Does Petaluma Valley Hospital have an emergency room?

Yes. The hospital’s official website lists an emergency room at Petaluma Valley Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Petaluma Valley Hospital?

400 N McDowell Blvd, Petaluma, CA 94954, in Sonoma County, California.

What is the phone number of Petaluma Valley Hospital?

(707) 778-1111, as listed by Medicare (CMS).

What is the Medicare star rating of Petaluma Valley Hospital?

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

Petaluma Valley Hospital — Petaluma, CA

Quick answers

Does Petaluma Valley Hospital have an emergency room?: Yes. The hospital’s official website lists an emergency room at Petaluma Valley Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Petaluma Valley Hospital?: 400 N McDowell Blvd, Petaluma, CA 94954, in Sonoma County, California.
What is the phone number of Petaluma Valley Hospital?: (707) 778-1111, as listed by Medicare (CMS).
What is the Medicare star rating of Petaluma Valley Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6]

Emergency medicine
Critical care
Orthopedics and sports medicine
Palliative care
Radiology and imaging
Laboratory
Neurologic care
Neurosurgery
Orthopedic care and surgery
General and specialty surgery
Trauma surgery
Heart care and surgery
Respiratory care

Treatments^[4]

Procedures^[4][10]

Outpatient surgery
MRI
X-ray
Ultrasound
Mammography
CT scan
Low-dose CT lung cancer screening
Coronary calcium scan
PET scan

Programs and centers^[9]

Patient and Family Advisory Council

Emergency care (hospital website)^{[4][6][7][11]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Advanced Primary Stroke Center (Joint Commission)

Visiting and practical information

Interpreters and languages	In-person Spanish interpreters daily, in-person sign language; phone interpreters for other languages, at no cost^[8]
Patient portal	MyChart

Recognition^[4][11]

AHA Get With The Guidelines Stroke Gold Plus (2025)
CMS Overall Hospital Quality Star Rating: 4 stars
Joint Commission Advanced Primary Stroke Center
American College of Radiology Comprehensive Breast Imaging Center Designation

Doctors and clinicians (312)

312 doctors and other clinicians list Petaluma Valley 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 (312)

Abhinav Koul, MDGastroenterology
Adamane S. Lalithmohan, MDCardiovascular Disease (Cardiology)
Adeyemi Ogunkoya, MDAnesthesiology
Aditi Choudhry, MDHematology/Oncology
Adrienne Kassis, MDFamily Practice
Aimee C. Chagnon, MDNeurology
Albert P. Nguyen, MDAnesthesiology
Alexa P. Henderson, MDInternal Medicine
Alison Roberts, CNMCertified Nurse Midwife (CNM)
Amanda M. Baumann, PAPhysician Assistant
Ameha T. Joba, DPMPodiatry
Amir A. Sarkeshik, DOThoracic Surgery
Ammara T. Gill, MDHematology/Oncology
Amrita Sandhu, DOFamily Practice
Amy L. Adams, MDEmergency Medicine
Ana C. Zanoletti, NPNurse Practitioner
Andrea Ginsberg, NPNurse Practitioner
Andrew B. Ashcroft, MDFamily Practice
Anina Bacon, PAPhysician Assistant
Anjali Murthy, MDOrthopedic Surgery
Anna K. Paulsson, MDRadiation Oncology
Anna V. Logvinova, MDAnesthesiology
Anne N. Sebastian, NPNurse Practitioner
Annick P. Aubin-Pouliot, MDOtolaryngology

And 288 more: the button below opens the full list.

Other emergency rooms nearby

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

Sonoma Valley Hospital9.4 mi · Sonoma, CA · Acute Care Hospital
Novato Community Hospital11 mi · Novato, CA · Acute Care Hospital
Providence Santa Rosa Memorial Hospital14 mi · Santa Rosa, CA · Acute Care Hospital
Kaiser Foundation Hospital18 mi · San Rafael, CA · Acute Care Hospital
Sutter Santa Rosa Regional Hospital18 mi · Santa Rosa, CA · Acute Care Hospital

Other hospitals nearby

Sonoma Specialty Hospital14 mi · Sebastopol, CA · Long-Term Acute Care Hospital
Aurora Behavioral Healthcare-Santa Rosa, LLC16 mi · Santa Rosa, CA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Vineyard Post Acute0.2 mi · Petaluma, CA · 3 of 5 stars
North Bay Post Acute1.8 mi · Petaluma, CA · 1 of 5 stars
Hillcrest Post Acute2.3 mi · Petaluma, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Anchor Health4.3 mi · Petaluma, CA · 3 of 5 stars
Providence at Home With Compassus Hospice Care, Sonoma County7.0 mi · Petaluma, CA · 5 of 5 stars
Sutter Care at Home16 mi · Santa Rosa, CA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Bridge Home Health4.3 mi · Petaluma, CA · 3 of 5 stars
By the Bay Health9.3 mi · Sonoma, CA
Kaiser Foundation Hospital Home Health - Novato10.0 mi · Novato, CA

