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Acute Care Hospital

Oroville Hospital

Oroville, California · Butte County · Emergency services listed

Oroville Hospital is an acute care hospital at 2767 Olive Highway, Oroville, CA 95966. Phone: (530) 533-8500. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

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

Summary

Oroville Hospital is an acute care hospital in Oroville, California. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 41 services, specialties and programs. Medicare lists 852 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
41Services listed

Quick answers

Does Oroville Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Oroville Hospital. In a medical emergency, call 911.
Where is Oroville Hospital?
2767 Olive Highway, Oroville, CA 95966, in Butte County, California.
What is the phone number of Oroville Hospital?
(530) 533-8500, as listed by Medicare (CMS).
What is the Medicare star rating of Oroville Hospital?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Oroville Hospital for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Oroville Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.6428; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5]

Treatments[5]

  • Cancer care
  • Childbirth services
  • Rehabilitation services
  • Respiratory care
  • Intensive care
  • Anticoagulation services
  • Nutritional therapy

Procedures[5]

Programs and centers[5][7]

  • Stroke Program
  • Cancer Care Program
  • Palliative Care Program
  • Breast Cancer Services

Emergency care (hospital website)[6][7]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (designated by Sierra-Sacramento Valley EMS Agency)

Visiting and practical information

Recognition[7]

  • American Heart Association Get With The Guidelines Stroke Gold Plus (2026)
  • Get With The Guidelines Rural Stroke Gold (2026)

Doctors and clinicians (852)

852 doctors and other clinicians list Oroville Hospital 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 (852)

And 828 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Oroville

Hospitals in Butte County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

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 license 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 Oroville Hospital 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) 1 of 5 stars
Overall rating of the hospital1 of 5 stars
Would recommend the hospital1 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff1 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean1 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination1 of 5 stars
Symptoms After Stay1 of 5 stars
Rated the hospital 9 or 10 out of 1038%National average: 72%
Would definitely recommend the hospital37%National average: 71%
Nurses “always” communicated well65%National average: 80%
Doctors “always” communicated well68%National average: 80%
“Always” got help as soon as they wanted40%National average: 64%
Staff “always” explained medicines before giving them47%National average: 62%
Were given information about recovery at home78%National average: 86%
Room and bathroom “always” clean44%National average: 73%
Completed surveys761Response rate: 12%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.481No different from the national benchmark
MRSA bloodstream infections0.498No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.303No different from the national benchmark
Not reported to MedicareSurgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients12.6%
Deaths within 30 days: heart failure patients8.6%
Deaths within 30 days: pneumonia patients12.8%
Deaths within 30 days: COPD patients5.3%
Deaths within 30 days: stroke patients19.1%
Serious complications (patient safety indicator PSI-90)1.33No different from the national rate
Complications after hip or knee replacement4.5%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)21.7%
Readmitted within 30 days: heart attack14.1%
Readmitted within 30 days: heart failure26.7%
Readmitted within 30 days: pneumonia25.5%
Readmitted within 30 days: COPD22.8%
Readmitted within 30 days: hip or knee replacement7.8%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)230 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)13%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)70%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Oroville Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.6428Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0894More readmissions than expected
Heart failure1.3606More readmissions than expected
Pneumonia1.4255More readmissions than expected
COPD (chronic lung disease)1.2545More readmissions than expected
Hip or knee replacement1.1118More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score38.92 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)48.00 out of 100
Person and community engagement (patient survey)1.00 out of 100
Safety (infections and sepsis care)26.67 out of 100
Efficiency and cost reduction (Medicare spending)80.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.88Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 73 common services exactly as Oroville Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 73 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 30 min $293 $147 $79 – $322
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $127
  • Anthem BlueCross — Commercial: $79
  • Anthem BlueCross — Managed Medi-Cal: $322
  • Beech Street — Commercial: $264
  • Blue Shield of California — Commercial: $284
  • Butte County — Commercial: $102
  • Cigna — HMO: $234
  • Community Care — Commercial: $127
  • Coventry Health Care — Commercial: $234
  • Health Net — Commercial: $234
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 45 min $388 $194 $105 – $427
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $190
  • Anthem BlueCross — Commercial: $105
  • Anthem BlueCross — Managed Medi-Cal: $427
  • Beech Street — Commercial: $349
  • Blue Shield of California — Commercial: $376
  • Butte County — Commercial: $135
  • Cigna — HMO: $310
  • Community Care — Commercial: $190
  • Coventry Health Care — Commercial: $310
  • Health Net — Commercial: $310
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 60 min $606 $303 $164 – $667
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $253
  • Anthem BlueCross — Commercial: $164
  • Anthem BlueCross — Managed Medi-Cal: $667
  • Beech Street — Commercial: $545
  • Blue Shield of California — Commercial: $588
  • Butte County — Commercial: $211
  • Cigna — HMO: $485
  • Community Care — Commercial: $253
  • Coventry Health Care — Commercial: $485
  • Health Net — Commercial: $485
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Mod Estpt $207 $104 $56 – $228
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $103
  • Anthem BlueCross — Commercial: $56
  • Anthem BlueCross — Managed Medi-Cal: $228
  • Beech Street — Commercial: $186
  • Blue Shield of California — Commercial: $201
  • Butte County — Commercial: $72
  • Cigna — HMO: $166
  • Community Care — Commercial: $103
  • Coventry Health Care — Commercial: $166
  • Health Net — Commercial: $166
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ov Est Low Mdm 20-29m $180 $90 $49 – $198
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $103
  • Anthem BlueCross — Commercial: $49
  • Anthem BlueCross — Managed Medi-Cal: $198
  • Beech Street — Commercial: $162
  • Blue Shield of California — Commercial: $175
  • Butte County — Commercial: $63
  • Cigna — HMO: $144
  • Community Care — Commercial: $103
  • Coventry Health Care — Commercial: $144
  • Health Net — Commercial: $144
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · both In the file: Office Visit Est-moderate $184 $92 $50 – $202
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $103
  • Anthem BlueCross — Commercial: $50
  • Anthem BlueCross — Managed Medi-Cal: $202
  • Beech Street — Commercial: $166
  • Blue Shield of California — Commercial: $178
  • Butte County — Commercial: $64
  • Cigna — HMO: $147
  • Community Care — Commercial: $103
  • Coventry Health Care — Commercial: $147
  • Health Net — Commercial: $147
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Mod-hi Estpt $178 $89 $48 – $242
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $147
  • Anthem BlueCross — Commercial: $48
  • Anthem BlueCross — Managed Medi-Cal: $196
  • Beech Street — Commercial: $160
  • Blue Shield of California — Commercial: $173
  • Butte County — Commercial: $62
  • Cigna — HMO: $142
  • Community Care — Commercial: $147
  • Coventry Health Care — Commercial: $142
  • Health Net — Commercial: $142
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ov Est Mod Mdm 30-39m $180 $90 $49 – $242
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $147
  • Anthem BlueCross — Commercial: $49
  • Anthem BlueCross — Managed Medi-Cal: $198
  • Beech Street — Commercial: $162
  • Blue Shield of California — Commercial: $175
  • Butte County — Commercial: $63
  • Cigna — HMO: $144
  • Community Care — Commercial: $147
  • Coventry Health Care — Commercial: $144
  • Health Net — Commercial: $144
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · both In the file: Office Visit Est-mod/hi $285 $143 $77 – $314
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $147
  • Anthem BlueCross — Commercial: $77
  • Anthem BlueCross — Managed Medi-Cal: $314
  • Beech Street — Commercial: $257
  • Blue Shield of California — Commercial: $276
  • Butte County — Commercial: $99
  • Cigna — HMO: $228
  • Community Care — Commercial: $147
  • Coventry Health Care — Commercial: $228
  • Health Net — Commercial: $228
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Patient office consultation, 40 min $346 $173 $93 – $381
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $93
  • Anthem BlueCross — Managed Medi-Cal: $381
  • Beech Street — Commercial: $311
  • Blue Shield of California — Commercial: $336
  • Butte County — Commercial: $120
  • Cigna — HMO: $277
  • Coventry Health Care — Commercial: $277
  • Health Net — Commercial: $277
  • Health Payors Organization — Commercial: $329
  • HealthStar — Commercial: $311
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · both In the file: Patient office consultation, 40 min Not listed in the file Not listed in the file $93
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $93
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Patient office consultation, 60 min $556 $278 $150 – $612
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $150
  • Anthem BlueCross — Managed Medi-Cal: $612
  • Beech Street — Commercial: $500
  • Blue Shield of California — Commercial: $539
  • Butte County — Commercial: $194
  • Cigna — HMO: $445
  • Coventry Health Care — Commercial: $445
  • Health Net — Commercial: $445
  • Health Payors Organization — Commercial: $528
  • HealthStar — Commercial: $500
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · both In the file: Patient office consultation, 60 min Not listed in the file Not listed in the file $150
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $150
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Initial new patient preventative medicine evaluation (18-39 years) $217 $109 $59 – $239
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $59
  • Anthem BlueCross — Managed Medi-Cal: $239
  • Beech Street — Commercial: $195
  • Blue Shield of California — Commercial: $210
  • Butte County — Commercial: $76
  • Cigna — HMO: $174
  • Coventry Health Care — Commercial: $174
  • Health Net — Commercial: $174
  • Health Payors Organization — Commercial: $206
  • HealthStar — Commercial: $195
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · both In the file: Initial new patient preventative medicine evaluation (18-39 years) Not listed in the file Not listed in the file $58
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $58
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Initial new patient preventative medicine evaluation (40-64 years) $239 $120 $65 – $263
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $65
  • Anthem BlueCross — Managed Medi-Cal: $263
  • Beech Street — Commercial: $215
  • Blue Shield of California — Commercial: $232
  • Butte County — Commercial: $83
  • Cigna — HMO: $191
  • Coventry Health Care — Commercial: $191
  • Health Net — Commercial: $191
  • Health Payors Organization — Commercial: $227
  • HealthStar — Commercial: $215
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · both In the file: Initial new patient preventative medicine evaluation (40-64 years) Not listed in the file Not listed in the file $64
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · both In the file: Er Visit Low Mdm $283 $142 $76 – $554
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $336
  • Anthem BlueCross — Commercial: $76
  • Anthem BlueCross — Managed Medi-Cal: $311
  • Beech Street — Commercial: $255
  • Blue Shield of California — Commercial: $275
  • Blue Shield Value Network — Commercial: $258
  • Butte County — Commercial: $99
  • Cigna — HMO: $226
  • Community Care — Commercial: $336
  • Coventry Health Care — Commercial: $226
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Level Iii Rm Wo/proc $1,273 $637 $336 – $1,400
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $336
  • Anthem BlueCross — Commercial: $344
  • Anthem BlueCross — Managed Medi-Cal: $1,400
  • Beech Street — Commercial: $1,146
  • Blue Shield of California — Commercial: $1,235
  • Butte County — Commercial: $443
  • Cigna — HMO: $1,018
  • Community Care — Commercial: $336
  • Coventry Health Care — Commercial: $1,018
  • Health Net — Commercial: $1,018
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Er Eval-low/mod Complex $414 $207 $70 – $455
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $70
  • Anthem BlueCross — Commercial: $112
  • Anthem BlueCross — Managed Medi-Cal: $455
  • Beech Street — Commercial: $373
  • Blue Shield of California — Commercial: $402
  • Butte County — Commercial: $144
  • Cigna — HMO: $331
  • Community Care — Commercial: $70
  • Coventry Health Care — Commercial: $331
  • Health Net — Commercial: $331
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · both In the file: Er Visit Mod Mdm $463 $232 $125 – $846
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $513
  • Anthem BlueCross — Commercial: $125
  • Anthem BlueCross — Managed Medi-Cal: $509
  • Beech Street — Commercial: $417
  • Blue Shield of California — Commercial: $449
  • Blue Shield Value Network — Commercial: $415
  • Butte County — Commercial: $161
  • Cigna — HMO: $370
  • Community Care — Commercial: $513
  • Coventry Health Care — Commercial: $370
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Level Iv Rm Wo/proc $1,485 $743 $401 – $1,634
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $513
  • Anthem BlueCross — Commercial: $401
  • Anthem BlueCross — Managed Medi-Cal: $1,634
  • Beech Street — Commercial: $1,337
  • Blue Shield of California — Commercial: $1,440
  • Butte County — Commercial: $517
  • Cigna — HMO: $1,188
  • Community Care — Commercial: $513
  • Coventry Health Care — Commercial: $1,188
  • Health Net — Commercial: $1,188
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Er Eval-mod Complex $450 $225 $119 – $495
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $119
  • Anthem BlueCross — Commercial: $122
  • Anthem BlueCross — Managed Medi-Cal: $495
  • Beech Street — Commercial: $405
  • Blue Shield of California — Commercial: $437
  • Butte County — Commercial: $157
  • Cigna — HMO: $360
  • Community Care — Commercial: $119
  • Coventry Health Care — Commercial: $360
  • Health Net — Commercial: $360
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · both In the file: Er Visit Hi Mdm $457 $229 $123 – $1,208
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $732
  • Anthem BlueCross — Commercial: $123
  • Anthem BlueCross — Managed Medi-Cal: $503
  • Beech Street — Commercial: $411
  • Blue Shield of California — Commercial: $443
  • Blue Shield Value Network — Commercial: $614
  • Butte County — Commercial: $159
  • Cigna — HMO: $366
  • Community Care — Commercial: $732
  • Coventry Health Care — Commercial: $366
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Level V Rm Wo/proc $1,485 $743 $401 – $1,634
Emergency room visit (high): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $732
  • Anthem BlueCross — Commercial: $401
  • Anthem BlueCross — Managed Medi-Cal: $1,634
  • Beech Street — Commercial: $1,337
  • Blue Shield of California — Commercial: $1,440
  • Butte County — Commercial: $517
  • Cigna — HMO: $1,188
  • Community Care — Commercial: $732
  • Coventry Health Care — Commercial: $1,188
  • Health Net — Commercial: $1,188
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Er Eval-high Complex $740 $370 $172 – $814
Emergency room visit (high): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $172
  • Anthem BlueCross — Commercial: $200
  • Anthem BlueCross — Managed Medi-Cal: $814
  • Beech Street — Commercial: $666
  • Blue Shield of California — Commercial: $718
  • Butte County — Commercial: $258
  • Cigna — HMO: $592
  • Community Care — Commercial: $172
  • Coventry Health Care — Commercial: $592
  • Health Net — Commercial: $592

