Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

Marshall Medical Center

Placerville, California · El Dorado County · Emergency services listed

Marshall Medical Center is an acute care hospital at 1100 Marshall Way, Placerville, CA 95667. Phone: (530) 622-1441. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Marshall Medical Center is an acute care hospital in Placerville, California. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 25 services, specialties and programs. Medicare lists 420 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(530) 622‑1441 Directions Website Medicare profile
Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
420Doctors and clinicians
25Services listed

Quick answers

Does Marshall Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Marshall Medical Center. In a medical emergency, call 911.
Where is Marshall Medical Center?
1100 Marshall Way, Placerville, CA 95667, in El Dorado County, California.
What is the phone number of Marshall Medical Center?
(530) 622-1441, as listed by Medicare (CMS).
What is the Medicare star rating of Marshall Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Marshall Medical Center for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Marshall Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.2152; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5][6]

Conditions treated[7]

Treatments[5]

  • Medical weight loss
  • Diabetes and nutrition education

Programs and centers[5][7]

  • Stroke Center
  • CARES (Clinically Assisted Recovery and Education Services)

Emergency care (hospital website)[6][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III
Stroke designationPrimary Stroke Center

Recognition[6][7]

  • Level III Trauma Center (El Dorado County EMS; verified by American College of Surgeons)
  • Primary Stroke Center (The Joint Commission)
  • Get With The Guidelines Stroke Gold Plus (AHA/ASA)

Doctors and clinicians (420)

420 doctors and other clinicians list Marshall 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 (420)

And 396 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Placerville

Hospitals in El Dorado 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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Marshall 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) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted55%National average: 64%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean76%National average: 73%
Completed surveys538Response rate: 21%

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

Infections caught in the hospital

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

Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.973No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.7%
Deaths within 30 days: heart failure patients11.3%
Deaths within 30 days: pneumonia patients15.1%
Deaths within 30 days: COPD patients8.7%
Deaths within 30 days: stroke patients12.9%
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Complications after hip or knee replacement3.8%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

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)15.2%
Readmitted within 30 days: heart failure19.1%
Readmitted within 30 days: pneumonia16.4%
Readmitted within 30 days: COPD18.8%
Readmitted within 30 days: hip or knee replacement5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)85%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.2152Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure0.9314Fewer readmissions than expected
Pneumonia0.9682Fewer readmissions than expected
COPD (chronic lung disease)0.9495Fewer readmissions than expected
Hip or knee replacement0.8529Fewer readmissions than expected
No result publishedHeart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score40.42 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)14.00 out of 100
Person and community engagement (patient survey)31.00 out of 100
Safety (infections and sepsis care)66.67 out of 100
Efficiency and cost reduction (Medicare spending)50.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio0.95Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in CaliforniaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Marshall Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 61 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC USE OF FACILITY, EST III $1,204.27 $686.07 $35.76 – $1,083.84
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $614.18
  • Aetna — Medicare Advantage: $662.35
  • Anthem Blue Cross of CA — Commercial: $102.11
  • Blue Shield of CA — Commercial: $922.47
  • Celtic Insurance Company — Medicaid: $35.89
  • Cigna — Open Access/POS/PPO: $963.42
  • County Medical Services Program — CMSP Medicaid: $35.76
  • First Health — Commercial: $1,083.84
  • Health Net — Commercial: $920.06
  • Health Plan of San Joaquin — Medi-Cal HMO: $36
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LACTATION SVCS LVL 2 $154.50 $88.02 $35.76 – $139.05
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $78.80
  • Aetna — Medicare Advantage: $84.97
  • Anthem Blue Cross of CA — Commercial: $102.11
  • Blue Shield of CA — Commercial: $118.35
  • Celtic Insurance Company — Medicaid: $35.89
  • Cigna — Open Access/POS/PPO: $123.60
  • County Medical Services Program — CMSP Medicaid: $35.76
  • First Health — Commercial: $139.05
  • Health Net — Commercial: $118.04
  • Health Plan of San Joaquin — Medi-Cal HMO: $36
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC USE OF FACILITY, EST III $1,204.27 $686.07 $614.18 – $1,083.84
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $614.18
  • Blue Shield of CA — Commercial: $803.25
  • Cigna — Open Access/POS/PPO: $963.42
  • First Health — Commercial: $1,083.84
  • Health Net — Commercial: $944.15
  • Interplan — Commercial: $1,083.84
  • Multiplan — PPO Complementary/PPO Primary: $1,023.63
  • United Healthcare — All Payer: $806.86
  • United Healthcare — Options PPO: $1,023.63
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC USE OF FACILITY, EST IV $1,947.66 $1,109.58 $55.88 – $1,752.89
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $993.31
  • Aetna — Medicare Advantage: $1,071.21
  • Anthem Blue Cross of CA — Commercial: $150.19
  • Blue Shield of CA — Commercial: $1,491.91
  • Celtic Insurance Company — Medicaid: $56.08
  • Cigna — Open Access/POS/PPO: $1,558.13
  • County Medical Services Program — CMSP Medicaid: $55.88
  • First Health — Commercial: $1,752.89
  • Health Net — Commercial: $1,488.01
  • Health Plan of San Joaquin — Medi-Cal HMO: $56.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LACTATION SVCS LVL 3 $206 $117.36 $55.88 – $185.40
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $105.06
  • Aetna — Medicare Advantage: $113.30
  • Anthem Blue Cross of CA — Commercial: $150.19
  • Blue Shield of CA — Commercial: $157.80
  • Celtic Insurance Company — Medicaid: $56.08
  • Cigna — Open Access/POS/PPO: $164.80
  • County Medical Services Program — CMSP Medicaid: $55.88
  • First Health — Commercial: $185.40
  • Health Net — Commercial: $157.38
  • Health Plan of San Joaquin — Medi-Cal HMO: $56.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC USE OF FACILITY, EST IV $1,947.66 $1,109.58 $993.31 – $1,752.89
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $993.31
  • Blue Shield of CA — Commercial: $1,299.09
  • Cigna — Open Access/POS/PPO: $1,558.13
  • First Health — Commercial: $1,752.89
  • Health Net — Commercial: $1,526.97
  • Interplan — Commercial: $1,752.89
  • Multiplan — PPO Complementary/PPO Primary: $1,655.51
  • United Healthcare — All Payer: $1,304.93
  • United Healthcare — Options PPO: $1,655.51
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC USE OF ER FACILITY,LVL III $2,210 $1,259.04 $66.45 – $1,989
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,127.10
  • Aetna — Medicare Advantage: $351.73
  • Anthem Blue Cross of CA — Commercial: $1,769.96
  • Anthem Blue Cross of CA — Medicaid: $108.62
  • Anthem Blue Cross of CA — Medicare Advantage: $351.73
  • Blue Shield of CA — Medicare Advantage: $351.73
  • Celtic Insurance Company — Medicaid: $74.28
  • Cigna — Open Access/POS/PPO: $1,768
  • County Medical Services Program — CMSP Medicaid: $66.45
  • First Health — Commercial: $1,989
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC USE OF ER FACILITY,LVL III $2,210 $1,259.04 $1,127.10 – $1,989
Emergency room visit (moderate): rates for 9 insurance plans
  • Aetna — Commercial: $1,127.10
  • Blue Shield of CA — Commercial: $1,474.07
  • Cigna — Open Access/POS/PPO: $1,768
  • First Health — Commercial: $1,989
  • Health Net — Commercial: $1,732.64
  • Interplan — Commercial: $1,989
  • Multiplan — PPO Complementary/PPO Primary: $1,878.50
  • United Healthcare — All Payer: $1,480.70
  • United Healthcare — Options PPO: $1,878.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC USE OF ER FACILITY,LVL IV $3,710 $2,113.59 $80.21 – $3,339
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,892.10
  • Aetna — Medicare Advantage: $540.92
  • Anthem Blue Cross of CA — Commercial: $2,721.98
  • Anthem Blue Cross of CA — Medicaid: $166.47
  • Anthem Blue Cross of CA — Medicare Advantage: $540.92
  • Blue Shield of CA — Medicare Advantage: $540.92
  • Celtic Insurance Company — Medicaid: $89.65
  • Cigna — Open Access/POS/PPO: $2,968
  • County Medical Services Program — CMSP Medicaid: $80.21
  • First Health — Commercial: $3,339
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC USE OF ER FACILITY,LVL IV $3,710 $2,113.59 $1,892.10 – $3,339
Emergency room visit (moderately high): rates for 9 insurance plans
  • Aetna — Commercial: $1,892.10
  • Blue Shield of CA — Commercial: $2,474.57
  • Cigna — Open Access/POS/PPO: $2,968
  • First Health — Commercial: $3,339
  • Health Net — Commercial: $2,908.64
  • Interplan — Commercial: $3,339
  • Multiplan — PPO Complementary/PPO Primary: $3,153.50
  • United Healthcare — All Payer: $2,485.70
  • United Healthcare — Options PPO: $3,153.50
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC USE OF ER FACILITY,LVL V $5,450 $3,104.86 $161.04 – $4,905
Emergency room visit (high): 10 of 18 insurance plan rates
  • Aetna — Commercial: $2,779.50
  • Aetna — Medicare Advantage: $778.82
  • Anthem Blue Cross of CA — Commercial: $3,919.15
  • Anthem Blue Cross of CA — Medicaid: $263.24
  • Anthem Blue Cross of CA — Medicare Advantage: $778.82
  • Blue Shield of CA — Medicare Advantage: $778.82
  • Celtic Insurance Company — Medicaid: $180.01
  • Cigna — Open Access/POS/PPO: $4,360
  • County Medical Services Program — CMSP Medicaid: $161.04
  • First Health — Commercial: $4,905
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC USE OF ER FACILITY,LVL V $5,450 $3,104.86 $2,779.50 – $4,905
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — Commercial: $2,779.50
  • Blue Shield of CA — Commercial: $3,635.15
  • Cigna — Open Access/POS/PPO: $4,360
  • First Health — Commercial: $4,905
  • Health Net — Commercial: $4,272.80
  • Interplan — Commercial: $4,905
  • Multiplan — PPO Complementary/PPO Primary: $4,632.50
  • United Healthcare — All Payer: $3,651.50
  • United Healthcare — Options PPO: $4,632.50

