Does NorthBay Medical Center have an emergency room?

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

Where is NorthBay Medical Center?

1200 B Gale Wilson Blvd, Fairfield, CA 94533, in Solano County, California.

What is the phone number of NorthBay Medical Center?

(707) 646-5000, as listed by Medicare (CMS).

What is the Medicare star rating of NorthBay Medical Center?

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

NorthBay Medical Center — Fairfield, CA

Quick answers

Does NorthBay Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at NorthBay Medical Center. In a medical emergency, call 911.
Where is NorthBay Medical Center?: 1200 B Gale Wilson Blvd, Fairfield, CA 94533, in Solano County, California.
What is the phone number of NorthBay Medical Center?: (707) 646-5000, as listed by Medicare (CMS).
What is the Medicare star rating of NorthBay Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Emergency Medicine
Cardiology
Maternity
Neonatal Intensive Care
Critical Care
Diagnostic Imaging
Surgery
Hospital Medicine

Treatments^[6]

Cardiac catheterization
Percutaneous coronary intervention (PCI)
Diagnostic imaging
Surgery

Procedures^[4]

Cardiac catheterization

Programs and centers^[4][6]

Accredited Chest Pain Center with PCI
STEMI Receiving Center
Primary Stroke Center
Maternity unit with private birthing suites
Newborn intensive care unit
Critical care units

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Visiting hours 7 a.m.-9 p.m. daily; limits apply in Labor and Delivery/Mother Baby and NICU^[5]
Interpreters and languages	24-hour telephone interpreting (CyraCom) and on-site interpreters (The Language People); ASL video interpreting^[7]

Recognition^[4]

Level II Trauma Center
Primary Stroke Center
Accredited Chest Pain Center with PCI

Doctors and clinicians (387)

387 doctors and other clinicians list NorthBay 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 363 more: the button below opens the full list.

Other emergency rooms nearby

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

60th Medical Group (Travis AFB)2.7 mi · Travis Afb, CA · Military Hospital (Department of Defense)
Kaiser Foundation Hospital - Vacaville9.8 mi · Vacaville, CA · Acute Care Hospital
Providence Queen of the Valley Medical Center16 mi · Napa, CA · Acute Care Hospital
Sutter Solano Medical Center16 mi · Vallejo, CA · Acute Care Hospital
Kaiser Foundation Hospital and Rehab Center17 mi · Vallejo, CA · Acute Care Hospital

Other hospitals nearby

Dept of State Hospitals - Napa14 mi · Napa, 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.

Dialysis facilities

DaVita Fairfield Downtown Dialysis0.0 mi · Fairfield, CA · 3 of 5 stars
DaVita Vaca Valley Home Training5.9 mi · Vacaville, CA
DaVita Fairfield Dialysis Center6.6 mi · Fairfield, CA · 4 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.

Sutter Fairfield Surgery Center0.0 mi · Fairfield, CA
Park West Surgical Associates Inc5.9 mi · Vacaville, CA
The Surgery Center at NorthBay VacaValley5.9 mi · Vacaville, 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

County of Solano0.0 mi · Fairfield, CA · Community health center
Mobile Dental Clinic1.6 mi · Fairfield, CA · Community health center
Mobile Medical Clinic1.6 mi · Fairfield, CA · Community health center

Clinics and urgent care

Carbon Health Medical Group of California PC0.0 mi · Fairfield, CA · Urgent care center
Urgent Care Plus Telehealth Inc13 mi · Benicia, CA · Urgent care center
County of Napa16 mi · Napa, CA · Urgent care center

Pharmacies

Kaiser Foundation Health Plan Inc0.0 mi · Fairfield, CA · Community/retail pharmacy
Sarhaddi Pharmaceutical Inc0.0 mi · Fairfield, CA · Pharmacy
Walgreen Co0.0 mi · Fairfield, CA · Pharmacy