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care of Petaluma4.3 mi · Petaluma, CA · 5 of 5 stars
SHC Rohnert Park7.2 mi · Rohnert Park, CA · 3 of 5 stars
SHC Santa Rosa12 mi · Santa Rosa, CA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Marin Cosmetic Surgery Center10.0 mi · Novato, CA
North Bay Regional Surgery Center, LLC10.0 mi · Novato, CA
North Coast Medical Center, Inc13 mi · Santa Rosa, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Santa Rosa Junior College - Petaluma Campus - Student Health Services Clinic - Richard Call Building1.0 mi · Petaluma, CA · Community health center
San Antonio High School Health Clinic1.1 mi · Petaluma, CA · Community health center
Mary Isaak Homeless Shelter Clinic1.4 mi · Petaluma, CA · Community health center

Clinics and urgent care

Urgent Care Plus Telehealth Inc7.0 mi · Petaluma, CA · Urgent care center
Urgent Care Plus Telehealth Inc9.3 mi · Sonoma, CA · Urgent care center
Brett V. Curtis M.D. & Associates, a Professional Corporation10.0 mi · Novato, CA · Urgent care center

Pharmacies

Kaiser Foundation Health Plan Inc4.3 mi · Petaluma, CA · Community/retail pharmacy
Marin Apothecaries4.3 mi · Petaluma, CA · Community/retail pharmacy
Petaluma Health Center, Inc.4.3 mi · Petaluma, CA · Community/retail pharmacy

Assisted living nearby

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

Alta Care Home4.3 mi · Petaluma, CA
Creekside Cottage4.3 mi · Petaluma, CA
Creekside Place4.3 mi · Petaluma, CA
Genesis RCFE4.3 mi · Petaluma, CA

