Does Providence Holy Cross Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Providence Holy Cross Medical Center. In a medical emergency, call 911.

Where is Providence Holy Cross Medical Center?

15031 Rinaldi St, Mission Hills, CA 91346, in Los Angeles County, California.

What is the phone number of Providence Holy Cross Medical Center?

(818) 365-8051, as listed by Medicare (CMS).

What is the Medicare star rating of Providence Holy Cross Medical Center?

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

Providence Holy Cross Medical Center

Quick answers

Does Providence Holy Cross Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Providence Holy Cross Medical Center. In a medical emergency, call 911.
Where is Providence Holy Cross Medical Center?: 15031 Rinaldi St, Mission Hills, CA 91346, in Los Angeles County, California.
What is the phone number of Providence Holy Cross Medical Center?: (818) 365-8051, as listed by Medicare (CMS).
What is the Medicare star rating of Providence Holy Cross Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cancer care
Cardiac rehabilitation
Critical and intensive care
Diabetes care
Digestive health
Emergency services
Heart and vascular
Imaging
Neurosciences
Obstetrics
Orthopedics
Pulmonary rehabilitation
Senior care
Spine care
Surgery
Trauma

Conditions treated^[8]

Heart attack

Programs and centers^[4][7][8][9]

NICU
STEMI Receiving Center
Trauma services
Cancer center
Pulmonary rehabilitation program

Emergency care (hospital website)^[4][5][8]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II

Visiting and practical information

Interpreters and languages	Free qualified interpreters and aids for non-English speakers and deaf/hard-of-hearing patients; California Relay 711^[6]
Patient portal	MyChart

Recognition^{[4][5][7][8][10]}

Level II Trauma Center
U.S. News Best Regional Hospital, Los Angeles Metro (2026-27)
Joint Commission Advanced Primary Stroke Center
Commission on Cancer Accredited Program (American College of Surgeons)
U.S. News & World Report - Los Angeles Metro Best Regional Hospital in 17 Types of Care 2026
U.S. News & World Report - High Performing Hospital in Heart Attack 2026
U.S. News & World Report - High Performing Hospital in Heart Failure 2026
U.S. News & World Report - High Performing Hospital in Kidney Failure 2026
U.S. News & World Report - High Performing Hospital in Diabetes and Endocrinology 2026
U.S. News & World Report - High Performing Hospital in Geriatrics 2026
U.S. News & World Report - High Performing Hospital in COPD 2026
U.S. News & World Report - High Performing Hospital in Stroke 2026
U.S. News & World Report - High Performing Hospital in Pneumonia 2026
U.S. News & World Report - Best Hospitals in Orthopedics 2026

Doctors and clinicians (383)

383 doctors and other clinicians list Providence Holy Cross 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 359 more: the button below opens the full list.

Other emergency rooms nearby

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

Lac/Olive View-Ucla Medical Center3.2 mi · Sylmar, CA · Acute Care Hospital
Mission Community Hospital4.0 mi · Panorama City, CA · Acute Care Hospital
Kaiser Foundation Hospital - Panorama City4.4 mi · Panorama City, CA · Acute Care Hospital
Pacifica Hospital of the Valley4.5 mi · Sun Valley, CA · Acute Care Hospital
Northridge Hospital Medical Center5.8 mi · Northridge, CA · Acute Care Hospital

Other hospitals nearby

Valley Presbyterian Hospital5.9 mi · Van Nuys, CA · 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

Providence Holy Cross Med Ctr D/P SNF0.1 mi · Mission Hills, CA · 1 of 5 stars
Ararat Nursing Facility0.2 mi · Mission Hills, CA · 1 of 5 stars
Granada Hills Convalescent1.5 mi · Granada Hills, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Assisted Home Hospice0.9 mi · Mission Hills, CA · 4 of 5 stars
Comfort Aid Hospice Care Corporation0.9 mi · Mission Hills, CA
Excellent Palliative and Hospice Care, Inc0.9 mi · Mission Hills, CA

All hospice providers in the state →

Home health agencies

24/7 Team Care Home Health0.9 mi · Mission Hills, CA
A & G Home Health, Inc0.9 mi · Mission Hills, CA
Able & Available Home Health, Inc.0.9 mi · Mission Hills, CA