Assisted living nearby

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

Adelaide Home II0.0 mi · Fairfield, CA
Af Care Home0.0 mi · Fairfield, CA
Aging in the Bay 40.0 mi · Fairfield, CA
Ameera Care0.0 mi · Fairfield, 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 NorthBay 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	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	72%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	54%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	1,123Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.985No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.663No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.923No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.763No 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	13%
Deaths within 30 days: heart failure patients	10.4%
Deaths within 30 days: pneumonia patients	13.7%
Deaths within 30 days: COPD patients	7.4%
Deaths within 30 days: stroke patients	12.6%
Deaths within 30 days: coronary bypass surgery (CABG)	3.7%
Serious complications (patient safety indicator PSI-90)	1.04No different from the national rate
Complications after hip or knee replacement	3.7%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.6%
Readmitted within 30 days: heart failure	22.1%
Readmitted within 30 days: pneumonia	18.8%
Readmitted within 30 days: COPD	20.9%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	5.6%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	176 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	54%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 82 common services exactly as NorthBay 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)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New Pt Lvl Iii	$322.91	$322.91	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit New Level Iii	$256	$256	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Fee Off Visit Level Iii	$223	$223	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New Pt Lvl Iv	$486.52	$486.52	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit New Lvel Iv	$245	$245	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Fee Off Visit Level Iv	$288	$288	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New Pt Lvl V	$612.51	$612.51	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit New Level V	$275	$275	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Fee Off Visit New Level V	$378	$378	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Est Lvl Iii	$226.01	$226.01	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit Estab Level Iii	$256	$256	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Fee Off Visit Est Lev Iii	$168	$168	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Est Lvl Iv	$326.32	$326.32	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit Estab Level Iv	$270	$270	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Drivers Physical	$261.06	$261.06	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult Level Iii	$322.91	$322.91	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult Lvl Iii	$322.91	$322.91	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Consult Level Iii	$322.91	$322.91	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult Lvl Iv	$486.52	$486.52	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult Level Iv	$219	$219	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Consult Level Iv	$486.52	$486.52	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Preventive New Pt 18-39 Yrs	$409.80	$409.80	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Preventive New Pt 18-39 Yrs	$409.80	$409.80	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Vst Prev New Pt 18-39 Yr	$409.80	$409.80	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Preventive New Pt 40-64 Yrs	$409.80	$409.80	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Vst Prev New Pt 40-64 Yr	$409.80	$409.80	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$401.04
Emergency room visit (moderate): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $401.04
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Dept Visit Iii	$180.92	$180.92	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Er Level Iii	$4,914	$4,914	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$613.02
Emergency room visit (moderately high): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $613.02
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Dept Visit Iv	$330.22	$330.22	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Er Level Iv	$8,776	$8,776	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$874.92
Emergency room visit (high): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $874.92
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Dept Visit V	$478.64	$478.64	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Er Level V	$11,307	$11,307	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46
Basic metabolic panel (blood test): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel	$457	$457	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: Poct Bmp-Basic Metabolic Panel	$17	$17	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$504	$504	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehen Metabolic Panel	$10.88	$10.88	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81
Obstetric blood test panel: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39
Cholesterol panel (lipid panel): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel	$42	$42	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lpd Pnl W/Rflx To Direct Ldl	$79	$79	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68
Kidney function panel: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel	$307	$307	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17
Liver function panel: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Liver Panel	$528	$528	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17
Urine test (automated, with microscope): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Rt, Auto W/ Micro	$426	$426	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48
Urine test (manual, without microscope): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Ua W/O Micro	$8	$8	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Ua Wo Micro	$10	$10	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25
Urine test (automated, without microscope): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Rt, Auto W/O Micro	$236	$236	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: Poct Auto Urinalysis W/O Micro	$33	$33	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39
PSA (prostate specific antigen) blood test: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: Psa, Prostatectomy	$28	$28	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: Psa Total	$29	$29	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$54	$54	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Tsh, Third Generation	$257	$257	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77
Complete blood count (CBC) with differential: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Cbc With Auto Diff	$314	$314	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: Compl Cbc W Plt W Autom Diff	$21	$21	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47
Complete blood count (CBC), automated: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hemogram Automated	$308	$308	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time	$230	$230	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: Mod Qw Protime W/ Inr	$9	$9	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Ptt-La W/Rflx To Hex Phs Conf	$15	$15	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Partial Thromboplastin Time	$360	$360	Not listed in the file

