Does Pomona Valley Hospital Medical Center have an emergency room?

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

Where is Pomona Valley Hospital Medical Center?

1798 N Garey Ave, Pomona, CA 91767, in Los Angeles County, California.

What is the phone number of Pomona Valley Hospital Medical Center?

(909) 865-9500, as listed by Medicare (CMS).

What is the Medicare star rating of Pomona Valley Hospital Medical Center?

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

Pomona Valley Hospital Medical Center

Quick answers

Does Pomona Valley Hospital Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pomona Valley Hospital Medical Center. In a medical emergency, call 911.
Where is Pomona Valley Hospital Medical Center?: 1798 N Garey Ave, Pomona, CA 91767, in Los Angeles County, California.
What is the phone number of Pomona Valley Hospital Medical Center?: (909) 865-9500, as listed by Medicare (CMS).
What is the Medicare star rating of Pomona Valley Hospital Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Programs and centers^[4]

Maternal-fetal and neonatal transport program
Gestational diabetes program

Emergency care (hospital website)^[4]

Stroke designation	Comprehensive Stroke Center

Recognition^[4]

Trauma Center (level not stated)
STEMI Center
Chest Pain Center
Baby-Friendly certified
Joint Commission certifications: Advanced Comprehensive Stroke, Palliative Care, Diabetes, Perinatal, Sepsis, Total Join

Doctors and clinicians (556)

556 doctors and other clinicians list Pomona Valley Hospital Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 532 more: the button below opens the full list.

Other emergency rooms nearby

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

Montclair Hospital Medical Center3.3 mi · Montclair, CA · Acute Care Hospital
San Dimas Community Hospital4.9 mi · San Dimas, CA · Acute Care Hospital
Chino Valley Medical Center5.2 mi · Chino, CA · Acute Care Hospital
Aurora Charter Oak6.7 mi · Covina, CA · Psychiatric Hospital
San Antonio Regional Hospital6.8 mi · Upland, CA · Acute Care Hospital

Other hospitals nearby

Casa Colina Hospital1.3 mi · Pomona, CA · Acute Care Hospital
Canyon Ridge Hospital6.0 mi · Chino, CA · Psychiatric Hospital
Kindred Hospital Ontario6.2 mi · Ontario, CA · Long-Term Acute Care 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

Inland Valley Care and Rehabilitation Center0.1 mi · Pomona, CA · 1 of 5 stars
Park Avenue Healthcare & Wellness Center0.2 mi · Pomona, CA · 1 of 5 stars
Landmark Medical Center0.5 mi · Pomona, CA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Prestigious Health Services Inc.2.4 mi · Pomona, CA · 3 of 5 stars
Pro Angels, Inc2.5 mi · Pomona, CA
Aegis Hospice Care3.1 mi · Montclair, CA

All hospice providers in the state →

Home health agencies

Calcare Home Health Inc0.9 mi · Pomona, CA · 3 of 5 stars
Prolife Home Health Corporation2.4 mi · Pomona, CA · 3 of 5 stars
Providence at Home With Compassus Home Health, Inland Empire2.4 mi · Pomona, CA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Pomona Dialysis0.9 mi · Pomona, CA · 3 of 5 stars
Pomona Dialysis Center, Inc.0.9 mi · Pomona, CA · 1 of 5 stars
RAI - North Garey - Pomona0.9 mi · Pomona, 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.

Casa Colina Surgery Center0.9 mi · Pomona, CA
Inland Valley Surgery Center0.9 mi · Pomona, CA
Ontario Advanced Surgery Center4.9 mi · Ontario, 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

Mission City Community Network - Mobile-San Gabriel Valley0.2 mi · Pomona, CA · Community health center
AltaMed PACE - Pomona0.8 mi · Pomona, CA · Community health center
AltaMed Pharmacy - Pomona0.8 mi · Pomona, CA · Community health center

Clinics and urgent care

Erasto Gutierrez MD Inc0.9 mi · Pomona, CA · Urgent care center
Mahfouz M. Michael, M.D., Inc.0.9 mi · Pomona, CA · Urgent care center
Prestige Medical Clinic and Urgent Care0.9 mi · Pomona, CA · Urgent care center

Pharmacies

Altamed Health Services Corporation0.9 mi · Pomona, CA · Community/retail pharmacy
Aurora Drugs L L C0.9 mi · Pomona, CA · Pharmacy
Bristol Drug Co Inc0.9 mi · Pomona, CA · Community/retail pharmacy

