Does Montclair Hospital Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Montclair Hospital Medical Center. In a medical emergency, call 911.

Where is Montclair Hospital Medical Center?

5000 San Bernardino Road, Montclair, CA 91763, in San Bernardino County, California.

What is the phone number of Montclair Hospital Medical Center?

(909) 625-8300, as listed by Medicare (CMS).

What is the Medicare star rating of Montclair Hospital Medical Center?

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

Montclair Hospital Medical Center

Quick answers

Does Montclair Hospital Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Montclair Hospital Medical Center. In a medical emergency, call 911.
Where is Montclair Hospital Medical Center?: 5000 San Bernardino Road, Montclair, CA 91763, in San Bernardino County, California.
What is the phone number of Montclair Hospital Medical Center?: (909) 625-8300, as listed by Medicare (CMS).
What is the Medicare star rating of Montclair Hospital Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][9][11]}

Emergency care
Cardiopulmonary services
Clinical laboratory
Imaging services
Intensive care unit (ICU)
Rehabilitation services
Senior services
Surgical services
Telemetry and med/surg
Pulmonology
Sleep medicine
General surgery
Urology
Orthopedic surgery
Physical therapy
Speech therapy

Treatments^[9]

Mechanical ventilation
Supplemental oxygen
Aerosol medication therapy

Procedures^[8][9][16]

Laparoscopic surgery
Endoscopy
Pulmonary function testing
CT scan
Ultrasound
Echocardiography
Fluoroscopy
Nuclear medicine

Programs and centers^{[4][6][7][10][15]}

Emergency care for older adults
FastTrackCare ER arrival reservation
Geriatric Emergency Department
Case management and social services
Charity care and discounted payment program

Emergency care (hospital website)^[4][7][15]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	MyChart

Recognition^[4][12]

Geriatric-accredited emergency department
Leapfrog Hospital Safety Grade A
Fully accredited by The Joint Commission
Imaging services accredited by the American College of Radiology

Doctors and clinicians (108)

108 doctors and other clinicians list Montclair Hospital 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

And 84 more: the button below opens the full list.

Other emergency rooms nearby

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

Pomona Valley Hospital Medical Center3.3 mi · Pomona, CA · Acute Care Hospital
Chino Valley Medical Center3.6 mi · Chino, CA · Acute Care Hospital
San Antonio Regional Hospital3.7 mi · Upland, CA · Acute Care Hospital
San Dimas Community Hospital8.1 mi · San Dimas, CA · Acute Care Hospital
Aurora Charter Oak9.9 mi · Covina, CA · Psychiatric Hospital

Other hospitals nearby

Kindred Hospital Ontario3.0 mi · Ontario, CA · Long-Term Acute Care Hospital
Casa Colina Hospital3.2 mi · Pomona, CA · Acute Care Hospital
Canyon Ridge Hospital4.7 mi · Chino, CA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Community Extended Care Hospital of Montclair0.3 mi · Montclair, CA · 5 of 5 stars
Montclair Manor Care Center0.9 mi · Montclair, CA · 4 of 5 stars
Claremont Heights Post Acute1.5 mi · Claremont, CA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Aegis Hospice Care0.4 mi · Montclair, CA
Aloria Healthcare0.4 mi · Montclair, CA
Angel of Joy Hospice0.4 mi · Montclair, CA

All hospice providers in the state →

Home health agencies

Aces Home Healthcare Services Inc0.4 mi · Montclair, CA · 1 of 5 stars
Advanced Wellness Home Care Inc0.4 mi · Montclair, CA
Angels on Earth Home Health Inc0.4 mi · Montclair, CA

All home health agencies in the state →

Dialysis facilities

DaVita Montclair Dialysis Center0.4 mi · Montclair, CA · 3 of 5 stars
Ontario Dialysis, Inc.1.9 mi · Ontario, CA · 1 of 5 stars
Ontario Holt Dialysis Center, Inc.1.9 mi · Ontario, CA · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Ontario Advanced Surgery Center1.9 mi · Ontario, CA
Casa Colina Surgery Center2.5 mi · Pomona, CA
Inland Valley Surgery Center2.5 mi · Pomona, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Montclair Mobile Health Clinic0.1 mi · Montclair, CA · Community health center
Montclair Community Health Center1.2 mi · Montclair, CA · Community health center
Montclair Community Health Center1.2 mi · Montclair, CA · Community health center

