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Acute Care Hospital

Northridge Hospital Medical Center

Northridge, California · Los Angeles County · Emergency services listed

Summary

Northridge Hospital Medical Center is an acute care hospital in Northridge, California. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 30 services, specialties and programs. Medicare lists 583 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of Northridge Hospital Medical Center
Photo: Cbl62 ( talk ), CC BY-SA 3.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
30Services listed

Quick answers

Does Northridge Hospital Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Northridge Hospital Medical Center. In a medical emergency, call 911.
Where is Northridge Hospital Medical Center?
18300 Roscoe Blvd, Northridge, CA 91325, in Los Angeles County, California.
What is the phone number of Northridge Hospital Medical Center?
(818) 885-8500, as listed by Medicare (CMS).
What is the Medicare star rating of Northridge Hospital Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4][5][6]

  • Stroke and TIA
  • Transient ischemic attack (TIA)
  • Gallbladder problems
  • Hernias
  • Appendicitis
  • Reflux
  • Tumors (general surgery)

Treatments[6]

  • Minimally invasive and robotic-assisted surgery

Procedures[7]

Programs and centers[4][6]

  • Leavey Cancer Center
  • Family Birth Center
  • Pediatric Center
  • Orthopedic Wellness Program
  • Healing Journey grief support group
  • Rehabilitation Therapy

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingMost patients: two visitors at a time, 8 a.m.-8 p.m.; one care partner may stay overnight; some units have own rules[4]
ParkingOn-site parking is available[4]
Interpreters and languagesLanguage and interpretation services are available[4]
Patient portalMy Portal by Dignity Health

Recognition[4][5]

  • Joint Commission Gold Seal of Approval
  • Healthgrades America's 50 Best Hospitals

Doctors and clinicians (583)

583 doctors and other clinicians list Northridge 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

Doctors with a page on this site (583)

And 559 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Northridge 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) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1067%National average: 72%
Would definitely recommend the hospital66%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well72%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night39%National average: 60%
Completed surveys621Response rate: 15%

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)0.147Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.11Better than the national benchmark
Surgical site infections after colon surgery1.041No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.173Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients10.4%
Deaths within 30 days: heart failure patients8%
Deaths within 30 days: pneumonia patients10.4%
Deaths within 30 days: COPD patients8.2%
Deaths within 30 days: stroke patients10.4%
Deaths within 30 days: coronary bypass surgery (CABG)2.2%
Serious complications (patient safety indicator PSI-90)0.78No different from the national rate
Complications after hip or knee replacement4.2%

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 attack14.1%
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: COPD18.8%
Readmitted within 30 days: coronary bypass surgery14.9%
Readmitted within 30 days: hip or knee replacement5%

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)215 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)98%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Northridge 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT LOW 30MN NW PT $529 $142.15 $36.03 – $529
New patient office visit (about 30–44 minutes): 10 of 34 insurance plan rates
  • Altamed — Commercial|All Plans: $101.90
  • BCBS - Anthem — Commercial|All Other Plans: $428.49
  • BCBS - Anthem — Commercial|MCS: $529
  • BCBS - Anthem — Commercial|Select PPO: $359.72
  • BCBS - Anthem — Medicaid|> 21: $117.33
  • BCBS - Anthem — Medicaid|All Other Plans: $117.33
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: VISIT LOW 30MN NW PT $529 $142.15 $175.13 – $290.95
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $175.13
  • Oscar — Commercial|All Plans: $290.95
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK NEW PT $3,311 $889.67 $40.79 – $6,311
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Altamed — Commercial|All Plans: $122.74
  • BCBS - Anthem — Medicaid|> 21: $141.33
  • BCBS - Anthem — Medicaid|All Other Plans: $141.33
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
  • Care 1st — Medicaid|> 21: $613.70
  • Care 1st — Medicaid|All Other Plans: $613.70
  • Cigna — Commercial|All Other Plans: $1,589.28
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT MDT 45MN NW PT $621 $166.87 $40.79 – $621
New patient office visit (about 45–59 minutes): 10 of 34 insurance plan rates
  • Altamed — Commercial|All Plans: $122.74
  • BCBS - Anthem — Commercial|All Other Plans: $503.01
  • BCBS - Anthem — Commercial|MCS: $621
  • BCBS - Anthem — Commercial|Select PPO: $422.28
  • BCBS - Anthem — Medicaid|> 21: $141.33
  • BCBS - Anthem — Medicaid|All Other Plans: $141.33
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK NEW PT $3,311 $889.67 $210.95 – $1,821.05
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $210.95
  • Oscar — Commercial|All Plans: $1,821.05
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: VISIT HIGH 60MN NW PT $713 $191.59 $44.30 – $736.65
New patient office visit (about 60–74 minutes): 10 of 34 insurance plan rates
  • Altamed — Commercial|All Plans: $147.33
  • BCBS - Anthem — Commercial|All Other Plans: $577.53
  • BCBS - Anthem — Commercial|MCS: $713
  • BCBS - Anthem — Commercial|Select PPO: $484.84
  • BCBS - Anthem — Medicaid|> 21: $169.63
  • BCBS - Anthem — Medicaid|All Other Plans: $169.63
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: VISIT HIGH 60MN NW PT $713 $191.59 $253.21 – $392.15
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $253.21
  • Oscar — Commercial|All Plans: $392.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT LOW 20MN EST PT $529 $142.15 $25.18 – $529
Established patient office visit (about 20–29 minutes): 10 of 34 insurance plan rates
  • Altamed — Commercial|All Plans: $42.76
  • BCBS - Anthem — Commercial|All Other Plans: $428.49
  • BCBS - Anthem — Commercial|MCS: $529
  • BCBS - Anthem — Commercial|Select PPO: $359.72
  • BCBS - Anthem — Medicaid|> 21: $49.23
  • BCBS - Anthem — Medicaid|All Other Plans: $49.23
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT LOW 20MN EST PT $529 $142.15 $73.49 – $290.95
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $73.49
  • Oscar — Commercial|All Plans: $290.95
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK EST PT $3,311 $889.67 $33.85 – $6,311
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Altamed — Commercial|All Plans: $66.81
  • BCBS - Anthem — Medicaid|> 21: $76.92
  • BCBS - Anthem — Medicaid|All Other Plans: $76.92
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
  • Care 1st — Medicaid|> 21: $334.05
  • Care 1st — Medicaid|All Other Plans: $334.05
  • Cigna — Commercial|All Other Plans: $1,589.28
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT MDT 30MN EST PT $621 $166.87 $33.85 – $621
Established patient office visit (about 30–39 minutes): 10 of 34 insurance plan rates
  • Altamed — Commercial|All Plans: $66.81
  • BCBS - Anthem — Commercial|All Other Plans: $503.01
  • BCBS - Anthem — Commercial|MCS: $621
  • BCBS - Anthem — Commercial|Select PPO: $422.28
  • BCBS - Anthem — Medicaid|> 21: $76.92
  • BCBS - Anthem — Medicaid|All Other Plans: $76.92
  • Blue Shield CA — Commercial|All Other Plans: $152
  • Blue Shield CA — Commercial|Calpers PPO: $151
  • Blue Shield CA — Commercial|Exchange: $125
  • Blue Shield CA — Commercial|Tandem: $141
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK EST PT $3,311 $889.67 $114.83 – $1,821.05
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $114.83
  • Oscar — Commercial|All Plans: $1,821.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3 $2,128 $571.80 $63.97 – $6,445
Emergency room visit (moderate): 10 of 71 insurance plan rates
  • Aetna — Commercial|All Other Plans: $680.96
  • Aetna — Commercial|HMO: $680.96
  • Aetna — Commercial|PPO: $680.96
  • Aetna — Medicare|All Plans: $351.09
  • Alignment — Medicare|Senior: $438.86
  • Altamed — Commercial|All Plans: $63.97
  • BCBS - Anthem — Commercial|All Other Plans: $3,207
  • BCBS - Anthem — Commercial|MCS: $4,394
  • BCBS - Anthem — Commercial|Select PPO: $2,726
  • BCBS - Anthem — Medicaid|> 21: $91.48
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3 $2,128 $571.80 $109.95 – $1,170.40
Emergency room visit (moderate): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $109.95
  • Oscar — Commercial|All Plans: $1,170.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4 $4,133 $1,110.54 $98.04 – $8,790
Emergency room visit (moderately high): 10 of 71 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,322.56
  • Aetna — Commercial|HMO: $1,322.56
  • Aetna — Commercial|PPO: $1,322.56
  • Aetna — Medicare|All Plans: $536.67
  • Alignment — Medicare|Senior: $670.84
  • Altamed — Commercial|All Plans: $98.04
  • BCBS - Anthem — Commercial|All Other Plans: $6,416
  • BCBS - Anthem — Commercial|MCS: $8,790
  • BCBS - Anthem — Commercial|Select PPO: $5,454
  • BCBS - Anthem — Medicaid|> 21: $140.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: TRAUMA LIMITED $5,605 $1,506.06 $98.04 – $8,790
Emergency room visit (moderately high): 10 of 71 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,793.60
  • Aetna — Commercial|HMO: $1,793.60
  • Aetna — Commercial|PPO: $1,793.60
  • Aetna — Medicare|All Plans: $536.67
  • Alignment — Medicare|Senior: $670.84
  • Altamed — Commercial|All Plans: $98.04
  • BCBS - Anthem — Commercial|All Other Plans: $6,416
  • BCBS - Anthem — Commercial|MCS: $8,790
  • BCBS - Anthem — Commercial|Select PPO: $5,454
  • BCBS - Anthem — Medicaid|> 21: $140.20
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4 $4,133 $1,110.54 $168.50 – $2,273.15
Emergency room visit (moderately high): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $168.50
  • Oscar — Commercial|All Plans: $2,273.15
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5 $6,079 $1,633.43 $155.03 – $11,433
Emergency room visit (high): 10 of 71 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,945.28
  • Aetna — Commercial|HMO: $1,945.28
  • Aetna — Commercial|PPO: $1,945.28
  • Aetna — Medicare|All Plans: $765.95
  • Alignment — Medicare|Senior: $957.44
  • Altamed — Commercial|All Plans: $155.03
  • BCBS - Anthem — Commercial|All Other Plans: $8,345
  • BCBS - Anthem — Commercial|MCS: $11,433
  • BCBS - Anthem — Commercial|Select PPO: $7,093
  • BCBS - Anthem — Medicaid|> 21: $221.69
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: TRAUMA ESSENTIAL $8,269 $2,221.88 $155.03 – $11,433
Emergency room visit (high): 10 of 71 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,646.08
  • Aetna — Commercial|HMO: $2,646.08
  • Aetna — Commercial|PPO: $2,646.08
  • Aetna — Medicare|All Plans: $765.95
  • Alignment — Medicare|Senior: $957.44
  • Altamed — Commercial|All Plans: $155.03
  • BCBS - Anthem — Commercial|All Other Plans: $8,345
  • BCBS - Anthem — Commercial|MCS: $11,433
  • BCBS - Anthem — Commercial|Select PPO: $7,093
  • BCBS - Anthem — Medicaid|> 21: $221.69
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5 $6,079 $1,633.43 $266.45 – $3,343.45
Emergency room visit (high): rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $266.45
  • Oscar — Commercial|All Plans: $3,343.45

