Net of California — HMO/PPO/POS: $393.71 Humboldt Del Norte Foundation — HMO: $385.99 Humboldt Del Norte Foundation — PPO: $385.99
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL SCREEN UNILATERAL RT W/ CAD	$551.42	$551.42	$82.71 – $413.57
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — HMO/PPO: $413.57 Aetna — Medicare Advantage: $97.76 Anthem Blue Cross — HMO/PPO: $273.72 Anthem Blue Cross Pathway — EPO: $273.72 Blue Shield of California — Managed Medicaid: $82.71 Cigna Open Access — PPO: $110.28 Health Net of California — HMO/PPO/POS: $393.71 Humboldt Del Norte Foundation — HMO: $385.99 Humboldt Del Norte Foundation — PPO: $385.99
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL SCREENING BILATERAL W/CAD	$703.12	$703.12	$97.76 – $527.34
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — HMO/PPO: $527.34 Aetna — Medicare Advantage: $97.76 Anthem Blue Cross — HMO/PPO: $349.03 Anthem Blue Cross Pathway — EPO: $349.03 Blue Shield of California — Managed Medicaid: $105.47 Cigna Open Access — PPO: $140.62 Health Net of California — HMO/PPO/POS: $502.03 Humboldt Del Norte Foundation — HMO: $492.18 Humboldt Del Norte Foundation — PPO: $492.18

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,967.29 – $14,299.27
Left heart catheterization (diagnostic): rates for 5 insurance plans Aetna — Medicare Advantage: $4,086.77 Anthem Blue Cross — HMO/PPO: $14,299.27 Anthem Blue Cross Pathway — EPO: $14,299.27 Humboldt Del Norte Foundation — HMO: $3,372.49 Humboldt Del Norte Foundation — PPO: $1,967.29
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$3,568.17 – $33,734.55
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans Aetna — Medicare Advantage: $9,641.44 Anthem Blue Cross — HMO/PPO: $33,734.55 Anthem Blue Cross Pathway — EPO: $33,734.55 Humboldt Del Norte Foundation — HMO: $6,116.87 Humboldt Del Norte Foundation — PPO: $3,568.17
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$13,449.62 – $109,063.63
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans Aetna — Medicare Advantage: $31,170.74 Anthem Blue Cross — HMO/PPO: $109,063.63 Anthem Blue Cross Pathway — EPO: $109,063.63 Humboldt Del Norte Foundation — HMO: $23,056.49 Humboldt Del Norte Foundation — PPO: $13,449.62
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$638.95 – $4,523.03
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans Aetna — Medicare Advantage: $1,292.70 Anthem Blue Cross — HMO/PPO: $4,523.03 Anthem Blue Cross Pathway — EPO: $4,523.03 Humboldt Del Norte Foundation — HMO: $1,095.35 Humboldt Del Norte Foundation — PPO: $638.95

