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Acute Care Hospital

Memorialcare Long Beach Medical Center

Long Beach, California · Los Angeles County · Emergency services listed

Summary

Memorialcare Long Beach Medical Center is an acute care hospital in Long Beach, California. Its official website lists an emergency room (Medicare data does not list emergency services). CMS overall star rating: 2 of 5 stars. Its official website lists 41 services, specialties and programs. Medicare lists 807 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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(562) 933‑2000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
807Doctors and clinicians
41Services listed

Quick answers

Does Memorialcare Long Beach Medical Center have an emergency room?
Yes. The hospital’s official website lists an emergency room at Memorialcare Long Beach Medical Center (trauma center: Level II). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Memorialcare Long Beach Medical Center?
2801 Atlantic Ave, Long Beach, CA 90806, in Los Angeles County, California.
What is the phone number of Memorialcare Long Beach Medical Center?
(562) 933-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Memorialcare Long Beach Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][7]

Conditions treated[7][10][11][12][13]

Treatments[8][11][13][15]

  • Deep brain stimulation
  • Robotic-assisted bronchoscopy
  • Electromagnetic navigational bronchoscopy
  • Endobronchial ultrasound
  • Robotic-assisted lung cancer surgery
  • Low-dose CT lung screening
  • Minimally invasive heart procedures
  • Trauma care

Procedures[13]

  • CT-guided needle lung biopsy
  • Mediastinoscopy
  • Video-assisted thoracic surgery
  • PET-CT

Programs and centers[4][11][13][16]

  • MemorialCare Stroke Center
  • Trauma & Acute Care Surgery program
  • Movement Disorders Program
  • Parkinson's Wellness Program
  • Lung Program
  • Inpatient rehabilitation
  • Neuro rehabilitation
  • Vision rehabilitation program

Emergency care (hospital website)[4][10][15]

Emergency roomYes
Trauma designationLevel II
Stroke designationJoint Commission Certified Comprehensive Stroke Center

Visiting and practical information

VisitingMost visiting hours end at 9 p.m.; check with the unit; visitors check in for a pass, adults show photo ID[5]
ParkingVisitor garage and lot off Memorial Medical Center Dr., open 24/7; first 30 minutes free, then $8 day rate[6]
Patient portalMyChart

Recognition[4][7][10][15][16]

  • Magnet Recognition (nursing)
  • U.S. News & World Report Best Hospital recognition for OB/GYN and Orthopedics
  • Joint Commission Certified Comprehensive Stroke Center
  • American Heart Association Get With The Guidelines Gold Plus Award 2026
  • Designated cardiac receiving center
  • American College of Surgeons Committee on Trauma verified Level II trauma center
  • CARF accreditation (Rehabilitation Institute)

Doctors and clinicians (807)

807 doctors and other clinicians list Memorialcare Long Beach 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 (807)

And 783 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Memorialcare Long Beach 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 hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1067%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well73%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night46%National average: 60%
Completed surveys2,188Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.834No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.505Better than the national benchmark
Surgical site infections after colon surgery1.394No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.975No different from the national benchmark
MRSA bloodstream infections1.27No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.596Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients12%
Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients13.7%
Deaths within 30 days: COPD patients6.8%
Deaths within 30 days: stroke patients10.7%
Deaths within 30 days: coronary bypass surgery (CABG)2.1%
Serious complications (patient safety indicator PSI-90)1.09No different from the national rate
Complications after hip or knee replacement7.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)Not reported to Medicare
Readmitted within 30 days: heart attack14.9%
Readmitted within 30 days: heart failure19.4%
Readmitted within 30 days: pneumonia16%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery9.1%
Readmitted within 30 days: hip or knee replacement5.8%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)284 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)64%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Long BeachBest hospitals in Long Beach

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Memorialcare Long Beach 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M NEW PT 30MIN $565 $565 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: LACTATION E&M NEW PT 30MIN $269 $269 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M ASSESS NEW 30MIN $653 $653 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M NEW PT 45MIN $676 $676 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: LACTATION E&M NEW PT 45MIN $321 $321 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M ASSESS NEW 45MIN $796 $796 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M NEW PT 60MIN $828 $828 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: LACTATION E&M NEW PT 60MIN $365 $365 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M ASSESS NEW 60MIN $913 $913 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M EST PT 30MIN $347 $347 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: LACTATION E&M EST PT 20MIN $235 $235 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: AM/PACU EVAL & MANAGE 20MIN $727 $727 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M EST PT 30MIN $416 $416 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: LACTATION E&M EST PT 30MIN $336 $336 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M ASSESS ESTB 30MIN $712 $712 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: EPSDT AUDIO SUBSQ <2YRS $320 $320 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: EPSDT AUDIO INITIAL 2-5YRS $466 $466 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: EPSDT AUDIO INITIAL 6-20YRS $466 $466 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee · modifier GY In the file: E&M PREVENTIVE NEW 18-39 Y/O $463 $463 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee · modifier GY In the file: E&M PREVENTIVE NEW 40-64 Y/O $463 $463 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $228.21 – $1,128.73
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $351.09
  • Alignment Health — Senior Medicare Managed Care Plan: $368.65
  • Blue Cross — Anthem HMO Exchange: $611.37
  • Blue Cross — Anthem MCS Other Commercial Plan: $1,128.73
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $940.60
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $367.83
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $414.29
  • Centivo — All Commercial Plans: $789.96
  • Central Health — Senior Medicare Managed Care Plan: $386.20
  • Clever Care — Medicare Managed Care Plan: $421.31
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED LEVEL III - INTERMEDIATE $2,498 $2,498 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $348.83 – $1,725.33
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $536.67
  • Alignment Health — Senior Medicare Managed Care Plan: $563.50
  • Blue Cross — Anthem HMO Exchange: $934.52
  • Blue Cross — Anthem MCS Other Commercial Plan: $1,725.33
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $1,437.76
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $562.26
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $633.26
  • Centivo — All Commercial Plans: $1,207.51
  • Central Health — Senior Medicare Managed Care Plan: $590.34
  • Clever Care — Medicare Managed Care Plan: $644
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED LEVEL IV - EXTENDED $4,035 $4,035 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $497.87 – $2,462.45
Emergency room visit (high): 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $765.95
  • Alignment Health — Senior Medicare Managed Care Plan: $804.25
  • Blue Cross — Anthem HMO Exchange: $1,333.78
  • Blue Cross — Anthem MCS Other Commercial Plan: $2,462.45
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $2,052.02
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $802.47
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $903.81
  • Centivo — All Commercial Plans: $1,723.39
  • Central Health — Senior Medicare Managed Care Plan: $842.55
  • Clever Care — Medicare Managed Care Plan: $919.14
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED LEVEL V - COMPREHENSIVE $5,867 $5,867 Not listed in the file