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $374.77 $213.51 $8.46 – $337.29
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • Aetna — Commercial: $191.13
  • Aetna — Medicare Advantage: $8.46
  • Anthem Blue Cross of CA — Commercial: $16.92
  • Anthem Blue Cross of CA — Medicaid: $16.91
  • Anthem Blue Cross of CA — Medicare Advantage: $8.46
  • Blue Shield of CA — Commercial: $287.07
  • Blue Shield of CA — Medicare Advantage: $8.46
  • Celtic Insurance Company — Medicaid: $10.87
  • Cigna — Open Access/POS/PPO: $299.82
  • County Medical Services Program — CMSP Medicaid: $10.83
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $374.77 $213.51 $191.13 – $337.29
Basic metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — Commercial: $191.13
  • Blue Shield of CA — Commercial: $249.97
  • Cigna — Open Access/POS/PPO: $299.82
  • First Health — Commercial: $337.29
  • Health Net — Commercial: $293.82
  • Interplan — Commercial: $337.29
  • Multiplan — PPO Complementary/PPO Primary: $318.55
  • United Healthcare — All Payer: $251.10
  • United Healthcare — Options PPO: $318.55
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $392.31 $223.50 $10.56 – $353.08
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Aetna — Commercial: $200.08
  • Aetna — Medicare Advantage: $10.56
  • Anthem Blue Cross of CA — Commercial: $21.12
  • Anthem Blue Cross of CA — Medicaid: $21.36
  • Anthem Blue Cross of CA — Medicare Advantage: $10.56
  • Blue Shield of CA — Commercial: $300.51
  • Blue Shield of CA — Medicare Advantage: $10.56
  • Celtic Insurance Company — Medicaid: $13.74
  • Cigna — Open Access/POS/PPO: $313.85
  • County Medical Services Program — CMSP Medicaid: $13.69
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $392.31 $223.50 $200.08 – $353.08
Comprehensive metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — Commercial: $200.08
  • Blue Shield of CA — Commercial: $261.67
  • Cigna — Open Access/POS/PPO: $313.85
  • First Health — Commercial: $353.08
  • Health Net — Commercial: $307.57
  • Interplan — Commercial: $353.08
  • Multiplan — PPO Complementary/PPO Primary: $333.46
  • United Healthcare — All Payer: $262.85
  • United Healthcare — Options PPO: $333.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $153.65 $87.53 $13.39 – $138.28
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Aetna — Commercial: $78.36
  • Aetna — Medicare Advantage: $13.39
  • Anthem Blue Cross of CA — Commercial: $26.78
  • Anthem Blue Cross of CA — Medicaid: $21.21
  • Anthem Blue Cross of CA — Medicare Advantage: $13.39
  • Blue Shield of CA — Commercial: $117.70
  • Blue Shield of CA — Medicare Advantage: $13.39
  • Celtic Insurance Company — Medicaid: $17.26
  • Cigna — Open Access/POS/PPO: $122.92
  • County Medical Services Program — CMSP Medicaid: $17.19
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RF ARUP LIPOFIT BY NMR $12 $6.84 $6.12 – $26.78
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Aetna — Commercial: $6.12
  • Aetna — Medicare Advantage: $13.39
  • Anthem Blue Cross of CA — Commercial: $26.78
  • Anthem Blue Cross of CA — Medicaid: $21.21
  • Anthem Blue Cross of CA — Medicare Advantage: $13.39
  • Blue Shield of CA — Commercial: $9.19
  • Blue Shield of CA — Medicare Advantage: $13.39
  • Celtic Insurance Company — Medicaid: $17.26
  • Cigna — Open Access/POS/PPO: $9.60
  • County Medical Services Program — CMSP Medicaid: $17.19
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL $153.65 $87.53 $78.36 – $138.28
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • Aetna — Commercial: $78.36
  • Blue Shield of CA — Commercial: $102.48
  • Cigna — Open Access/POS/PPO: $122.92
  • First Health — Commercial: $138.28
  • Health Net — Commercial: $120.46
  • Interplan — Commercial: $138.28
  • Multiplan — PPO Complementary/PPO Primary: $130.60
  • United Healthcare — All Payer: $102.95
  • United Healthcare — Options PPO: $130.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANL $273.58 $155.86 $8.68 – $246.22
Kidney function panel: 10 of 18 insurance plan rates
  • Aetna — Commercial: $139.53
  • Aetna — Medicare Advantage: $8.68
  • Anthem Blue Cross of CA — Commercial: $17.36
  • Anthem Blue Cross of CA — Medicaid: $17.36
  • Anthem Blue Cross of CA — Medicare Advantage: $8.68
  • Blue Shield of CA — Commercial: $209.56
  • Blue Shield of CA — Medicare Advantage: $8.68
  • Celtic Insurance Company — Medicaid: $11.37
  • Cigna — Open Access/POS/PPO: $218.86
  • County Medical Services Program — CMSP Medicaid: $11.32
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANL $273.58 $155.86 $139.53 – $246.22
Kidney function panel: rates for 9 insurance plans
  • Aetna — Commercial: $139.53
  • Blue Shield of CA — Commercial: $182.48
  • Cigna — Open Access/POS/PPO: $218.86
  • First Health — Commercial: $246.22
  • Health Net — Commercial: $214.49
  • Interplan — Commercial: $246.22
  • Multiplan — PPO Complementary/PPO Primary: $232.54
  • United Healthcare — All Payer: $183.30
  • United Healthcare — Options PPO: $232.54
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNC PANEL $161.50 $92.01 $8.17 – $145.35
Liver function panel: 10 of 18 insurance plan rates
  • Aetna — Commercial: $82.36
  • Aetna — Medicare Advantage: $8.17
  • Anthem Blue Cross of CA — Commercial: $16.34
  • Anthem Blue Cross of CA — Medicaid: $16.29
  • Anthem Blue Cross of CA — Medicare Advantage: $8.17
  • Blue Shield of CA — Commercial: $123.71
  • Blue Shield of CA — Medicare Advantage: $8.17
  • Celtic Insurance Company — Medicaid: $9.54
  • Cigna — Open Access/POS/PPO: $129.20
  • County Medical Services Program — CMSP Medicaid: $9.51
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNC PANEL $161.50 $92.01 $82.36 – $145.35
Liver function panel: rates for 9 insurance plans
  • Aetna — Commercial: $82.36
  • Blue Shield of CA — Commercial: $107.72
  • Cigna — Open Access/POS/PPO: $129.20
  • First Health — Commercial: $145.35
  • Health Net — Commercial: $126.62
  • Interplan — Commercial: $145.35
  • Multiplan — PPO Complementary/PPO Primary: $137.28
  • United Healthcare — All Payer: $108.20
  • United Healthcare — Options PPO: $137.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO WITH MICROSCOPY $125.29 $71.38 $3.17 – $112.76
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Aetna — Commercial: $63.90
  • Aetna — Medicare Advantage: $3.17
  • Anthem Blue Cross of CA — Commercial: $6.34
  • Anthem Blue Cross of CA — Medicaid: $6.68
  • Anthem Blue Cross of CA — Medicare Advantage: $3.17
  • Blue Shield of CA — Commercial: $95.97
  • Blue Shield of CA — Medicare Advantage: $3.17
  • Celtic Insurance Company — Medicaid: $4.14
  • Cigna — Open Access/POS/PPO: $100.23
  • County Medical Services Program — CMSP Medicaid: $4.13
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO WITH MICROSCOPY $125.29 $71.38 $63.90 – $112.76
Urine test (automated, with microscope): rates for 9 insurance plans
  • Aetna — Commercial: $63.90
  • Blue Shield of CA — Commercial: $83.57
  • Cigna — Open Access/POS/PPO: $100.23
  • First Health — Commercial: $112.76
  • Health Net — Commercial: $98.23
  • Interplan — Commercial: $112.76
  • Multiplan — PPO Complementary/PPO Primary: $106.50
  • United Healthcare — All Payer: $83.94
  • United Healthcare — Options PPO: $106.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO, W/O MICROSCOPY $63.33 $36.08 $2.25 – $57
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Aetna — Commercial: $32.30
  • Aetna — Medicare Advantage: $2.25
  • Anthem Blue Cross of CA — Commercial: $4.50
  • Anthem Blue Cross of CA — Medicaid: $4.32
  • Anthem Blue Cross of CA — Medicare Advantage: $2.25
  • Blue Shield of CA — Commercial: $48.51
  • Blue Shield of CA — Medicare Advantage: $2.25
  • Celtic Insurance Company — Medicaid: $2.93
  • Cigna — Open Access/POS/PPO: $50.66
  • County Medical Services Program — CMSP Medicaid: $2.92
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO, W/O MICROSCOPY $63.33 $36.08 $32.30 – $57
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna — Commercial: $32.30
  • Blue Shield of CA — Commercial: $42.24
  • Cigna — Open Access/POS/PPO: $50.66
  • First Health — Commercial: $57
  • Health Net — Commercial: $49.65
  • Interplan — Commercial: $57
  • Multiplan — PPO Complementary/PPO Primary: $53.83
  • United Healthcare — All Payer: $42.43
  • United Healthcare — Options PPO: $53.83
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 2 $140.06 $79.79 $18.39 – $126.05
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $71.43
  • Aetna — Medicare Advantage: $18.39
  • Anthem Blue Cross of CA — Commercial: $36.78