Assisted living nearby

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

Bloomora Grove0.9 mi · Pomona, CA
Mount San Antonio Gardens0.9 mi · Pomona, CA
Victoria Care Home0.9 mi · Pomona, CA
Shangrila Healthcare Inc2.5 mi · Pomona, 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 Pomona Valley Hospital Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	43%National average: 60%
Completed surveys	2,021Response rate: 13%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.953No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.398Better than the national benchmark
Surgical site infections after colon surgery	0.438No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.155Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.389Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.5%
Deaths within 30 days: heart failure patients	7.2%
Deaths within 30 days: pneumonia patients	11.5%
Deaths within 30 days: COPD patients	7.1%
Deaths within 30 days: stroke patients	9.7%
Deaths within 30 days: coronary bypass surgery (CABG)	2.7%
Serious complications (patient safety indicator PSI-90)	0.64Better than the national rate
Complications after hip or knee replacement	4.6%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.9%
Readmitted within 30 days: heart failure	19.8%
Readmitted within 30 days: pneumonia	16.1%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	11.9%
Readmitted within 30 days: hip or knee replacement	5.7%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	206 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	64%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 Pomona Valley Hospital Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Level II: Intermediate	Not listed in the file	Not listed in the file	$1,446.82 – $1,900.70
Emergency room visit (moderate): rates for 3 insurance plans Blue Shield — Exchange: $1,446.82 Blue Shield — HMO: $1,900.70 Blue Shield — PPO: $1,900.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Level III: Comprehensive	Not listed in the file	Not listed in the file	$2,906.28 – $3,818
Emergency room visit (moderately high): rates for 3 insurance plans Blue Shield — Exchange: $2,906.28 Blue Shield — HMO: $3,818 Blue Shield — PPO: $3,818
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Level III: Comprehensive	Not listed in the file	Not listed in the file	$2,906.28 – $3,818
Emergency room visit (high): rates for 3 insurance plans Blue Shield — Exchange: $2,906.28 Blue Shield — HMO: $3,818 Blue Shield — PPO: $3,818

