Does Mercy Medical Center of Mt Shasta have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mercy Medical Center of Mt Shasta. In a medical emergency, call 911.

Where is Mercy Medical Center of Mt Shasta?

914 Pine Street, Mount Shasta, CA 96067, in Siskiyou County, California.

What is the phone number of Mercy Medical Center of Mt Shasta?

(530) 926-6111, as listed by Medicare (CMS).

What is the Medicare star rating of Mercy Medical Center of Mt Shasta?

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

Mercy Medical Center of Mt Shasta

Quick answers

Does Mercy Medical Center of Mt Shasta have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mercy Medical Center of Mt Shasta. In a medical emergency, call 911.
Where is Mercy Medical Center of Mt Shasta?: 914 Pine Street, Mount Shasta, CA 96067, in Siskiyou County, California.
What is the phone number of Mercy Medical Center of Mt Shasta?: (530) 926-6111, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy Medical Center of Mt Shasta?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Emergency medicine
Heart care
Neurology
Spine care
Obstetrics and gynecology
Cancer care
Imaging
Orthopedics
Wound care
Laboratory services
Therapy services
Hospice and palliative care
Family Birth Center
Cardiology (heart care)
Trauma surgery
Substance use disorder care

Conditions treated^[4][7]

Stroke and TIA
Diabetes and vascular disease (wound care)
Substance use disorders
Chest pain or heart attack symptoms
Broken or dislocated bones
Stroke symptoms
Head or eye injury
Dizziness or loss of consciousness
Major wounds or bleeding that won't stop
High fever or fever with rash
Coughing or vomiting blood

Treatments^[4][5][8]

Intravesical (bladder) chemotherapy
Blood and platelet transfusions
Hydration therapy
Chemotherapy, including bladder instillation
Physical therapy
Occupational therapy
Speech and language therapy

Procedures^[6]

Anatomic pathology
Clinical pathology
Hematology testing

Programs and centers^[5][6][8]

Family Birth Center
Mercy Therapy Services (outpatient rehabilitation)
Laboratory services

Emergency care (hospital website)^[4][5][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III

Visiting and practical information

Visiting	Daily 8 a.m.-8 p.m.; ICU and birth center have own limits^[4]
Interpreters and languages	Language and interpretation services available^[4]
Patient portal	My Portal by Dignity Health

Recognition^[4][5]

Joint Commission accredited
Accredited by the Joint Commission

Doctors and clinicians (194)

194 doctors and other clinicians list Mercy Medical Center of Mt Shasta 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 (194)

Aaron C. Babb, MDFamily Practice
Aaron M. Hougham, MDEmergency Medicine
Adam E. Cabalo, MDOrthopedic Surgery
Alan Cohn, DOGeneral Practice
Alexandria Delafuente, MDEmergency Medicine
Allen D. Morris, MDPathology
Amir Laktineh, MDPulmonary Disease
Angela M. Quang, MDHospitalist
Anu SharmaNurse Practitioner
Aram Hambardzumyan, MDHospitalist
Ashley D. Delaney, DOEmergency Medicine
Audrey N. Peterson, PAPhysician Assistant
Benjamin S. Nuti, CNACertified Registered Nurse Anesthetist (CRNA)
Bradley Sackfield, MDMedical Oncology
Brian Fischer, MDCritical Care (Intensivists)
Bruce N. Riger, MDInternal Medicine
Bukkambudhi V. Chandramouli, MDCardiovascular Disease (Cardiology)
Caleb A. Newton, DOFamily Practice
Cameron J. Phillips, MDOrthopedic Surgery
Carri A. Decarlo, PAPhysician Assistant
Carrie C. McNeely-Schenone, NPNurse Practitioner
Christina D. Bush, PAPhysician Assistant
Christopher Smith, MDInternal Medicine
Christopher Stockdale, MDUrology

And 170 more: the button below opens the full list.

Other emergency rooms nearby

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

Fairchild Medical Center32 mi · Yreka, CA · Critical Access Hospital
Shasta Regional Medical Center51 mi · Redding, CA · Acute Care Hospital
Mayers Memorial Hospital51 mi · Fall River Mills, CA · Critical Access Hospital
Trinity Hospital51 mi · Weaverville, CA · Critical Access Hospital
Mercy Medical Center Redding52 mi · Redding, CA · Acute Care Hospital

Other hospitals nearby

Vibra Hospital of Northern California51 mi · Redding, CA · Long-Term Acute Care 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

Shasta Healthcare8.3 mi · Weed, CA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Mercy Hospice Mt Shasta0.2 mi · Mount Shasta, CA

All hospice providers 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

Shasta Cascade Health Centers - Mt. Shasta0.1 mi · Mount Shasta, CA · Community health center
Shasta Cascade Health Centers - Mt. Shasta 822 Pine0.1 mi · Mount Shasta, CA · Community health center
Mount Shasta Alternative Health Center0.2 mi · Mount Shasta, CA · Community health center

Clinics and urgent care

Mercy Medical Center Mt Shasta0.2 mi · Mount Shasta, CA · Rural health clinic
Mercy Medical Center Mt. Shasta0.2 mi · Mount Shasta, CA · Rural health clinic
Shasta Family Care0.2 mi · Mt Shasta, CA · Rural health clinic

Pharmacies

Garfield Beach CVS, L.L.C.0.2 mi · Mount Shasta, CA · Community/retail pharmacy
Mount Shasta Pharmacy, Inc.0.2 mi · Mount Shasta, CA · Community/retail pharmacy

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 Medical Center of Mt Shasta 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	5 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	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	84%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	86%National average: 80%
Staff “always” explained medicines before giving them	69%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	74%National average: 60%
Completed surveys	117Response rate: 27%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Too few cases to report
Deaths within 30 days: heart failure patients	10.7%
Deaths within 30 days: pneumonia patients	19.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

