Does Mark Twain Medical Center have an emergency room?

Yes. The hospital’s official website lists an emergency room at Mark Twain Medical Center. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Mark Twain Medical Center?

768 Mountain Ranch Rd, San Andreas, CA 95249, in Calaveras County, California.

What is the phone number of Mark Twain Medical Center?

(209) 754-3521, as listed by Medicare (CMS).

What is the Medicare star rating of Mark Twain Medical Center?

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

Mark Twain Medical Center — Phone, Address & ER

Quick answers

Does Mark Twain Medical Center have an emergency room?: Yes. The hospital’s official website lists an emergency room at Mark Twain Medical Center. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Mark Twain Medical Center?: 768 Mountain Ranch Rd, San Andreas, CA 95249, in Calaveras County, California.
What is the phone number of Mark Twain Medical Center?: (209) 754-3521, as listed by Medicare (CMS).
What is the Medicare star rating of Mark Twain Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^[4][5]

Emergency care
Behavioral health
Cancer care (oncology)
Cardiology (heart care)
Chiropractic care
Critical care
Diagnostic imaging
General surgery
Laboratory services
Orthopedics and sports medicine
Pain management
Physical therapy
Oncology (cancer care)

Conditions treated^[4]

Gallbladder problems (cholecystitis)
Hernias
Appendicitis
Reflux (GERD)

Treatments^[4][5]

Blood and platelet transfusions
Hydration therapy
Specialized chemotherapy (including bladder instillation)
Pulmonary rehabilitation
Physical therapy

Procedures^[4][5]

Minimally invasive surgery
Robotic-assisted surgery
Knee replacement
Hernia repair
Diagnostic imaging
Laboratory services

Programs and centers^[4][5]

Cardiac rehabilitation
Pulmonary rehabilitation

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting 8 a.m.-8 p.m.; two visitors per room; visitors must be 14 or older with ID^[4]
Interpreters and languages	Language and interpretation services page is linked; no site-specific details^[4]
Patient portal	My Portal by Dignity Health

Recognition^[4]

LGBTQ+ Healthcare Equality High Performer (Human Rights Campaign)

Doctors and clinicians (205)

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

Main specialties

Doctors with a page on this site (205)

Adnan Khan, MDCardiovascular Disease (Cardiology)
Ajay K. Toppur Ramanakumar, MDCardiovascular Disease (Cardiology)
Ajay Rachakonda, MDNephrology
Ajithkumar Puthillath, MDMedical Oncology
Alexander Curfman, DPMPodiatry
Alireza Abdolmohammadi, MDMedical Oncology
Aminder S. Mehdi, MDHematology/Oncology
An V. Le, MDInternal Medicine
Andreas Wolf, MDCardiovascular Disease (Cardiology)
Andrew J. Skokan, NPNurse Practitioner
Angelica Buenrostro, PAPhysician Assistant
Anh X. Le, MDOrthopedic Surgery
Anne Marie Barnett, MDEndocrinology
Anusha Vuppala, MDRheumatology
Ariana M. Demers, DOOrthopedic Surgery
Ashley R. Parris, MDFamily Practice
Ayad S. Khourdaji, MDUrology
Ayaz A. Khan, MDPhysical Medicine and Rehabilitation
Bader Abu Ghalyoun, MDCardiovascular Disease (Cardiology)
Baljit S. Dhesi, MDInternal Medicine
Barbara B. Feldhaus, PAPhysician Assistant
Barbara Saul, DOFamily Practice
Benedicto M. Estoesta, MDFamily Practice
Brian Mason, MDAnesthesiology

And 181 more: the button below opens the full list.

Other emergency rooms nearby

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

Sutter Amador Hospital12 mi · Jackson, CA · Acute Care Hospital
Adventist Health Sonora22 mi · Sonora, CA · Acute Care Hospital
Adventist Health Lodi Memorial27 mi · Lodi, CA · Acute Care Hospital
Oak Valley Hospital District32 mi · Oakdale, CA · Acute Care Hospital
St Joseph's Medical Center of Stockton37 mi · Stockton, CA · Acute Care Hospital

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

Other hospitals near San Andreas

St Joseph's Behavioral Health Center37 mi · Stockton, CA · Psychiatric Hospital
Stockton Regional Rehabilitation Hospital37 mi · Stockton, CA · Inpatient Rehabilitation Hospital

Hospitals in Calaveras 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

Golden San Andreas Care Center0.2 mi · San Andreas, CA · 2 of 5 stars
Kit Carson Nursing & Rehabilitation Center13 mi · Jackson, CA · 1 of 5 stars
Adventist Health Sonora - D/P SNF21 mi · Sonora, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Amador & Calaveras12 mi · Jackson, CA · 5 of 5 stars
Adventist Health Home Care Services22 mi · Sonora, CA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

United Home Care of Northern California12 mi · Jackson, CA · 4 of 5 stars
Adventist Health Home Care Services22 mi · Sonora, CA · 3.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Innovative Renal Care Jackson12 mi · Jackson, CA · 1 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.

Sonora Eye Surgery Center22 mi · Sonora, 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

M A C T Health Board Incorporated2.6 mi · San Andreas, CA · Community health center
Mact Health Board Inc2.6 mi · San Andreas, CA · Community health center
M A C T Health Board Incorporated9.8 mi · Valley Springs, CA · Community health center

Clinics and urgent care

Family Medical Center - San Andreas2.6 mi · San Andreas, CA · Rural health clinic
Valley Springs Health & Wellness Center9.8 mi · Valley Springs, CA · Rural health clinic
Adventist Health Physicians Network10 mi · Angels Camp, CA · Urgent care center

Pharmacies

Meadowmont Pharmacy Inc2.6 mi · San Andreas, CA · Community/retail pharmacy
Mother Lode Pharmacies, Inc.2.6 mi · San Andreas, CA · Pharmacy
Sunrise Pharmacy Inc9.8 mi · Valley Springs, CA · Community/retail pharmacy

Assisted living nearby

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

Denali Home9.8 mi · Valley Springs, CA
Foothill Village Senior Living10 mi · Angels Camp, CA
Amador Residential Care Facility12 mi · Jackson, CA
Argonaut Care Home 312 mi · Jackson, 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 Mark Twain Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	88%National average: 80%
Doctors “always” communicated well	83%National average: 80%
“Always” got help as soon as they wanted	71%National average: 64%
Staff “always” explained medicines before giving them	72%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	89%National average: 73%
Completed surveys	150Response rate: 22%

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

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

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

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	17.9%
Deaths within 30 days: COPD patients	9.3%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
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)	16.8%
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	19.8%
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)	116 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	75%National average: 66%

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

See every measure on Medicare Care Compare →

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

What the prices mean

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

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

$ 56 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.