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel $125 $63 $8 – $138
Basic metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $8
  • Anthem BlueCross — Commercial: $34
  • Anthem BlueCross — Managed Medi-Cal: $138
  • Beech Street — Commercial: $113
  • Blue Shield of California — Commercial: $121
  • Butte County — Commercial: $44
  • Cigna — HMO: $100
  • Community Care — Commercial: $8
  • Coventry Health Care — Commercial: $100
  • Health Net — Commercial: $100
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · both In the file: Basic metabolic panel Not listed in the file Not listed in the file $20
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals $44 $22 $11 – $48
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $11
  • Anthem BlueCross — Commercial: $12
  • Anthem BlueCross — Managed Medi-Cal: $48
  • Beech Street — Commercial: $40
  • Blue Shield of California — Commercial: $43
  • Butte County — Commercial: $15
  • Cigna — HMO: $35
  • Community Care — Commercial: $11
  • Coventry Health Care — Commercial: $35
  • Health Net — Commercial: $35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · both In the file: Blood test, comprehensive group of blood chemicals Not listed in the file Not listed in the file $25
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: Blood test, comprehensive group of blood chemicals $99 $50 $11 – $109
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $11
  • Anthem BlueCross — Commercial: $27
  • Anthem BlueCross — Managed Medi-Cal: $109
  • Beech Street — Commercial: $89
  • Blue Shield of California — Commercial: $96
  • Butte County — Commercial: $34
  • Cigna — HMO: $79
  • Community Care — Commercial: $11
  • Coventry Health Care — Commercial: $79
  • Health Net — Commercial: $79
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric blood test panel $460 $230 $48 – $506
Obstetric blood test panel: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $48
  • Anthem BlueCross — Commercial: $124
  • Anthem BlueCross — Managed Medi-Cal: $506
  • Beech Street — Commercial: $414
  • Blue Shield of California — Commercial: $446
  • Butte County — Commercial: $160
  • Cigna — HMO: $368
  • Community Care — Commercial: $48
  • Coventry Health Care — Commercial: $368
  • Health Net — Commercial: $368
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · both In the file: Obstetric blood test panel Not listed in the file Not listed in the file $124
Obstetric blood test panel: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $124
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, lipids $162 $81 $13 – $178
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $13
  • Anthem BlueCross — Commercial: $44
  • Anthem BlueCross — Managed Medi-Cal: $178
  • Beech Street — Commercial: $146
  • Blue Shield of California — Commercial: $157
  • Butte County — Commercial: $56
  • Cigna — HMO: $130
  • Community Care — Commercial: $13
  • Coventry Health Care — Commercial: $130
  • Health Net — Commercial: $130
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · both In the file: Blood test, lipids Not listed in the file Not listed in the file $32
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $32
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: Blood test, lipids $17 $9 $5 – $19
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $5
  • Anthem BlueCross — Managed Medi-Cal: $19
  • Beech Street — Commercial: $15
  • Blue Shield of California — Commercial: $16
  • Butte County — Commercial: $6
  • Cigna — HMO: $14
  • Coventry Health Care — Commercial: $14
  • Health Net — Commercial: $14
  • Health Payors Organization — Commercial: $16
  • HealthStar — Commercial: $15
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Kidney function panel test $122 $61 $9 – $134
Kidney function panel: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $9
  • Anthem BlueCross — Commercial: $33
  • Anthem BlueCross — Managed Medi-Cal: $134
  • Beech Street — Commercial: $110
  • Blue Shield of California — Commercial: $118
  • Butte County — Commercial: $42
  • Cigna — HMO: $98
  • Community Care — Commercial: $9
  • Coventry Health Care — Commercial: $98
  • Health Net — Commercial: $98
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · both In the file: Kidney function panel test Not listed in the file Not listed in the file $21
Kidney function panel: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $21
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver function blood test $126 $63 $8 – $139
Liver function panel: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $8
  • Anthem BlueCross — Commercial: $34
  • Anthem BlueCross — Managed Medi-Cal: $139
  • Beech Street — Commercial: $113
  • Blue Shield of California — Commercial: $122
  • Butte County — Commercial: $44
  • Cigna — HMO: $101
  • Community Care — Commercial: $8
  • Coventry Health Care — Commercial: $101
  • Health Net — Commercial: $101
Liver function panel CPT 80076 · Outpatient (no overnight stay) · both In the file: Liver function blood test Not listed in the file Not listed in the file $20
Liver function panel: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $20
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test using microscope $95 $48 $3 – $105
Urine test (automated, with microscope): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $3
  • Anthem BlueCross — Commercial: $26
  • Anthem BlueCross — Managed Medi-Cal: $105
  • Beech Street — Commercial: $86
  • Blue Shield of California — Commercial: $92
  • Butte County — Commercial: $33
  • Cigna — HMO: $76
  • Community Care — Commercial: $3
  • Coventry Health Care — Commercial: $76
  • Health Net — Commercial: $76
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · both In the file: Urinalysis test using microscope Not listed in the file Not listed in the file $8
Urine test (automated, with microscope): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $8
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test $43 $22 $3 – $47
Urine test (manual, without microscope): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $3
  • Anthem BlueCross — Commercial: $12
  • Anthem BlueCross — Managed Medi-Cal: $47
  • Beech Street — Commercial: $39
  • Blue Shield of California — Commercial: $42
  • Butte County — Commercial: $15
  • Cigna — HMO: $34
  • Community Care — Commercial: $3
  • Coventry Health Care — Commercial: $34
  • Health Net — Commercial: $34
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · both In the file: Urinalysis test Not listed in the file Not listed in the file $6
Urine test (manual, without microscope): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $6
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test $59 $30 $2 – $65
Urine test (automated, without microscope): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2
  • Anthem BlueCross — Commercial: $16
  • Anthem BlueCross — Managed Medi-Cal: $65
  • Beech Street — Commercial: $53
  • Blue Shield of California — Commercial: $57
  • Butte County — Commercial: $21
  • Cigna — HMO: $47
  • Community Care — Commercial: $2
  • Coventry Health Care — Commercial: $47
  • Health Net — Commercial: $47
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · both In the file: Urinalysis test Not listed in the file Not listed in the file $5
Urine test (automated, without microscope): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $5
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total prostate-specific antigen (PSA) test $248 $124 $18 – $273
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $18
  • Anthem BlueCross — Commercial: $67
  • Anthem BlueCross — Managed Medi-Cal: $273
  • Beech Street — Commercial: $223
  • Blue Shield of California — Commercial: $241
  • Butte County — Commercial: $86
  • Cigna — HMO: $198
  • Community Care — Commercial: $18
  • Coventry Health Care — Commercial: $198
  • Health Net — Commercial: $198
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · both In the file: Total prostate-specific antigen (PSA) test Not listed in the file Not listed in the file $44
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $44
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH) $200 $100 $17 – $220
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $17
  • Anthem BlueCross — Commercial: $54
  • Anthem BlueCross — Managed Medi-Cal: $220
  • Beech Street — Commercial: $180
  • Blue Shield of California — Commercial: $194
  • Butte County — Commercial: $70
  • Cigna — HMO: $160
  • Community Care — Commercial: $17
  • Coventry Health Care — Commercial: $160
  • Health Net — Commercial: $160
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · both In the file: Blood test, thyroid stimulating hormone (TSH) Not listed in the file Not listed in the file $40
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), with differential white blood cells, automated $110 $55 $8 – $121
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $8
  • Anthem BlueCross — Commercial: $30
  • Anthem BlueCross — Managed Medi-Cal: $121
  • Beech Street — Commercial: $99
  • Blue Shield of California — Commercial: $107
  • Butte County — Commercial: $38
  • Cigna — HMO: $88
  • Community Care — Commercial: $8
  • Coventry Health Care — Commercial: $88
  • Health Net — Commercial: $88
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · both In the file: Complete blood cell count (CBC), with differential white blood cells, automated Not listed in the file Not listed in the file $19
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $19
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), automated $110 $55 $6 – $121
Complete blood count (CBC), automated: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $6
  • Anthem BlueCross — Commercial: $30
  • Anthem BlueCross — Managed Medi-Cal: $121
  • Beech Street — Commercial: $99
  • Blue Shield of California — Commercial: $107
  • Butte County — Commercial: $38
  • Cigna — HMO: $88
  • Community Care — Commercial: $6
  • Coventry Health Care — Commercial: $88
  • Health Net — Commercial: $88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · both In the file: Complete blood cell count (CBC), automated Not listed in the file Not listed in the file $16
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $16
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, clotting time $93 $47 $4 – $102
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4
  • Anthem BlueCross — Commercial: $25
  • Anthem BlueCross — Managed Medi-Cal: $102
  • Beech Street — Commercial: $84
  • Blue Shield of California — Commercial: $90
  • Butte County — Commercial: $32
  • Cigna — HMO: $74
  • Community Care — Commercial: $4
  • Coventry Health Care — Commercial: $74
  • Health Net — Commercial: $74
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · both In the file: Blood test, clotting time Not listed in the file Not listed in the file $9
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $9
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Coagulation assessment blood test $188 $94 $6 – $207
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $6
  • Anthem BlueCross — Commercial: $51
  • Anthem BlueCross — Managed Medi-Cal: $207
  • Beech Street — Commercial: $169
  • Blue Shield of California — Commercial: $182
  • Butte County — Commercial: $65
  • Cigna — HMO: $150
  • Community Care — Commercial: $6
  • Coventry Health Care — Commercial: $150
  • Health Net — Commercial: $150
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · both In the file: Coagulation assessment blood test Not listed in the file Not listed in the file $14
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $14