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) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$153.59
CT scan of the head or brain, without contrast: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $153.59
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Head Stealth W/O Contrast	$3,485	$3,485	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hd Sc W/O Cntrst	$3,485	$3,485	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$512.55
MRI of the brain, before and after contrast: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $512.55
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Mr Neuro Brain Tumor W And W/O	$8,797	$8,797	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Mr Brain W/Wo Contrast	$8,797	$8,797	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$127.85
Chest X-ray, 2 views: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $127.85
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chest Sp View	$544	$544	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chest 2 Views	$1,461	$1,461	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$153.59
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $153.59
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbosacral Complete	$2,328	$2,328	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Xray Lumbar Spine Min 4 Vws	$224.54	$224.54	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$350.54
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $350.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri L-Spine Wo/Cont	$6,820	$6,820	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$257.69
CT scan of the pelvis, with contrast: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $257.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Pelvis W Iv & Oral Contrast	$10,223	$10,223	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Pelvis Oral Contrast Only	$10,223	$10,223	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$350.54
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $350.54
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Mr Lower Ext (Joint) W/O Rt	$6,820	$6,820	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: Mr Lower Ext (Joint) W/O Lt	$6,820	$6,820	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$512.55
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $512.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Abd Pelvis W Contrast	$16,630	$16,630	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Enterography Wiv And W Oral	$16,630	$16,630	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$153.59
Ultrasound of the abdomen, complete: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $153.59
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Abdomen Sonogram Complete	$3,277	$3,277	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: Us Exam Abdom Complete	$393.02	$393.02	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$153.59
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $153.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Us > 14 Weeks	$446.64	$446.64	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Ob >14 Wks Single/1St Gesta	$4,774	$4,774	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$153.59
Transvaginal ultrasound: rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $153.59
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Gyn Transvag	$396.96	$396.96	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Transvaginal Us Non-Ob	$378.45	$378.45	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: 12 Lead Ekg Global	$41.86	$41.86	Not listed in the file
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: Pediatric 12-Lead Ekg W/Interp	$908	$908	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$2,836 – $4,762.87
Left heart catheterization (diagnostic): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $4,762.87 Blue Cross - Asc — All Commercial Plans: $2,836 Blue Shield - Asc — All Commercial Plans: $3,440.85 Unitedhealthcare - Asc — All Commercial Plans: $3,745
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Left Hrt Cath W/Ventrclgrphy	$2,937.46	$2,937.46	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Lft Hrt Cath W/Ventrclgrphy	$12,819	$12,819	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$1,173 – $11,458.85
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $11,458.85 Blue Cross - Asc — All Commercial Plans: $1,173 Unitedhealthcare - Asc — All Commercial Plans: $4,474
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Cmpr Elctrphyslgc W/O Arr Ind	$1,042.05	$1,042.05	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Electrophysiology Evaluation	$19,005	$19,005	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$1,655 – $38,400.34
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $38,400.34 Blue Cross - Asc — All Commercial Plans: $1,655 Blue Shield - Asc — All Commercial Plans: $3,440.85 Unitedhealthcare - Asc — All Commercial Plans: $10,924
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Tx Atrial Fib Pulm Vein Isol	$3,164.71	$3,164.71	Not listed in the file

