Does Mercy General Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mercy General Hospital. In a medical emergency, call 911.

Where is Mercy General Hospital?

4001 J St, Sacramento, CA 95819, in Sacramento County, California.

What is the phone number of Mercy General Hospital?

(916) 453-4453, as listed by Medicare (CMS).

What is the Medicare star rating of Mercy General Hospital?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Mercy General Hospital — Sacramento, CA

Quick answers

Does Mercy General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mercy General Hospital. In a medical emergency, call 911.
Where is Mercy General Hospital?: 4001 J St, Sacramento, CA 95819, in Sacramento County, California.
What is the phone number of Mercy General Hospital?: (916) 453-4453, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy General Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Conditions treated^[5]

Stroke
TIA (transient ischemic attack)
Gallbladder problems
Hernias
Appendicitis

Treatments^[4]

Inpatient acute rehabilitation
Infusion center

Procedures^[4][5]

Minimally invasive and robotic-assisted surgery
Spine surgery
Orthopedic surgery
Robotic-assisted general surgery
Minimally invasive general surgery

Programs and centers^[4][5][6]

Family Birth Center
Clinical trials and research
Inpatient acute rehabilitation
Infusion center
Outpatient surgery center
OB emergency department (OBED)

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Daily 9 a.m.-9 p.m.; ICU two visitors; Family Birth Center two visitors at a time^[4]
Parking	24-hour garage off H Street, $2 per 30 minutes, $12 daily max; free valet at main entrance^[4]
Patient portal	My Portal by Dignity Health

Doctors and clinicians (625)

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

Main specialties

And 601 more: the button below opens the full list.

Other emergency rooms nearby

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

Sutter Medical Center, Sacramento0.9 mi · Sacramento, CA · Acute Care Hospital
University of California Davis Medical Center1.1 mi · Sacramento, CA · Acute Care Hospital
Kaiser Foundation Hospital - Sacramento4.0 mi · Sacramento, CA · Acute Care Hospital
Kaiser Foundation Hosp So Sacramento7.0 mi · Sacramento, CA · Acute Care Hospital
Heritage Oaks Hospital7.0 mi · Sacramento, CA · Psychiatric Hospital

Other hospitals nearby

Shriners Hospitals for Children Northern Calif1.2 mi · Sacramento, CA · Children's Hospital
UC Davis Rehabilitation Hospital1.6 mi · Sacramento, CA · Inpatient Rehabilitation Hospital
Sacramento Behavioral Healthcare Hospital, LLC2.0 mi · North Sacramento, CA · Psychiatric Hospital
Sutter Center for Psychiatry2.5 mi · Sacramento, CA · Psychiatric Hospital

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

McKinley Park Care Center0.4 mi · Sacramento, CA · 3 of 5 stars
Saylor Lane Healthcare Center0.4 mi · Sacramento, CA · 4 of 5 stars
University Post-Acute Rehab0.9 mi · Sacramento, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Blossom Ridge Hospice2.4 mi · Sacramento, CA · 3 of 5 stars
AHC Home Care of Sacramento2.5 mi · North Sacramento, CA
American River Hospice Services2.5 mi · Sacramento, CA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Clinicians Connect Care Home Health2.3 mi · Sacramento, CA · 2 of 5 stars
Blossom Ridge Home Health Agency2.4 mi · Sacramento, CA · 2 of 5 stars
AHC Home Health of Sacramento2.5 mi · Sacramento, CA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Alhambra Dialysis Center0.7 mi · Sacramento, CA · 2 of 5 stars
DCI University Dialysis Clinic0.7 mi · Sacramento, CA · 3 of 5 stars
DaVita Broadway Dialysis1.3 mi · Sacramento, CA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Fort Sutter Surgery Center0.7 mi · Sacramento, CA
Pain Diagnostic and Treatment Center0.7 mi · Sacramento, CA
Sacramento Eye SurgiCenter0.7 mi · Sacramento, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Elica Health Centers - Midtown0.2 mi · Sacramento, CA · Community health center
Elica Health Centers - Midtown First Floor0.2 mi · Sacramento, CA · Community health center
Elica Health Centers Health on Wheels0.2 mi · Sacramento, CA · Community health center

Clinics and urgent care

Turning Point Community Programs1.3 mi · Sacramento, CA · Urgent care center
Mdstat Urgent Care, Inc2.9 mi · Sacramento, CA · Urgent care center
Kumar Health Solutions Inc3.7 mi · Sacramento, CA · Urgent care center

Pharmacies

Capsule Sacramento LLC0.7 mi · Sacramento, CA · Community/retail pharmacy
Innova Pharmacy II0.7 mi · Sacramento, CA · Community/retail pharmacy
JCH Pharmacy Holdings Inc0.7 mi · Sacramento, CA · Community/retail pharmacy

Assisted living nearby

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

Mercy McMahon Terrace0.7 mi · Sacramento, CA
Sacramento Guest Home0.7 mi · Sacramento, CA
Oakmont of East Sacramento0.9 mi · East Sacramen, CA
Wholesome Elderly on T0.9 mi · Sacramento, CA

About the Medicare star rating

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

Medicare quality data

What Mercy General Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	79%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	70%National average: 74%
Area around the room “always” quiet at night	51%National average: 60%
Completed surveys	477Response rate: 21%

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)	0.426No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.457No different from the national benchmark
Surgical site infections after colon surgery	0.18Better than the national benchmark
Surgical site infections after abdominal hysterectomy	2.306No different from the national benchmark
MRSA bloodstream infections	0.904No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.124Better 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 patients	13.2%
Deaths within 30 days: heart failure patients	12.8%
Deaths within 30 days: pneumonia patients	16.2%
Deaths within 30 days: COPD patients	9.2%
Deaths within 30 days: stroke patients	9.3%
Deaths within 30 days: coronary bypass surgery (CABG)	1.8%
Serious complications (patient safety indicator PSI-90)	1.43Worse than the national rate
Complications after hip or knee replacement	3.3%

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 attack	13.9%
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	21.4%
Readmitted within 30 days: coronary bypass surgery	9.4%
Readmitted within 30 days: hip or knee replacement	6.7%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	170 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	81%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 Sacramento Best hospitals in Sacramento