Show the prices of 65 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) In the file: PF VISIT LOW 30MN NW PT	$249	$168.32	$54.78 – $244.02
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $203.44 Aetna — Commercial\|HMO: $203.44 Aetna — Commercial\|PPO: $203.44 Aetna — Medicare\|All Plans: $54.78 BCBS - Anthem — Commercial\|All Other Plans: $192.48 BCBS - Anthem — Commercial\|Exchange: $150.13 BCBS - Anthem — Medicaid\|All Plans: $101.90 BCBS - Anthem — Medicare\|All Plans: $54.78 Blue Shield CA — Commercial\|Exchange: $144.67 Blue Shield CA — Commercial\|HMO: $180.03
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: RHC VISIT LOW 30MN NW PT	$170	$114.92	$37.40 – $166.60
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $138.89 Aetna — Commercial\|HMO: $138.89 Aetna — Commercial\|PPO: $138.89 Aetna — Medicare\|All Plans: $37.40 BCBS - Anthem — Commercial\|All Other Plans: $131.41 BCBS - Anthem — Commercial\|Exchange: $102.50 BCBS - Anthem — Medicaid\|All Plans: $101.90 BCBS - Anthem — Medicare\|All Plans: $37.40 Blue Shield CA — Commercial\|Exchange: $98.77 Blue Shield CA — Commercial\|HMO: $122.91
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: PF VISIT LOW 30MN NW PT	$249	$168.32	$128.24 – $244.02
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $203.44 Aetna — Commercial\|HMO: $203.44 Aetna — Commercial\|PPO: $203.44 BCBS - Anthem — Commercial\|All Other Plans: $169.77 BCBS - Anthem — Commercial\|Exchange: $132.42 Blue Shield CA — Commercial\|Exchange: $128.24 Blue Shield CA — Commercial\|HMO: $159.36 Blue Shield CA — Commercial\|PPO: $159.36 Cigna — Commercial\|All Other Plans: $212.65 Cigna — Commercial\|PPO: $212.65
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: PF VISIT MDT 45MN NW PT	$380	$256.87	$83.60 – $372.40
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $310.46 Aetna — Commercial\|HMO: $310.46 Aetna — Commercial\|PPO: $310.46 Aetna — Medicare\|All Plans: $83.60 BCBS - Anthem — Commercial\|All Other Plans: $293.74 BCBS - Anthem — Commercial\|Exchange: $229.11 BCBS - Anthem — Medicaid\|All Plans: $122.74 BCBS - Anthem — Medicare\|All Plans: $83.60 Blue Shield CA — Commercial\|Exchange: $220.78 Blue Shield CA — Commercial\|HMO: $274.74
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: RHC VISIT MDT 45MN NW PT	$251	$169.67	$55.22 – $245.98
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $205.07 Aetna — Commercial\|HMO: $205.07 Aetna — Commercial\|PPO: $205.07 Aetna — Medicare\|All Plans: $55.22 BCBS - Anthem — Commercial\|All Other Plans: $194.03 BCBS - Anthem — Commercial\|Exchange: $151.33 BCBS - Anthem — Medicaid\|All Plans: $122.74 BCBS - Anthem — Medicare\|All Plans: $55.22 Blue Shield CA — Commercial\|Exchange: $145.84 Blue Shield CA — Commercial\|HMO: $181.48
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: PF VISIT MDT 45MN NW PT	$380	$256.87	$195.70 – $372.40
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $310.46 Aetna — Commercial\|HMO: $310.46 Aetna — Commercial\|PPO: $310.46 BCBS - Anthem — Commercial\|All Other Plans: $259.09 BCBS - Anthem — Commercial\|Exchange: $202.09 Blue Shield CA — Commercial\|Exchange: $195.70 Blue Shield CA — Commercial\|HMO: $243.20 Blue Shield CA — Commercial\|PPO: $243.20 Cigna — Commercial\|All Other Plans: $324.52 Cigna — Commercial\|PPO: $324.52
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: PF VISIT HIGH 60MN NW PT	$472	$319.06	$103.84 – $462.56
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $385.63 Aetna — Commercial\|HMO: $385.63 Aetna — Commercial\|PPO: $385.63 Aetna — Medicare\|All Plans: $103.84 BCBS - Anthem — Commercial\|All Other Plans: $364.86 BCBS - Anthem — Commercial\|Exchange: $284.57 BCBS - Anthem — Medicaid\|All Plans: $147.33 BCBS - Anthem — Medicare\|All Plans: $103.84 Blue Shield CA — Commercial\|Exchange: $274.24 Blue Shield CA — Commercial\|HMO: $341.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: RHC VISIT HIGH 60MN NW PT	$331	$223.75	$72.82 – $324.38
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $270.43 Aetna — Commercial\|HMO: $270.43 Aetna — Commercial\|PPO: $270.43 Aetna — Medicare\|All Plans: $72.82 BCBS - Anthem — Commercial\|All Other Plans: $255.87 BCBS - Anthem — Commercial\|Exchange: $199.56 BCBS - Anthem — Medicaid\|All Plans: $147.33 BCBS - Anthem — Medicare\|All Plans: $72.82 Blue Shield CA — Commercial\|Exchange: $192.32 Blue Shield CA — Commercial\|HMO: $239.32
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: PF VISIT HIGH 60MN NW PT	$472	$319.06	$243.08 – $462.56
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $385.63 Aetna — Commercial\|HMO: $385.63 Aetna — Commercial\|PPO: $385.63 BCBS - Anthem — Commercial\|All Other Plans: $321.81 BCBS - Anthem — Commercial\|Exchange: $251.01 Blue Shield CA — Commercial\|Exchange: $243.08 Blue Shield CA — Commercial\|HMO: $302.08 Blue Shield CA — Commercial\|PPO: $302.08 Cigna — Commercial\|All Other Plans: $403.09 Cigna — Commercial\|PPO: $403.09
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: PF VISIT LOW 20MN EST PT	$168	$113.57	$36.96 – $164.64
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $137.26 Aetna — Commercial\|HMO: $137.26 Aetna — Commercial\|PPO: $137.26 Aetna — Medicare\|All Plans: $36.96 BCBS - Anthem — Commercial\|All Other Plans: $129.87 BCBS - Anthem — Commercial\|Exchange: $101.29 BCBS - Anthem — Medicaid\|All Plans: $42.76 BCBS - Anthem — Medicare\|All Plans: $36.96 Blue Shield CA — Commercial\|Exchange: $97.61 Blue Shield CA — Commercial\|HMO: $121.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: RHC VISIT LOW 20MN EST PT	$140	$94.64	$30.80 – $137.20
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $114.38 Aetna — Commercial\|HMO: $114.38 Aetna — Commercial\|PPO: $114.38 Aetna — Medicare\|All Plans: $30.80 BCBS - Anthem — Commercial\|All Other Plans: $108.22 BCBS - Anthem — Commercial\|Exchange: $84.41 BCBS - Anthem — Medicaid\|All Plans: $42.76 BCBS - Anthem — Medicare\|All Plans: $30.80 Blue Shield CA — Commercial\|Exchange: $81.34 Blue Shield CA — Commercial\|HMO: $101.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: PF VISIT LOW 20MN EST PT	$168	$113.57	$86.52 – $164.64
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $137.26 Aetna — Commercial\|HMO: $137.26 Aetna — Commercial\|PPO: $137.26 BCBS - Anthem — Commercial\|All Other Plans: $114.55 BCBS - Anthem — Commercial\|Exchange: $89.35 Blue Shield CA — Commercial\|Exchange: $86.52 Blue Shield CA — Commercial\|HMO: $107.52 Blue Shield CA — Commercial\|PPO: $107.52 Cigna — Commercial\|All Other Plans: $143.48 Cigna — Commercial\|PPO: $143.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: PF VISIT MDT 30MN EST PT	$248	$167.64	$54.56 – $243.04
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $202.62 Aetna — Commercial\|HMO: $202.62 Aetna — Commercial\|PPO: $202.62 Aetna — Medicare\|All Plans: $54.56 BCBS - Anthem — Commercial\|All Other Plans: $191.71 BCBS - Anthem — Commercial\|Exchange: $149.52 BCBS - Anthem — Medicaid\|All Plans: $66.81 BCBS - Anthem — Medicare\|All Plans: $54.56 Blue Shield CA — Commercial\|Exchange: $144.09 Blue Shield CA — Commercial\|HMO: $179.31
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: RHC VISIT MDT 30MN EST PT	$237	$160.21	$52.14 – $232.26
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $193.63 Aetna — Commercial\|HMO: $193.63 Aetna — Commercial\|PPO: $193.63 Aetna — Medicare\|All Plans: $52.14 BCBS - Anthem — Commercial\|All Other Plans: $183.21 BCBS - Anthem — Commercial\|Exchange: $142.89 BCBS - Anthem — Medicaid\|All Plans: $66.81 BCBS - Anthem — Medicare\|All Plans: $52.14 Blue Shield CA — Commercial\|Exchange: $137.70 Blue Shield CA — Commercial\|HMO: $171.36
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: PF VISIT MDT 30MN EST PT	$248	$167.64	$127.72 – $243.04
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $202.62 Aetna — Commercial\|HMO: $202.62 Aetna — Commercial\|PPO: $202.62 BCBS - Anthem — Commercial\|All Other Plans: $169.09 BCBS - Anthem — Commercial\|Exchange: $131.89 Blue Shield CA — Commercial\|Exchange: $127.72 Blue Shield CA — Commercial\|HMO: $158.72 Blue Shield CA — Commercial\|PPO: $158.72 Cigna — Commercial\|All Other Plans: $211.80 Cigna — Commercial\|PPO: $211.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3	$1,174	$793.58	$63.97 – $1,150.52
Emergency room visit (moderate): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $959.16 Aetna — Commercial\|HMO: $959.16 Aetna — Commercial\|PPO: $959.16 Aetna — Medicare\|All Plans: $258.28 BCBS - Anthem — Commercial\|All Other Plans: $907.51 BCBS - Anthem — Commercial\|Exchange: $707.81 BCBS - Anthem — Medicaid\|All Plans: $295 BCBS - Anthem — Medicare\|All Plans: $258.28 Blue Shield CA — Commercial\|Exchange: $682.10 Blue Shield CA — Commercial\|HMO: $848.81
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PF ER LEVEL 3	$181	$122.35	$39.82 – $177.38
Emergency room visit (moderate): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $147.88 Aetna — Commercial\|HMO: $147.88 Aetna — Commercial\|PPO: $147.88 Aetna — Medicare\|All Plans: $39.82 BCBS - Anthem — Commercial\|All Other Plans: $139.92 BCBS - Anthem — Commercial\|Exchange: $109.13 BCBS - Anthem — Medicaid\|All Plans: $63.97 BCBS - Anthem — Medicare\|All Plans: $39.82 Blue Shield CA — Commercial\|Exchange: $105.17 Blue Shield CA — Commercial\|HMO: $130.87
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3	$1,174	$793.58	$295 – $1,150.52
Emergency room visit (moderate): 10 of 19 insurance plan rates Aetna — Commercial\|All Other Plans: $959.16 Aetna — Commercial\|HMO: $959.16 Aetna — Commercial\|PPO: $959.16 BCBS - Anthem — Commercial\|All Other Plans: $800.44 BCBS - Anthem — Commercial\|Exchange: $624.34 BCBS - Anthem — Medicaid\|All Plans: $295 Blue Shield CA — Commercial\|Exchange: $604.61 Blue Shield CA — Commercial\|HMO: $751.36 Blue Shield CA — Commercial\|PPO: $751.36 Cigna — Commercial\|All Other Plans: $1,002.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4	$2,054	$1,388.42	$98.04 – $2,012.92
Emergency room visit (moderately high): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,678.12 Aetna — Commercial\|HMO: $1,678.12 Aetna — Commercial\|PPO: $1,678.12 Aetna — Medicare\|All Plans: $451.88 BCBS - Anthem — Commercial\|All Other Plans: $1,587.75 BCBS - Anthem — Commercial\|Exchange: $1,238.36 BCBS - Anthem — Medicaid\|All Plans: $295 BCBS - Anthem — Medicare\|All Plans: $451.88 Blue Shield CA — Commercial\|Exchange: $1,193.38 Blue Shield CA — Commercial\|HMO: $1,485.05
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PF ER LEVEL 4	$356	$240.65	$78.32 – $348.88
Emergency room visit (moderately high): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $290.86 Aetna — Commercial\|HMO: $290.86 Aetna — Commercial\|PPO: $290.86 Aetna — Medicare\|All Plans: $78.32 BCBS - Anthem — Commercial\|All Other Plans: $275.19 BCBS - Anthem — Commercial\|Exchange: $214.64 BCBS - Anthem — Medicaid\|All Plans: $98.04 BCBS - Anthem — Medicare\|All Plans: $78.32 Blue Shield CA — Commercial\|Exchange: $206.84 Blue Shield CA — Commercial\|HMO: $257.39
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4	$2,054	$1,388.42	$295 – $2,012.92
Emergency room visit (moderately high): 10 of 19 insurance plan rates Aetna — Commercial\|All Other Plans: $1,678.12 Aetna — Commercial\|HMO: $1,678.12 Aetna — Commercial\|PPO: $1,678.12 BCBS - Anthem — Commercial\|All Other Plans: $1,400.42 BCBS - Anthem — Commercial\|Exchange: $1,092.32 BCBS - Anthem — Medicaid\|All Plans: $295 Blue Shield CA — Commercial\|Exchange: $1,057.81 Blue Shield CA — Commercial\|HMO: $1,314.56 Blue Shield CA — Commercial\|PPO: $1,314.56 Cigna — Commercial\|All Other Plans: $1,754.12
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5	$2,970	$2,007.59	$155.03 – $2,910.60
Emergency room visit (high): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $2,426.49 Aetna — Commercial\|HMO: $2,426.49 Aetna — Commercial\|PPO: $2,426.49 Aetna — Medicare\|All Plans: $653.40 BCBS - Anthem — Commercial\|All Other Plans: $2,295.81 BCBS - Anthem — Commercial\|Exchange: $1,790.62 BCBS - Anthem — Medicaid\|All Plans: $295 BCBS - Anthem — Medicare\|All Plans: $653.40 Blue Shield CA — Commercial\|Exchange: $1,725.57 Blue Shield CA — Commercial\|HMO: $2,147.31
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PF ER LEVEL 5	$537	$362.99	$118.14 – $526.26
Emergency room visit (high): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $438.73 Aetna — Commercial\|HMO: $438.73 Aetna — Commercial\|PPO: $438.73 Aetna — Medicare\|All Plans: $118.14 BCBS - Anthem — Commercial\|All Other Plans: $415.11 BCBS - Anthem — Commercial\|Exchange: $323.76 BCBS - Anthem — Medicaid\|All Plans: $155.03 BCBS - Anthem — Medicare\|All Plans: $118.14 Blue Shield CA — Commercial\|Exchange: $312 Blue Shield CA — Commercial\|HMO: $388.26
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5	$2,970	$2,007.59	$295 – $2,910.60
Emergency room visit (high): 10 of 19 insurance plan rates Aetna — Commercial\|All Other Plans: $2,426.49 Aetna — Commercial\|HMO: $2,426.49 Aetna — Commercial\|PPO: $2,426.49 BCBS - Anthem — Commercial\|All Other Plans: $2,024.95 BCBS - Anthem — Commercial\|Exchange: $1,579.45 BCBS - Anthem — Medicaid\|All Plans: $295 Blue Shield CA — Commercial\|Exchange: $1,529.55 Blue Shield CA — Commercial\|HMO: $1,900.80 Blue Shield CA — Commercial\|PPO: $1,900.80 Cigna — Commercial\|All Other Plans: $2,536.38