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: Metabolic panel total ca Not listed in the file Not listed in the file $5.50 – $111.08
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $8.46
  • Alignment Health — Senior Medicare Managed Care Plan: $8.88
  • Blue Cross — Anthem HMO Exchange: $13.36
  • Blue Cross — Anthem MCS Other Commercial Plan: $24.67
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $20.56
  • Blue Cross — Anthem Select HMO: $13.36
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $11.65
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $13.51
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $88.25
  • Blue Shield — HMO/POS: $85.41
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL/TOTAL CA $693 $693 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $6.86 – $138.69
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $10.56
  • Alignment Health — Senior Medicare Managed Care Plan: $11.09
  • Blue Cross — Anthem HMO Exchange: $16.68
  • Blue Cross — Anthem MCS Other Commercial Plan: $30.79
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $25.66
  • Blue Cross — Anthem Select HMO: $16.68
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $14.54
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $16.87
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $110.18
  • Blue Shield — HMO/POS: $106.64
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMP METABOLIC PANEL $883 $883 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $31.08 – $657.53
Obstetric blood test panel: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $47.81
  • Alignment Health — Senior Medicare Managed Care Plan: $50.20
  • Blue Cross — Anthem HMO Exchange: $75.51
  • Blue Cross — Anthem MCS Other Commercial Plan: $139.40
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $116.17
  • Blue Cross — Anthem Select HMO: $75.51
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $65.84
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $76.37
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $522.62
  • Blue Shield — HMO/POS: $508.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $8.70 – $175.78
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $13.39
  • Alignment Health — Senior Medicare Managed Care Plan: $14.06
  • Blue Cross — Anthem HMO Exchange: $21.15
  • Blue Cross — Anthem MCS Other Commercial Plan: $39.04
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $32.54
  • Blue Cross — Anthem Select HMO: $21.15
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $18.44
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $21.39
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $139.65
  • Blue Shield — HMO/POS: $135.16
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL $549 $549 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL (DA) $35 $35 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $5.64 – $113.90
Kidney function panel: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $8.68
  • Alignment Health — Senior Medicare Managed Care Plan: $9.11
  • Blue Cross — Anthem HMO Exchange: $13.71
  • Blue Cross — Anthem MCS Other Commercial Plan: $25.31
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $21.09
  • Blue Cross — Anthem Select HMO: $13.71
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $11.95
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $13.86
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $90.49
  • Blue Shield — HMO/POS: $87.58
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $575 $575 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $5.31 – $107.23
Liver function panel: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $8.17
  • Alignment Health — Senior Medicare Managed Care Plan: $8.58
  • Blue Cross — Anthem HMO Exchange: $12.90
  • Blue Cross — Anthem MCS Other Commercial Plan: $23.82
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $19.85
  • Blue Cross — Anthem Select HMO: $12.90
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $11.25
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $13.05
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $85.19
  • Blue Shield — HMO/POS: $82.45
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $580 $580 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.06 – $41.60
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $3.17
  • Alignment Health — Senior Medicare Managed Care Plan: $3.33
  • Blue Cross — Anthem HMO Exchange: $5.01
  • Blue Cross — Anthem MCS Other Commercial Plan: $9.24
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $7.70
  • Blue Cross — Anthem Select HMO: $5.01
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $4.37
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $5.06
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $33.05
  • Blue Shield — HMO/POS: $31.98
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS AUTO W/ MICROSCOPY $23 $23 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $2.26 – $33.52
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $3.48
  • Alignment Health — Senior Medicare Managed Care Plan: $3.65
  • Blue Cross — Anthem HMO Exchange: $5.50
  • Blue Cross — Anthem MCS Other Commercial Plan: $10.15
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $8.46
  • Blue Cross — Anthem Select HMO: $5.50
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $4.79
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $5.56
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $26.63
  • Blue Shield — HMO/POS: $25.78
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS NON-AUTO W/O MICRO $30 $30 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: KETONES, URINE DIPSTICK POC $3 $3 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.46 – $29.48
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $2.25
  • Alignment Health — Senior Medicare Managed Care Plan: $2.36
  • Blue Cross — Anthem HMO Exchange: $3.55
  • Blue Cross — Anthem MCS Other Commercial Plan: $6.56
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $5.47
  • Blue Cross — Anthem Select HMO: $3.55
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $3.10
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $3.59
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $23.42
  • Blue Shield — HMO/POS: $22.67
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICRO $31 $31 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA DIPSTICK (DIRECT ACCESS) $171 $171 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $11.95 – $241.32
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $18.39
  • Alignment Health — Senior Medicare Managed Care Plan: $19.31
  • Blue Cross — Anthem HMO Exchange: $29.05
  • Blue Cross — Anthem MCS Other Commercial Plan: $53.62
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $44.68
  • Blue Cross — Anthem Select HMO: $29.05
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $25.32
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $29.37
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $191.72
  • Blue Shield — HMO/POS: $185.55
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL $93 $93 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: PSA TOTAL-QD $52 $52 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $10.92 – $220.38
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $16.80
  • Alignment Health — Senior Medicare Managed Care Plan: $17.64
  • Blue Cross — Anthem HMO Exchange: $26.53
  • Blue Cross — Anthem MCS Other Commercial Plan: $48.99
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $40.82
  • Blue Cross — Anthem Select HMO: $26.53
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $23.14
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $26.83
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $175.09
  • Blue Shield — HMO/POS: $169.45
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH $395 $395 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee · modifier 91 In the file: TSH SUBSEQUENT $78 $78 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $5.05 – $101.98
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $7.77
  • Alignment Health — Senior Medicare Managed Care Plan: $8.16
  • Blue Cross — Anthem HMO Exchange: $12.27
  • Blue Cross — Anthem MCS Other Commercial Plan: $22.66
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $18.88
  • Blue Cross — Anthem Select HMO: $12.27
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $10.70
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $12.41
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $81.02
  • Blue Shield — HMO/POS: $78.41
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC WITH AUTOMATED DIFF $32 $32 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $4.21 – $84.89
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $6.47
  • Alignment Health — Senior Medicare Managed Care Plan: $6.79
  • Blue Cross — Anthem HMO Exchange: $10.22
  • Blue Cross — Anthem MCS Other Commercial Plan: $18.87
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $15.72
  • Blue Cross — Anthem Select HMO: $10.22
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $8.91
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $10.33
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $67.44
  • Blue Shield — HMO/POS: $65.27
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/O DIFF $30 $30 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CELL COUNT CORD BLOOD $30 $30 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $2.79 – $51.55
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $4.29
  • Alignment Health — Senior Medicare Managed Care Plan: $4.50
  • Blue Cross — Anthem HMO Exchange: $6.78
  • Blue Cross — Anthem MCS Other Commercial Plan: $12.51
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $10.42
  • Blue Cross — Anthem Select HMO: $6.78
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $5.91
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $6.85
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $40.96
  • Blue Shield — HMO/POS: $39.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME $18 $18 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME (POS) $18 $18 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $3.91 – $78.69
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $6.01
  • Alignment Health — Senior Medicare Managed Care Plan: $6.31
  • Blue Cross — Anthem HMO Exchange: $9.49
  • Blue Cross — Anthem MCS Other Commercial Plan: $17.52
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $14.60
  • Blue Cross — Anthem Select HMO: $9.49
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $8.28
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $9.60
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $62.51
  • Blue Shield — HMO/POS: $60.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT (APTT) $34 $34 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: PARTIAL THROMBOPLASTIN-AU $11 $11 Not listed in the file