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Mercy General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT LOW 30MN NW PT	$400	$73.85	$93 – $400
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $312 BCBS - Anthem — Commercial\|Connection EPO: $252 BCBS - Anthem — Commercial\|MCS: $400 BCBS - Anthem — Medicaid\|All Plans: $160.82 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: VISIT LOW 30MN NW PT	$400	$73.85	$288 – $320
New patient office visit (about 30–44 minutes): rates for 4 insurance plans First Health — Commercial\|All Plans: $300 Healthsmart — Commercial\|All Plans: $288 MultiPlan — Commercial\|All Plans: $320 Sutter Health — Commercial\|All Plans: $320
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK NEW PT	$519	$95.82	$93 – $23,178
New patient office visit (about 45–59 minutes): 10 of 34 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $193.71 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $124 Blue Shield CA — Commercial\|HMO: $165
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT MDT 45MN NW PT	$462	$85.29	$93 – $462
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $360.36 BCBS - Anthem — Commercial\|Connection EPO: $291.06 BCBS - Anthem — Commercial\|MCS: $462 BCBS - Anthem — Medicaid\|All Plans: $193.71 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK NEW PT	$519	$95.82	$373.68 – $415.20
New patient office visit (about 45–59 minutes): rates for 4 insurance plans First Health — Commercial\|All Plans: $389.25 Healthsmart — Commercial\|All Plans: $373.68 MultiPlan — Commercial\|All Plans: $415.20 Sutter Health — Commercial\|All Plans: $415.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: VISIT HIGH 60MN NW PT	$533	$98.40	$93 – $533
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $415.74 BCBS - Anthem — Commercial\|Connection EPO: $335.79 BCBS - Anthem — Commercial\|MCS: $533 BCBS - Anthem — Medicaid\|All Plans: $232.50 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: VISIT HIGH 60MN NW PT	$533	$98.40	$383.76 – $426.40
New patient office visit (about 60–74 minutes): rates for 4 insurance plans First Health — Commercial\|All Plans: $399.75 Healthsmart — Commercial\|All Plans: $383.76 MultiPlan — Commercial\|All Plans: $426.40 Sutter Health — Commercial\|All Plans: $426.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT LOW 20MN EST PT	$370	$68.31	$42.76 – $370
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $288.60 BCBS - Anthem — Commercial\|Connection EPO: $233.10 BCBS - Anthem — Commercial\|MCS: $370 BCBS - Anthem — Medicaid\|All Plans: $67.48 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT LOW 20MN EST PT	$370	$68.31	$266.40 – $296
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans First Health — Commercial\|All Plans: $277.50 Healthsmart — Commercial\|All Plans: $266.40 MultiPlan — Commercial\|All Plans: $296 Sutter Health — Commercial\|All Plans: $296
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK EST PT	$479	$88.43	$66.81 – $23,178 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 34 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $105.43 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $124 Blue Shield CA — Commercial\|HMO: $165
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT MDT 30MN EST PT	$426	$78.65	$66.81 – $426
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $332.28 BCBS - Anthem — Commercial\|Connection EPO: $268.38 BCBS - Anthem — Commercial\|MCS: $426 BCBS - Anthem — Medicaid\|All Plans: $105.43 Blue Shield CA — Commercial\|ACO Trio: $93 Blue Shield CA — Commercial\|ACO Trio CalPers: $116 Blue Shield CA — Commercial\|ACO Trio MMG: $130 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|CalPers: $183 Blue Shield CA — Commercial\|CalPers MMG: $125
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK EST PT	$479	$88.43	$344.88 – $383.20
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans First Health — Commercial\|All Plans: $359.25 Healthsmart — Commercial\|All Plans: $344.88 MultiPlan — Commercial\|All Plans: $383.20 Sutter Health — Commercial\|All Plans: $383.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3	$2,781	$513.40	$63.97 – $15,102
Emergency room visit (moderate): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $2,308.23 Aetna — Commercial\|HMO: $2,308.23 Aetna — Commercial\|PPO: $2,308.23 Aetna — Medicare\|All Plans: $354.27 BCBS - Anthem — Commercial\|All Other Plans: $4,857 BCBS - Anthem — Commercial\|Connection EPO: $3,886 BCBS - Anthem — Commercial\|MCS: $7,043 BCBS - Anthem — Medicaid\|All Plans: $125.38 BCBS - Anthem — Medicare\|All Other Plans: $334.08 BCBS - Anthem — Medicare\|Imperial: $364.90
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3	$2,781	$513.40	$2,002.32 – $2,224.80
Emergency room visit (moderate): rates for 4 insurance plans First Health — Commercial\|All Plans: $2,085.75 Healthsmart — Commercial\|All Plans: $2,002.32 MultiPlan — Commercial\|All Plans: $2,224.80 Sutter Health — Commercial\|All Plans: $2,224.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4	$4,569	$843.47	$98.04 – $15,102
Emergency room visit (moderately high): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $3,792.27 Aetna — Commercial\|HMO: $3,792.27 Aetna — Commercial\|PPO: $3,792.27 Aetna — Medicare\|All Plans: $541.53 BCBS - Anthem — Commercial\|All Other Plans: $9,713 BCBS - Anthem — Commercial\|Connection EPO: $7,770 BCBS - Anthem — Commercial\|MCS: $14,084 BCBS - Anthem — Medicaid\|All Plans: $192.16 BCBS - Anthem — Medicare\|All Other Plans: $510.66 BCBS - Anthem — Medicare\|Imperial: $557.78
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: TRAUMA LIMITED	$21,520	$3,972.74	$98.04 – $18,937.60
Emergency room visit (moderately high): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $17,861.60 Aetna — Commercial\|HMO: $17,861.60 Aetna — Commercial\|PPO: $17,861.60 Aetna — Medicare\|All Plans: $541.53 BCBS - Anthem — Commercial\|All Other Plans: $9,713 BCBS - Anthem — Commercial\|Connection EPO: $7,770 BCBS - Anthem — Commercial\|MCS: $14,084 BCBS - Anthem — Medicaid\|All Plans: $192.16 BCBS - Anthem — Medicare\|All Other Plans: $510.66 BCBS - Anthem — Medicare\|Imperial: $557.78
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4	$4,569	$843.47	$3,289.68 – $3,655.20
Emergency room visit (moderately high): rates for 4 insurance plans First Health — Commercial\|All Plans: $3,426.75 Healthsmart — Commercial\|All Plans: $3,289.68 MultiPlan — Commercial\|All Plans: $3,655.20 Sutter Health — Commercial\|All Plans: $3,655.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5	$6,622	$1,222.47	$155.03 – $18,311
Emergency room visit (high): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $5,496.26 Aetna — Commercial\|HMO: $5,496.26 Aetna — Commercial\|PPO: $5,496.26 Aetna — Medicare\|All Plans: $772.89 BCBS - Anthem — Commercial\|All Other Plans: $12,628 BCBS - Anthem — Commercial\|Connection EPO: $10,102 BCBS - Anthem — Commercial\|MCS: $18,311 BCBS - Anthem — Medicaid\|All Plans: $303.86 BCBS - Anthem — Medicare\|All Other Plans: $728.84 BCBS - Anthem — Medicare\|Imperial: $796.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: TRAUMA ESSENTIAL	$39,861	$7,358.62	$155.03 – $35,077.68
Emergency room visit (high): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $33,084.63 Aetna — Commercial\|HMO: $33,084.63 Aetna — Commercial\|PPO: $33,084.63 Aetna — Medicare\|All Plans: $772.89 BCBS - Anthem — Commercial\|All Other Plans: $12,628 BCBS - Anthem — Commercial\|Connection EPO: $10,102 BCBS - Anthem — Commercial\|MCS: $18,311 BCBS - Anthem — Medicaid\|All Plans: $303.86 BCBS - Anthem — Medicare\|All Other Plans: $728.84 BCBS - Anthem — Medicare\|Imperial: $796.08
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5	$6,622	$1,222.47	$4,767.84 – $5,297.60
Emergency room visit (high): rates for 4 insurance plans First Health — Commercial\|All Plans: $4,966.50 Healthsmart — Commercial\|All Plans: $4,767.84 MultiPlan — Commercial\|All Plans: $5,297.60 Sutter Health — Commercial\|All Plans: $5,297.60