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$225	$152.10	$8.46 – $220.50
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $183.83 Aetna — Commercial\|HMO: $183.83 Aetna — Commercial\|PPO: $183.83 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $173.93 BCBS - Anthem — Commercial\|Exchange: $135.66 BCBS - Anthem — Medicaid\|All Plans: $10.43 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|Exchange: $130.73 Blue Shield CA — Commercial\|HMO: $162.68
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$305	$206.17	$157.08 – $298.90
Basic metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $249.19 Aetna — Commercial\|HMO: $249.19 Aetna — Commercial\|PPO: $249.19 BCBS - Anthem — Commercial\|All Other Plans: $207.95 BCBS - Anthem — Commercial\|Exchange: $162.20 Blue Shield CA — Commercial\|Exchange: $157.08 Blue Shield CA — Commercial\|HMO: $195.20 Blue Shield CA — Commercial\|PPO: $195.20 Cigna — Commercial\|All Other Plans: $260.47 Cigna — Commercial\|PPO: $260.47
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$241	$162.91	$10.56 – $236.18
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $196.90 Aetna — Commercial\|HMO: $196.90 Aetna — Commercial\|PPO: $196.90 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $186.30 BCBS - Anthem — Commercial\|Exchange: $145.30 BCBS - Anthem — Medicaid\|All Plans: $13.18 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|Exchange: $140.03 Blue Shield CA — Commercial\|HMO: $174.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL	$330	$223.07	$169.95 – $323.40
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $269.61 Aetna — Commercial\|HMO: $269.61 Aetna — Commercial\|PPO: $269.61 BCBS - Anthem — Commercial\|All Other Plans: $225 BCBS - Anthem — Commercial\|Exchange: $175.50 Blue Shield CA — Commercial\|Exchange: $169.95 Blue Shield CA — Commercial\|HMO: $211.20 Blue Shield CA — Commercial\|PPO: $211.20 Cigna — Commercial\|All Other Plans: $281.82 Cigna — Commercial\|PPO: $281.82
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: RHC PRENT PNL W HBSAGNONL	$210	$141.96	$47.81 – $205.80
Obstetric blood test panel: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $171.57 Aetna — Commercial\|HMO: $171.57 Aetna — Commercial\|PPO: $171.57 Aetna — Medicare\|All Plans: $47.81 BCBS - Anthem — Commercial\|All Other Plans: $162.33 BCBS - Anthem — Commercial\|Exchange: $126.61 BCBS - Anthem — Medicaid\|All Plans: $51.39 BCBS - Anthem — Medicare\|All Plans: $47.81 Blue Shield CA — Commercial\|Exchange: $122.01 Blue Shield CA — Commercial\|HMO: $151.83
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: RHC PRENT PNL W HBSAGNONL	$1.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Obstetric blood test panel: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|HMO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|PPO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|All Other Plans: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|Exchange: $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|Exchange: $0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|HMO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|PPO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|All Other Plans: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|PPO: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$33.48	$22.64	$13.39 – $32.82
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $27.36 Aetna — Commercial\|HMO: $27.36 Aetna — Commercial\|PPO: $27.36 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $25.89 BCBS - Anthem — Commercial\|Exchange: $20.19 BCBS - Anthem — Medicaid\|All Plans: $16.55 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|Exchange: $19.46 Blue Shield CA — Commercial\|HMO: $24.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-AD LIP PL 92145D	$60.13	$40.65	$13.39 – $58.93
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $49.13 Aetna — Commercial\|HMO: $49.13 Aetna — Commercial\|PPO: $49.13 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $46.49 BCBS - Anthem — Commercial\|Exchange: $36.26 BCBS - Anthem — Medicaid\|All Plans: $16.55 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|Exchange: $34.94 Blue Shield CA — Commercial\|HMO: $43.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-METBOL RSK PNL 39447	$61.38	$41.50	$13.39 – $60.16
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $50.15 Aetna — Commercial\|HMO: $50.15 Aetna — Commercial\|PPO: $50.15 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $47.45 BCBS - Anthem — Commercial\|Exchange: $37.01 BCBS - Anthem — Medicaid\|All Plans: $16.55 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|Exchange: $35.67 Blue Shield CA — Commercial\|HMO: $44.38
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$205	$138.58	$8.68 – $200.90
Kidney function panel: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $167.49 Aetna — Commercial\|HMO: $167.49 Aetna — Commercial\|PPO: $167.49 Aetna — Medicare\|All Plans: $8.68 BCBS - Anthem — Commercial\|All Other Plans: $158.47 BCBS - Anthem — Commercial\|Exchange: $123.60 BCBS - Anthem — Medicaid\|All Plans: $10.90 BCBS - Anthem — Medicare\|All Plans: $8.68 Blue Shield CA — Commercial\|Exchange: $119.11 Blue Shield CA — Commercial\|HMO: $148.22
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$227	$153.45	$116.91 – $222.46
Kidney function panel: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $185.46 Aetna — Commercial\|HMO: $185.46 Aetna — Commercial\|PPO: $185.46 BCBS - Anthem — Commercial\|All Other Plans: $154.77 BCBS - Anthem — Commercial\|Exchange: $120.72 Blue Shield CA — Commercial\|Exchange: $116.91 Blue Shield CA — Commercial\|HMO: $145.28 Blue Shield CA — Commercial\|PPO: $145.28 Cigna — Commercial\|All Other Plans: $193.86 Cigna — Commercial\|PPO: $193.86
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$217	$146.69	$8.17 – $212.66
Liver function panel: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $177.29 Aetna — Commercial\|HMO: $177.29 Aetna — Commercial\|PPO: $177.29 Aetna — Medicare\|All Plans: $8.17 BCBS - Anthem — Commercial\|All Other Plans: $167.75 BCBS - Anthem — Commercial\|Exchange: $130.83 BCBS - Anthem — Medicaid\|All Plans: $9.15 BCBS - Anthem — Medicare\|All Plans: $8.17 Blue Shield CA — Commercial\|Exchange: $126.08 Blue Shield CA — Commercial\|HMO: $156.90
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC PANEL	$20.43	$13.81	$8.17 – $20.03
Liver function panel: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $16.70 Aetna — Commercial\|HMO: $16.70 Aetna — Commercial\|PPO: $16.70 Aetna — Medicare\|All Plans: $8.17 BCBS - Anthem — Commercial\|All Other Plans: $15.80 BCBS - Anthem — Commercial\|Exchange: $12.32 BCBS - Anthem — Medicaid\|All Plans: $9.15 BCBS - Anthem — Medicare\|All Plans: $8.17 Blue Shield CA — Commercial\|Exchange: $11.87 Blue Shield CA — Commercial\|HMO: $14.78
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$297	$200.76	$152.96 – $291.06
Liver function panel: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $242.65 Aetna — Commercial\|HMO: $242.65 Aetna — Commercial\|PPO: $242.65 BCBS - Anthem — Commercial\|All Other Plans: $202.50 BCBS - Anthem — Commercial\|Exchange: $157.95 Blue Shield CA — Commercial\|Exchange: $152.96 Blue Shield CA — Commercial\|HMO: $190.08 Blue Shield CA — Commercial\|PPO: $190.08 Cigna — Commercial\|All Other Plans: $253.64 Cigna — Commercial\|PPO: $253.64
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO	$90	$60.84	$3.17 – $88.20
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $73.53 Aetna — Commercial\|HMO: $73.53 Aetna — Commercial\|PPO: $73.53 Aetna — Medicare\|All Plans: $3.17 BCBS - Anthem — Commercial\|All Other Plans: $69.57 BCBS - Anthem — Commercial\|Exchange: $54.27 BCBS - Anthem — Medicaid\|All Plans: $3.97 BCBS - Anthem — Medicare\|All Plans: $3.17 Blue Shield CA — Commercial\|Exchange: $52.29 Blue Shield CA — Commercial\|HMO: $65.07
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA AUTO W MICRO	$90	$60.84	$46.35 – $88.20
Urine test (automated, with microscope): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $73.53 Aetna — Commercial\|HMO: $73.53 Aetna — Commercial\|PPO: $73.53 BCBS - Anthem — Commercial\|All Other Plans: $61.37 BCBS - Anthem — Commercial\|Exchange: $47.87 Blue Shield CA — Commercial\|Exchange: $46.35 Blue Shield CA — Commercial\|HMO: $57.60 Blue Shield CA — Commercial\|PPO: $57.60 Cigna — Commercial\|All Other Plans: $76.86 Cigna — Commercial\|PPO: $76.86
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: RHC UA NOAUT WO MICRONONL	$15	$10.14	$3.08 – $14.70
Urine test (manual, without microscope): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $12.26 Aetna — Commercial\|HMO: $12.26 Aetna — Commercial\|PPO: $12.26 Aetna — Medicare\|All Plans: $3.48 BCBS - Anthem — Commercial\|All Other Plans: $11.60 BCBS - Anthem — Commercial\|Exchange: $9.05 BCBS - Anthem — Medicaid\|All Plans: $3.08 BCBS - Anthem — Medicare\|All Plans: $3.48 Blue Shield CA — Commercial\|Exchange: $8.72 Blue Shield CA — Commercial\|HMO: $10.85
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NONAUTO W/O MICRO NONL	$14	$9.47	$3.08 – $13.72
Urine test (manual, without microscope): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $11.44 Aetna — Commercial\|HMO: $11.44 Aetna — Commercial\|PPO: $11.44 Aetna — Medicare\|All Plans: $3.48 BCBS - Anthem — Commercial\|All Other Plans: $10.83 BCBS - Anthem — Commercial\|Exchange: $8.45 BCBS - Anthem — Medicaid\|All Plans: $3.08 BCBS - Anthem — Medicare\|All Plans: $3.48 Blue Shield CA — Commercial\|Exchange: $8.14 Blue Shield CA — Commercial\|HMO: $10.13
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: RHC UA NOAUT WO MICRONONL	$1.11	$0.76	$0.58 – $1.09