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel	Not listed in the file	Not listed in the file	$24.09 – $127.70
Basic metabolic panel (blood test): rates for 3 insurance plans Blue Shield — Exchange: $127.70 Blue Shield — HMO: $127.70 Blue Shield — PPO: $127.70
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$24.09 – $127.70
Basic metabolic panel (blood test): rates for 2 insurance plans Aetna — HMO/PPO: $86.02 Blue Cross — HMO/PPO: $68.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM (82310) CARBON DIOXIDE (82374) CHLORIDE (82435) CREATININE (82565) GLUC	Not listed in the file	Not listed in the file	$24.09 – $127.70
Basic metabolic panel (blood test): rates for 2 insurance plans Cigna — HMO: $24.09 Cigna — PPO: $24.09
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$30.05 – $159.44
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Blue Shield — Exchange: $159.44 Blue Shield — HMO: $159.44 Blue Shield — PPO: $159.44
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$30.05 – $159.44
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Aetna — HMO/PPO: $107.44 Blue Cross — HMO/PPO: $85.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) CALCIUM (82310) CARBON DIOXIDE	Not listed in the file	Not listed in the file	$30.05 – $159.44
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Cigna — HMO: $30.05 Cigna — PPO: $30.05
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel	Not listed in the file	Not listed in the file	$133.22 – $706.08
Obstetric blood test panel: rates for 3 insurance plans Blue Shield — Exchange: $535.23 Blue Shield — HMO: $706.08 Blue Shield — PPO: $706.08
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$133.22 – $706.08
Obstetric blood test panel: rates for 2 insurance plans Aetna — HMO/PPO: $521.14 Blue Cross — HMO/PPO: $133.22
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR	Not listed in the file	Not listed in the file	$133.22 – $706.08
Obstetric blood test panel: rates for 2 insurance plans Cigna — HMO: $136.13 Cigna — PPO: $136.13
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel	Not listed in the file	Not listed in the file	$38.11 – $202.08
Cholesterol panel (lipid panel): rates for 3 insurance plans Blue Shield — Exchange: $202.08 Blue Shield — HMO: $202.08 Blue Shield — PPO: $202.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$38.11 – $202.08
Cholesterol panel (lipid panel): rates for 2 insurance plans Aetna — HMO/PPO: $136.17 Blue Cross — HMO/PPO: $108.33
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CHOLESTEROL, SERUM, TOTAL (82465) LIPOPROTEIN, DIRECT MEASUREMENT, HIGH DENSITY CHOLESTER	Not listed in the file	Not listed in the file	$38.11 – $202.08
Cholesterol panel (lipid panel): rates for 2 insurance plans Cigna — HMO: $38.11 Cigna — PPO: $38.11
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel	Not listed in the file	Not listed in the file	$24.70 – $130.94
Kidney function panel: rates for 3 insurance plans Blue Shield — Exchange: $130.94 Blue Shield — HMO: $130.94 Blue Shield — PPO: $130.94
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$24.70 – $130.94
Kidney function panel: rates for 2 insurance plans Aetna — HMO/PPO: $88.32 Blue Cross — HMO/PPO: $70.21
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) CALCIUM (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (8	Not listed in the file	Not listed in the file	$24.70 – $130.94
Kidney function panel: rates for 2 insurance plans Cigna — HMO: $24.70 Cigna — PPO: $24.70
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$23.26 – $123.28
Liver function panel: rates for 3 insurance plans Blue Shield — Exchange: $123.28 Blue Shield — HMO: $123.28 Blue Shield — PPO: $123.28
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$23.26 – $123.28
Liver function panel: rates for 2 insurance plans Aetna — HMO/PPO: $83.05 Blue Cross — HMO/PPO: $66.12
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE	Not listed in the file	Not listed in the file	$23.26 – $123.28
Liver function panel: rates for 2 insurance plans Cigna — HMO: $23.26 Cigna — PPO: $23.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, auto w/scope	Not listed in the file	Not listed in the file	$9.02 – $47.82
Urine test (automated, with microscope): rates for 3 insurance plans Blue Shield — Exchange: $47.82 Blue Shield — HMO: $47.82 Blue Shield — PPO: $47.82
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$9.02 – $47.82
Urine test (automated, with microscope): rates for 2 insurance plans Aetna — HMO/PPO: $32.13 Blue Cross — HMO/PPO: $24.73
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY,	Not listed in the file	Not listed in the file	$9.02 – $47.82
Urine test (automated, with microscope): rates for 2 insurance plans Cigna — HMO: $9.02 Cigna — PPO: $9.02
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$9.90 – $38.54
Urine test (manual, without microscope): rates for 3 insurance plans Blue Shield — Exchange: $38.54 Blue Shield — HMO: $38.54 Blue Shield — PPO: $38.54