  • Anthem Blue Cross of CA — Medicaid: $37.88
  • Anthem Blue Cross of CA — Medicare Advantage: $18.39
  • Blue Shield of CA — Commercial: $107.29
  • Blue Shield of CA — Medicare Advantage: $18.39
  • Celtic Insurance Company — Medicaid: $24.45
  • Cigna — Open Access/POS/PPO: $112.05
  • County Medical Services Program — CMSP Medicaid: $24.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 1 $140.06 $79.79 $18.39 – $126.05
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $71.43
  • Aetna — Medicare Advantage: $18.39
  • Anthem Blue Cross of CA — Commercial: $36.78
  • Anthem Blue Cross of CA — Medicaid: $37.88
  • Anthem Blue Cross of CA — Medicare Advantage: $18.39
  • Blue Shield of CA — Commercial: $107.29
  • Blue Shield of CA — Medicare Advantage: $18.39
  • Celtic Insurance Company — Medicaid: $24.45
  • Cigna — Open Access/POS/PPO: $112.05
  • County Medical Services Program — CMSP Medicaid: $24.36
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 2 $140.06 $79.79 $71.43 – $126.05
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna — Commercial: $71.43
  • Blue Shield of CA — Commercial: $93.42
  • Cigna — Open Access/POS/PPO: $112.05
  • First Health — Commercial: $126.05
  • Health Net — Commercial: $109.81
  • Interplan — Commercial: $126.05
  • Multiplan — PPO Complementary/PPO Primary: $119.05
  • United Healthcare — All Payer: $93.84
  • United Healthcare — Options PPO: $119.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH) $170.36 $97.05 $16.80 – $153.32
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $86.88
  • Aetna — Medicare Advantage: $16.80
  • Anthem Blue Cross of CA — Commercial: $33.60
  • Anthem Blue Cross of CA — Medicaid: $34.50
  • Anthem Blue Cross of CA — Medicare Advantage: $16.80
  • Blue Shield of CA — Commercial: $130.50
  • Blue Shield of CA — Medicare Advantage: $16.80
  • Celtic Insurance Company — Medicaid: $22.07
  • Cigna — Open Access/POS/PPO: $136.29
  • County Medical Services Program — CMSP Medicaid: $21.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RF ASSAY THYROID STIM HORMONE $15.95 $9.09 $8.13 – $34.50
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $8.13
  • Aetna — Medicare Advantage: $16.80
  • Anthem Blue Cross of CA — Commercial: $33.60
  • Anthem Blue Cross of CA — Medicaid: $34.50
  • Anthem Blue Cross of CA — Medicare Advantage: $16.80
  • Blue Shield of CA — Commercial: $12.22
  • Blue Shield of CA — Medicare Advantage: $16.80
  • Celtic Insurance Company — Medicaid: $22.07
  • Cigna — Open Access/POS/PPO: $12.76
  • County Medical Services Program — CMSP Medicaid: $21.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH) $170.36 $97.05 $86.88 – $153.32
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • Aetna — Commercial: $86.88
  • Blue Shield of CA — Commercial: $113.63
  • Cigna — Open Access/POS/PPO: $136.29
  • First Health — Commercial: $153.32
  • Health Net — Commercial: $133.56
  • Interplan — Commercial: $153.32
  • Multiplan — PPO Complementary/PPO Primary: $144.81
  • United Healthcare — All Payer: $114.14
  • United Healthcare — Options PPO: $144.81
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) & AU $187.54 $106.84 $7.77 – $168.79
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • Aetna — Commercial: $95.65
  • Aetna — Medicare Advantage: $7.77
  • Anthem Blue Cross of CA — Commercial: $15.54
  • Anthem Blue Cross of CA — Medicaid: $15.45
  • Anthem Blue Cross of CA — Medicare Advantage: $7.77
  • Blue Shield of CA — Commercial: $143.66
  • Blue Shield of CA — Medicare Advantage: $7.77
  • Celtic Insurance Company — Medicaid: $10.09
  • Cigna — Open Access/POS/PPO: $150.03
  • County Medical Services Program — CMSP Medicaid: $10.06
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) & AU $187.54 $106.84 $95.65 – $168.79
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna — Commercial: $95.65
  • Blue Shield of CA — Commercial: $125.09
  • Cigna — Open Access/POS/PPO: $150.03
  • First Health — Commercial: $168.79
  • Health Net — Commercial: $147.03
  • Interplan — Commercial: $168.79
  • Multiplan — PPO Complementary/PPO Primary: $159.41
  • United Healthcare — All Payer: $125.65
  • United Healthcare — Options PPO: $159.41
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) $251.80 $143.45 $6.47 – $226.62
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • Aetna — Commercial: $128.42
  • Aetna — Medicare Advantage: $6.47
  • Anthem Blue Cross of CA — Commercial: $12.94
  • Anthem Blue Cross of CA — Medicaid: $12.62
  • Anthem Blue Cross of CA — Medicare Advantage: $6.47
  • Blue Shield of CA — Commercial: $192.88
  • Blue Shield of CA — Medicare Advantage: $6.47
  • Celtic Insurance Company — Medicaid: $8.54
  • Cigna — Open Access/POS/PPO: $201.44
  • County Medical Services Program — CMSP Medicaid: $8.51
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) $251.80 $143.45 $128.42 – $226.62
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna — Commercial: $128.42
  • Blue Shield of CA — Commercial: $167.95
  • Cigna — Open Access/POS/PPO: $201.44
  • First Health — Commercial: $226.62
  • Health Net — Commercial: $197.41
  • Interplan — Commercial: $226.62
  • Multiplan — PPO Complementary/PPO Primary: $214.03
  • United Healthcare — All Payer: $168.71
  • United Healthcare — Options PPO: $214.03
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $176.74 $100.69 $4.29 – $159.07
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $90.14
  • Aetna — Medicare Advantage: $4.29
  • Anthem Blue Cross of CA — Commercial: $8.58
  • Anthem Blue Cross of CA — Medicaid: $7.33
  • Anthem Blue Cross of CA — Medicare Advantage: $4.29
  • Blue Shield of CA — Commercial: $135.38
  • Blue Shield of CA — Medicare Advantage: $4.29
  • Celtic Insurance Company — Medicaid: $5.22
  • Cigna — Open Access/POS/PPO: $141.39
  • County Medical Services Program — CMSP Medicaid: $5.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RF ARUP LAB LUPUS PT-D $7.92 $4.51 $4.04 – $8.58
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $4.04
  • Aetna — Medicare Advantage: $4.29
  • Anthem Blue Cross of CA — Commercial: $8.58
  • Anthem Blue Cross of CA — Medicaid: $7.33
  • Anthem Blue Cross of CA — Medicare Advantage: $4.29
  • Blue Shield of CA — Commercial: $6.07
  • Blue Shield of CA — Medicare Advantage: $4.29
  • Celtic Insurance Company — Medicaid: $5.22
  • Cigna — Open Access/POS/PPO: $6.34
  • County Medical Services Program — CMSP Medicaid: $5.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $176.74 $100.69 $90.14 – $159.07
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Aetna — Commercial: $90.14
  • Blue Shield of CA — Commercial: $117.89
  • Cigna — Open Access/POS/PPO: $141.39
  • First Health — Commercial: $159.07
  • Health Net — Commercial: $138.56
  • Interplan — Commercial: $159.07
  • Multiplan — PPO Complementary/PPO Primary: $150.23
  • United Healthcare — All Payer: $118.42
  • United Healthcare — Options PPO: $150.23
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA/WHOLE BLOOD $223.65 $127.41 $6.01 – $201.28
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $114.06
  • Aetna — Medicare Advantage: $6.01
  • Anthem Blue Cross of CA — Commercial: $12.02
  • Anthem Blue Cross of CA — Medicaid: $11.61
  • Anthem Blue Cross of CA — Medicare Advantage: $6.01
  • Blue Shield of CA — Commercial: $171.32
  • Blue Shield of CA — Medicare Advantage: $6.01
  • Celtic Insurance Company — Medicaid: $7.99
  • Cigna — Open Access/POS/PPO: $178.92
  • County Medical Services Program — CMSP Medicaid: $7.96
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RF ARUP LAB LUPUS ANTI COAG PTT-D $5.96 $3.40 $3.04 – $12.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $3.04
  • Aetna — Medicare Advantage: $6.01
  • Anthem Blue Cross of CA — Commercial: $12.02
  • Anthem Blue Cross of CA — Medicaid: $11.61
  • Anthem Blue Cross of CA — Medicare Advantage: $6.01
  • Blue Shield of CA — Commercial: $4.57
  • Blue Shield of CA — Medicare Advantage: $6.01
  • Celtic Insurance Company — Medicaid: $7.99
  • Cigna — Open Access/POS/PPO: $4.77
  • County Medical Services Program — CMSP Medicaid: $7.96
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA/WHOLE BLOOD $223.65 $127.41 $114.06 – $201.28
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • Aetna — Commercial: $114.06
  • Blue Shield of CA — Commercial: $149.17
  • Cigna — Open Access/POS/PPO: $178.92
  • First Health — Commercial: $201.28
  • Health Net — Commercial: $175.34
  • Interplan — Commercial: $201.28
  • Multiplan — PPO Complementary/PPO Primary: $190.10
  • United Healthcare — All Payer: $149.85
  • United Healthcare — Options PPO: $190.10