Urine test (manual, without microscope): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $0.91 Aetna — Commercial\|HMO: $0.91 Aetna — Commercial\|PPO: $0.91 BCBS - Anthem — Commercial\|All Other Plans: $0.76 BCBS - Anthem — Commercial\|Exchange: $0.60 Blue Shield CA — Commercial\|Exchange: $0.58 Blue Shield CA — Commercial\|HMO: $0.72 Blue Shield CA — Commercial\|PPO: $0.72 Cigna — Commercial\|All Other Plans: $0.95 Cigna — Commercial\|PPO: $0.95
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO W/O MICRO NONL	$68	$45.97	$2.25 – $66.64
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $55.56 Aetna — Commercial\|HMO: $55.56 Aetna — Commercial\|PPO: $55.56 Aetna — Medicare\|All Plans: $2.25 BCBS - Anthem — Commercial\|All Other Plans: $52.57 BCBS - Anthem — Commercial\|Exchange: $41 BCBS - Anthem — Medicaid\|All Plans: $2.81 BCBS - Anthem — Medicare\|All Plans: $2.25 Blue Shield CA — Commercial\|Exchange: $39.51 Blue Shield CA — Commercial\|HMO: $49.17
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO	$39	$26.37	$2.25 – $38.22
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $31.87 Aetna — Commercial\|HMO: $31.87 Aetna — Commercial\|PPO: $31.87 Aetna — Medicare\|All Plans: $2.25 BCBS - Anthem — Commercial\|All Other Plans: $30.15 BCBS - Anthem — Commercial\|Exchange: $23.52 BCBS - Anthem — Medicaid\|All Plans: $2.81 BCBS - Anthem — Medicare\|All Plans: $2.25 Blue Shield CA — Commercial\|Exchange: $22.66 Blue Shield CA — Commercial\|HMO: $28.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO W/O MICRO NONL	$68	$45.97	$35.02 – $66.64
Urine test (automated, without microscope): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $55.56 Aetna — Commercial\|HMO: $55.56 Aetna — Commercial\|PPO: $55.56 BCBS - Anthem — Commercial\|All Other Plans: $46.37 BCBS - Anthem — Commercial\|Exchange: $36.17 Blue Shield CA — Commercial\|Exchange: $35.02 Blue Shield CA — Commercial\|HMO: $43.52 Blue Shield CA — Commercial\|PPO: $43.52 Cigna — Commercial\|All Other Plans: $58.08 Cigna — Commercial\|PPO: $58.08
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	$45.98	$31.09	$18.39 – $45.07
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $37.57 Aetna — Commercial\|HMO: $37.57 Aetna — Commercial\|PPO: $37.57 Aetna — Medicare\|All Plans: $18.39 BCBS - Anthem — Commercial\|All Other Plans: $35.55 BCBS - Anthem — Commercial\|Exchange: $27.73 BCBS - Anthem — Medicaid\|All Plans: $23.45 BCBS - Anthem — Medicare\|All Plans: $18.39 Blue Shield CA — Commercial\|Exchange: $26.72 Blue Shield CA — Commercial\|HMO: $33.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$191	$129.11	$18.39 – $187.18
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $156.05 Aetna — Commercial\|HMO: $156.05 Aetna — Commercial\|PPO: $156.05 Aetna — Medicare\|All Plans: $18.39 BCBS - Anthem — Commercial\|All Other Plans: $147.65 BCBS - Anthem — Commercial\|Exchange: $115.16 BCBS - Anthem — Medicaid\|All Plans: $23.45 BCBS - Anthem — Medicare\|All Plans: $18.39 Blue Shield CA — Commercial\|Exchange: $110.98 Blue Shield CA — Commercial\|HMO: $138.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PROST INDX 3000134	$74	$50.03	$18.39 – $72.52
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $60.46 Aetna — Commercial\|HMO: $60.46 Aetna — Commercial\|PPO: $60.46 Aetna — Medicare\|All Plans: $18.39 BCBS - Anthem — Commercial\|All Other Plans: $57.21 BCBS - Anthem — Commercial\|Exchange: $44.62 BCBS - Anthem — Medicaid\|All Plans: $23.45 BCBS - Anthem — Medicare\|All Plans: $18.39 Blue Shield CA — Commercial\|Exchange: $43 Blue Shield CA — Commercial\|HMO: $53.51
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 3 70225	$8	$5.41	$4.40 – $8.16
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $6.54 Aetna — Commercial\|HMO: $6.54 Aetna — Commercial\|PPO: $6.54 Aetna — Medicare\|All Plans: $8 BCBS - Anthem — Commercial\|All Other Plans: $6.19 BCBS - Anthem — Commercial\|Exchange: $4.83 BCBS - Anthem — Medicaid\|All Plans: $8 BCBS - Anthem — Medicare\|All Plans: $8 Blue Shield CA — Commercial\|Exchange: $4.65 Blue Shield CA — Commercial\|HMO: $5.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-UIAT 2005415C	$25.74	$17.40	$14.16 – $25.23
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $21.03 Aetna — Commercial\|HMO: $21.03 Aetna — Commercial\|PPO: $21.03 Aetna — Medicare\|All Plans: $16.80 BCBS - Anthem — Commercial\|All Other Plans: $19.90 BCBS - Anthem — Commercial\|Exchange: $15.52 BCBS - Anthem — Medicaid\|All Plans: $21.17 BCBS - Anthem — Medicare\|All Plans: $16.80 Blue Shield CA — Commercial\|Exchange: $14.96 Blue Shield CA — Commercial\|HMO: $18.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE	$209	$141.28	$16.80 – $204.82
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $170.76 Aetna — Commercial\|HMO: $170.76 Aetna — Commercial\|PPO: $170.76 Aetna — Medicare\|All Plans: $16.80 BCBS - Anthem — Commercial\|All Other Plans: $161.56 BCBS - Anthem — Commercial\|Exchange: $126.01 BCBS - Anthem — Medicaid\|All Plans: $21.17 BCBS - Anthem — Medicare\|All Plans: $16.80 Blue Shield CA — Commercial\|Exchange: $121.43 Blue Shield CA — Commercial\|HMO: $151.11
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$149	$100.72	$7.77 – $146.02
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $121.74 Aetna — Commercial\|HMO: $121.74 Aetna — Commercial\|PPO: $121.74 Aetna — Medicare\|All Plans: $7.77 BCBS - Anthem — Commercial\|All Other Plans: $115.18 BCBS - Anthem — Commercial\|Exchange: $89.84 BCBS - Anthem — Medicaid\|All Plans: $9.68 BCBS - Anthem — Medicare\|All Plans: $7.77 Blue Shield CA — Commercial\|Exchange: $86.57 Blue Shield CA — Commercial\|HMO: $107.73
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$149	$100.72	$76.74 – $146.02
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $121.74 Aetna — Commercial\|HMO: $121.74 Aetna — Commercial\|PPO: $121.74 BCBS - Anthem — Commercial\|All Other Plans: $101.59 BCBS - Anthem — Commercial\|Exchange: $79.24 Blue Shield CA — Commercial\|Exchange: $76.74 Blue Shield CA — Commercial\|HMO: $95.36 Blue Shield CA — Commercial\|PPO: $95.36 Cigna — Commercial\|All Other Plans: $127.25 Cigna — Commercial\|PPO: $127.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF	$110	$74.36	$6.47 – $107.80
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $89.87 Aetna — Commercial\|HMO: $89.87 Aetna — Commercial\|PPO: $89.87 Aetna — Medicare\|All Plans: $6.47 BCBS - Anthem — Commercial\|All Other Plans: $85.03 BCBS - Anthem — Commercial\|Exchange: $66.32 BCBS - Anthem — Medicaid\|All Plans: $8.19 BCBS - Anthem — Medicare\|All Plans: $6.47 Blue Shield CA — Commercial\|Exchange: $63.91 Blue Shield CA — Commercial\|HMO: $79.53
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF	$110	$74.36	$56.65 – $107.80
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $89.87 Aetna — Commercial\|HMO: $89.87 Aetna — Commercial\|PPO: $89.87 BCBS - Anthem — Commercial\|All Other Plans: $75 BCBS - Anthem — Commercial\|Exchange: $58.50 Blue Shield CA — Commercial\|Exchange: $56.65 Blue Shield CA — Commercial\|HMO: $70.40 Blue Shield CA — Commercial\|PPO: $70.40 Cigna — Commercial\|All Other Plans: $93.94 Cigna — Commercial\|PPO: $93.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PRO TIME SUTTER AMADOR	$142	$95.99	$4.29 – $139.16
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $116.02 Aetna — Commercial\|HMO: $116.02 Aetna — Commercial\|PPO: $116.02 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $109.77 BCBS - Anthem — Commercial\|Exchange: $85.62 BCBS - Anthem — Medicaid\|All Plans: $5.01 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|Exchange: $82.51 Blue Shield CA — Commercial\|HMO: $102.67
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$125	$84.50	$4.29 – $122.50
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $102.13 Aetna — Commercial\|HMO: $102.13 Aetna — Commercial\|PPO: $102.13 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $96.63 BCBS - Anthem — Commercial\|Exchange: $75.37 BCBS - Anthem — Medicaid\|All Plans: $5.01 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|Exchange: $72.63 Blue Shield CA — Commercial\|HMO: $90.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157A	$9.80	$6.63	$4.29 – $9.61
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $8.01 Aetna — Commercial\|HMO: $8.01 Aetna — Commercial\|PPO: $8.01 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $7.58 BCBS - Anthem — Commercial\|Exchange: $5.91 BCBS - Anthem — Medicaid\|All Plans: $5.01 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|Exchange: $5.70 Blue Shield CA — Commercial\|HMO: $7.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME	$119	$80.44	$6.01 – $116.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $97.23 Aetna — Commercial\|HMO: $97.23 Aetna — Commercial\|PPO: $97.23 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $91.99 BCBS - Anthem — Commercial\|Exchange: $71.75 BCBS - Anthem — Medicaid\|All Plans: $7.66 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|Exchange: $69.14 Blue Shield CA — Commercial\|HMO: $86.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT SUTTER AMADOR	$183	$123.70	$6.01 – $179.34
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $149.52 Aetna — Commercial\|HMO: $149.52 Aetna — Commercial\|PPO: $149.52 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $141.46 BCBS - Anthem — Commercial\|Exchange: $110.34 BCBS - Anthem — Medicaid\|All Plans: $7.66 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|Exchange: $106.33 Blue Shield CA — Commercial\|HMO: $132.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157C	$9.80	$6.63	$5.39 – $9.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $8.01 Aetna — Commercial\|HMO: $8.01 Aetna — Commercial\|PPO: $8.01 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $7.58 BCBS - Anthem — Commercial\|Exchange: $5.91 BCBS - Anthem — Medicaid\|All Plans: $7.66 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|Exchange: $5.70 Blue Shield CA — Commercial\|HMO: $7.09