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTA PT THERAPEUTIC EXER < 15M	$140.21	$140.21	$21.03 – $105.16
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $105.16 Aetna — Medicare Advantage: $30.14 Anthem Blue Cross — HMO/PPO: $69.60 Anthem Blue Cross Pathway — EPO: $69.60 Blue Shield of California — Managed Medicaid: $21.03 Cigna Open Access — PPO: $28.04 Health Net of California — HMO/PPO/POS: $100.11 Humboldt Del Norte Foundation — HMO: $98.15 Humboldt Del Norte Foundation — PPO: $98.15
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EXER < 15M	$140.21	$140.21	$21.03 – $105.16
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $105.16 Aetna — Medicare Advantage: $30.14 Anthem Blue Cross — HMO/PPO: $69.60 Anthem Blue Cross Pathway — EPO: $69.60 Blue Shield of California — Managed Medicaid: $21.03 Cigna Open Access — PPO: $28.04 Health Net of California — HMO/PPO/POS: $100.11 Humboldt Del Norte Foundation — HMO: $98.15 Humboldt Del Norte Foundation — PPO: $98.15
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT THERAPEUTIC EX UP TO 15MIN	$96.32	$96.32	$14.45 – $72.24
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — HMO/PPO: $72.24 Aetna — Medicare Advantage: $30.14 Anthem Blue Cross — HMO/PPO: $47.81 Anthem Blue Cross Pathway — EPO: $47.81 Blue Shield of California — Managed Medicaid: $14.45 Cigna Open Access — PPO: $19.26 Health Net of California — HMO/PPO/POS: $68.77 Humboldt Del Norte Foundation — HMO: $67.42 Humboldt Del Norte Foundation — PPO: $67.42
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL NEW PT LOW COMPLEXITY	$401.35	$401.35	$60.20 – $301.01
Physical therapy evaluation (low complexity): rates for 9 insurance plans Aetna — HMO/PPO: $301.01 Aetna — Medicare Advantage: $102.50 Anthem Blue Cross — HMO/PPO: $199.23 Anthem Blue Cross Pathway — EPO: $199.23 Blue Shield of California — Managed Medicaid: $60.20 Cigna Open Access — PPO: $80.27 Health Net of California — HMO/PPO/POS: $286.56 Humboldt Del Norte Foundation — HMO: $280.95 Humboldt Del Norte Foundation — PPO: $280.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL NEW PT LOW COMPLEXITY	$420.41	$420.41	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL NEW PT MODERATE COMPLEXITY	$450.75	$450.75	$67.61 – $338.06
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Aetna — HMO/PPO: $338.06 Aetna — Medicare Advantage: $102.50 Anthem Blue Cross — HMO/PPO: $223.75 Anthem Blue Cross Pathway — EPO: $223.75 Blue Shield of California — Managed Medicaid: $67.61 Cigna Open Access — PPO: $90.15 Health Net of California — HMO/PPO/POS: $321.84 Humboldt Del Norte Foundation — HMO: $315.53 Humboldt Del Norte Foundation — PPO: $315.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL NEW PT MODERATE COMPLEXITY	$472.16	$472.16	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL NEW PT HIGH COMPLEXITY	$359.98	$359.98	$54 – $269.99
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — HMO/PPO: $269.99 Aetna — Medicare Advantage: $102.50 Anthem Blue Cross — HMO/PPO: $178.69 Anthem Blue Cross Pathway — EPO: $178.69 Blue Shield of California — Managed Medicaid: $54 Cigna Open Access — PPO: $72 Health Net of California — HMO/PPO/POS: $257.03 Humboldt Del Norte Foundation — HMO: $251.99 Humboldt Del Norte Foundation — PPO: $251.99
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL NEW PT HIGH COMPLEXITY	$377.08	$377.08	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$89.28 – $714.31
Psychotherapy, 30 minutes: rates for 5 insurance plans Aetna — Medicare Advantage: $204.15 Anthem Blue Cross — HMO/PPO: $714.31 Anthem Blue Cross Pathway — EPO: $714.31 Humboldt Del Norte Foundation — HMO: $153.06 Humboldt Del Norte Foundation — PPO: $89.28
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$89.28 – $714.31
Psychotherapy, 45 minutes: rates for 5 insurance plans Aetna — Medicare Advantage: $204.15 Anthem Blue Cross — HMO/PPO: $714.31 Anthem Blue Cross Pathway — EPO: $714.31 Humboldt Del Norte Foundation — HMO: $153.06 Humboldt Del Norte Foundation — PPO: $89.28
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$89.28 – $714.31
Psychotherapy, 60 minutes: rates for 5 insurance plans Aetna — Medicare Advantage: $204.15 Anthem Blue Cross — HMO/PPO: $714.31 Anthem Blue Cross Pathway — EPO: $714.31 Humboldt Del Norte Foundation — HMO: $153.06 Humboldt Del Norte Foundation — PPO: $89.28
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$89.28 – $714.31
Family psychotherapy, without the patient: rates for 5 insurance plans Aetna — Medicare Advantage: $204.15 Anthem Blue Cross — HMO/PPO: $714.31 Anthem Blue Cross Pathway — EPO: $714.31 Humboldt Del Norte Foundation — HMO: $153.06 Humboldt Del Norte Foundation — PPO: $89.28
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$89.28 – $714.31
Family psychotherapy, with the patient: rates for 5 insurance plans Aetna — Medicare Advantage: $204.15 Anthem Blue Cross — HMO/PPO: $714.31 Anthem Blue Cross Pathway — EPO: $714.31 Humboldt Del Norte Foundation — HMO: $153.06 Humboldt Del Norte Foundation — PPO: $89.28
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$53.47 – $411.25
Group psychotherapy: rates for 5 insurance plans Aetna — Medicare Advantage: $117.53 Anthem Blue Cross — HMO/PPO: $411.25 Anthem Blue Cross Pathway — EPO: $411.25 Humboldt Del Norte Foundation — HMO: $91.67 Humboldt Del Norte Foundation — PPO: $53.47