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $1,208 $324.59 $8.46 – $1,208
Basic metabolic panel (blood test): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $36.58
  • Aetna — Commercial|HMO: $36.58
  • Aetna — Commercial|PPO: $36.58
  • Aetna — Medicare|All Plans: $8.46
  • Alignment — Medicare|Senior: $10.57
  • Altamed — Commercial|All Plans: $10.43
  • BCBS - Anthem — Commercial|All Other Plans: $138.90
  • BCBS - Anthem — Commercial|MCS: $190.31
  • BCBS - Anthem — Commercial|Select PPO: $118.03
  • BCBS - Anthem — Medicaid|> 21: $15.83
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL $1,208 $324.59 $664.40
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $664.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $1,574 $422.94 $10.56 – $1,574
Comprehensive metabolic panel (blood test): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $45.69
  • Aetna — Commercial|HMO: $45.69
  • Aetna — Commercial|PPO: $45.69
  • Aetna — Medicare|All Plans: $10.56
  • Alignment — Medicare|Senior: $13.20
  • Altamed — Commercial|All Plans: $13.18
  • BCBS - Anthem — Commercial|All Other Plans: $173.71
  • BCBS - Anthem — Commercial|MCS: $238
  • BCBS - Anthem — Commercial|Select PPO: $147.61
  • BCBS - Anthem — Medicaid|> 21: $19.99
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL $1,574 $422.94 $865.70
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $865.70
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $1,166 $313.31 $13.39 – $1,166
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $57.91
  • Aetna — Commercial|HMO: $57.91
  • Aetna — Commercial|PPO: $57.91
  • Aetna — Medicare|All Plans: $13.39
  • Alignment — Medicare|Senior: $16.74
  • Altamed — Commercial|All Plans: $16.55
  • BCBS - Anthem — Commercial|All Other Plans: $219.78
  • BCBS - Anthem — Commercial|MCS: $301.13
  • BCBS - Anthem — Commercial|Select PPO: $186.77
  • BCBS - Anthem — Medicaid|> 21: $19.85
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-CRISK 20421 $10.60 $2.85 $1.49 – $82.75
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $10.60
  • Aetna — Commercial|HMO: $10.60
  • Aetna — Commercial|PPO: $10.60
  • Aetna — Medicare|All Plans: $10.60
  • Alignment — Medicare|Senior: $13.25
  • Altamed — Commercial|All Plans: $10.60
  • BCBS - Anthem — Commercial|All Other Plans: $9.65
  • BCBS - Anthem — Commercial|MCS: $10.60
  • BCBS - Anthem — Commercial|Select PPO: $8.17
  • BCBS - Anthem — Medicaid|> 21: $10.60
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPOELECT 80503B $20.34 $5.47 $2.85 – $82.75
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $20.34
  • Aetna — Commercial|HMO: $20.34
  • Aetna — Commercial|PPO: $20.34
  • Aetna — Medicare|All Plans: $13.39
  • Alignment — Medicare|Senior: $16.74
  • Altamed — Commercial|All Plans: $16.55
  • BCBS - Anthem — Commercial|All Other Plans: $18.51
  • BCBS - Anthem — Commercial|MCS: $20.34
  • BCBS - Anthem — Commercial|Select PPO: $15.67
  • BCBS - Anthem — Medicaid|> 21: $19.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $655 $176 $8.68 – $655
Kidney function panel: 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $37.56
  • Aetna — Commercial|HMO: $37.56
  • Aetna — Commercial|PPO: $37.56
  • Aetna — Medicare|All Plans: $8.68
  • Alignment — Medicare|Senior: $10.85
  • Altamed — Commercial|All Plans: $10.90
  • BCBS - Anthem — Commercial|All Other Plans: $142.43
  • BCBS - Anthem — Commercial|MCS: $195.15
  • BCBS - Anthem — Commercial|Select PPO: $121.04
  • BCBS - Anthem — Medicaid|> 21: $16.24
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL $655 $176 $360.25
Kidney function panel: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $360.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $956 $256.88 $8.17 – $956
Liver function panel: 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $35.32
  • Aetna — Commercial|HMO: $35.32
  • Aetna — Commercial|PPO: $35.32
  • Aetna — Medicare|All Plans: $8.17
  • Alignment — Medicare|Senior: $10.21
  • Altamed — Commercial|All Plans: $9.15
  • BCBS - Anthem — Commercial|All Other Plans: $134.15
  • BCBS - Anthem — Commercial|MCS: $183.80
  • BCBS - Anthem — Commercial|Select PPO: $113.99
  • BCBS - Anthem — Medicaid|> 21: $15.24
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL $956 $256.88 $525.80
Liver function panel: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $525.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO $472 $126.83 $3.17 – $472
Urine test (automated, with microscope): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $13.66
  • Aetna — Commercial|HMO: $13.66
  • Aetna — Commercial|PPO: $13.66
  • Aetna — Medicare|All Plans: $3.17
  • Alignment — Medicare|Senior: $3.96
  • Altamed — Commercial|All Plans: $3.97
  • BCBS - Anthem — Commercial|All Other Plans: $50.17
  • BCBS - Anthem — Commercial|MCS: $68.74
  • BCBS - Anthem — Commercial|Select PPO: $42.63
  • BCBS - Anthem — Medicaid|> 21: $6.25
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA AUTO W MICRO $472 $126.83 $259.60
Urine test (automated, with microscope): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $259.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NONAUTO WO MICRO $74 $19.89 $3.08 – $74
Urine test (manual, without microscope): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $11.06
  • Aetna — Commercial|HMO: $11.06
  • Aetna — Commercial|PPO: $11.06
  • Aetna — Medicare|All Plans: $3.48
  • Alignment — Medicare|Senior: $4.35
  • Altamed — Commercial|All Plans: $3.08
  • BCBS - Anthem — Commercial|All Other Plans: $39.01
  • BCBS - Anthem — Commercial|MCS: $53.44
  • BCBS - Anthem — Commercial|Select PPO: $33.15
  • BCBS - Anthem — Medicaid|> 21: $5.05
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: UA NONAUTO WO MICRO $74 $19.89 $40.70
Urine test (manual, without microscope): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $40.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO $304 $81.69 $2.25 – $304
Urine test (automated, without microscope): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9.72
  • Aetna — Commercial|HMO: $9.72
  • Aetna — Commercial|PPO: $9.72
  • Aetna — Medicare|All Plans: $2.25
  • Alignment — Medicare|Senior: $2.81
  • Altamed — Commercial|All Plans: $2.81
  • BCBS - Anthem — Commercial|All Other Plans: $36.91
  • BCBS - Anthem — Commercial|MCS: $50.57
  • BCBS - Anthem — Commercial|Select PPO: $31.36
  • BCBS - Anthem — Medicaid|> 21: $4.05
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO LAB $76 $20.43 $2.25 – $76
Urine test (automated, without microscope): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9.72
  • Aetna — Commercial|HMO: $9.72
  • Aetna — Commercial|PPO: $9.72
  • Aetna — Medicare|All Plans: $2.25
  • Alignment — Medicare|Senior: $2.81
  • Altamed — Commercial|All Plans: $2.81
  • BCBS - Anthem — Commercial|All Other Plans: $36.91
  • BCBS - Anthem — Commercial|MCS: $50.57
  • BCBS - Anthem — Commercial|Select PPO: $31.36
  • BCBS - Anthem — Medicaid|> 21: $4.05
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO WO MICRO $304 $81.69 $167.20
Urine test (automated, without microscope): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $167.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL $511 $137.31 $18.39 – $511
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $79.57
  • Aetna — Commercial|HMO: $79.57
  • Aetna — Commercial|PPO: $79.57
  • Aetna — Medicare|All Plans: $18.39
  • Alignment — Medicare|Senior: $22.99
  • Altamed — Commercial|All Plans: $23.45
  • BCBS - Anthem — Commercial|All Other Plans: $301.89
  • BCBS - Anthem — Commercial|MCS: $413.62
  • BCBS - Anthem — Commercial|Select PPO: $256.53
  • BCBS - Anthem — Medicaid|> 21: $35.45
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA ULTRA 98581 $17.36 $4.67 $2.44 – $117.25
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $17.36
  • Aetna — Commercial|HMO: $17.36
  • Aetna — Commercial|PPO: $17.36
  • Aetna — Medicare|All Plans: $17.36
  • Alignment — Medicare|Senior: $21.70
  • Altamed — Commercial|All Plans: $17.36
  • BCBS - Anthem — Commercial|All Other Plans: $15.80
  • BCBS - Anthem — Commercial|MCS: $17.36
  • BCBS - Anthem — Commercial|Select PPO: $13.37
  • BCBS - Anthem — Medicaid|> 21: $17.36
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA TOTAL $511 $137.31 $281.05
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $281.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE $546 $146.71 $16.80 – $546
Thyroid stimulating hormone (TSH) test: 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $72.63
  • Aetna — Commercial|HMO: $72.63
  • Aetna — Commercial|PPO: $72.63
  • Aetna — Medicare|All Plans: $16.80
  • Alignment — Medicare|Senior: $21
  • Altamed — Commercial|All Plans: $21.17
  • BCBS - Anthem — Commercial|All Other Plans: $275.81
  • BCBS - Anthem — Commercial|MCS: $377.89
  • BCBS - Anthem — Commercial|Select PPO: $234.37
  • BCBS - Anthem — Medicaid|> 21: $32.29
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: THYROID STIM HORMONE $546 $146.71 $300.30
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $300.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF $576 $154.78 $7.77 – $576
Complete blood count (CBC) with differential: 10 of 65 insurance plan rates
  • Aetna — Commercial|All Other Plans: $33.62
  • Aetna — Commercial|HMO: $33.62
  • Aetna — Commercial|PPO: $33.62
  • Aetna — Medicare|All Plans: $7.77
  • Alignment — Medicare|Senior: $9.71
  • Altamed — Commercial|All Plans: $9.68
  • BCBS - Anthem — Commercial|All Other Plans: $127.63
  • BCBS - Anthem — Commercial|MCS: $174.87
  • BCBS - Anthem — Commercial|Select PPO: $108.45
  • BCBS - Anthem — Medicaid|> 21: $14.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF $576 $154.78 $316.80
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $316.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF $473 $127.10 $6.47 – $473
Complete blood count (CBC), automated: 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $27.98
  • Aetna — Commercial|HMO: $27.98
  • Aetna — Commercial|PPO: $27.98
  • Aetna — Medicare|All Plans: $6.47
  • Alignment — Medicare|Senior: $8.09
  • Altamed — Commercial|All Plans: $8.19
  • BCBS - Anthem — Commercial|All Other Plans: $106.19
  • BCBS - Anthem — Commercial|MCS: $145.50
  • BCBS - Anthem — Commercial|Select PPO: $90.24
  • BCBS - Anthem — Medicaid|> 21: $11.81
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF $473 $127.10 $260.15
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $260.15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME $463 $124.41 $4.29 – $463
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $16.99
  • Aetna — Commercial|HMO: $16.99
  • Aetna — Commercial|PPO: $16.99
  • Aetna — Medicare|All Plans: $4.29
  • Alignment — Medicare|Senior: $5.36
  • Altamed — Commercial|All Plans: $5.01
  • BCBS - Anthem — Commercial|All Other Plans: $64.64
  • BCBS - Anthem — Commercial|MCS: $88.57
  • BCBS - Anthem — Commercial|Select PPO: $54.93
  • BCBS - Anthem — Medicaid|> 21: $6.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009A $6.66 $1.79 $0.94 – $25.05
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $6.66
  • Aetna — Commercial|HMO: $6.66
  • Aetna — Commercial|PPO: $6.66
  • Aetna — Medicare|All Plans: $4.29
  • Alignment — Medicare|Senior: $5.36
  • Altamed — Commercial|All Plans: $5.01
  • BCBS - Anthem — Commercial|All Other Plans: $6.07
  • BCBS - Anthem — Commercial|MCS: $6.66
  • BCBS - Anthem — Commercial|Select PPO: $5.13
  • BCBS - Anthem — Medicaid|> 21: $6.66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME $463 $124.41 $254.65
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $254.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME $636 $170.90 $6.01 – $636
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $25.96
  • Aetna — Commercial|HMO: $25.96
  • Aetna — Commercial|PPO: $25.96
  • Aetna — Medicare|All Plans: $6.01
  • Alignment — Medicare|Senior: $7.51
  • Altamed — Commercial|All Plans: $7.66
  • BCBS - Anthem — Commercial|All Other Plans: $98.57
  • BCBS - Anthem — Commercial|MCS: $135.05
  • BCBS - Anthem — Commercial|Select PPO: $83.76
  • BCBS - Anthem — Medicaid|> 21: $10.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009C $6.68 $1.80 $0.94 – $38.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $6.68
  • Aetna — Commercial|HMO: $6.68
  • Aetna — Commercial|PPO: $6.68
  • Aetna — Medicare|All Plans: $6.01
  • Alignment — Medicare|Senior: $7.51
  • Altamed — Commercial|All Plans: $6.68
  • BCBS - Anthem — Commercial|All Other Plans: $6.08
  • BCBS - Anthem — Commercial|MCS: $6.68
  • BCBS - Anthem — Commercial|Select PPO: $5.15
  • BCBS - Anthem — Medicaid|> 21: $6.68
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-RF BILL PTTT 3017033 $30.80 $8.28 $4.32 – $38.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates
  • Aetna — Commercial|All Other Plans: $25.96
  • Aetna — Commercial|HMO: $25.96
  • Aetna — Commercial|PPO: $25.96
  • Aetna — Medicare|All Plans: $6.01
  • Alignment — Medicare|Senior: $7.51
  • Altamed — Commercial|All Plans: $7.66
  • BCBS - Anthem — Commercial|All Other Plans: $28.03
  • BCBS - Anthem — Commercial|MCS: $30.80
  • BCBS - Anthem — Commercial|Select PPO: $23.72
  • BCBS - Anthem — Medicaid|> 21: $10.87