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CON	$1,135	$767.21	$145.26 – $1,112.30
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $927.30 Aetna — Commercial\|HMO: $927.30 Aetna — Commercial\|PPO: $927.30 Aetna — Medicare\|All Plans: $249.70 BCBS - Anthem — Commercial\|All Other Plans: $877.36 BCBS - Anthem — Commercial\|Exchange: $684.30 BCBS - Anthem — Medicaid\|All Plans: $145.26 BCBS - Anthem — Medicare\|All Plans: $249.70 Blue Shield CA — Commercial\|Exchange: $659.44 Blue Shield CA — Commercial\|HMO: $820.61
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON	$5,159	$3,487.26	$2,656.89 – $5,055.82
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $4,214.91 Aetna — Commercial\|HMO: $4,214.91 Aetna — Commercial\|PPO: $4,214.91 BCBS - Anthem — Commercial\|All Other Plans: $3,517.41 BCBS - Anthem — Commercial\|Exchange: $2,743.56 Blue Shield CA — Commercial\|Exchange: $2,656.89 Blue Shield CA — Commercial\|HMO: $3,301.76 Blue Shield CA — Commercial\|PPO: $3,301.76 Cigna — Commercial\|All Other Plans: $4,405.79 Cigna — Commercial\|PPO: $4,405.79
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON	$3,652	$2,468.60	$446.18 – $3,578.96
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $2,983.69 Aetna — Commercial\|HMO: $2,983.69 Aetna — Commercial\|PPO: $2,983.69 Aetna — Medicare\|All Plans: $803.44 BCBS - Anthem — Commercial\|All Other Plans: $2,823 BCBS - Anthem — Commercial\|Exchange: $2,201.80 BCBS - Anthem — Medicaid\|All Plans: $446.18 BCBS - Anthem — Medicare\|All Plans: $803.44 Blue Shield CA — Commercial\|Exchange: $2,121.82 Blue Shield CA — Commercial\|HMO: $2,640.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON	$14,263	$9,641.16	$7,345.45 – $13,977.74
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $11,652.88 Aetna — Commercial\|HMO: $11,652.88 Aetna — Commercial\|PPO: $11,652.88 BCBS - Anthem — Commercial\|All Other Plans: $9,724.52 BCBS - Anthem — Commercial\|Exchange: $7,585.07 Blue Shield CA — Commercial\|Exchange: $7,345.45 Blue Shield CA — Commercial\|HMO: $9,128.32 Blue Shield CA — Commercial\|PPO: $9,128.32 Cigna — Commercial\|All Other Plans: $12,180.61 Cigna — Commercial\|PPO: $12,180.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS	$174	$117.62	$27.47 – $170.52
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $142.16 Aetna — Commercial\|HMO: $142.16 Aetna — Commercial\|PPO: $142.16 Aetna — Medicare\|All Plans: $38.28 BCBS - Anthem — Commercial\|All Other Plans: $134.51 BCBS - Anthem — Commercial\|Exchange: $104.91 BCBS - Anthem — Medicaid\|All Plans: $27.47 BCBS - Anthem — Medicare\|All Plans: $38.28 Blue Shield CA — Commercial\|Exchange: $101.10 Blue Shield CA — Commercial\|HMO: $125.81
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS	$692	$467.77	$356.38 – $678.16
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $565.37 Aetna — Commercial\|HMO: $565.37 Aetna — Commercial\|PPO: $565.37 BCBS - Anthem — Commercial\|All Other Plans: $471.81 BCBS - Anthem — Commercial\|Exchange: $368.01 Blue Shield CA — Commercial\|Exchange: $356.38 Blue Shield CA — Commercial\|HMO: $442.88 Blue Shield CA — Commercial\|PPO: $442.88 Cigna — Commercial\|All Other Plans: $590.97 Cigna — Commercial\|PPO: $590.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$436	$294.72	$62.90 – $427.28
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $356.22 Aetna — Commercial\|HMO: $356.22 Aetna — Commercial\|PPO: $356.22 Aetna — Medicare\|All Plans: $95.92 BCBS - Anthem — Commercial\|All Other Plans: $337.03 BCBS - Anthem — Commercial\|Exchange: $262.87 BCBS - Anthem — Medicaid\|All Plans: $62.90 BCBS - Anthem — Medicare\|All Plans: $95.92 Blue Shield CA — Commercial\|Exchange: $253.32 Blue Shield CA — Commercial\|HMO: $315.23
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$1,320	$892.27	$679.80 – $1,293.60
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $1,078.44 Aetna — Commercial\|HMO: $1,078.44 Aetna — Commercial\|PPO: $1,078.44 BCBS - Anthem — Commercial\|All Other Plans: $899.98 BCBS - Anthem — Commercial\|Exchange: $701.98 Blue Shield CA — Commercial\|Exchange: $679.80 Blue Shield CA — Commercial\|HMO: $844.80 Blue Shield CA — Commercial\|PPO: $844.80 Cigna — Commercial\|All Other Plans: $1,127.28 Cigna — Commercial\|PPO: $1,127.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON	$2,512	$1,698.01	$266.80 – $2,461.76
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $2,052.31 Aetna — Commercial\|HMO: $2,052.31 Aetna — Commercial\|PPO: $2,052.31 Aetna — Medicare\|All Plans: $552.64 BCBS - Anthem — Commercial\|All Other Plans: $1,941.78 BCBS - Anthem — Commercial\|Exchange: $1,514.49 BCBS - Anthem — Medicaid\|All Plans: $266.80 BCBS - Anthem — Medicare\|All Plans: $552.64 Blue Shield CA — Commercial\|Exchange: $1,459.48 Blue Shield CA — Commercial\|HMO: $1,816.18
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON	$9,721	$6,570.97	$5,006.32 – $9,526.58
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $7,942.06 Aetna — Commercial\|HMO: $7,942.06 Aetna — Commercial\|PPO: $7,942.06 BCBS - Anthem — Commercial\|All Other Plans: $6,627.78 BCBS - Anthem — Commercial\|Exchange: $5,169.63 Blue Shield CA — Commercial\|Exchange: $5,006.32 Blue Shield CA — Commercial\|HMO: $6,221.44 Blue Shield CA — Commercial\|PPO: $6,221.44 Cigna — Commercial\|All Other Plans: $8,301.74 Cigna — Commercial\|PPO: $8,301.74
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON	$1,755	$1,186.31	$293.26 – $1,719.90
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,433.84 Aetna — Commercial\|HMO: $1,433.84 Aetna — Commercial\|PPO: $1,433.84 Aetna — Medicare\|All Plans: $386.10 BCBS - Anthem — Commercial\|All Other Plans: $1,356.62 BCBS - Anthem — Commercial\|Exchange: $1,058.09 BCBS - Anthem — Medicaid\|All Plans: $293.26 BCBS - Anthem — Medicare\|All Plans: $386.10 Blue Shield CA — Commercial\|Exchange: $1,019.66 Blue Shield CA — Commercial\|HMO: $1,268.87
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON	$7,962	$5,381.96	$4,100.43 – $7,802.76
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $6,504.96 Aetna — Commercial\|HMO: $6,504.96 Aetna — Commercial\|PPO: $6,504.96 BCBS - Anthem — Commercial\|All Other Plans: $5,428.50 BCBS - Anthem — Commercial\|Exchange: $4,234.20 Blue Shield CA — Commercial\|Exchange: $4,100.43 Blue Shield CA — Commercial\|HMO: $5,095.68 Blue Shield CA — Commercial\|PPO: $5,095.68 Cigna — Commercial\|All Other Plans: $6,799.55 Cigna — Commercial\|PPO: $6,799.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON	$2,395	$1,618.92	$281.80 – $2,347.10
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,956.72 Aetna — Commercial\|HMO: $1,956.72 Aetna — Commercial\|PPO: $1,956.72 Aetna — Medicare\|All Plans: $526.90 BCBS - Anthem — Commercial\|All Other Plans: $1,851.34 BCBS - Anthem — Commercial\|Exchange: $1,443.95 BCBS - Anthem — Medicaid\|All Plans: $281.80 BCBS - Anthem — Medicare\|All Plans: $526.90 Blue Shield CA — Commercial\|Exchange: $1,391.50 Blue Shield CA — Commercial\|HMO: $1,731.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON	$11,975	$8,094.57	$6,167.13 – $11,735.50
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $9,783.58 Aetna — Commercial\|HMO: $9,783.58 Aetna — Commercial\|PPO: $9,783.58 BCBS - Anthem — Commercial\|All Other Plans: $8,164.56 BCBS - Anthem — Commercial\|Exchange: $6,368.31 Blue Shield CA — Commercial\|Exchange: $6,167.13 Blue Shield CA — Commercial\|HMO: $7,664 Blue Shield CA — Commercial\|PPO: $7,664 Cigna — Commercial\|All Other Plans: $10,226.65 Cigna — Commercial\|PPO: $10,226.65
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON	$858	$579.97	$119.34 – $840.84
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $700.99 Aetna — Commercial\|HMO: $700.99 Aetna — Commercial\|PPO: $700.99 Aetna — Medicare\|All Plans: $188.76 BCBS - Anthem — Commercial\|All Other Plans: $663.24 BCBS - Anthem — Commercial\|Exchange: $517.29 BCBS - Anthem — Medicaid\|All Plans: $119.34 BCBS - Anthem — Medicare\|All Plans: $188.76 Blue Shield CA — Commercial\|Exchange: $498.50 Blue Shield CA — Commercial\|HMO: $620.34
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON	$3,028	$2,046.80	$1,559.42 – $2,967.44
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $2,473.88 Aetna — Commercial\|HMO: $2,473.88 Aetna — Commercial\|PPO: $2,473.88 BCBS - Anthem — Commercial\|All Other Plans: $2,064.50 BCBS - Anthem — Commercial\|Exchange: $1,610.30 Blue Shield CA — Commercial\|Exchange: $1,559.42 Blue Shield CA — Commercial\|HMO: $1,937.92 Blue Shield CA — Commercial\|PPO: $1,937.92 Cigna — Commercial\|All Other Plans: $2,585.92 Cigna — Commercial\|PPO: $2,585.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES	$742	$501.56	$135.29 – $727.16
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $606.22 Aetna — Commercial\|HMO: $606.22 Aetna — Commercial\|PPO: $606.22 Aetna — Medicare\|All Plans: $163.24 BCBS - Anthem — Commercial\|All Other Plans: $573.57 BCBS - Anthem — Commercial\|Exchange: $447.36 BCBS - Anthem — Medicaid\|All Plans: $135.29 BCBS - Anthem — Medicare\|All Plans: $163.24 Blue Shield CA — Commercial\|Exchange: $431.11 Blue Shield CA — Commercial\|HMO: $536.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES	$2,856	$1,930.53	$1,470.84 – $2,798.88
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $2,333.36 Aetna — Commercial\|HMO: $2,333.36 Aetna — Commercial\|PPO: $2,333.36 BCBS - Anthem — Commercial\|All Other Plans: $1,947.23 BCBS - Anthem — Commercial\|Exchange: $1,518.83 Blue Shield CA — Commercial\|Exchange: $1,470.84 Blue Shield CA — Commercial\|HMO: $1,827.84 Blue Shield CA — Commercial\|PPO: $1,827.84 Cigna — Commercial\|All Other Plans: $2,439.03 Cigna — Commercial\|PPO: $2,439.03
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$827	$559.02	$97.04 – $810.46
Transvaginal ultrasound: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $675.66 Aetna — Commercial\|HMO: $675.66 Aetna — Commercial\|PPO: $675.66 Aetna — Medicare\|All Plans: $181.94 BCBS - Anthem — Commercial\|All Other Plans: $639.28 BCBS - Anthem — Commercial\|Exchange: $498.60 BCBS - Anthem — Medicaid\|All Plans: $97.04 BCBS - Anthem — Medicare\|All Plans: $181.94 Blue Shield CA — Commercial\|Exchange: $480.49 Blue Shield CA — Commercial\|HMO: $597.93
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL	$2,895	$1,956.90	$1,490.93 – $2,837.10
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $2,365.22 Aetna — Commercial\|HMO: $2,365.22 Aetna — Commercial\|PPO: $2,365.22 BCBS - Anthem — Commercial\|All Other Plans: $1,973.82 BCBS - Anthem — Commercial\|Exchange: $1,539.57 Blue Shield CA — Commercial\|Exchange: $1,490.93 Blue Shield CA — Commercial\|HMO: $1,852.80 Blue Shield CA — Commercial\|PPO: $1,852.80 Cigna — Commercial\|All Other Plans: $2,472.33 Cigna — Commercial\|PPO: $2,472.33
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA MAMMO DIAG W CAD BIL	$446	$301.48	$98.12 – $437.08
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $364.39 Aetna — Commercial\|HMO: $364.39 Aetna — Commercial\|PPO: $364.39 Aetna — Medicare\|All Plans: $98.12 BCBS - Anthem — Commercial\|All Other Plans: $344.76 BCBS - Anthem — Commercial\|Exchange: $268.90 BCBS - Anthem — Medicaid\|All Plans: $148.03 BCBS - Anthem — Medicare\|All Plans: $98.12 Blue Shield CA — Commercial\|Exchange: $259.13 Blue Shield CA — Commercial\|HMO: $322.46
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MA MAMMO DIAG W CAD BIL	$425	$287.29	$218.88 – $416.50
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $347.23 Aetna — Commercial\|HMO: $347.23 Aetna — Commercial\|PPO: $347.23 BCBS - Anthem — Commercial\|All Other Plans: $289.77 BCBS - Anthem — Commercial\|Exchange: $226.02 Blue Shield CA — Commercial\|Exchange: $218.88 Blue Shield CA — Commercial\|HMO: $272 Blue Shield CA — Commercial\|PPO: $272 Cigna — Commercial\|All Other Plans: $362.95 Cigna — Commercial\|PPO: $362.95
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA MAMMO SCREEN W CAD BIL	$429	$289.99	$94.38 – $420.42
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $350.50 Aetna — Commercial\|HMO: $350.50 Aetna — Commercial\|PPO: $350.50 Aetna — Medicare\|All Plans: $94.38 BCBS - Anthem — Commercial\|All Other Plans: $331.62 BCBS - Anthem — Commercial\|Exchange: $258.65 BCBS - Anthem — Medicaid\|All Plans: $119.45 BCBS - Anthem — Medicare\|All Plans: $94.38 Blue Shield CA — Commercial\|Exchange: $249.25 Blue Shield CA — Commercial\|HMO: $310.17
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MA MAMMO SCREEN W CAD BIL	$429	$289.99	$220.94 – $420.42
Screening mammogram, both breasts: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $350.50 Aetna — Commercial\|HMO: $350.50 Aetna — Commercial\|PPO: $350.50 BCBS - Anthem — Commercial\|All Other Plans: $292.50 BCBS - Anthem — Commercial\|Exchange: $228.15 Blue Shield CA — Commercial\|Exchange: $220.94 Blue Shield CA — Commercial\|HMO: $274.56 Blue Shield CA — Commercial\|PPO: $274.56 Cigna — Commercial\|All Other Plans: $366.37 Cigna — Commercial\|PPO: $366.37