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	Too few cases to report
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	89 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)	83%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 California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 57 common services exactly as Mercy Medical Center of Mt Shasta 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK NEW PT	$3,421	$2,602.53	$154.17 – $3,352.58
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $2,976.27 Aetna — Commercial\|HMO: $2,976.27 Aetna — Commercial\|PPO: $2,976.27 Aetna — Medicare\|All Plans: $752.62 BCBS - Anthem — Medicaid\|All Plans: $154.17 BCBS - Anthem — Medicare\|All Plans: $752.62 Blue Shield CA — Commercial\|All Other Plans: $3,044.69 Blue Shield CA — Commercial\|Exchange: $2,497.33 Blue Shield CA — Medicare\|All Plans: $752.62 California Health & Wellness — Medicaid\|All Plans: $272.48
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK NEW PT	$3,421	$2,602.53	$1,778.92 – $3,352.58
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $3,010.48 Aetna — Commercial\|HMO: $3,010.48 Aetna — Commercial\|PPO: $3,010.48 Blue Shield CA — Commercial\|All Other Plans: $3,044.69 Blue Shield CA — Commercial\|Exchange: $2,497.33 California Health & Wellness — Medicaid\|All Plans: $1,778.92 Cigna — Commercial\|All Other Plans: $2,736.80 Cigna — Commercial\|PPO: $2,736.80 Coventry — Commercial\|All Plans: $3,352.58 Health Net — Commercial\|All Plans: $3,215.74
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT LOW 20MN EST PT	$173	$131.61	$38.06 – $173
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $150.51 Aetna — Commercial\|HMO: $150.51 Aetna — Commercial\|PPO: $150.51 Aetna — Medicare\|All Plans: $38.06 BCBS - Anthem — Medicaid\|All Plans: $53.71 BCBS - Anthem — Medicare\|All Plans: $38.06 Blue Shield CA — Commercial\|All Other Plans: $153.97 Blue Shield CA — Commercial\|Exchange: $126.29 Blue Shield CA — Medicare\|All Plans: $38.06 California Health & Wellness — Medicaid\|All Plans: $94.93
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT LOW 20MN EST PT	$173	$131.61	$89.96 – $169.54
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $152.24 Aetna — Commercial\|HMO: $152.24 Aetna — Commercial\|PPO: $152.24 Blue Shield CA — Commercial\|All Other Plans: $153.97 Blue Shield CA — Commercial\|Exchange: $126.29 California Health & Wellness — Medicaid\|All Plans: $89.96 Cigna — Commercial\|All Other Plans: $138.40 Cigna — Commercial\|PPO: $138.40 Coventry — Commercial\|All Plans: $169.54 Health Net — Commercial\|All Plans: $162.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK EST PT	$3,421	$2,602.53	$83.91 – $3,352.58
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $2,976.27 Aetna — Commercial\|HMO: $2,976.27 Aetna — Commercial\|PPO: $2,976.27 Aetna — Medicare\|All Plans: $752.62 BCBS - Anthem — Medicaid\|All Plans: $83.91 BCBS - Anthem — Medicare\|All Plans: $752.62 Blue Shield CA — Commercial\|All Other Plans: $3,044.69 Blue Shield CA — Commercial\|Exchange: $2,497.33 Blue Shield CA — Medicare\|All Plans: $752.62 California Health & Wellness — Medicaid\|All Plans: $148.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK EST PT	$3,421	$2,602.53	$1,778.92 – $3,352.58
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $3,010.48 Aetna — Commercial\|HMO: $3,010.48 Aetna — Commercial\|PPO: $3,010.48 Blue Shield CA — Commercial\|All Other Plans: $3,044.69 Blue Shield CA — Commercial\|Exchange: $2,497.33 California Health & Wellness — Medicaid\|All Plans: $1,778.92 Cigna — Commercial\|All Other Plans: $2,736.80 Cigna — Commercial\|PPO: $2,736.80 Coventry — Commercial\|All Plans: $3,352.58 Health Net — Commercial\|All Plans: $3,215.74
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3	$2,205	$1,677.46	$99.79 – $2,160.90
Emergency room visit (moderate): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,918.35 Aetna — Commercial\|HMO: $1,918.35 Aetna — Commercial\|PPO: $1,918.35 Aetna — Medicare\|All Plans: $485.10 BCBS - Anthem — Commercial\|All Other Plans: $1,808.10 BCBS - Anthem — Commercial\|Exchange: $1,477.35 BCBS - Anthem — Medicaid\|All Plans: $99.79 BCBS - Anthem — Medicare\|All Plans: $485.10 Blue Shield CA — Commercial\|All Other Plans: $1,962.45 Blue Shield CA — Commercial\|Exchange: $1,609.65
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3	$2,205	$1,677.46	$1,146.60 – $2,160.90
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $1,940.40 Aetna — Commercial\|HMO: $1,940.40 Aetna — Commercial\|PPO: $1,940.40 Blue Shield CA — Commercial\|All Other Plans: $1,962.45 Blue Shield CA — Commercial\|Exchange: $1,609.65 California Health & Wellness — Medicaid\|All Plans: $1,146.60 Cigna — Commercial\|All Other Plans: $1,764 Cigna — Commercial\|PPO: $1,764 Coventry — Commercial\|All Plans: $2,160.90 Health Net — Commercial\|All Plans: $2,072.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4	$4,838	$3,680.51	$152.94 – $4,741.24
Emergency room visit (moderately high): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $4,209.06 Aetna — Commercial\|HMO: $4,209.06 Aetna — Commercial\|PPO: $4,209.06 Aetna — Medicare\|All Plans: $1,064.36 BCBS - Anthem — Commercial\|All Other Plans: $3,967.16 BCBS - Anthem — Commercial\|Exchange: $3,241.46 BCBS - Anthem — Medicaid\|All Plans: $152.94 BCBS - Anthem — Medicare\|All Plans: $1,064.36 Blue Shield CA — Commercial\|All Other Plans: $4,305.82 Blue Shield CA — Commercial\|Exchange: $3,531.74
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4	$4,838	$3,680.51	$2,515.76 – $4,741.24
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $4,257.44 Aetna — Commercial\|HMO: $4,257.44 Aetna — Commercial\|PPO: $4,257.44 Blue Shield CA — Commercial\|All Other Plans: $4,305.82 Blue Shield CA — Commercial\|Exchange: $3,531.74 California Health & Wellness — Medicaid\|All Plans: $2,515.76 Cigna — Commercial\|All Other Plans: $3,870.40 Cigna — Commercial\|PPO: $3,870.40 Coventry — Commercial\|All Plans: $4,741.24 Health Net — Commercial\|All Plans: $4,547.72
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER EVIDENTIARY EXAM	$5,122	$3,896.56	$241.85 – $5,019.56
Emergency room visit (high): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $4,456.14 Aetna — Commercial\|HMO: $4,456.14 Aetna — Commercial\|PPO: $4,456.14 Aetna — Medicare\|All Plans: $1,126.84 BCBS - Anthem — Commercial\|All Other Plans: $4,200.04 BCBS - Anthem — Commercial\|Exchange: $3,431.74 BCBS - Anthem — Medicaid\|All Plans: $241.85 BCBS - Anthem — Medicare\|All Plans: $1,126.84 Blue Shield CA — Commercial\|All Other Plans: $4,558.58 Blue Shield CA — Commercial\|Exchange: $3,739.06
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5	$7,114	$5,411.97	$241.85 – $6,971.72
Emergency room visit (high): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $6,189.18 Aetna — Commercial\|HMO: $6,189.18 Aetna — Commercial\|PPO: $6,189.18 Aetna — Medicare\|All Plans: $1,565.08 BCBS - Anthem — Commercial\|All Other Plans: $5,833.48 BCBS - Anthem — Commercial\|Exchange: $4,766.38 BCBS - Anthem — Medicaid\|All Plans: $241.85 BCBS - Anthem — Medicare\|All Plans: $1,565.08 Blue Shield CA — Commercial\|All Other Plans: $6,331.46 Blue Shield CA — Commercial\|Exchange: $5,193.22
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER EVIDENTIARY EXAM	$5,122	$3,896.56	$2,663.44 – $5,019.56
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $4,507.36 Aetna — Commercial\|HMO: $4,507.36 Aetna — Commercial\|PPO: $4,507.36 Blue Shield CA — Commercial\|All Other Plans: $4,558.58 Blue Shield CA — Commercial\|Exchange: $3,739.06 California Health & Wellness — Medicaid\|All Plans: $2,663.44 Cigna — Commercial\|All Other Plans: $4,097.60 Cigna — Commercial\|PPO: $4,097.60 Coventry — Commercial\|All Plans: $5,019.56 Health Net — Commercial\|All Plans: $4,814.68

