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Acute Care Hospital

Palomar Medical Center Poway

Also listed as: Palomar UC San Diego Health Poway

Poway, California · San Diego County · Emergency services listed

Palomar Medical Center Poway is an acute care hospital at 15615 Pomerado Road, Poway, CA 92064. Phone: (858) 485-6511. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

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

Summary

Palomar Medical Center Poway is an acute care hospital in Poway, California. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 14 services, specialties and programs. Medicare lists 374 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

Call(858) 485‑6511 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
374Doctors and clinicians
14Services listed

Quick answers

Does Palomar Medical Center Poway have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Palomar Medical Center Poway. In a medical emergency, call 911.
Where is Palomar Medical Center Poway?
15615 Pomerado Road, Poway, CA 92064, in San Diego County, California.
What is the phone number of Palomar Medical Center Poway?
(858) 485-6511, as listed by Medicare (CMS).
What is the Medicare star rating of Palomar Medical Center Poway?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Palomar Medical Center Poway for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Palomar Medical Center Poway under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2072; 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[4][6][7]

Conditions treated[7]

  • Chest or upper abdominal pain or pressure
  • Difficulty breathing / shortness of breath
  • Uncontrolled bleeding
  • Coughing or vomiting blood
  • Confusion or changes in mental status
  • Difficulty speaking
  • Changes in vision
  • Fainting, sudden dizziness, weakness
  • Severe or persistent vomiting or diarrhea
  • Unusual abdominal pain
  • Suicidal feelings

Programs and centers[7][8]

  • ER Online Check-In (early check-in for non-life-threatening conditions)

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

VisitingVisiting hours are flexible and open on most units; some units may restrict visits. Nursing staff may limit length, number and ages of visitors[10]
ParkingFree parking for patients and visitors at Poway, 24 hours a day, 7 days a week[11]
Interpreters and languagesInterpreters for a number of languages are available through the nurse; a telecommunications device and sign-language help are available for hearing-impaired patients[12]
Patient portalMyPalomarUcsdHealth

Recognition[9]

  • Geriatric Emergency Department Accreditation (ACEP, 2021)

Doctors and clinicians (374)

374 doctors and other clinicians list Palomar Medical Center Poway 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 (374)

And 350 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 Poway

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital60%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted52%National average: 64%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean64%National average: 73%
Completed surveys625Response rate: 18%

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.

Catheter-associated urinary tract infections (CAUTI)0.829No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.346No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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 failure patients9.6%
Deaths within 30 days: pneumonia patients10.9%
Deaths within 30 days: COPD patients9.5%
Deaths within 30 days: stroke patients11.3%
Serious complications (patient safety indicator PSI-90)0.98No different from the national rate
Complications after hip or knee replacement4%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.4%
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: COPD18.8%
Readmitted within 30 days: hip or knee replacement5.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack

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)196 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)75%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 Palomar Medical Center Poway, 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 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.2072Lower 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 failure0.9138Fewer readmissions than expected
Pneumonia1.0102More readmissions than expected
COPD (chronic lung disease)0.9726Fewer readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary 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 Score13.50 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)10.00 out of 100
Person and community engagement (patient survey)6.00 out of 100
Safety (infections and sepsis care)38.00 out of 100
Efficiency and cost reduction (Medicare spending)0.00 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, ratio1.06Above the national median hospital (1.00): Medicare spent more

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.

ER wait times in CaliforniaBest hospitals in California

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 Palomar Medical Center Poway 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 · Inpatient or outpatient · Hospital (facility) fee In the file: New Pt Level 3 Intermed $378.31 $226.99 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: New Pt Level 4 Extended $466.58 $279.95 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: New Pt Level 5 Complex $1,128.05 $676.83 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OB OP Visit Moderate $576.63 $345.98 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OB OP Visit Moderate w/procedure $576.63 $345.98 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Estab Pt Level 3 Intermed $576.63 $345.98 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OB OP Visit Detailed $718.79 $431.27 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OB OP Visit Detailed w/procedure $718.79 $431.27 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Estab Pt Level 4 Extended $718.79 $431.27 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $351.09 – $647.42
Emergency room visit (moderate): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $351.09
  • Health Net — Community Care Other Commercial Plan: $647.42
  • Molina Healthcare — All Commercial Plans: $544.20
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 3 $3,255.75 $1,953.45 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 3 w/procedure $3,255.75 $1,953.45 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $536.67 – $989.62
Emergency room visit (moderately high): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $536.67
  • Health Net — Community Care Other Commercial Plan: $989.62
  • Molina Healthcare — All Commercial Plans: $831.84
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 4 $6,204.26 $3,722.56 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 4 w/procedure $6,204.26 $3,722.56 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $765.95 – $1,412.42
Emergency room visit (high): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $765.95
  • Health Net — Community Care Other Commercial Plan: $1,412.42
  • Molina Healthcare — All Commercial Plans: $1,187.23
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 5 $7,586.81 $4,552.09 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 5 w/procedure $7,586.81 $4,552.09 Not listed in the file