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$352	$64.99	$7.27 – $316.80
Basic metabolic panel (blood test): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $32 Aetna — Commercial\|HMO: $32 Aetna — Commercial\|PPO: $32 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $156.12 BCBS - Anthem — Commercial\|Connection EPO: $124.95 BCBS - Anthem — Commercial\|MCS: $226.39 BCBS - Anthem — Medicaid\|All Plans: $21.70 BCBS - Anthem — Medicare\|All Other Plans: $7.98 BCBS - Anthem — Medicare\|Imperial: $8.71
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$352	$64.99	$253.44 – $281.60
Basic metabolic panel (blood test): rates for 4 insurance plans First Health — Commercial\|All Plans: $264 Healthsmart — Commercial\|All Plans: $253.44 MultiPlan — Commercial\|All Plans: $281.60 Sutter Health — Commercial\|All Plans: $281.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$796	$146.95	$9.19 – $716.40
Comprehensive metabolic panel (blood test): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $39.93 Aetna — Commercial\|HMO: $39.93 Aetna — Commercial\|PPO: $39.93 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $195.24 BCBS - Anthem — Commercial\|Connection EPO: $156.26 BCBS - Anthem — Commercial\|MCS: $283.12 BCBS - Anthem — Medicaid\|All Plans: $27.40 BCBS - Anthem — Medicare\|All Other Plans: $9.96 BCBS - Anthem — Medicare\|Imperial: $10.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL	$796	$146.95	$573.12 – $636.80
Comprehensive metabolic panel (blood test): rates for 4 insurance plans First Health — Commercial\|All Plans: $597 Healthsmart — Commercial\|All Plans: $573.12 MultiPlan — Commercial\|All Plans: $636.80 Sutter Health — Commercial\|All Plans: $636.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$341	$62.96	$11.54 – $341
Cholesterol panel (lipid panel): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $50.64 Aetna — Commercial\|HMO: $50.64 Aetna — Commercial\|PPO: $50.64 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $247.03 BCBS - Anthem — Commercial\|Connection EPO: $197.71 BCBS - Anthem — Commercial\|MCS: $341 BCBS - Anthem — Medicaid\|All Plans: $27.20 BCBS - Anthem — Medicare\|All Other Plans: $12.63 BCBS - Anthem — Medicare\|Imperial: $13.79
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPID PANEL /LIPOSCI	$11.63	$2.15	$4.08 – $40.87
Cholesterol panel (lipid panel): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $11.63 Aetna — Commercial\|HMO: $11.63 Aetna — Commercial\|PPO: $11.63 Aetna — Medicare\|All Plans: $11.63 BCBS - Anthem — Commercial\|All Other Plans: $11.29 BCBS - Anthem — Commercial\|Connection EPO: $9.08 BCBS - Anthem — Commercial\|MCS: $11.63 BCBS - Anthem — Medicaid\|All Plans: $11.63 BCBS - Anthem — Medicare\|All Other Plans: $10.97 BCBS - Anthem — Medicare\|Imperial: $11.98
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPOELECT 80503B	$20.34	$3.76	$7.12 – $40.87
Cholesterol panel (lipid panel): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $20.34 Aetna — Commercial\|HMO: $20.34 Aetna — Commercial\|PPO: $20.34 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $19.73 BCBS - Anthem — Commercial\|Connection EPO: $15.87 BCBS - Anthem — Commercial\|MCS: $20.34 BCBS - Anthem — Medicaid\|All Plans: $20.34 BCBS - Anthem — Medicare\|All Other Plans: $12.63 BCBS - Anthem — Medicare\|Imperial: $13.79
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$242	$44.68	$7.60 – $232.15
Kidney function panel: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $32.81 Aetna — Commercial\|HMO: $32.81 Aetna — Commercial\|PPO: $32.81 Aetna — Medicare\|All Plans: $8.68 BCBS - Anthem — Commercial\|All Other Plans: $160.09 BCBS - Anthem — Commercial\|Connection EPO: $128.13 BCBS - Anthem — Commercial\|MCS: $232.15 BCBS - Anthem — Medicaid\|All Plans: $22.27 BCBS - Anthem — Medicare\|All Other Plans: $8.19 BCBS - Anthem — Medicare\|Imperial: $8.94
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$242	$44.68	$174.24 – $193.60
Kidney function panel: rates for 4 insurance plans First Health — Commercial\|All Plans: $181.50 Healthsmart — Commercial\|All Plans: $174.24 MultiPlan — Commercial\|All Plans: $193.60 Sutter Health — Commercial\|All Plans: $193.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$315	$58.16	$6.38 – $283.50
Liver function panel: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $30.87 Aetna — Commercial\|HMO: $30.87 Aetna — Commercial\|PPO: $30.87 Aetna — Medicare\|All Plans: $8.17 BCBS - Anthem — Commercial\|All Other Plans: $150.78 BCBS - Anthem — Commercial\|Connection EPO: $120.67 BCBS - Anthem — Commercial\|MCS: $218.64 BCBS - Anthem — Medicaid\|All Plans: $20.89 BCBS - Anthem — Medicare\|All Other Plans: $7.70 BCBS - Anthem — Medicare\|Imperial: $8.42
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$315	$58.16	$226.80 – $252
Liver function panel: rates for 4 insurance plans First Health — Commercial\|All Plans: $236.25 Healthsmart — Commercial\|All Plans: $226.80 MultiPlan — Commercial\|All Plans: $252 Sutter Health — Commercial\|All Plans: $252
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO	$123	$22.71	$2.77 – $110.70
Urine test (automated, with microscope): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $11.94 Aetna — Commercial\|HMO: $11.94 Aetna — Commercial\|PPO: $11.94 Aetna — Medicare\|All Plans: $3.17 BCBS - Anthem — Commercial\|All Other Plans: $56.39 BCBS - Anthem — Commercial\|Connection EPO: $45.13 BCBS - Anthem — Commercial\|MCS: $81.77 BCBS - Anthem — Medicaid\|All Plans: $8.57 BCBS - Anthem — Medicare\|All Other Plans: $2.99 BCBS - Anthem — Medicare\|Imperial: $3.27
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA AUTO W MICRO	$123	$22.71	$88.56 – $98.40
Urine test (automated, with microscope): rates for 4 insurance plans First Health — Commercial\|All Plans: $92.25 Healthsmart — Commercial\|All Plans: $88.56 MultiPlan — Commercial\|All Plans: $98.40 Sutter Health — Commercial\|All Plans: $98.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPECIFIC GRAVITY UR	$45	$8.31	$2.15 – $45
Urine test (manual, without microscope): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $9.68 Aetna — Commercial\|HMO: $9.68 Aetna — Commercial\|PPO: $9.68 Aetna — Medicare\|All Plans: $3.48 BCBS - Anthem — Commercial\|All Other Plans: $43.65 BCBS - Anthem — Commercial\|Connection EPO: $35.09 BCBS - Anthem — Commercial\|MCS: $45 BCBS - Anthem — Medicaid\|All Plans: $6.92 BCBS - Anthem — Medicare\|All Other Plans: $3.28 BCBS - Anthem — Medicare\|Imperial: $3.58
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: SPECIFIC GRAVITY UR	$45	$8.31	$32.40 – $36
Urine test (manual, without microscope): rates for 4 insurance plans First Health — Commercial\|All Plans: $33.75 Healthsmart — Commercial\|All Plans: $32.40 MultiPlan — Commercial\|All Plans: $36 Sutter Health — Commercial\|All Plans: $36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO	$108	$19.94	$1.96 – $97.20
Urine test (automated, without microscope): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $8.48 Aetna — Commercial\|HMO: $8.48 Aetna — Commercial\|PPO: $8.48 Aetna — Medicare\|All Plans: $2.25 BCBS - Anthem — Commercial\|All Other Plans: $41.48 BCBS - Anthem — Commercial\|Connection EPO: $33.20 BCBS - Anthem — Commercial\|MCS: $60.15 BCBS - Anthem — Medicaid\|All Plans: $5.55 BCBS - Anthem — Medicare\|All Other Plans: $2.12 BCBS - Anthem — Medicare\|Imperial: $2.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO LAB	$107	$19.76	$1.96 – $96.30
Urine test (automated, without microscope): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $8.48 Aetna — Commercial\|HMO: $8.48 Aetna — Commercial\|PPO: $8.48 Aetna — Medicare\|All Plans: $2.25 BCBS - Anthem — Commercial\|All Other Plans: $41.48 BCBS - Anthem — Commercial\|Connection EPO: $33.20 BCBS - Anthem — Commercial\|MCS: $60.15 BCBS - Anthem — Medicaid\|All Plans: $5.55 BCBS - Anthem — Medicare\|All Other Plans: $2.12 BCBS - Anthem — Medicare\|Imperial: $2.32
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO WO MICRO	$108	$19.94	$77.76 – $86.40
Urine test (automated, without microscope): rates for 4 insurance plans First Health — Commercial\|All Plans: $81 Healthsmart — Commercial\|All Plans: $77.76 MultiPlan — Commercial\|All Plans: $86.40 Sutter Health — Commercial\|All Plans: $86.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$222	$40.99	$16.35 – $222
PSA (prostate specific antigen) blood test: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $69.54 Aetna — Commercial\|HMO: $69.54 Aetna — Commercial\|PPO: $69.54 Aetna — Medicare\|All Plans: $18.39 BCBS - Anthem — Commercial\|All Other Plans: $215.34 BCBS - Anthem — Commercial\|Connection EPO: $173.16 BCBS - Anthem — Commercial\|MCS: $222 BCBS - Anthem — Medicaid\|All Plans: $48.59 BCBS - Anthem — Medicare\|All Other Plans: $17.34 BCBS - Anthem — Medicare\|Imperial: $18.94
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA ULTRA	$16.51	$3.05	$5.78 – $56.14
PSA (prostate specific antigen) blood test: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $16.51 Aetna — Commercial\|HMO: $16.51 Aetna — Commercial\|PPO: $16.51 Aetna — Medicare\|All Plans: $16.51 BCBS - Anthem — Commercial\|All Other Plans: $16.02 BCBS - Anthem — Commercial\|Connection EPO: $12.88 BCBS - Anthem — Commercial\|MCS: $16.51 BCBS - Anthem — Medicaid\|All Plans: $16.51 BCBS - Anthem — Medicare\|All Other Plans: $15.57 BCBS - Anthem — Medicare\|Imperial: $17.01
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA TOTAL	$222	$40.99	$159.84 – $177.60
PSA (prostate specific antigen) blood test: rates for 4 insurance plans First Health — Commercial\|All Plans: $166.50 Healthsmart — Commercial\|All Plans: $159.84 MultiPlan — Commercial\|All Plans: $177.60 Sutter Health — Commercial\|All Plans: $177.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 3 70225	$8	$1.48	$2.80 – $51.30
Thyroid stimulating hormone (TSH) test: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $8 Aetna — Commercial\|HMO: $8 Aetna — Commercial\|PPO: $8 Aetna — Medicare\|All Plans: $8 BCBS - Anthem — Commercial\|All Other Plans: $7.76 BCBS - Anthem — Commercial\|Connection EPO: $6.24 BCBS - Anthem — Commercial\|MCS: $8 BCBS - Anthem — Medicaid\|All Plans: $8 BCBS - Anthem — Medicare\|All Other Plans: $7.55 BCBS - Anthem — Medicare\|Imperial: $8.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 70145	$9.11	$1.69	$3.19 – $51.30
Thyroid stimulating hormone (TSH) test: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $9.11 Aetna — Commercial\|HMO: $9.11 Aetna — Commercial\|PPO: $9.11 Aetna — Medicare\|All Plans: $9.11 BCBS - Anthem — Commercial\|All Other Plans: $8.84 BCBS - Anthem — Commercial\|Connection EPO: $7.11 BCBS - Anthem — Commercial\|MCS: $9.11 BCBS - Anthem — Medicaid\|All Plans: $9.11 BCBS - Anthem — Medicare\|All Other Plans: $8.60 BCBS - Anthem — Medicare\|Imperial: $9.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE	$252	$46.53	$14.76 – $252
Thyroid stimulating hormone (TSH) test: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $63.49 Aetna — Commercial\|HMO: $63.49 Aetna — Commercial\|PPO: $63.49 Aetna — Medicare\|All Plans: $16.80 BCBS - Anthem — Commercial\|All Other Plans: $244.44 BCBS - Anthem — Commercial\|Connection EPO: $196.56 BCBS - Anthem — Commercial\|MCS: $252 BCBS - Anthem — Medicaid\|All Plans: $44.26 BCBS - Anthem — Medicare\|All Other Plans: $15.84 BCBS - Anthem — Medicare\|Imperial: $17.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$193	$35.63	$6.75 – $193
Complete blood count (CBC) with differential: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $29.38 Aetna — Commercial\|HMO: $29.38 Aetna — Commercial\|PPO: $29.38 Aetna — Medicare\|All Plans: $7.77 BCBS - Anthem — Commercial\|All Other Plans: $143.45 BCBS - Anthem — Commercial\|Connection EPO: $114.81 BCBS - Anthem — Commercial\|MCS: $193 BCBS - Anthem — Medicaid\|All Plans: $19.82 BCBS - Anthem — Medicare\|All Other Plans: $7.33 BCBS - Anthem — Medicare\|Imperial: $8
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$193	$35.63	$138.96 – $154.40
Complete blood count (CBC) with differential: rates for 4 insurance plans First Health — Commercial\|All Plans: $144.75 Healthsmart — Commercial\|All Plans: $138.96 MultiPlan — Commercial\|All Plans: $154.40 Sutter Health — Commercial\|All Plans: $154.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF	$223	$41.17	$5.71 – $200.70
Complete blood count (CBC), automated: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $24.46 Aetna — Commercial\|HMO: $24.46 Aetna — Commercial\|PPO: $24.46 Aetna — Medicare\|All Plans: $6.47 BCBS - Anthem — Commercial\|All Other Plans: $119.36 BCBS - Anthem — Commercial\|Connection EPO: $95.52 BCBS - Anthem — Commercial\|MCS: $173.08 BCBS - Anthem — Medicaid\|All Plans: $16.19 BCBS - Anthem — Medicare\|All Other Plans: $6.10 BCBS - Anthem — Medicare\|Imperial: $6.66
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF	$223	$41.17	$160.56 – $178.40
Complete blood count (CBC), automated: rates for 4 insurance plans First Health — Commercial\|All Plans: $167.25 Healthsmart — Commercial\|All Plans: $160.56 MultiPlan — Commercial\|All Plans: $178.40 Sutter Health — Commercial\|All Plans: $178.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$147	$27.14	$3.49 – $132.30
Blood clotting time test (prothrombin time, PT): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $14.85 Aetna — Commercial\|HMO: $14.85 Aetna — Commercial\|PPO: $14.85 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $72.66 BCBS - Anthem — Commercial\|Connection EPO: $58.15 BCBS - Anthem — Commercial\|MCS: $105.36 BCBS - Anthem — Medicaid\|All Plans: $9.41 BCBS - Anthem — Medicare\|All Other Plans: $4.05 BCBS - Anthem — Medicare\|Imperial: $4.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009A	$6.66	$1.23	$2.34 – $13.11
Blood clotting time test (prothrombin time, PT): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $6.66 Aetna — Commercial\|HMO: $6.66 Aetna — Commercial\|PPO: $6.66 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $6.47 BCBS - Anthem — Commercial\|Connection EPO: $5.20 BCBS - Anthem — Commercial\|MCS: $6.66 BCBS - Anthem — Medicaid\|All Plans: $6.66 BCBS - Anthem — Medicare\|All Other Plans: $4.05 BCBS - Anthem — Medicare\|Imperial: $4.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-PT-D	$3.53	$0.66	$1.24 – $13.11
Blood clotting time test (prothrombin time, PT): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $3.53 Aetna — Commercial\|HMO: $3.53 Aetna — Commercial\|PPO: $3.53 Aetna — Medicare\|All Plans: $3.53 BCBS - Anthem — Commercial\|All Other Plans: $3.43 BCBS - Anthem — Commercial\|Connection EPO: $2.76 BCBS - Anthem — Commercial\|MCS: $3.53 BCBS - Anthem — Medicaid\|All Plans: $3.53 BCBS - Anthem — Medicare\|All Other Plans: $3.33 BCBS - Anthem — Medicare\|Imperial: $3.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME	$240	$44.31	$5.34 – $216
Blood clotting test (partial thromboplastin time, PTT): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $22.68 Aetna — Commercial\|HMO: $22.68 Aetna — Commercial\|PPO: $22.68 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $110.79 BCBS - Anthem — Commercial\|Connection EPO: $88.66 BCBS - Anthem — Commercial\|MCS: $160.65 BCBS - Anthem — Medicaid\|All Plans: $14.90 BCBS - Anthem — Medicare\|All Other Plans: $5.67 BCBS - Anthem — Medicare\|Imperial: $6.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009C	$6.68	$1.24	$2.34 – $18.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $6.68 Aetna — Commercial\|HMO: $6.68 Aetna — Commercial\|PPO: $6.68 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $6.48 BCBS - Anthem — Commercial\|Connection EPO: $5.22 BCBS - Anthem — Commercial\|MCS: $6.68 BCBS - Anthem — Medicaid\|All Plans: $6.68 BCBS - Anthem — Medicare\|All Other Plans: $5.67 BCBS - Anthem — Medicare\|Imperial: $6.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-PTT	$5.43	$1.01	$1.91 – $18.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $5.43 Aetna — Commercial\|HMO: $5.43 Aetna — Commercial\|PPO: $5.43 Aetna — Medicare\|All Plans: $5.43 BCBS - Anthem — Commercial\|All Other Plans: $5.27 BCBS - Anthem — Commercial\|Connection EPO: $4.24 BCBS - Anthem — Commercial\|MCS: $5.43 BCBS - Anthem — Medicaid\|All Plans: $5.43 BCBS - Anthem — Medicare\|All Other Plans: $5.13 BCBS - Anthem — Medicare\|Imperial: $5.60