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CON $7,810 $2,098.55 $134.46 – $7,810
CT scan of the head or brain, without contrast: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $581.55
  • Aetna — Commercial|HMO: $581.55
  • Aetna — Commercial|PPO: $581.55
  • Aetna — Medicare|All Plans: $134.46
  • Alignment — Medicare|Senior: $168.07
  • Altamed — Commercial|All Plans: $145.26
  • BCBS - Anthem — Commercial|All Other Plans: $1,427
  • BCBS - Anthem — Commercial|MCS: $1,955
  • BCBS - Anthem — Commercial|Select PPO: $1,213
  • BCBS - Anthem — Medicaid|> 21: $403.76
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON $7,810 $2,098.55 $4,295.50
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $4,295.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON $11,085 $2,978.54 $446.18 – $11,085
MRI of the brain, before and after contrast: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,211.03
  • Aetna — Commercial|HMO: $1,211.03
  • Aetna — Commercial|PPO: $1,211.03
  • Aetna — Medicare|All Plans: $448.71
  • Alignment — Medicare|Senior: $560.89
  • Altamed — Commercial|All Plans: $446.18
  • BCBS - Anthem — Commercial|All Other Plans: $2,568
  • BCBS - Anthem — Commercial|MCS: $3,518
  • BCBS - Anthem — Commercial|Select PPO: $2,183
  • BCBS - Anthem — Medicaid|> 21: $1,954.81
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON $11,085 $2,978.54 $6,096.75
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $6,096.75
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS $1,637 $439.87 $27.47 – $1,637
Chest X-ray, 2 views: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $71.07
  • Aetna — Commercial|HMO: $71.07
  • Aetna — Commercial|PPO: $71.07
  • Aetna — Medicare|All Plans: $111.93
  • Alignment — Medicare|Senior: $139.91
  • Altamed — Commercial|All Plans: $27.47
  • BCBS - Anthem — Commercial|All Other Plans: $393.60
  • BCBS - Anthem — Commercial|MCS: $539.29
  • BCBS - Anthem — Commercial|Select PPO: $334.47
  • BCBS - Anthem — Medicaid|> 21: $56.18
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS $1,637 $439.87 $900.35
Chest X-ray, 2 views: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $900.35
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS $2,171 $583.35 $62.90 – $2,171
X-ray of the lower spine, at least 4 views: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $149.77
  • Aetna — Commercial|HMO: $149.77
  • Aetna — Commercial|PPO: $149.77
  • Aetna — Medicare|All Plans: $134.46
  • Alignment — Medicare|Senior: $168.07
  • Altamed — Commercial|All Plans: $62.90
  • BCBS - Anthem — Commercial|All Other Plans: $429.85
  • BCBS - Anthem — Commercial|MCS: $588.95
  • BCBS - Anthem — Commercial|Select PPO: $365.27
  • BCBS - Anthem — Medicaid|> 21: $101.86
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS $2,171 $583.35 $1,194.05
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $1,194.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON $8,695 $2,336.34 $266.80 – $8,695
MRI of the lower back (lumbar spine), without contrast: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,211.03
  • Aetna — Commercial|HMO: $1,211.03
  • Aetna — Commercial|PPO: $1,211.03
  • Aetna — Medicare|All Plans: $306.88
  • Alignment — Medicare|Senior: $383.60
  • Altamed — Commercial|All Plans: $266.80
  • BCBS - Anthem — Commercial|All Other Plans: $2,568
  • BCBS - Anthem — Commercial|MCS: $3,518
  • BCBS - Anthem — Commercial|Select PPO: $2,183
  • BCBS - Anthem — Medicaid|> 21: $1,180.98
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON $8,695 $2,336.34 $4,782.25
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $4,782.25
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON $6,868 $1,845.43 $225.59 – $6,868
CT scan of the pelvis, with contrast: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $889.80
  • Aetna — Commercial|HMO: $889.80
  • Aetna — Commercial|PPO: $889.80
  • Aetna — Medicare|All Plans: $225.59
  • Alignment — Medicare|Senior: $281.99
  • Altamed — Commercial|All Plans: $293.26
  • BCBS - Anthem — Commercial|All Other Plans: $1,427
  • BCBS - Anthem — Commercial|MCS: $1,955
  • BCBS - Anthem — Commercial|Select PPO: $1,213
  • BCBS - Anthem — Medicaid|> 21: $520.03
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON $6,868 $1,845.43 $3,777.40
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $3,777.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON $15,362 $4,127.76 $281.80 – $15,362
CT scan of the abdomen and pelvis, with contrast: 10 of 60 insurance plan rates
  • Aetna — Commercial|All Other Plans: $942
  • Aetna — Commercial|HMO: $942
  • Aetna — Commercial|PPO: $942
  • Aetna — Medicare|All Plans: $448.71
  • Alignment — Medicare|Senior: $560.89
  • Altamed — Commercial|All Plans: $281.80
  • BCBS - Anthem — Commercial|All Other Plans: $1,427
  • BCBS - Anthem — Commercial|MCS: $1,955
  • BCBS - Anthem — Commercial|Select PPO: $1,213
  • BCBS - Anthem — Medicaid|> 21: $402.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON $15,362 $4,127.76 $8,449.10
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $8,449.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON $3,963 $1,064.86 $119.34 – $3,963
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates
  • Aetna — Commercial|All Other Plans: $359.95
  • Aetna — Commercial|HMO: $359.95
  • Aetna — Commercial|PPO: $359.95
  • Aetna — Medicare|All Plans: $134.46
  • Alignment — Medicare|Senior: $168.07
  • Altamed — Commercial|All Plans: $119.34
  • BCBS - Anthem — Commercial|All Other Plans: $927.98
  • BCBS - Anthem — Commercial|MCS: $1,271.46
  • BCBS - Anthem — Commercial|Select PPO: $788.57
  • BCBS - Anthem — Medicaid|> 21: $170.66
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON $3,963 $1,064.86 $2,179.65
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $2,179.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES $1,824 $490.11 $133 – $1,824
Pregnancy ultrasound (after the first trimester): 10 of 62 insurance plan rates
  • Aetna — Commercial|All Other Plans: $359.95
  • Aetna — Commercial|HMO: $359.95
  • Aetna — Commercial|PPO: $359.95
  • Aetna — Medicare|All Plans: $134.46
  • Alignment — Medicare|Senior: $168.07
  • Altamed — Commercial|All Plans: $135.29
  • BCBS - Anthem — Commercial|All Other Plans: $962.68
  • BCBS - Anthem — Commercial|MCS: $1,319
  • BCBS - Anthem — Commercial|Select PPO: $818.06
  • BCBS - Anthem — Medicaid|> 21: $193.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES $1,824 $490.11 $1,003.20
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $1,003.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $2,290 $615.33 $97.04 – $2,290
Transvaginal ultrasound: 10 of 62 insurance plan rates
  • Aetna — Commercial|All Other Plans: $342.09
  • Aetna — Commercial|HMO: $342.09
  • Aetna — Commercial|PPO: $342.09
  • Aetna — Medicare|All Plans: $134.46
  • Alignment — Medicare|Senior: $168.07
  • Altamed — Commercial|All Plans: $97.04
  • BCBS - Anthem — Commercial|All Other Plans: $720.35
  • BCBS - Anthem — Commercial|MCS: $986.98
  • BCBS - Anthem — Commercial|Select PPO: $612.13
  • BCBS - Anthem — Medicaid|> 21: $138.77
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL $2,290 $615.33 $1,259.50
Transvaginal ultrasound: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $1,259.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA MAMMO DIAG W CAD BIL $945 $253.93 $148.03 – $945
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates
  • Aetna — Commercial|All Other Plans: $436.62
  • Aetna — Commercial|HMO: $436.62
  • Aetna — Commercial|PPO: $436.62
  • Altamed — Commercial|All Plans: $148.03
  • BCBS - Anthem — Commercial|All Other Plans: $859.95
  • BCBS - Anthem — Commercial|MCS: $945
  • BCBS - Anthem — Commercial|Select PPO: $727.65
  • BCBS - Anthem — Medicaid|> 21: $211.68
  • BCBS - Anthem — Medicaid|All Other Plans: $211.68
  • Care 1st — Medicaid|> 21: $740.15
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MA MAMMO DIAG W CAD BIL $945 $253.93 $519.75
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $519.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA MAMMO SCREEN W CAD BIL $637 $171.17 $116 – $637
Screening mammogram, both breasts: 10 of 38 insurance plan rates
  • Aetna — Commercial|All Other Plans: $360.56
  • Aetna — Commercial|HMO: $360.56
  • Aetna — Commercial|PPO: $360.56
  • Altamed — Commercial|All Plans: $119.45
  • BCBS - Anthem — Commercial|All Other Plans: $579.67
  • BCBS - Anthem — Commercial|MCS: $637
  • BCBS - Anthem — Commercial|Select PPO: $490.49
  • BCBS - Anthem — Medicaid|> 21: $170.81
  • BCBS - Anthem — Medicaid|All Other Plans: $170.81
  • Care 1st — Medicaid|> 21: $597.25
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MA MAMMO SCREEN W CAD BIL $637 $171.17 $350.35
Screening mammogram, both breasts: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $350.35