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: Ct head/brain w/o dye Not listed in the file Not listed in the file $87.40 – $2,393.04
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $134.46
  • Alignment Health — Senior Medicare Managed Care Plan: $141.19
  • Blue Cross — Anthem HMO Exchange: $234.15
  • Blue Cross — Anthem MCS Other Commercial Plan: $432.28
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $360.23
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $140.87
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $158.66
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $1,902.04
  • Blue Shield — HMO/POS: $1,851.57
  • Blue Shield — PPO/EPO: $2,393.04
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST $5,215 $5,215 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $291.66 – $12,608.39
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $448.71
  • Alignment Health — Senior Medicare Managed Care Plan: $471.15
  • Blue Cross — Anthem HMO Exchange: $781.35
  • Blue Cross — Anthem MCS Other Commercial Plan: $1,442.55
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $1,202.11
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $470.10
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $529.47
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $10,021.43
  • Blue Shield — HMO/POS: $9,755.48
  • Blue Shield — PPO/EPO: $12,608.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MR BRAIN W&W/O CONTRAST $11,782 $11,782 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $72.75 – $362.35
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $111.93
  • Alignment Health — Senior Medicare Managed Care Plan: $117.53
  • Blue Cross — Anthem HMO Exchange: $194.91
  • Blue Cross — Anthem MCS Other Commercial Plan: $359.84
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $299.86
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $117.27
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $132.07
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $210.73
  • Blue Shield — HMO/POS: $205.14
  • Blue Shield — PPO/EPO: $265.13
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST 2 VIEWS $1,166 $1,166 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $87.40 – $464.29
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • Aetna — Gatekeeper HMO: $368.11
  • Aetna — non-Gatekeeper PPO: $333.88
  • Aetna — Senior Medicare Managed Care Plan: $134.46
  • Aetna — Whole Health HMO: $229.63
  • Alignment Health — Senior Medicare Managed Care Plan: $141.19
  • Blue Cross — Anthem HMO Exchange: $234.15
  • Blue Cross — Anthem MCS Other Commercial Plan: $432.28
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $360.23
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $140.87
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $158.66
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: LUMBAR SPINE SERIES MIN 4VWS $1,416 $1,416 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: X-RAY SPINE LUMBOSACRAL; MIN 4VWS $388 $388 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $199.47 – $6,293.28
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $306.88
  • Alignment Health — Senior Medicare Managed Care Plan: $322.23
  • Blue Cross — Anthem HMO Exchange: $534.38
  • Blue Cross — Anthem MCS Other Commercial Plan: $986.59
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $822.15
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $321.51
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $362.12
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $5,002.04
  • Blue Shield — HMO/POS: $4,869.30
  • Blue Shield — PPO/EPO: $6,293.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MR L-SPINE W/O CONTRAST $7,633 $7,633 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $146.64 – $3,467.45
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $225.59
  • Alignment Health — Senior Medicare Managed Care Plan: $236.87
  • Blue Cross — Anthem HMO Exchange: $392.84
  • Blue Cross — Anthem MCS Other Commercial Plan: $725.26
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $604.38
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $236.35
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $266.20
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $2,756.01
  • Blue Shield — HMO/POS: $2,682.87
  • Blue Shield — PPO/EPO: $3,467.45
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W/ CONTRAST $6,633 $6,633 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $199.47 – $5,592.42
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $306.88
  • Alignment Health — Senior Medicare Managed Care Plan: $322.23
  • Blue Cross — Anthem HMO Exchange: $534.38
  • Blue Cross — Anthem MCS Other Commercial Plan: $986.59
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $822.15
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $321.51
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $362.12
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $4,444.98
  • Blue Shield — HMO/POS: $4,327.02
  • Blue Shield — PPO/EPO: $5,592.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: MR LOW EXT(JNT) W/O CONT BIL $12,808 $12,808 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MR LOW EXT(JNT) W/O CONT LT $6,253 $6,253 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $291.66 – $3,576.97
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $448.71
  • Alignment Health — Senior Medicare Managed Care Plan: $471.15
  • Blue Cross — Anthem HMO Exchange: $781.35
  • Blue Cross — Anthem MCS Other Commercial Plan: $1,442.55
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $1,202.11
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $470.10
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $529.47
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $2,843.06
  • Blue Shield — HMO/POS: $2,767.61
  • Blue Shield — PPO/EPO: $3,576.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST $10,055 $10,055 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $87.40 – $1,001.88
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates
  • Aetna — Gatekeeper HMO: $927.05
  • Aetna — non-Gatekeeper PPO: $840.85
  • Aetna — Senior Medicare Managed Care Plan: $134.46
  • Aetna — Whole Health HMO: $578.31
  • Alignment Health — Senior Medicare Managed Care Plan: $141.19
  • Blue Cross — Anthem HMO Exchange: $234.15
  • Blue Cross — Anthem MCS Other Commercial Plan: $432.28
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $360.23
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $140.87
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $158.66
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN $2,503 $2,503 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $87.40 – $1,063.95
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • Aetna — Gatekeeper HMO: $936.46
  • Aetna — non-Gatekeeper PPO: $849.39
  • Aetna — Senior Medicare Managed Care Plan: $134.46
  • Aetna — Whole Health HMO: $584.19
  • Alignment Health — Senior Medicare Managed Care Plan: $141.19
  • Blue Cross — Anthem HMO Exchange: $234.15
  • Blue Cross — Anthem MCS Other Commercial Plan: $432.28
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $360.23
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $140.87
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $158.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB >1ST TRI/1ST GEST $2,350 $2,350 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $87.40 – $828.07
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — Gatekeeper HMO: $828.07
  • Aetna — non-Gatekeeper PPO: $751.08
  • Aetna — Senior Medicare Managed Care Plan: $134.46
  • Aetna — Whole Health HMO: $516.57
  • Alignment Health — Senior Medicare Managed Care Plan: $141.19
  • Blue Cross — Anthem HMO Exchange: $234.15
  • Blue Cross — Anthem MCS Other Commercial Plan: $432.28
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $360.23
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $140.87
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $158.66
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US TRANSVAGINAL(NON OB) $1,920 $1,920 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $113.46 – $1,000.95
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $795.58
  • Blue Shield — HMO/POS: $774.47
  • Blue Shield — PPO/EPO: $1,000.95
  • Blue Shield — Tandem Other Commercial Plan: $831.09
  • Blue Shield — Trio Other Commercial Plan: $677.54
  • Cigna — All Commercial Plans: $371.88
  • Cigna — Select HMO: $251.08
  • Cigna — Value HMO: $286.19
  • UnitedHealthCare — All Payer Other Commercial Plan: $113.46
  • UnitedHealthCare — Non-Preferred HMO: $113.46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $63.67 – $314.90
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $97.95
  • Alignment Health — Senior Medicare Managed Care Plan: $102.85
  • Blue Cross — Anthem HMO Exchange: $170.56
  • Blue Cross — Anthem MCS Other Commercial Plan: $314.90
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $262.41
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $102.62
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $115.58
  • Centivo — All Commercial Plans: $220.39
  • Central Health — Senior Medicare Managed Care Plan: $107.74
  • Clever Care — Medicare Managed Care Plan: $117.54
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier LT|52 In the file: MAMMO DX LTD/FOCUS EXM UNILT W/CAD LT $895 $895 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $144.65 – $1,502.13
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $1,193.93
  • Blue Shield — HMO/POS: $1,162.25
  • Blue Shield — PPO/EPO: $1,502.13
  • Blue Shield — Tandem Other Commercial Plan: $1,247.22
  • Blue Shield — Trio Other Commercial Plan: $1,016.79
  • Cigna — All Commercial Plans: $474.25
  • Cigna — Select HMO: $320.17
  • Cigna — Value HMO: $364.94
  • UnitedHealthCare — All Payer Other Commercial Plan: $144.65
  • UnitedHealthCare — Non-Preferred HMO: $144.65
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO DX W/CAD BILAT $1,319 $1,319 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO DX W/SPC VWS W/CAD BIL $1,378 $1,378 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $119.96 – $1,521.47
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $1,209.30
  • Blue Shield — HMO/POS: $1,177.21
  • Blue Shield — PPO/EPO: $1,521.47
  • Blue Shield — Tandem Other Commercial Plan: $1,263.28
  • Blue Shield — Trio Other Commercial Plan: $1,029.88
  • Cigna — All Commercial Plans: $393.22
  • Cigna — Select HMO: $264.52
  • Cigna — Value HMO: $301.51
  • UnitedHealthCare — All Payer Other Commercial Plan: $119.96
  • UnitedHealthCare — Non-Preferred HMO: $119.96
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO SCREEN W/CAD BILAT $1,170 $1,170 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO SCREEN W/IMP W/CAD BIL $1,277 $1,277 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $175.14 – $258.74
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $205.65
  • Blue Shield — HMO/POS: $200.19
  • Blue Shield — PPO/EPO: $258.74
  • Blue Shield — Tandem Other Commercial Plan: $214.83
  • Blue Shield — Trio Other Commercial Plan: $175.14
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $2,710.28 – $23,330
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Gatekeeper HMO: $12,184
  • Aetna — non-Gatekeeper PPO: $13,036
  • Aetna — Senior Medicare Managed Care Plan: $4,169.67
  • Aetna — Whole Health HMO: $7,521
  • Alignment Health — Senior Medicare Managed Care Plan: $4,378.15
  • Blue Cross — Anthem HMO Exchange: $7,260.78
  • Blue Cross — Anthem MCS Other Commercial Plan: $13,404.98
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $11,170.69
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $4,368.47
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $4,920.14
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LEFT HEART CATH; LT VENT,W/S&I $24,979 $24,979 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $2,662 – $32,250.63
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates
  • Aetna — Gatekeeper HMO: $6,201
  • Aetna — non-Gatekeeper PPO: $6,550
  • Aetna — Senior Medicare Managed Care Plan: $10,031.67
  • Aetna — Whole Health HMO: $3,829
  • Alignment Health — Senior Medicare Managed Care Plan: $10,533.25
  • Blue Cross — Anthem HMO Exchange: $17,468.50
  • Blue Cross — Anthem MCS Other Commercial Plan: $32,250.63
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $26,875.23
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $10,509.96
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $11,837.21
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: COMP EP EVAL W/O IND ARRHYTH $23,700 $23,700 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $3,829 – $108,076.75
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates
  • Aetna — Gatekeeper HMO: $6,201
  • Aetna — non-Gatekeeper PPO: $6,550
  • Aetna — Senior Medicare Managed Care Plan: $33,617.65
  • Aetna — Whole Health HMO: $3,829
  • Alignment Health — Senior Medicare Managed Care Plan: $35,298.54
  • Blue Cross — Anthem HMO Exchange: $58,539.60
  • Blue Cross — Anthem MCS Other Commercial Plan: $108,076.75
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $90,062.97
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $35,220.49
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $39,668.30
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: COMP EP EVAL W/INDUC&ABLAT 3D MAP ECHO S&I PVI AFIB $66,126 $66,126 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $717.91 – $7,828.59
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $1,104.48
  • Alignment Health — Senior Medicare Managed Care Plan: $1,159.71
  • Blue Cross — Anthem HMO Exchange: $1,923.28
  • Blue Cross — Anthem MCS Other Commercial Plan: $3,550.78
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $2,958.95
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,157.14
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,303.27
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $6,222.34
  • Blue Shield — HMO/POS: $6,057.21
  • Blue Shield — PPO/EPO: $7,828.59
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4+ STAGES 6&> ATTD $7,807 $7,807 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: POLYSOMNOGRAPHY 4+ STG 6&> REDCD SVC $3,538 $3,538 Not listed in the file