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	$239	$181.82	$7.27 – $234.22
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $207.93 Aetna — Commercial\|HMO: $207.93 Aetna — Commercial\|PPO: $207.93 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $200.76 BCBS - Anthem — Commercial\|Exchange: $162.52 BCBS - Anthem — Medicaid\|All Plans: $17.27 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|All Other Plans: $212.71 Blue Shield CA — Commercial\|Exchange: $174.47
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: RL-A-BMP SP 20399	$8.54	$6.50	$5.81 – $8.54
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $7.43 Aetna — Commercial\|HMO: $7.43 Aetna — Commercial\|PPO: $7.43 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $7.18 BCBS - Anthem — Commercial\|Exchange: $5.81 BCBS - Anthem — Medicaid\|All Plans: $8.54 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|All Other Plans: $7.61 Blue Shield CA — Commercial\|Exchange: $6.24
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: RL-SR-BASIC METAB PANEL	$8.46	$6.44	$5.76 – $8.46
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $7.37 Aetna — Commercial\|HMO: $7.37 Aetna — Commercial\|PPO: $7.37 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $7.11 BCBS - Anthem — Commercial\|Exchange: $5.76 BCBS - Anthem — Medicaid\|All Plans: $8.46 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|All Other Plans: $7.53 Blue Shield CA — Commercial\|Exchange: $6.18
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$301	$228.99	$9.19 – $294.98
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $261.87 Aetna — Commercial\|HMO: $261.87 Aetna — Commercial\|PPO: $261.87 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $252.84 BCBS - Anthem — Commercial\|Exchange: $204.68 BCBS - Anthem — Medicaid\|All Plans: $21.81 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|All Other Plans: $267.89 Blue Shield CA — Commercial\|Exchange: $219.73
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: RL-A-CMP 20408	$11.18	$8.51	$7.61 – $11.18
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $9.73 Aetna — Commercial\|HMO: $9.73 Aetna — Commercial\|PPO: $9.73 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $9.40 BCBS - Anthem — Commercial\|Exchange: $7.61 BCBS - Anthem — Medicaid\|All Plans: $11.18 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|All Other Plans: $9.96 Blue Shield CA — Commercial\|Exchange: $8.17
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: RL-SR-COMP METABOLIC PNL	$10.56	$8.04	$7.19 – $10.56
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $9.19 Aetna — Commercial\|HMO: $9.19 Aetna — Commercial\|PPO: $9.19 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $8.88 BCBS - Anthem — Commercial\|Exchange: $7.19 BCBS - Anthem — Medicaid\|All Plans: $10.56 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|All Other Plans: $9.40 Blue Shield CA — Commercial\|Exchange: $7.71
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$326	$248.01	$11.54 – $319.48
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $283.62 Aetna — Commercial\|HMO: $283.62 Aetna — Commercial\|PPO: $283.62 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $273.84 BCBS - Anthem — Commercial\|Exchange: $221.68 BCBS - Anthem — Medicaid\|All Plans: $21.65 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|All Other Plans: $290.14 Blue Shield CA — Commercial\|Exchange: $237.98
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-CRISK E 20468A	$16.64	$12.66	$11.32 – $16.64
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $14.48 Aetna — Commercial\|HMO: $14.48 Aetna — Commercial\|PPO: $14.48 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $13.98 BCBS - Anthem — Commercial\|Exchange: $11.32 BCBS - Anthem — Medicaid\|All Plans: $16.64 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|All Other Plans: $14.81 Blue Shield CA — Commercial\|Exchange: $12.15
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPOELECT 80503B	$20.34	$15.48	$11.54 – $20.34
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $17.70 Aetna — Commercial\|HMO: $17.70 Aetna — Commercial\|PPO: $17.70 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $17.09 BCBS - Anthem — Commercial\|Exchange: $13.84 BCBS - Anthem — Medicaid\|All Plans: $20.34 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|All Other Plans: $18.11 Blue Shield CA — Commercial\|Exchange: $14.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$140	$106.51	$7.60 – $137.20
Kidney function panel: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $121.80 Aetna — Commercial\|HMO: $121.80 Aetna — Commercial\|PPO: $121.80 Aetna — Medicare\|All Plans: $8.68 BCBS - Anthem — Commercial\|All Other Plans: $117.60 BCBS - Anthem — Commercial\|Exchange: $95.20 BCBS - Anthem — Medicaid\|All Plans: $17.72 BCBS - Anthem — Medicare\|All Plans: $8.68 Blue Shield CA — Commercial\|All Other Plans: $124.60 Blue Shield CA — Commercial\|Exchange: $102.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RL-SR-RENAL FUNCTION PNL	$8.68	$6.61	$5.91 – $8.68
Kidney function panel: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $7.56 Aetna — Commercial\|HMO: $7.56 Aetna — Commercial\|PPO: $7.56 Aetna — Medicare\|All Plans: $8.68 BCBS - Anthem — Commercial\|All Other Plans: $7.30 BCBS - Anthem — Commercial\|Exchange: $5.91 BCBS - Anthem — Medicaid\|All Plans: $8.68 BCBS - Anthem — Medicare\|All Plans: $8.68 Blue Shield CA — Commercial\|All Other Plans: $7.73 Blue Shield CA — Commercial\|Exchange: $6.34
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$43	$32.72	$22.36 – $42.14
Kidney function panel: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $37.84 Aetna — Commercial\|HMO: $37.84 Aetna — Commercial\|PPO: $37.84 Blue Shield CA — Commercial\|All Other Plans: $38.27 Blue Shield CA — Commercial\|Exchange: $31.39 California Health & Wellness — Medicaid\|All Plans: $22.36 Cigna — Commercial\|All Other Plans: $34.40 Cigna — Commercial\|PPO: $34.40 Coventry — Commercial\|All Plans: $42.14 Health Net — Commercial\|All Plans: $40.42
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$307	$233.55	$6.38 – $300.86
Liver function panel: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $267.09 Aetna — Commercial\|HMO: $267.09 Aetna — Commercial\|PPO: $267.09 Aetna — Medicare\|All Plans: $8.17 BCBS - Anthem — Commercial\|All Other Plans: $257.88 BCBS - Anthem — Commercial\|Exchange: $208.76 BCBS - Anthem — Medicaid\|All Plans: $16.63 BCBS - Anthem — Medicare\|All Plans: $8.17 Blue Shield CA — Commercial\|All Other Plans: $273.23 Blue Shield CA — Commercial\|Exchange: $224.11