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMP EP EVAL W RT ATR PCE $11,298 $3,035.77 $684.45 – $26,247
Heart rhythm study (electrophysiology evaluation): 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $10,150
  • Aetna — Commercial|HMO: $10,150
  • Aetna — Commercial|PPO: $10,150
  • Aetna — Medicare|All Plans: $10,031.67
  • Alignment — Medicare|Senior: $12,539.59
  • Altamed — Commercial|All Plans: $684.45
  • BCBS - Anthem — Commercial|All Other Plans: $8,561
  • BCBS - Anthem — Commercial|MCS: $11,729
  • BCBS - Anthem — Commercial|Select PPO: $7,277
  • BCBS - Anthem — Medicaid|> 21: $1,223.45
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: COMP EP EVAL W RT ATR PCE $11,298 $3,035.77 $6,213.90
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $6,213.90
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EP AFIB ABL PV ISOL 3DMAP $61,509 $16,527.42 $1,010.36 – $81,690.89
Heart rhythm study with ablation for atrial fibrillation: 10 of 70 insurance plan rates
  • Aetna — Commercial|All Other Plans: $10,150
  • Aetna — Commercial|HMO: $10,150
  • Aetna — Commercial|PPO: $10,150
  • Aetna — Medicare|All Plans: $33,617.65
  • Alignment — Medicare|Senior: $42,022.06
  • Altamed — Commercial|All Plans: $1,010.36
  • BCBS - Anthem — Commercial|All Other Plans: $16,234
  • BCBS - Anthem — Commercial|MCS: $22,241
  • BCBS - Anthem — Commercial|Select PPO: $13,799
  • BCBS - Anthem — Medicaid|> 21: $1,918.19
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EP AFIB ABL PV ISOL 3DMAP $61,509 $16,527.42 $1,920.71 – $33,829.95
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $1,920.71
  • Oscar — Commercial|All Plans: $33,829.95