Clinics and urgent care

Above Urgent Care Center0.4 mi · Montclair, CA · Urgent care center
Central Avenue Urgent Care Center0.4 mi · Montclair, CA · Urgent care center
Central Medical Practice0.4 mi · Montclair, CA · Urgent care center

Pharmacies

Advance Pharmacy Services Inc0.4 mi · Montclair, CA · Community/retail pharmacy
Akshar MSM Drugs Inc0.4 mi · Montclair, CA · Pharmacy
Costco Wholesale Corporation0.4 mi · Montclair, CA · Community/retail pharmacy

Assisted living nearby

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

Allwise Residential Home II0.4 mi · Montclair, CA
Aqua Ridge of Montclair0.4 mi · Montclair, CA
Montclair Royale Senior Living0.4 mi · Montclair, CA
Mountain View Cottages-Viii0.4 mi · Montclair, CA

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	56%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	67%National average: 80%
Doctors “always” communicated well	68%National average: 80%
Staff “always” explained medicines before giving them	49%National average: 62%
Were given information about recovery at home	76%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	34%National average: 60%
Completed surveys	437Response rate: 29%

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)	1.036No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
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	0.263No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	11.1%
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)	0.9No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

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	22.2%
Readmitted within 30 days: pneumonia	18.8%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	153 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	66%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 54 common services exactly as Montclair Hospital Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hc Ed Level 3 - 99283 - 45000003	$2,284.44	$349	$63.97 – $2,284.44
Emergency room visit (moderate): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $349.37 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $67.17 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $349.37 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $63.97 Brand New Day — Brand New Day Exchange: $524.06 Brand New Day — Brand New Days Medicare: $352.86 Central Health Plan — Central Health Plan Medicare: $349.37 Choice Physicians Network — Choice Physicians Network Medicare: $349.37 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $349.37 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $349.37
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hc Ed Level 4 - 99284 - 45000004	$3,409.93	$534	$98.04 – $3,409.93
Emergency room visit (moderately high): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $534.03 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $102.94 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $534.03 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $98.04 Brand New Day — Brand New Day Exchange: $801.05 Brand New Day — Brand New Days Medicare: $539.37 Central Health Plan — Central Health Plan Medicare: $534.03 Choice Physicians Network — Choice Physicians Network Medicare: $534.03 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $534.03 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $534.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hc Ed Level 5 - 99285 - 45000005	$5,058.67	$762	$155.03 – $5,058.67
Emergency room visit (high): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $762.20 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $162.78 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $762.20 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $155.03 Brand New Day — Brand New Day Exchange: $1,143.30 Brand New Day — Brand New Days Medicare: $769.82 Central Health Plan — Central Health Plan Medicare: $762.20 Choice Physicians Network — Choice Physicians Network Medicare: $762.20 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $762.20 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $762.20