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: Therapeutic exercises Not listed in the file Not listed in the file $20.85 – $162.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $32.07
  • Alignment Health — Senior Medicare Managed Care Plan: $33.67
  • Blue Cross — Anthem HMO Exchange: $55.84
  • Blue Cross — Anthem MCS Other Commercial Plan: $103.10
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $85.92
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $33.60
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $37.84
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $129.41
  • Blue Shield — HMO/POS: $125.98
  • Blue Shield — PPO/EPO: $162.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: REC' THER' TX 1-30 MIN $301 $301 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-THER EXER 15MIN/M $212 $212 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $69.42 – $343.35
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $106.80
  • Alignment Health — Senior Medicare Managed Care Plan: $112.14
  • Blue Cross — Anthem HMO Exchange: $185.97
  • Blue Cross — Anthem MCS Other Commercial Plan: $343.35
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $286.12
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $111.89
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $126.02
  • Centivo — All Commercial Plans: $240.30
  • Central Health — Senior Medicare Managed Care Plan: $117.48
  • Clever Care — Medicare Managed Care Plan: $128.16
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-EVAL LOW COMPLEXITY <20MF2F 15MIN $264 $264 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-EVAL LOW COMPLEXITY 20MF2F 30MIN $430 $430 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $66.96 – $331.16
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $103.01
  • Alignment Health — Senior Medicare Managed Care Plan: $108.16
  • Blue Cross — Anthem HMO Exchange: $179.37
  • Blue Cross — Anthem MCS Other Commercial Plan: $331.16
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $275.97
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $107.92
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $121.55
  • Centivo — All Commercial Plans: $231.77
  • Central Health — Senior Medicare Managed Care Plan: $113.31
  • Clever Care — Medicare Managed Care Plan: $123.61
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-EVAL MOD COMPLEXITY 30MF2F 45MIN $622 $622 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-EVAL MOD COMPLEXITY 30MF2F 30MIN $445 $445 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $69.92 – $345.82
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $107.57
  • Alignment Health — Senior Medicare Managed Care Plan: $112.95
  • Blue Cross — Anthem HMO Exchange: $187.32
  • Blue Cross — Anthem MCS Other Commercial Plan: $345.82
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $288.18
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $112.70
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $126.93
  • Centivo — All Commercial Plans: $242.03
  • Central Health — Senior Medicare Managed Care Plan: $118.33
  • Clever Care — Medicare Managed Care Plan: $129.08
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-EVAL HIGH COMPLEXITY 45MF2F 60MIN $788 $788 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT-EVAL HIGH COMPLEXITY 45MF2F 75MIN $973 $973 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $148.39 – $733.92
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $228.29
  • Alignment Health — Senior Medicare Managed Care Plan: $239.70
  • Blue Cross — Anthem HMO Exchange: $397.53
  • Blue Cross — Anthem MCS Other Commercial Plan: $733.92
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $611.59
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $239.17
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $269.38
  • Centivo — All Commercial Plans: $513.65
  • Central Health — Senior Medicare Managed Care Plan: $251.12
  • Clever Care — Medicare Managed Care Plan: $273.95
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH TX W/PATIENT 30MIN $661 $661 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $148.39 – $733.92
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $228.29
  • Alignment Health — Senior Medicare Managed Care Plan: $239.70
  • Blue Cross — Anthem HMO Exchange: $397.53
  • Blue Cross — Anthem MCS Other Commercial Plan: $733.92
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $611.59
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $239.17
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $269.38
  • Centivo — All Commercial Plans: $513.65
  • Central Health — Senior Medicare Managed Care Plan: $251.12
  • Clever Care — Medicare Managed Care Plan: $273.95
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH TX W/PATIENT 45MIN $892 $892 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $148.39 – $733.92
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $228.29
  • Alignment Health — Senior Medicare Managed Care Plan: $239.70
  • Blue Cross — Anthem HMO Exchange: $397.53
  • Blue Cross — Anthem MCS Other Commercial Plan: $733.92
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $611.59
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $239.17
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $269.38
  • Centivo — All Commercial Plans: $513.65
  • Central Health — Senior Medicare Managed Care Plan: $251.12
  • Clever Care — Medicare Managed Care Plan: $273.95
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH TX W/PATIENT 60MIN $1,038 $1,038 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $148.39 – $733.92
Family psychotherapy, without the patient: 10 of 25 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $228.29
  • Alignment Health — Senior Medicare Managed Care Plan: $239.70
  • Blue Cross — Anthem HMO Exchange: $397.53
  • Blue Cross — Anthem MCS Other Commercial Plan: $733.92
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $611.59
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $239.17
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $269.38
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $178.13
  • Blue Shield — HMO/POS: $173.40
  • Blue Shield — PPO/EPO: $224.11
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH FAMILY TX W/O PT 50 MIN $836 $836 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $148.39 – $733.92
Family psychotherapy, with the patient: 10 of 25 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $228.29
  • Alignment Health — Senior Medicare Managed Care Plan: $239.70
  • Blue Cross — Anthem HMO Exchange: $397.53
  • Blue Cross — Anthem MCS Other Commercial Plan: $733.92
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $611.59
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $239.17
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $269.38
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $204.41
  • Blue Shield — HMO/POS: $198.98
  • Blue Shield — PPO/EPO: $257.17
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH FAMILY TX W/PT 50MIN $1,005 $1,005 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $68.20 – $420.06
Group psychotherapy: 10 of 25 insurance plan rates
  • Aetna — Senior Medicare Managed Care Plan: $130.66
  • Alignment Health — Senior Medicare Managed Care Plan: $137.19
  • Blue Cross — Anthem HMO Exchange: $227.52
  • Blue Cross — Anthem MCS Other Commercial Plan: $420.06
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $350.05
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $136.89
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $154.18
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $80.08
  • Blue Shield — HMO/POS: $77.95
  • Blue Shield — PPO/EPO: $100.75
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH GRP TX(NOT MULTI FAMILY)60MIN/COMM $416 $416 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYCH GRP TX(NOT MULTI FAMILY)90MIN $529 $529 Not listed in the file