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$9.90 – $38.54
Urine test (manual, without microscope): rates for 2 insurance plans Aetna — HMO/PPO: $26.01 Blue Cross — HMO/PPO: $19.23
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY,	Not listed in the file	Not listed in the file	$9.90 – $38.54
Urine test (manual, without microscope): rates for 2 insurance plans Cigna — HMO: $9.90 Cigna — PPO: $9.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis, auto, w/o scope	Not listed in the file	Not listed in the file	$6.39 – $33.90
Urine test (automated, without microscope): rates for 3 insurance plans Blue Shield — Exchange: $33.90 Blue Shield — HMO: $33.90 Blue Shield — PPO: $33.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$6.39 – $33.90
Urine test (automated, without microscope): rates for 2 insurance plans Aetna — HMO/PPO: $22.87 Blue Cross — HMO/PPO: $18.19
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY,	Not listed in the file	Not listed in the file	$6.39 – $33.90
Urine test (automated, without microscope): rates for 2 insurance plans Cigna — HMO: $6.39 Cigna — PPO: $6.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa, total	Not listed in the file	Not listed in the file	$52.34 – $277.43
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Blue Shield — Exchange: $277.43 Blue Shield — HMO: $277.43 Blue Shield — PPO: $277.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$52.34 – $277.43
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Aetna — HMO/PPO: $187.09 Blue Cross — HMO/PPO: $148.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL	Not listed in the file	Not listed in the file	$52.34 – $277.43
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Cigna — HMO: $52.34 Cigna — PPO: $52.34
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$47.83 – $253.36
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Blue Shield — Exchange: $253.36 Blue Shield — HMO: $253.36 Blue Shield — PPO: $253.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$47.83 – $253.36
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Aetna — HMO/PPO: $170.77 Blue Cross — HMO/PPO: $135.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIMULATING HORMONE (TSH)	Not listed in the file	Not listed in the file	$47.83 – $253.36
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Cigna — HMO: $47.83 Cigna — PPO: $47.83
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$22.12 – $117.23
Complete blood count (CBC) with differential: rates for 3 insurance plans Blue Shield — Exchange: $117.23 Blue Shield — HMO: $117.23 Blue Shield — PPO: $117.23
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$22.12 – $117.23
Complete blood count (CBC) with differential: rates for 2 insurance plans Aetna — HMO/PPO: $79.05 Blue Cross — HMO/PPO: $62.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT	Not listed in the file	Not listed in the file	$22.12 – $117.23
Complete blood count (CBC) with differential: rates for 2 insurance plans Cigna — HMO: $22.12 Cigna — PPO: $22.12
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc, automated	Not listed in the file	Not listed in the file	$18.44 – $97.59
Complete blood count (CBC), automated: rates for 3 insurance plans Blue Shield — Exchange: $97.59 Blue Shield — HMO: $97.59 Blue Shield — PPO: $97.59
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$18.44 – $97.59
Complete blood count (CBC), automated: rates for 2 insurance plans Aetna — HMO/PPO: $65.79 Blue Cross — HMO/PPO: $52.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT)	Not listed in the file	Not listed in the file	$18.44 – $97.59
Complete blood count (CBC), automated: rates for 2 insurance plans Cigna — HMO: $18.44 Cigna — PPO: $18.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time	Not listed in the file	Not listed in the file	$12.22 – $59.26
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Blue Shield — Exchange: $59.26 Blue Shield — HMO: $59.26 Blue Shield — PPO: $59.26
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$12.22 – $59.26
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Aetna — HMO/PPO: $39.95 Blue Cross — HMO/PPO: $31.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME;	Not listed in the file	Not listed in the file	$12.22 – $59.26
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Cigna — HMO: $12.22 Cigna — PPO: $12.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial	Not listed in the file	Not listed in the file	$17.13 – $90.46
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Blue Shield — Exchange: $90.46 Blue Shield — HMO: $90.46 Blue Shield — PPO: $90.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$17.13 – $90.46
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans Aetna — HMO/PPO: $61.03 Blue Cross — HMO/PPO: $48.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD	Not listed in the file	Not listed in the file	$17.13 – $90.46
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans Cigna — HMO: $17.13 Cigna — PPO: $17.13