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: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $15.60
Basic metabolic panel (blood test): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.46
  • Health Net — Community Care Other Commercial Plan: $15.60
  • Molina Healthcare — All Commercial Plans: $13.11
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel $616.76 $370.06 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $19.47
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $10.56
  • Health Net — Community Care Other Commercial Plan: $19.47
  • Molina Healthcare — All Commercial Plans: $16.37
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC $770.38 $462.23 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $770.38 $462.23 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $88.16
Obstetric blood test panel: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $47.81
  • Health Net — Community Care Other Commercial Plan: $88.16
  • Molina Healthcare — All Commercial Plans: $74.11
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $24.69
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $13.39
  • Health Net — Community Care Other Commercial Plan: $24.69
  • Molina Healthcare — All Commercial Plans: $20.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $558.29 $334.97 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: Triglycerides $12.12 $7.27 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $16.01
Kidney function panel: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.68
  • Health Net — Community Care Other Commercial Plan: $16.01
  • Molina Healthcare — All Commercial Plans: $13.45
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $131.83 $79.10 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $15.07
Liver function panel: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.17
  • Health Net — Community Care Other Commercial Plan: $15.07
  • Molina Healthcare — All Commercial Plans: $12.66
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $221.25 $132.75 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $5.85
Urine test (automated, with microscope): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $3.17
  • Health Net — Community Care Other Commercial Plan: $5.85
  • Molina Healthcare — All Commercial Plans: $4.91
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Automated with Microscop $90.57 $54.34 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $6.42
Urine test (manual, without microscope): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $3.48
  • Health Net — Community Care Other Commercial Plan: $6.42
  • Molina Healthcare — All Commercial Plans: $5.39
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Specific Gravity Urine Dipstick $60.76 $36.46 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $4.15
Urine test (automated, without microscope): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $2.25
  • Health Net — Community Care Other Commercial Plan: $4.15
  • Molina Healthcare — All Commercial Plans: $3.49
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Screen Bill Only $53.88 $32.33 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Screen Dipstick $53.88 $32.33 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $33.91
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $18.39
  • Health Net — Community Care Other Commercial Plan: $33.91
  • Molina Healthcare — All Commercial Plans: $28.50
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen $60.76 $36.46 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee · modifier 90 In the file: PSA Free (Q31348) $15.80 $9.48 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $30.98
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $16.80
  • Health Net — Community Care Other Commercial Plan: $30.98
  • Molina Healthcare — All Commercial Plans: $26.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $292.33 $175.40 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone with Re $292.33 $175.40 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $14.33
Complete blood count (CBC) with differential: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $7.77
  • Health Net — Community Care Other Commercial Plan: $14.33
  • Molina Healthcare — All Commercial Plans: $12.04
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Differential Blood Automated $124.95 $74.97 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count w/Auto $124.95 $74.97 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $11.93
Complete blood count (CBC), automated: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $6.47
  • Health Net — Community Care Other Commercial Plan: $11.93
  • Molina Healthcare — All Commercial Plans: $10.03
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood count w/o differenti $210.94 $126.56 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count $210.94 $126.56 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $7.91
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $4.29
  • Health Net — Community Care Other Commercial Plan: $7.91
  • Molina Healthcare — All Commercial Plans: $6.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time $94 $56.40 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lupus PT $12.02 $7.21 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $11.08
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $6.01
  • Health Net — Community Care Other Commercial Plan: $11.08
  • Molina Healthcare — All Commercial Plans: $9.32
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Partial Thromboplastin Time $342.77 $205.66 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT) $13 $7.80 Not listed in the file