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$46	$35	$23.92 – $45.08
Liver function panel: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $40.48 Aetna — Commercial\|HMO: $40.48 Aetna — Commercial\|PPO: $40.48 Blue Shield CA — Commercial\|All Other Plans: $40.94 Blue Shield CA — Commercial\|Exchange: $33.58 California Health & Wellness — Medicaid\|All Plans: $23.92 Cigna — Commercial\|All Other Plans: $36.80 Cigna — Commercial\|PPO: $36.80 Coventry — Commercial\|All Plans: $45.08 Health Net — Commercial\|All Plans: $43.24
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: RL-SR-URINALYSIS W/ MICRO	$3.17	$2.42	$2.16 – $3.17
Urine test (automated, with microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $2.76 Aetna — Commercial\|HMO: $2.76 Aetna — Commercial\|PPO: $2.76 Aetna — Medicare\|All Plans: $3.17 BCBS - Anthem — Commercial\|All Other Plans: $2.67 BCBS - Anthem — Commercial\|Exchange: $2.16 BCBS - Anthem — Medicaid\|All Plans: $3.17 BCBS - Anthem — Medicare\|All Plans: $3.17 Blue Shield CA — Commercial\|All Other Plans: $2.83 Blue Shield CA — Commercial\|Exchange: $2.32
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO	$143	$108.79	$2.77 – $140.14
Urine test (automated, with microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $124.41 Aetna — Commercial\|HMO: $124.41 Aetna — Commercial\|PPO: $124.41 Aetna — Medicare\|All Plans: $3.17 BCBS - Anthem — Commercial\|All Other Plans: $120.12 BCBS - Anthem — Commercial\|Exchange: $97.24 BCBS - Anthem — Medicaid\|All Plans: $6.82 BCBS - Anthem — Medicare\|All Plans: $3.17 Blue Shield CA — Commercial\|All Other Plans: $127.27 Blue Shield CA — Commercial\|Exchange: $104.39
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: RL-SR-URINALYSIS W/ MICRO	$3.17	$2.42	$1.65 – $3.11
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $2.79 Aetna — Commercial\|HMO: $2.79 Aetna — Commercial\|PPO: $2.79 Blue Shield CA — Commercial\|All Other Plans: $2.83 Blue Shield CA — Commercial\|Exchange: $2.32 California Health & Wellness — Medicaid\|All Plans: $1.65 Cigna — Commercial\|All Other Plans: $2.54 Cigna — Commercial\|PPO: $2.54 Coventry — Commercial\|All Plans: $3.11 Health Net — Commercial\|All Plans: $2.98
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NONAUTO WO MICRO	$40	$30.43	$2.15 – $39.20
Urine test (manual, without microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $34.80 Aetna — Commercial\|HMO: $34.80 Aetna — Commercial\|PPO: $34.80 Aetna — Medicare\|All Plans: $3.48 BCBS - Anthem — Commercial\|All Other Plans: $33.60 BCBS - Anthem — Commercial\|Exchange: $27.20 BCBS - Anthem — Medicaid\|All Plans: $5.51 BCBS - Anthem — Medicare\|All Plans: $3.48 Blue Shield CA — Commercial\|All Other Plans: $35.60 Blue Shield CA — Commercial\|Exchange: $29.20
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: UA NONAUTO WO MICRO	$13	$9.89	$6.76 – $12.74
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $11.44 Aetna — Commercial\|HMO: $11.44 Aetna — Commercial\|PPO: $11.44 Blue Shield CA — Commercial\|All Other Plans: $11.57 Blue Shield CA — Commercial\|Exchange: $9.49 California Health & Wellness — Medicaid\|All Plans: $6.76 Cigna — Commercial\|All Other Plans: $10.40 Cigna — Commercial\|PPO: $10.40 Coventry — Commercial\|All Plans: $12.74 Health Net — Commercial\|All Plans: $12.22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO	$44	$33.48	$1.96 – $43.12
Urine test (automated, without microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $38.28 Aetna — Commercial\|HMO: $38.28 Aetna — Commercial\|PPO: $38.28 Aetna — Medicare\|All Plans: $2.25 BCBS - Anthem — Commercial\|All Other Plans: $36.96 BCBS - Anthem — Commercial\|Exchange: $29.92 BCBS - Anthem — Medicaid\|All Plans: $4.41 BCBS - Anthem — Medicare\|All Plans: $2.25 Blue Shield CA — Commercial\|All Other Plans: $39.16 Blue Shield CA — Commercial\|Exchange: $32.12
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO WO MICRO	$18	$13.70	$9.36 – $17.64
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $15.84 Aetna — Commercial\|HMO: $15.84 Aetna — Commercial\|PPO: $15.84 Blue Shield CA — Commercial\|All Other Plans: $16.02 Blue Shield CA — Commercial\|Exchange: $13.14 California Health & Wellness — Medicaid\|All Plans: $9.36 Cigna — Commercial\|All Other Plans: $14.40 Cigna — Commercial\|PPO: $14.40 Coventry — Commercial\|All Plans: $17.64 Health Net — Commercial\|All Plans: $16.92
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$307	$233.55	$16.35 – $300.86
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $267.09 Aetna — Commercial\|HMO: $267.09 Aetna — Commercial\|PPO: $267.09 Aetna — Medicare\|All Plans: $18.39 BCBS - Anthem — Commercial\|All Other Plans: $257.88 BCBS - Anthem — Commercial\|Exchange: $208.76 BCBS - Anthem — Medicaid\|All Plans: $38.67 BCBS - Anthem — Medicare\|All Plans: $18.39 Blue Shield CA — Commercial\|All Other Plans: $273.23 Blue Shield CA — Commercial\|Exchange: $224.11
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA FP 80206A	$5	$3.81	$3.40 – $5
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $4.35 Aetna — Commercial\|HMO: $4.35 Aetna — Commercial\|PPO: $4.35 Aetna — Medicare\|All Plans: $5 BCBS - Anthem — Commercial\|All Other Plans: $4.20 BCBS - Anthem — Commercial\|Exchange: $3.40 BCBS - Anthem — Medicaid\|All Plans: $5 BCBS - Anthem — Medicare\|All Plans: $5 Blue Shield CA — Commercial\|All Other Plans: $4.45 Blue Shield CA — Commercial\|Exchange: $3.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA ULTRA 98581	$17.36	$13.21	$11.81 – $17.36
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $15.11 Aetna — Commercial\|HMO: $15.11 Aetna — Commercial\|PPO: $15.11 Aetna — Medicare\|All Plans: $17.36 BCBS - Anthem — Commercial\|All Other Plans: $14.59 BCBS - Anthem — Commercial\|Exchange: $11.81 BCBS - Anthem — Medicaid\|All Plans: $17.36 BCBS - Anthem — Medicare\|All Plans: $17.36 Blue Shield CA — Commercial\|All Other Plans: $15.46 Blue Shield CA — Commercial\|Exchange: $12.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-LABCORP THY CASC PRO	$105	$79.88	$14.76 – $102.90