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CON	$5,064	$934.85	$119.14 – $5,411
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $551.71 Aetna — Commercial\|HMO: $551.71 Aetna — Commercial\|PPO: $551.71 Aetna — Medicare\|All Plans: $135.68 BCBS - Anthem — Commercial\|All Other Plans: $3,568 BCBS - Anthem — Commercial\|Connection EPO: $2,854 BCBS - Anthem — Commercial\|MCS: $5,174 BCBS - Anthem — Medicaid\|All Plans: $553.41 BCBS - Anthem — Medicare\|All Other Plans: $127.95 BCBS - Anthem — Medicare\|Imperial: $139.75
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON	$5,064	$934.85	$3,646.08 – $4,051.20
CT scan of the head or brain, without contrast: rates for 4 insurance plans First Health — Commercial\|All Plans: $3,798 Healthsmart — Commercial\|All Plans: $3,646.08 MultiPlan — Commercial\|All Plans: $4,051.20 Sutter Health — Commercial\|All Plans: $4,051.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON	$9,199	$1,698.20	$355.83 – $8,279.10
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $1,300.47 Aetna — Commercial\|HMO: $1,300.47 Aetna — Commercial\|PPO: $1,300.47 Aetna — Medicare\|All Plans: $452.77 BCBS - Anthem — Commercial\|All Other Plans: $4,298 BCBS - Anthem — Commercial\|Connection EPO: $3,438 BCBS - Anthem — Commercial\|MCS: $6,232 BCBS - Anthem — Medicaid\|All Plans: $2,679.32 BCBS - Anthem — Medicare\|All Other Plans: $426.96 BCBS - Anthem — Medicare\|Imperial: $466.35
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON	$9,199	$1,698.20	$6,623.28 – $7,359.20
MRI of the brain, before and after contrast: rates for 4 insurance plans First Health — Commercial\|All Plans: $6,899.25 Healthsmart — Commercial\|All Plans: $6,623.28 MultiPlan — Commercial\|All Plans: $7,359.20 Sutter Health — Commercial\|All Plans: $7,359.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS	$1,075	$198.46	$27.47 – $967.50
Chest X-ray, 2 views: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $69.57 Aetna — Commercial\|HMO: $69.57 Aetna — Commercial\|PPO: $69.57 Aetna — Medicare\|All Plans: $112.94 BCBS - Anthem — Commercial\|All Other Plans: $409.11 BCBS - Anthem — Commercial\|Connection EPO: $327.42 BCBS - Anthem — Commercial\|MCS: $593.25 BCBS - Anthem — Medicaid\|All Plans: $77.01 BCBS - Anthem — Medicare\|All Other Plans: $106.50 BCBS - Anthem — Medicare\|Imperial: $116.33
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS	$1,075	$198.46	$774 – $860
Chest X-ray, 2 views: rates for 4 insurance plans First Health — Commercial\|All Plans: $806.25 Healthsmart — Commercial\|All Plans: $774 MultiPlan — Commercial\|All Plans: $860 Sutter Health — Commercial\|All Plans: $860
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$1,175	$216.92	$55 – $1,057.50
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $142 Aetna — Commercial\|HMO: $142 Aetna — Commercial\|PPO: $142 Aetna — Medicare\|All Plans: $135.68 BCBS - Anthem — Commercial\|All Other Plans: $483.14 BCBS - Anthem — Commercial\|Connection EPO: $386.67 BCBS - Anthem — Commercial\|MCS: $700.59 BCBS - Anthem — Medicaid\|All Plans: $139.61 BCBS - Anthem — Medicare\|All Other Plans: $127.95 BCBS - Anthem — Medicare\|Imperial: $139.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$1,175	$216.92	$846 – $940
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans First Health — Commercial\|All Plans: $881.25 Healthsmart — Commercial\|All Plans: $846 MultiPlan — Commercial\|All Plans: $940 Sutter Health — Commercial\|All Plans: $940
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON	$5,206	$961.07	$214.77 – $7,440
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $1,300.47 Aetna — Commercial\|HMO: $1,300.47 Aetna — Commercial\|PPO: $1,300.47 Aetna — Medicare\|All Plans: $309.66 BCBS - Anthem — Commercial\|All Other Plans: $4,298 BCBS - Anthem — Commercial\|Connection EPO: $3,438 BCBS - Anthem — Commercial\|MCS: $6,232 BCBS - Anthem — Medicaid\|All Plans: $1,618.69 BCBS - Anthem — Medicare\|All Other Plans: $292.01 BCBS - Anthem — Medicare\|Imperial: $318.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON	$5,206	$961.07	$3,748.32 – $4,164.80
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans First Health — Commercial\|All Plans: $3,904.50 Healthsmart — Commercial\|All Plans: $3,748.32 MultiPlan — Commercial\|All Plans: $4,164.80 Sutter Health — Commercial\|All Plans: $4,164.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON	$7,596	$1,402.28	$214.66 – $6,836.40
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $844.18 Aetna — Commercial\|HMO: $844.18 Aetna — Commercial\|PPO: $844.18 Aetna — Medicare\|All Plans: $227.64 BCBS - Anthem — Commercial\|All Other Plans: $3,568 BCBS - Anthem — Commercial\|Connection EPO: $2,854 BCBS - Anthem — Commercial\|MCS: $5,174 BCBS - Anthem — Medicaid\|All Plans: $712.77 BCBS - Anthem — Medicare\|All Other Plans: $214.66 BCBS - Anthem — Medicare\|Imperial: $234.47
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON	$7,596	$1,402.28	$5,469.12 – $6,076.80
CT scan of the pelvis, with contrast: rates for 4 insurance plans First Health — Commercial\|All Plans: $5,697 Healthsmart — Commercial\|All Plans: $5,469.12 MultiPlan — Commercial\|All Plans: $6,076.80 Sutter Health — Commercial\|All Plans: $6,076.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON	$10,023	$1,850.32	$281.80 – $9,020.70
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $893.75 Aetna — Commercial\|HMO: $893.75 Aetna — Commercial\|PPO: $893.75 Aetna — Medicare\|All Plans: $452.77 BCBS - Anthem — Commercial\|All Other Plans: $3,568 BCBS - Anthem — Commercial\|Connection EPO: $2,854 BCBS - Anthem — Commercial\|MCS: $5,174 BCBS - Anthem — Medicaid\|All Plans: $552.33 BCBS - Anthem — Medicare\|All Other Plans: $426.96 BCBS - Anthem — Medicare\|Imperial: $466.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON	$10,023	$1,850.32	$7,216.56 – $8,018.40
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans First Health — Commercial\|All Plans: $7,517.25 Healthsmart — Commercial\|All Plans: $7,216.56 MultiPlan — Commercial\|All Plans: $8,018.40 Sutter Health — Commercial\|All Plans: $8,018.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON	$1,874	$345.96	$119.34 – $1,686.60
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $341.42 Aetna — Commercial\|HMO: $341.42 Aetna — Commercial\|PPO: $341.42 Aetna — Medicare\|All Plans: $135.68 BCBS - Anthem — Commercial\|All Other Plans: $1,043.03 BCBS - Anthem — Commercial\|Connection EPO: $834.76 BCBS - Anthem — Commercial\|MCS: $1,512.48 BCBS - Anthem — Medicaid\|All Plans: $233.91 BCBS - Anthem — Medicare\|All Other Plans: $127.95 BCBS - Anthem — Medicare\|Imperial: $139.75
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON	$1,874	$345.96	$1,349.28 – $1,499.20
Ultrasound of the abdomen, complete: rates for 4 insurance plans First Health — Commercial\|All Plans: $1,405.50 Healthsmart — Commercial\|All Plans: $1,349.28 MultiPlan — Commercial\|All Plans: $1,499.20 Sutter Health — Commercial\|All Plans: $1,499.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES	$1,301	$240.18	$127.95 – $1,301
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $341.42 Aetna — Commercial\|HMO: $341.42 Aetna — Commercial\|PPO: $341.42 Aetna — Medicare\|All Plans: $135.68 BCBS - Anthem — Commercial\|All Other Plans: $1,082.03 BCBS - Anthem — Commercial\|Connection EPO: $865.97 BCBS - Anthem — Commercial\|MCS: $1,301 BCBS - Anthem — Medicaid\|All Plans: $265.17 BCBS - Anthem — Medicare\|All Other Plans: $127.95 BCBS - Anthem — Medicare\|Imperial: $139.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES	$1,301	$240.18	$936.72 – $1,040.80
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans First Health — Commercial\|All Plans: $975.75 Healthsmart — Commercial\|All Plans: $936.72 MultiPlan — Commercial\|All Plans: $1,040.80 Sutter Health — Commercial\|All Plans: $1,040.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$1,874	$345.96	$97.04 – $1,686.60
Transvaginal ultrasound: 10 of 40 insurance plan rates Aetna — Commercial\|All Other Plans: $324.50 Aetna — Commercial\|HMO: $324.50 Aetna — Commercial\|PPO: $324.50 Aetna — Medicare\|All Plans: $135.68 BCBS - Anthem — Commercial\|All Other Plans: $809.66 BCBS - Anthem — Commercial\|Connection EPO: $647.99 BCBS - Anthem — Commercial\|MCS: $1,174.07 BCBS - Anthem — Medicaid\|All Plans: $190.20 BCBS - Anthem — Medicare\|All Other Plans: $127.95 BCBS - Anthem — Medicare\|Imperial: $139.75
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL	$1,874	$345.96	$1,349.28 – $1,499.20
Transvaginal ultrasound: rates for 4 insurance plans First Health — Commercial\|All Plans: $1,405.50 Healthsmart — Commercial\|All Plans: $1,349.28 MultiPlan — Commercial\|All Plans: $1,499.20 Sutter Health — Commercial\|All Plans: $1,499.20