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: Hc Basic Metabolic Panel Calcium Total	$809.88	$8	$8.04 – $809.88
Basic metabolic panel (blood test): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $8.46 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $11.62 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $8.46 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $8.34 Brand New Day — Brand New Day Exchange: $12.69 Brand New Day — Brand New Days Medicare: $8.54 Central Health Plan — Central Health Plan Medicare: $8.46 Choice Physicians Network — Choice Physicians Network Medicare: $8.46 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $8.46 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hc Metabolic Panel,Comprehensive	$1,150.88	$10	$10.03 – $1,150.88
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $10.56 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $14.68 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $10.56 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $10.55 Brand New Day — Brand New Day Exchange: $15.84 Brand New Day — Brand New Days Medicare: $10.67 Central Health Plan — Central Health Plan Medicare: $10.56 Choice Physicians Network — Choice Physicians Network Medicare: $10.56 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $10.56 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hc Lipid Panel	$827.75	$13	$12.72 – $827.75
Cholesterol panel (lipid panel): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $13.39 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $14.57 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $13.39 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $13.24 Brand New Day — Brand New Day Exchange: $20.09 Brand New Day — Brand New Days Medicare: $13.52 Central Health Plan — Central Health Plan Medicare: $13.39 Choice Physicians Network — Choice Physicians Network Medicare: $13.39 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $13.39 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hc Renal Function Panel	$534.88	$8	$8.25 – $534.88
Kidney function panel: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $8.68 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $11.93 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $8.68 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $8.72 Brand New Day — Brand New Day Exchange: $13.02 Brand New Day — Brand New Days Medicare: $8.77 Central Health Plan — Central Health Plan Medicare: $8.68 Choice Physicians Network — Choice Physicians Network Medicare: $8.68 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $8.68 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hc Hepatic Function Panel	$548.63	$8	$7.32 – $548.63
Liver function panel: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $8.17 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $11.19 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $8.17 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $7.32 Brand New Day — Brand New Day Exchange: $12.26 Brand New Day — Brand New Days Medicare: $8.25 Central Health Plan — Central Health Plan Medicare: $8.17 Choice Physicians Network — Choice Physicians Network Medicare: $8.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $8.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/Scope	$221.38	$3	$3.01 – $221.38
Urine test (automated, with microscope): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $3.17 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $4.59 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $3.17 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $3.18 Brand New Day — Brand New Day Exchange: $4.76 Brand New Day — Brand New Days Medicare: $3.20 Central Health Plan — Central Health Plan Medicare: $3.17 Choice Physicians Network — Choice Physicians Network Medicare: $3.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $3.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hc Urinalysis Nonauto W/O Scope	$81.03	$3	$2.47 – $81.03
Urine test (manual, without microscope): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $3.48 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $3.71 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $3.48 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $2.47 Brand New Day — Brand New Day Exchange: $5.22 Brand New Day — Brand New Days Medicare: $3.51 Central Health Plan — Central Health Plan Medicare: $3.48 Choice Physicians Network — Choice Physicians Network Medicare: $3.48 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $3.48 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/O Scope	$126.73	$2	$2.14 – $126.73
Urine test (automated, without microscope): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $2.25 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $2.97 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $2.25 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $2.25 Brand New Day — Brand New Day Exchange: $3.38 Brand New Day — Brand New Days Medicare: $2.27 Central Health Plan — Central Health Plan Medicare: $2.25 Choice Physicians Network — Choice Physicians Network Medicare: $2.25 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $2.25 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312	$251.59	$18	$17.47 – $251.59
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $18.39 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $26.03 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $18.39 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $18.76 Brand New Day — Brand New Day Exchange: $27.59 Brand New Day — Brand New Days Medicare: $18.57 Central Health Plan — Central Health Plan Medicare: $18.39 Choice Physicians Network — Choice Physicians Network Medicare: $18.39 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $18.39 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hc Assay Thyroid Stim Hormone	$434.50	$16	$15.96 – $434.50
Thyroid stimulating hormone (TSH) test: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $16.80 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $23.71 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $16.80 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $16.94 Brand New Day — Brand New Day Exchange: $25.20 Brand New Day — Brand New Days Medicare: $16.97 Central Health Plan — Central Health Plan Medicare: $16.80 Choice Physicians Network — Choice Physicians Network Medicare: $16.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $16.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hc Complete Cbc & Auto Diff Wbc	$301.13	$7	$7.38 – $301.13
Complete blood count (CBC) with differential: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $7.77 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $10.62 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $7.77 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $7.75 Brand New Day — Brand New Day Exchange: $11.66 Brand New Day — Brand New Days Medicare: $7.85 Central Health Plan — Central Health Plan Medicare: $7.77 Choice Physicians Network — Choice Physicians Network Medicare: $7.77 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $7.77 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hc Complete Cbc	$158.35	$6	$6.15 – $158.35
Complete blood count (CBC), automated: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $6.47 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $8.67 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $6.47 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $6.55 Brand New Day — Brand New Day Exchange: $9.71 Brand New Day — Brand New Days Medicare: $6.53 Central Health Plan — Central Health Plan Medicare: $6.47 Choice Physicians Network — Choice Physicians Network Medicare: $6.47 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $6.47 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hc Prothrombin Time	$181.98	$4	$4 – $181.98
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $4.29 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $5.04 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $4.29 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $4 Brand New Day — Brand New Day Exchange: $6.44 Brand New Day — Brand New Days Medicare: $4.33 Central Health Plan — Central Health Plan Medicare: $4.29 Choice Physicians Network — Choice Physicians Network Medicare: $4.29 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $4.29 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hc Thromboplas Time Partial	$249.12	$6	$5.71 – $249.12
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $6.01 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $7.98 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $6.01 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $6.13 Brand New Day — Brand New Day Exchange: $9.02 Brand New Day — Brand New Days Medicare: $6.07 Central Health Plan — Central Health Plan Medicare: $6.01 Choice Physicians Network — Choice Physicians Network Medicare: $6.01 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $6.01 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $6.01