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $91.35 Aetna — Commercial\|HMO: $91.35 Aetna — Commercial\|PPO: $91.35 Aetna — Medicare\|All Plans: $16.80 BCBS - Anthem — Commercial\|All Other Plans: $88.20 BCBS - Anthem — Commercial\|Exchange: $71.40 BCBS - Anthem — Medicaid\|All Plans: $35.22 BCBS - Anthem — Medicare\|All Plans: $16.80 Blue Shield CA — Commercial\|All Other Plans: $93.45 Blue Shield CA — Commercial\|Exchange: $76.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 3 70225	$8	$6.09	$5.44 – $8
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $6.96 Aetna — Commercial\|HMO: $6.96 Aetna — Commercial\|PPO: $6.96 Aetna — Medicare\|All Plans: $8 BCBS - Anthem — Commercial\|All Other Plans: $6.72 BCBS - Anthem — Commercial\|Exchange: $5.44 BCBS - Anthem — Medicaid\|All Plans: $8 BCBS - Anthem — Medicare\|All Plans: $8 Blue Shield CA — Commercial\|All Other Plans: $7.12 Blue Shield CA — Commercial\|Exchange: $5.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSHREFLEX 2006108	$9.11	$6.94	$6.20 – $9.11
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $7.93 Aetna — Commercial\|HMO: $7.93 Aetna — Commercial\|PPO: $7.93 Aetna — Medicare\|All Plans: $9.11 BCBS - Anthem — Commercial\|All Other Plans: $7.66 BCBS - Anthem — Commercial\|Exchange: $6.20 BCBS - Anthem — Medicaid\|All Plans: $9.11 BCBS - Anthem — Medicare\|All Plans: $9.11 Blue Shield CA — Commercial\|All Other Plans: $8.11 Blue Shield CA — Commercial\|Exchange: $6.66
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$180	$136.94	$6.75 – $176.40
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $156.60 Aetna — Commercial\|HMO: $156.60 Aetna — Commercial\|PPO: $156.60 Aetna — Medicare\|All Plans: $7.77 BCBS - Anthem — Commercial\|All Other Plans: $151.20 BCBS - Anthem — Commercial\|Exchange: $122.40 BCBS - Anthem — Medicaid\|All Plans: $15.77 BCBS - Anthem — Medicare\|All Plans: $7.77 Blue Shield CA — Commercial\|All Other Plans: $160.20 Blue Shield CA — Commercial\|Exchange: $131.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$41	$31.20	$21.32 – $40.18
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $36.08 Aetna — Commercial\|HMO: $36.08 Aetna — Commercial\|PPO: $36.08 Blue Shield CA — Commercial\|All Other Plans: $36.49 Blue Shield CA — Commercial\|Exchange: $29.93 California Health & Wellness — Medicaid\|All Plans: $21.32 Cigna — Commercial\|All Other Plans: $32.80 Cigna — Commercial\|PPO: $32.80 Coventry — Commercial\|All Plans: $40.18 Health Net — Commercial\|All Plans: $38.54
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF	$136	$103.47	$5.71 – $133.28
Complete blood count (CBC), automated: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $118.32 Aetna — Commercial\|HMO: $118.32 Aetna — Commercial\|PPO: $118.32 Aetna — Medicare\|All Plans: $6.47 BCBS - Anthem — Commercial\|All Other Plans: $114.24 BCBS - Anthem — Commercial\|Exchange: $92.48 BCBS - Anthem — Medicaid\|All Plans: $12.89 BCBS - Anthem — Medicare\|All Plans: $6.47 Blue Shield CA — Commercial\|All Other Plans: $121.04 Blue Shield CA — Commercial\|Exchange: $99.28
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF	$34	$25.87	$17.68 – $33.32
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $29.92 Aetna — Commercial\|HMO: $29.92 Aetna — Commercial\|PPO: $29.92 Blue Shield CA — Commercial\|All Other Plans: $30.26 Blue Shield CA — Commercial\|Exchange: $24.82 California Health & Wellness — Medicaid\|All Plans: $17.68 Cigna — Commercial\|All Other Plans: $27.20 Cigna — Commercial\|PPO: $27.20 Coventry — Commercial\|All Plans: $33.32 Health Net — Commercial\|All Plans: $31.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$114	$86.73	$3.49 – $111.72
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $99.18 Aetna — Commercial\|HMO: $99.18 Aetna — Commercial\|PPO: $99.18 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $95.76 BCBS - Anthem — Commercial\|Exchange: $77.52 BCBS - Anthem — Medicaid\|All Plans: $7.49 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|All Other Plans: $101.46 Blue Shield CA — Commercial\|Exchange: $83.22
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157A	$7	$5.33	$3.49 – $7
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $6.09 Aetna — Commercial\|HMO: $6.09 Aetna — Commercial\|PPO: $6.09 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $5.88 BCBS - Anthem — Commercial\|Exchange: $4.76 BCBS - Anthem — Medicaid\|All Plans: $7 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|All Other Plans: $6.23 Blue Shield CA — Commercial\|Exchange: $5.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009A	$6.66	$5.07	$3.49 – $6.66
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $5.80 Aetna — Commercial\|HMO: $5.80 Aetna — Commercial\|PPO: $5.80 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $5.60 BCBS - Anthem — Commercial\|Exchange: $4.53 BCBS - Anthem — Medicaid\|All Plans: $6.66 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|All Other Plans: $5.93 Blue Shield CA — Commercial\|Exchange: $4.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME	$184	$139.98	$5.34 – $180.32
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $160.08 Aetna — Commercial\|HMO: $160.08 Aetna — Commercial\|PPO: $160.08 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $154.56 BCBS - Anthem — Commercial\|Exchange: $125.12 BCBS - Anthem — Medicaid\|All Plans: $11.86 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|All Other Plans: $163.76 Blue Shield CA — Commercial\|Exchange: $134.32
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157C	$7	$5.33	$4.76 – $7
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $6.09 Aetna — Commercial\|HMO: $6.09 Aetna — Commercial\|PPO: $6.09 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $5.88 BCBS - Anthem — Commercial\|Exchange: $4.76 BCBS - Anthem — Medicaid\|All Plans: $7 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|All Other Plans: $6.23 Blue Shield CA — Commercial\|Exchange: $5.11
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009C	$6.68	$5.09	$4.55 – $6.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $5.82 Aetna — Commercial\|HMO: $5.82 Aetna — Commercial\|PPO: $5.82 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $5.62 BCBS - Anthem — Commercial\|Exchange: $4.55 BCBS - Anthem — Medicaid\|All Plans: $6.68 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|All Other Plans: $5.95 Blue Shield CA — Commercial\|Exchange: $4.88