All home health agencies in the state →

Dialysis facilities

Mission Hills Dialysis LLC0.9 mi · Mission Hills, CA · 2 of 5 stars
Fresenius Medical Care of San Fernando1.5 mi · San Fernando, CA · 4 of 5 stars
RAI - South Brand - San Fernando1.5 mi · San Fernando, CA

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Facey Endoscopy Center0.9 mi · Mission Hills, CA
Providence Holy Cross Surgery Center0.9 mi · Mission Hills, CA
Northridge Facial Plastic Surg4.4 mi · Northridge, 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

Santo Nino Mission Hills0.1 mi · Mission Hills, CA · Community health center
Center for Family Health & Education, Inc. dba Priority Care Medical Group - Mission Hills0.1 mi · Mission Hills, CA · Community health center
San Fernando Community Health Center - Mission Hills0.6 mi · Mission Hills, CA · Community health center

Clinics and urgent care

American Current Care of California, a Medical Corporation0.9 mi · Mission Hills, CA · Urgent care center
Ali Anari MD Inc1.5 mi · San Fernando, CA · Urgent care center
Atalla Urgent Care Corp1.5 mi · San Fernando, CA · Urgent care center

Pharmacies

BMD Health Group LLC0.9 mi · Mission Hills, CA · Community/retail pharmacy
Kaiser Foundation Health Plan Inc0.9 mi · Mission Hills, CA · Community/retail pharmacy
Legacy Pharmacy Inc0.9 mi · Mission Hills, CA · Community/retail pharmacy

Assisted living nearby

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

A & V Senior Care0.9 mi · Mission Hills, CA
Allure Care Manor0.9 mi · Mission Hills, CA
Ararat Home of Los Angeles0.9 mi · Mission Hills, CA
Dignity Assisted Living LLC0.9 mi · Mission Hills, 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 Providence Holy Cross Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	78%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	439Response rate: 15%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	1.091No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.258No different from the national benchmark
Surgical site infections after colon surgery	0.691No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.638No different from the national benchmark
MRSA bloodstream infections	0.947No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.404Better 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	11.1%
Deaths within 30 days: heart failure patients	7.7%
Deaths within 30 days: pneumonia patients	11.9%
Deaths within 30 days: COPD patients	8.5%
Deaths within 30 days: stroke patients	9.6%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	0.93No different from the national rate
Complications after hip or knee replacement	3.3%

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	13.4%
Readmitted within 30 days: heart failure	19.1%
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	18.3%
Readmitted within 30 days: coronary bypass surgery	11.7%
Readmitted within 30 days: hip or knee replacement	5.3%