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC BREAST LES PRE PLMT RAD MRKR OPEN 1	$10,092.95	$10,092.95	$1,513.94 – $17,023.90
Removal of breast growth (open surgery): rates for 9 insurance plans Aetna — HMO/PPO: $7,569.71 Aetna — Medicare Advantage: $4,865.48 Anthem Blue Cross — HMO/PPO: $17,023.90 Anthem Blue Cross Pathway — EPO: $17,023.90 Blue Shield of California — Managed Medicaid: $1,513.94 Cigna Open Access — PPO: $2,018.59 Health Net of California — HMO/PPO/POS: $7,206.37 Humboldt Del Norte Foundation — HMO: $3,379.21 Humboldt Del Norte Foundation — PPO: $1,971.21
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC BREAST LES PRE PLMT RAD MRKR OPEN 1	$10,572.37	$10,572.37	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$16,348.58 – $57,202.22
Total hip replacement: rates for 3 insurance plans Aetna — Medicare Advantage: $16,348.58 Anthem Blue Cross — HMO/PPO: $57,202.22 Anthem Blue Cross Pathway — EPO: $57,202.22
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$7,499.72 – $57,202.22
Total knee replacement: rates for 5 insurance plans Aetna — Medicare Advantage: $16,348.58 Anthem Blue Cross — HMO/PPO: $57,202.22 Anthem Blue Cross Pathway — EPO: $57,202.22 Humboldt Del Norte Foundation — HMO: $12,856.66 Humboldt Del Norte Foundation — PPO: $7,499.72
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,836.34 – $14,424.61
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans Aetna — Medicare Advantage: $4,122.60 Anthem Blue Cross — HMO/PPO: $14,424.61 Anthem Blue Cross Pathway — EPO: $14,424.61 Humboldt Del Norte Foundation — HMO: $3,148.01 Humboldt Del Norte Foundation — PPO: $1,836.34
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$3,096.96 – $26,299.34
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans Aetna — Medicare Advantage: $7,516.44 Anthem Blue Cross — HMO/PPO: $26,299.34 Anthem Blue Cross Pathway — EPO: $26,299.34 Humboldt Del Norte Foundation — HMO: $5,309.08 Humboldt Del Norte Foundation — PPO: $3,096.96
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$533.08 – $4,168.12
Upper GI endoscopy (diagnostic): rates for 5 insurance plans Aetna — Medicare Advantage: $1,191.26 Anthem Blue Cross — HMO/PPO: $4,168.12 Anthem Blue Cross Pathway — EPO: $4,168.12 Humboldt Del Norte Foundation — HMO: $913.86 Humboldt Del Norte Foundation — PPO: $533.08
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$533.08 – $4,168.12
Upper GI endoscopy with biopsy: rates for 5 insurance plans Aetna — Medicare Advantage: $1,191.26 Anthem Blue Cross — HMO/PPO: $4,168.12 Anthem Blue Cross Pathway — EPO: $4,168.12 Humboldt Del Norte Foundation — HMO: $913.86 Humboldt Del Norte Foundation — PPO: $533.08
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNSOTIC COLONOSC	$3,188.66	$3,188.66	$478.30 – $4,053.20
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — HMO/PPO: $2,391.50 Aetna — Medicare Advantage: $1,158.42 Anthem Blue Cross — HMO/PPO: $4,053.20 Anthem Blue Cross Pathway — EPO: $4,053.20 Blue Shield of California — Managed Medicaid: $478.30 Cigna Open Access — PPO: $637.73 Health Net of California — HMO/PPO/POS: $2,276.70 Humboldt Del Norte Foundation — HMO: $893.87 Humboldt Del Norte Foundation — PPO: $521.42
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNSOTIC COLONOSC	$3,340.12	$3,340.12	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$685.85 – $5,241.86
Colonoscopy with biopsy: rates for 5 insurance plans Aetna — Medicare Advantage: $1,498.14 Anthem Blue Cross — HMO/PPO: $5,241.86 Anthem Blue Cross Pathway — EPO: $5,241.86 Humboldt Del Norte Foundation — HMO: $1,175.75 Humboldt Del Norte Foundation — PPO: $685.85
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ LESION REMOVAL	$5,397.62	$5,397.62	$685.85 – $5,241.86