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	$2,156	$1,640.18	$322.48 – $2,112.88
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,875.72 Aetna — Commercial\|HMO: $1,875.72 Aetna — Commercial\|PPO: $1,875.72 Aetna — Medicare\|All Plans: $474.32 BCBS - Anthem — Commercial\|All Other Plans: $1,811.04 BCBS - Anthem — Commercial\|Exchange: $1,466.08 BCBS - Anthem — Medicaid\|All Plans: $440.47 BCBS - Anthem — Medicare\|All Plans: $474.32 Blue Shield CA — Commercial\|All Other Plans: $1,918.84 Blue Shield CA — Commercial\|Exchange: $1,573.88
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON	$2,156	$1,640.18	$1,121.12 – $2,112.88
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $1,897.28 Aetna — Commercial\|HMO: $1,897.28 Aetna — Commercial\|PPO: $1,897.28 Blue Shield CA — Commercial\|All Other Plans: $1,918.84 Blue Shield CA — Commercial\|Exchange: $1,573.88 California Health & Wellness — Medicaid\|All Plans: $1,121.12 Cigna — Commercial\|All Other Plans: $1,724.80 Cigna — Commercial\|PPO: $1,724.80 Coventry — Commercial\|All Plans: $2,112.88 Health Net — Commercial\|All Plans: $2,026.64
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON	$6,163	$4,688.50	$990.52 – $6,039.74
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $5,361.81 Aetna — Commercial\|HMO: $5,361.81 Aetna — Commercial\|PPO: $5,361.81 Aetna — Medicare\|All Plans: $1,355.86 BCBS - Anthem — Commercial\|All Other Plans: $5,176.92 BCBS - Anthem — Commercial\|Exchange: $4,190.84 BCBS - Anthem — Medicaid\|All Plans: $2,132.52 BCBS - Anthem — Medicare\|All Plans: $1,355.86 Blue Shield CA — Commercial\|All Other Plans: $5,485.07 Blue Shield CA — Commercial\|Exchange: $4,498.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON	$6,163	$4,688.50	$3,204.76 – $6,039.74
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $5,423.44 Aetna — Commercial\|HMO: $5,423.44 Aetna — Commercial\|PPO: $5,423.44 Blue Shield CA — Commercial\|All Other Plans: $5,485.07 Blue Shield CA — Commercial\|Exchange: $4,498.99 California Health & Wellness — Medicaid\|All Plans: $3,204.76 Cigna — Commercial\|All Other Plans: $4,930.40 Cigna — Commercial\|PPO: $4,930.40 Coventry — Commercial\|All Plans: $6,039.74 Health Net — Commercial\|All Plans: $5,793.22
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS	$498	$378.86	$60.98 – $488.04
Chest X-ray, 2 views: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $433.26 Aetna — Commercial\|HMO: $433.26 Aetna — Commercial\|PPO: $433.26 Aetna — Medicare\|All Plans: $109.56 BCBS - Anthem — Commercial\|All Other Plans: $418.32 BCBS - Anthem — Commercial\|Exchange: $338.64 BCBS - Anthem — Medicaid\|All Plans: $61.29 BCBS - Anthem — Medicare\|All Plans: $109.56 Blue Shield CA — Commercial\|All Other Plans: $443.22 Blue Shield CA — Commercial\|Exchange: $363.54
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS	$498	$378.86	$258.96 – $488.04
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $438.24 Aetna — Commercial\|HMO: $438.24 Aetna — Commercial\|PPO: $438.24 Blue Shield CA — Commercial\|All Other Plans: $443.22 Blue Shield CA — Commercial\|Exchange: $363.54 California Health & Wellness — Medicaid\|All Plans: $258.96 Cigna — Commercial\|All Other Plans: $398.40 Cigna — Commercial\|PPO: $398.40 Coventry — Commercial\|All Plans: $488.04 Health Net — Commercial\|All Plans: $468.12
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$996	$757.71	$111.12 – $976.08
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $866.52 Aetna — Commercial\|HMO: $866.52 Aetna — Commercial\|PPO: $866.52 Aetna — Medicare\|All Plans: $219.12 BCBS - Anthem — Commercial\|All Other Plans: $836.64 BCBS - Anthem — Commercial\|Exchange: $677.28 BCBS - Anthem — Medicaid\|All Plans: $111.12 BCBS - Anthem — Medicare\|All Plans: $219.12 Blue Shield CA — Commercial\|All Other Plans: $886.44 Blue Shield CA — Commercial\|Exchange: $727.08
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$996	$757.71	$517.92 – $976.08
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $876.48 Aetna — Commercial\|HMO: $876.48 Aetna — Commercial\|PPO: $876.48 Blue Shield CA — Commercial\|All Other Plans: $886.44 Blue Shield CA — Commercial\|Exchange: $727.08 California Health & Wellness — Medicaid\|All Plans: $517.92 Cigna — Commercial\|All Other Plans: $796.80 Cigna — Commercial\|PPO: $796.80 Coventry — Commercial\|All Plans: $976.08 Health Net — Commercial\|All Plans: $936.24
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON	$3,234	$2,460.27	$592.30 – $3,169.32
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $2,813.58 Aetna — Commercial\|HMO: $2,813.58 Aetna — Commercial\|PPO: $2,813.58 Aetna — Medicare\|All Plans: $711.48 BCBS - Anthem — Commercial\|All Other Plans: $2,716.56 BCBS - Anthem — Commercial\|Exchange: $2,199.12 BCBS - Anthem — Medicaid\|All Plans: $1,288.34 BCBS - Anthem — Medicare\|All Plans: $711.48 Blue Shield CA — Commercial\|All Other Plans: $2,878.26 Blue Shield CA — Commercial\|Exchange: $2,360.82
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON	$3,234	$2,460.27	$1,681.68 – $3,169.32
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $2,845.92 Aetna — Commercial\|HMO: $2,845.92 Aetna — Commercial\|PPO: $2,845.92 Blue Shield CA — Commercial\|All Other Plans: $2,878.26 Blue Shield CA — Commercial\|Exchange: $2,360.82 California Health & Wellness — Medicaid\|All Plans: $1,681.68 Cigna — Commercial\|All Other Plans: $2,587.20 Cigna — Commercial\|PPO: $2,587.20 Coventry — Commercial\|All Plans: $3,169.32 Health Net — Commercial\|All Plans: $3,039.96
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON	$2,356	$1,792.33	$518.32 – $2,308.88
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $2,049.72 Aetna — Commercial\|HMO: $2,049.72 Aetna — Commercial\|PPO: $2,049.72 Aetna — Medicare\|All Plans: $518.32 BCBS - Anthem — Commercial\|All Other Plans: $1,979.04 BCBS - Anthem — Commercial\|Exchange: $1,602.08 BCBS - Anthem — Medicaid\|All Plans: $567.31 BCBS - Anthem — Medicare\|All Plans: $518.32 Blue Shield CA — Commercial\|All Other Plans: $2,096.84 Blue Shield CA — Commercial\|Exchange: $1,719.88
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON	$2,356	$1,792.33	$1,225.12 – $2,308.88
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $2,073.28 Aetna — Commercial\|HMO: $2,073.28 Aetna — Commercial\|PPO: $2,073.28 Blue Shield CA — Commercial\|All Other Plans: $2,096.84 Blue Shield CA — Commercial\|Exchange: $1,719.88 California Health & Wellness — Medicaid\|All Plans: $1,225.12 Cigna — Commercial\|All Other Plans: $1,884.80 Cigna — Commercial\|PPO: $1,884.80 Coventry — Commercial\|All Plans: $2,308.88 Health Net — Commercial\|All Plans: $2,214.64