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: Hc Ct Scan,Head/Brain,W/O Contrast Matl	$6,964.38	$133	$94.42 – $6,964.38
CT scan of the head or brain, without contrast: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $133.80 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $296.47 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $133.80 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $94.42 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Days Medicare: $135.14 Central Health Plan — Central Health Plan Medicare: $133.80 Choice Physicians Network — Choice Physicians Network Medicare: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $133.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hc Mri Brain Combo	$8,453.75	$446	$316.79 – $8,453.75
MRI of the brain, before and after contrast: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $446.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $1,435.35 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $446.50 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $316.79 Brand New Day — Brand New Day Exchange: $669.75 Brand New Day — Brand New Days Medicare: $450.97 Central Health Plan — Central Health Plan Medicare: $446.50 Choice Physicians Network — Choice Physicians Network Medicare: $446.50 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $446.50 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $446.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hc Chest X-Ray 2 Vw	$1,036.75	$111	$18.13 – $1,036.75
Chest X-ray, 2 views: 10 of 42 insurance plan rates Alignment — Alignment Medicare: $111.37 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $41.25 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $111.37 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $18.13 Brand New Day — Brand New Day Exchange: $167.06 Brand New Day — Brand New Days Medicare: $112.48 Central Health Plan — Central Health Plan Medicare: $111.37 Choice Physicians Network — Choice Physicians Network Medicare: $111.37 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $111.37 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $111.37
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hc X-Ray Lumbar Spine 4 Vw	$1,398.75	$133	$43.40 – $1,398.75
X-ray of the lower spine, at least 4 views: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $133.80 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $74.79 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $133.80 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $43.40 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Days Medicare: $135.14 Central Health Plan — Central Health Plan Medicare: $133.80 Choice Physicians Network — Choice Physicians Network Medicare: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $133.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hc Mri, Lumbar Spine	$6,378.75	$305	$181.42 – $6,378.75
MRI of the lower back (lumbar spine), without contrast: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $305.38 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $867.15 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $305.38 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $181.42 Brand New Day — Brand New Day Exchange: $458.07 Brand New Day — Brand New Days Medicare: $308.43 Central Health Plan — Central Health Plan Medicare: $305.38 Choice Physicians Network — Choice Physicians Network Medicare: $305.38 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $305.38 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $305.38
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hc Ct Scan Of Pelvis Contrast	$4,823.75	$224	$213.26 – $4,823.75
CT scan of the pelvis, with contrast: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $224.48 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $381.84 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $224.48 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $222.88 Brand New Day — Brand New Day Exchange: $336.72 Brand New Day — Brand New Days Medicare: $226.72 Central Health Plan — Central Health Plan Medicare: $224.48 Choice Physicians Network — Choice Physicians Network Medicare: $224.48 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $224.48 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $224.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hc Mri Lower Extrem Jt, W/O Contrast	$6,378.75	$305	$206.20 – $6,378.75
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $305.38 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $588.11 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $305.38 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $206.20 Brand New Day — Brand New Day Exchange: $458.07 Brand New Day — Brand New Days Medicare: $308.43 Central Health Plan — Central Health Plan Medicare: $305.38 Choice Physicians Network — Choice Physicians Network Medicare: $305.38 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $305.38 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $305.38
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hc Ct Scan Abdomen/Pelvis W Contrast	$9,567.25	$446	$202.90 – $9,567.25
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates Alignment — Alignment Medicare: $446.50 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $295.89 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $446.50 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $202.90 Brand New Day — Brand New Day Exchange: $669.75 Brand New Day — Brand New Days Medicare: $450.97 Central Health Plan — Central Health Plan Medicare: $446.50 Choice Physicians Network — Choice Physicians Network Medicare: $446.50 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $446.50 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $446.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hc Us, Abdom,B-Scan &/Or Real Time,Complete	$2,556.13	$133	$82.35 – $2,556.13
Ultrasound of the abdomen, complete: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $133.80 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $125.31 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $133.80 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $82.35 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Days Medicare: $135.14 Central Health Plan — Central Health Plan Medicare: $133.80 Choice Physicians Network — Choice Physicians Network Medicare: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $133.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hc Us, Ob >/= 14 Wks, Sngl Fetus	$1,479	$133	$90.65 – $1,479
Pregnancy ultrasound (after the first trimester): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $133.80 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $142.05 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $133.80 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $90.65 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Days Medicare: $135.14 Central Health Plan — Central Health Plan Medicare: $133.80 Choice Physicians Network — Choice Physicians Network Medicare: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $133.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hc Ultrasound,Transvaginal	$1,535	$133	$70.84 – $1,535
Transvaginal ultrasound: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $133.80 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $101.89 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $133.80 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $70.84 Brand New Day — Brand New Day Exchange: $200.70 Brand New Day — Brand New Days Medicare: $135.14 Central Health Plan — Central Health Plan Medicare: $133.80 Choice Physicians Network — Choice Physicians Network Medicare: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $133.80 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $133.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Hc Mammography; Unilateral	$844.90	$94	$84.30 – $844.90
Diagnostic mammogram, one breast: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $94.37 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $122.93 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $94.37 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $84.30 Brand New Day — Brand New Day Exchange: $141.56 Brand New Day — Brand New Days Medicare: $95.31 Central Health Plan — Central Health Plan Medicare: $94.37 Choice Physicians Network — Choice Physicians Network Medicare: $94.37 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $94.37 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $94.37
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hc Mammography; Bilateral	$1,060	$121	$108.06 – $1,060
Diagnostic mammogram, both breasts: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $121.01 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $155.43 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $121.01 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $108.06 Brand New Day — Brand New Day Exchange: $181.52 Brand New Day — Brand New Days Medicare: $122.22 Central Health Plan — Central Health Plan Medicare: $121.01 Choice Physicians Network — Choice Physicians Network Medicare: $121.01 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $121.01 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $121.01
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hc Mammogram, Screening	$589.51	$99	$88.39 – $589.51
Screening mammogram, both breasts: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $99.86 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $125.42 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $99.86 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $88.39 Brand New Day — Brand New Day Exchange: $149.79 Brand New Day — Brand New Days Medicare: $100.86 Central Health Plan — Central Health Plan Medicare: $99.86 Choice Physicians Network — Choice Physicians Network Medicare: $99.86 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $99.86 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $99.86