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN, HEAD/BRAIN; W/O CNTRST $4,525.08 $2,577.94 $135.08 – $4,072.57
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $2,307.79
  • Aetna — Medicare Advantage: $135.08
  • Anthem Blue Cross of CA — Commercial: $679.78
  • Anthem Blue Cross of CA — Medicaid: $431.43
  • Anthem Blue Cross of CA — Medicare Advantage: $135.08
  • Blue Shield of CA — Commercial: $3,466.21
  • Blue Shield of CA — Medicare Advantage: $135.08
  • Celtic Insurance Company — Medicaid: $151.45
  • Cigna — Open Access/POS/PPO: $3,620.06
  • County Medical Services Program — CMSP Medicaid: $150.89
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN, HEAD/BRAIN; W/O CNTRST $4,525.08 $2,577.94 $2,307.79 – $4,072.57
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna — Commercial: $2,307.79
  • Blue Shield of CA — Commercial: $3,018.23
  • Cigna — Open Access/POS/PPO: $3,620.06
  • First Health — Commercial: $4,072.57
  • Health Net — Commercial: $3,547.66
  • Interplan — Commercial: $4,072.57
  • Multiplan — PPO Complementary/PPO Primary: $3,846.32
  • United Healthcare — All Payer: $3,031.80
  • United Healthcare — Options PPO: $3,846.32
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, BRAIN; W/O CNTRST , THEN W/CNTRST & SEQ $6,722.59 $3,829.86 $453.66 – $6,050.33
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • Aetna — Commercial: $3,428.52
  • Aetna — Medicare Advantage: $453.66
  • Anthem Blue Cross of CA — Commercial: $2,282.91
  • Anthem Blue Cross of CA — Medicare Advantage: $453.66
  • Blue Shield of CA — Commercial: $5,149.50
  • Blue Shield of CA — Medicare Advantage: $453.66
  • Celtic Insurance Company — Medicaid: $465.19
  • Cigna — Open Access/POS/PPO: $5,378.07
  • County Medical Services Program — CMSP Medicaid: $463.48
  • First Health — Commercial: $6,050.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, BRAIN; W/O CNTRST , THEN W/CNTRST & SEQ $6,722.59 $3,829.86 $3,428.52 – $6,050.33
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • Aetna — Commercial: $3,428.52
  • Blue Shield of CA — Commercial: $4,483.97
  • Cigna — Open Access/POS/PPO: $5,378.07
  • First Health — Commercial: $6,050.33
  • Health Net — Commercial: $5,270.51
  • Interplan — Commercial: $6,050.33
  • Multiplan — PPO Complementary/PPO Primary: $5,714.20
  • United Healthcare — All Payer: $4,504.14
  • United Healthcare — Options PPO: $5,714.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $1,010 $575.40 $40.93 – $909
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $515.10
  • Aetna — Medicare Advantage: $111.85
  • Anthem Blue Cross of CA — Commercial: $562.82
  • Anthem Blue Cross of CA — Medicaid: $60.04
  • Anthem Blue Cross of CA — Medicare Advantage: $111.85
  • Blue Shield of CA — Commercial: $773.66
  • Blue Shield of CA — Medicare Advantage: $111.85
  • Celtic Insurance Company — Medicaid: $41.08
  • Cigna — Open Access/POS/PPO: $808
  • County Medical Services Program — CMSP Medicaid: $40.93
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $1,010 $575.40 $515.10 – $909
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna — Commercial: $515.10
  • Blue Shield of CA — Commercial: $673.67
  • Cigna — Open Access/POS/PPO: $808
  • First Health — Commercial: $909
  • Health Net — Commercial: $791.84
  • Interplan — Commercial: $909
  • Multiplan — PPO Complementary/PPO Primary: $858.50
  • United Healthcare — All Payer: $676.70
  • United Healthcare — Options PPO: $858.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIO EXAM, SPINE, LUMBOSACRAL; 4+ VIEWS $1,405.77 $800.87 $65.34 – $1,265.19
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $716.94
  • Aetna — Medicare Advantage: $135.08
  • Anthem Blue Cross of CA — Commercial: $679.78
  • Anthem Blue Cross of CA — Medicaid: $108.84
  • Anthem Blue Cross of CA — Medicare Advantage: $135.08
  • Blue Shield of CA — Commercial: $1,076.82
  • Blue Shield of CA — Medicare Advantage: $135.08
  • Celtic Insurance Company — Medicaid: $65.58
  • Cigna — Open Access/POS/PPO: $1,124.62
  • County Medical Services Program — CMSP Medicaid: $65.34
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIO EXAM, SPINE, LUMBOSACRAL; 4+ VIEWS $1,405.77 $800.87 $716.94 – $1,265.19
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — Commercial: $716.94
  • Blue Shield of CA — Commercial: $937.65
  • Cigna — Open Access/POS/PPO: $1,124.62
  • First Health — Commercial: $1,265.19
  • Health Net — Commercial: $1,102.12
  • Interplan — Commercial: $1,265.19
  • Multiplan — PPO Complementary/PPO Primary: $1,194.90
  • United Healthcare — All Payer: $941.87
  • United Healthcare — Options PPO: $1,194.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE; W/O CNTRST $4,333.67 $2,468.89 $277.14 – $3,900.30
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • Aetna — Commercial: $2,210.17
  • Aetna — Medicare Advantage: $307.06
  • Anthem Blue Cross of CA — Commercial: $1,545.16
  • Anthem Blue Cross of CA — Medicare Advantage: $307.06
  • Blue Shield of CA — Commercial: $3,319.59
  • Blue Shield of CA — Medicare Advantage: $307.06
  • Celtic Insurance Company — Medicaid: $278.16
  • Cigna — Open Access/POS/PPO: $3,466.94
  • County Medical Services Program — CMSP Medicaid: $277.14
  • First Health — Commercial: $3,900.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE; W/O CNTRST $4,333.67 $2,468.89 $2,210.17 – $3,900.30
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna — Commercial: $2,210.17
  • Blue Shield of CA — Commercial: $2,890.56
  • Cigna — Open Access/POS/PPO: $3,466.94
  • First Health — Commercial: $3,900.30
  • Health Net — Commercial: $3,397.60
  • Interplan — Commercial: $3,900.30
  • Multiplan — PPO Complementary/PPO Primary: $3,683.62
  • United Healthcare — All Payer: $2,903.56
  • United Healthcare — Options PPO: $3,683.62
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN, PELV; W/CNTRST $5,010.50 $2,854.48 $226.14 – $4,509.45
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $2,555.36
  • Aetna — Medicare Advantage: $226.14
  • Anthem Blue Cross of CA — Commercial: $1,137.95
  • Anthem Blue Cross of CA — Medicaid: $555.67
  • Anthem Blue Cross of CA — Medicare Advantage: $226.14
  • Blue Shield of CA — Commercial: $3,838.04
  • Blue Shield of CA — Medicare Advantage: $226.14
  • Celtic Insurance Company — Medicaid: $305.75
  • Cigna — Open Access/POS/PPO: $4,008.40
  • County Medical Services Program — CMSP Medicaid: $304.63
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN, PELV; W/CNTRST $5,010.50 $2,854.48 $2,555.36 – $4,509.45
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Commercial: $2,555.36
  • Blue Shield of CA — Commercial: $3,342
  • Cigna — Open Access/POS/PPO: $4,008.40
  • First Health — Commercial: $4,509.45
  • Health Net — Commercial: $3,928.23
  • Interplan — Commercial: $4,509.45
  • Multiplan — PPO Complementary/PPO Primary: $4,258.93
  • United Healthcare — All Payer: $3,357.03
  • United Healthcare — Options PPO: $4,258.93
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, ANY JNT, LWR XTRMTY; W/O CNTRST $4,623.81 $2,634.18 $307.06 – $4,161.43
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna — Commercial: $2,358.14
  • Aetna — Medicare Advantage: $307.06
  • Anthem Blue Cross of CA — Commercial: $1,545.16
  • Anthem Blue Cross of CA — Medicare Advantage: $307.06
  • Blue Shield of CA — Commercial: $3,541.84
  • Blue Shield of CA — Medicare Advantage: $307.06
  • Celtic Insurance Company — Medicaid: $583.96
  • Cigna — Open Access/POS/PPO: $3,699.05
  • County Medical Services Program — CMSP Medicaid: $581.82
  • First Health — Commercial: $4,161.43
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, ANY JNT, LWR XTRMTY; W/O CNTRST $4,623.81 $2,634.18 $2,358.14 – $4,161.43
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna — Commercial: $2,358.14
  • Blue Shield of CA — Commercial: $3,084.08
  • Cigna — Open Access/POS/PPO: $3,699.05
  • First Health — Commercial: $4,161.43
  • Health Net — Commercial: $3,625.07
  • Interplan — Commercial: $4,161.43
  • Multiplan — PPO Complementary/PPO Primary: $3,930.24
  • United Healthcare — All Payer: $3,097.95