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: Removal of breast lesion Not listed in the file Not listed in the file $1,669 – $16,189.83
Removal of breast growth (open surgery): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $3,179
  • Aetna — non-Gatekeeper PPO: $3,402
  • Aetna — Senior Medicare Managed Care Plan: $5,035.90
  • Aetna — Whole Health HMO: $1,963
  • Alignment Health — Senior Medicare Managed Care Plan: $5,287.70
  • Blue Cross — Anthem HMO Exchange: $8,769.19
  • Blue Cross — Anthem MCS Other Commercial Plan: $16,189.83
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $13,491.37
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $5,276.01
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $5,942.28
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $3,186 – $53,086.33
Total hip replacement: 10 of 36 insurance plan rates
  • Aetna — Gatekeeper HMO: $5,159
  • Aetna — non-Gatekeeper PPO: $5,518
  • Aetna — Senior Medicare Managed Care Plan: $16,512.69
  • Aetna — Whole Health HMO: $3,186
  • Alignment Health — Senior Medicare Managed Care Plan: $17,338.32
  • Blue Cross — Anthem HMO Exchange: $28,754.12
  • Blue Cross — Anthem MCS Other Commercial Plan: $53,086.33
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $44,238.12
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $17,299.99
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $19,484.71
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $3,186 – $53,086.33
Total knee replacement: 10 of 36 insurance plan rates
  • Aetna — Gatekeeper HMO: $5,159
  • Aetna — non-Gatekeeper PPO: $5,518
  • Aetna — Senior Medicare Managed Care Plan: $16,512.69
  • Aetna — Whole Health HMO: $3,186
  • Alignment Health — Senior Medicare Managed Care Plan: $17,338.32
  • Blue Cross — Anthem HMO Exchange: $28,754.12
  • Blue Cross — Anthem MCS Other Commercial Plan: $53,086.33
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $44,238.12
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $17,299.99
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $19,484.71
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $786 – $10,342.14
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Aetna — Gatekeeper HMO: $3,179
  • Aetna — non-Gatekeeper PPO: $3,402
  • Aetna — Whole Health HMO: $1,963
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $8,208.49
  • Blue Shield — HMO/POS: $7,373.82
  • Blue Shield — PPO/EPO: $10,342.14
  • Blue Shield — Tandem Other Commercial Plan: $8,578.84
  • Blue Shield — Trio Other Commercial Plan: $6,456.24
  • Cigna — All Commercial Plans: $3,728
  • Cigna — Select HMO: $2,366
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $2,061 – $18,097
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $3,920
  • Aetna — non-Gatekeeper PPO: $4,197
  • Aetna — Senior Medicare Managed Care Plan: $4,208.34
  • Aetna — Whole Health HMO: $3,021
  • Alignment Health — Senior Medicare Managed Care Plan: $4,418.76
  • Blue Cross — Anthem HMO Exchange: $7,328.13
  • Blue Cross — Anthem MCS Other Commercial Plan: $13,529.31
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $11,274.30
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $4,408.99
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $4,965.77
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $1,669 – $24,477.75
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $3,179
  • Aetna — non-Gatekeeper PPO: $3,402
  • Aetna — Senior Medicare Managed Care Plan: $7,613.89
  • Aetna — Whole Health HMO: $1,963
  • Alignment Health — Senior Medicare Managed Care Plan: $7,994.58
  • Blue Cross — Anthem HMO Exchange: $13,258.33
  • Blue Cross — Anthem MCS Other Commercial Plan: $24,477.75
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $20,397.90
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $7,976.91
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $8,984.27
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $758.25 – $6,762.17
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,065
  • Aetna — non-Gatekeeper PPO: $2,212
  • Aetna — Senior Medicare Managed Care Plan: $1,166.53
  • Aetna — Whole Health HMO: $1,276
  • Alignment Health — Senior Medicare Managed Care Plan: $1,224.86
  • Blue Cross — Anthem HMO Exchange: $2,031.33
  • Blue Cross — Anthem MCS Other Commercial Plan: $3,750.27
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $3,125.19
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,222.15
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,376.49
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD COMPLETE DX W/ BRUSH/SPEC ~FO $4,707 $4,707 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee · modifier 73 In the file: EGD DIAGNOSTIC DISCONTINUED PROC $1,391 $1,391 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $758.25 – $9,049.37
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $1,166.53
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $1,224.86
  • Blue Cross — Anthem HMO Exchange: $2,031.33
  • Blue Cross — Anthem MCS Other Commercial Plan: $3,750.27
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $3,125.19
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,222.15
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,376.49
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD W/BIOPSY(S) ~FO $4,676 $4,676 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $777.45 – $9,049.37
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $1,196.08
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $1,255.88
  • Blue Cross — Anthem HMO Exchange: $2,082.78
  • Blue Cross — Anthem MCS Other Commercial Plan: $3,845.26
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $3,204.35
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,253.11
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,411.36
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY DX (INCL COLLECTION) $6,134 $6,134 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee · modifier 73 In the file: COLONOSCOPY DIAGNOSTIC DC'D $2,020 $2,020 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,000.40 – $9,049.37
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $1,539.08
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $1,616.03
  • Blue Cross — Anthem HMO Exchange: $2,680.06
  • Blue Cross — Anthem MCS Other Commercial Plan: $4,947.96
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $4,123.26
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,612.46
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,816.09
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W/BIOPSY $6,270 $6,270 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,000.40 – $9,049.37
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $1,539.08
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $1,616.03
  • Blue Cross — Anthem HMO Exchange: $2,680.06
  • Blue Cross — Anthem MCS Other Commercial Plan: $4,947.96
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $4,123.26
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,612.46
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,816.09
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE TECH $6,052 $6,052 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,000.40 – $6,762.17
Ultrasound of the lower bowel by endoscope: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $1,539.08
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $1,616.03
  • Blue Cross — Anthem HMO Exchange: $2,680.06
  • Blue Cross — Anthem MCS Other Commercial Plan: $4,947.96