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG 12 LEAD INTRP/RPRT	$606	$111.88	$15.60 – $22,221 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $493.82 BCBS - Anthem — Commercial\|Connection EPO: $395.21 BCBS - Anthem — Commercial\|MCS: $606 BCBS - Anthem — Medicaid\|All Plans: $69.17 California Health & Wellness — Medicaid\|All Plans: $128.44 Connected Care — Commercial\|Intel: $545.40 First Health — Commercial\|All Plans: $454.50 Health Net — Medicaid\|All Plans: $128.44 Healthsmart — Commercial\|All Plans: $436.32 Hill Physicians — Commercial\|All Plans: $16.73
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: ECG 12 LEAD INTRP/RPRT	$606	$111.88	$436.32 – $484.80
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans First Health — Commercial\|All Plans: $454.50 Healthsmart — Commercial\|All Plans: $436.32 MultiPlan — Commercial\|All Plans: $484.80 Sutter Health — Commercial\|All Plans: $484.80
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LT HRT CTH VENTRICULGRPHY	$38,358	$7,081.16	$875.40 – $47,851
Left heart catheterization (diagnostic): 10 of 49 insurance plan rates Aetna — Commercial\|All Other Plans: $17,618 Aetna — Commercial\|HMO: $17,618 Aetna — Commercial\|PPO: $17,618 Aetna — Medicare\|All Plans: $4,207.42 BCBS - Anthem — Commercial\|All Other Plans: $29,742 BCBS - Anthem — Commercial\|Connection EPO: $23,794 BCBS - Anthem — Commercial\|MCS: $43,126 BCBS - Anthem — Medicaid\|All Plans: $1,495.21 BCBS - Anthem — Medicare\|All Other Plans: $3,967.60 BCBS - Anthem — Medicare\|Imperial: $4,333.64
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LT HRT CTH VENTRICULGRPHY	$38,358	$7,081.16	$27,617.76 – $30,686.40
Left heart catheterization (diagnostic): rates for 4 insurance plans First Health — Commercial\|All Plans: $28,768.50 Healthsmart — Commercial\|All Plans: $27,617.76 MultiPlan — Commercial\|All Plans: $30,686.40 Sutter Health — Commercial\|All Plans: $30,686.40
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EP AFIB ABL PV ISOL 3DMAP	$62,750	$11,584.09	$785.90 – $134,238
Heart rhythm study with ablation for atrial fibrillation: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $17,618 Aetna — Commercial\|HMO: $17,618 Aetna — Commercial\|PPO: $17,618 Aetna — Medicare\|All Plans: $33,922.08 BCBS - Anthem — Commercial\|All Other Plans: $37,661 BCBS - Anthem — Commercial\|Connection EPO: $30,129 BCBS - Anthem — Commercial\|MCS: $54,608 BCBS - Anthem — Medicaid\|All Plans: $2,629.12 BCBS - Anthem — Medicare\|All Other Plans: $31,988.52 BCBS - Anthem — Medicare\|Imperial: $34,939.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EP AFIB ABL PV ISOL 3DMAP	$62,750	$11,584.09	$45,180 – $50,200
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans First Health — Commercial\|All Plans: $47,062.50 Healthsmart — Commercial\|All Plans: $45,180 MultiPlan — Commercial\|All Plans: $50,200 Sutter Health — Commercial\|All Plans: $50,200