  • United Healthcare — Options PPO: $3,930.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD/PELV W/CON $11,398.12 $6,493.51 $419.88 – $10,258.31
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $5,813.04
  • Aetna — Medicare Advantage: $453.66
  • Anthem Blue Cross of CA — Commercial: $2,282.91
  • Anthem Blue Cross of CA — Medicaid: $430.59
  • Anthem Blue Cross of CA — Medicare Advantage: $453.66
  • Blue Shield of CA — Commercial: $8,730.96
  • Blue Shield of CA — Medicare Advantage: $453.66
  • Celtic Insurance Company — Medicaid: $421.43
  • Cigna — Open Access/POS/PPO: $9,118.50
  • County Medical Services Program — CMSP Medicaid: $419.88
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD/PELV W/CON $11,398.12 $6,493.51 $5,813.04 – $10,258.31
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Commercial: $5,813.04
  • Blue Shield of CA — Commercial: $7,602.55
  • Cigna — Open Access/POS/PPO: $9,118.50
  • First Health — Commercial: $10,258.31
  • Health Net — Commercial: $8,936.13
  • Interplan — Commercial: $10,258.31
  • Multiplan — PPO Complementary/PPO Primary: $9,688.40
  • United Healthcare — All Payer: $7,636.74
  • United Healthcare — Options PPO: $9,688.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASND, ABD, B-SCAN &/OR RL TM W/IMG DOC; COMPLT $1,645.39 $937.38 $123.97 – $1,480.85
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • Aetna — Commercial: $839.15
  • Aetna — Medicare Advantage: $135.08
  • Anthem Blue Cross of CA — Commercial: $679.78
  • Anthem Blue Cross of CA — Medicaid: $182.35
  • Anthem Blue Cross of CA — Medicare Advantage: $135.08
  • Blue Shield of CA — Commercial: $1,260.37
  • Blue Shield of CA — Medicare Advantage: $135.08
  • Celtic Insurance Company — Medicaid: $124.43
  • Cigna — Open Access/POS/PPO: $1,316.31
  • County Medical Services Program — CMSP Medicaid: $123.97
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASND, ABD, B-SCAN &/OR RL TM W/IMG DOC; COMPLT $1,645.39 $937.38 $839.15 – $1,480.85
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Commercial: $839.15
  • Blue Shield of CA — Commercial: $1,097.48
  • Cigna — Open Access/POS/PPO: $1,316.31
  • First Health — Commercial: $1,480.85
  • Health Net — Commercial: $1,289.99
  • Interplan — Commercial: $1,480.85
  • Multiplan — PPO Complementary/PPO Primary: $1,398.58
  • United Healthcare — All Payer: $1,102.41
  • United Healthcare — Options PPO: $1,398.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, 1 TRI, TRNSAB; SGL/1 ADL $1,270.09 $723.57 $135.08 – $1,143.08
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • Aetna — Commercial: $647.75
  • Aetna — Medicare Advantage: $135.08
  • Anthem Blue Cross of CA — Commercial: $679.78
  • Anthem Blue Cross of CA — Medicaid: $206.72
  • Anthem Blue Cross of CA — Medicare Advantage: $135.08
  • Blue Shield of CA — Commercial: $972.89
  • Blue Shield of CA — Medicare Advantage: $135.08
  • Celtic Insurance Company — Medicaid: $141.06
  • Cigna — Open Access/POS/PPO: $1,016.07
  • County Medical Services Program — CMSP Medicaid: $140.54
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, 1 TRI, TRNSAB; SGL/1 ADL $1,270.09 $723.57 $647.75 – $1,143.08
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — Commercial: $647.75
  • Blue Shield of CA — Commercial: $847.15
  • Cigna — Open Access/POS/PPO: $1,016.07
  • First Health — Commercial: $1,143.08
  • Health Net — Commercial: $995.75
  • Interplan — Commercial: $1,143.08
  • Multiplan — PPO Complementary/PPO Primary: $1,079.58
  • United Healthcare — All Payer: $850.96
  • United Healthcare — Options PPO: $1,079.58
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRPH, TRANSVAGINAL $1,645.12 $937.23 $100.80 – $1,480.61
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • Aetna — Commercial: $839.01
  • Aetna — Medicare Advantage: $135.08
  • Anthem Blue Cross of CA — Commercial: $679.78
  • Anthem Blue Cross of CA — Medicaid: $148.28
  • Anthem Blue Cross of CA — Medicare Advantage: $135.08
  • Blue Shield of CA — Commercial: $1,260.16
  • Blue Shield of CA — Medicare Advantage: $135.08
  • Celtic Insurance Company — Medicaid: $101.17
  • Cigna — Open Access/POS/PPO: $1,316.10
  • County Medical Services Program — CMSP Medicaid: $100.80
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHOGRPH, TRANSVAGINAL $1,645.12 $937.23 $839.01 – $1,480.61
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Commercial: $839.01
  • Blue Shield of CA — Commercial: $1,097.30
  • Cigna — Open Access/POS/PPO: $1,316.10
  • First Health — Commercial: $1,480.61
  • Health Net — Commercial: $1,289.77
  • Interplan — Commercial: $1,480.61
  • Multiplan — PPO Complementary/PPO Primary: $1,398.35
  • United Healthcare — All Payer: $1,102.23
  • United Healthcare — Options PPO: $1,398.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMO DIGITAL UNILATERAL $461.01 $262.64 $174.45 – $414.91
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $235.12
  • Aetna — Medicare Advantage: $253.56
  • Anthem Blue Cross of CA — Commercial: $209.44
  • Anthem Blue Cross of CA — Medicaid: $186.49
  • Blue Shield of CA — Commercial: $353.13
  • Celtic Insurance Company — Medicaid: $175.09
  • Cigna — Open Access/POS/PPO: $368.81
  • County Medical Services Program — CMSP Medicaid: $174.45
  • First Health — Commercial: $414.91
  • Health Net — Commercial: $352.21
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAG MAMMO DIGITAL UNILATERAL $461.01 $262.64 $235.12 – $414.91
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — Commercial: $235.12
  • Blue Shield of CA — Commercial: $307.49
  • Cigna — Open Access/POS/PPO: $368.81
  • First Health — Commercial: $414.91
  • Health Net — Commercial: $361.43
  • Interplan — Commercial: $414.91
  • Multiplan — PPO Complementary/PPO Primary: $391.86
  • United Healthcare — All Payer: $308.88
  • United Healthcare — Options PPO: $391.86
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMO DIGITAL INCL CAD BILATERAL $912.11 $519.63 $220.56 – $820.90
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Commercial: $465.18
  • Aetna — Medicare Advantage: $501.66
  • Anthem Blue Cross of CA — Commercial: $264.46
  • Anthem Blue Cross of CA — Medicaid: $236.46
  • Blue Shield of CA — Commercial: $698.68
  • Celtic Insurance Company — Medicaid: $221.38
  • Cigna — Open Access/POS/PPO: $729.69
  • County Medical Services Program — CMSP Medicaid: $220.56
  • First Health — Commercial: $820.90
  • Health Net — Commercial: $696.85
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAG MAMMO DIGITAL INCL CAD BILATERAL $912.11 $519.63 $465.18 – $820.90
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Commercial: $465.18
  • Blue Shield of CA — Commercial: $608.38
  • Cigna — Open Access/POS/PPO: $729.69
  • First Health — Commercial: $820.90
  • Health Net — Commercial: $715.09
  • Interplan — Commercial: $820.90
  • Multiplan — PPO Complementary/PPO Primary: $775.29
  • United Healthcare — All Payer: $611.11
  • United Healthcare — Options PPO: $775.29
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCRNING INCL CAD BILATERAL $618.08 $352.12 $177.98 – $556.27
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Commercial: $315.22
  • Aetna — Medicare Advantage: $339.94
  • Anthem Blue Cross of CA — Commercial: $214.62
  • Anthem Blue Cross of CA — Medicaid: $191.46
  • Blue Shield of CA — Commercial: $473.45
  • Celtic Insurance Company — Medicaid: $178.64
  • Cigna — Open Access/POS/PPO: $494.46
  • County Medical Services Program — CMSP Medicaid: $177.98
  • First Health — Commercial: $556.27
  • Health Net — Commercial: $472.21
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO SCRNING INCL CAD BILATERAL $618.08 $352.12 $315.22 – $556.27
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Commercial: $315.22
  • Blue Shield of CA — Commercial: $412.26
  • Cigna — Open Access/POS/PPO: $494.46
  • First Health — Commercial: $556.27
  • Health Net — Commercial: $484.57
  • Interplan — Commercial: $556.27
  • Multiplan — PPO Complementary/PPO Primary: $525.37
  • United Healthcare — All Payer: $414.11
  • United Healthcare — Options PPO: $525.37