About the Medicare star rating

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

Medicare quality data

What Petaluma Valley 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)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	75%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	85%National average: 74%
Area around the room “always” quiet at night	45%National average: 60%
Completed surveys	246Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.308No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	11.6%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	8.6%
Deaths within 30 days: stroke patients	12.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	6.1%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	170 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)	67%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Petaluma Valley 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$367.87 – $375.37
Emergency room visit (moderate): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $375.37 Healthnet — Medicare Managed Care Plan: $367.87
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM	$3,775	$1,925.25	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	$562.31 – $573.78
Emergency room visit (moderately high): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $573.78 Healthnet — Medicare Managed Care Plan: $562.31
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED SEXUAL ASSAULT EXAM CDM	$5,551	$2,831.01	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 4 CDM	$6,421	$3,274.71	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	$802.54 – $818.92
Emergency room visit (high): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $818.92 Healthnet — Medicare Managed Care Plan: $802.54
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM	$8,742	$4,458.42	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.29 – $99.30
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — All Commercial Plans: $59.08 Aetna — Medicare Managed Care Plan: $8.46 Blue Cross — Epo Exchange: $69.08 Blue Cross — Mcs All Commercial Plans: $99.30 Blue Cross — Nonmcs All Commercial Plans: $82.75 Healthnet — Medicare Managed Care Plan: $8.29 Unitedhealthcare — All Commercial Plans: $16.92 Unitedhealthcare — Select/Navigate Hmo: $16.92
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$912	$465.12	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$97	$49.47	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	$10.35 – $124.18
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — All Commercial Plans: $73.72 Aetna — Medicare Managed Care Plan: $10.56 Blue Cross — Epo Exchange: $86.39 Blue Cross — Mcs All Commercial Plans: $124.18 Blue Cross — Nonmcs All Commercial Plans: $103.49 Healthnet — Medicare Managed Care Plan: $10.35 Unitedhealthcare — All Commercial Plans: $21.12 Unitedhealthcare — Select/Navigate Hmo: $21.12
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$30	$15.30	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$122	$62.22	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	$46.85 – $316.02
Obstetric blood test panel: rates for 8 insurance plans Aetna — All Commercial Plans: $316.02 Aetna — Medicare Managed Care Plan: $47.81 Blue Cross — Epo Exchange: $134.42 Blue Cross — Mcs All Commercial Plans: $193.23 Blue Cross — Nonmcs All Commercial Plans: $161.02 Healthnet — Medicare Managed Care Plan: $46.85 Unitedhealthcare — All Commercial Plans: $95.62 Unitedhealthcare — Select/Navigate Hmo: $95.62
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	$13.12 – $157.13
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — All Commercial Plans: $93.49 Aetna — Medicare Managed Care Plan: $13.39 Blue Cross — Epo Exchange: $109.31 Blue Cross — Mcs All Commercial Plans: $157.13 Blue Cross — Nonmcs All Commercial Plans: $130.94 Healthnet — Medicare Managed Care Plan: $13.12 Unitedhealthcare — All Commercial Plans: $26.78 Unitedhealthcare — Select/Navigate Hmo: $26.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE	$500	$255	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$153	$78.03	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	$8.51 – $101.83
Kidney function panel: rates for 8 insurance plans Aetna — All Commercial Plans: $60.58 Aetna — Medicare Managed Care Plan: $8.68 Blue Cross — Epo Exchange: $70.84 Blue Cross — Mcs All Commercial Plans: $101.83 Blue Cross — Nonmcs All Commercial Plans: $84.86 Healthnet — Medicare Managed Care Plan: $8.51 Unitedhealthcare — All Commercial Plans: $17.36 Unitedhealthcare — Select/Navigate Hmo: $17.36
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$680	$346.80	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$99	$50.49	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	$8.01 – $95.90
Liver function panel: rates for 8 insurance plans Aetna — All Commercial Plans: $56.99 Aetna — Medicare Managed Care Plan: $8.17 Blue Cross — Epo Exchange: $66.72 Blue Cross — Mcs All Commercial Plans: $95.90 Blue Cross — Nonmcs All Commercial Plans: $79.92 Healthnet — Medicare Managed Care Plan: $8.01 Unitedhealthcare — All Commercial Plans: $16.34 Unitedhealthcare — Select/Navigate Hmo: $16.34
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$658	$335.58	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$93	$47.43	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	$3.11 – $35.86
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — All Commercial Plans: $22.04 Aetna — Medicare Managed Care Plan: $3.17 Blue Cross — Epo Exchange: $24.95 Blue Cross — Mcs All Commercial Plans: $35.86 Blue Cross — Nonmcs All Commercial Plans: $29.89 Healthnet — Medicare Managed Care Plan: $3.11 Unitedhealthcare — All Commercial Plans: $6.34 Unitedhealthcare — Select/Navigate Hmo: $6.34
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$199	$101.49	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$30	$15.30	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	$3.41 – $27.89
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — All Commercial Plans: $17.86 Aetna — Medicare Managed Care Plan: $3.48 Blue Cross — Epo Exchange: $19.40 Blue Cross — Mcs All Commercial Plans: $27.89 Blue Cross — Nonmcs All Commercial Plans: $23.24 Healthnet — Medicare Managed Care Plan: $3.41 Unitedhealthcare — All Commercial Plans: $6.96 Unitedhealthcare — Select/Navigate Hmo: $6.96
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$97	$49.47	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$25	$12.75	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	$2.20 – $26.38
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — All Commercial Plans: $15.65 Aetna — Medicare Managed Care Plan: $2.25 Blue Cross — Epo Exchange: $18.36 Blue Cross — Mcs All Commercial Plans: $26.38 Blue Cross — Nonmcs All Commercial Plans: $21.99 Healthnet — Medicare Managed Care Plan: $2.20 Unitedhealthcare — All Commercial Plans: $4.50 Unitedhealthcare — Select/Navigate Hmo: $4.50