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Hc Left Heart Cath Inj Vetriculography, Rs/I	$14,792.30	$4,149	$549.26 – $14,792.30
Left heart catheterization (diagnostic): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $4,149.23 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $801 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $4,149.23 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $549.26 Brand New Day — Brand New Day Exchange: $6,223.85 Brand New Day — Brand New Days Medicare: $4,190.72 Central Health Plan — Central Health Plan Medicare: $4,149.23 Choice Physicians Network — Choice Physicians Network Medicare: $4,149.23 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $4,149.23 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $4,149.23
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Hc Electrophys Ev,R A-V Pace/Rec,W/ Induct	$33,663.80	$9,982	$256.67 – $33,663.80
Heart rhythm study (electrophysiology evaluation): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $9,982.51 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $898.34 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $9,982.51 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $256.67 Brand New Day — Brand New Day Exchange: $14,973.77 Brand New Day — Brand New Days Medicare: $10,082.34 Central Health Plan — Central Health Plan Medicare: $9,982.51 Choice Physicians Network — Choice Physicians Network Medicare: $9,982.51 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $9,982.51 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $9,982.51
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein	$127,852	$33,452	$880.47 – $127,852
Heart rhythm study with ablation for atrial fibrillation: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $33,452.92 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $1,408.46 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $33,452.92 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $880.47 Brand New Day — Brand New Day Exchange: $50,179.38 Brand New Day — Brand New Days Medicare: $33,787.45 Central Health Plan — Central Health Plan Medicare: $33,452.92 Choice Physicians Network — Choice Physicians Network Medicare: $33,452.92 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $33,452.92 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $33,452.92