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: RHC PSYCHOTH PT 16-37 MIN	$273	$184.54	$60.06 – $267.54
Psychotherapy, 30 minutes: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $223.05 Aetna — Commercial\|HMO: $223.05 Aetna — Commercial\|PPO: $223.05 Aetna — Medicare\|All Plans: $60.06 BCBS - Anthem — Commercial\|All Other Plans: $211.03 BCBS - Anthem — Commercial\|Exchange: $164.60 BCBS - Anthem — Medicaid\|All Plans: $60.67 BCBS - Anthem — Medicare\|All Plans: $60.06 Blue Shield CA — Commercial\|Exchange: $158.62 Blue Shield CA — Commercial\|HMO: $197.38
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: RHC PSYCHOTH PT 16-37M GT	$248	$167.64	$54.56 – $243.04
Psychotherapy, 30 minutes: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $202.62 Aetna — Commercial\|HMO: $202.62 Aetna — Commercial\|PPO: $202.62 Aetna — Medicare\|All Plans: $54.56 BCBS - Anthem — Commercial\|All Other Plans: $191.71 BCBS - Anthem — Commercial\|Exchange: $149.52 BCBS - Anthem — Medicaid\|All Plans: $60.67 BCBS - Anthem — Medicare\|All Plans: $54.56 Blue Shield CA — Commercial\|Exchange: $144.09 Blue Shield CA — Commercial\|HMO: $179.31
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: RHC PSYCHOTH PT 16-37 MIN	$1.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|HMO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|PPO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|All Other Plans: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|Exchange: $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|Exchange: $0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|HMO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|PPO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|All Other Plans: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|PPO: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: RHC PSYCHOTH PAT 38-52 MN	$364	$246.05	$77.07 – $356.72
Psychotherapy, 45 minutes: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $297.39 Aetna — Commercial\|HMO: $297.39 Aetna — Commercial\|PPO: $297.39 Aetna — Medicare\|All Plans: $80.08 BCBS - Anthem — Commercial\|All Other Plans: $281.38 BCBS - Anthem — Commercial\|Exchange: $219.46 BCBS - Anthem — Medicaid\|All Plans: $77.07 BCBS - Anthem — Medicare\|All Plans: $80.08 Blue Shield CA — Commercial\|Exchange: $211.49 Blue Shield CA — Commercial\|HMO: $263.18
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: RHC PSYCHOTH PAT 38-52 MN	$1.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|HMO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|PPO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|All Other Plans: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|Exchange: $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|Exchange: $0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|HMO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|PPO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|All Other Plans: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|PPO: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: RHC PSYCHOTH PAT >53 MIN	$529	$357.59	$112.48 – $518.42
Psychotherapy, 60 minutes: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $432.20 Aetna — Commercial\|HMO: $432.20 Aetna — Commercial\|PPO: $432.20 Aetna — Medicare\|All Plans: $116.38 BCBS - Anthem — Commercial\|All Other Plans: $408.92 BCBS - Anthem — Commercial\|Exchange: $318.94 BCBS - Anthem — Medicaid\|All Plans: $112.48 BCBS - Anthem — Medicare\|All Plans: $116.38 Blue Shield CA — Commercial\|Exchange: $307.35 Blue Shield CA — Commercial\|HMO: $382.47
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: RHC PSYCHOTH PAT >53 MIN	$1.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|HMO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Commercial\|PPO: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|All Other Plans: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS - Anthem — Commercial\|Exchange: $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|Exchange: $0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|HMO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield CA — Commercial\|PPO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|All Other Plans: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial\|PPO: $0.95 (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 · Outpatient (no overnight stay) In the file: PF FAM PSYCH WO PT 50 MIN	$265	$179.13	$58.30 – $259.70
Family psychotherapy, without the patient: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $216.51 Aetna — Commercial\|HMO: $216.51 Aetna — Commercial\|PPO: $216.51 Aetna — Medicare\|All Plans: $58.30 BCBS - Anthem — Commercial\|All Other Plans: $204.85 BCBS - Anthem — Commercial\|Exchange: $159.77 BCBS - Anthem — Medicaid\|All Plans: $86.64 BCBS - Anthem — Medicare\|All Plans: $58.30 Blue Shield CA — Commercial\|Exchange: $153.97 Blue Shield CA — Commercial\|HMO: $191.60
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: PF FAM PSYCH WO PT 50 MIN	$265	$179.13	$136.48 – $259.70
Family psychotherapy, without the patient: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $216.51 Aetna — Commercial\|HMO: $216.51 Aetna — Commercial\|PPO: $216.51 BCBS - Anthem — Commercial\|All Other Plans: $180.68 BCBS - Anthem — Commercial\|Exchange: $140.93 Blue Shield CA — Commercial\|Exchange: $136.48 Blue Shield CA — Commercial\|HMO: $169.60 Blue Shield CA — Commercial\|PPO: $169.60 Cigna — Commercial\|All Other Plans: $226.31 Cigna — Commercial\|PPO: $226.31