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 head/brain w/o dye Not listed in the file Not listed in the file $134.46 – $247.95
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $134.46
  • Health Net — Community Care Other Commercial Plan: $247.95
  • Molina Healthcare — All Commercial Plans: $208.42
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Stroke Code- Head $4,362.02 $2,617.21 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head w/o contrast $4,362.02 $2,617.21 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $448.71 – $827.42
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $448.71
  • Health Net — Community Care Other Commercial Plan: $827.42
  • Molina Healthcare — All Commercial Plans: $695.50
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI 7th Cranial N w/o & w Contrast $5,681.50 $3,408.90 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI CP Angles w/o & w Contrast $5,681.50 $3,408.90 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $111.93 – $206.40
Chest X-ray, 2 views: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $111.93
  • Health Net — Community Care Other Commercial Plan: $206.40
  • Molina Healthcare — All Commercial Plans: $173.49
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: DI Chest 2 View $533.07 $319.84 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: DI Chest 2 views $533.07 $319.84 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $134.46 – $247.95
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $134.46
  • Health Net — Community Care Other Commercial Plan: $247.95
  • Molina Healthcare — All Commercial Plans: $208.42
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: DI L-Spine 4-5 views $1,335.55 $801.33 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $306.88 – $565.89
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $306.88
  • Health Net — Community Care Other Commercial Plan: $565.89
  • Molina Healthcare — All Commercial Plans: $475.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Sacrum/Coccyx w/o Contrast $8,143.96 $4,886.38 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Lumbar Spine without contrast $8,143.96 $4,886.38 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $225.59 – $416
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $225.59
  • Health Net — Community Care Other Commercial Plan: $416
  • Molina Healthcare — All Commercial Plans: $349.67
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CTV Pelvis $2,762.81 $1,657.69 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/Contrast $2,762.81 $1,657.69 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $306.88 – $565.89
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $306.88
  • Health Net — Community Care Other Commercial Plan: $565.89
  • Molina Healthcare — All Commercial Plans: $475.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Extrem Lower Joint w/o contrast $5,482.03 $3,289.22 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Hip Limited w/o contrast $5,482.03 $3,289.22 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $448.71 – $827.42
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $448.71
  • Health Net — Community Care Other Commercial Plan: $827.42
  • Molina Healthcare — All Commercial Plans: $695.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abd/Pelvis w/Contrast $9,486.37 $5,691.82 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CTV Abd/Pelvis w/contrast $9,486.37 $5,691.82 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $134.46 – $247.95
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $134.46
  • Health Net — Community Care Other Commercial Plan: $247.95
  • Molina Healthcare — All Commercial Plans: $208.42
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Ultrasound Complete $2,867.12 $1,720.27 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $134.46 – $247.95
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $134.46
  • Health Net — Community Care Other Commercial Plan: $247.95
  • Molina Healthcare — All Commercial Plans: $208.42
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: PN Preg Uterus, > 1st tri, single f $2,389.08 $1,433.45 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB >=14 Week Ltd $2,389.08 $1,433.45 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $134.46 – $247.95
Transvaginal ultrasound: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $134.46
  • Health Net — Community Care Other Commercial Plan: $247.95
  • Molina Healthcare — All Commercial Plans: $208.42
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal $2,202.21 $1,321.33 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $97.95 – $180.62
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $97.95
  • Health Net — Community Care Other Commercial Plan: $180.62
  • Molina Healthcare — All Commercial Plans: $151.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MG Diagnostic Lt. $1,423.81 $854.29 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MG Diagnostic Rt. $1,423.81 $854.29 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Diagnostic Bilat. $1,986.69 $1,192.01 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Diag 3D Mamm Bilat $1,986.69 $1,192.01 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Diagnostic 3D Mamm Bilat w/ Impl $1,986.69 $1,192.01 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Screen Routine Bilat $1,655.39 $993.23 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Screen Routine Bilat. Implants $1,655.39 $993.23 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Screen 3D Bilat $1,655.39 $993.23 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: RC Sleep Study Complete age 6+ $3,350.89 $2,010.53 Not listed in the file

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 In the file: Therapeutic exercises Not listed in the file Not listed in the file $32.07 – $59.14
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $32.07
  • Health Net — Community Care Other Commercial Plan: $59.14
  • Molina Healthcare — All Commercial Plans: $49.71
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CQ In the file: PT Therapeutic Exercise Units TA $356.53 $213.92 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Ther. Ex 15 Min $356.53 $213.92 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $106.80 – $196.94
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $106.80
  • Health Net — Community Care Other Commercial Plan: $196.94
  • Molina Healthcare — All Commercial Plans: $165.54
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Low Complexity Units $473.46 $284.08 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $103.01 – $189.95
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $103.01
  • Health Net — Community Care Other Commercial Plan: $189.95
  • Molina Healthcare — All Commercial Plans: $159.67
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Moderate Complexity U $667.20 $400.32 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $107.57 – $198.36
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $107.57
  • Health Net — Community Care Other Commercial Plan: $198.36
  • Molina Healthcare — All Commercial Plans: $166.73
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation High Complexity Units $826.55 $495.93 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy 30 MIN Brief OP $513.58 $308.15 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy Brief 30 min PHP $513.58 $308.15 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy 45 min PHP $676.38 $405.83 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy 45 min OP $676.38 $405.83 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy 60 min $1,030.61 $618.37 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Therapy w/o patient $426.46 $255.88 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Therapy w/patient $439.06 $263.44 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psycotherapy $440.22 $264.13 Not listed in the file

