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

Critical Access Hospital

Modoc Medical Center

Alturas, California · Modoc County · Emergency services listed

Modoc Medical Center is a critical access hospital at 1111 N Nagle Street, Alturas, CA 96101. Phone: (530) 233-5131. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

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

Summary

Modoc Medical Center is a critical access hospital in Alturas, California. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 36 services, specialties and programs. Medicare lists 88 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
12Beds (hospital website)
36Services listed

Quick answers

Does Modoc Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Modoc Medical Center. In a medical emergency, call 911.
Where is Modoc Medical Center?
1111 N Nagle Street, Alturas, CA 96101, in Modoc County, California.
What is the phone number of Modoc Medical Center?
(530) 233-5131, as listed by Medicare (CMS).
What is the Medicare star rating of Modoc Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[4][9]

Treatments[8][11]

  • MRI scans
  • CT scans
  • Echocardiograms
  • Interventional radiology procedures
  • Ultrasounds
  • X-rays
  • Hematology lab testing
  • Coagulation lab testing
  • Microbiology lab testing
  • Urinalysis
  • Immunology lab testing
  • Chemistry lab testing

Procedures[9]

  • Gallbladder surgery
  • Hernia surgery
  • Excision of lesions or masses
  • Colonoscopy
  • EGD
  • Bilateral tubal ligation
  • Dilation and curettage
  • Minor eye procedures
  • Cataract surgery

Programs and centers[4][6][7]

  • Enhanced Care Management
  • Emergency room (24-hour)
  • Ambulance service (ALS, 24/7)

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingDaily 8am–10p; may be modified to meet patient needs[5]
Patient portalBill Pay & Online Portal

Recognition[4]

  • Critical access hospital

Doctors and clinicians (88)

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

Main specialties

Doctors with a page on this site (88)

And 64 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Alturas

Hospitals in Modoc County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

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.

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well87%National average: 80%
“Always” got help as soon as they wanted73%National average: 64%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home82%National average: 86%
Room and bathroom “always” clean61%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys48Response rate: 36%

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

Complications and deaths

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

Deaths within 30 days: pneumonia patients13%
Deaths within 30 days: COPD patients9.5%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)15.1%
Readmitted within 30 days: pneumonia17.1%
Readmitted within 30 days: COPD19.7%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart failure

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)96 minutesNational average: 162 minutes
Not reported to MedicarePatients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 44 common services exactly as Modoc Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 44 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making $757.77 $757.77 $63.97 – $719.88
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $63.97
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $719.88
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $692.22
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $623.04
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $691.84
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $622.89
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $410.33
  • BLUE SHIELD VA — BLUE SHIELD VA: $410.33
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $692.22
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $712.30
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making $1,222.77 $1,222.77 $98.04 – $1,161.63
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $98.04
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,161.63
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $1,117
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,005.36
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,116.39
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,005.12
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $662.13
  • BLUE SHIELD VA — BLUE SHIELD VA: $662.13
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $1,117
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $1,149.40
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $1,828.97 $1,828.97 $155.03 – $1,737.52
Emergency room visit (high): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $155.03
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,737.52
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $1,670.76
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,503.78
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,669.85
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,503.41
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $990.39
  • BLUE SHIELD VA — BLUE SHIELD VA: $990.39
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $1,670.76
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $1,719.23