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) In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$551.56 – $2,569.71
CT scan of the head or brain, without contrast: rates for 3 insurance plans Blue Shield — Exchange: $1,947.93 Blue Shield — HMO: $2,569.71 Blue Shield — PPO: $2,569.71
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$551.56 – $2,569.71
CT scan of the head or brain, without contrast: rates for 2 insurance plans Aetna — HMO/PPO: $1,351.31 Blue Cross — HMO/PPO: $1,084.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL	Not listed in the file	Not listed in the file	$551.56 – $2,569.71
CT scan of the head or brain, without contrast: rates for 2 insurance plans Cigna — HMO: $551.56 Cigna — PPO: $551.56
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain w/o & w/dye	Not listed in the file	Not listed in the file	$1,901.29 – $13,539.21
MRI of the brain, before and after contrast: rates for 3 insurance plans Blue Shield — Exchange: $10,263.20 Blue Shield — HMO: $13,539.21 Blue Shield — PPO: $13,539.21
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$1,901.29 – $13,539.21
MRI of the brain, before and after contrast: rates for 2 insurance plans Aetna — HMO/PPO: $2,814 Blue Cross — HMO/PPO: $5,045.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTH	Not listed in the file	Not listed in the file	$1,901.29 – $13,539.21
MRI of the brain, before and after contrast: rates for 2 insurance plans Cigna — HMO: $1,901.29 Cigna — PPO: $1,901.29
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic exam chest 2 views	Not listed in the file	Not listed in the file	$165.14 – $448.35
Chest X-ray, 2 views: rates for 3 insurance plans Blue Shield — Exchange: $215.82 Blue Shield — HMO: $284.71 Blue Shield — PPO: $284.71
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$165.14 – $448.35
Chest X-ray, 2 views: rates for 2 insurance plans Aetna — HMO/PPO: $165.14 Blue Cross — HMO/PPO: $194
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$165.14 – $448.35
Chest X-ray, 2 views: rates for 2 insurance plans Cigna — HMO: $448.35 Cigna — PPO: $448.35
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam of lower spine	Not listed in the file	Not listed in the file	$211.87 – $551.56
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Blue Shield — Exchange: $377.93 Blue Shield — HMO: $498.57 Blue Shield — PPO: $498.57
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$211.87 – $551.56
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Aetna — HMO/PPO: $348.01 Blue Cross — HMO/PPO: $211.87
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, WITH OBLIQUE VIEWS	Not listed in the file	Not listed in the file	$211.87 – $551.56
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Cigna — HMO: $551.56 Cigna — PPO: $551.56
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$1,205.08 – $6,757.88
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Blue Shield — Exchange: $5,122.72 Blue Shield — HMO: $6,757.88 Blue Shield — PPO: $6,757.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$1,205.08 – $6,757.88
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Aetna — HMO/PPO: $2,814 Blue Cross — HMO/PPO: $2,840.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL	Not listed in the file	Not listed in the file	$1,205.08 – $6,757.88
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Cigna — HMO: $1,205.08 Cigna — PPO: $1,205.08
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$930.65 – $3,723.43
CT scan of the pelvis, with contrast: rates for 3 insurance plans Blue Shield — Exchange: $2,822.49 Blue Shield — HMO: $3,723.43 Blue Shield — PPO: $3,723.43
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$930.65 – $3,723.43
CT scan of the pelvis, with contrast: rates for 2 insurance plans Aetna — HMO/PPO: $2,067.58 Blue Cross — HMO/PPO: $1,567.56
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)	Not listed in the file	Not listed in the file	$930.65 – $3,723.43
CT scan of the pelvis, with contrast: rates for 2 insurance plans Cigna — HMO: $930.65 Cigna — PPO: $930.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$1,205.08 – $6,005.28
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Blue Shield — Exchange: $4,552.22 Blue Shield — HMO: $6,005.28 Blue Shield — PPO: $6,005.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$1,205.08 – $6,005.28
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Aetna — HMO/PPO: $2,814 Blue Cross — HMO/PPO: $2,552.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL	Not listed in the file	Not listed in the file	$1,205.08 – $6,005.28
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Cigna — HMO: $1,205.08 Cigna — PPO: $1,205.08
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abdomen&pelvis w/contrast	Not listed in the file	Not listed in the file	$1,669.08 – $3,841.05
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Blue Shield — Exchange: $2,911.65 Blue Shield — HMO: $3,841.05 Blue Shield — PPO: $3,841.05
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$1,669.08 – $3,841.05
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Aetna — HMO/PPO: $2,188.87 Blue Cross — HMO/PPO: $1,669.08
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST MATERIAL(S)	Not listed in the file	Not listed in the file	$1,669.08 – $3,841.05
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Cigna — HMO: $1,901.29 Cigna — PPO: $1,901.29
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam, abdom, complete	Not listed in the file	Not listed in the file	$457.40 – $1,075.85
Ultrasound of the abdomen, complete: rates for 3 insurance plans Blue Shield — Exchange: $815.53 Blue Shield — HMO: $1,075.85 Blue Shield — PPO: $1,075.85
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$457.40 – $1,075.85
Ultrasound of the abdomen, complete: rates for 2 insurance plans Aetna — HMO/PPO: $836.39 Blue Cross — HMO/PPO: $457.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION;COMPLETE	Not listed in the file	Not listed in the file	$457.40 – $1,075.85
Ultrasound of the abdomen, complete: rates for 2 insurance plans Cigna — HMO: $551.56 Cigna — PPO: $551.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >/= 14 wks, sngl fetus	Not listed in the file	Not listed in the file	$474.50 – $1,142.50
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Blue Shield — Exchange: $866.06 Blue Shield — HMO: $1,142.50 Blue Shield — PPO: $1,142.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$474.50 – $1,142.50
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Aetna — HMO/PPO: $836.39 Blue Cross — HMO/PPO: $474.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MATERNAL EVALUATION)	Not listed in the file	Not listed in the file	$474.50 – $1,142.50
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Cigna — HMO: $551.56 Cigna — PPO: $551.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us, non-ob	Not listed in the file	Not listed in the file	$355.06 – $832.67
Transvaginal ultrasound: rates for 3 insurance plans Blue Shield — Exchange: $631.20 Blue Shield — HMO: $832.67 Blue Shield — PPO: $832.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$355.06 – $832.67
Transvaginal ultrasound: rates for 2 insurance plans Aetna — HMO/PPO: $794.89 Blue Cross — HMO/PPO: $355.06
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: ECHOGRAPHY, TRANSVAGINAL	Not listed in the file	Not listed in the file	$355.06 – $832.67
Transvaginal ultrasound: rates for 2 insurance plans Cigna — HMO: $551.56 Cigna — PPO: $551.56
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx Mammo Incl CAD Uni	Not listed in the file	Not listed in the file	$460.13 – $1,074.85
Diagnostic mammogram, one breast: rates for 3 insurance plans Blue Shield — Exchange: $814.77 Blue Shield — HMO: $1,074.85 Blue Shield — PPO: $1,074.85
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$460.13 – $1,074.85
Diagnostic mammogram, one breast: rates for 2 insurance plans Aetna — HMO/PPO: $792.88 Blue Cross — HMO/PPO: $638.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$460.13 – $1,074.85
Diagnostic mammogram, one breast: rates for 2 insurance plans Cigna — HMO: $460.13 Cigna — PPO: $460.13
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx Mammo Incl CAD BI	Not listed in the file	Not listed in the file	$586.77 – $1,613.03
Diagnostic mammogram, both breasts: rates for 3 insurance plans Blue Shield — Exchange: $1,222.73 Blue Shield — HMO: $1,613.03 Blue Shield — PPO: $1,613.03
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$586.77 – $1,613.03
Diagnostic mammogram, both breasts: rates for 2 insurance plans Aetna — HMO/PPO: $1,014.55 Blue Cross — HMO/PPO: $817.47
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	Not listed in the file	Not listed in the file	$586.77 – $1,613.03
Diagnostic mammogram, both breasts: rates for 2 insurance plans Cigna — HMO: $586.77 Cigna — PPO: $586.77
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr Mammo BI Incl CAD	Not listed in the file	Not listed in the file	$486.52 – $1,633.80
Screening mammogram, both breasts: rates for 3 insurance plans Blue Shield — Exchange: $1,238.48 Blue Shield — HMO: $1,633.80 Blue Shield — PPO: $1,633.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$486.52 – $1,633.80
Screening mammogram, both breasts: rates for 2 insurance plans Aetna — HMO/PPO: $837.82 Blue Cross — HMO/PPO: $675.09
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	Not listed in the file	Not listed in the file	$486.52 – $1,633.80
Screening mammogram, both breasts: rates for 2 insurance plans Cigna — HMO: $486.52 Cigna — PPO: $486.52