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Ot Exercise Ota Complex Ea 15 - 97110 - 42000162	$288.75	$30	$9.14 – $380.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $30.59 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $16.51 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $30.59 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $9.14 Brand New Day — Brand New Day Exchange: $45.89 Brand New Day — Brand New Days Medicare: $30.90 Central Health Plan — Central Health Plan Medicare: $30.59 Choice Physicians Network — Choice Physicians Network Medicare: $30.59 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $30.59 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $30.59
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Pt Exercise Pta Complex Ea 15	$288.75	$30	$9.14 – $380.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $30.59 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $16.51 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $30.59 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $9.14 Brand New Day — Brand New Day Exchange: $45.89 Brand New Day — Brand New Days Medicare: $30.90 Central Health Plan — Central Health Plan Medicare: $30.59 Choice Physicians Network — Choice Physicians Network Medicare: $30.59 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $30.59 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $30.59
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Therapeutic Exercises Complex, Ea 15 Min	$202.50	$30	$9.14 – $380.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $30.59 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $16.51 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $30.59 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $9.14 Brand New Day — Brand New Day Exchange: $45.89 Brand New Day — Brand New Days Medicare: $30.90 Central Health Plan — Central Health Plan Medicare: $30.59 Choice Physicians Network — Choice Physicians Network Medicare: $30.59 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $30.59 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $30.59
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Low Complexity, 20 Min	$624.18	$103	$98.01 – $624.18
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Alignment — Alignment Medicare: $103.17 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $103.17 Brand New Day — Brand New Day Exchange: $154.76 Brand New Day — Brand New Days Medicare: $104.20 Central Health Plan — Central Health Plan Medicare: $103.17 Choice Physicians Network — Choice Physicians Network Medicare: $103.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $103.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $103.17 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medicare: $103.17 Coventry Workers Compensation — Coventry Workers Compensation: $131.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Moderate Complexity, 30 Min	$858.25	$103	$98.02 – $858.25
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Alignment — Alignment Medicare: $103.18 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $103.18 Brand New Day — Brand New Day Exchange: $154.77 Brand New Day — Brand New Days Medicare: $104.21 Central Health Plan — Central Health Plan Medicare: $103.18 Choice Physicians Network — Choice Physicians Network Medicare: $103.18 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $103.18 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $103.18 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medicare: $103.18 Coventry Workers Compensation — Coventry Workers Compensation: $131.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, High Complexity, 45 Min - 97163 - 42400012	$943.69	$103	$98.03 – $943.69
Physical therapy evaluation (high complexity): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $103.19 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $142.34 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $103.19 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $135.56 Brand New Day — Brand New Day Exchange: $154.79 Brand New Day — Brand New Days Medicare: $104.22 Central Health Plan — Central Health Plan Medicare: $103.19 Choice Physicians Network — Choice Physicians Network Medicare: $103.19 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $103.19 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $103.19