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHER PAT 16-37 MIN $940 $252.58 $60.67 – $1,901
Psychotherapy, 30 minutes: 10 of 59 insurance plan rates
  • Aetna — Commercial|All Other Plans: $940
  • Aetna — Commercial|HMO: $940
  • Aetna — Commercial|PPO: $940
  • Aetna — Medicare|All Plans: $228.29
  • Alignment — Medicare|Senior: $285.36
  • Altamed — Commercial|All Plans: $60.67
  • BCBS - Anthem — Commercial|All Other Plans: $940
  • BCBS - Anthem — Commercial|MCS: $940
  • BCBS - Anthem — Commercial|Select PPO: $940
  • BCBS - Anthem — Medicaid|> 21: $161.55
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYCHOTHER PAT 16-37 MIN $940 $252.58 $115.33 – $517
Psychotherapy, 30 minutes: rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $115.33
  • Oscar — Commercial|All Plans: $517
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHER PAT 38-52 MIN $1,250 $335.88 $77.07 – $1,901
Psychotherapy, 45 minutes: 10 of 59 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,250
  • Aetna — Commercial|HMO: $1,250
  • Aetna — Commercial|PPO: $1,250
  • Aetna — Medicare|All Plans: $228.29
  • Alignment — Medicare|Senior: $285.36
  • Altamed — Commercial|All Plans: $77.07
  • BCBS - Anthem — Commercial|All Other Plans: $1,250
  • BCBS - Anthem — Commercial|MCS: $1,250
  • BCBS - Anthem — Commercial|Select PPO: $1,239
  • BCBS - Anthem — Medicaid|> 21: $161.55
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHER PAT 38-52 MIN $1,250 $335.88 $146.51 – $687.50
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $146.51
  • Oscar — Commercial|All Plans: $687.50
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY PAT >53 MIN $1,870 $502.47 $112.48 – $1,901
Psychotherapy, 60 minutes: 10 of 59 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,322
  • Aetna — Commercial|HMO: $1,322
  • Aetna — Commercial|PPO: $1,322
  • Aetna — Medicare|All Plans: $228.29
  • Alignment — Medicare|Senior: $285.36
  • Altamed — Commercial|All Plans: $112.48
  • BCBS - Anthem — Commercial|All Other Plans: $1,458
  • BCBS - Anthem — Commercial|MCS: $1,870
  • BCBS - Anthem — Commercial|Select PPO: $1,239
  • BCBS - Anthem — Medicaid|> 21: $140.17
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY PAT >53 MIN $1,870 $502.47 $213.83 – $1,028.50
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $213.83
  • Oscar — Commercial|All Plans: $1,028.50
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYCH WO PT 50 MIN $1,372 $368.66 $86.64 – $1,901
Family psychotherapy, without the patient: 10 of 56 insurance plan rates
  • Aetna — Medicare|All Plans: $228.29
  • Alignment — Medicare|Senior: $285.36
  • Altamed — Commercial|All Plans: $86.64
  • BCBS - Anthem — Commercial|All Other Plans: $1,372
  • BCBS - Anthem — Commercial|MCS: $1,372
  • BCBS - Anthem — Commercial|Select PPO: $1,239
  • BCBS - Anthem — Medicaid|> 21: $123.90
  • BCBS - Anthem — Medicaid|All Other Plans: $123.90
  • BCBS - Anthem — Medicare|All Plans: $228.29
  • Blue Shield CA — Commercial|All Other Plans: $1,901
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY PSYCH WO PT 50 MIN $1,372 $368.66 $149.02 – $754.60
Family psychotherapy, without the patient: rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $149.02
  • Oscar — Commercial|All Plans: $754.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCH W PAT 50 MIN $1,372 $368.66 $89.65 – $1,901
Family psychotherapy, with the patient: 10 of 56 insurance plan rates
  • Aetna — Medicare|All Plans: $228.29
  • Alignment — Medicare|Senior: $285.36
  • Altamed — Commercial|All Plans: $89.65
  • BCBS - Anthem — Commercial|All Other Plans: $1,372
  • BCBS - Anthem — Commercial|MCS: $1,372
  • BCBS - Anthem — Commercial|Select PPO: $1,239
  • BCBS - Anthem — Medicaid|> 21: $128.20
  • BCBS - Anthem — Medicaid|All Other Plans: $128.20
  • BCBS - Anthem — Medicare|All Plans: $228.29
  • Blue Shield CA — Commercial|All Other Plans: $1,901
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY PSYCH W PAT 50 MIN $1,372 $368.66 $154.20 – $754.60
Family psychotherapy, with the patient: rates for 2 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $154.20
  • Oscar — Commercial|All Plans: $754.60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 30MIN $399 $107.22 $3.98 – $1,901
Group psychotherapy: 10 of 59 insurance plan rates
  • Aetna — Commercial|All Other Plans: $399
  • Aetna — Commercial|HMO: $399
  • Aetna — Commercial|PPO: $399
  • Aetna — Medicare|All Plans: $130.66
  • Alignment — Medicare|Senior: $163.32
  • Altamed — Commercial|All Plans: $3.98
  • BCBS - Anthem — Commercial|All Other Plans: $399
  • BCBS - Anthem — Commercial|MCS: $399
  • BCBS - Anthem — Commercial|Select PPO: $399
  • BCBS - Anthem — Medicaid|> 21: $7.12
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 60MIN $499 $134.09 $3.98 – $1,901
Group psychotherapy: 10 of 59 insurance plan rates
  • Aetna — Commercial|All Other Plans: $499
  • Aetna — Commercial|HMO: $499
  • Aetna — Commercial|PPO: $499
  • Aetna — Medicare|All Plans: $130.66
  • Alignment — Medicare|Senior: $163.32
  • Altamed — Commercial|All Plans: $3.98
  • BCBS - Anthem — Commercial|All Other Plans: $499
  • BCBS - Anthem — Commercial|MCS: $499
  • BCBS - Anthem — Commercial|Select PPO: $499
  • BCBS - Anthem — Medicaid|> 21: $7.12
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 90MIN $748 $200.99 $3.98 – $1,901
Group psychotherapy: 10 of 59 insurance plan rates
  • Aetna — Commercial|All Other Plans: $748
  • Aetna — Commercial|HMO: $748
  • Aetna — Commercial|PPO: $748
  • Aetna — Medicare|All Plans: $130.66
  • Alignment — Medicare|Senior: $163.32
  • Altamed — Commercial|All Plans: $3.98
  • BCBS - Anthem — Commercial|All Other Plans: $748
  • BCBS - Anthem — Commercial|MCS: $748
  • BCBS - Anthem — Commercial|Select PPO: $748
  • BCBS - Anthem — Medicaid|> 21: $7.12