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) In the file: Electrocardiogram, complete	Not listed in the file	Not listed in the file	$165.56 – $277.84
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans Blue Shield — Exchange: $210.61 Blue Shield — HMO: $277.84 Blue Shield — PPO: $277.84
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$165.56 – $277.84
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Aetna — HMO/PPO: $165.56 Blue Cross — HMO/PPO: $232.02
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,274 – $10,303.92
Left heart catheterization (diagnostic): rates for 4 insurance plans Aetna — HMO/PPO: $7,830 Blue Cross — HMO/PPO: $8,873 United Healthcare — HMO: $6,867 United Healthcare — PPO: $7,282
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,274 – $10,303.92
Left heart catheterization (diagnostic): rates for 3 insurance plans Blue Shield — Exchange: $7,860.11 Blue Shield — HMO: $10,303.92 Blue Shield — PPO: $10,303.92
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Cardiac Catheterization	Not listed in the file	Not listed in the file	$3,274 – $10,303.92
Left heart catheterization (diagnostic): rates for 3 insurance plans Health Net — Exchange: $3,274 Health Net — HMO/PPO: $5,037 Health Net — Salud/Enhance: $3,274
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$3,201.18 – $8,398
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Blue Shield — Exchange: $3,201.18 Blue Shield — HMO: $4,223 Blue Shield — PPO: $4,223
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP Studies	Not listed in the file	Not listed in the file	$3,201.18 – $8,398
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Health Net — Exchange: $5,345 Health Net — HMO/PPO: $8,223 Health Net — Salud/Enhance: $5,345
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$3,201.18 – $8,398
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans Aetna — HMO/PPO: $7,830 Blue Cross — HMO/PPO: $5,849
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$6,088 – $12,912
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Blue Shield — Exchange: $7,860.11 Blue Shield — HMO: $10,303.92 Blue Shield — PPO: $10,303.92
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Radio Frequency Ablation	Not listed in the file	Not listed in the file	$6,088 – $12,912
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Health Net — Exchange: $6,088 Health Net — HMO/PPO: $9,702 Health Net — Salud/Enhance: $6,088
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$6,088 – $12,912
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans Aetna — HMO/PPO: $7,830 Blue Cross — HMO/PPO: $9,791
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography, 4 or more	Not listed in the file	Not listed in the file	$1,602.09 – $8,406.54
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Blue Shield — Exchange: $6,372.46 Blue Shield — HMO: $8,406.54 Blue Shield — PPO: $8,406.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$1,602.09 – $8,406.54
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans Aetna — HMO/PPO: $5,057.39 Blue Cross — HMO/PPO: $1,602.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Sleep Study	Not listed in the file	$860	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$132.54 – $180.85
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Blue Shield — Exchange: $132.54 Blue Shield — HMO: $174.84 Blue Shield — PPO: $174.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$132.54 – $180.85
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Aetna — HMO/PPO: $180.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$490.98
Physical therapy evaluation (low complexity): rates for 1 insurance plan Aetna — HMO/PPO: $490.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$490.98
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Aetna — HMO/PPO: $490.98
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$490.98
Physical therapy evaluation (high complexity): rates for 1 insurance plan Aetna — HMO/PPO: $490.98
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o patient	Not listed in the file	Not listed in the file	$182.43 – $240.66
Family psychotherapy, without the patient: rates for 3 insurance plans Blue Shield — Exchange: $182.43 Blue Shield — HMO: $240.66 Blue Shield — PPO: $240.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/patient	Not listed in the file	Not listed in the file	$209.34 – $276.16
Family psychotherapy, with the patient: rates for 3 insurance plans Blue Shield — Exchange: $209.34 Blue Shield — HMO: $276.16 Blue Shield — PPO: $276.16
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$82.01 – $108.19
Group psychotherapy: rates for 3 insurance plans Blue Shield — Exchange: $82.01 Blue Shield — HMO: $108.19 Blue Shield — PPO: $108.19