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $277.84 $277.84 $8.04 – $263.95
Basic metabolic panel (blood test): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $9.70
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $263.95
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $253.81
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $228.44
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $253.67
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $228.38
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $150.45
  • BLUE SHIELD VA — BLUE SHIELD VA: $150.45
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $253.81
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $261.17
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $264.07 $264.07 $10.03 – $250.87
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $12.11
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $250.87
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $241.23
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $217.12
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $241.10
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $217.07
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $142.99
  • BLUE SHIELD VA — BLUE SHIELD VA: $142.99
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $241.23
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $248.23
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $169.92 $169.92 $12.72 – $161.42
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $15.36
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $161.42
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $155.22
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $139.71
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $155.14
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $139.67
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $92.01
  • BLUE SHIELD VA — BLUE SHIELD VA: $92.01
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $155.22
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $159.72
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $482.22 $482.22 $8.25 – $458.11
Kidney function panel: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $9.95
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $458.11
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $440.51
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $396.48
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $440.27
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $396.38
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $261.12
  • BLUE SHIELD VA — BLUE SHIELD VA: $261.12
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $440.51
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $453.29
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $195.17 $195.17 $7.76 – $185.41
Liver function panel: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $9.15
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $185.41
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $178.29
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $160.47
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $178.19
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $160.43
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $105.68
  • BLUE SHIELD VA — BLUE SHIELD VA: $105.68
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $178.29
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $183.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $79.22 $79.22 $3.01 – $75.26
Urine test (automated, with microscope): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $3.63
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $75.26
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $72.37
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $65.13
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $72.33
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $65.12
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $42.90
  • BLUE SHIELD VA — BLUE SHIELD VA: $42.90
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $72.37
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $74.47
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $45.46 $45.46 $2.14 – $43.19
Urine test (automated, without microscope): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $2.58
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $43.19
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $41.53
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $37.38
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $41.51
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $37.37
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $24.62
  • BLUE SHIELD VA — BLUE SHIELD VA: $24.62
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $41.53
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $42.73
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $152.70 $152.70 $17.47 – $145.07
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $21.10
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $145.07
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $139.49
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $125.55
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $139.42
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $125.52
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $82.69
  • BLUE SHIELD VA — BLUE SHIELD VA: $82.69
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $139.49
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $143.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $171.06 $171.06 $15.96 – $162.51
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $19.28
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $162.51
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $156.26
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $140.65
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $156.18
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $140.61
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $92.63
  • BLUE SHIELD VA — BLUE SHIELD VA: $92.63
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $156.26
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $160.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $126.30 $126.30 $7.38 – $119.99
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $8.91
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $119.99
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $115.38
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $103.84
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $115.31
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $103.82
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $68.39
  • BLUE SHIELD VA — BLUE SHIELD VA: $68.39
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $115.38
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $118.72
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $129.73 $129.73 $6.15 – $123.24
Complete blood count (CBC), automated: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $7.42
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $123.24
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $118.51
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $106.66
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $118.44
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $106.64
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $70.25
  • BLUE SHIELD VA — BLUE SHIELD VA: $70.25
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $118.51
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $121.95
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $65.44 $65.44 $4.08 – $62.17
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $4.92
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $62.17
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $59.78
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $53.80
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $59.75
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $53.79
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $35.44
  • BLUE SHIELD VA — BLUE SHIELD VA: $35.44
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $59.78
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $61.51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $99.89 $99.89 $5.71 – $94.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $6.89
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $94.90
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $91.25
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $82.13
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $91.20
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $82.11
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $54.09
  • BLUE SHIELD VA — BLUE SHIELD VA: $54.09
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $91.25
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $93.90