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) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$30.47
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $30.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercise Ea 15 Min	$93.13	$93.13	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Ot Ped-Ther Exer Ea 15M	$157	$157	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$121.46
Physical therapy evaluation (low complexity): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $121.46
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Min	$261.72	$261.72	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hosp Pt Eval Low Complex 20 Mi	$111	$111	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$103.01
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $103.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Min	$261.72	$261.72	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hosp Pt Eval Mod Complex 30 Mi	$166	$166	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$121.47
Physical therapy evaluation (high complexity): rates for 1 insurance plan Blue Cross — Anthem Medicare Managed Care Plan: $121.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex 45 Min	$261.72	$261.72	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hosp Pt Eval High Complex 45 M	$249	$249	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Pshcho Tx 30 Min Pt Or Fam	$199.95	$199.95	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Psych Tx 30 Pt/Fam	$199.95	$199.95	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psych Tx 45 Min Pt Or Fam	$265.81	$265.81	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Psych Tx 45 Pt/Fam	$265.81	$265.81	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psych Tx 60 Min Pt Or Fam	$398.28	$398.28	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Psych Tx 60 Pt/Fam	$398.28	$398.28	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Psych Thrpy Family W/O Pt	$286.73	$286.73	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Psych Fam W/O Pt	$286.73	$286.73	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Psychi Thrpy Family W/Pt	$296.62	$296.62	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Psych Tx Fam W/Pt	$296.62	$296.62	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Psy/Cd Group 30 Mins	$79.52	$79.52	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Video Visit Psy/Cd Group 30Min	$79.52	$79.52	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$1,340 – $5,752.35
Removal of breast growth (open surgery): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $5,752.35 Blue Cross - Asc — All Commercial Plans: $1,340 Blue Shield - Asc — All Commercial Plans: $1,762.80 Unitedhealthcare - Asc — All Commercial Plans: $2,133
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Removal Of Breast Lesion	$1,207.10	$1,207.10	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,762.80 – $18,861.90
Total hip replacement: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $18,861.90 Blue Cross - Asc — All Commercial Plans: $2,098 Blue Shield - Asc — All Commercial Plans: $1,762.80 Unitedhealthcare - Asc — All Commercial Plans: $7,491
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Total Hip Arthropl	$3,951.49	$3,951.49	Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Total Hip Arthropl	$3,951.49	$3,951.49	Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,762.80 – $18,861.90
Total knee replacement: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $18,861.90 Blue Cross - Asc — All Commercial Plans: $3,519 Blue Shield - Asc — All Commercial Plans: $1,762.80 Unitedhealthcare - Asc — All Commercial Plans: $12,069
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Total Knee Arthroplasty	$48,061	$48,061	Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Tot Knee Arthroplasty	$3,946.99	$3,946.99	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$234 – $2,614
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Blue Cross - Asc — All Commercial Plans: $2,614 Blue Shield - Asc — All Commercial Plans: $1,762.80 Unitedhealthcare - Asc — All Commercial Plans: $234
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthr Sho W/Prt Acro W/Rls	$10,813	$10,813	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Shoulder Arthroscopy/Surger	$499.17	$499.17	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,179.77 – $4,807.05
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $4,807.05 Blue Cross - Asc — All Commercial Plans: $2,614 Blue Shield - Asc — All Commercial Plans: $2,179.77 Unitedhealthcare - Asc — All Commercial Plans: $3,641
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthro Knee W Mnsc Md/Lt W/Shv	$10,383	$10,383	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Knee Arthroscopy/Surgery	$1,617.23	$1,617.23	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$1,762.80 – $8,697.10
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $8,697.10 Blue Cross - Asc — All Commercial Plans: $1,885 Blue Shield - Asc — All Commercial Plans: $1,762.80 Unitedhealthcare - Asc — All Commercial Plans: $2,133
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: Rem Tonsils Adenoids <12 Yrs	$11,074	$11,074	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: Rem Tonsils Adenoids 12 Yrs	$857.22	$857.22	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$874 – $1,332.49
Upper GI endoscopy (diagnostic): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,332.49 Blue Cross - Asc — All Commercial Plans: $874 Blue Shield - Asc — All Commercial Plans: $1,152.60 Unitedhealthcare - Asc — All Commercial Plans: $905
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Egd Diagnostic Brush Wash	$890.23	$890.23	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$905 – $1,542.45
Upper GI endoscopy with biopsy: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,332.49 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $905