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — HMO/PPO: $4,048.22 Aetna — Medicare Advantage: $1,498.14 Anthem Blue Cross — HMO/PPO: $5,241.86 Anthem Blue Cross Pathway — EPO: $5,241.86 Blue Shield of California — Managed Medicaid: $809.64 Cigna Open Access — PPO: $1,079.52 Health Net of California — HMO/PPO/POS: $3,853.90 Humboldt Del Norte Foundation — HMO: $1,175.75 Humboldt Del Norte Foundation — PPO: $685.85
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ LESION REMOVAL	$5,654.01	$5,654.01	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$685.85 – $5,241.86
Ultrasound of the lower bowel by endoscope: rates for 5 insurance plans Aetna — Medicare Advantage: $1,498.14 Anthem Blue Cross — HMO/PPO: $5,241.86 Anthem Blue Cross Pathway — EPO: $5,241.86 Humboldt Del Norte Foundation — HMO: $1,175.75 Humboldt Del Norte Foundation — PPO: $685.85
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$521.42 – $4,053.20
Screening colonoscopy (not high risk): rates for 5 insurance plans Aetna — Medicare Advantage: $1,158.42 Anthem Blue Cross — HMO/PPO: $4,053.20 Anthem Blue Cross Pathway — EPO: $4,053.20 Humboldt Del Norte Foundation — HMO: $893.87 Humboldt Del Norte Foundation — PPO: $521.42
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAP CHOLECYSTECTOMY	$15,724.57	$15,724.57	$2,358.69 – $25,937.92
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — HMO/PPO: $11,793.43 Aetna — Medicare Advantage: $7,413.14 Anthem Blue Cross — HMO/PPO: $25,937.92 Anthem Blue Cross Pathway — EPO: $25,937.92 Blue Shield of California — Managed Medicaid: $2,358.69 Cigna Open Access — PPO: $3,144.91 Health Net of California — HMO/PPO/POS: $11,227.34 Humboldt Del Norte Foundation — HMO: $5,515.02 Humboldt Del Norte Foundation — PPO: $3,217.10
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAP CHOLECYSTECTOMY	$16,471.49	$16,471.49	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,063.12 – $15,689.19
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans Aetna — Medicare Advantage: $4,484.02 Anthem Blue Cross — HMO/PPO: $15,689.19 Anthem Blue Cross Pathway — EPO: $15,689.19 Humboldt Del Norte Foundation — HMO: $3,536.78 Humboldt Del Norte Foundation — PPO: $2,063.12
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Other Outpatient Services	Not listed in the file	Not listed in the file	$1,217.82 – $9,107.08
Prostate biopsy: rates for 2 insurance plans Anthem Blue Cross — HMO/PPO: $9,107.08 Anthem Blue Cross Pathway — EPO: $9,107.08
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services	Not listed in the file	Not listed in the file	$1,217.82 – $9,107.08
Prostate biopsy: rates for 2 insurance plans Humboldt Del Norte Foundation — HMO: $2,087.70 Humboldt Del Norte Foundation — PPO: $1,217.82
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APC	Not listed in the file	Not listed in the file	$1,217.82 – $9,107.08
Prostate biopsy: rates for 1 insurance plan Aetna — Medicare Advantage: $2,602.84
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$5,419.14 – $46,285.33
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans Aetna — Medicare Advantage: $13,228.50 Anthem Blue Cross — HMO/PPO: $46,285.33 Anthem Blue Cross Pathway — EPO: $46,285.33 Humboldt Del Norte Foundation — HMO: $9,289.96 Humboldt Del Norte Foundation — PPO: $5,419.14
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTERECTOMY	$8,530.11	$8,530.11	$1,279.52 – $14,135.27
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans Aetna — HMO/PPO: $6,397.58 Aetna — Medicare Advantage: $4,039.91 Anthem Blue Cross — HMO/PPO: $14,135.27 Anthem Blue Cross Pathway — EPO: $14,135.27 Blue Shield of California — Managed Medicaid: $1,279.52 Cigna Open Access — PPO: $1,706.02 Health Net of California — HMO/PPO/POS: $6,090.50 Humboldt Del Norte Foundation — HMO: $2,833.52 Humboldt Del Norte Foundation — PPO: $1,652.89
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTERECTOMY	$8,935.29	$8,935.29	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$419.17 – $3,078.76