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $4,123.26
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,612.46
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,816.09
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEX W/EUS $6,161 $6,161 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $777.45 – $5,353
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $1,196.08
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $1,255.88
  • Blue Cross — Anthem HMO Exchange: $2,082.78
  • Blue Cross — Anthem MCS Other Commercial Plan: $3,845.26
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $3,204.35
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,253.11
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,411.36
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOS' SCREEN NOT HI RISK (Q120MO) $5,125 $5,125 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $5,054.11 – $25,275
Gallbladder removal by laparoscope: 10 of 36 insurance plan rates
  • Aetna — Gatekeeper HMO: $18,736
  • Aetna — non-Gatekeeper PPO: $20,051
  • Aetna — Senior Medicare Managed Care Plan: $7,775.56
  • Aetna — Whole Health HMO: $11,677
  • Alignment Health — Senior Medicare Managed Care Plan: $8,164.34
  • Blue Cross — Anthem HMO Exchange: $13,539.85
  • Blue Cross — Anthem MCS Other Commercial Plan: $24,997.49
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $20,831.02
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $8,146.28
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $9,175.04
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $2,061 – $18,097
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $3,920
  • Aetna — non-Gatekeeper PPO: $4,197
  • Aetna — Senior Medicare Managed Care Plan: $4,604.99
  • Aetna — Whole Health HMO: $3,021
  • Alignment Health — Senior Medicare Managed Care Plan: $4,835.24
  • Blue Cross — Anthem HMO Exchange: $8,018.84
  • Blue Cross — Anthem MCS Other Commercial Plan: $14,804.50
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $12,336.95
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $4,824.55
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $5,433.82
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $1,459 – $9,049.37
Prostate biopsy: 10 of 17 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Whole Health HMO: $1,714
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $7,182.43
  • Blue Shield — HMO/POS: $6,452.09
  • Blue Shield — PPO/EPO: $9,049.37
  • Blue Shield — Tandem Other Commercial Plan: $7,506.48
  • Blue Shield — Trio Other Commercial Plan: $5,649.21
  • Cigna — All Commercial Plans: $3,312
  • Cigna — Select HMO: $2,102
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BX PROSTATE NDL/PUNCH SGL/MULT $10,234 $10,234 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $2,761 – $51,517
Prostate removal by laparoscope (radical prostatectomy): 10 of 36 insurance plan rates
  • Aetna — Gatekeeper HMO: $4,471
  • Aetna — non-Gatekeeper PPO: $4,784
  • Aetna — Senior Medicare Managed Care Plan: $13,671.74
  • Aetna — Whole Health HMO: $2,761
  • Alignment Health — Senior Medicare Managed Care Plan: $14,355.33
  • Blue Cross — Anthem HMO Exchange: $23,807.08
  • Blue Cross — Anthem MCS Other Commercial Plan: $43,953.02
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $36,627.12
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $14,323.59
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $16,132.44
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $1,669 – $14,600
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $3,179
  • Aetna — non-Gatekeeper PPO: $3,402
  • Aetna — Senior Medicare Managed Care Plan: $4,163.48
  • Aetna — Whole Health HMO: $1,963
  • Alignment Health — Senior Medicare Managed Care Plan: $4,371.66
  • Blue Cross — Anthem HMO Exchange: $7,250.02
  • Blue Cross — Anthem MCS Other Commercial Plan: $13,385.11
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $11,154.13
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $4,361.99
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $4,912.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $590.12 – $6,762.17
Spinal injection, lower back (epidural), with imaging guidance: 10 of 36 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,065
  • Aetna — non-Gatekeeper PPO: $2,212
  • Aetna — Senior Medicare Managed Care Plan: $907.88
  • Aetna — Whole Health HMO: $1,276
  • Alignment Health — Senior Medicare Managed Care Plan: $953.27
  • Blue Cross — Anthem HMO Exchange: $1,580.92
  • Blue Cross — Anthem MCS Other Commercial Plan: $2,918.73
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $2,432.25
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $951.17
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,071.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ SINGLE LUMBAR/SACRAL W/IMAG $8,754 $8,754 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $739.43 – $6,762.17
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,065
  • Aetna — non-Gatekeeper PPO: $2,212
  • Aetna — Senior Medicare Managed Care Plan: $1,137.58
  • Aetna — Whole Health HMO: $1,276
  • Alignment Health — Senior Medicare Managed Care Plan: $1,194.46
  • Blue Cross — Anthem HMO Exchange: $1,980.91
  • Blue Cross — Anthem MCS Other Commercial Plan: $3,657.18
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $3,047.62
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $1,191.82
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $1,342.33
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: INJ FORAMN EPI LMBR INTLW/S&I-B $17,846 $17,846 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: INJ FORAMN EPI LMBR INTLW/S&I-L $10,717 $10,717 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,459 – $13,414
Carpal tunnel release: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $2,511.53
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $2,637.11
  • Blue Cross — Anthem HMO Exchange: $4,373.42
  • Blue Cross — Anthem MCS Other Commercial Plan: $8,074.27
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $6,728.49
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $2,631.28
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $2,963.57
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $459.80 – $9,049.37
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $2,776
  • Aetna — non-Gatekeeper PPO: $2,969
  • Aetna — Senior Medicare Managed Care Plan: $707.39
  • Aetna — Whole Health HMO: $1,714
  • Alignment Health — Senior Medicare Managed Care Plan: $742.76
  • Blue Cross — Anthem HMO Exchange: $1,231.80
  • Blue Cross — Anthem MCS Other Commercial Plan: $2,274.17
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $1,895.12
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $741.12
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $834.71
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $1,929.36 – $19,669.95
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • Aetna — Gatekeeper HMO: $4,471
  • Aetna — non-Gatekeeper PPO: $4,784
  • Aetna — Senior Medicare Managed Care Plan: $2,968.25
  • Aetna — Whole Health HMO: $2,761
  • Alignment Health — Senior Medicare Managed Care Plan: $3,116.66
  • Blue Cross — Anthem HMO Exchange: $5,168.71
  • Blue Cross — Anthem MCS Other Commercial Plan: $9,542.56
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $7,952.05
  • Blue Cross — Anthem Vivity City Other Commercial Plan: $3,109.77
  • Blue Cross — Anthem Vivity Non-City Other Commercial Plan: $3,502.48