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Egd Biopsy Single/Multiple	$1,198.80	$1,198.80	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$905 – $1,542.45
Colonoscopy (diagnostic): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,366.24 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $905
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic Colonoscopy	$1,027.04	$1,027.04	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$905 – $1,758.04
Colonoscopy with biopsy: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,758.04 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $905
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy And Biopsy	$1,344.25	$1,344.25	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Colonoscopy And Biopsy	$1,344.25	$1,344.25	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$905 – $1,758.04
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,758.04 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $905
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy W/Lesion Removal	$1,379.91	$1,379.91	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$905 – $1,758.04
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,758.04 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,152.60 Unitedhealthcare - Asc — All Commercial Plans: $905
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Colonoscopy W/Endoscope Us	$755.51	$755.51	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$598 – $1,542.45
Screening colonoscopy (not high risk): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,366.24 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $598
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Scrn Colonoscopy-Not Hi Risk	$1,027.51	$1,027.51	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colorectal Scrn Non High Risk	$2,366	$2,366	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$2,836 – $8,881.76
Gallbladder removal by laparoscope: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $8,881.76 Blue Cross - Asc — All Commercial Plans: $2,836 Blue Shield - Asc — All Commercial Plans: $3,734 Unitedhealthcare - Asc — All Commercial Plans: $4,474
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparoscopy Cholecystecomy	$1,891.13	$1,891.13	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparoscopic Cholecystectomy	$17,689	$17,689	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$1,655 – $5,260.13
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $5,260.13 Blue Cross - Asc — All Commercial Plans: $1,655 Blue Shield - Asc — All Commercial Plans: $2,917 Unitedhealthcare - Asc — All Commercial Plans: $3,329
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Prp I/Hern Init Reduc 5+ Yr	$1,507.82	$1,507.82	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$905 – $1,542.45
Prostate biopsy: rates for 3 insurance plans Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $905
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Biopsy Of Prostate	$774.18	$774.18	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy Prostate	$7,379	$7,379	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$1,152.60 – $15,616.78
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $15,616.78 Blue Cross - Asc — All Commercial Plans: $2,614 Blue Shield - Asc — All Commercial Plans: $1,152.60 Unitedhealthcare - Asc — All Commercial Plans: $7,491
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparo Radical Prostatectomy	$4,198.33	$4,198.33	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,340 – $4,755.81
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $4,755.81 Blue Cross - Asc — All Commercial Plans: $1,340 Blue Shield - Asc — All Commercial Plans: $1,762.80 Unitedhealthcare - Asc — All Commercial Plans: $2,133
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Cervical Polyectomy	$3,674.85	$3,674.85	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hysteroscopy Biopsy	$4,593.56	$4,593.56	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$598 – $1,152.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,037.04 Blue Cross - Asc — All Commercial Plans: $874 Blue Shield - Asc — All Commercial Plans: $1,152.60 Unitedhealthcare - Asc — All Commercial Plans: $598
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Inj Interlaminar Lmbr/Sac W Im	$819.73	$819.73	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Intrlamnr Lmbr/Sac W/Img	$4,563	$4,563	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$598 – $1,299.42
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $1,299.42 Blue Cross - Asc — All Commercial Plans: $874 Blue Shield - Asc — All Commercial Plans: $1,152.60 Unitedhealthcare - Asc — All Commercial Plans: $598
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Aa&/Strd Tfrm Epi L/S 1	$750.87	$750.87	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Aa/Strd Tfrm Epil L/S 1	$4,990	$4,990	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,173 – $2,868.84
Carpal tunnel release: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $2,868.84 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $2,133
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Neuroplasty Median Nerve A	$1,323.76	$1,323.76	Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Neuroplasty Median Nrve C T	$1,323.76	$1,323.76	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$598 – $1,542.45
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $808.03 Blue Cross - Asc — All Commercial Plans: $1,173 Blue Shield - Asc — All Commercial Plans: $1,542.45 Unitedhealthcare - Asc — All Commercial Plans: $598
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,133 – $3,390.53
Cataract removal with lens implant: rates for 4 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $3,390.53 Blue Cross - Asc — All Commercial Plans: $2,836 Blue Shield - Asc — All Commercial Plans: $3,352.71 Unitedhealthcare - Asc — All Commercial Plans: $2,133
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: Cataract Surg W/Iol 1 Stage	$4,025	$4,025	Not listed in the file