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)	154 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)	79%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 Providence Holy Cross 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) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$351.09 – $751.34
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $351.09 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $367.83 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $414.29 Central Health Plan — Medicare Managed Care Plan: $386.20 Healthnet — Ambetter Hmo: $649.53 Healthnet — Ambetter Ppo: $751.34 Humana — Choicecare Medicare Managed Care Plan: $358.12 La Care Health Plan — Exchange: $456.42
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM	$2,623	$918.05	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$536.67 – $1,148.47
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $536.67 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $562.26 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $633.26 Central Health Plan — Medicare Managed Care Plan: $590.34 Healthnet — Ambetter Hmo: $992.84 Healthnet — Ambetter Ppo: $1,148.47 Humana — Choicecare Medicare Managed Care Plan: $547.40 La Care Health Plan — Exchange: $697.67
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	$3,491	$1,221.85	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$765.95 – $1,639.14
Emergency room visit (high): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $765.95 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $802.47 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $903.81 Central Health Plan — Medicare Managed Care Plan: $842.55 Healthnet — Ambetter Hmo: $1,417.01 Healthnet — Ambetter Ppo: $1,639.14 Humana — Choicecare Medicare Managed Care Plan: $781.27 La Care Health Plan — Exchange: $995.74
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM	$5,210	$1,823.50	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	$8.46 – $80.68
Basic metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $22.06 Aetna — Medicare Managed Care Plan: $8.46 Blue Cross — All Commercial Plans: $42.19 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $12 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $13.51 Blue Shield — Epn/Ifp Benefit Exchange: $22.60 Blue Shield — Hmo/Ppo/Epo: $27.33 Blue Shield — Medicare Managed Care Plan: $80.68 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $24.72 Central Health Plan — Medicare Managed Care Plan: $9.31
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$682	$238.70	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	$82	$28.70	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $100.73
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $27.56 Aetna — Medicare Managed Care Plan: $10.56 Blue Cross — All Commercial Plans: $52.76 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $14.98 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $16.87 Blue Shield — Epn/Ifp Benefit Exchange: $28.21 Blue Shield — Hmo/Ppo/Epo: $34.12 Blue Shield — Medicare Managed Care Plan: $100.73 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $30.87 Central Health Plan — Medicare Managed Care Plan: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$1,187	$415.45	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	$107	$37.45	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $221.91
Obstetric blood test panel: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $133.66 Aetna — Medicare Managed Care Plan: $47.81 Blue Cross — All Commercial Plans: $82.09 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $67.81 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $76.37 Blue Shield — Epn/Ifp Benefit Exchange: $114.74 Blue Shield — Hmo/Ppo/Epo: $137.43 Blue Shield — Medicare Managed Care Plan: $221.91 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $122.93 Central Health Plan — Medicare Managed Care Plan: $52.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $127.67
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $34.92 Aetna — Medicare Managed Care Plan: $13.39 Blue Cross — All Commercial Plans: $66.75 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $18.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $21.39 Blue Shield — Epn/Ifp Benefit Exchange: $35.76 Blue Shield — Hmo/Ppo/Epo: $43.24 Blue Shield — Medicare Managed Care Plan: $127.67 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $39.12 Central Health Plan — Medicare Managed Care Plan: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL LAB	$263	$92.05	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL LAB	$107	$37.45	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $82.73
Kidney function panel: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $22.65 Aetna — Medicare Managed Care Plan: $8.68 Blue Cross — All Commercial Plans: $43.26 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $12.31 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $13.86 Blue Shield — Epn/Ifp Benefit Exchange: $23.17 Blue Shield — Hmo/Ppo/Epo: $28.02 Blue Shield — Medicare Managed Care Plan: $82.73 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $25.35 Central Health Plan — Medicare Managed Care Plan: $9.55
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$852	$298.20	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	$50	$17.50	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $77.88
Liver function panel: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $21.30 Aetna — Medicare Managed Care Plan: $8.17 Blue Cross — All Commercial Plans: $40.74 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $11.59 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $13.05 Blue Shield — Epn/Ifp Benefit Exchange: $21.81 Blue Shield — Hmo/Ppo/Epo: $26.38 Blue Shield — Medicare Managed Care Plan: $77.88 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $23.87 Central Health Plan — Medicare Managed Care Plan: $8.99
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$593	$207.55	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	$75	$26.25	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $30.21