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$219	$111.69	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$22	$11.22	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	$18.02 – $215.82
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — All Commercial Plans: $128.38 Aetna — Medicare Managed Care Plan: $18.39 Blue Cross — Epo Exchange: $150.14 Blue Cross — Mcs All Commercial Plans: $215.82 Blue Cross — Nonmcs All Commercial Plans: $179.85 Healthnet — Medicare Managed Care Plan: $18.02 Unitedhealthcare — All Commercial Plans: $36.78 Unitedhealthcare — Select/Navigate Hmo: $36.78
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$68	$34.68	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$228	$116.28	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	$16.46 – $197.18
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — All Commercial Plans: $117.21 Aetna — Medicare Managed Care Plan: $16.80 Blue Cross — Epo Exchange: $137.17 Blue Cross — Mcs All Commercial Plans: $197.18 Blue Cross — Nonmcs All Commercial Plans: $164.31 Healthnet — Medicare Managed Care Plan: $16.46 Unitedhealthcare — All Commercial Plans: $33.60 Unitedhealthcare — Select/Navigate Hmo: $33.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$8.50	$4.34	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$208	$106.08	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	$7.61 – $91.24
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — All Commercial Plans: $54.24 Aetna — Medicare Managed Care Plan: $7.77 Blue Cross — Epo Exchange: $63.48 Blue Cross — Mcs All Commercial Plans: $91.24 Blue Cross — Nonmcs All Commercial Plans: $76.03 Healthnet — Medicare Managed Care Plan: $7.61 Unitedhealthcare — All Commercial Plans: $15.54 Unitedhealthcare — Select/Navigate Hmo: $15.54
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$3.78	$1.93	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$78	$39.78	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	$6.34 – $75.92
Complete blood count (CBC), automated: rates for 8 insurance plans Aetna — All Commercial Plans: $45.16 Aetna — Medicare Managed Care Plan: $6.47 Blue Cross — Epo Exchange: $52.81 Blue Cross — Mcs All Commercial Plans: $75.92 Blue Cross — Nonmcs All Commercial Plans: $63.26 Healthnet — Medicare Managed Care Plan: $6.34 Unitedhealthcare — All Commercial Plans: $12.94 Unitedhealthcare — Select/Navigate Hmo: $12.94
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$251	$128.01	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$65	$33.15	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	$4.20 – $46.21
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — All Commercial Plans: $27.42 Aetna — Medicare Managed Care Plan: $4.29 Blue Cross — Epo Exchange: $32.15 Blue Cross — Mcs All Commercial Plans: $46.21 Blue Cross — Nonmcs All Commercial Plans: $38.51 Healthnet — Medicare Managed Care Plan: $4.20 Unitedhealthcare — All Commercial Plans: $8.58 Unitedhealthcare — Select/Navigate Hmo: $8.58
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$69.67	$35.53	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$38	$19.38	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	$5.89 – $70.47
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — All Commercial Plans: $41.88 Aetna — Medicare Managed Care Plan: $6.01 Blue Cross — Epo Exchange: $49.02 Blue Cross — Mcs All Commercial Plans: $70.47 Blue Cross — Nonmcs All Commercial Plans: $58.72 Healthnet — Medicare Managed Care Plan: $5.89 Unitedhealthcare — All Commercial Plans: $12.02 Unitedhealthcare — Select/Navigate Hmo: $12.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM	$45	$22.95	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$69.68	$35.54	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$140.89 – $1,572.83
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — All Commercial Plans: $846.62 Aetna — Medicare Managed Care Plan: $143.76 Blue Cross — Epo Exchange: $1,094.19 Blue Cross — Mcs All Commercial Plans: $1,572.83 Blue Cross — Nonmcs All Commercial Plans: $1,310.70 Healthnet — Medicare Managed Care Plan: $140.89 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$7,002	$3,571.02	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$1,713	$873.63	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	$470.15 – $7,318.44
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — All Commercial Plans: $1,995.63 Aetna — Medicare Managed Care Plan: $479.74 Blue Cross — Epo Exchange: $5,091.33 Blue Cross — Mcs All Commercial Plans: $7,318.44 Blue Cross — Nonmcs All Commercial Plans: $6,098.72 Healthnet — Medicare Managed Care Plan: $470.15 Unitedhealthcare — All Commercial Plans: $610.96 Unitedhealthcare — Select/Navigate Hmo: $610.96
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE	$9,373	$4,780.23	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: HC MRI BRAIN W/O & W/DYE	$9,190	$4,686.90	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	$106.75 – $260.22
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — All Commercial Plans: $106.75 Aetna — Medicare Managed Care Plan: $119.67 Blue Cross — Epo Exchange: $181.03 Blue Cross — Mcs All Commercial Plans: $260.22 Blue Cross — Nonmcs All Commercial Plans: $216.85 Healthnet — Medicare Managed Care Plan: $117.28 Unitedhealthcare — All Commercial Plans: $127.70 Unitedhealthcare — Select/Navigate Hmo: $127.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$2,158	$1,100.58	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$269	$137.19	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	$140.89 – $307.30
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — All Commercial Plans: $217.91 Aetna — Medicare Managed Care Plan: $143.76 Blue Cross — Epo Exchange: $213.78 Blue Cross — Mcs All Commercial Plans: $307.30 Blue Cross — Nonmcs All Commercial Plans: $256.08 Healthnet — Medicare Managed Care Plan: $140.89 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$4,601	$2,346.51	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	$321.54 – $4,120.09
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — All Commercial Plans: $1,995.63 Aetna — Medicare Managed Care Plan: $328.10 Blue Cross — Epo Exchange: $2,866.28 Blue Cross — Mcs All Commercial Plans: $4,120.09 Blue Cross — Nonmcs All Commercial Plans: $3,433.42 Healthnet — Medicare Managed Care Plan: $321.54 Unitedhealthcare — All Commercial Plans: $372.86 Unitedhealthcare — Select/Navigate Hmo: $372.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$10,852	$5,534.52	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: HC MRI LUMBAR SPINE W/O DYE	$5,674	$2,893.74	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	$236.37 – $2,273.61