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON	$6,948	$5,285.68	$439.61 – $6,809.04
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $6,044.76 Aetna — Commercial\|HMO: $6,044.76 Aetna — Commercial\|PPO: $6,044.76 Aetna — Medicare\|All Plans: $1,528.56 BCBS - Anthem — Commercial\|All Other Plans: $5,836.32 BCBS - Anthem — Commercial\|Exchange: $4,724.64 BCBS - Anthem — Medicaid\|All Plans: $439.61 BCBS - Anthem — Medicare\|All Plans: $1,528.56 Blue Shield CA — Commercial\|All Other Plans: $6,183.72 Blue Shield CA — Commercial\|Exchange: $5,072.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON	$6,948	$5,285.68	$3,612.96 – $6,809.04
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $6,114.24 Aetna — Commercial\|HMO: $6,114.24 Aetna — Commercial\|PPO: $6,114.24 Blue Shield CA — Commercial\|All Other Plans: $6,183.72 Blue Shield CA — Commercial\|Exchange: $5,072.04 California Health & Wellness — Medicaid\|All Plans: $3,612.96 Cigna — Commercial\|All Other Plans: $5,558.40 Cigna — Commercial\|PPO: $5,558.40 Coventry — Commercial\|All Plans: $6,809.04 Health Net — Commercial\|All Plans: $6,531.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON	$1,022	$777.49	$186.17 – $1,001.56
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $889.14 Aetna — Commercial\|HMO: $889.14 Aetna — Commercial\|PPO: $889.14 Aetna — Medicare\|All Plans: $224.84 BCBS - Anthem — Commercial\|All Other Plans: $858.48 BCBS - Anthem — Commercial\|Exchange: $694.96 BCBS - Anthem — Medicaid\|All Plans: $186.17 BCBS - Anthem — Medicare\|All Plans: $224.84 Blue Shield CA — Commercial\|All Other Plans: $909.58 Blue Shield CA — Commercial\|Exchange: $746.06
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON	$1,022	$777.49	$531.44 – $1,001.56
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $899.36 Aetna — Commercial\|HMO: $899.36 Aetna — Commercial\|PPO: $899.36 Blue Shield CA — Commercial\|All Other Plans: $909.58 Blue Shield CA — Commercial\|Exchange: $746.06 California Health & Wellness — Medicaid\|All Plans: $531.44 Cigna — Commercial\|All Other Plans: $817.60 Cigna — Commercial\|PPO: $817.60 Coventry — Commercial\|All Plans: $1,001.56 Health Net — Commercial\|All Plans: $960.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES	$1,452	$1,104.61	$211.05 – $1,422.96
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,263.24 Aetna — Commercial\|HMO: $1,263.24 Aetna — Commercial\|PPO: $1,263.24 Aetna — Medicare\|All Plans: $319.44 BCBS - Anthem — Commercial\|All Other Plans: $1,219.68 BCBS - Anthem — Commercial\|Exchange: $987.36 BCBS - Anthem — Medicaid\|All Plans: $211.05 BCBS - Anthem — Medicare\|All Plans: $319.44 Blue Shield CA — Commercial\|All Other Plans: $1,292.28 Blue Shield CA — Commercial\|Exchange: $1,059.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES	$1,452	$1,104.61	$755.04 – $1,422.96
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $1,277.76 Aetna — Commercial\|HMO: $1,277.76 Aetna — Commercial\|PPO: $1,277.76 Blue Shield CA — Commercial\|All Other Plans: $1,292.28 Blue Shield CA — Commercial\|Exchange: $1,059.96 California Health & Wellness — Medicaid\|All Plans: $755.04 Cigna — Commercial\|All Other Plans: $1,161.60 Cigna — Commercial\|PPO: $1,161.60 Coventry — Commercial\|All Plans: $1,422.96 Health Net — Commercial\|All Plans: $1,364.88
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$576	$438.20	$126.72 – $564.48
Transvaginal ultrasound: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $501.12 Aetna — Commercial\|HMO: $501.12 Aetna — Commercial\|PPO: $501.12 Aetna — Medicare\|All Plans: $126.72 BCBS - Anthem — Commercial\|All Other Plans: $483.84 BCBS - Anthem — Commercial\|Exchange: $391.68 BCBS - Anthem — Medicaid\|All Plans: $151.38 BCBS - Anthem — Medicare\|All Plans: $126.72 Blue Shield CA — Commercial\|All Other Plans: $512.64 Blue Shield CA — Commercial\|Exchange: $420.48
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL	$576	$438.20	$299.52 – $564.48
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $506.88 Aetna — Commercial\|HMO: $506.88 Aetna — Commercial\|PPO: $506.88 Blue Shield CA — Commercial\|All Other Plans: $512.64 Blue Shield CA — Commercial\|Exchange: $420.48 California Health & Wellness — Medicaid\|All Plans: $299.52 Cigna — Commercial\|All Other Plans: $460.80 Cigna — Commercial\|PPO: $460.80 Coventry — Commercial\|All Plans: $564.48 Health Net — Commercial\|All Plans: $541.44
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA MAMMO DIAG W CAD BIL	$844	$642.08	$185.68 – $827.12
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $734.28 Aetna — Commercial\|HMO: $734.28 Aetna — Commercial\|PPO: $734.28 Aetna — Medicare\|All Plans: $185.68 BCBS - Anthem — Commercial\|All Other Plans: $708.96 BCBS - Anthem — Commercial\|Exchange: $573.92 BCBS - Anthem — Medicaid\|All Plans: $230.93 BCBS - Anthem — Medicare\|All Plans: $185.68 Blue Shield CA — Commercial\|All Other Plans: $751.16 Blue Shield CA — Commercial\|Exchange: $616.12
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MA MAMMO DIAG W CAD BIL	$844	$642.08	$438.88 – $827.12
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $742.72 Aetna — Commercial\|HMO: $742.72 Aetna — Commercial\|PPO: $742.72 Blue Shield CA — Commercial\|All Other Plans: $751.16 Blue Shield CA — Commercial\|Exchange: $616.12 California Health & Wellness — Medicaid\|All Plans: $438.88 Cigna — Commercial\|All Other Plans: $675.20 Cigna — Commercial\|PPO: $675.20 Coventry — Commercial\|All Plans: $827.12 Health Net — Commercial\|All Plans: $793.36
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA MAMMO SCREEN W CAD BIL	$690	$524.92	$151.80 – $676.20
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $600.30 Aetna — Commercial\|HMO: $600.30 Aetna — Commercial\|PPO: $600.30 Aetna — Medicare\|All Plans: $151.80 BCBS - Anthem — Commercial\|All Other Plans: $579.60 BCBS - Anthem — Commercial\|Exchange: $469.20 BCBS - Anthem — Medicaid\|All Plans: $186.34 BCBS - Anthem — Medicare\|All Plans: $151.80 Blue Shield CA — Commercial\|All Other Plans: $614.10 Blue Shield CA — Commercial\|Exchange: $503.70
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MA MAMMO SCREEN W CAD BIL	$690	$524.92	$358.80 – $676.20
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $607.20 Aetna — Commercial\|HMO: $607.20 Aetna — Commercial\|PPO: $607.20 Blue Shield CA — Commercial\|All Other Plans: $614.10 Blue Shield CA — Commercial\|Exchange: $503.70 California Health & Wellness — Medicaid\|All Plans: $358.80 Cigna — Commercial\|All Other Plans: $552 Cigna — Commercial\|PPO: $552 Coventry — Commercial\|All Plans: $676.20 Health Net — Commercial\|All Plans: $648.60