Urine test (automated, with microscope): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $8.24 Aetna — Medicare Managed Care Plan: $3.17 Blue Cross — All Commercial Plans: $15.24 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4.50 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5.06 Blue Shield — Epn/Ifp Benefit Exchange: $8.46 Blue Shield — Hmo/Ppo/Epo: $10.23 Blue Shield — Medicare Managed Care Plan: $30.21 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $9.26 Central Health Plan — Medicare Managed Care Plan: $3.49
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	$431	$150.85	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	$100	$35	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $24.35
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $6.67 Aetna — Medicare Managed Care Plan: $3.48 Blue Cross — All Commercial Plans: $11.85 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4.94 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5.56 Blue Shield — Epn/Ifp Benefit Exchange: $6.82 Blue Shield — Hmo/Ppo/Epo: $8.25 Blue Shield — Medicare Managed Care Plan: $24.35 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $7.46 Central Health Plan — Medicare Managed Care Plan: $3.83
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	$96	$33.60	Not listed in the file
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 LAB	$14	$4.90	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $21.41
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $5.86 Aetna — Medicare Managed Care Plan: $2.25 Blue Cross — All Commercial Plans: $11.21 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $3.19 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $3.59 Blue Shield — Epn/Ifp Benefit Exchange: $6 Blue Shield — Hmo/Ppo/Epo: $7.25 Blue Shield — Medicare Managed Care Plan: $21.41 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $6.56 Central Health Plan — Medicare Managed Care Plan: $2.48
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	$306	$107.10	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	$65	$22.75	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $175.27
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $47.98 Aetna — Medicare Managed Care Plan: $18.39 Blue Cross — All Commercial Plans: $91.69 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $26.08 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $29.37 Blue Shield — Epn/Ifp Benefit Exchange: $49.09 Blue Shield — Hmo/Ppo/Epo: $59.37 Blue Shield — Medicare Managed Care Plan: $175.27 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $53.71 Central Health Plan — Medicare Managed Care Plan: $20.23
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	$376	$131.60	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$313	$109.55	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $160.07
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $43.80 Aetna — Medicare Managed Care Plan: $16.80 Blue Cross — All Commercial Plans: $83.77 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $23.83 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $26.83 Blue Shield — Epn/Ifp Benefit Exchange: $44.83 Blue Shield — Hmo/Ppo/Epo: $54.22 Blue Shield — Medicare Managed Care Plan: $160.07 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $49.05 Central Health Plan — Medicare Managed Care Plan: $18.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$692	$242.20	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$170	$59.50	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $74.07
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $20.27 Aetna — Medicare Managed Care Plan: $7.77 Blue Cross — All Commercial Plans: $38.76 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $11.02 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $12.41 Blue Shield — Epn/Ifp Benefit Exchange: $20.74 Blue Shield — Hmo/Ppo/Epo: $25.09 Blue Shield — Medicare Managed Care Plan: $74.07 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $22.70 Central Health Plan — Medicare Managed Care Plan: $8.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$330	$115.50	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	$83	$29.05	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $61.65
Complete blood count (CBC), automated: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $16.87 Aetna — Medicare Managed Care Plan: $6.47 Blue Cross — All Commercial Plans: $32.25 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $9.18 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $10.33 Blue Shield — Epn/Ifp Benefit Exchange: $17.27 Blue Shield — Hmo/Ppo/Epo: $20.88 Blue Shield — Medicare Managed Care Plan: $61.65 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $18.89 Central Health Plan — Medicare Managed Care Plan: $7.12
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$260	$91	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	$59	$20.65	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $37.44
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $10.25 Aetna — Medicare Managed Care Plan: $4.29 Blue Cross — All Commercial Plans: $19.63 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $6.08 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $6.85 Blue Shield — Epn/Ifp Benefit Exchange: $10.49 Blue Shield — Hmo/Ppo/Epo: $12.68 Blue Shield — Medicare Managed Care Plan: $37.44 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $11.47 Central Health Plan — Medicare Managed Care Plan: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME 85610	$282	$98.70	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 85610	$65	$22.75	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $57.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $15.65 Aetna — Medicare Managed Care Plan: $6.01 Blue Cross — All Commercial Plans: $29.94 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $8.52 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $9.60 Blue Shield — Epn/Ifp Benefit Exchange: $16.01 Blue Shield — Hmo/Ppo/Epo: $19.36 Blue Shield — Medicare Managed Care Plan: $57.15 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $17.51 Central Health Plan — Medicare Managed Care Plan: $6.61
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	$414	$144.90	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$124	$43.40	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	$134.46 – $807.62