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) · Hospital (facility) fee In the file: CT scan $155 $78 $42 – $212
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $42
  • Anthem BlueCross — Managed Medi-Cal: $171
  • Beech Street — Commercial: $140
  • Blue Shield of California — Commercial: $150
  • Butte County — Commercial: $54
  • Cigna — HMO: $124
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $124
  • Health Net — Commercial: $124
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · both In the file: CT scan Not listed in the file Not listed in the file $364
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $364
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT scan $1,843 $922 $129 – $2,027
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $498
  • Anthem BlueCross — Managed Medi-Cal: $2,027
  • Beech Street — Commercial: $1,659
  • Blue Shield of California — Commercial: $1,788
  • Butte County — Commercial: $642
  • Cigna — HMO: $1,474
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $1,474
  • Health Net — Commercial: $1,474
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Scan $417 $209 $113 – $708
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $429
  • Anthem BlueCross — Commercial: $113
  • Anthem BlueCross — Managed Medi-Cal: $459
  • Beech Street — Commercial: $375
  • Blue Shield of California — Commercial: $404
  • Butte County — Commercial: $145
  • Cigna — HMO: $334
  • Community Care — Commercial: $429
  • Coventry Health Care — Commercial: $334
  • Health Net — Commercial: $334
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · both In the file: MRI Scan Not listed in the file Not listed in the file $1,014
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,014
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI Scan $6,015 $3,008 $429 – $6,617
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $429
  • Anthem BlueCross — Commercial: $1,624
  • Anthem BlueCross — Managed Medi-Cal: $6,617
  • Beech Street — Commercial: $5,414
  • Blue Shield of California — Commercial: $5,835
  • Butte County — Commercial: $2,094
  • Cigna — HMO: $4,812
  • Community Care — Commercial: $429
  • Coventry Health Care — Commercial: $4,812
  • Health Net — Commercial: $4,812
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · both In the file: Chest 2v Ap/lat $40 $20 $11 – $177
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $107
  • Anthem BlueCross — Commercial: $11
  • Anthem BlueCross — Managed Medi-Cal: $44
  • Beech Street — Commercial: $36
  • Blue Shield of California — Commercial: $39
  • Butte County — Commercial: $14
  • Cigna — HMO: $32
  • Community Care — Commercial: $107
  • Coventry Health Care — Commercial: $32
  • Health Net — Commercial: $32
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Chest 2v Ap/lat $525 $263 $107 – $578
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $107
  • Anthem BlueCross — Commercial: $142
  • Anthem BlueCross — Managed Medi-Cal: $578
  • Beech Street — Commercial: $473
  • Blue Shield of California — Commercial: $509
  • Butte County — Commercial: $183
  • Cigna — HMO: $420
  • Community Care — Commercial: $107
  • Coventry Health Care — Commercial: $420
  • Health Net — Commercial: $420
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Chest 2v Ap/lat Not listed in the file Not listed in the file $11 – $17
Chest X-ray, 2 views: rates for 6 insurance plans
  • Aetna — Medicare Advantage: $11
  • Community Care — Commercial: $11
  • Nivano Physicians Inc — HMO: $11
  • Partnership HealthPlan of California — Commercial: $17
  • River City Medical Group — Commercial: $12
  • United Healthcare — Medicare Advantage: $11
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-Ray of lower back $58 $29 $16 – $212
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $16
  • Anthem BlueCross — Managed Medi-Cal: $64
  • Beech Street — Commercial: $52
  • Blue Shield of California — Commercial: $56
  • Butte County — Commercial: $20
  • Cigna — HMO: $46
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $46
  • Health Net — Commercial: $46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · both In the file: X-Ray of lower back Not listed in the file Not listed in the file $143
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $143
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-Ray of lower back $1,008 $504 $129 – $1,109
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $272
  • Anthem BlueCross — Managed Medi-Cal: $1,109
  • Beech Street — Commercial: $907
  • Blue Shield of California — Commercial: $978
  • Butte County — Commercial: $351
  • Cigna — HMO: $806
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $806
  • Health Net — Commercial: $806
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of lower spinal canal $272 $136 $73 – $484
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $293
  • Anthem BlueCross — Commercial: $73
  • Anthem BlueCross — Managed Medi-Cal: $299
  • Beech Street — Commercial: $245
  • Blue Shield of California — Commercial: $264
  • Butte County — Commercial: $95
  • Cigna — HMO: $218
  • Community Care — Commercial: $293
  • Coventry Health Care — Commercial: $218
  • Health Net — Commercial: $218
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · both In the file: MRI scan of lower spinal canal Not listed in the file Not listed in the file $643
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $643
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI scan of lower spinal canal $3,649 $1,825 $293 – $4,014
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $293
  • Anthem BlueCross — Commercial: $985
  • Anthem BlueCross — Managed Medi-Cal: $4,014
  • Beech Street — Commercial: $3,284
  • Blue Shield of California — Commercial: $3,540
  • Butte County — Commercial: $1,271
  • Cigna — HMO: $2,919
  • Community Care — Commercial: $293
  • Coventry Health Care — Commercial: $2,919
  • Health Net — Commercial: $2,919
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of pelvis with contrast $213 $107 $58 – $356
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $216
  • Anthem BlueCross — Commercial: $58
  • Anthem BlueCross — Managed Medi-Cal: $234
  • Beech Street — Commercial: $192
  • Blue Shield of California — Commercial: $207
  • Butte County — Commercial: $74
  • Cigna — HMO: $170
  • Community Care — Commercial: $216
  • Coventry Health Care — Commercial: $170
  • Health Net — Commercial: $170
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · both In the file: CT scan of pelvis with contrast Not listed in the file Not listed in the file $571
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $571
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT scan of pelvis with contrast $3,923 $1,962 $216 – $4,315
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $216
  • Anthem BlueCross — Commercial: $1,059
  • Anthem BlueCross — Managed Medi-Cal: $4,315
  • Beech Street — Commercial: $3,531
  • Blue Shield of California — Commercial: $3,805
  • Butte County — Commercial: $1,366
  • Cigna — HMO: $3,138
  • Community Care — Commercial: $216
  • Coventry Health Care — Commercial: $3,138
  • Health Net — Commercial: $3,138
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of leg joint $249 $125 $67 – $484
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $293
  • Anthem BlueCross — Commercial: $67
  • Anthem BlueCross — Managed Medi-Cal: $274
  • Beech Street — Commercial: $224
  • Blue Shield of California — Commercial: $242
  • Butte County — Commercial: $87
  • Cigna — HMO: $199
  • Community Care — Commercial: $293
  • Coventry Health Care — Commercial: $199
  • Health Net — Commercial: $199
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · both In the file: MRI scan of leg joint Not listed in the file Not listed in the file $643
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $643
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI scan of leg joint $3,649 $1,825 $293 – $4,014
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $293
  • Anthem BlueCross — Commercial: $985
  • Anthem BlueCross — Managed Medi-Cal: $4,014
  • Beech Street — Commercial: $3,284
  • Blue Shield of California — Commercial: $3,540
  • Butte County — Commercial: $1,271
  • Cigna — HMO: $2,919
  • Community Care — Commercial: $293
  • Coventry Health Care — Commercial: $2,919
  • Health Net — Commercial: $2,919
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast $334 $167 $90 – $708
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $429
  • Anthem BlueCross — Commercial: $90
  • Anthem BlueCross — Managed Medi-Cal: $367
  • Beech Street — Commercial: $301
  • Blue Shield of California — Commercial: $324
  • Butte County — Commercial: $116
  • Cigna — HMO: $267
  • Community Care — Commercial: $429
  • Coventry Health Care — Commercial: $267
  • Health Net — Commercial: $267
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · both In the file: CT scan of abdomen and pelvis with contrast Not listed in the file Not listed in the file $1,102
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,102
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT scan of abdomen and pelvis with contrast $6,015 $3,008 $429 – $6,617
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $429
  • Anthem BlueCross — Commercial: $1,624
  • Anthem BlueCross — Managed Medi-Cal: $6,617
  • Beech Street — Commercial: $5,414
  • Blue Shield of California — Commercial: $5,835
  • Butte County — Commercial: $2,094
  • Cigna — HMO: $4,812
  • Community Care — Commercial: $429
  • Coventry Health Care — Commercial: $4,812
  • Health Net — Commercial: $4,812
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound of abdomen $148 $74 $40 – $212
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $40
  • Anthem BlueCross — Managed Medi-Cal: $163
  • Beech Street — Commercial: $133
  • Blue Shield of California — Commercial: $144
  • Butte County — Commercial: $52
  • Cigna — HMO: $118
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $118
  • Health Net — Commercial: $118
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · both In the file: Ultrasound of abdomen Not listed in the file Not listed in the file $183
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $183
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound of abdomen $1,353 $677 $129 – $1,488
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $365
  • Anthem BlueCross — Managed Medi-Cal: $1,488
  • Beech Street — Commercial: $1,218
  • Blue Shield of California — Commercial: $1,312
  • Butte County — Commercial: $471
  • Cigna — HMO: $1,082
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $1,082
  • Health Net — Commercial: $1,082
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Abdomial ultrasound of pregnant uterus $183 $92 $49 – $212
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $49
  • Anthem BlueCross — Managed Medi-Cal: $201
  • Beech Street — Commercial: $165
  • Blue Shield of California — Commercial: $178
  • Butte County — Commercial: $64
  • Cigna — HMO: $146
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $146
  • Health Net — Commercial: $146
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · both In the file: Abdomial ultrasound of pregnant uterus Not listed in the file Not listed in the file $183
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $183
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Abdomial ultrasound of pregnant uterus $1,353 $677 $129 – $1,488
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $365
  • Anthem BlueCross — Managed Medi-Cal: $1,488
  • Beech Street — Commercial: $1,218
  • Blue Shield of California — Commercial: $1,312
  • Butte County — Commercial: $471
  • Cigna — HMO: $1,082
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $1,082
  • Health Net — Commercial: $1,082
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound pelvis through vagina $127 $64 $34 – $212
Transvaginal ultrasound: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $34
  • Anthem BlueCross — Managed Medi-Cal: $140
  • Beech Street — Commercial: $114
  • Blue Shield of California — Commercial: $123
  • Butte County — Commercial: $44
  • Cigna — HMO: $102
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $102
  • Health Net — Commercial: $102
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · both In the file: Ultrasound pelvis through vagina Not listed in the file Not listed in the file $183
Transvaginal ultrasound: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $183
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound pelvis through vagina $1,353 $677 $129 – $1,488
Transvaginal ultrasound: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $129
  • Anthem BlueCross — Commercial: $365
  • Anthem BlueCross — Managed Medi-Cal: $1,488
  • Beech Street — Commercial: $1,218
  • Blue Shield of California — Commercial: $1,312
  • Butte County — Commercial: $471
  • Cigna — HMO: $1,082
  • Community Care — Commercial: $129
  • Coventry Health Care — Commercial: $1,082
  • Health Net — Commercial: $1,082
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of one breast $149 $75 $40 – $230
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $140
  • Anthem BlueCross — Commercial: $40
  • Anthem BlueCross — Managed Medi-Cal: $164
  • Beech Street — Commercial: $134
  • Blue Shield of California — Commercial: $145
  • Butte County — Commercial: $52
  • Cigna — HMO: $119
  • Community Care — Commercial: $140
  • Coventry Health Care — Commercial: $119
  • Health Net — Commercial: $119
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: Mammography of one breast $643 $322 $174 – $707
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $174
  • Anthem BlueCross — Managed Medi-Cal: $707
  • Beech Street — Commercial: $579
  • Blue Shield of California — Commercial: $624
  • Butte County — Commercial: $224
  • Cigna — HMO: $514
  • Coventry Health Care — Commercial: $514
  • Health Net — Commercial: $514
  • Health Payors Organization — Commercial: $611
  • HealthStar — Commercial: $579
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: Mammography of one breast $643 $322 $174 – $707
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $174
  • Anthem BlueCross — Managed Medi-Cal: $707
  • Beech Street — Commercial: $579
  • Blue Shield of California — Commercial: $624
  • Butte County — Commercial: $224
  • Cigna — HMO: $514
  • Coventry Health Care — Commercial: $514
  • Health Net — Commercial: $514
  • Health Payors Organization — Commercial: $611
  • HealthStar — Commercial: $579
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of both breasts $184 $92 $50 – $292
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $177
  • Anthem BlueCross — Commercial: $50
  • Anthem BlueCross — Managed Medi-Cal: $202
  • Beech Street — Commercial: $166
  • Blue Shield of California — Commercial: $178
  • Butte County — Commercial: $64
  • Cigna — HMO: $147
  • Community Care — Commercial: $177
  • Coventry Health Care — Commercial: $147
  • Health Net — Commercial: $147
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Mammography of both breasts $389 $195 $105 – $428
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $128
  • Anthem BlueCross — Commercial: $105
  • Anthem BlueCross — Managed Medi-Cal: $428
  • Beech Street — Commercial: $350
  • Blue Shield of California — Commercial: $377
  • Butte County — Commercial: $135
  • Cigna — HMO: $311
  • Community Care — Commercial: $128
  • Coventry Health Care — Commercial: $311
  • Health Net — Commercial: $311
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mammography of both breasts Not listed in the file Not listed in the file $49 – $80
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Aetna — Medicare Advantage: $49
  • Community Care — Commercial: $49
  • Nivano Physicians Inc — HMO: $49
  • Partnership HealthPlan of California — Commercial: $80
  • River City Medical Group — Commercial: $53
  • United Healthcare — Medicare Advantage: $49
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography, screening, bilateral $139 $70 $38 – $235
Screening mammogram, both breasts: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $143
  • Anthem BlueCross — Commercial: $38
  • Anthem BlueCross — Managed Medi-Cal: $153
  • Beech Street — Commercial: $125
  • Blue Shield of California — Commercial: $135
  • Butte County — Commercial: $48
  • Cigna — HMO: $111
  • Community Care — Commercial: $143
  • Coventry Health Care — Commercial: $111
  • Health Net — Commercial: $111
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Mammography, screening, bilateral $653 $327 $106 – $718
Screening mammogram, both breasts: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $106
  • Anthem BlueCross — Commercial: $176
  • Anthem BlueCross — Managed Medi-Cal: $718
  • Beech Street — Commercial: $588
  • Blue Shield of California — Commercial: $633
  • Butte County — Commercial: $227
  • Cigna — HMO: $522
  • Community Care — Commercial: $106
  • Coventry Health Care — Commercial: $522
  • Health Net — Commercial: $522
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: Mammography, screening, bilateral $653 $327 $176 – $718
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $176
  • Anthem BlueCross — Managed Medi-Cal: $718
  • Beech Street — Commercial: $588
  • Blue Shield of California — Commercial: $633
  • Butte County — Commercial: $227
  • Cigna — HMO: $522
  • Coventry Health Care — Commercial: $522
  • Health Net — Commercial: $522
  • Health Payors Organization — Commercial: $620
  • HealthStar — Commercial: $588