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — All Commercial Plans: $1,295.43 Aetna — Medicare Managed Care Plan: $241.20 Blue Cross — Epo Exchange: $1,581.72 Blue Cross — Mcs All Commercial Plans: $2,273.61 Blue Cross — Nonmcs All Commercial Plans: $1,894.68 Healthnet — Medicare Managed Care Plan: $236.37 Unitedhealthcare — All Commercial Plans: $291.55 Unitedhealthcare — Select/Navigate Hmo: $291.55
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$9,770	$4,982.70	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$2,557	$1,304.07	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	$321.54 – $3,702.67
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — All Commercial Plans: $1,995.63 Aetna — Medicare Managed Care Plan: $328.10 Blue Cross — Epo Exchange: $2,575.89 Blue Cross — Mcs All Commercial Plans: $3,702.67 Blue Cross — Nonmcs All Commercial Plans: $3,085.56 Healthnet — Medicare Managed Care Plan: $321.54 Unitedhealthcare — All Commercial Plans: $372.86 Unitedhealthcare — Select/Navigate Hmo: $372.86
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$11,562	$5,896.62	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: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$4,890	$2,493.90	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	$470.15 – $2,238.54
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — All Commercial Plans: $1,371.50 Aetna — Medicare Managed Care Plan: $479.74 Blue Cross — Epo Exchange: $1,557.32 Blue Cross — Mcs All Commercial Plans: $2,238.54 Blue Cross — Nonmcs All Commercial Plans: $1,865.45 Healthnet — Medicare Managed Care Plan: $470.15 Unitedhealthcare — All Commercial Plans: $610.96 Unitedhealthcare — Select/Navigate Hmo: $610.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST	$20,177	$10,290.27	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: HC CT ABDOMEN & PELVIS W CONTRAST	$2,516	$1,283.16	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	$140.89 – $663.42
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — All Commercial Plans: $523.93 Aetna — Medicare Managed Care Plan: $143.76 Blue Cross — Epo Exchange: $461.53 Blue Cross — Mcs All Commercial Plans: $663.42 Blue Cross — Nonmcs All Commercial Plans: $552.85 Healthnet — Medicare Managed Care Plan: $140.89 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$5,498	$2,803.98	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$1,289	$657.39	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	$140.89 – $688.22
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — All Commercial Plans: $523.93 Aetna — Medicare Managed Care Plan: $143.76 Blue Cross — Epo Exchange: $478.79 Blue Cross — Mcs All Commercial Plans: $688.22 Blue Cross — Nonmcs All Commercial Plans: $573.52 Healthnet — Medicare Managed Care Plan: $140.89 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$11,148	$5,685.48	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$1,765	$900.15	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	$140.89 – $514.98
Transvaginal ultrasound: rates for 8 insurance plans Aetna — All Commercial Plans: $497.95 Aetna — Medicare Managed Care Plan: $143.76 Blue Cross — Epo Exchange: $358.26 Blue Cross — Mcs All Commercial Plans: $514.98 Blue Cross — Nonmcs All Commercial Plans: $429.15 Healthnet — Medicare Managed Care Plan: $140.89 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$3,493	$1,781.43	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$1,002	$511.02	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$151.28 – $856.41
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — All Commercial Plans: $518.74 Blue Cross — Epo Exchange: $595.79 Blue Cross — Mcs All Commercial Plans: $856.41 Blue Cross — Nonmcs All Commercial Plans: $713.67 Unitedhealthcare — All Commercial Plans: $151.28 Unitedhealthcare — Select/Navigate Hmo: $151.28
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$1,794	$914.94	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$809	$412.59	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$192.86 – $1,096.32
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial Plans: $663.86 Blue Cross — Epo Exchange: $762.69 Blue Cross — Mcs All Commercial Plans: $1,096.32 Blue Cross — Nonmcs All Commercial Plans: $913.60 Unitedhealthcare — All Commercial Plans: $192.86 Unitedhealthcare — Select/Navigate Hmo: $192.86
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$2,851	$1,454.01	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$992	$505.92	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$159.95 – $905.46
Screening mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial Plans: $548.17 Blue Cross — Epo Exchange: $629.92 Blue Cross — Mcs All Commercial Plans: $905.46 Blue Cross — Nonmcs All Commercial Plans: $754.55 Unitedhealthcare — All Commercial Plans: $159.95 Unitedhealthcare — Select/Navigate Hmo: $159.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$1,391	$709.41	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$616	$314.16	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$114.72 – $314.09
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans Aetna — All Commercial Plans: $114.72 Blue Cross — Epo Exchange: $218.51 Blue Cross — Mcs All Commercial Plans: $314.09 Blue Cross — Nonmcs All Commercial Plans: $261.74
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$4,368.86 – $22,743
Left heart catheterization (diagnostic): rates for 8 insurance plans Aetna — All Commercial Plans: $22,743 Aetna — Medicare Managed Care Plan: $4,458.02 Blue Shield — Epn Exchange: $5,734 Blue Shield — Hmo/Pos/Ppo: $6,994 Healthnet — Hmo/Pos/Ppo: $16,652 Healthnet — Medicare Managed Care Plan: $4,368.86 Unitedhealthcare — All Commercial Plans: $12,508 Unitedhealthcare — Select/Navigate Hmo: $11,185
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$10,510.91 – $35,965
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans Aetna — All Commercial Plans: $22,743 Aetna — Medicare Managed Care Plan: $10,725.42 Healthnet — Hmo/Pos/Ppo: $35,965 Healthnet — Medicare Managed Care Plan: $10,510.91 Unitedhealthcare — All Commercial Plans: $17,127 Unitedhealthcare — Select/Navigate Hmo: $15,313
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$5,734 – $113,226
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — All Commercial Plans: $22,743 Aetna — Medicare Managed Care Plan: $35,942.50 Blue Shield — Epn Exchange: $5,734 Blue Shield — Hmo/Pos/Ppo: $6,994 Healthnet — Hmo/Pos/Ppo: $113,226 Healthnet — Medicare Managed Care Plan: $35,223.65 Unitedhealthcare — All Commercial Plans: $22,527 Unitedhealthcare — Select/Navigate Hmo: $20,143
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,157.25 – $2,168.78
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans Aetna — All Commercial Plans: $1,639.06 Aetna — Medicare Managed Care Plan: $1,180.86 Blue Cross — Epo Exchange: $1,508.79 Blue Cross — Mcs All Commercial Plans: $2,168.78 Blue Cross — Nonmcs All Commercial Plans: $1,807.32 Healthnet — Medicare Managed Care Plan: $1,157.25