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	$14,376.50	$5,011	$302.26 – $14,376.50
Removal of breast growth (open surgery): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $5,011.22 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $317.37 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $5,011.22 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $302.26 Brand New Day — Brand New Day Exchange: $7,516.83 Brand New Day — Brand New Days Medicare: $5,061.33 Central Health Plan — Central Health Plan Medicare: $5,011.22 Choice Physicians Network — Choice Physicians Network Medicare: $5,011.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $5,011.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $5,011.22
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd Diagnostic Brush Wash	$10,178.70	$1,160	$321.48 – $10,178.70
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $1,160.81 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $337.55 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,160.81 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $321.48 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Days Medicare: $1,172.42 Central Health Plan — Central Health Plan Medicare: $1,160.81 Choice Physicians Network — Choice Physicians Network Medicare: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $1,160.81
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Diagnostic	$6,026.29	$1,160	$321.48 – $10,178.70
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates Alignment — Alignment Medicare: $1,160.81 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $337.55 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,160.81 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $321.48 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Days Medicare: $1,172.42 Central Health Plan — Central Health Plan Medicare: $1,160.81 Choice Physicians Network — Choice Physicians Network Medicare: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $1,160.81
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Biopsy Single/Multiple	$10,818.70	$1,160	$335.91 – $10,818.70
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $1,160.81 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $352.71 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,160.81 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $335.91 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Days Medicare: $1,172.42 Central Health Plan — Central Health Plan Medicare: $1,160.81 Choice Physicians Network — Choice Physicians Network Medicare: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $1,160.81
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Biopsy Single/Multiple	$6,026.29	$1,160	$335.91 – $10,818.70
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $1,160.81 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $352.71 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,160.81 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $335.91 Brand New Day — Brand New Day Exchange: $1,741.22 Brand New Day — Brand New Days Medicare: $1,172.42 Central Health Plan — Central Health Plan Medicare: $1,160.81 Choice Physicians Network — Choice Physicians Network Medicare: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,160.81 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $1,160.81
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic Colonoscopy	$9,928.60	$1,190	$423.48 – $9,928.60
Colonoscopy (diagnostic): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,190.22 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $444.65 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,190.22 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $423.48 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Days Medicare: $1,202.12 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,190.22 Choice Physicians Network — Choice Physicians Network Medicare: $1,190.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,190.22
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Diagnostic	$5,910.28	$1,190	$423.48 – $9,928.60
Colonoscopy (diagnostic): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,190.22 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $444.65 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,190.22 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $423.48 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Days Medicare: $1,202.12 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,190.22 Choice Physicians Network — Choice Physicians Network Medicare: $1,190.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,190.22
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068	$5,442.56	$1,190	$423.48 – $9,928.60
Colonoscopy (diagnostic): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,190.22 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $444.65 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,190.22 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $423.48 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Days Medicare: $1,202.12 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,190.22 Choice Physicians Network — Choice Physicians Network Medicare: $1,190.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,190.22
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy And Biopsy	$9,591.67	$1,531	$473.68 – $9,591.67
Colonoscopy with biopsy: 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,531.54 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $497.36 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,531.54 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $473.68 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Days Medicare: $1,546.86 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,531.54 Choice Physicians Network — Choice Physicians Network Medicare: $1,531.54 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,531.54
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Biopsy	$7,723.01	$1,531	$473.68 – $9,591.67
Colonoscopy with biopsy: 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,531.54 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $497.36 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,531.54 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $473.68 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Days Medicare: $1,546.86 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,531.54 Choice Physicians Network — Choice Physicians Network Medicare: $1,531.54 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,531.54
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy W/Lesion Removal	$10,781.30	$1,531	$574.08 – $10,781.30
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,531.54 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $602.78 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,531.54 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $574.08 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Days Medicare: $1,546.86 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,531.54 Choice Physicians Network — Choice Physicians Network Medicare: $1,531.54 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,531.54
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Remv Lesn,Snare	$8,495.31	$1,531	$574.08 – $10,781.30
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates Alignment — Alignment Medicare: $1,531.54 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $602.78 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,531.54 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $574.08 Brand New Day — Brand New Day Exchange: $2,297.31 Brand New Day — Brand New Days Medicare: $1,546.86 Catalina Research Institute — Catalina Research Institute: $600 Central Health Plan — Central Health Plan Medicare: $1,531.54 Choice Physicians Network — Choice Physicians Network Medicare: $1,531.54 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,531.54
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - G0121 - 75000071	$6,501.30	$1,190	$1,130.71 – $6,501.30
Screening colonoscopy (not high risk): 10 of 34 insurance plan rates Alignment — Alignment Medicare: $1,190.22 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $1,190.22 Brand New Day — Brand New Day Exchange: $1,785.33 Brand New Day — Brand New Days Medicare: $1,202.12 Central Health Plan — Central Health Plan Medicare: $1,190.22 Choice Physicians Network — Choice Physicians Network Medicare: $1,190.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $1,190.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $1,190.22 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medicare: $1,190.22 Coventry Workers Compensation — Coventry Workers Compensation: $1,520.90
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic Cholecystectomy	$17,655.50	$7,737	$668.60 – $17,655.50
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $7,737.45 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $702.03 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $7,737.45 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $668.60 Brand New Day — Brand New Day Exchange: $11,606.18 Brand New Day — Brand New Days Medicare: $7,814.82 Central Health Plan — Central Health Plan Medicare: $7,737.45 Choice Physicians Network — Choice Physicians Network Medicare: $7,737.45 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $7,737.45 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $7,737.45
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp I/Hern Init Reduc >5 Yr	$33,746.40	$4,582	$493.45 – $33,746.40
Groin (inguinal) hernia repair, age 5 or older: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $4,582.43 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $518.12 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $4,582.43 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $493.45 Brand New Day — Brand New Day Exchange: $6,873.65 Brand New Day — Brand New Days Medicare: $4,628.25 Central Health Plan — Central Health Plan Medicare: $4,582.43 Choice Physicians Network — Choice Physicians Network Medicare: $4,582.43 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $4,582.43 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $4,582.43
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy	$17,945.20	$4,143	$251.48 – $17,945.20
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates Alignment — Alignment Medicare: $4,143.08 Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $264.05 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $4,143.08 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $251.48 Brand New Day — Brand New Day Exchange: $6,214.62 Brand New Day — Brand New Days Medicare: $4,184.51 Central Health Plan — Central Health Plan Medicare: $4,143.08 Choice Physicians Network — Choice Physicians Network Medicare: $4,143.08 Citrus Valley Physicians Group — Citrus Valley Physicians Group Commercial: $4,143.08 Citrus Valley Physicians Group — Citrus Valley Physicians Group Medi-Cal: $4,143.08

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: Hc Ob Care Antepartum Vag Dlvr & Postpartum	$2,921	Not listed in the file	$876.30 – $2,921
Vaginal delivery, with care before and after: rates for 7 insurance plans Anthem Blue Cross — Anthem Blue Cross Medi-Cal: $1,639.50 Blue Shield Of Promise — Blue Shield Of Promise Medi-Cal: $1,994.02 Health Net Of CA — Health Net Of CA Medi-Cal: $2,133.60 Inland Empire Healthplan — Inland Empire Healthplan Medi-Cal: $2,891.33 Molina — Molina Medi-Cal: $1,994.02 Traditional Medi-Cal — Traditional Medi-Cal: $1,994.02 Vantage Care — Vantage Care Medi-Cal: $1,994.02