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram, routine, with interpretation and report $73 $37 $20 – $80
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $20
  • Anthem BlueCross — Managed Medi-Cal: $80
  • Beech Street — Commercial: $66
  • Blue Shield of California — Commercial: $71
  • Butte County — Commercial: $25
  • Cigna — HMO: $58
  • Coventry Health Care — Commercial: $58
  • Health Net — Commercial: $58
  • Health Payors Organization — Commercial: $69
  • HealthStar — Commercial: $66
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · both In the file: Electrocardiogram, routine, with interpretation and report Not listed in the file Not listed in the file $20
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $20
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Insertion of catheter into left heart for diagnosis $12,189 $6,095 $3,291 – $13,408
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $3,986
  • Anthem BlueCross — Commercial: $3,291
  • Anthem BlueCross — Managed Medi-Cal: $13,408
  • Beech Street — Commercial: $10,970
  • Blue Shield of California — Commercial: $11,823
  • Butte County — Commercial: $4,244
  • Cigna — HMO: $9,751
  • Community Care — Commercial: $3,986
  • Coventry Health Care — Commercial: $9,751
  • Health Net — Commercial: $9,751
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · both · modifier TC In the file: Insertion of catheter into left heart for diagnosis Not listed in the file Not listed in the file $5,162
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $5,162
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sleep study $4,509 $2,255 $1,056 – $4,960
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,056
  • Anthem BlueCross — Commercial: $1,217
  • Anthem BlueCross — Managed Medi-Cal: $4,960
  • Beech Street — Commercial: $4,058
  • Blue Shield of California — Commercial: $4,374
  • Butte County — Commercial: $1,570
  • Cigna — HMO: $3,607
  • Community Care — Commercial: $1,056
  • Coventry Health Care — Commercial: $3,607
  • Health Net — Commercial: $3,607
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · both In the file: Sleep study Not listed in the file Not listed in the file $1,509
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,509
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Sleep study $250 $125 $68 – $275
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $126
  • Anthem BlueCross — Commercial: $68
  • Anthem BlueCross — Managed Medi-Cal: $275
  • Beech Street — Commercial: $225
  • Blue Shield of California — Commercial: $243
  • Butte County — Commercial: $87
  • Cigna — HMO: $200
  • Community Care — Commercial: $126
  • Coventry Health Care — Commercial: $200
  • Health Net — Commercial: $200