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHER PAT 16-37 MIN	$434	$80.12	$60.67 – $347.20
Psychotherapy, 30 minutes: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $230.36 BCBS - Anthem — Medicaid\|All Plans: $221.42 BCBS - Anthem — Medicare\|All Other Plans: $217.23 BCBS - Anthem — Medicare\|Imperial: $237.27 Blue Shield CA — Medicare\|HMO: $230.36 Blue Shield CA — Medicare\|PPO: $230.36 BrightHealth — Commercial\|All Plans: $253.40 California Health & Wellness — Medicaid\|All Plans: $164.94 First Health — Commercial\|All Plans: $325.50 Health Net — Medicaid\|All Plans: $164.94
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYCHOTHER PAT 16-37 MIN	$434	$80.12	$312.48 – $347.20
Psychotherapy, 30 minutes: rates for 4 insurance plans First Health — Commercial\|All Plans: $325.50 Healthsmart — Commercial\|All Plans: $312.48 MultiPlan — Commercial\|All Plans: $347.20 Sutter Health — Commercial\|All Plans: $347.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHER PAT 38-52 MIN	$540	$99.69	$77.07 – $432
Psychotherapy, 45 minutes: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $230.36 BCBS - Anthem — Medicaid\|All Plans: $221.42 BCBS - Anthem — Medicare\|All Other Plans: $217.23 BCBS - Anthem — Medicare\|Imperial: $237.27 Blue Shield CA — Medicare\|HMO: $230.36 Blue Shield CA — Medicare\|PPO: $230.36 BrightHealth — Commercial\|All Plans: $253.40 California Health & Wellness — Medicaid\|All Plans: $209.54 First Health — Commercial\|All Plans: $405 Health Net — Medicaid\|All Plans: $209.54
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHER PAT 38-52 MIN	$540	$99.69	$388.80 – $432
Psychotherapy, 45 minutes: rates for 4 insurance plans First Health — Commercial\|All Plans: $405 Healthsmart — Commercial\|All Plans: $388.80 MultiPlan — Commercial\|All Plans: $432 Sutter Health — Commercial\|All Plans: $432
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY PAT >53 MIN	$709	$130.89	$112.48 – $567.20
Psychotherapy, 60 minutes: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $230.36 BCBS - Anthem — Medicaid\|All Plans: $192.12 BCBS - Anthem — Medicare\|All Other Plans: $217.23 BCBS - Anthem — Medicare\|Imperial: $237.27 Blue Shield CA — Medicare\|HMO: $230.36 Blue Shield CA — Medicare\|PPO: $230.36 BrightHealth — Commercial\|All Plans: $253.40 California Health & Wellness — Medicaid\|All Plans: $305.83 First Health — Commercial\|All Plans: $531.75 Health Net — Medicaid\|All Plans: $305.83
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY PAT >53 MIN	$709	$130.89	$510.48 – $567.20
Psychotherapy, 60 minutes: rates for 4 insurance plans First Health — Commercial\|All Plans: $531.75 Healthsmart — Commercial\|All Plans: $510.48 MultiPlan — Commercial\|All Plans: $567.20 Sutter Health — Commercial\|All Plans: $567.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 30MIN	$237	$43.76	$3.98 – $197.76
Group psychotherapy: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $131.84 BCBS - Anthem — Medicaid\|All Plans: $9.76 BCBS - Anthem — Medicare\|All Other Plans: $124.33 BCBS - Anthem — Medicare\|Imperial: $135.80 Blue Shield CA — Medicare\|HMO: $131.84 Blue Shield CA — Medicare\|PPO: $131.84 BrightHealth — Commercial\|All Plans: $145.02 California Health & Wellness — Medicaid\|All Plans: $15.52 First Health — Commercial\|All Plans: $177.75 Health Net — Medicaid\|All Plans: $15.52
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 60MIN	$296	$54.65	$3.98 – $236.80
Group psychotherapy: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $131.84 BCBS - Anthem — Medicaid\|All Plans: $9.76 BCBS - Anthem — Medicare\|All Other Plans: $124.33 BCBS - Anthem — Medicare\|Imperial: $135.80 Blue Shield CA — Medicare\|HMO: $131.84 Blue Shield CA — Medicare\|PPO: $131.84 BrightHealth — Commercial\|All Plans: $145.02 California Health & Wellness — Medicaid\|All Plans: $15.52 First Health — Commercial\|All Plans: $222 Health Net — Medicaid\|All Plans: $15.52
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY 30MIN	$237	$43.76	$170.64 – $189.60
Group psychotherapy: rates for 4 insurance plans First Health — Commercial\|All Plans: $177.75 Healthsmart — Commercial\|All Plans: $170.64 MultiPlan — Commercial\|All Plans: $189.60 Sutter Health — Commercial\|All Plans: $189.60