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Aetna — Medicare Advantage: $879.92 Anthem Blue Cross — HMO/PPO: $3,078.76 Anthem Blue Cross Pathway — EPO: $3,078.76 Humboldt Del Norte Foundation — HMO: $718.57 Humboldt Del Norte Foundation — PPO: $419.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$535.39 – $3,957.98
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Aetna — Medicare Advantage: $1,131.20 Anthem Blue Cross — HMO/PPO: $3,957.98 Anthem Blue Cross Pathway — EPO: $3,957.98 Humboldt Del Norte Foundation — HMO: $917.81 Humboldt Del Norte Foundation — PPO: $535.39
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,142.04 – $8,681.48
Carpal tunnel release: rates for 5 insurance plans Aetna — Medicare Advantage: $2,481.19 Anthem Blue Cross — HMO/PPO: $8,681.48 Anthem Blue Cross Pathway — EPO: $8,681.48 Humboldt Del Norte Foundation — HMO: $1,957.78 Humboldt Del Norte Foundation — PPO: $1,142.04
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	$3,184.39	$3,184.39	$347.33 – $2,438.93
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans Aetna — HMO/PPO: $2,388.29 Aetna — Medicare Advantage: $697.05 Anthem Blue Cross — HMO/PPO: $2,438.93 Anthem Blue Cross Pathway — EPO: $2,438.93 Blue Shield of California — Managed Medicaid: $477.66 Cigna Open Access — PPO: $636.88 Health Net of California — HMO/PPO/POS: $2,273.65 Humboldt Del Norte Foundation — HMO: $595.42 Humboldt Del Norte Foundation — PPO: $347.33
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	$3,335.65	$3,335.65	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATARACT SURGERY W/IOL STAGE	$12,304.09	$12,304.09	$1,342.01 – $10,139.47
Cataract removal with lens implant: rates for 9 insurance plans Aetna — HMO/PPO: $9,228.07 Aetna — Medicare Advantage: $2,897.90 Anthem Blue Cross — HMO/PPO: $10,139.47 Anthem Blue Cross Pathway — EPO: $10,139.47 Blue Shield of California — Managed Medicaid: $1,845.61 Cigna Open Access — PPO: $2,460.82 Health Net of California — HMO/PPO/POS: $8,785.12 Humboldt Del Norte Foundation — HMO: $2,300.59 Humboldt Del Norte Foundation — PPO: $1,342.01
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CATARACT SURGERY W/IOL STAGE	$12,888.53	$12,888.53	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$3,929
Vaginal delivery, with care before and after: rates for 1 insurance plan Aetna — HMO/PPO: $3,929
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$6,371
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Aetna — HMO/PPO: $6,371
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,929
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Aetna — HMO/PPO: $3,929

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$93,649.72
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan Aetna — Medicare Advantage: $93,649.72
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$19,039.30
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan Aetna — Medicare Advantage: $19,039.30
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$23,669.30
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Aetna — Medicare Advantage: $23,669.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$12,440.66
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Aetna — Medicare Advantage: $12,440.66

Source: Mad River Community Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 22, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	3800 Janes Rd, Arcata, CA 95521
County	Humboldt County
State	California
Phone	(707) 822‑3621
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	1 of 5 stars
CMS Certification Number	050028
Name in Medicare records	MAD RIVER COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	madriverhospital.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.

Mad River Community Hospital — madriverhospital.com
Visiting A Patient — madriverhospital.com
Our Locations — madriverhospital.com

Mad River Community Hospital

Summary

Profile from official sources

At a glance