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: Physical therapy, therapeutic exercise $116 $58 $31 – $128
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $32
  • Anthem BlueCross — Commercial: $31
  • Anthem BlueCross — Managed Medi-Cal: $128
  • Beech Street — Commercial: $104
  • Blue Shield of California — Commercial: $113
  • Butte County — Commercial: $40
  • Cigna — HMO: $93
  • Community Care — Commercial: $32
  • Coventry Health Care — Commercial: $93
  • Health Net — Commercial: $93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy, therapeutic exercise $116 $58 $31 – $128
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $32
  • Anthem BlueCross — Commercial: $31
  • Anthem BlueCross — Managed Medi-Cal: $128
  • Beech Street — Commercial: $104
  • Blue Shield of California — Commercial: $113
  • Butte County — Commercial: $40
  • Cigna — HMO: $93
  • Community Care — Commercial: $32
  • Coventry Health Care — Commercial: $93
  • Health Net — Commercial: $93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · both · modifier GO In the file: Physical therapy, therapeutic exercise Not listed in the file Not listed in the file $63
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $63
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Pt Eval Low Cmplx 20m $165 $83 $45 – $182
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $107
  • Anthem BlueCross — Commercial: $45
  • Anthem BlueCross — Managed Medi-Cal: $182
  • Beech Street — Commercial: $149
  • Blue Shield of California — Commercial: $160
  • Butte County — Commercial: $57
  • Cigna — HMO: $132
  • Community Care — Commercial: $107
  • Coventry Health Care — Commercial: $132
  • Health Net — Commercial: $132
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Pt Eval Mod Cmplx 30m $239 $120 $65 – $263
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $107
  • Anthem BlueCross — Commercial: $65
  • Anthem BlueCross — Managed Medi-Cal: $263
  • Beech Street — Commercial: $215
  • Blue Shield of California — Commercial: $232
  • Butte County — Commercial: $83
  • Cigna — HMO: $191
  • Community Care — Commercial: $107
  • Coventry Health Care — Commercial: $191
  • Health Net — Commercial: $191
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Pt Eval High Cmplx 45m $329 $165 $89 – $362
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $107
  • Anthem BlueCross — Commercial: $89
  • Anthem BlueCross — Managed Medi-Cal: $362
  • Beech Street — Commercial: $296
  • Blue Shield of California — Commercial: $319
  • Butte County — Commercial: $115
  • Cigna — HMO: $263
  • Community Care — Commercial: $107
  • Coventry Health Care — Commercial: $263
  • Health Net — Commercial: $263
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 30 min $104 $52 $28 – $360
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $218
  • Anthem BlueCross — Commercial: $28
  • Anthem BlueCross — Managed Medi-Cal: $114
  • Beech Street — Commercial: $94
  • Blue Shield of California — Commercial: $101
  • Butte County — Commercial: $36
  • Cigna — HMO: $83
  • Community Care — Commercial: $218
  • Coventry Health Care — Commercial: $83
  • Health Net — Commercial: $83
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 45 min $144 $72 $39 – $360
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $218
  • Anthem BlueCross — Commercial: $39
  • Anthem BlueCross — Managed Medi-Cal: $158
  • Beech Street — Commercial: $130
  • Blue Shield of California — Commercial: $140
  • Butte County — Commercial: $50
  • Cigna — HMO: $115
  • Community Care — Commercial: $218
  • Coventry Health Care — Commercial: $115
  • Health Net — Commercial: $115