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$302.26 – $31,901
Removal of breast growth (open surgery): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $8,278 Aetna — Commercial\|HMO: $8,278 Aetna — Commercial\|PPO: $8,278 Aetna — Medicare\|All Plans: $5,081.50 BCBS - Anthem — Commercial\|All Other Plans: $12,905 BCBS - Anthem — Commercial\|Connection EPO: $10,324 BCBS - Anthem — Commercial\|MCS: $18,712 BCBS - Anthem — Medicaid\|All Plans: $592.43 BCBS - Anthem — Medicare\|All Other Plans: $4,791.85 BCBS - Anthem — Medicare\|Imperial: $5,233.94
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,185.37 – $67,787
Total hip replacement: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $15,415 Aetna — Commercial\|HMO: $15,415 Aetna — Commercial\|PPO: $15,415 Aetna — Medicare\|All Plans: $16,662.22 BCBS - Anthem — Commercial\|All Other Plans: $19,857 BCBS - Anthem — Commercial\|Connection EPO: $15,886 BCBS - Anthem — Commercial\|MCS: $28,793 BCBS - Anthem — Medicaid\|All Plans: $4,186.78 BCBS - Anthem — Medicare\|All Other Plans: $15,712.47 BCBS - Anthem — Medicare\|Imperial: $17,162.09
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,183.46 – $67,787
Total knee replacement: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $15,415 Aetna — Commercial\|HMO: $15,415 Aetna — Commercial\|PPO: $15,415 Aetna — Medicare\|All Plans: $16,662.22 BCBS - Anthem — Commercial\|All Other Plans: $37,661 BCBS - Anthem — Commercial\|Connection EPO: $30,129 BCBS - Anthem — Commercial\|MCS: $54,608 BCBS - Anthem — Medicaid\|All Plans: $4,186.78 BCBS - Anthem — Medicare\|All Other Plans: $15,712.47 BCBS - Anthem — Medicare\|Imperial: $17,162.09
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$147.12 – $26,029
Shoulder arthroscopy: shaving of shoulder bone: 10 of 39 insurance plan rates Aetna — Commercial\|All Other Plans: $8,278 Aetna — Commercial\|HMO: $8,278 Aetna — Commercial\|PPO: $8,278 BCBS - Anthem — Commercial\|All Other Plans: $17,951 BCBS - Anthem — Commercial\|Connection EPO: $14,361 BCBS - Anthem — Commercial\|MCS: $26,029 BCBS - Anthem — Medicaid\|All Plans: $1,185.92 Blue Shield CA — Commercial\|ACO Trio: $4,885 Blue Shield CA — Commercial\|ACO Trio CalPers: $6,213 Blue Shield CA — Commercial\|ACO Trio MMG: $6,827
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$541.78 – $38,603
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $10,352 Aetna — Commercial\|HMO: $10,352 Aetna — Commercial\|PPO: $10,352 Aetna — Medicare\|All Plans: $4,246.45 BCBS - Anthem — Commercial\|All Other Plans: $16,032 BCBS - Anthem — Commercial\|Connection EPO: $12,826 BCBS - Anthem — Commercial\|MCS: $23,246 BCBS - Anthem — Medicaid\|All Plans: $1,549.09 BCBS - Anthem — Medicare\|All Other Plans: $4,004.40 BCBS - Anthem — Medicare\|Imperial: $4,373.84
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$193.53 – $31,901
Removal of tonsils and adenoids (under age 12): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $8,278 Aetna — Commercial\|HMO: $8,278 Aetna — Commercial\|PPO: $8,278 Aetna — Medicare\|All Plans: $7,682.84 BCBS - Anthem — Commercial\|All Other Plans: $16,032 BCBS - Anthem — Commercial\|Connection EPO: $12,826 BCBS - Anthem — Commercial\|MCS: $23,246 BCBS - Anthem — Medicaid\|All Plans: $474.14 BCBS - Anthem — Medicare\|All Other Plans: $7,244.92 BCBS - Anthem — Medicare\|Imperial: $7,913.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$257.18 – $23,927
Upper GI endoscopy (diagnostic): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $5,175 Aetna — Commercial\|HMO: $5,175 Aetna — Commercial\|PPO: $5,175 Aetna — Medicare\|All Plans: $1,177.10 BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $630.10 BCBS - Anthem — Medicare\|All Other Plans: $1,110.01 BCBS - Anthem — Medicare\|Imperial: $1,212.41
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$268.73 – $23,927
Upper GI endoscopy with biopsy: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $1,177.10 BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $658.38 BCBS - Anthem — Medicare\|All Other Plans: $1,110.01 BCBS - Anthem — Medicare\|Imperial: $1,212.41
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$338.78 – $23,927
Colonoscopy (diagnostic): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $1,206.91 BCBS - Anthem — Commercial\|All Other Plans: $4,795 BCBS - Anthem — Commercial\|Connection EPO: $3,836 BCBS - Anthem — Commercial\|MCS: $6,953 BCBS - Anthem — Medicaid\|All Plans: $830.02 BCBS - Anthem — Medicare\|All Other Plans: $1,138.12 BCBS - Anthem — Medicare\|Imperial: $1,243.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$378.95 – $23,927
Colonoscopy with biopsy: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $1,553.02 BCBS - Anthem — Commercial\|All Other Plans: $4,795 BCBS - Anthem — Commercial\|Connection EPO: $3,836 BCBS - Anthem — Commercial\|MCS: $6,953 BCBS - Anthem — Medicaid\|All Plans: $928.41 BCBS - Anthem — Medicare\|All Other Plans: $1,464.50 BCBS - Anthem — Medicare\|Imperial: $1,599.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$459.26 – $23,927
Colonoscopy with removal of polyps (snare): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $1,553.02 BCBS - Anthem — Commercial\|All Other Plans: $4,795 BCBS - Anthem — Commercial\|Connection EPO: $3,836 BCBS - Anthem — Commercial\|MCS: $6,953 BCBS - Anthem — Medicaid\|All Plans: $1,125.20 BCBS - Anthem — Medicare\|All Other Plans: $1,464.50 BCBS - Anthem — Medicare\|Imperial: $1,599.61
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$194.68 – $23,927
Ultrasound of the lower bowel by endoscope: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $1,553.02 BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $332.75 BCBS - Anthem — Medicare\|All Other Plans: $1,464.50 BCBS - Anthem — Medicare\|Imperial: $1,599.61
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$534.88 – $59,816
Gallbladder removal by laparoscope: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $12,112 Aetna — Commercial\|HMO: $12,112 Aetna — Commercial\|PPO: $12,112 Aetna — Medicare\|All Plans: $7,845.97 BCBS - Anthem — Commercial\|All Other Plans: $37,661 BCBS - Anthem — Commercial\|Connection EPO: $30,129 BCBS - Anthem — Commercial\|MCS: $54,608 BCBS - Anthem — Medicaid\|All Plans: $1,310.46 BCBS - Anthem — Medicare\|All Other Plans: $7,398.75 BCBS - Anthem — Medicare\|Imperial: $8,081.35
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$394.76 – $38,603
Groin (inguinal) hernia repair, age 5 or older: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $10,352 Aetna — Commercial\|HMO: $10,352 Aetna — Commercial\|PPO: $10,352 Aetna — Medicare\|All Plans: $4,646.69 BCBS - Anthem — Commercial\|All Other Plans: $16,032 BCBS - Anthem — Commercial\|Connection EPO: $12,826 BCBS - Anthem — Commercial\|MCS: $23,246 BCBS - Anthem — Medicaid\|All Plans: $967.16 BCBS - Anthem — Medicare\|All Other Plans: $4,381.83 BCBS - Anthem — Medicare\|Imperial: $4,786.09
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$100.40 – $19,258
Prostate biopsy: 10 of 19 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $245.98 Cigna — Commercial\|All Other Plans: $6,760 Cigna — Commercial\|LocalPlus: $5,070 Health Net — Commercial\|FFS: $8,966 Hill Physicians — Medicare\|All Plans: $268.26 United — Commercial\|Navigate Select: $19,258 United — Commercial\|Non-Options PPO: $19,258
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$1,093.88 – $67,787
Prostate removal by laparoscope (radical prostatectomy): 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $12,112 Aetna — Commercial\|HMO: $12,112 Aetna — Commercial\|PPO: $12,112 Aetna — Medicare\|All Plans: $13,795.55 BCBS - Anthem — Commercial\|All Other Plans: $25,412 BCBS - Anthem — Commercial\|Connection EPO: $20,330 BCBS - Anthem — Commercial\|MCS: $36,847 BCBS - Anthem — Medicaid\|All Plans: $1,868.06 BCBS - Anthem — Medicare\|All Other Plans: $13,009.20 BCBS - Anthem — Medicare\|Imperial: $14,209.42
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$251.48 – $31,901
Hysteroscopy with biopsy of the uterus lining: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $8,278 Aetna — Commercial\|HMO: $8,278 Aetna — Commercial\|PPO: $8,278 Aetna — Medicare\|All Plans: $4,201.19 BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $492.90 BCBS - Anthem — Medicare\|All Other Plans: $3,961.72 BCBS - Anthem — Medicare\|Imperial: $4,327.23
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG	$2,505	$462.45	$220.03 – $19,742
Spinal injection, lower back (epidural), with imaging guidance: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $5,175 Aetna — Commercial\|HMO: $5,175 Aetna — Commercial\|PPO: $5,175 Aetna — Medicare\|All Plans: $916.10 BCBS - Anthem — Commercial\|All Other Plans: $4,795 BCBS - Anthem — Commercial\|Connection EPO: $3,836 BCBS - Anthem — Commercial\|MCS: $6,953 BCBS - Anthem — Medicaid\|All Plans: $431.26 BCBS - Anthem — Medicare\|All Other Plans: $863.88 BCBS - Anthem — Medicare\|Imperial: $943.58
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG	$2,505	$462.45	$1,803.60 – $2,004
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans First Health — Commercial\|All Plans: $1,878.75 Healthsmart — Commercial\|All Plans: $1,803.60 MultiPlan — Commercial\|All Plans: $2,004 Sutter Health — Commercial\|All Plans: $2,004
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EP L/S SNG IN BI	$4,570	$843.66	$164.49 – $19,742
Nerve root injection, lower back, with imaging guidance: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $5,175 Aetna — Commercial\|HMO: $5,175 Aetna — Commercial\|PPO: $5,175 Aetna — Medicare\|All Plans: $1,147.88 BCBS - Anthem — Commercial\|All Other Plans: $4,795 BCBS - Anthem — Commercial\|Connection EPO: $3,836 BCBS - Anthem — Commercial\|MCS: $6,953 BCBS - Anthem — Medicaid\|All Plans: $403 BCBS - Anthem — Medicare\|All Other Plans: $1,082.45 BCBS - Anthem — Medicare\|Imperial: $1,182.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EPI L/S SNGL INJ	$3,047	$562.50	$164.49 – $19,742
Nerve root injection, lower back, with imaging guidance: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $5,175 Aetna — Commercial\|HMO: $5,175 Aetna — Commercial\|PPO: $5,175 Aetna — Medicare\|All Plans: $1,147.88 BCBS - Anthem — Commercial\|All Other Plans: $4,795 BCBS - Anthem — Commercial\|Connection EPO: $3,836 BCBS - Anthem — Commercial\|MCS: $6,953 BCBS - Anthem — Medicaid\|All Plans: $403 BCBS - Anthem — Medicare\|All Other Plans: $1,082.45 BCBS - Anthem — Medicare\|Imperial: $1,182.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EP L/S SNG IN BI	$4,570	$843.66	$3,290.40 – $3,656
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans First Health — Commercial\|All Plans: $3,427.50 Healthsmart — Commercial\|All Plans: $3,290.40 MultiPlan — Commercial\|All Plans: $3,656 Sutter Health — Commercial\|All Plans: $3,656
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$363.57 – $31,901
Carpal tunnel release: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $2,534.27 BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $890.74 BCBS - Anthem — Medicare\|All Other Plans: $2,389.82 BCBS - Anthem — Medicare\|Imperial: $2,610.30
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$213.61 – $19,742
Laser treatment of clouding after cataract surgery: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $7,245 Aetna — Commercial\|HMO: $7,245 Aetna — Commercial\|PPO: $7,245 Aetna — Medicare\|All Plans: $713.79 BCBS - Anthem — Commercial\|All Other Plans: $10,484 BCBS - Anthem — Commercial\|Connection EPO: $8,387 BCBS - Anthem — Commercial\|MCS: $15,202 BCBS - Anthem — Medicaid\|All Plans: $523.34 BCBS - Anthem — Medicare\|All Other Plans: $673.10 BCBS - Anthem — Medicare\|Imperial: $735.20
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$496.67 – $36,847
Cataract removal with lens implant: 10 of 51 insurance plan rates Aetna — Commercial\|All Other Plans: $12,112 Aetna — Commercial\|HMO: $12,112 Aetna — Commercial\|PPO: $12,112 Aetna — Medicare\|All Plans: $2,995.13 BCBS - Anthem — Commercial\|All Other Plans: $25,412 BCBS - Anthem — Commercial\|Connection EPO: $20,330 BCBS - Anthem — Commercial\|MCS: $36,847 BCBS - Anthem — Medicaid\|All Plans: $2,826.07 BCBS - Anthem — Medicare\|All Other Plans: $2,824.41 BCBS - Anthem — Medicare\|Imperial: $3,084.98