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $302.26 – $14,757
Removal of breast growth (open surgery): 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $4,571
  • Aetna — Commercial|HMO: $4,571
  • Aetna — Commercial|PPO: $4,571
  • Aetna — Medicare|All Plans: $5,035.90
  • Alignment — Medicare|Senior: $6,294.88
  • Altamed — Commercial|All Plans: $302.26
  • BCBS - Anthem — Commercial|All Other Plans: $5,930
  • BCBS - Anthem — Commercial|MCS: $8,124
  • BCBS - Anthem — Commercial|Select PPO: $5,041
  • BCBS - Anthem — Medicaid|> 21: $432.23
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $1,708.89 – $40,125.84
Total hip replacement: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,612
  • Aetna — Commercial|HMO: $7,612
  • Aetna — Commercial|PPO: $7,612
  • Aetna — Medicare|All Plans: $16,512.69
  • Alignment — Medicare|Senior: $20,640.86
  • Altamed — Commercial|All Plans: $1,708.89
  • BCBS - Anthem — Commercial|All Other Plans: $8,876
  • BCBS - Anthem — Commercial|MCS: $12,160
  • BCBS - Anthem — Commercial|Select PPO: $7,545
  • BCBS - Anthem — Medicaid|> 21: $3,054.64
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $1,708.89 – $40,125.84
Total knee replacement: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,612
  • Aetna — Commercial|HMO: $7,612
  • Aetna — Commercial|PPO: $7,612
  • Aetna — Medicare|All Plans: $16,512.69
  • Alignment — Medicare|Senior: $20,640.86
  • Altamed — Commercial|All Plans: $1,708.89
  • BCBS - Anthem — Commercial|All Other Plans: $16,234
  • BCBS - Anthem — Commercial|MCS: $22,241
  • BCBS - Anthem — Commercial|Select PPO: $13,799
  • BCBS - Anthem — Medicaid|> 21: $3,054.64
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $605.06 – $11,729
Shoulder arthroscopy: shaving of shoulder bone: 10 of 41 insurance plan rates
  • Aetna — Commercial|All Other Plans: $4,571
  • Aetna — Commercial|HMO: $4,571
  • Aetna — Commercial|PPO: $4,571
  • Altamed — Commercial|All Plans: $605.06
  • BCBS - Anthem — Commercial|All Other Plans: $8,561
  • BCBS - Anthem — Commercial|MCS: $11,729
  • BCBS - Anthem — Commercial|Select PPO: $7,277
  • BCBS - Anthem — Medicaid|> 21: $865.24
  • BCBS - Anthem — Medicaid|All Other Plans: $865.24
  • Blue Shield CA — Commercial|All Other Plans: $4,190
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $790.35 – $15,697
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 65 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,580
  • Aetna — Commercial|HMO: $5,580
  • Aetna — Commercial|PPO: $5,580
  • Aetna — Medicare|All Plans: $4,208.34
  • Alignment — Medicare|Senior: $5,260.43
  • Altamed — Commercial|All Plans: $790.35
  • BCBS - Anthem — Commercial|All Other Plans: $7,907
  • BCBS - Anthem — Commercial|MCS: $10,833
  • BCBS - Anthem — Commercial|Select PPO: $6,721
  • BCBS - Anthem — Medicaid|> 21: $1,130.20
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $193.53 – $18,501.75
Removal of tonsils and adenoids (under age 12): 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $4,571
  • Aetna — Commercial|HMO: $4,571
  • Aetna — Commercial|PPO: $4,571
  • Aetna — Medicare|All Plans: $7,613.89
  • Alignment — Medicare|Senior: $9,517.36
  • Altamed — Commercial|All Plans: $193.53
  • BCBS - Anthem — Commercial|All Other Plans: $7,907
  • BCBS - Anthem — Commercial|MCS: $10,833
  • BCBS - Anthem — Commercial|Select PPO: $6,721
  • BCBS - Anthem — Medicaid|> 21: $345.93
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $257.18 – $14,130
Upper GI endoscopy (diagnostic): 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,917
  • Aetna — Commercial|HMO: $2,917
  • Aetna — Commercial|PPO: $2,917
  • Aetna — Medicare|All Plans: $1,166.53
  • Alignment — Medicare|Senior: $1,458.16
  • Altamed — Commercial|All Plans: $257.18
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $459.72
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $268.73 – $14,130
Upper GI endoscopy with biopsy: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $1,166.53
  • Alignment — Medicare|Senior: $1,458.16
  • Altamed — Commercial|All Plans: $268.73
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $480.35
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $338.78 – $14,130
Colonoscopy (diagnostic): 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $1,196.08
  • Alignment — Medicare|Senior: $1,495.10
  • Altamed — Commercial|All Plans: $338.78
  • BCBS - Anthem — Commercial|All Other Plans: $3,291
  • BCBS - Anthem — Commercial|MCS: $4,509
  • BCBS - Anthem — Commercial|Select PPO: $2,797
  • BCBS - Anthem — Medicaid|> 21: $605.58
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $378.95 – $14,130
Colonoscopy with biopsy: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $1,539.08
  • Alignment — Medicare|Senior: $1,923.85
  • Altamed — Commercial|All Plans: $378.95
  • BCBS - Anthem — Commercial|All Other Plans: $3,291
  • BCBS - Anthem — Commercial|MCS: $4,509
  • BCBS - Anthem — Commercial|Select PPO: $2,797
  • BCBS - Anthem — Medicaid|> 21: $677.36
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $459.26 – $14,130
Colonoscopy with removal of polyps (snare): 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $1,539.08
  • Alignment — Medicare|Senior: $1,923.85
  • Altamed — Commercial|All Plans: $459.26
  • BCBS - Anthem — Commercial|All Other Plans: $3,291
  • BCBS - Anthem — Commercial|MCS: $4,509
  • BCBS - Anthem — Commercial|Select PPO: $2,797
  • BCBS - Anthem — Medicaid|> 21: $820.93
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $194.68 – $14,130
Ultrasound of the lower bowel by endoscope: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $1,539.08
  • Alignment — Medicare|Senior: $1,923.85
  • Altamed — Commercial|All Plans: $194.68
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $242.77
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $534.88 – $22,241
Gallbladder removal by laparoscope: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,982
  • Aetna — Commercial|HMO: $3,982
  • Aetna — Commercial|PPO: $3,982
  • Aetna — Medicare|All Plans: $7,775.56
  • Alignment — Medicare|Senior: $9,719.45
  • Altamed — Commercial|All Plans: $534.88
  • BCBS - Anthem — Commercial|All Other Plans: $16,234
  • BCBS - Anthem — Commercial|MCS: $22,241
  • BCBS - Anthem — Commercial|Select PPO: $13,799
  • BCBS - Anthem — Medicaid|> 21: $956.10
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $394.76 – $15,697
Groin (inguinal) hernia repair, age 5 or older: 10 of 66 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,580
  • Aetna — Commercial|HMO: $5,580
  • Aetna — Commercial|PPO: $5,580
  • Aetna — Medicare|All Plans: $4,604.99
  • Alignment — Medicare|Senior: $5,756.24
  • Altamed — Commercial|All Plans: $394.76
  • BCBS - Anthem — Commercial|All Other Plans: $7,907
  • BCBS - Anthem — Commercial|MCS: $10,833
  • BCBS - Anthem — Commercial|Select PPO: $6,721
  • BCBS - Anthem — Medicaid|> 21: $705.63
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $100.40 – $6,312
Prostate biopsy: 10 of 29 insurance plan rates
  • Altamed — Commercial|All Plans: $100.40
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $179.47
  • BCBS - Anthem — Medicaid|All Other Plans: $179.47
  • Cigna — Commercial|All Other Plans: $3,592
  • Cigna — Commercial|Pathwell: $3,592
  • Cigna — Commercial|PPO: $3,592
  • HCLA — Medicaid|Preferred IPA > 21: $100.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $1,093.88 – $33,222.33
Prostate removal by laparoscope (radical prostatectomy): 10 of 70 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,982
  • Aetna — Commercial|HMO: $3,982
  • Aetna — Commercial|PPO: $3,982
  • Aetna — Medicare|All Plans: $13,671.74
  • Alignment — Medicare|Senior: $17,089.67
  • Altamed — Commercial|All Plans: $1,093.88
  • BCBS - Anthem — Commercial|All Other Plans: $10,211
  • BCBS - Anthem — Commercial|MCS: $13,989
  • BCBS - Anthem — Commercial|Select PPO: $8,679
  • BCBS - Anthem — Medicaid|> 21: $1,362.92
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $251.48 – $14,757
Hysteroscopy with biopsy of the uterus lining: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $4,571
  • Aetna — Commercial|HMO: $4,571
  • Aetna — Commercial|PPO: $4,571
  • Aetna — Medicare|All Plans: $4,163.48
  • Alignment — Medicare|Senior: $5,204.35
  • Altamed — Commercial|All Plans: $251.48
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $359.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG $2,101 $564.54 $220.03 – $12,558
Spinal injection, lower back (epidural), with imaging guidance: 10 of 71 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,917
  • Aetna — Commercial|HMO: $2,917
  • Aetna — Commercial|PPO: $2,917
  • Aetna — Medicare|All Plans: $907.88
  • Alignment — Medicare|Senior: $1,134.85
  • Altamed — Commercial|All Plans: $220.03
  • BCBS - Anthem — Commercial|All Other Plans: $3,291
  • BCBS - Anthem — Commercial|MCS: $4,509
  • BCBS - Anthem — Commercial|Select PPO: $2,797
  • BCBS - Anthem — Medicaid|> 21: $314.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG $2,101 $564.54 $1,155.55
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Oscar — Commercial|All Plans: $1,155.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL L/S Not listed in the file Not listed in the file $164.49 – $12,558
Nerve root injection, lower back, with imaging guidance: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,917
  • Aetna — Commercial|HMO: $2,917
  • Aetna — Commercial|PPO: $2,917
  • Aetna — Medicare|All Plans: $1,137.58
  • Alignment — Medicare|Senior: $1,421.97
  • Altamed — Commercial|All Plans: $164.49
  • BCBS - Anthem — Commercial|All Other Plans: $3,291
  • BCBS - Anthem — Commercial|MCS: $4,509
  • BCBS - Anthem — Commercial|Select PPO: $2,797
  • BCBS - Anthem — Medicaid|> 21: $294.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $363.57 – $14,757
Carpal tunnel release: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $2,511.53
  • Alignment — Medicare|Senior: $3,139.41
  • Altamed — Commercial|All Plans: $363.57
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $649.88
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $213.61 – $12,558
Laser treatment of clouding after cataract surgery: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,934
  • Aetna — Commercial|HMO: $3,934
  • Aetna — Commercial|PPO: $3,934
  • Aetna — Medicare|All Plans: $707.39
  • Alignment — Medicare|Senior: $884.24
  • Altamed — Commercial|All Plans: $213.61
  • BCBS - Anthem — Commercial|All Other Plans: $4,607
  • BCBS - Anthem — Commercial|MCS: $6,312
  • BCBS - Anthem — Commercial|Select PPO: $3,916
  • BCBS - Anthem — Medicaid|> 21: $381.82
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,153.50 – $14,757
Cataract removal with lens implant: 10 of 68 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,982
  • Aetna — Commercial|HMO: $3,982
  • Aetna — Commercial|PPO: $3,982
  • Aetna — Medicare|All Plans: $2,968.25
  • Alignment — Medicare|Senior: $3,710.31
  • Altamed — Commercial|All Plans: $1,153.50
  • BCBS - Anthem — Commercial|All Other Plans: $10,211
  • BCBS - Anthem — Commercial|MCS: $13,989
  • BCBS - Anthem — Commercial|Select PPO: $8,679
  • BCBS - Anthem — Medicaid|> 21: $2,061.87