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$29.86 – $30.47
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $30.47 Healthnet — Medicare Managed Care Plan: $29.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$296	$150.96	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$296	$150.96	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	$119.03 – $121.46
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $121.46 Healthnet — Medicare Managed Care Plan: $119.03
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM	$457	$233.07	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$548	$279.48	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	$100.95 – $103.01
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $103.01 Healthnet — Medicare Managed Care Plan: $100.95
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM	$428	$218.28	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$548	$279.48	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	$119.04 – $121.47
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — Medicare Managed Care Plan: $121.47 Healthnet — Medicare Managed Care Plan: $119.04
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM	$642	$327.42	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$770	$392.70	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYTX W PT 30 MIN PHP/IOP CDM	$602	$307.02	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYTX W PT 30 MIN IOP CDM	$602	$307.02	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYTX W PT 45 MIN PHP/IOP CDM	$960	$489.60	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYTX W PT 45 MIN IOP CDM	$960	$489.60	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTH FAMILY W/PATIENT IOP PSYCH	$1,397	$712.47	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$2,937 – $16,652
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — All Commercial Plans: $14,372 Aetna — Medicare Managed Care Plan: $5,384.16 Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583 Healthnet — Hmo/Pos/Ppo: $16,652 Healthnet — Medicare Managed Care Plan: $5,276.48 Unitedhealthcare — All Commercial Plans: $7,402 Unitedhealthcare — Select/Navigate Hmo: $6,619
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	$2,937 – $62,607
Total hip replacement: rates for 8 insurance plans Aetna — All Commercial Plans: $18,744 Aetna — Medicare Managed Care Plan: $17,654.63 Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583 Healthnet — Hmo/Pos/Ppo: $62,607 Healthnet — Medicare Managed Care Plan: $17,301.54 Unitedhealthcare — All Commercial Plans: $22,527 Unitedhealthcare — Select/Navigate Hmo: $20,143
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	$2,937 – $62,607
Total knee replacement: rates for 8 insurance plans Aetna — All Commercial Plans: $18,744 Aetna — Medicare Managed Care Plan: $17,654.63 Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583 Healthnet — Hmo/Pos/Ppo: $62,607 Healthnet — Medicare Managed Care Plan: $17,301.54 Unitedhealthcare — All Commercial Plans: $22,527 Unitedhealthcare — Select/Navigate Hmo: $20,143
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,687 – $14,372
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Aetna — All Commercial Plans: $14,372 Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583 Unitedhealthcare — All Commercial Plans: $1,886 Unitedhealthcare — Select/Navigate Hmo: $1,687
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	$3,632 – $20,618
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans Aetna — All Commercial Plans: $20,618 Aetna — Medicare Managed Care Plan: $4,499.37 Blue Shield — Epn Exchange: $3,632 Blue Shield — Hmo/Pos/Ppo: $4,431 Healthnet — Hmo/Pos/Ppo: $16,652 Healthnet — Medicare Managed Care Plan: $4,409.38 Unitedhealthcare — All Commercial Plans: $12,508 Unitedhealthcare — Select/Navigate Hmo: $11,185
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	$2,937 – $27,307
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Aetna — All Commercial Plans: $14,372 Aetna — Medicare Managed Care Plan: $8,140.43 Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583 Healthnet — Hmo/Pos/Ppo: $27,307 Healthnet — Medicare Managed Care Plan: $7,977.62 Unitedhealthcare — All Commercial Plans: $7,402 Unitedhealthcare — Select/Navigate Hmo: $6,619
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	$1,222.26 – $10,997
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — All Commercial Plans: $10,997 Aetna — Medicare Managed Care Plan: $1,247.21 Blue Shield — Epn Exchange: $1,921 Blue Shield — Hmo/Pos/Ppo: $2,343 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,222.26 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$2,979	$1,519.29	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,222.26 – $11,153
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $1,247.21 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,222.26 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$2,979	$1,519.29	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,253.22 – $11,153
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $1,278.80 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,253.22 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$4,396	$2,241.96	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,612.61 – $11,153
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $1,645.52 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,612.61 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
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	$1,612.61 – $11,153