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,994.02 – $27,187
Vaginal delivery, with care before and after: 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $14,291 BCBS - Anthem — Commercial\|Connection EPO: $11,433 BCBS - Anthem — Commercial\|MCS: $20,722 BCBS - Anthem — Medicaid\|All Plans: $3,060.40 Blue Shield CA — Commercial\|ACO Trio: $4,275 Blue Shield CA — Commercial\|ACO Trio CalPers: $5,437 Blue Shield CA — Commercial\|ACO Trio MMG: $5,974 Blue Shield CA — Commercial\|All Other Plans: $8,879 Blue Shield CA — Commercial\|CalPers: $8,462 Blue Shield CA — Commercial\|CalPers MMG: $5,795
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,995.21 – $27,187
Cesarean delivery (C-section), with care before and after: 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $14,291 BCBS - Anthem — Commercial\|Connection EPO: $11,433 BCBS - Anthem — Commercial\|MCS: $20,722 BCBS - Anthem — Medicaid\|All Plans: $3,060.58 Blue Shield CA — Commercial\|ACO Trio: $4,885 Blue Shield CA — Commercial\|ACO Trio CalPers: $6,213 Blue Shield CA — Commercial\|ACO Trio MMG: $6,827 Blue Shield CA — Commercial\|All Other Plans: $10,147 Blue Shield CA — Commercial\|CalPers: $9,671 Blue Shield CA — Commercial\|CalPers MMG: $6,623
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,994.02 – $27,187
Vaginal delivery after a previous C-section, with care before and after: 10 of 31 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $14,291 BCBS - Anthem — Commercial\|Connection EPO: $11,433 BCBS - Anthem — Commercial\|MCS: $20,722 BCBS - Anthem — Medicaid\|All Plans: $3,060.40 Blue Shield CA — Commercial\|ACO Trio: $4,275 Blue Shield CA — Commercial\|ACO Trio CalPers: $5,437 Blue Shield CA — Commercial\|ACO Trio MMG: $5,974 Blue Shield CA — Commercial\|All Other Plans: $8,879 Blue Shield CA — Commercial\|CalPers: $8,462 Blue Shield CA — Commercial\|CalPers MMG: $5,795

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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	$7,684 – $62,023
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 30 insurance plan rates Aetna — Commercial\|All Other Plans: $36,514 Aetna — Commercial\|HMO: $36,514 Aetna — Commercial\|PPO: $36,514 Aetna — Medicare\|All Plans: $12,737.70 BCBS - Anthem — Medicare\|All Other Plans: $12,737.70 BCBS - Anthem — Medicare\|Imperial: $13,119.84 Blue Shield CA — Medicare\|HMO: $12,737.70 Blue Shield CA — Medicare\|PPO: $12,737.70 BrightHealth — Commercial\|All Plans: $14,011.47 California Health & Wellness — Medicaid\|All Plans: $7,684
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION	Not listed in the file	Not listed in the file	$5,337 – $41,029
Spinal fusion (not neck), without major complications: rates for 8 insurance plans Health Net — Commercial\|FFS: $41,029 Molina — Medicaid\|All Plans: $5,337 United — Commercial\|Navigate Select: $22,224 United — Commercial\|Non-Options PPO: $22,224 First Health — Commercial\|All Plans: 75% (a percentage in the contract, not a dollar amount) Healthsmart — Commercial\|All Plans: 72% (a percentage in the contract, not a dollar amount) MultiPlan — Commercial\|All Plans: 80% (a percentage in the contract, not a dollar amount) Sutter Health — Commercial\|All Plans: 80% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$3,059.52 – $44,614
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates Aetna — Medicare\|All Plans: $3,059.52 BCBS - Anthem — Medicare\|All Other Plans: $3,059.52 BCBS - Anthem — Medicare\|Imperial: $3,151.31 Blue Shield CA — Medicare\|HMO: $3,059.52 Blue Shield CA — Medicare\|PPO: $3,059.52 BrightHealth — Commercial\|All Plans: $3,365.48 Connected Care — Commercial\|Intel: $44,614 Health Net — Commercial\|FFS: $41,029 Kaiser — Medicare\|All Plans: $3,059.52 Molina — Medicaid\|All Plans: $5,337
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$3,690.94 – $41,029
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates Aetna — Medicare\|All Plans: $3,690.94 BCBS - Anthem — Medicare\|All Other Plans: $3,690.94 BCBS - Anthem — Medicare\|Imperial: $3,801.67 Blue Shield CA — Medicare\|HMO: $3,690.94 Blue Shield CA — Medicare\|PPO: $3,690.94 BrightHealth — Commercial\|All Plans: $4,060.04 Health Net — Commercial\|FFS: $41,029 Kaiser — Medicare\|All Plans: $3,690.94 Molina — Medicaid\|All Plans: $5,337 Molina — Medicare\|All Plans: $3,690.94
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,211.47 – $41,029
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates Aetna — Medicare\|All Plans: $2,211.47 BCBS - Anthem — Medicare\|All Other Plans: $2,211.47 BCBS - Anthem — Medicare\|Imperial: $2,277.82 Blue Shield CA — Medicare\|HMO: $2,211.47 Blue Shield CA — Medicare\|PPO: $2,211.47 BrightHealth — Commercial\|All Plans: $2,432.62 Health Net — Commercial\|FFS: $41,029 Kaiser — Medicare\|All Plans: $2,211.47 Molina — Medicaid\|All Plans: $5,337 Molina — Medicare\|All Plans: $2,211.47

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

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

Hospital information

Hospital type	Acute Care Hospital
Address	4001 J St, Sacramento, CA 95819
County	Sacramento County
State	California
Phone	(916) 453‑4453
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050017
Name in Medicare records	MERCY GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(916) 453‑4545^[4]
Name on the hospital’s website	Dignity Health - Mercy General Hospital
Official website	commonspirit.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Dignity Health - Mercy General Hospital (Sacramento, CA) — commonspirit.org
Dignity Health - Mercy General Hospital - Sacramento, CA | CommonSpirit Health — commonspirit.org
Emergency Room - Dignity Health - Mercy General Hospital - Sacramento, CA | CommonSpirit Health — commonspirit.org

Mercy General Hospital

Summary

Profile from official sources

At a glance