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $350.70 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $668.22 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $417.58 Blue Shield — Hmo/Ppo/Epo: $500.18 Blue Shield — Medicare Managed Care Plan: $807.62 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $447.40 Central Health Plan — Medicare Managed Care Plan: $147.91
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	$6,079	$2,127.65	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	$1,379	$482.65	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$448.71 – $4,255.18
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $730.30 Aetna — Medicare Managed Care Plan: $448.71 Blue Cross — All Commercial Plans: $3,109.25 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $470.10 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $529.47 Blue Shield — Epn/Ifp Benefit Exchange: $2,200.12 Blue Shield — Hmo/Ppo/Epo: $2,635.31 Blue Shield — Medicare Managed Care Plan: $4,255.18 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,357.27 Central Health Plan — Medicare Managed Care Plan: $493.58
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	$13,116	$4,590.60	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	$3,428	$1,199.80	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	$42.86 – $303.19
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $42.86 Aetna — Medicare Managed Care Plan: $111.93 Blue Cross — All Commercial Plans: $119.55 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $117.27 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $132.07 Blue Shield — Epn/Ifp Benefit Exchange: $46.26 Blue Shield — Hmo/Ppo/Epo: $55.42 Blue Shield — Medicare Managed Care Plan: $89.48 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $49.57 Central Health Plan — Medicare Managed Care Plan: $123.12
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$1,333	$466.55	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	$81.02 – $366.18
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $90.32 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $130.56 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $81.02 Blue Shield — Hmo/Ppo/Epo: $97.04 Blue Shield — Medicare Managed Care Plan: $156.69 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $86.80 Central Health Plan — Medicare Managed Care Plan: $147.91
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	$2,321	$812.35	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$306.88 – $2,123.91
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $730.30 Aetna — Medicare Managed Care Plan: $306.88 Blue Cross — All Commercial Plans: $1,750.43 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $321.51 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $362.12 Blue Shield — Epn/Ifp Benefit Exchange: $1,098.16 Blue Shield — Hmo/Ppo/Epo: $1,315.37 Blue Shield — Medicare Managed Care Plan: $2,123.91 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $1,176.60 Central Health Plan — Medicare Managed Care Plan: $337.57
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	$9,923	$3,473.05	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	$2,239	$783.65	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$225.59 – $1,170.22
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $536.59 Aetna — Medicare Managed Care Plan: $225.59 Blue Cross — All Commercial Plans: $965.95 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $236.35 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $266.20 Blue Shield — Epn/Ifp Benefit Exchange: $605.06 Blue Shield — Hmo/Ppo/Epo: $724.74 Blue Shield — Medicare Managed Care Plan: $1,170.22 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $648.28 Central Health Plan — Medicare Managed Care Plan: $248.15
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$3,355	$1,174.25	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	$1,368	$478.80	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$306.88 – $1,887.37
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $730.30 Aetna — Medicare Managed Care Plan: $306.88 Blue Cross — All Commercial Plans: $1,573.08 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $321.51 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $362.12 Blue Shield — Epn/Ifp Benefit Exchange: $975.86 Blue Shield — Hmo/Ppo/Epo: $1,168.89 Blue Shield — Medicare Managed Care Plan: $1,887.37 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $1,045.56 Central Health Plan — Medicare Managed Care Plan: $337.57
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	$6,515	$2,280.25	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	$2,239	$783.65	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$448.71 – $1,207.19
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $568.06 Aetna — Medicare Managed Care Plan: $448.71 Blue Cross — All Commercial Plans: $1,028.51 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $470.10 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $529.47 Blue Shield — Epn/Ifp Benefit Exchange: $624.17 Blue Shield — Hmo/Ppo/Epo: $747.63 Blue Shield — Medicare Managed Care Plan: $1,207.19 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $668.75 Central Health Plan — Medicare Managed Care Plan: $493.58
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	$7,840	$2,744	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	$2,925	$1,023.75	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$134.46 – $366.18
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $217.06 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $281.85 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $174.83 Blue Shield — Hmo/Ppo/Epo: $209.41 Blue Shield — Medicare Managed Care Plan: $338.12 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $187.31 Central Health Plan — Medicare Managed Care Plan: $147.91
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$1,675	$586.25	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$134.46 – $366.18