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) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$1,542.45
Vaginal delivery, with care before and after: rates for 1 insurance plan Blue Shield - Asc — All Commercial Plans: $1,542.45
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: Routine Ob Care	$6,084.11	$6,084.11	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$1,762.80
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Blue Shield - Asc — All Commercial Plans: $1,762.80
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: Pf Routine Ob Care Incl Ap C-S	$6,694.76	$6,694.76	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$1,542.45 – $1,885
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Blue Cross - Asc — All Commercial Plans: $1,885 Blue Shield - Asc — All Commercial Plans: $1,542.45
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Hospital (facility) fee In the file: Routin Ob Care After Vag Deliv	$6,341.40	$6,341.40	Not listed in the file

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) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$61,183.54 – $113,362.79
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 7 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $113,362.79 Blue Shield — Medicare Managed Care Plan: $113,362.79 Healthnet — Medicare Managed Care Plan: $113,362.79 Humana — Medicare Managed Care Plan: $113,362.79 Unitedhealthcare — Medicare Managed Care Plan: $113,362.79 Wha — All Commercial Plans: $61,183.54 Wha — Medicare Managed Care Plan: $113,362.79
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$11,954.07 – $22,777.59
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $22,777.59 Blue Shield — Medicare Managed Care Plan: $22,777.59 Healthnet — Medicare Managed Care Plan: $22,777.59 Humana — Medicare Managed Care Plan: $22,777.59 Unitedhealthcare — Medicare Managed Care Plan: $22,777.59 Wha — All Commercial Plans: $11,954.07 Wha — Medicare Managed Care Plan: $22,777.59
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$15,008.05 – $28,687.50
Neck (cervical) spinal fusion, without complications: rates for 7 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $28,687.50 Blue Shield — Medicare Managed Care Plan: $28,687.50 Healthnet — Medicare Managed Care Plan: $28,687.50 Humana — Medicare Managed Care Plan: $28,687.50 Unitedhealthcare — Medicare Managed Care Plan: $28,687.50 Wha — All Commercial Plans: $15,008.05 Wha — Medicare Managed Care Plan: $28,687.50
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$7,599.12 – $14,840.04
Uterus and ovary surgery (not for cancer), without complications: rates for 7 insurance plans Blue Cross — Anthem Medicare Managed Care Plan: $14,840.04 Blue Shield — Medicare Managed Care Plan: $14,840.04 Healthnet — Medicare Managed Care Plan: $14,840.04 Humana — Medicare Managed Care Plan: $14,840.04 Unitedhealthcare — Medicare Managed Care Plan: $14,840.04 Wha — All Commercial Plans: $7,599.12 Wha — Medicare Managed Care Plan: $14,840.04

Source: NorthBay Medical Center’s standard charges file (app-nhea01saasr6en8p001.cms.optimizely.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (northbay.org), because the hospital has no cms-hpt.txt file; both are 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	1200 B Gale Wilson Blvd, Fairfield, CA 94533
County	Solano County
State	California
Phone	(707) 646‑5000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050367
Name in Medicare records	NORTHBAY MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	northbay.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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

NorthBay Medical Center — northbay.org
Visitor policy — northbay.org
Northbay Health Medical Center — northbay.org
Language Policy | Patient's & Visitors | Northbay Health — northbay.org

NorthBay Medical Center

Summary

Profile from official sources

At a glance