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast $1,843.91 $1,843.91 $101.47 – $1,751.71
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $165.86
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,751.71
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $1,684.41
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,516.06
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,683.49
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,515.69
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $998.48
  • BLUE SHIELD VA — BLUE SHIELD VA: $998.48
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $1,684.41
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $1,733.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast $3,801.09 $3,801.09 $338.61 – $3,611.04
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $594.39
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $3,611.04
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $3,472.30
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $3,125.26
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $3,124.50
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $2,058.29
  • BLUE SHIELD VA — BLUE SHIELD VA: $2,058.29
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $3,472.30
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $3,573.02
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views $481.08 $481.08 $39.42 – $457.03
Chest X-ray, 2 views: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $39.42
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $457.03
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $439.47
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $395.54
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $439.23
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $395.45
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $260.50
  • BLUE SHIELD VA — BLUE SHIELD VA: $260.50
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $439.47
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $452.22
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views $446.62 $446.62 $62.90 – $424.29
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $62.90
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $424.29
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $407.99
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $367.21
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $407.76
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $367.12
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $241.84
  • BLUE SHIELD VA — BLUE SHIELD VA: $241.84
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $407.99
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $419.82
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast $2,694.22 $2,694.22 $231.58 – $2,559.51
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $390.06
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,559.51
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,461.17
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $2,215.19
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $2,214.65
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,458.92
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,458.92
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,461.17
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,532.57
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $2,381.23 $2,381.23 $170.24 – $2,262.17
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $293.26
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,262.17
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,175.25
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,957.85
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,957.37
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,289.44
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,289.44
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,175.25
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,238.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast $2,551.52 $2,551.52 $231.58 – $2,423.94
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $560.10
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,423.94
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,330.81
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $2,097.86
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $2,097.35
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,381.65
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,381.65
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,330.81
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,398.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $3,961.06 $3,961.06 $338.61 – $3,763.01
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $404.21
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $3,763.01
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $3,618.43
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $3,256.78
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $3,255.99
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $2,144.91
  • BLUE SHIELD VA — BLUE SHIELD VA: $2,144.91
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $3,618.43
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $3,723.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen $957.54 $957.54 $101.47 – $909.66
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $119.34
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $909.66
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $874.71
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $787.29
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $874.23
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $787.10
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $518.51
  • BLUE SHIELD VA — BLUE SHIELD VA: $518.51
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $874.71
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $900.09
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $841.58 $841.58 $101.47 – $799.50
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $135.29
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $799.50
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $768.78
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $691.95
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $768.36
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $691.78
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $455.72
  • BLUE SHIELD VA — BLUE SHIELD VA: $455.72
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $768.78
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $791.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $700.36 $700.36 $97.04 – $665.34
Transvaginal ultrasound: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $97.04
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $665.34
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $639.78
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $575.84
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $639.43
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $575.70
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $379.24
  • BLUE SHIELD VA — BLUE SHIELD VA: $379.24
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $639.78
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $658.34

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $65.44 $65.44 $15.72 – $62.17
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $15.72
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $62.17
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $59.78
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $53.80
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $59.75
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $53.79
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $35.44
  • BLUE SHIELD VA — BLUE SHIELD VA: $35.44
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $59.78
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $61.51
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes $149.26 $149.26 $80.82 – $522.41
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $149.26
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $141.80
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $136.35
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $122.72
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $136.27
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $122.69
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $80.82
  • BLUE SHIELD VA — BLUE SHIELD VA: $80.82
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $136.35
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $140.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes $155 $155 $83.93 – $542.50
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $155
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $147.25
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $141.59
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $127.44
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $141.52
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $127.41
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $83.93
  • BLUE SHIELD VA — BLUE SHIELD VA: $83.93
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $141.59
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $145.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes $173.38 $173.38 $93.89 – $173.38
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $173.38
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $164.71
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $158.38
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $142.55
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $158.30
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $142.52
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $93.89
  • BLUE SHIELD VA — BLUE SHIELD VA: $93.89
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $158.38
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $162.98