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $1,645.52 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,612.61 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
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	$1,612.61 – $11,153
Ultrasound of the lower bowel by endoscope: rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $1,645.52 Blue Shield — Epn Exchange: $1,921 Blue Shield — Hmo/Pos/Ppo: $2,343 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,612.61 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
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	$593 – $11,153
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $1,278.80 Blue Shield — Epn Exchange: $593 Blue Shield — Hmo/Pos/Ppo: $724 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,253.22 Unitedhealthcare — All Commercial Plans: $3,016 Unitedhealthcare — Select/Navigate Hmo: $2,695
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	$5,734 – $27,307
Gallbladder removal by laparoscope: rates for 8 insurance plans Aetna — All Commercial Plans: $21,870 Aetna — Medicare Managed Care Plan: $8,313.28 Blue Shield — Epn Exchange: $5,734 Blue Shield — Hmo/Pos/Ppo: $6,994 Healthnet — Hmo/Pos/Ppo: $27,307 Healthnet — Medicare Managed Care Plan: $8,147.02 Unitedhealthcare — All Commercial Plans: $17,127 Unitedhealthcare — Select/Navigate Hmo: $15,313
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	$3,632 – $20,618
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Aetna — All Commercial Plans: $20,618 Aetna — Medicare Managed Care Plan: $4,923.45 Blue Shield — Epn Exchange: $3,632 Blue Shield — Hmo/Pos/Ppo: $4,431 Healthnet — Hmo/Pos/Ppo: $16,652 Healthnet — Medicare Managed Care Plan: $4,824.99 Unitedhealthcare — All Commercial Plans: $12,508 Unitedhealthcare — Select/Navigate Hmo: $11,185
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$14,060	$7,170.60	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$2,570 – $11,153
Prostate biopsy: rates for 6 insurance plans Aetna — All Commercial Plans: $11,153 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $9,858 Unitedhealthcare — All Commercial Plans: $5,208 Unitedhealthcare — Select/Navigate Hmo: $4,657
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$1,921 – $46,622
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans Aetna — All Commercial Plans: $21,870 Aetna — Medicare Managed Care Plan: $14,617.22 Blue Shield — Epn Exchange: $1,921 Blue Shield — Hmo/Pos/Ppo: $2,343 Healthnet — Hmo/Pos/Ppo: $46,622 Healthnet — Medicare Managed Care Plan: $14,324.88 Unitedhealthcare — All Commercial Plans: $22,527 Unitedhealthcare — Select/Navigate Hmo: $20,143
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	$2,937 – $16,652
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans Aetna — All Commercial Plans: $14,372 Aetna — Medicare Managed Care Plan: $4,451.41 Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583 Healthnet — Hmo/Pos/Ppo: $16,652 Healthnet — Medicare Managed Care Plan: $4,362.38 Unitedhealthcare — All Commercial Plans: $7,402 Unitedhealthcare — Select/Navigate Hmo: $6,619
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	$951.25 – $10,997
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — All Commercial Plans: $10,997 Aetna — Medicare Managed Care Plan: $970.67 Blue Shield — Epn Exchange: $1,921 Blue Shield — Hmo/Pos/Ppo: $2,343 Healthnet — Hmo/Pos/Ppo: $3,331 Healthnet — Medicare Managed Care Plan: $951.25 Unitedhealthcare — All Commercial Plans: $3,016 Unitedhealthcare — Select/Navigate Hmo: $2,695
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$1,934	$986.34	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$2,559	$1,305.09	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$1,191.92 – $10,997
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — All Commercial Plans: $10,997 Aetna — Medicare Managed Care Plan: $1,216.25 Blue Shield — Epn Exchange: $1,921 Blue Shield — Hmo/Pos/Ppo: $2,343 Healthnet — Hmo/Pos/Ppo: $6,127 Healthnet — Medicare Managed Care Plan: $1,191.92 Unitedhealthcare — All Commercial Plans: $3,016 Unitedhealthcare — Select/Navigate Hmo: $2,695
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S	$6,596	$3,363.96	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,570 – $11,153
Carpal tunnel release: rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $2,685.22 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $9,858 Healthnet — Medicare Managed Care Plan: $2,631.51 Unitedhealthcare — All Commercial Plans: $7,402 Unitedhealthcare — Select/Navigate Hmo: $6,619
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$7,136	$3,639.36	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$741.18 – $11,153
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans Aetna — All Commercial Plans: $11,153 Aetna — Medicare Managed Care Plan: $756.31 Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135 Healthnet — Hmo/Pos/Ppo: $3,331 Healthnet — Medicare Managed Care Plan: $741.18 Unitedhealthcare — All Commercial Plans: $3,016 Unitedhealthcare — Select/Navigate Hmo: $2,695
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	$3,110.05 – $21,870
Cataract removal with lens implant: rates for 8 insurance plans Aetna — All Commercial Plans: $21,870 Aetna — Medicare Managed Care Plan: $3,173.52 Blue Shield — Epn Exchange: $5,587 Blue Shield — Hmo/Pos/Ppo: $6,815 Healthnet — Hmo/Pos/Ppo: $9,858 Healthnet — Medicare Managed Care Plan: $3,110.05 Unitedhealthcare — All Commercial Plans: $7,402 Unitedhealthcare — Select/Navigate Hmo: $6,619