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,925 – $5,856
Removal of breast growth (open surgery): rates for 9 insurance plans Aetna — HMO/PPO: $5,856 Blue Cross — HMO/PPO: $3,925 Cigna — HMO: $4,880 Cigna — PPO: $4,880 United Healthcare — HMO: $4,751 United Healthcare — PPO: $5,041 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,925 – $5,856
Removal of breast growth (open surgery): rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$4,026.86 – $12,129
Total hip replacement: rates for 7 insurance plans Aetna — HMO/PPO: $7,188 Blue Cross — HMO/PPO: $6,405 United Healthcare — HMO: $11,444 United Healthcare — PPO: $12,129 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$4,026.86 – $12,129
Total hip replacement: rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$4,026.86 – $12,129
Total knee replacement: rates for 7 insurance plans Aetna — HMO/PPO: $7,188 Blue Cross — HMO/PPO: $9,791 United Healthcare — HMO: $11,444 United Healthcare — PPO: $12,129 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$4,026.86 – $12,129
Total knee replacement: rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1,373 – $5,856
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — HMO/PPO: $5,856 Blue Cross — HMO/PPO: $5,849 Cigna — HMO: $4,880 Cigna — PPO: $4,880 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,373 – $5,856
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	Not listed in the file	Not listed in the file	$1,373 – $5,856
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans United Healthcare — HMO: $1,373 United Healthcare — PPO: $1,455
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$4,880 – $6,527.51
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans Aetna — HMO/PPO: $6,401 Blue Cross — HMO/PPO: $5,569 Cigna — HMO: $4,880 Cigna — PPO: $4,880 United Healthcare — HMO: $5,810 United Healthcare — PPO: $6,157 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$4,880 – $6,527.51
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Blue Shield — Exchange: $4,979.36 Blue Shield — HMO: $6,527.51 Blue Shield — PPO: $6,527.51
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$4,026.86 – $5,856
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans Aetna — HMO/PPO: $5,856 Blue Cross — HMO/PPO: $5,569 Cigna — HMO: $4,880 Cigna — PPO: $4,880 United Healthcare — HMO: $4,751 United Healthcare — PPO: $5,041 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$4,026.86 – $5,856
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$1,547 – $3,660
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Aetna — HMO/PPO: $2,002 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Uppr gi endoscopy, diagnosis	Not listed in the file	Not listed in the file	$1,547 – $3,660
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Blue Shield — Exchange: $2,632.94 Blue Shield — HMO: $3,451.56 Blue Shield — PPO: $3,451.56
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPR GI ENDOSCOPY DIAGNOSIS	Not listed in the file	Not listed in the file	$1,547 – $3,660
Upper GI endoscopy (diagnostic): rates for 2 insurance plans United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$1,547 – $4,619
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Upper GI endoscopy, biopsy	Not listed in the file	Not listed in the file	$1,547 – $4,619
Upper GI endoscopy with biopsy: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,547 – $4,619
Upper GI endoscopy with biopsy: rates for 2 insurance plans United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy (diagnostic): rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy with biopsy: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Lesion removal colonoscopy	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: LESION REMOVAL COLONOSCOPY	Not listed in the file	Not listed in the file	$1,547 – $4,619
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,547 – $3,660
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,547 – $3,660
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Blue Shield — Exchange: $2,632.94 Blue Shield — HMO: $3,451.56 Blue Shield — PPO: $3,451.56
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$813.12 – $3,660
Screening colonoscopy (not high risk): rates for 7 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Blue Shield — Exchange: $813.12 Blue Shield — HMO: $1,065.92 Blue Shield — PPO: $1,065.92 Cigna — HMO: $3,660 Cigna — PPO: $3,660
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLOREC CNCR SCR;COLNSCPY NO HI RSK	Not listed in the file	Not listed in the file	$813.12 – $3,660
Screening colonoscopy (not high risk): rates for 2 insurance plans United Healthcare — HMO: $1,480 United Healthcare — PPO: $1,569
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$6,840 – $10,303.92
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — HMO/PPO: $6,840 Blue Cross — HMO/PPO: $9,791 Cigna — HMO: $10,127 Cigna — PPO: $10,127 United Healthcare — HMO: $7,925 United Healthcare — PPO: $8,398 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,840 – $10,303.92
Gallbladder removal by laparoscope: rates for 3 insurance plans Blue Shield — Exchange: $7,860.11 Blue Shield — HMO: $10,303.92 Blue Shield — PPO: $10,303.92
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$4,880 – $6,527.51
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — HMO/PPO: $6,401 Blue Cross — HMO/PPO: $5,569 Cigna — HMO: $4,880 Cigna — PPO: $4,880 United Healthcare — HMO: $5,810 United Healthcare — PPO: $6,157 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$4,880 – $6,527.51
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Blue Shield — Exchange: $4,979.36 Blue Shield — HMO: $6,527.51 Blue Shield — PPO: $6,527.51
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,547 – $5,856
Prostate biopsy: rates for 9 insurance plans Aetna — HMO/PPO: $5,856 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 United Healthcare — HMO: $1,547 United Healthcare — PPO: $1,643 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$1,547 – $5,856
Prostate biopsy: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$2,632.94 – $12,129
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans Aetna — HMO/PPO: $6,840 Blue Cross — HMO/PPO: $7,296 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$2,632.94 – $12,129
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Blue Shield — Exchange: $2,632.94 Blue Shield — HMO: $3,451.56 Blue Shield — PPO: $3,451.56
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$2,632.94 – $12,129
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans United Healthcare — HMO: $11,444 United Healthcare — PPO: $12,129
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,858 – $5,856
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans Aetna — HMO/PPO: $5,856 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $4,880 Cigna — PPO: $4,880 United Healthcare — HMO: $4,751 United Healthcare — PPO: $5,041 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, biopsy	Not listed in the file	Not listed in the file	$1,858 – $5,856
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$1,480 – $3,660
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — HMO/PPO: $2,002 Blue Cross — HMO/PPO: $1,858 Blue Shield — Exchange: $2,632.94 Blue Shield — HMO: $3,451.56 Blue Shield — PPO: $3,451.56 Cigna — HMO: $3,660 Cigna — PPO: $3,660 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	Not listed in the file	Not listed in the file	$1,480 – $3,660
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans United Healthcare — HMO: $1,480 United Healthcare — PPO: $1,569
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$1,480 – $3,660
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Aetna — HMO/PPO: $2,002 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$1,480 – $3,660
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Blue Shield — Exchange: $2,632.94 Blue Shield — HMO: $3,451.56 Blue Shield — PPO: $3,451.56
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	Not listed in the file	Not listed in the file	$1,480 – $3,660
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans United Healthcare — HMO: $1,480 United Healthcare — PPO: $1,569
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,858 – $5,041
Carpal tunnel release: rates for 9 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 United Healthcare — HMO: $4,751 United Healthcare — PPO: $5,041 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,858 – $5,041
Carpal tunnel release: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$1,480 – $4,619
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans Aetna — HMO/PPO: $3,656 Blue Cross — HMO/PPO: $1,858 Cigna — HMO: $3,660 Cigna — PPO: $3,660 United Healthcare — HMO: $1,480 United Healthcare — PPO: $1,569 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$1,480 – $4,619
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$4,751 – $10,039.98
Cataract removal with lens implant: rates for 7 insurance plans Aetna — HMO/PPO: $6,840 Blue Cross — HMO/PPO: $7,296 Cigna — HMO: $7,318 Cigna — PPO: $7,318 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Cataract surg w/iol, 1 stage	Not listed in the file	Not listed in the file	$4,751 – $10,039.98
Cataract removal with lens implant: rates for 3 insurance plans Blue Shield — Exchange: $7,658.77 Blue Shield — HMO: $10,039.98 Blue Shield — PPO: $10,039.98
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT SURG W/IOL 1 STAGE	Not listed in the file	Not listed in the file	$4,751 – $10,039.98
Cataract removal with lens implant: rates for 2 insurance plans United Healthcare — HMO: $4,751 United Healthcare — PPO: $5,041