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	$471.53 – $1,339
Removal of breast growth (open surgery): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $471.53 California Health & Wellness — Medicaid\|All Plans: $671.02 Partnership Health Plan — Medicaid\|All Plans: $1,339 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$3,332.33 – $9,462.96
Total hip replacement: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $3,332.33 California Health & Wellness — Medicaid\|All Plans: $5,980.24 Partnership Health Plan — Medicaid\|All Plans: $9,462.96 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,332.33 – $9,462.96
Total knee replacement: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $3,332.33 California Health & Wellness — Medicaid\|All Plans: $5,980.24 Partnership Health Plan — Medicaid\|All Plans: $9,462.96 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$943.89 – $2,680.41
Shoulder arthroscopy: shaving of shoulder bone: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $943.89 California Health & Wellness — Medicaid\|All Plans: $1,343.23 Partnership Health Plan — Medicaid\|All Plans: $2,680.41 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,232.95 – $3,501.27
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,232.95 California Health & Wellness — Medicaid\|All Plans: $1,754.58 Partnership Health Plan — Medicaid\|All Plans: $3,501.27 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$377.38 – $1,071.67
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $377.38 California Health & Wellness — Medicaid\|All Plans: $677.26 Partnership Health Plan — Medicaid\|All Plans: $1,071.67 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$501.51 – $1,424.15
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $501.51 California Health & Wellness — Medicaid\|All Plans: $900.03 Partnership Health Plan — Medicaid\|All Plans: $1,424.15 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$524.02 – $1,488.07
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $524.02 California Health & Wellness — Medicaid\|All Plans: $940.41 Partnership Health Plan — Medicaid\|All Plans: $1,488.07 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$660.63 – $1,876.01
Colonoscopy (diagnostic): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $660.63 California Health & Wellness — Medicaid\|All Plans: $1,185.57 Partnership Health Plan — Medicaid\|All Plans: $1,876.01 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$738.94 – $2,098.41
Colonoscopy with biopsy: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $738.94 California Health & Wellness — Medicaid\|All Plans: $1,326.14 Partnership Health Plan — Medicaid\|All Plans: $2,098.41 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$895.56 – $2,543.15
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $895.56 California Health & Wellness — Medicaid\|All Plans: $1,607.19 Partnership Health Plan — Medicaid\|All Plans: $2,543.15 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$264.84 – $752.08
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $264.84 California Health & Wellness — Medicaid\|All Plans: $475.28 Partnership Health Plan — Medicaid\|All Plans: $752.08 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$1,043.02 – $2,961.91
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,043.02 California Health & Wellness — Medicaid\|All Plans: $1,871.79 Partnership Health Plan — Medicaid\|All Plans: $2,961.91 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
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	$769.78 – $2,185.97
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $769.78 California Health & Wellness — Medicaid\|All Plans: $1,381.44 Partnership Health Plan — Medicaid\|All Plans: $2,185.97 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$195.78
Prostate biopsy: 10 of 22 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $195.78 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) Blue Shield CA — Commercial\|All Other Plans: 89% (a percentage in the contract, not a dollar amount) Blue Shield CA — Commercial\|Exchange: 73% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$1,486.82 – $4,222.19
Prostate removal by laparoscope (radical prostatectomy): 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $1,486.82 California Health & Wellness — Medicaid\|All Plans: $2,668.26 Partnership Health Plan — Medicaid\|All Plans: $4,222.19 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$392.31 – $1,114.05
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $392.31 California Health & Wellness — Medicaid\|All Plans: $558.29 Partnership Health Plan — Medicaid\|All Plans: $1,114.05 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG	$1,414	$1,075.70	$311.08 – $1,385.72
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,230.18 Aetna — Commercial\|HMO: $1,230.18 Aetna — Commercial\|PPO: $1,230.18 Aetna — Medicare\|All Plans: $311.08 BCBS - Anthem — Commercial\|All Other Plans: $1,117.06 BCBS - Anthem — Commercial\|Exchange: $904.96 BCBS - Anthem — Medicaid\|All Plans: $343.25 BCBS - Anthem — Medicare\|All Plans: $311.08 Blue Shield CA — Commercial\|All Other Plans: $1,258.46 Blue Shield CA — Commercial\|Exchange: $1,032.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG	$1,414	$1,075.70	$735.28 – $1,385.72
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $1,244.32 Aetna — Commercial\|HMO: $1,244.32 Aetna — Commercial\|PPO: $1,244.32 Blue Shield CA — Commercial\|All Other Plans: $1,258.46 Blue Shield CA — Commercial\|Exchange: $1,032.22 California Health & Wellness — Medicaid\|All Plans: $735.28 Cigna — Commercial\|All Other Plans: $1,131.20 Cigna — Commercial\|PPO: $1,131.20 Coventry — Commercial\|All Plans: $1,385.72 Health Net — Commercial\|All Plans: $1,329.16
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,482	$1,888.18	$320.75 – $2,432.36
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $2,159.34 Aetna — Commercial\|HMO: $2,159.34 Aetna — Commercial\|PPO: $2,159.34 Aetna — Medicare\|All Plans: $546.04 BCBS - Anthem — Commercial\|All Other Plans: $1,960.78 BCBS - Anthem — Commercial\|Exchange: $1,588.48 BCBS - Anthem — Medicaid\|All Plans: $320.75 BCBS - Anthem — Medicare\|All Plans: $546.04 Blue Shield CA — Commercial\|All Other Plans: $2,208.98 Blue Shield CA — Commercial\|Exchange: $1,811.86
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,482	$1,888.18	$1,290.64 – $2,432.36
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — Commercial\|All Other Plans: $2,184.16 Aetna — Commercial\|HMO: $2,184.16 Aetna — Commercial\|PPO: $2,184.16 Blue Shield CA — Commercial\|All Other Plans: $2,208.98 Blue Shield CA — Commercial\|Exchange: $1,811.86 California Health & Wellness — Medicaid\|All Plans: $1,290.64 Cigna — Commercial\|All Other Plans: $1,985.60 Cigna — Commercial\|PPO: $1,985.60 Coventry — Commercial\|All Plans: $2,432.36 Health Net — Commercial\|All Plans: $2,333.08
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	$708.96 – $2,013.26
Carpal tunnel release: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $708.96 California Health & Wellness — Medicaid\|All Plans: $1,272.28 Partnership Health Plan — Medicaid\|All Plans: $2,013.26 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$416.54 – $1,182.87
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $416.54 California Health & Wellness — Medicaid\|All Plans: $747.54 Partnership Health Plan — Medicaid\|All Plans: $1,182.87 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,249.32 – $6,387.50
Cataract removal with lens implant: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $2,249.32 California Health & Wellness — Medicaid\|All Plans: $4,036.67 Partnership Health Plan — Medicaid\|All Plans: $6,387.50 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,435.83 – $8,833.49
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $2,435.83 California Health & Wellness — Medicaid\|All Plans: $4,426.72 Partnership Health Plan — Medicaid\|All Plans: $8,833.49 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,435.97 – $8,838.77
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $2,435.97 California Health & Wellness — Medicaid\|All Plans: $4,429.37 Partnership Health Plan — Medicaid\|All Plans: $8,838.77 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,435.83 – $8,833.49
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $2,435.83 California Health & Wellness — Medicaid\|All Plans: $4,426.72 Partnership Health Plan — Medicaid\|All Plans: $8,833.49 Aetna — Commercial\|All Other Plans: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 87% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 87% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Commercial\|Exchange: 64% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)

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

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

Hospital information

Hospital type	Critical Access Hospital
Address	914 Pine Street, Mount Shasta, CA 96067
County	Siskiyou County
State	California
Phone	(530) 926‑6111
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	051319
Name in Medicare records	MERCY MEDICAL CENTER OF MT SHASTA
Profile level	Medicare data + hospital website
Name on the hospital’s website	Dignity Health - Mercy Medical Center Mt. Shasta
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 Medical Center Mt. Shasta - Mount Shasta, CA | CommonSpirit Health — commonspirit.org
Dignity Health – Mercy Medical Center Mt. Shasta - Mount Shasta, CA | CommonSpirit Health — commonspirit.org
Laboratory Services - Dignity Health - Mercy Medical Center Mt. Shasta - Mount Shasta, CA | CommonSpirit Health — commonspirit.org
Emergency Room - Dignity Health - Mercy Medical Center Mt. Shasta - Mount Shasta, CA | CommonSpirit Health — commonspirit.org
Mercy Therapy Services - Mercy Medical Center Mt. Shasta - Mount Shasta, CA | CommonSpirit Health — commonspirit.org