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$2,570 – $3,135
Vaginal delivery, with care before and after: rates for 2 insurance plans Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$2,937 – $3,583
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Blue Shield — Epn Exchange: $2,937 Blue Shield — Hmo/Pos/Ppo: $3,583
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$2,570 – $3,135
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Blue Shield — Epn Exchange: $2,570 Blue Shield — Hmo/Pos/Ppo: $3,135

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$14,171 – $229,428.61
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $229,428.61 Aetna — Medicare Managed Care Plan: $100,925.36 Blue Cross — Epo Exchange: $14,171 Blue Cross — Mcs All Commercial Plans: $20,370 Blue Cross — Medicare Managed Care Plan: $100,925.36 Blue Cross — Nonmcs All Commercial Plans: $16,975 Blue Shield — Epn Exchange: $103,331 Blue Shield — Hmo/Pos/Ppo: $124,806.58 Blue Shield — Medicare Managed Care Plan: $100,925.36 Cigna — Medicare Managed Care Plan: $100,925.36
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	$14,122 – $47,058.69
Spinal fusion (not neck), without major complications: rates for 5 insurance plans Blue Cross — Epo Exchange: $14,122 Blue Cross — Mcs All Commercial Plans: $20,298 Blue Cross — Nonmcs All Commercial Plans: $16,915 Blue Shield — Epn Exchange: $38,961.26 Blue Shield — Hmo/Pos/Ppo: $47,058.69
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	$18,822.31 – $44,825.88
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $44,825.88 Aetna — Medicare Managed Care Plan: $20,663.04 Blue Cross — Medicare Managed Care Plan: $20,663.04 Blue Shield — Epn Exchange: $18,822.31 Blue Shield — Hmo/Pos/Ppo: $22,734.20 Blue Shield — Medicare Managed Care Plan: $20,663.04 Cigna — Medicare Managed Care Plan: $20,663.04 Healthnet — Hmo/Pos/Ppo: $35,964.03 Healthnet — Medicare Managed Care Plan: $20,249.78 Humana — Medicare Managed Care Plan: $20,663.04
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	$14,122 – $56,277.81
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $56,277.81 Aetna — Medicare Managed Care Plan: $25,899.47 Blue Cross — Epo Exchange: $14,122 Blue Cross — Mcs All Commercial Plans: $20,298 Blue Cross — Medicare Managed Care Plan: $25,899.47 Blue Cross — Nonmcs All Commercial Plans: $16,915 Blue Shield — Epn Exchange: $25,165.76 Blue Shield — Hmo/Pos/Ppo: $30,396.03 Blue Shield — Medicare Managed Care Plan: $25,899.47 Cigna — Medicare Managed Care Plan: $25,899.47
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	$11,126 – $28,495.52
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $28,495.52 Aetna — Medicare Managed Care Plan: $13,630.03 Blue Cross — Epo Exchange: $11,126 Blue Cross — Mcs All Commercial Plans: $15,992 Blue Cross — Medicare Managed Care Plan: $13,630.03 Blue Cross — Nonmcs All Commercial Plans: $13,327 Blue Shield — Epn Exchange: $11,217.70 Blue Shield — Hmo/Pos/Ppo: $13,549.10 Blue Shield — Medicare Managed Care Plan: $13,630.03 Cigna — Medicare Managed Care Plan: $13,630.03

Source: Petaluma Valley Hospital’s standard charges file (pricetransparency.providence.org, 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 type	Acute Care Hospital
Address	400 N McDowell Blvd, Petaluma, CA 94954
County	Sonoma County
State	California
Phone	(707) 778‑1111
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050136
Name in Medicare records	PETALUMA VALLEY HOSPITAL
Profile level	Medicare data + hospital website
Official website	providence.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Petaluma Valley Hospital — providence.org
Departments - Petaluma Valley Hospital — providence.org
Emergency Department - Petaluma Valley Hospital — providence.org
About Us - Petaluma Valley Hospital — providence.org
Admitting & Discharge Information | Petaluma Valley Hospital | Providence — providence.org
Patient & Family Advisory Council | Providence — providence.org
Outpatient Imaging | Providence — providence.org
Recognition for Petaluma Valley Hospital | Providence — providence.org

Petaluma Valley Hospital

Summary

Profile from official sources

At a glance