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) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$3,523.50 – $6,405
Vaginal delivery, with care before and after: rates for 4 insurance plans Blue Cross — HMO/PPO: $6,405 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetrical care	Not listed in the file	Not listed in the file	$3,523.50 – $6,405
Vaginal delivery, with care before and after: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$4,026.86 – $6,405
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans Blue Cross — HMO/PPO: $6,405 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$4,026.86 – $6,405
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans Blue Shield — Exchange: $4,026.86 Blue Shield — HMO: $5,278.86 Blue Shield — PPO: $5,278.86
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,523.50 – $5,849
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans Blue Cross — HMO/PPO: $5,849 Health Net — Exchange: 0.42% (a percentage in the contract, not a dollar amount) Health Net — HMO/PPO: 0.65% (a percentage in the contract, not a dollar amount) Health Net — Salud/Enhance: 0.42% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery	Not listed in the file	Not listed in the file	$3,523.50 – $5,849
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans Blue Shield — Exchange: $3,523.50 Blue Shield — HMO: $4,619 Blue Shield — PPO: $4,619

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) 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	$50,623 – $307,688.63
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 5 insurance plans Blue Cross — HMO/PPO: $179,191.55 Cigna — HMO: $307,688.63 Cigna — PPO: $307,688.63 United Healthcare — HMO: $111,268 United Healthcare — PPO: $117,943
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Cardiovascular Surgery	Not listed in the file	Not listed in the file	$50,623 – $307,688.63
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans Health Net — Exchange: $50,623 Health Net — HMO/PPO: $59,554 Health Net — Salud/Enhance: $50,623
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: Neurosurgery	Not listed in the file	Not listed in the file	$5,769
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Aetna — HMO/PPO: $5,769
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$33,070 – $60,667.76
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans Blue Cross — HMO/PPO: $35,331.66 Cigna — HMO: $60,667.76 Cigna — PPO: $60,667.76 United Healthcare — HMO: $33,070 United Healthcare — PPO: $35,056
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$5,769 – $76,783.77
Neck (cervical) spinal fusion, without complications: rates for 5 insurance plans Blue Cross — HMO/PPO: $44,717.29 Cigna — HMO: $76,783.77 Cigna — PPO: $76,783.77 United Healthcare — HMO: $32,361 United Healthcare — PPO: $34,301
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Neurosurgery	Not listed in the file	Not listed in the file	$5,769 – $76,783.77
Neck (cervical) spinal fusion, without complications: rates for 4 insurance plans Aetna — HMO/PPO: $5,769 Health Net — Exchange: $25,636.09 Health Net — HMO/PPO: $25,636.09 Health Net — Salud/Enhance: $25,636.09
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$22,725.90 – $39,022.50
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans Blue Cross — HMO/PPO: $22,725.90 Cigna — HMO: $39,022.50 Cigna — PPO: $39,022.50

Source: Pomona Valley Hospital Medical Center’s standard charges file (custom.pvhmc.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 6, 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	1798 N Garey Ave, Pomona, CA 91767
County	Los Angeles County
State	California
Phone	(909) 865‑9500
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050231
Name in Medicare records	POMONA VALLEY HOSPITAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	pvhmc.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.

About Us - Pomona Valley Hospital Medical Center — pvhmc.org