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $5,649.21 – $9,049.37
Vaginal delivery, with care before and after: rates for 5 insurance plans
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $7,182.43
  • Blue Shield — HMO/POS: $6,452.09
  • Blue Shield — PPO/EPO: $9,049.37
  • Blue Shield — Tandem Other Commercial Plan: $7,506.48
  • Blue Shield — Trio Other Commercial Plan: $5,649.21
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $6,456.24 – $10,342.14
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $8,208.49
  • Blue Shield — HMO/POS: $7,373.82
  • Blue Shield — PPO/EPO: $10,342.14
  • Blue Shield — Tandem Other Commercial Plan: $8,578.84
  • Blue Shield — Trio Other Commercial Plan: $6,456.24
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $5,649.21 – $9,049.37
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $7,182.43
  • Blue Shield — HMO/POS: $6,452.09
  • Blue Shield — PPO/EPO: $9,049.37
  • Blue Shield — Tandem Other Commercial Plan: $7,506.48
  • Blue Shield — Trio Other Commercial Plan: $5,649.21

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $101,069.60 – $364,046.86
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 63 insurance plan rates
  • Aetna — Gatekeeper HMO: $240,246.71
  • Aetna — non-Gatekeeper PPO: $364,046.86
  • Aetna — Senior Medicare Managed Care Plan: $106,389.05
  • Aetna — Whole Health HMO: $149,716.31
  • Alignment Health — Senior Medicare Managed Care Plan: $111,708.50
  • Avanti Health System — Senior Medicare Managed Care Plan: $106,389.05
  • Blue Cross — Anthem HMO Exchange: $165,774.57
  • Blue Cross — Anthem MCS Other Commercial Plan: $306,052.79
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $255,040.77
  • Blue Cross — Anthem Select HMO: $165,774.57
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file $64,064.46 – $84,021.96
Spinal fusion (not neck), without major complications: rates for 9 insurance plans
  • Blue Shield — EPN/Covered CA Other Commercial Plan: $66,376.25
  • Blue Shield — HMO/POS: $73,212.87
  • Blue Shield — PPO/EPO: $84,021.96
  • Blue Shield — Tandem Other Commercial Plan: $69,737.86
  • Blue Shield — Trio Other Commercial Plan: $64,064.46
  • First Health/Coventry — First Health PPO: 54.5% (a percentage in the contract, not a dollar amount)
  • Humana — ChoiceCare PPO: 54.3% (a percentage in the contract, not a dollar amount)
  • Multiplan — Complementary Network All Commercial Plans: 64% (a percentage in the contract, not a dollar amount)
  • Multiplan — Primary Network All Commercial Plans: 60% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $20,512.25 – $71,127.66
Hip or knee replacement (major joint of the leg), without major complications: 10 of 63 insurance plan rates
  • Aetna — Gatekeeper HMO: $46,939.52
  • Aetna — non-Gatekeeper PPO: $71,127.66
  • Aetna — Senior Medicare Managed Care Plan: $21,591.84
  • Aetna — Whole Health HMO: $29,251.65
  • Alignment Health — Senior Medicare Managed Care Plan: $22,671.43
  • Avanti Health System — Senior Medicare Managed Care Plan: $21,591.84
  • Blue Cross — Anthem HMO Exchange: $32,389.12
  • Blue Cross — Anthem MCS Other Commercial Plan: $59,796.75
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $49,829.99
  • Blue Cross — Anthem Select HMO: $32,389.12
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $25,767.93 – $89,299.07
Neck (cervical) spinal fusion, without complications: 10 of 63 insurance plan rates
  • Aetna — Gatekeeper HMO: $58,931.44
  • Aetna — non-Gatekeeper PPO: $89,299.07
  • Aetna — Senior Medicare Managed Care Plan: $27,124.14
  • Aetna — Whole Health HMO: $36,724.74
  • Alignment Health — Senior Medicare Managed Care Plan: $28,480.35
  • Avanti Health System — Senior Medicare Managed Care Plan: $27,124.14
  • Blue Cross — Anthem HMO Exchange: $40,663.76
  • Blue Cross — Anthem MCS Other Commercial Plan: $75,073.38
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $62,560.36
  • Blue Cross — Anthem Select HMO: $40,663.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $13,453.40 – $45,215.39
Uterus and ovary surgery (not for cancer), without complications: 10 of 63 insurance plan rates
  • Aetna — Gatekeeper HMO: $29,839.15
  • Aetna — non-Gatekeeper PPO: $45,215.39
  • Aetna — Senior Medicare Managed Care Plan: $14,161.47
  • Aetna — Whole Health HMO: $18,595.08
  • Alignment Health — Senior Medicare Managed Care Plan: $14,869.54
  • Avanti Health System — Senior Medicare Managed Care Plan: $14,161.47
  • Blue Cross — Anthem HMO Exchange: $20,589.55
  • Blue Cross — Anthem MCS Other Commercial Plan: $38,012.40
  • Blue Cross — Anthem NON-MCS Other Commercial Plan: $31,676.60
  • Blue Cross — Anthem Select HMO: $20,589.55