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$94,885	$48,150 – $189,770.88
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates Alignment — Alignment Medicare: $94,278.90 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $94,278.90 Brand New Day — Brand New Days Medicare: $95,221.69 Central Health Plan — Central Health Plan Medicare: $94,278.90 Choice Physicians Network — Choice Physicians Network Medicare: $94,278.90 Coventry Workers Compensation — Coventry Workers Compensation: $141,993.75 Elite Health Plan — Elite Health Plan (Medicare): $94,278.90 Emanate Health — Emanate Health Commercial: $189,770.88 Emanate Health — Emanate Health Medi-cal: $94,885.44 Emanate Health — Emanate Health Medicare: $94,278.90
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$53,517.04
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Coventry Workers Compensation — Coventry Workers Compensation: $53,517.04
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$19,211	$7,650 – $38,423.72
Hip or knee replacement (major joint of the leg), without major complications: 10 of 32 insurance plan rates Alignment — Alignment Medicare: $19,092.30 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $19,092.30 Brand New Day — Brand New Days Medicare: $19,283.22 Central Health Plan — Central Health Plan Medicare: $19,092.30 Choice Physicians Network — Choice Physicians Network Medicare: $19,092.30 Coventry Workers Compensation — Coventry Workers Compensation: $27,530.28 Elite Health Plan — Elite Health Plan (Medicare): $19,092.30 Emanate Health — Emanate Health Commercial: $38,423.72 Emanate Health — Emanate Health Medi-cal: $19,211.86 Emanate Health — Emanate Health Medicare: $19,092.30
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC	Not listed in the file	$24,148	$7,200 – $48,297.84
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates Alignment — Alignment Medicare: $23,997.60 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $23,997.60 Brand New Day — Brand New Days Medicare: $24,237.58 Central Health Plan — Central Health Plan Medicare: $23,997.60 Choice Physicians Network — Choice Physicians Network Medicare: $23,997.60 Coventry Workers Compensation — Coventry Workers Compensation: $35,999.90 Elite Health Plan — Elite Health Plan (Medicare): $23,997.60 Emanate Health — Emanate Health Commercial: $48,297.84 Emanate Health — Emanate Health Medi-cal: $24,148.92 Emanate Health — Emanate Health Medicare: $23,997.60
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC	Not listed in the file	$12,580	$6,750 – $26,587.07
Uterus and ovary surgery (not for cancer), without complications: 10 of 32 insurance plan rates Alignment — Alignment Medicare: $12,504 Blue Sheild Of CA TriWest Medicare — Blue Sheild Of CA TriWest Medicare: $12,504 Brand New Day — Brand New Days Medicare: $12,629.04 Central Health Plan — Central Health Plan Medicare: $12,504 Choice Physicians Network — Choice Physicians Network Medicare: $12,504 Coventry Workers Compensation — Coventry Workers Compensation: $17,000.68 Elite Health Plan — Elite Health Plan (Medicare): $12,504 Emanate Health — Emanate Health Commercial: $25,161.88 Emanate Health — Emanate Health Medi-cal: $12,580.94 Emanate Health — Emanate Health Medicare: $12,504

Source: Montclair Hospital Medical Center’s standard charges file (montclair-hospital.org, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	5000 San Bernardino Road, Montclair, CA 91763
County	San Bernardino County
State	California
Phone	(909) 625‑8300
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	050758
Name in Medicare records	MONTCLAIR HOSPITAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(909) 625‑5411^[4]
Official website	montclair-hospital.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.

Montclair Hospital Medical Center — montclair-hospital.org
Services - Montclair Hospital Medical Center — montclair-hospital.org
Trusted Community Hospital in Montclair, CA | Montclair Hospital — montclair-hospital.org
24/7 Emergency Room & Trauma Care in Montclair | Montclair — montclair-hospital.org
Surgical Services, Inpatient & Outpatient Care | Montclair — montclair-hospital.org
Heart & Lung Care, Testing & Treatment Services | Montclair — montclair-hospital.org
Patient Support, Counseling & Care Services | Montclair — montclair-hospital.org
Rehabilitation Therapy, Physical & Recovery Care | Montclair Hospital — montclair-hospital.org
Awards - Montclair Hospital Medical Center — montclair-hospital.org
Sala de Emergencias 24/7 y Atención Médica | Montclair — montclair-hospital.org
Medical Imaging, Radiology & Diagnostic Scans | Montclair — montclair-hospital.org