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTION(S) FOR LEFT VENTRICULOGRAPHY, IMAGING SUPERVISION AND INTERPRETATION, WHEN PE Not listed in the file Not listed in the file $1,136.66 – $20,560.47
Left heart catheterization (diagnostic): rates for 9 insurance plans
  • Aetna — Medicare Advantage: $4,085.81
  • Anthem Blue Cross of CA — Commercial: $20,560.47
  • Anthem Blue Cross of CA — Medicaid: $1,165.65
  • Anthem Blue Cross of CA — Medicare Advantage: $4,085.81
  • Blue Shield of CA — Medicare Advantage: $4,085.81
  • Celtic Insurance Company — Medicaid: $1,140.86
  • County Medical Services Program — CMSP Medicaid: $1,136.66
  • Health Plan of San Joaquin — Medi-Cal HMO: $1,258.72
  • United Healthcare — Managed Medicare: $4,085.81

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISES EA 15 MIN $105 $59.82 $16.33 – $94.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Commercial: $53.55
  • Aetna — Medicare Advantage: $57.75
  • Anthem Blue Cross of CA — Commercial: $48
  • Anthem Blue Cross of CA — Medicaid: $24.02
  • Blue Shield of CA — Commercial: $80.43
  • Celtic Insurance Company — Medicaid: $16.39
  • Cigna — Open Access/POS/PPO: $84
  • County Medical Services Program — CMSP Medicaid: $16.33
  • First Health — Commercial: $94.50
  • Health Net — Commercial: $80.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISES EA 15 MIN $105 $59.82 $53.55 – $94.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $53.55
  • Blue Shield of CA — Commercial: $70.03
  • Cigna — Open Access/POS/PPO: $84
  • First Health — Commercial: $94.50
  • Health Net — Commercial: $82.32
  • Interplan — Commercial: $94.50
  • Multiplan — PPO Complementary/PPO Primary: $89.25
  • United Healthcare — All Payer: $70.35
  • United Healthcare — Options PPO: $89.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN $236.18 $134.55 $120.45 – $212.56
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $120.45
  • Aetna — Medicare Advantage: $129.90
  • Anthem Blue Cross of CA — Commercial: $163.19
  • Blue Shield of CA — Commercial: $180.91
  • Cigna — Open Access/POS/PPO: $188.94
  • First Health — Commercial: $212.56
  • Health Net — Commercial: $180.44
  • Interplan — Commercial: $212.56
  • Multiplan — PPO Complementary/PPO Primary: $200.75
  • United Healthcare — All Payer: $158.24
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN $236.18 $134.55 $120.45 – $212.56
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • Aetna — Commercial: $120.45
  • Blue Shield of CA — Commercial: $157.53
  • Cigna — Open Access/POS/PPO: $188.94
  • First Health — Commercial: $212.56
  • Health Net — Commercial: $185.17
  • Interplan — Commercial: $212.56
  • Multiplan — PPO Complementary/PPO Primary: $200.75
  • United Healthcare — All Payer: $158.24
  • United Healthcare — Options PPO: $200.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN $308.38 $175.68 $157.27 – $277.54
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $157.27
  • Aetna — Medicare Advantage: $169.61
  • Anthem Blue Cross of CA — Commercial: $163.19
  • Blue Shield of CA — Commercial: $236.22
  • Cigna — Open Access/POS/PPO: $246.70
  • First Health — Commercial: $277.54
  • Health Net — Commercial: $235.60
  • Interplan — Commercial: $277.54
  • Multiplan — PPO Complementary/PPO Primary: $262.12
  • United Healthcare — All Payer: $206.61
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN $308.38 $175.68 $157.27 – $277.54
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • Aetna — Commercial: $157.27
  • Blue Shield of CA — Commercial: $205.69
  • Cigna — Open Access/POS/PPO: $246.70
  • First Health — Commercial: $277.54
  • Health Net — Commercial: $241.77
  • Interplan — Commercial: $277.54
  • Multiplan — PPO Complementary/PPO Primary: $262.12
  • United Healthcare — All Payer: $206.61
  • United Healthcare — Options PPO: $262.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN $462.83 $263.67 $163.19 – $416.55
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $236.04
  • Aetna — Medicare Advantage: $254.56
  • Anthem Blue Cross of CA — Commercial: $163.19
  • Blue Shield of CA — Commercial: $354.53
  • Celtic Insurance Company — Medicaid: $202.73
  • Cigna — Open Access/POS/PPO: $370.26
  • County Medical Services Program — CMSP Medicaid: $201.98
  • First Health — Commercial: $416.55
  • Health Net — Commercial: $353.60
  • Health Plan of San Joaquin — Medi-Cal HMO: $203.34
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN $462.83 $263.67 $236.04 – $416.55
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • Aetna — Commercial: $236.04
  • Blue Shield of CA — Commercial: $308.71
  • Cigna — Open Access/POS/PPO: $370.26
  • First Health — Commercial: $416.55
  • Health Net — Commercial: $362.86
  • Interplan — Commercial: $416.55
  • Multiplan — PPO Complementary/PPO Primary: $393.41
  • United Healthcare — All Payer: $310.10
  • United Healthcare — Options PPO: $393.41