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one or more breast growth, open procedure $8,159 $4,080 $2,203 – $8,975
Removal of breast growth (open surgery): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4,814
  • Anthem BlueCross — Commercial: $2,203
  • Anthem BlueCross — Managed Medi-Cal: $8,975
  • Beech Street — Commercial: $7,343
  • Blue Shield of California — Commercial: $7,914
  • Butte County — Commercial: $2,841
  • Cigna — HMO: $6,527
  • Community Care — Commercial: $4,814
  • Coventry Health Care — Commercial: $6,527
  • Health Net — Commercial: $6,527
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · both In the file: Removal of one or more breast growth, open procedure Not listed in the file Not listed in the file $3,388
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $3,388
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Removal of one or more breast growth, open procedure $1,793 $897 $484 – $7,943
Removal of breast growth (open surgery): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4,814
  • Anthem BlueCross — Commercial: $484
  • Anthem BlueCross — Managed Medi-Cal: $1,972
  • Beech Street — Commercial: $1,614
  • Blue Shield of California — Commercial: $1,739
  • Butte County — Commercial: $624
  • Cigna — HMO: $1,434
  • Community Care — Commercial: $4,814
  • Coventry Health Care — Commercial: $1,434
  • Health Net — Commercial: $1,434
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · both In the file: Total Hip Arthroplasty $4,544 $2,272 $1,222 – $26,044
Total hip replacement: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $15,784
  • Anthem BlueCross — Commercial: $1,227
  • Anthem BlueCross — Managed Medi-Cal: $4,998
  • Beech Street — Commercial: $4,090
  • Blue Shield of California — Commercial: $4,408
  • Blue Shield Value Network — Commercial: $1,222
  • Butte County — Commercial: $1,582
  • Cigna — HMO: $3,635
  • Community Care — Commercial: $15,784
  • Coventry Health Care — Commercial: $3,635
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · both · modifier 80 In the file: Total Hip Arthroplasty As $1,136 $568 $306 – $26,044
Total hip replacement: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $15,784
  • Anthem BlueCross — Commercial: $307
  • Anthem BlueCross — Managed Medi-Cal: $1,250
  • Beech Street — Commercial: $1,022
  • Blue Shield of California — Commercial: $1,102
  • Blue Shield Value Network — Commercial: $306
  • Butte County — Commercial: $396
  • Cigna — HMO: $909
  • Community Care — Commercial: $15,784
  • Coventry Health Care — Commercial: $909
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · both In the file: Total Knee Arthroplasty $6,035 $3,018 $1,623 – $26,044
Total knee replacement: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $15,784
  • Anthem BlueCross — Commercial: $1,629
  • Anthem BlueCross — Managed Medi-Cal: $6,639
  • Beech Street — Commercial: $5,432
  • Blue Shield of California — Commercial: $5,854
  • Blue Shield Value Network — Commercial: $1,623
  • Butte County — Commercial: $2,101
  • Cigna — HMO: $4,828
  • Community Care — Commercial: $15,784
  • Coventry Health Care — Commercial: $4,828
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · both · modifier 80 In the file: Tot Knee Arthroplasty As $1,509 $755 $406 – $26,044
Total knee replacement: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $15,784
  • Anthem BlueCross — Commercial: $407
  • Anthem BlueCross — Managed Medi-Cal: $1,660
  • Beech Street — Commercial: $1,358
  • Blue Shield of California — Commercial: $1,464
  • Blue Shield Value Network — Commercial: $406
  • Butte County — Commercial: $525
  • Cigna — HMO: $1,207
  • Community Care — Commercial: $15,784
  • Coventry Health Care — Commercial: $1,207
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shaving of shoulder bone using endoscope $3,156 $1,578 $852 – $3,472
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $852
  • Anthem BlueCross — Managed Medi-Cal: $3,472
  • Beech Street — Commercial: $2,840
  • Blue Shield of California — Commercial: $3,061
  • Butte County — Commercial: $1,099
  • Cigna — HMO: $2,525
  • Coventry Health Care — Commercial: $2,525
  • Health Net — Commercial: $2,525
  • Health Payors Organization — Commercial: $2,998
  • HealthStar — Commercial: $2,840
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · both In the file: Shaving of shoulder bone using endoscope Not listed in the file Not listed in the file $3,939
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $3,939
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one knee cartilage using an endoscope $4,179 $2,090 $1,128 – $6,637
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4,023
  • Anthem BlueCross — Commercial: $1,128
  • Anthem BlueCross — Managed Medi-Cal: $4,597
  • Beech Street — Commercial: $3,761
  • Blue Shield of California — Commercial: $4,054
  • Butte County — Commercial: $1,455
  • Cigna — HMO: $3,343
  • Community Care — Commercial: $4,023
  • Coventry Health Care — Commercial: $3,343
  • Health Net — Commercial: $3,343
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · both In the file: Removal of one knee cartilage using an endoscope Not listed in the file Not listed in the file $3,939
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $3,939
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 80 In the file: Removal of one knee cartilage using an endoscope $1,045 $523 $282 – $6,637
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4,023
  • Anthem BlueCross — Commercial: $282
  • Anthem BlueCross — Managed Medi-Cal: $1,150
  • Beech Street — Commercial: $941
  • Blue Shield of California — Commercial: $1,014
  • Butte County — Commercial: $364
  • Cigna — HMO: $836
  • Community Care — Commercial: $4,023
  • Coventry Health Care — Commercial: $836
  • Health Net — Commercial: $836
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of tonsils and adenoid glands, patient younger than age 12 $1,056 $528 $285 – $12,009
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $7,278
  • Anthem BlueCross — Commercial: $285
  • Anthem BlueCross — Managed Medi-Cal: $1,162
  • Beech Street — Commercial: $950
  • Blue Shield of California — Commercial: $1,024
  • Butte County — Commercial: $368
  • Cigna — HMO: $845
  • Community Care — Commercial: $7,278
  • Coventry Health Care — Commercial: $845
  • Health Net — Commercial: $845
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · both In the file: Removal of tonsils and adenoid glands, patient younger than age 12 Not listed in the file Not listed in the file $3,309
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $3,309
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope $601 $301 $162 – $1,840
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,115
  • Anthem BlueCross — Commercial: $162
  • Anthem BlueCross — Managed Medi-Cal: $661
  • Beech Street — Commercial: $541
  • Blue Shield of California — Commercial: $583
  • Butte County — Commercial: $209
  • Cigna — HMO: $481
  • Community Care — Commercial: $1,115
  • Coventry Health Care — Commercial: $481
  • Health Net — Commercial: $481
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · both In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope Not listed in the file Not listed in the file $1,123
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,123
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope $4,294 $2,147 $1,115 – $4,723
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,115
  • Anthem BlueCross — Commercial: $1,159
  • Anthem BlueCross — Managed Medi-Cal: $4,723
  • Beech Street — Commercial: $3,865
  • Blue Shield of California — Commercial: $4,165
  • Butte County — Commercial: $1,495
  • Cigna — HMO: $3,435
  • Community Care — Commercial: $1,115
  • Coventry Health Care — Commercial: $3,435
  • Health Net — Commercial: $3,435
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · both In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope Not listed in the file Not listed in the file $1,123
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,123
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of large bowel using an endoscope $904 $452 $244 – $1,886
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,143
  • Anthem BlueCross — Commercial: $244
  • Anthem BlueCross — Managed Medi-Cal: $994
  • Beech Street — Commercial: $814
  • Blue Shield of California — Commercial: $877
  • Butte County — Commercial: $315
  • Cigna — HMO: $723
  • Community Care — Commercial: $1,143
  • Coventry Health Care — Commercial: $723
  • Health Net — Commercial: $723
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · both In the file: Diagnostic exam of large bowel using an endoscope Not listed in the file Not listed in the file $1,244
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,244
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of large bowel using an endoscope $995 $498 $269 – $2,427
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,471
  • Anthem BlueCross — Commercial: $269
  • Anthem BlueCross — Managed Medi-Cal: $1,095
  • Beech Street — Commercial: $896
  • Blue Shield of California — Commercial: $965
  • Butte County — Commercial: $346
  • Cigna — HMO: $796
  • Community Care — Commercial: $1,471
  • Coventry Health Care — Commercial: $796
  • Health Net — Commercial: $796
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · both In the file: Biopsy exam of large bowel using an endoscope Not listed in the file Not listed in the file $1,244
Colonoscopy with biopsy: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,244
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of polyps or growths of large bowel using an endoscope $1,281 $641 $346 – $2,427
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,471
  • Anthem BlueCross — Commercial: $346
  • Anthem BlueCross — Managed Medi-Cal: $1,409
  • Beech Street — Commercial: $1,153
  • Blue Shield of California — Commercial: $1,243
  • Butte County — Commercial: $446
  • Cigna — HMO: $1,025
  • Community Care — Commercial: $1,471
  • Coventry Health Care — Commercial: $1,025
  • Health Net — Commercial: $1,025
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · both In the file: Removal of polyps or growths of large bowel using an endoscope Not listed in the file Not listed in the file $1,244