Source: Memorialcare Long Beach Medical Center’s standard charges file (memorialcare.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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
Address2801 Atlantic Ave, Long Beach, CA 90806
CountyLos Angeles County
StateCalifornia
Phone(562) 933‑2000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating2 of 5 stars
CMS Certification Number050485
Name in Medicare recordsMEMORIALCARE LONG BEACH MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLong Beach Medical Center
Official websitememorialcare.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Long Beach Medical Center (MemorialCare) — memorialcare.org
  2. Visiting Hours - Long Beach Medical Center — memorialcare.org
  3. Campus Map & Parking - Long Beach Medical Center — memorialcare.org
  4. Long Beach Medical Center | Top Hospital in LA County | MemorialCare — memorialcare.org
  5. Heart and Vascular Institute – Long Beach | MemorialCare — memorialcare.org
  6. Stroke Center - Long Beach Medical Center | MemorialCare — memorialcare.org
  7. Movement Disorders Program at Long Beach Medical Center | MemorialCare — memorialcare.org
  8. MemorialCare Neuroscience Institute - Long Beach Medical Center (Main Hospital) | MemorialCare — memorialcare.org
  9. Lung Program - Long Beach Medical Center | MemorialCare — memorialcare.org
  10. Emergency Care | MemorialCare — memorialcare.org
  11. MemorialCare Rehabilitation Institute - Long Beach Medical Center (Main Hospital) | MemorialCare — memorialcare.org