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19 Not listed in the file Not listed in the file $313.97 – $24,478.14
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $4,864.33
  • Anthem Blue Cross of CA — Commercial: $24,478.14
  • Anthem Blue Cross of CA — Medicaid: $513.24
  • Anthem Blue Cross of CA — Medicare Advantage: $4,864.33
  • Blue Shield of CA — Medicare Advantage: $4,864.33
  • Celtic Insurance Company — Medicaid: $350.95
  • County Medical Services Program — CMSP Medicaid: $313.97
  • Health Plan of San Joaquin — Medi-Cal HMO: $347.69
  • United Healthcare — Managed Medicare: $4,864.33
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT Not listed in the file Not listed in the file $2,218.91 – $82,249.29
Total hip replacement: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $16,344.72
  • Anthem Blue Cross of CA — Commercial: $82,249.29
  • Anthem Blue Cross of CA — Medicaid: $3,627.11
  • Anthem Blue Cross of CA — Medicare Advantage: $16,344.72
  • Blue Shield of CA — Medicare Advantage: $16,344.72
  • Celtic Insurance Company — Medicaid: $2,480.26
  • County Medical Services Program — CMSP Medicaid: $2,218.91
  • Health Plan of San Joaquin — Medi-Cal HMO: $2,457.18
  • United Healthcare — Managed Medicare: $16,344.72
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY) Not listed in the file Not listed in the file $443.78 – $82,249.29
Total knee replacement: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $16,344.72
  • Anthem Blue Cross of CA — Commercial: $82,249.29
  • Anthem Blue Cross of CA — Medicaid: $3,627.11
  • Anthem Blue Cross of CA — Medicare Advantage: $16,344.72
  • Blue Shield of CA — Medicare Advantage: $16,344.72
  • Celtic Insurance Company — Medicaid: $496.05
  • County Medical Services Program — CMSP Medicaid: $443.78
  • Health Plan of San Joaquin — Medi-Cal HMO: $491.44
  • United Healthcare — Managed Medicare: $16,344.72
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE Not listed in the file Not listed in the file $259.63 – $1,027.39
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Anthem Blue Cross of CA — Commercial: $259.63
  • Anthem Blue Cross of CA — Medicaid: $1,027.39
  • Celtic Insurance Company — Medicaid: $702.54
  • County Medical Services Program — CMSP Medicaid: $628.51
  • Health Plan of San Joaquin — Medi-Cal HMO: $696
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA Not listed in the file Not listed in the file $820.99 – $20,740.70
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $4,121.63
  • Anthem Blue Cross of CA — Commercial: $20,740.70
  • Anthem Blue Cross of CA — Medicaid: $1,342.01
  • Anthem Blue Cross of CA — Medicare Advantage: $4,121.63
  • Blue Shield of CA — Medicare Advantage: $4,121.63
  • Celtic Insurance Company — Medicaid: $917.69
  • County Medical Services Program — CMSP Medicaid: $820.99
  • Health Plan of San Joaquin — Medi-Cal HMO: $909.15
  • United Healthcare — Managed Medicare: $4,121.63
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 Not listed in the file Not listed in the file $251.29 – $37,815
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $7,514.66
  • Anthem Blue Cross of CA — Commercial: $37,815
  • Anthem Blue Cross of CA — Medicaid: $410.76
  • Anthem Blue Cross of CA — Medicare Advantage: $7,514.66
  • Blue Shield of CA — Medicare Advantage: $7,514.66
  • Celtic Insurance Company — Medicaid: $280.89
  • County Medical Services Program — CMSP Medicaid: $251.29
  • Health Plan of San Joaquin — Medi-Cal HMO: $278.27
  • United Healthcare — Managed Medicare: $7,514.66
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP Not listed in the file Not listed in the file $333.94 – $5,993.21
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,190.98
  • Anthem Blue Cross of CA — Commercial: $5,993.21
  • Anthem Blue Cross of CA — Medicaid: $545.87
  • Anthem Blue Cross of CA — Medicare Advantage: $1,190.98
  • Blue Shield of CA — Medicare Advantage: $1,190.98
  • Celtic Insurance Company — Medicaid: $373.27
  • County Medical Services Program — CMSP Medicaid: $333.94
  • Health Plan of San Joaquin — Medi-Cal HMO: $369.80
  • United Healthcare — Managed Medicare: $1,190.98
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $348.93 – $5,993.21
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,190.98
  • Anthem Blue Cross of CA — Commercial: $5,993.21
  • Anthem Blue Cross of CA — Medicaid: $570.38
  • Anthem Blue Cross of CA — Medicare Advantage: $1,190.98
  • Blue Shield of CA — Medicare Advantage: $1,190.98
  • Celtic Insurance Company — Medicaid: $390.03
  • County Medical Services Program — CMSP Medicaid: $348.93
  • Health Plan of San Joaquin — Medi-Cal HMO: $386.40
  • United Healthcare — Managed Medicare: $1,190.98
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) Not listed in the file Not listed in the file $439.89 – $5,827.97
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,158.15
  • Anthem Blue Cross of CA — Commercial: $5,827.97
  • Anthem Blue Cross of CA — Medicaid: $719.07
  • Anthem Blue Cross of CA — Medicare Advantage: $1,158.15
  • Blue Shield of CA — Medicare Advantage: $1,158.15
  • Celtic Insurance Company — Medicaid: $491.71
  • County Medical Services Program — CMSP Medicaid: $439.89
  • Health Plan of San Joaquin — Medi-Cal HMO: $487.13
  • United Healthcare — Managed Medicare: $1,158.15
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $492.04 – $7,537.11
Colonoscopy with biopsy: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,497.79
  • Anthem Blue Cross of CA — Commercial: $7,537.11
  • Anthem Blue Cross of CA — Medicaid: $804.31
  • Anthem Blue Cross of CA — Medicare Advantage: $1,497.79
  • Blue Shield of CA — Medicare Advantage: $1,497.79
  • Celtic Insurance Company — Medicaid: $550
  • County Medical Services Program — CMSP Medicaid: $492.04
  • Health Plan of San Joaquin — Medi-Cal HMO: $544.88
  • United Healthcare — Managed Medicare: $1,497.79
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE Not listed in the file Not listed in the file $596.33 – $7,537.11
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,497.79
  • Anthem Blue Cross of CA — Commercial: $7,537.11
  • Anthem Blue Cross of CA — Medicaid: $974.79
  • Anthem Blue Cross of CA — Medicare Advantage: $1,497.79
  • Blue Shield of CA — Medicare Advantage: $1,497.79
  • Celtic Insurance Company — Medicaid: $666.57
  • County Medical Services Program — CMSP Medicaid: $596.33
  • Health Plan of San Joaquin — Medi-Cal HMO: $660.36
  • United Healthcare — Managed Medicare: $1,497.79
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE RECTUM, SIGMOID, DESCENDING, TRANSVERSE, OR ASCENDING COLON AND Not listed in the file Not listed in the file $252.96 – $7,537.11
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,497.79
  • Anthem Blue Cross of CA — Commercial: $7,537.11
  • Anthem Blue Cross of CA — Medicaid: $288.07