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,244
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · both In the file: Colon Ca Scrn Nohirsk Ind $626 $313 $169 – $1,886
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $1,143
  • Anthem BlueCross — Commercial: $169
  • Anthem BlueCross — Managed Medi-Cal: $689
  • Beech Street — Commercial: $563
  • Blue Shield of California — Commercial: $607
  • Blue Shield Value Network — Commercial: $1,104
  • Butte County — Commercial: $218
  • Cigna — HMO: $501
  • Community Care — Commercial: $1,143
  • Coventry Health Care — Commercial: $501
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of gallbladder using an endoscope $2,729 $1,365 $737 – $12,264
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $7,433
  • Anthem BlueCross — Commercial: $737
  • Anthem BlueCross — Managed Medi-Cal: $3,002
  • Beech Street — Commercial: $2,456
  • Blue Shield of California — Commercial: $2,647
  • Butte County — Commercial: $950
  • Cigna — HMO: $2,183
  • Community Care — Commercial: $7,433
  • Coventry Health Care — Commercial: $2,183
  • Health Net — Commercial: $2,183
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · both In the file: Removal of gallbladder using an endoscope Not listed in the file Not listed in the file $6,377
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $6,377
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair of groin hernia patient age 5 years or older $1,492 $746 $403 – $7,263
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4,402
  • Anthem BlueCross — Commercial: $403
  • Anthem BlueCross — Managed Medi-Cal: $1,641
  • Beech Street — Commercial: $1,343
  • Blue Shield of California — Commercial: $1,447
  • Butte County — Commercial: $520
  • Cigna — HMO: $1,194
  • Community Care — Commercial: $4,402
  • Coventry Health Care — Commercial: $1,194
  • Health Net — Commercial: $1,194
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · both In the file: Repair of groin hernia patient age 5 years or older Not listed in the file Not listed in the file $4,374
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $4,374
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Repair of groin hernia patient age 5 years or older $2,238 $1,119 $604 – $7,263
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $4,402
  • Anthem BlueCross — Commercial: $604
  • Anthem BlueCross — Managed Medi-Cal: $2,462
  • Beech Street — Commercial: $2,014
  • Blue Shield of California — Commercial: $2,171
  • Butte County — Commercial: $779
  • Cigna — HMO: $1,790
  • Community Care — Commercial: $4,402
  • Coventry Health Care — Commercial: $1,790
  • Health Net — Commercial: $1,790
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope $4,797 $2,399 $1,295 – $21,563
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $13,069
  • Anthem BlueCross — Commercial: $1,295
  • Anthem BlueCross — Managed Medi-Cal: $5,277
  • Beech Street — Commercial: $4,317
  • Blue Shield of California — Commercial: $4,653
  • Butte County — Commercial: $1,670
  • Cigna — HMO: $3,838
  • Community Care — Commercial: $13,069
  • Coventry Health Care — Commercial: $3,838
  • Health Net — Commercial: $3,838
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · both In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope Not listed in the file Not listed in the file $1,290
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,290
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · both In the file: Hysteroscopy Biopsy $1,349 $675 $364 – $6,567
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $3,980
  • Anthem BlueCross — Commercial: $364
  • Anthem BlueCross — Managed Medi-Cal: $1,484
  • Beech Street — Commercial: $1,214
  • Blue Shield of California — Commercial: $1,309
  • Blue Shield Value Network — Commercial: $3,056
  • Butte County — Commercial: $470
  • Cigna — HMO: $1,079
  • Community Care — Commercial: $3,980
  • Coventry Health Care — Commercial: $1,079
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of therapeutic substance $3,765 $1,883 $868 – $4,142
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $868
  • Anthem BlueCross — Commercial: $1,017
  • Anthem BlueCross — Managed Medi-Cal: $4,142
  • Beech Street — Commercial: $3,389
  • Blue Shield of California — Commercial: $3,652
  • Butte County — Commercial: $1,311
  • Cigna — HMO: $3,012
  • Community Care — Commercial: $868
  • Coventry Health Care — Commercial: $3,012
  • Health Net — Commercial: $3,012
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Injection(s) of therapeutic substance Not listed in the file Not listed in the file $93 – $153
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • Aetna — Medicare Advantage: $93
  • Community Care — Commercial: $93
  • Nivano Physicians Inc — HMO: $93
  • Partnership HealthPlan of California — Commercial: $153
  • River City Medical Group — Commercial: $102
  • United Healthcare — Medicare Advantage: $93
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of anesthetic into lower spine using imaging guidance $4,542 $2,271 $1,087 – $4,996
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,087
  • Anthem BlueCross — Commercial: $1,226
  • Anthem BlueCross — Managed Medi-Cal: $4,996
  • Beech Street — Commercial: $4,088
  • Blue Shield of California — Commercial: $4,406
  • Butte County — Commercial: $1,582
  • Cigna — HMO: $3,634
  • Community Care — Commercial: $1,087
  • Coventry Health Care — Commercial: $3,634
  • Health Net — Commercial: $3,634
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · both In the file: Injection(s) of anesthetic into lower spine using imaging guidance Not listed in the file Not listed in the file $993
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $993
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Injection(s) of anesthetic into lower spine using imaging guidance $6,815 $3,408 $1,087 – $7,497
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,087
  • Anthem BlueCross — Commercial: $1,840
  • Anthem BlueCross — Managed Medi-Cal: $7,497
  • Beech Street — Commercial: $6,134
  • Blue Shield of California — Commercial: $6,611
  • Butte County — Commercial: $2,373
  • Cigna — HMO: $5,452
  • Community Care — Commercial: $1,087
  • Coventry Health Care — Commercial: $5,452
  • Health Net — Commercial: $5,452
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · both In the file: Carpal Tunnel Surgery $1,984 $992 $536 – $3,961
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $2,401
  • Anthem BlueCross — Commercial: $536
  • Anthem BlueCross — Managed Medi-Cal: $2,182
  • Beech Street — Commercial: $1,786
  • Blue Shield of California — Commercial: $1,924
  • Blue Shield Value Network — Commercial: $2,508
  • Butte County — Commercial: $691
  • Cigna — HMO: $1,587
  • Community Care — Commercial: $2,401
  • Coventry Health Care — Commercial: $1,587
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · both · modifier 50 In the file: Carpal Tunnel Surgery Bil $2,976 $1,488 $804 – $3,961
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $2,401
  • Anthem BlueCross — Commercial: $804
  • Anthem BlueCross — Managed Medi-Cal: $3,274
  • Beech Street — Commercial: $2,678
  • Blue Shield of California — Commercial: $2,887
  • Blue Shield Value Network — Commercial: $2,508
  • Butte County — Commercial: $1,036
  • Cigna — HMO: $2,381
  • Community Care — Commercial: $2,401
  • Coventry Health Care — Commercial: $2,381
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · both · modifier 80 In the file: Carpal Tunnel Surgery As $496 $248 $134 – $3,961
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $2,401
  • Anthem BlueCross — Commercial: $134
  • Anthem BlueCross — Managed Medi-Cal: $546
  • Beech Street — Commercial: $446
  • Blue Shield of California — Commercial: $481
  • Blue Shield Value Network — Commercial: $2,508
  • Butte County — Commercial: $173
  • Cigna — HMO: $397
  • Community Care — Commercial: $2,401
  • Coventry Health Care — Commercial: $397
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of recurring cataract in lens capsule using laser $3,428 $1,714 $676 – $3,771
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $676
  • Anthem BlueCross — Commercial: $926
  • Anthem BlueCross — Managed Medi-Cal: $3,771
  • Beech Street — Commercial: $3,085
  • Blue Shield of California — Commercial: $3,325
  • Butte County — Commercial: $1,194
  • Cigna — HMO: $2,742
  • Community Care — Commercial: $676
  • Coventry Health Care — Commercial: $2,742
  • Health Net — Commercial: $2,742
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · both In the file: Removal of recurring cataract in lens capsule using laser Not listed in the file Not listed in the file $719
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $719
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Removal of recurring cataract in lens capsule using laser $5,142 $2,571 $676 – $5,656
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $676
  • Anthem BlueCross — Commercial: $1,388
  • Anthem BlueCross — Managed Medi-Cal: $5,656
  • Beech Street — Commercial: $4,628
  • Blue Shield of California — Commercial: $4,988
  • Butte County — Commercial: $1,790
  • Cigna — HMO: $4,114
  • Community Care — Commercial: $676
  • Coventry Health Care — Commercial: $4,114
  • Health Net — Commercial: $4,114
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of cataract with insertion of lens $5,076 $2,538 $1,371 – $5,584
Cataract removal with lens implant: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2,837
  • Anthem BlueCross — Commercial: $1,371
  • Anthem BlueCross — Managed Medi-Cal: $5,584
  • Beech Street — Commercial: $4,568
  • Blue Shield of California — Commercial: $4,924
  • Butte County — Commercial: $1,767
  • Cigna — HMO: $4,061
  • Community Care — Commercial: $2,837
  • Coventry Health Care — Commercial: $4,061
  • Health Net — Commercial: $4,061
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · both In the file: Removal of cataract with insertion of lens Not listed in the file Not listed in the file $3,172
Cataract removal with lens implant: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $3,172