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,994.02 – $9,970.10
Vaginal delivery, with care before and after: 10 of 35 insurance plan rates
  • Altamed — Commercial|All Plans: $1,994.02
  • BCBS - Anthem — Commercial|All Other Plans: $6,769
  • BCBS - Anthem — Commercial|MCS: $9,274
  • BCBS - Anthem — Commercial|Select PPO: $5,754
  • BCBS - Anthem — Medicaid|> 21: $2,232.84
  • BCBS - Anthem — Medicaid|All Other Plans: $2,232.84
  • Blue Shield CA — Commercial|All Other Plans: $3,666
  • Blue Shield CA — Commercial|Calpers PPO: $3,642
  • Blue Shield CA — Commercial|Exchange: $2,941
  • Blue Shield CA — Commercial|Tandem: $3,381
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,995.21 – $9,976.05
Cesarean delivery (C-section), with care before and after: 10 of 35 insurance plan rates
  • Altamed — Commercial|All Plans: $1,995.21
  • BCBS - Anthem — Commercial|All Other Plans: $6,769
  • BCBS - Anthem — Commercial|MCS: $9,274
  • BCBS - Anthem — Commercial|Select PPO: $5,754
  • BCBS - Anthem — Medicaid|> 21: $2,232.97
  • BCBS - Anthem — Medicaid|All Other Plans: $2,232.97
  • Blue Shield CA — Commercial|All Other Plans: $4,190
  • Blue Shield CA — Commercial|Calpers PPO: $4,162
  • Blue Shield CA — Commercial|Exchange: $3,361
  • Blue Shield CA — Commercial|Tandem: $3,864
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,994.02 – $9,970.10
Vaginal delivery after a previous C-section, with care before and after: 10 of 35 insurance plan rates
  • Altamed — Commercial|All Plans: $1,994.02
  • BCBS - Anthem — Commercial|All Other Plans: $6,769
  • BCBS - Anthem — Commercial|MCS: $9,274
  • BCBS - Anthem — Commercial|Select PPO: $5,754
  • BCBS - Anthem — Medicaid|> 21: $2,232.84
  • BCBS - Anthem — Medicaid|All Other Plans: $2,232.84
  • Blue Shield CA — Commercial|All Other Plans: $3,666
  • Blue Shield CA — Commercial|Calpers PPO: $3,642
  • Blue Shield CA — Commercial|Exchange: $2,941
  • Blue Shield CA — Commercial|Tandem: $3,381