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $217.06 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $292.39 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $185.66 Blue Shield — Hmo/Ppo/Epo: $222.38 Blue Shield — Medicare Managed Care Plan: $359.07 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $198.92 Central Health Plan — Medicare Managed Care Plan: $147.91
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	$1,555	$544.25	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$134.46 – $366.18
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $206.29 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $218.79 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $135.31 Blue Shield — Hmo/Ppo/Epo: $162.07 Blue Shield — Medicare Managed Care Plan: $261.70 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $144.97 Central Health Plan — Medicare Managed Care Plan: $147.91
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$1,263	$442.05	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 – $393.48
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — All Commercial Plans: $205.77 Blue Cross — All Commercial Plans: $393.48 Blue Shield — Epn/Ifp Benefit Exchange: $174.66 Blue Shield — Hmo/Ppo/Epo: $209.21 Blue Shield — Medicare Managed Care Plan: $337.81 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $187.14 Cigna — Oap Hmo/Pos: $274.39 Cigna — Ppo: $274.39 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	$842	$294.70	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$97.95 – $209.61
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $97.95 Central Health Plan — Medicare Managed Care Plan: $107.75 Healthnet — Ambetter Hmo: $181.21 Healthnet — Ambetter Ppo: $209.61 Humana — Choicecare Medicare Managed Care Plan: $99.91 La Care Health Plan — Exchange: $127.34
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 – $506.95
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — All Commercial Plans: $263.30 Blue Cross — All Commercial Plans: $503.73 Blue Shield — Epn/Ifp Benefit Exchange: $262.12 Blue Shield — Hmo/Ppo/Epo: $313.96 Blue Shield — Medicare Managed Care Plan: $506.95 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $280.84 Cigna — Oap Hmo/Pos: $349.75 Cigna — Ppo: $349.75 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	$1,201	$420.35	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$120.80 – $258.51
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $120.80 Central Health Plan — Medicare Managed Care Plan: $132.88 Healthnet — Ambetter Hmo: $223.48 Healthnet — Ambetter Ppo: $258.51 Humana — Choicecare Medicare Managed Care Plan: $123.22 La Care Health Plan — Exchange: $157.04
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 – $513.48
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — All Commercial Plans: $217.43 Blue Cross — All Commercial Plans: $416 Blue Shield — Epn/Ifp Benefit Exchange: $265.49 Blue Shield — Hmo/Ppo/Epo: $318.01 Blue Shield — Medicare Managed Care Plan: $513.48 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $284.46 Cigna — Oap Hmo/Pos: $289.48 Cigna — Ppo: $289.48 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	$552	$193.20	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN UNIL/BIL W CAD	$552	$193.20	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	$45.15 – $142.97
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans Blue Cross — All Commercial Plans: $142.97 Blue Shield — Epn/Ifp Benefit Exchange: $45.15 Blue Shield — Hmo/Ppo/Epo: $54.08 Blue Shield — Medicare Managed Care Plan: $87.32 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $48.37
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	$3,409 – $11,827
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $4,169.67 Blue Cross — All Commercial Plans: $9,640 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,368.47 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $4,920.14 Blue Shield — Epn/Ifp Benefit Exchange: $8,017 Blue Shield — Hmo/Ppo/Epo: $9,603 Blue Shield — Medicare Managed Care Plan: $3,409 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,642 Central Health Plan — Medicare Managed Care Plan: $4,586.63 Cigna — Oap Hmo/Pos: $4,768
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$11,347	$3,971.45	Not listed in the file
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	$686.24 – $25,913
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates Aetna — Medicare Managed Care Plan: $10,031.67 Blue Cross — All Commercial Plans: $6,264 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $10,509.96 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $11,837.21 Blue Shield — Epn/Ifp Benefit Exchange: $686.24 Blue Shield — Hmo/Ppo/Epo: $821.98 Blue Shield — Medicare Managed Care Plan: $1,327.23 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $735.25 Central Health Plan — Medicare Managed Care Plan: $11,034.84 Healthnet — All Commercial Plans: $25,913
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$16,033	$5,611.55	Not listed in the file
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	$3,409 – $93,018
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates Aetna — Medicare Managed Care Plan: $33,617.65 Blue Cross — All Commercial Plans: $12,050 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $35,220.49 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $39,668.30 Blue Shield — Epn/Ifp Benefit Exchange: $8,017 Blue Shield — Hmo/Ppo/Epo: $9,603 Blue Shield — Medicare Managed Care Plan: $3,409 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,642 Central Health Plan — Medicare Managed Care Plan: $36,979.42 Healthnet — All Commercial Plans: $93,018
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$31,842	$11,144.70	Not listed in the file
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	$987.23 – $2,642.06
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $2,128.92 Aetna — Medicare Managed Care Plan: $1,104.48 Blue Cross — All Commercial Plans: $987.23 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,157.14 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,303.27 Blue Shield — Epn/Ifp Benefit Exchange: $1,366.06 Blue Shield — Hmo/Ppo/Epo: $1,636.27 Blue Shield — Medicare Managed Care Plan: $2,642.06 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $1,463.64 Central Health Plan — Medicare Managed Care Plan: $1,214.93