  • Anthem Blue Cross of CA — Medicare Advantage: $1,497.79
  • Blue Shield of CA — Medicare Advantage: $1,497.79
  • Celtic Insurance Company — Medicaid: $282.75
  • County Medical Services Program — CMSP Medicaid: $252.96
  • Health Plan of San Joaquin — Medi-Cal HMO: $280.12
  • United Healthcare — Managed Medicare: $1,497.79
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK Not listed in the file Not listed in the file $1,158.15 – $5,827.97
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • Aetna — Medicare Advantage: $1,158.15
  • Anthem Blue Cross of CA — Commercial: $5,827.97
  • Anthem Blue Cross of CA — Medicare Advantage: $1,158.15
  • Blue Shield of CA — Medicare Advantage: $1,158.15
  • United Healthcare — Managed Medicare: $1,158.15
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY Not listed in the file Not listed in the file $694.52 – $37,295.33
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $7,411.39
  • Anthem Blue Cross of CA — Commercial: $37,295.33
  • Anthem Blue Cross of CA — Medicaid: $1,135.28
  • Anthem Blue Cross of CA — Medicare Advantage: $7,411.39
  • Blue Shield of CA — Medicare Advantage: $7,411.39
  • Celtic Insurance Company — Medicaid: $776.32
  • County Medical Services Program — CMSP Medicaid: $694.52
  • Health Plan of San Joaquin — Medi-Cal HMO: $769.10
  • United Healthcare — Managed Medicare: $7,411.39
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE Not listed in the file Not listed in the file $512.57 – $22,559
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $4,482.96
  • Anthem Blue Cross of CA — Commercial: $22,559
  • Anthem Blue Cross of CA — Medicaid: $837.88
  • Anthem Blue Cross of CA — Medicare Advantage: $4,482.96
  • Blue Shield of CA — Medicare Advantage: $4,482.96
  • Celtic Insurance Company — Medicaid: $572.95
  • County Medical Services Program — CMSP Medicaid: $512.57
  • Health Plan of San Joaquin — Medi-Cal HMO: $567.62
  • United Healthcare — Managed Medicare: $4,482.96
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH Not listed in the file Not listed in the file $130.36 – $13,094.78
Prostate biopsy: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2,602.22
  • Anthem Blue Cross of CA — Commercial: $13,094.78
  • Anthem Blue Cross of CA — Medicaid: $213.10
  • Anthem Blue Cross of CA — Medicare Advantage: $2,602.22
  • Blue Shield of CA — Medicare Advantage: $2,602.22
  • Celtic Insurance Company — Medicaid: $145.71
  • County Medical Services Program — CMSP Medicaid: $130.36
  • Health Plan of San Joaquin — Medi-Cal HMO: $144.36
  • United Healthcare — Managed Medicare: $2,602.22
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED Not listed in the file Not listed in the file $1,420.10 – $66,552.23
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $13,225.37
  • Anthem Blue Cross of CA — Commercial: $66,552.23
  • Anthem Blue Cross of CA — Medicaid: $1,618.64
  • Anthem Blue Cross of CA — Medicare Advantage: $13,225.37
  • Blue Shield of CA — Medicare Advantage: $13,225.37
  • Celtic Insurance Company — Medicaid: $1,587.37
  • County Medical Services Program — CMSP Medicaid: $1,420.10
  • Health Plan of San Joaquin — Medi-Cal HMO: $1,572.60
  • United Healthcare — Managed Medicare: $13,225.37
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C Not listed in the file Not listed in the file $261.23 – $20,324.66
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $4,038.96
  • Anthem Blue Cross of CA — Commercial: $20,324.66
  • Anthem Blue Cross of CA — Medicaid: $427.01
  • Anthem Blue Cross of CA — Medicare Advantage: $4,038.96
  • Blue Shield of CA — Medicare Advantage: $4,038.96
  • Celtic Insurance Company — Medicaid: $292
  • County Medical Services Program — CMSP Medicaid: $261.23
  • Health Plan of San Joaquin — Medi-Cal HMO: $289.28
  • United Healthcare — Managed Medicare: $4,038.96
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUR Not listed in the file Not listed in the file $327.84 – $4,426.85
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $879.71
  • Anthem Blue Cross of CA — Commercial: $4,426.85
  • Anthem Blue Cross of CA — Medicaid: $373.61
  • Anthem Blue Cross of CA — Medicare Advantage: $879.71
  • Blue Shield of CA — Medicare Advantage: $879.71
  • Celtic Insurance Company — Medicaid: $366.46
  • County Medical Services Program — CMSP Medicaid: $327.84
  • Health Plan of San Joaquin — Medi-Cal HMO: $363.05
  • United Healthcare — Managed Medicare: $879.71
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SING Not listed in the file Not listed in the file $213.58 – $5,691.05
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $1,130.94
  • Anthem Blue Cross of CA — Commercial: $5,691.05
  • Anthem Blue Cross of CA — Medicaid: $349.13
  • Anthem Blue Cross of CA — Medicare Advantage: $1,130.94
  • Blue Shield of CA — Medicare Advantage: $1,130.94
  • Celtic Insurance Company — Medicaid: $238.73
  • County Medical Services Program — CMSP Medicaid: $213.58
  • Health Plan of San Joaquin — Medi-Cal HMO: $236.51
  • United Healthcare — Managed Medicare: $1,130.94
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL Not listed in the file Not listed in the file $94.30 – $12,482.83
Carpal tunnel release: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2,480.60
  • Anthem Blue Cross of CA — Commercial: $12,482.83
  • Anthem Blue Cross of CA — Medicaid: $771.67
  • Anthem Blue Cross of CA — Medicare Advantage: $2,480.60
  • Blue Shield of CA — Medicare Advantage: $2,480.60
  • Celtic Insurance Company — Medicaid: $105.41
  • County Medical Services Program — CMSP Medicaid: $94.30
  • Health Plan of San Joaquin — Medi-Cal HMO: $104.43
  • United Healthcare — Managed Medicare: $2,480.60
  • Health Net — Commercial: 76.4% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $14,319
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • Anthem Blue Cross of CA — Commercial: $14,319
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $23,774
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan
  • Anthem Blue Cross of CA — Commercial: $23,774
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $14,319
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan
  • Anthem Blue Cross of CA — Commercial: $14,319

Source: Marshall Medical Center’s standard charges file (marshallmedical.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 19, 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 typeAcute Care Hospital
Address1100 Marshall Way, Placerville, CA 95667
CountyEl Dorado County
StateCalifornia
Phone(530) 622‑1441
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050254
Name in Medicare recordsMARSHALL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitemarshallmedical.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Our Services | Marshall Medical Center — marshallmedical.org
  2. Emergency & Trauma Center — marshallmedical.org
  3. Stroke Center — marshallmedical.org