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric care, planned vaginal delivery $4,828 $2,414 $1,304 – $5,311
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2,198
  • Anthem BlueCross — Commercial: $1,304
  • Anthem BlueCross — Managed Medi-Cal: $5,311
  • Beech Street — Commercial: $4,345
  • Blue Shield of California — Commercial: $4,683
  • Butte County — Commercial: $1,681
  • Cigna — HMO: $3,862
  • Community Care — Commercial: $2,198
  • Coventry Health Care — Commercial: $3,862
  • Health Net — Commercial: $3,862
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · both In the file: Obstetric care, planned vaginal delivery Not listed in the file Not listed in the file $1,299
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,299
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric care, planned cesarean delivery $3,840 $1,920 $1,037 – $4,224
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2,430
  • Anthem BlueCross — Commercial: $1,037
  • Anthem BlueCross — Managed Medi-Cal: $4,224
  • Beech Street — Commercial: $3,456
  • Blue Shield of California — Commercial: $3,725
  • Butte County — Commercial: $1,337
  • Cigna — HMO: $3,072
  • Community Care — Commercial: $2,430
  • Coventry Health Care — Commercial: $3,072
  • Health Net — Commercial: $3,072
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · both In the file: Obstetric care, planned cesarean delivery Not listed in the file Not listed in the file $1,033
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Blue Shield Value Network — Commercial: $1,033
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 80 In the file: Obstetric care, planned cesarean delivery $960 $480 $259 – $1,056
Cesarean delivery (C-section), with care before and after: 10 of 17 insurance plan rates
  • Anthem BlueCross — Commercial: $259
  • Anthem BlueCross — Managed Medi-Cal: $1,056
  • Beech Street — Commercial: $864
  • Blue Shield of California — Commercial: $931
  • Butte County — Commercial: $334
  • Cigna — HMO: $768
  • Coventry Health Care — Commercial: $768
  • Health Net — Commercial: $768
  • Health Payors Organization — Commercial: $912
  • HealthStar — Commercial: $864

Source: Oroville Hospital’s standard charges file (secure.claraprice.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 28, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address2767 Olive Highway, Oroville, CA 95966
CountyButte County
StateCalifornia
Phone(530) 533‑8500
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
CMS Certification Number050030
Name in Medicare recordsOROVILLE HOSPITAL
Profile levelMedicare data + hospital website
Official websiteorovillehospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Health Services — orovillehospital.com
  2. Emergency Care Services — orovillehospital.com
  3. Stroke Program — orovillehospital.com