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	$28.41 – $76.13
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — All Commercial Plans: $76.13 Aetna — Medicare Managed Care Plan: $32.07 Blue Shield — Epn/Ifp Benefit Exchange: $28.41 Blue Shield — Hmo/Ppo/Epo: $34.03 Blue Shield — Medicare Managed Care Plan: $54.95 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $30.44 Central Health Plan — Medicare Managed Care Plan: $35.28 Healthnet — Ambetter Hmo: $59.33 Healthnet — Ambetter Ppo: $68.63 Humana — Choicecare Medicare Managed Care Plan: $32.71
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	$257	$89.95	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	$257	$89.95	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$106.80 – $228.55
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna — All Commercial Plans: $206.68 Aetna — Medicare Managed Care Plan: $106.80 Central Health Plan — Medicare Managed Care Plan: $117.48 Healthnet — Ambetter Hmo: $197.58 Healthnet — Ambetter Ppo: $228.55 Humana — Choicecare Medicare Managed Care Plan: $108.94 La Care Health Plan — Exchange: $138.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM	$607	$212.45	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	$607	$212.45	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$103.01 – $220.44
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna — All Commercial Plans: $206.68 Aetna — Medicare Managed Care Plan: $103.01 Central Health Plan — Medicare Managed Care Plan: $113.31 Healthnet — Ambetter Hmo: $190.57 Healthnet — Ambetter Ppo: $220.44 Humana — Choicecare Medicare Managed Care Plan: $105.07 La Care Health Plan — Exchange: $133.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM	$617	$215.95	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	$617	$215.95	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$107.57 – $230.20
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — All Commercial Plans: $206.68 Aetna — Medicare Managed Care Plan: $107.57 Central Health Plan — Medicare Managed Care Plan: $118.33 Healthnet — Ambetter Hmo: $199 Healthnet — Ambetter Ppo: $230.20 Humana — Choicecare Medicare Managed Care Plan: $109.72 La Care Health Plan — Exchange: $139.84
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM	$625	$218.75	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	$625	$218.75	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$39.11 – $488.54
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $228.29 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $239.17 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $269.38 Blue Shield — Epn/Ifp Benefit Exchange: $39.11 Blue Shield — Hmo/Ppo/Epo: $46.84 Blue Shield — Medicare Managed Care Plan: $75.64 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $41.90 Central Health Plan — Medicare Managed Care Plan: $251.12 Healthnet — Ambetter Hmo: $422.33 Healthnet — Ambetter Ppo: $488.54
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$44.88 – $488.54
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $228.29 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $239.17 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $269.38 Blue Shield — Epn/Ifp Benefit Exchange: $44.88 Blue Shield — Hmo/Ppo/Epo: $53.75 Blue Shield — Medicare Managed Care Plan: $86.79 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $48.08 Central Health Plan — Medicare Managed Care Plan: $251.12 Healthnet — Ambetter Hmo: $422.33 Healthnet — Ambetter Ppo: $488.54
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$17.58 – $279.62
Group psychotherapy: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $130.66 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $136.89 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $154.18 Blue Shield — Epn/Ifp Benefit Exchange: $17.58 Blue Shield — Hmo/Ppo/Epo: $21.06 Blue Shield — Medicare Managed Care Plan: $34 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $18.84 Central Health Plan — Medicare Managed Care Plan: $143.73 Healthnet — Ambetter Hmo: $241.72 Healthnet — Ambetter Ppo: $279.62