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 breast lesion Not listed in the file Not listed in the file $5,035.90 – $9,286.20
Removal of breast growth (open surgery): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $5,035.90
  • Health Net — Community Care Other Commercial Plan: $9,286.20
  • Molina Healthcare — All Commercial Plans: $7,805.65
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $16,512.69 – $30,449.40
Total hip replacement: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $16,512.69
  • Health Net — Community Care Other Commercial Plan: $30,449.40
  • Molina Healthcare — All Commercial Plans: $25,594.67
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $16,512.69 – $30,449.40
Total knee replacement: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $16,512.69
  • Health Net — Community Care Other Commercial Plan: $30,449.40
  • Molina Healthcare — All Commercial Plans: $25,594.67
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $4,208.34 – $7,760.18
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,208.34
  • Health Net — Community Care Other Commercial Plan: $7,760.18
  • Molina Healthcare — All Commercial Plans: $6,522.93
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $7,613.89 – $14,040.01
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $7,613.89
  • Health Net — Community Care Other Commercial Plan: $14,040.01
  • Molina Healthcare — All Commercial Plans: $11,801.53
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $1,166.53 – $2,151.09
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,166.53
  • Health Net — Community Care Other Commercial Plan: $2,151.09
  • Molina Healthcare — All Commercial Plans: $1,808.13
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $1,166.53 – $2,151.09
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,166.53
  • Health Net — Community Care Other Commercial Plan: $2,151.09
  • Molina Healthcare — All Commercial Plans: $1,808.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $1,196.08 – $2,205.57
Colonoscopy (diagnostic): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,196.08
  • Health Net — Community Care Other Commercial Plan: $2,205.57
  • Molina Healthcare — All Commercial Plans: $1,853.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,539.08 – $2,838.06
Colonoscopy with biopsy: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,539.08
  • Health Net — Community Care Other Commercial Plan: $2,838.06
  • Molina Healthcare — All Commercial Plans: $2,385.58
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,539.08 – $2,838.06
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,539.08
  • Health Net — Community Care Other Commercial Plan: $2,838.06
  • Molina Healthcare — All Commercial Plans: $2,385.58
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,539.08 – $2,838.06
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,539.08
  • Health Net — Community Care Other Commercial Plan: $2,838.06
  • Molina Healthcare — All Commercial Plans: $2,385.58
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,196.08 – $2,205.57
Screening colonoscopy (not high risk): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,196.08
  • Health Net — Community Care Other Commercial Plan: $2,205.57
  • Molina Healthcare — All Commercial Plans: $1,853.93
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $7,775.56 – $14,338.13
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $7,775.56
  • Health Net — Community Care Other Commercial Plan: $14,338.13
  • Molina Healthcare — All Commercial Plans: $12,052.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $4,604.99 – $8,491.61
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,604.99
  • Health Net — Community Care Other Commercial Plan: $8,491.61
  • Molina Healthcare — All Commercial Plans: $7,137.74
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $13,671.74 – $25,210.69
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $13,671.74
  • Health Net — Community Care Other Commercial Plan: $25,210.69
  • Molina Healthcare — All Commercial Plans: $21,191.20
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $4,163.48 – $7,677.47
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,163.48
  • Health Net — Community Care Other Commercial Plan: $7,677.47
  • Molina Healthcare — All Commercial Plans: $6,453.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $907.88 – $1,674.13
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $907.88
  • Health Net — Community Care Other Commercial Plan: $1,674.13
  • Molina Healthcare — All Commercial Plans: $1,407.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $1,137.58 – $2,097.70
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,137.58
  • Health Net — Community Care Other Commercial Plan: $2,097.70
  • Molina Healthcare — All Commercial Plans: $1,763.25
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,511.53 – $4,631.26
Carpal tunnel release: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,511.53
  • Health Net — Community Care Other Commercial Plan: $4,631.26
  • Molina Healthcare — All Commercial Plans: $3,892.87
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,968.25 – $5,473.45
Cataract removal with lens implant: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,968.25
  • Health Net — Community Care Other Commercial Plan: $5,473.45
  • Molina Healthcare — All Commercial Plans: $4,600.78