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: PF EXC LES BRST OPN 1/>RT	$1,134	$766.54	$249.48 – $1,111.32
Removal of breast growth (open surgery): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $926.48 Aetna — Commercial\|HMO: $926.48 Aetna — Commercial\|PPO: $926.48 Aetna — Medicare\|All Plans: $249.48 BCBS - Anthem — Commercial\|All Other Plans: $876.59 BCBS - Anthem — Commercial\|Exchange: $683.69 BCBS - Anthem — Medicaid\|All Plans: $302.26 BCBS - Anthem — Medicare\|All Plans: $249.48 Blue Shield CA — Commercial\|Exchange: $658.86 Blue Shield CA — Commercial\|HMO: $819.89
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: RHC EXC LES BRST OPN 1OR>	$2,038	$1,377.60	$302.26 – $1,997.24
Removal of breast growth (open surgery): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,665.05 Aetna — Commercial\|HMO: $1,665.05 Aetna — Commercial\|PPO: $1,665.05 Aetna — Medicare\|All Plans: $448.36 BCBS - Anthem — Commercial\|All Other Plans: $1,575.38 BCBS - Anthem — Commercial\|Exchange: $1,228.72 BCBS - Anthem — Medicaid\|All Plans: $302.26 BCBS - Anthem — Medicare\|All Plans: $448.36 Blue Shield CA — Commercial\|Exchange: $1,184.08 Blue Shield CA — Commercial\|HMO: $1,473.48
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: PF EXC LES BRST OPN 1/>RT	$1,134	$766.54	$584.01 – $1,111.32
Removal of breast growth (open surgery): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $926.48 Aetna — Commercial\|HMO: $926.48 Aetna — Commercial\|PPO: $926.48 BCBS - Anthem — Commercial\|All Other Plans: $773.17 BCBS - Anthem — Commercial\|Exchange: $603.07 Blue Shield CA — Commercial\|Exchange: $584.01 Blue Shield CA — Commercial\|HMO: $725.76 Blue Shield CA — Commercial\|PPO: $725.76 Cigna — Commercial\|All Other Plans: $968.44 Cigna — Commercial\|PPO: $968.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,708.89
Total hip replacement: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,708.89 California Health & Wellness — Medicaid\|All Plans: $1,708.89 Health Net — Medicaid\|All Plans: $1,708.89 Health Plan of San Joaquin — Medicaid\|All Plans: $1,708.89 Kaiser — Medicaid\|All Plans: $1,708.89 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,708.89
Total knee replacement: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,708.89 California Health & Wellness — Medicaid\|All Plans: $1,708.89 Health Net — Medicaid\|All Plans: $1,708.89 Health Plan of San Joaquin — Medicaid\|All Plans: $1,708.89 Kaiser — Medicaid\|All Plans: $1,708.89 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$605.06
Shoulder arthroscopy: shaving of shoulder bone: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $605.06 California Health & Wellness — Medicaid\|All Plans: $605.06 Health Net — Medicaid\|All Plans: $605.06 Health Plan of San Joaquin — Medicaid\|All Plans: $605.06 Kaiser — Medicaid\|All Plans: $605.06 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$790.35
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $790.35 California Health & Wellness — Medicaid\|All Plans: $790.35 Health Net — Medicaid\|All Plans: $790.35 Health Plan of San Joaquin — Medicaid\|All Plans: $790.35 Kaiser — Medicaid\|All Plans: $790.35 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$193.53
Removal of tonsils and adenoids (under age 12): 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $193.53 California Health & Wellness — Medicaid\|All Plans: $193.53 Health Net — Medicaid\|All Plans: $193.53 Health Plan of San Joaquin — Medicaid\|All Plans: $193.53 Kaiser — Medicaid\|All Plans: $193.53 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: PF UPPER GI ENDOSCOP DIAG	$925	$625.26	$203.50 – $906.50
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $755.73 Aetna — Commercial\|HMO: $755.73 Aetna — Commercial\|PPO: $755.73 Aetna — Medicare\|All Plans: $203.50 BCBS - Anthem — Commercial\|All Other Plans: $715.03 BCBS - Anthem — Commercial\|Exchange: $557.69 BCBS - Anthem — Medicaid\|All Plans: $257.18 BCBS - Anthem — Medicare\|All Plans: $203.50 Blue Shield CA — Commercial\|Exchange: $537.43 Blue Shield CA — Commercial\|HMO: $668.78
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: PF UPPER GI ENDOSCOP DIAG	$925	$625.26	$476.38 – $906.50
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $755.73 Aetna — Commercial\|HMO: $755.73 Aetna — Commercial\|PPO: $755.73 BCBS - Anthem — Commercial\|All Other Plans: $630.67 BCBS - Anthem — Commercial\|Exchange: $491.92 Blue Shield CA — Commercial\|Exchange: $476.38 Blue Shield CA — Commercial\|HMO: $592 Blue Shield CA — Commercial\|PPO: $592 Cigna — Commercial\|All Other Plans: $789.95 Cigna — Commercial\|PPO: $789.95
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: PF UPPER GI ENDOSCOP BX	$1,067	$721.25	$234.74 – $1,045.66
Upper GI endoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $871.74 Aetna — Commercial\|HMO: $871.74 Aetna — Commercial\|PPO: $871.74 Aetna — Medicare\|All Plans: $234.74 BCBS - Anthem — Commercial\|All Other Plans: $824.80 BCBS - Anthem — Commercial\|Exchange: $643.30 BCBS - Anthem — Medicaid\|All Plans: $268.73 BCBS - Anthem — Medicare\|All Plans: $234.74 Blue Shield CA — Commercial\|Exchange: $619.93 Blue Shield CA — Commercial\|HMO: $771.45
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: PF UPPER GI ENDOSCOP BX	$1,067	$721.25	$549.51 – $1,045.66
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $871.74 Aetna — Commercial\|HMO: $871.74 Aetna — Commercial\|PPO: $871.74 BCBS - Anthem — Commercial\|All Other Plans: $727.49 BCBS - Anthem — Commercial\|Exchange: $567.44 Blue Shield CA — Commercial\|Exchange: $549.51 Blue Shield CA — Commercial\|HMO: $682.88 Blue Shield CA — Commercial\|PPO: $682.88 Cigna — Commercial\|All Other Plans: $911.22 Cigna — Commercial\|PPO: $911.22
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: PF COLONOSCOPY DIAGNOSTIC	$641	$433.29	$141.02 – $628.18
Colonoscopy (diagnostic): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $523.70 Aetna — Commercial\|HMO: $523.70 Aetna — Commercial\|PPO: $523.70 Aetna — Medicare\|All Plans: $141.02 BCBS - Anthem — Commercial\|All Other Plans: $495.50 BCBS - Anthem — Commercial\|Exchange: $386.46 BCBS - Anthem — Medicaid\|All Plans: $338.78 BCBS - Anthem — Medicare\|All Plans: $141.02 Blue Shield CA — Commercial\|Exchange: $372.43 Blue Shield CA — Commercial\|HMO: $463.45
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: PF COLONOSCOPY DIAGNOSTIC	$641	$433.29	$330.12 – $628.18
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $523.70 Aetna — Commercial\|HMO: $523.70 Aetna — Commercial\|PPO: $523.70 BCBS - Anthem — Commercial\|All Other Plans: $437.04 BCBS - Anthem — Commercial\|Exchange: $340.89 Blue Shield CA — Commercial\|Exchange: $330.12 Blue Shield CA — Commercial\|HMO: $410.24 Blue Shield CA — Commercial\|PPO: $410.24 Cigna — Commercial\|All Other Plans: $547.42 Cigna — Commercial\|PPO: $547.42
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: PF COLONOSCOPY W BIOPSY	$769	$519.81	$169.18 – $753.62
Colonoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $628.28 Aetna — Commercial\|HMO: $628.28 Aetna — Commercial\|PPO: $628.28 Aetna — Medicare\|All Plans: $169.18 BCBS - Anthem — Commercial\|All Other Plans: $594.44 BCBS - Anthem — Commercial\|Exchange: $463.64 BCBS - Anthem — Medicaid\|All Plans: $378.95 BCBS - Anthem — Medicare\|All Plans: $169.18 Blue Shield CA — Commercial\|Exchange: $446.79 Blue Shield CA — Commercial\|HMO: $555.99
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: PF COLONOSCOPY W BIOPSY	$769	$519.81	$396.04 – $753.62
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $628.28 Aetna — Commercial\|HMO: $628.28 Aetna — Commercial\|PPO: $628.28 BCBS - Anthem — Commercial\|All Other Plans: $524.31 BCBS - Anthem — Commercial\|Exchange: $408.96 Blue Shield CA — Commercial\|Exchange: $396.04 Blue Shield CA — Commercial\|HMO: $492.16 Blue Shield CA — Commercial\|PPO: $492.16 Cigna — Commercial\|All Other Plans: $656.73 Cigna — Commercial\|PPO: $656.73
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: PF COLONOSCOPY SNARE TUMR	$910	$615.12	$200.20 – $891.80
Colonoscopy with removal of polyps (snare): 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $743.47 Aetna — Commercial\|HMO: $743.47 Aetna — Commercial\|PPO: $743.47 Aetna — Medicare\|All Plans: $200.20 BCBS - Anthem — Commercial\|All Other Plans: $703.43 BCBS - Anthem — Commercial\|Exchange: $548.64 BCBS - Anthem — Medicaid\|All Plans: $459.26 BCBS - Anthem — Medicare\|All Plans: $200.20 Blue Shield CA — Commercial\|Exchange: $528.71 Blue Shield CA — Commercial\|HMO: $657.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: PF COLONOSCOPY SNARE TUMR	$910	$615.12	$468.65 – $891.80
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $743.47 Aetna — Commercial\|HMO: $743.47 Aetna — Commercial\|PPO: $743.47 BCBS - Anthem — Commercial\|All Other Plans: $620.44 BCBS - Anthem — Commercial\|Exchange: $483.94 Blue Shield CA — Commercial\|Exchange: $468.65 Blue Shield CA — Commercial\|HMO: $582.40 Blue Shield CA — Commercial\|PPO: $582.40 Cigna — Commercial\|All Other Plans: $777.14 Cigna — Commercial\|PPO: $777.14
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$194.68
Ultrasound of the lower bowel by endoscope: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $194.68 California Health & Wellness — Medicaid\|All Plans: $194.68 Health Net — Medicaid\|All Plans: $194.68 Health Plan of San Joaquin — Medicaid\|All Plans: $194.68 Kaiser — Medicaid\|All Plans: $194.68 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: PF CA SCRN CLNSCPY NH RSK	$572	$386.65	$125.84 – $560.56
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates Aetna — Commercial\|All Other Plans: $467.33 Aetna — Commercial\|HMO: $467.33 Aetna — Commercial\|PPO: $467.33 Aetna — Medicare\|All Plans: $125.84 BCBS - Anthem — Commercial\|All Other Plans: $442.16 BCBS - Anthem — Commercial\|Exchange: $344.86 BCBS - Anthem — Medicare\|All Plans: $125.84 Blue Shield CA — Commercial\|Exchange: $332.34 Blue Shield CA — Commercial\|HMO: $413.56 Blue Shield CA — Commercial\|PPO: $413.56
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: PF CA SCRN CLNSCPY NH RSK	$572	$386.65	$294.58 – $560.56
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $467.33 Aetna — Commercial\|HMO: $467.33 Aetna — Commercial\|PPO: $467.33 BCBS - Anthem — Commercial\|All Other Plans: $389.99 BCBS - Anthem — Commercial\|Exchange: $304.19 Blue Shield CA — Commercial\|Exchange: $294.58 Blue Shield CA — Commercial\|HMO: $366.08 Blue Shield CA — Commercial\|PPO: $366.08 Cigna — Commercial\|All Other Plans: $488.49 Cigna — Commercial\|PPO: $488.49