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $1,100 – $40,176
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $14,354
  • Aetna — Commercial|HMO: $14,354
  • Aetna — Commercial|PPO: $14,354
  • Aetna — Medicare|All Plans: $16,335.79
  • Alignment — Medicare|Senior: $20,419.74
  • BCBS - Anthem — Medicare|All Plans: $16,335.79
  • Blue Shield CA — Medicare|All Other Plans: $16,335.79
  • Blue Shield CA — Medicare|Trauma: $20,419.74
  • Central Health Plan — Commercial|All Plans: $16,335.79
  • Central Health Plan — Medicare|All Plans: $16,335.79
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION Not listed in the file Not listed in the file $1,100 – $15,387
Spinal fusion (not neck), without major complications: rates for 6 insurance plans
  • Gold Coast Health Plan — Medicaid|All Plans: $3,406
  • Health Net — Commercial|All Other Plans: $15,387
  • Health Net — Commercial|Ambetter: $11,441
  • Health Net — Commercial|Care Product: $13,667
  • RozeRoomHospice — Medicare|All Plans: $1,100
  • Oscar — Commercial|All Plans: 55% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $1,100 – $27,743
Hip or knee replacement (major joint of the leg), without major complications: 10 of 35 insurance plan rates
  • Aetna — Medicare|All Plans: $3,916.13
  • Alignment — Medicare|Senior: $4,895.17
  • BCBS - Anthem — Medicare|All Plans: $3,916.13
  • Blue Shield CA — Medicare|All Other Plans: $3,916.13
  • Blue Shield CA — Medicare|Trauma: $4,895.17
  • Central Health Plan — Commercial|All Plans: $3,916.13
  • Central Health Plan — Medicare|All Plans: $3,916.13
  • CleverCare — Commercial|All Plans: $3,916.13
  • Gold Coast Health Plan — Medicaid|All Plans: $3,406
  • HCLA — Commercial|Preferred IPA All Plans: $4,895.17
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $1,100 – $27,743
Neck (cervical) spinal fusion, without complications: 10 of 35 insurance plan rates
  • Aetna — Medicare|All Plans: $4,726.41
  • Alignment — Medicare|Senior: $5,908.02
  • BCBS - Anthem — Medicare|All Plans: $4,726.41
  • Blue Shield CA — Medicare|All Other Plans: $4,726.41
  • Blue Shield CA — Medicare|Trauma: $5,908.02
  • Central Health Plan — Commercial|All Plans: $4,726.41
  • Central Health Plan — Medicare|All Plans: $4,726.41
  • CleverCare — Commercial|All Plans: $4,726.41
  • Gold Coast Health Plan — Medicaid|All Plans: $3,406
  • HCLA — Commercial|Preferred IPA All Plans: $5,908.02
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,100 – $30,781
Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates
  • Aetna — Medicare|All Plans: $2,827.86
  • Alignment — Medicare|Senior: $3,534.83
  • BCBS - Anthem — Medicare|All Plans: $2,827.86
  • Blue Shield CA — Medicare|All Other Plans: $2,827.86
  • Blue Shield CA — Medicare|Trauma: $3,534.83
  • Central Health Plan — Commercial|All Plans: $2,827.86
  • Central Health Plan — Medicare|All Plans: $2,827.86
  • CleverCare — Commercial|All Plans: $2,827.86
  • Gold Coast Health Plan — Medicaid|All Plans: $3,406
  • HCLA — Commercial|Preferred IPA All Plans: $3,534.83

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

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

Hospital information

Hospital typeAcute Care Hospital
Address18300 Roscoe Blvd, Northridge, CA 91325
CountyLos Angeles County
StateCalifornia
Phone(818) 885‑8500
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050116
Name in Medicare recordsNORTHRIDGE HOSPITAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteDignity Health - Northridge Hospital Medical Center
Official websitecommonspirit.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Dignity Health - Northridge Hospital Medical Center — commonspirit.org
  2. Awards and Recognition — commonspirit.org
  3. Dignity Health - Northridge Hospital Medical Center, CA | CommonSpirit Health — commonspirit.org
  4. Dignity Health Imaging Services at Northridge Hospital Medical Center, CA | CommonSpirit Health — commonspirit.org