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $97,112.94 – $187,136.64
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $97,112.94
  • Blue Cross — Anthem Medicare Managed Care Plan: $97,112.94
  • Blue Shield — Medicare Managed Care Plan: $97,112.94
  • Central Health — Medicare Managed Care Plan: $97,112.94
  • Community Health Group — Medicare Managed Care Plan: $97,112.94
  • Health Net — Community Care Other Commercial Plan: $187,136.64
  • Health Net — Medicare Managed Care Plan: $97,112.94
  • Kaiser — Medicare Managed Care Plan: $97,112.94
  • Molina Healthcare — All Commercial Plans: $150,525.06
  • Molina Healthcare — Medicare Managed Care Plan: $97,112.94
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 7 insurance plans
  • Aetna — non-Gatekeeper PPO: 58.25% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 55.74% (a percentage in the contract, not a dollar amount)
  • Kaiser — All Commercial Plans: 40% (a percentage in the contract, not a dollar amount)
  • Sharp Health Plan — HMO: 34.56% (a percentage in the contract, not a dollar amount)
  • Sharp Health Plan — PPO: 46% (a percentage in the contract, not a dollar amount)
  • UnitedHealthCare — All Commercial Plans: 34.76% (a percentage in the contract, not a dollar amount)
  • UnitedHealthCare — Select Plus Other Commercial Plan: 34.1% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $19,625.35 – $37,818.05
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $19,625.35
  • Blue Cross — Anthem Medicare Managed Care Plan: $19,625.35
  • Blue Shield — Medicare Managed Care Plan: $19,625.35
  • Central Health — Medicare Managed Care Plan: $19,625.35
  • Community Health Group — Medicare Managed Care Plan: $19,625.35
  • Health Net — Community Care Other Commercial Plan: $37,818.05
  • Health Net — Medicare Managed Care Plan: $19,625.35
  • Kaiser — Medicare Managed Care Plan: $19,625.35
  • Molina Healthcare — All Commercial Plans: $30,419.29
  • Molina Healthcare — Medicare Managed Care Plan: $19,625.35
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $24,680.76 – $47,559.82
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $24,680.76
  • Blue Cross — Anthem Medicare Managed Care Plan: $24,680.76
  • Blue Shield — Medicare Managed Care Plan: $24,680.76
  • Central Health — Medicare Managed Care Plan: $24,680.76
  • Community Health Group — Medicare Managed Care Plan: $24,680.76
  • Health Net — Community Care Other Commercial Plan: $47,559.82
  • Health Net — Medicare Managed Care Plan: $24,680.76
  • Kaiser — Medicare Managed Care Plan: $24,680.76
  • Molina Healthcare — All Commercial Plans: $38,255.18
  • Molina Healthcare — Medicare Managed Care Plan: $24,680.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $12,835.48 – $24,733.97
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $12,835.48
  • Blue Cross — Anthem Medicare Managed Care Plan: $12,835.48
  • Blue Shield — Medicare Managed Care Plan: $12,835.48
  • Central Health — Medicare Managed Care Plan: $12,835.48
  • Community Health Group — Medicare Managed Care Plan: $12,835.48
  • Health Net — Community Care Other Commercial Plan: $24,733.97
  • Health Net — Medicare Managed Care Plan: $12,835.48
  • Kaiser — Medicare Managed Care Plan: $12,835.48
  • Molina Healthcare — All Commercial Plans: $19,894.99
  • Molina Healthcare — Medicare Managed Care Plan: $12,835.48

Source: Palomar Medical Center Poway’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the 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
Address15615 Pomerado Road, Poway, CA 92064
CountySan Diego County
StateCalifornia
Phone(858) 485‑6511
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating4 of 5 stars
CMS Certification Number050636
Name in Medicare recordsPALOMAR MEDICAL CENTER POWAY
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(858) 613‑4000[4]
Name on the hospital’s websitePalomar UC San Diego Health Poway
Official websitepalomarucsdhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Palomar UC San Diego Health Poway — palomarucsdhealth.org
  2. Palomar Health Facilities | Palomar Health | San Diego County, CA — palomarucsdhealth.org
  3. Palomar Medical Center Poway Emergency Services | Palomar Health | San Diego County, CA — palomarucsdhealth.org
  4. ER - Early Check In - Palomar UC San Diego Health — palomarucsdhealth.org
  5. Emergency Services Department | Palomar Health | San Diego, CA — palomarucsdhealth.org
  6. General Information - Palomar UC San Diego Health | San Diego County, CA — palomarucsdhealth.org
  7. Parking - Palomar UC San Diego Health | San Diego County, CA — palomarucsdhealth.org
  8. Communication and Interpreter Services - Palomar UC San Diego Health — palomarucsdhealth.org