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: PF CHOLECYSTECTOMY LAPRO	$1,726	$1,166.70	$379.72 – $1,691.48
Gallbladder removal by laparoscope: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,410.15 Aetna — Commercial\|HMO: $1,410.15 Aetna — Commercial\|PPO: $1,410.15 Aetna — Medicare\|All Plans: $379.72 BCBS - Anthem — Commercial\|All Other Plans: $1,334.20 BCBS - Anthem — Commercial\|Exchange: $1,040.61 BCBS - Anthem — Medicaid\|All Plans: $534.88 BCBS - Anthem — Medicare\|All Plans: $379.72 Blue Shield CA — Commercial\|Exchange: $1,002.81 Blue Shield CA — Commercial\|HMO: $1,247.90
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: PF CHOLECYSTECTOMY LAPRO	$1,726	$1,166.70	$888.89 – $1,691.48
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $1,410.15 Aetna — Commercial\|HMO: $1,410.15 Aetna — Commercial\|PPO: $1,410.15 BCBS - Anthem — Commercial\|All Other Plans: $1,176.79 BCBS - Anthem — Commercial\|Exchange: $917.89 Blue Shield CA — Commercial\|Exchange: $888.89 Blue Shield CA — Commercial\|HMO: $1,104.64 Blue Shield CA — Commercial\|PPO: $1,104.64 Cigna — Commercial\|All Other Plans: $1,474.01 Cigna — Commercial\|PPO: $1,474.01
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PF RPR INI INGUNL HERN >5	$1,362	$920.66	$299.64 – $1,334.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,112.76 Aetna — Commercial\|HMO: $1,112.76 Aetna — Commercial\|PPO: $1,112.76 Aetna — Medicare\|All Plans: $299.64 BCBS - Anthem — Commercial\|All Other Plans: $1,052.83 BCBS - Anthem — Commercial\|Exchange: $821.15 BCBS - Anthem — Medicaid\|All Plans: $394.76 BCBS - Anthem — Medicare\|All Plans: $299.64 Blue Shield CA — Commercial\|Exchange: $791.33 Blue Shield CA — Commercial\|HMO: $984.73
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: PF RPR INI INGUNL HERN >5	$1,362	$920.66	$701.43 – $1,334.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $1,112.76 Aetna — Commercial\|HMO: $1,112.76 Aetna — Commercial\|PPO: $1,112.76 BCBS - Anthem — Commercial\|All Other Plans: $928.62 BCBS - Anthem — Commercial\|Exchange: $724.32 Blue Shield CA — Commercial\|Exchange: $701.43 Blue Shield CA — Commercial\|HMO: $871.68 Blue Shield CA — Commercial\|PPO: $871.68 Cigna — Commercial\|All Other Plans: $1,163.15 Cigna — Commercial\|PPO: $1,163.15
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$100.40
Prostate biopsy: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $100.40 California Health & Wellness — Medicaid\|All Plans: $100.40 Health Net — Medicaid\|All Plans: $100.40 Health Plan of San Joaquin — Medicaid\|All Plans: $100.40 Kaiser — Medicaid\|All Plans: $100.40 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$1,093.88
Prostate removal by laparoscope (radical prostatectomy): 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,093.88 California Health & Wellness — Medicaid\|All Plans: $1,093.88 Health Net — Medicaid\|All Plans: $1,093.88 Health Plan of San Joaquin — Medicaid\|All Plans: $1,093.88 Kaiser — Medicaid\|All Plans: $1,093.88 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: PF HYSTEROSCOPY BX ENDOM	$702	$474.53	$154.44 – $687.96
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $573.54 Aetna — Commercial\|HMO: $573.54 Aetna — Commercial\|PPO: $573.54 Aetna — Medicare\|All Plans: $154.44 BCBS - Anthem — Commercial\|All Other Plans: $542.65 BCBS - Anthem — Commercial\|Exchange: $423.24 BCBS - Anthem — Medicaid\|All Plans: $251.48 BCBS - Anthem — Medicare\|All Plans: $154.44 Blue Shield CA — Commercial\|Exchange: $407.87 Blue Shield CA — Commercial\|HMO: $507.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: PF HYSTEROSCOPY BX ENDOM	$702	$474.53	$361.53 – $687.96
Hysteroscopy with biopsy of the uterus lining: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $573.54 Aetna — Commercial\|HMO: $573.54 Aetna — Commercial\|PPO: $573.54 BCBS - Anthem — Commercial\|All Other Plans: $478.63 BCBS - Anthem — Commercial\|Exchange: $373.33 Blue Shield CA — Commercial\|Exchange: $361.53 Blue Shield CA — Commercial\|HMO: $449.28 Blue Shield CA — Commercial\|PPO: $449.28 Cigna — Commercial\|All Other Plans: $599.51 Cigna — Commercial\|PPO: $599.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG	$3,918	$2,648.40	$220.03 – $3,839.64
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $3,201.01 Aetna — Commercial\|HMO: $3,201.01 Aetna — Commercial\|PPO: $3,201.01 Aetna — Medicare\|All Plans: $861.96 BCBS - Anthem — Commercial\|All Other Plans: $3,028.62 BCBS - Anthem — Commercial\|Exchange: $2,362.17 BCBS - Anthem — Medicaid\|All Plans: $220.03 BCBS - Anthem — Medicare\|All Plans: $861.96 Blue Shield CA — Commercial\|Exchange: $2,276.36 Blue Shield CA — Commercial\|HMO: $2,832.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: PF INJ EPI/SUBAR L/S WIMG	$304	$205.50	$66.88 – $297.92
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $248.37 Aetna — Commercial\|HMO: $248.37 Aetna — Commercial\|PPO: $248.37 Aetna — Medicare\|All Plans: $66.88 BCBS - Anthem — Commercial\|All Other Plans: $235 BCBS - Anthem — Commercial\|Exchange: $183.29 BCBS - Anthem — Medicaid\|All Plans: $220.03 BCBS - Anthem — Medicare\|All Plans: $66.88 Blue Shield CA — Commercial\|Exchange: $176.63 Blue Shield CA — Commercial\|HMO: $219.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG	$3,252	$2,198.21	$1,674.78 – $3,186.96
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates Aetna — Commercial\|All Other Plans: $2,656.89 Aetna — Commercial\|HMO: $2,656.89 Aetna — Commercial\|PPO: $2,656.89 BCBS - Anthem — Commercial\|All Other Plans: $2,217.22 BCBS - Anthem — Commercial\|Exchange: $1,729.42 Blue Shield CA — Commercial\|Exchange: $1,674.78 Blue Shield CA — Commercial\|HMO: $2,081.28 Blue Shield CA — Commercial\|PPO: $2,081.28 Cigna — Commercial\|All Other Plans: $2,777.21 Cigna — Commercial\|PPO: $2,777.21
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,441	$1,650.01	$164.49 – $3,125
Nerve root injection, lower back, with imaging guidance: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $1,994.30 Aetna — Commercial\|HMO: $1,994.30 Aetna — Commercial\|PPO: $1,994.30 Aetna — Medicare\|All Plans: $537.02 BCBS - Anthem — Commercial\|All Other Plans: $1,886.90 BCBS - Anthem — Commercial\|Exchange: $1,471.68 BCBS - Anthem — Medicaid\|All Plans: $164.49 BCBS - Anthem — Medicare\|All Plans: $537.02 Blue Shield CA — Commercial\|Exchange: $1,418.23 Blue Shield CA — Commercial\|HMO: $1,764.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,319	$1,567.55	$1,194.29 – $3,125
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates Aetna — Commercial\|All Other Plans: $1,894.63 Aetna — Commercial\|HMO: $1,894.63 Aetna — Commercial\|PPO: $1,894.63 BCBS - Anthem — Commercial\|All Other Plans: $1,581.10 BCBS - Anthem — Commercial\|Exchange: $1,233.25 Blue Shield CA — Commercial\|Exchange: $1,194.29 Blue Shield CA — Commercial\|HMO: $1,484.16 Blue Shield CA — Commercial\|PPO: $1,484.16 Cigna — Commercial\|All Other Plans: $1,980.43 Cigna — Commercial\|PPO: $1,980.43
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$363.57
Carpal tunnel release: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $363.57 California Health & Wellness — Medicaid\|All Plans: $363.57 Health Net — Medicaid\|All Plans: $363.57 Health Plan of San Joaquin — Medicaid\|All Plans: $363.57 Kaiser — Medicaid\|All Plans: $363.57 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$213.61
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $213.61 California Health & Wellness — Medicaid\|All Plans: $213.61 Health Net — Medicaid\|All Plans: $213.61 Health Plan of San Joaquin — Medicaid\|All Plans: $213.61 Kaiser — Medicaid\|All Plans: $213.61 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,153.50
Cataract removal with lens implant: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,153.50 California Health & Wellness — Medicaid\|All Plans: $1,153.50 Health Net — Medicaid\|All Plans: $1,153.50 Health Plan of San Joaquin — Medicaid\|All Plans: $1,153.50 Kaiser — Medicaid\|All Plans: $1,153.50 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,994.02
Vaginal delivery, with care before and after: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,994.02 California Health & Wellness — Medicaid\|All Plans: $1,994.02 Health Net — Medicaid\|All Plans: $1,994.02 Health Plan of San Joaquin — Medicaid\|All Plans: $1,994.02 Kaiser — Medicaid\|All Plans: $1,994.02 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,995.21
Cesarean delivery (C-section), with care before and after: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,995.21 California Health & Wellness — Medicaid\|All Plans: $1,995.21 Health Net — Medicaid\|All Plans: $1,995.21 Health Plan of San Joaquin — Medicaid\|All Plans: $1,995.21 Kaiser — Medicaid\|All Plans: $1,995.21 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,994.02
Vaginal delivery after a previous C-section, with care before and after: 10 of 32 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,994.02 California Health & Wellness — Medicaid\|All Plans: $1,994.02 Health Net — Medicaid\|All Plans: $1,994.02 Health Plan of San Joaquin — Medicaid\|All Plans: $1,994.02 Kaiser — Medicaid\|All Plans: $1,994.02 Aetna — Commercial\|All Other Plans: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 81.7% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 77.3% (a percentage in the contract, not a dollar amount)

Source: Mark Twain Medical Center’s standard charges file (commonspirit.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	768 Mountain Ranch Rd, San Andreas, CA 95249
County	Calaveras County
State	California
Phone	(209) 754‑3521
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	3 of 5 stars
CMS Certification Number	051332
Name in Medicare records	MARK TWAIN MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(209) 754‑2500^[4]
Name on the hospital’s website	Dignity Health - Mark Twain Medical Center
Official website	commonspirit.org
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.

Dignity Health - Mark Twain Medical Center — commonspirit.org
Dignity Health – Mark Twain Medical Center - San Andreas, CA | CommonSpirit Health — commonspirit.org

Mark Twain Medical Center

Summary

Profile from official sources

At a glance