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple $5,613.19 $5,613.19 $210.72 – $5,332.53
Removal of breast growth (open surgery): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $210.72
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $5,332.53
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $5,127.65
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $4,615.16
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $4,614.04
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $3,039.54
  • BLUE SHIELD VA — BLUE SHIELD VA: $3,039.54
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $5,127.65
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $5,276.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $2,255.87 $2,255.87 $224.12 – $2,143.08
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $224.12
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,143.08
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,060.74
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,854.78
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,854.33
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,221.55
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,221.55
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,060.74
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,120.52
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $2,498.68 $2,498.68 $234.18 – $2,373.75
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $234.18
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,373.75
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,282.54
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $2,054.41
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $2,053.92
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,353.04
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,353.04
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,282.54
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,348.76
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope $2,478.80 $2,478.80 $295.23 – $2,354.86
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $295.23
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,354.86
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,264.38
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $2,038.07
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $2,037.57
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,342.27
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,342.27
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,264.38
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,330.07
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope $2,697.34 $2,697.34 $330.23 – $2,562.47
Colonoscopy with biopsy: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $330.23
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,562.47
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,464.02
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $2,217.75
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $2,217.21
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,460.61
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,460.61
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,464.02
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,535.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare $1,421.50 $1,421.50 $400.22 – $1,400.77
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $400.22
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,350.43
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $1,298.54
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,168.76
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,297.83
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,168.47
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $769.74
  • BLUE SHIELD VA — BLUE SHIELD VA: $769.74
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $1,298.54
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $1,336.21
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $718.48 $718.48 $389.06 – $2,514.68
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $718.48
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $682.56
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $656.33
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $590.73
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $655.97
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $590.59
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $389.06
  • BLUE SHIELD VA — BLUE SHIELD VA: $389.06
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $656.33
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $675.37
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope $2,837.49 $2,837.49 $668.60 – $6,176.47
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $668.60
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,695.62
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,592.05
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $2,332.98
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $2,332.42
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,536.50
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,536.50
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,592.05
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,667.24
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older) $3,954.40 $3,954.40 $493.45 – $3,756.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $493.45
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $3,756.68
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $3,612.34
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $3,251.31
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $3,250.52
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $2,141.31
  • BLUE SHIELD VA — BLUE SHIELD VA: $2,141.31
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $3,612.34
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $3,717.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance $2,236.07 $2,236.07 $220.03 – $2,124.27
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $220.03
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,124.27
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $2,042.65
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,838.50
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,838.05
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,210.83
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,210.83
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $2,042.65
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $2,101.91
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $2,042.12 $2,042.12 $143.34 – $1,940.01
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $143.34
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,940.01
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $1,865.48
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,679.03
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,678.62
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $1,105.81
  • BLUE SHIELD VA — BLUE SHIELD VA: $1,105.81
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $1,865.48
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $1,919.59
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser $1,670.93 $1,670.93 $267.01 – $1,587.38
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $267.01
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,587.38
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $1,526.39
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $1,373.84
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,525.56
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $1,373.50
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $904.81
  • BLUE SHIELD VA — BLUE SHIELD VA: $904.81
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $1,526.39
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $1,570.67
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens $4,434.49 $4,434.49 $1,005.21 – $4,212.77
Cataract removal with lens implant: 10 of 28 insurance plan rates
  • ADV MED MGMT - ALL PLANS — ADV MED MGMT - ALL PLANS: $1,005.21
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $4,212.77
  • ANTHEM BC COMM - ALL OTHER PLANS — ANTHEM BC COMM - ALL OTHER PLANS: $4,050.91
  • ANTHEM BC EXCH — ANTHEM BC EXCH: $3,646.04
  • BLUE SHIELD COMM - ALL OTHER PLANS — BLUE SHIELD COMM - ALL OTHER PLANS: $1,800
  • BLUE SHIELD EXCH — BLUE SHIELD EXCH: $3,645.15
  • BLUE SHIELD MCR ADV — BLUE SHIELD MCR ADV: $2,401.28
  • BLUE SHIELD VA — BLUE SHIELD VA: $2,401.28
  • CARELON - ALL PLANS — CARELON - ALL PLANS: $4,050.91
  • CORVEL - ALL PLANS — CORVEL - ALL PLANS: $4,168.42

Source: Modoc Medical Center’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 28, 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 typeCritical Access Hospital
Address1111 N Nagle Street, Alturas, CA 96101
CountyModoc County
StateCalifornia
Phone(530) 233‑5131
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating4 of 5 stars
CMS Certification Number051330
Name in Medicare recordsMODOC MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(530) 708‑8800[4]
Official websitemodocmedicalcenter.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Modoc Medical Center - Healing hands close to home — modocmedicalcenter.org
  2. Patient Rights & Visitors – Modoc Medical Center — modocmedicalcenter.org
  3. Ambulance Services – Modoc Medical Center — modocmedicalcenter.org
  4. Emergency Room – Modoc Medical Center — modocmedicalcenter.org
  5. Radiology – Modoc Medical Center — modocmedicalcenter.org
  6. Surgery – Modoc Medical Center — modocmedicalcenter.org
  7. Laboratory – Modoc Medical Center — modocmedicalcenter.org