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	$1,747 – $11,827
Removal of breast growth (open surgery): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $5,035.90 Blue Cross — All Commercial Plans: $4,619 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $5,276.01 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5,942.28 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Central Health Plan — Medicare Managed Care Plan: $5,539.49 Cigna — Oap Hmo/Pos: $3,962
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM	$10,030	$3,510.50	Not listed in the file
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	$1,747 – $48,502
Total hip replacement: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $16,512.69 Blue Cross — All Commercial Plans: $6,749 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $17,299.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $19,484.71 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Central Health Plan — Medicare Managed Care Plan: $18,163.96 Cigna — Oap Hmo/Pos: $4,768
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	$1,747 – $48,502
Total knee replacement: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $16,512.69 Blue Cross — All Commercial Plans: $12,050 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $17,299.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $19,484.71 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Central Health Plan — Medicare Managed Care Plan: $18,163.96 Cigna — Oap Hmo/Pos: $4,768
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	$1,528 – $7,309
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Blue Cross — All Commercial Plans: $6,264 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Cigna — Oap Hmo/Pos: $3,962 Cigna — Ppo: $3,962 Multiplan — Beech Street All Commercial Plans: $7,309 Unitedhealthcare — All Commercial Plans: $1,738 Unitedhealthcare — Select/Navigate Hmo: $1,528
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	$2,160 – $11,827
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,208.34 Blue Cross — All Commercial Plans: $5,789 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,408.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $4,965.77 Blue Shield — Epn/Ifp Benefit Exchange: $5,078 Blue Shield — Hmo/Ppo/Epo: $6,083 Blue Shield — Medicare Managed Care Plan: $2,160 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $5,475 Central Health Plan — Medicare Managed Care Plan: $4,629.17 Cigna — Oap Hmo/Pos: $4,893
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	$1,747 – $19,534
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $7,613.89 Blue Cross — All Commercial Plans: $5,789 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $7,976.91 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $8,984.27 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Central Health Plan — Medicare Managed Care Plan: $8,375.28 Cigna — Oap Hmo/Pos: $3,962
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	$1,142 – $7,309
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,166.53 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,222.15 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,376.49 Blue Shield — Epn/Ifp Benefit Exchange: $2,685 Blue Shield — Hmo/Ppo/Epo: $3,217 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,895 Central Health Plan — Medicare Managed Care Plan: $1,283.19 Cigna — Oap Hmo/Pos: $2,589
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$1,779	$622.65	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	$1,166.53 – $7,309
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,166.53 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,222.15 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,376.49 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Central Health Plan — Medicare Managed Care Plan: $1,283.19 Cigna — Oap Hmo/Pos: $3,463
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$1,779	$622.65	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	$1,196.08 – $7,309
Colonoscopy (diagnostic): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,196.08 Blue Cross — All Commercial Plans: $2,716 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,253.11 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,411.36 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Central Health Plan — Medicare Managed Care Plan: $1,315.69 Cigna — Oap Hmo/Pos: $3,463
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$1,745	$610.75	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	$1,528 – $7,309
Colonoscopy with biopsy: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $2,716 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,612.46 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,816.09 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Central Health Plan — Medicare Managed Care Plan: $1,692.99 Cigna — Oap Hmo/Pos: $3,463
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	$1,528 – $7,309
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $2,716 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,612.46 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,816.09 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Central Health Plan — Medicare Managed Care Plan: $1,692.99 Cigna — Oap Hmo/Pos: $3,463
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	$1,142 – $7,309
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,612.46 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,816.09 Blue Shield — Epn/Ifp Benefit Exchange: $2,685 Blue Shield — Hmo/Ppo/Epo: $3,217 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,895 Central Health Plan — Medicare Managed Care Plan: $1,692.99 Cigna — Oap Hmo/Pos: $3,463
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	$353 – $7,309
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,196.08 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,253.11 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,411.36 Blue Shield — Epn/Ifp Benefit Exchange: $829 Blue Shield — Hmo/Ppo/Epo: $993 Blue Shield — Medicare Managed Care Plan: $353 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $894 Central Health Plan — Medicare Managed Care Plan: $1,315.69 Cigna — Oap Hmo/Pos: $3,463
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	$3,409 – $19,534
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $7,775.56 Blue Cross — All Commercial Plans: $12,050 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $8,146.28 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $9,175.04 Blue Shield — Epn/Ifp Benefit Exchange: $8,017 Blue Shield — Hmo/Ppo/Epo: $9,603 Blue Shield — Medicare Managed Care Plan: $3,409 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,642 Central Health Plan — Medicare Managed Care Plan: $8,553.11 Cigna — Oap Hmo/Pos: $10,336
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	$2,160 – $11,827
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,604.99 Blue Cross — All Commercial Plans: $5,789 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,824.55 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5,433.82 Blue Shield — Epn/Ifp Benefit Exchange: $5,078 Blue Shield — Hmo/Ppo/Epo: $6,083 Blue Shield — Medicare Managed Care Plan: $2,160 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $5,475 Central Health Plan — Medicare Managed Care Plan: $5,065.49 Cigna — Oap Hmo/Pos: $4,893
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	$5,586	$1,955.10	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	$1,528 – $7,309
Prostate biopsy: 10 of 12 insurance plan rates Blue Cross — All Commercial Plans: $3,757 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Cigna — Oap Hmo/Pos: $3,463 Cigna — Ppo: $3,463 Healthnet — All Commercial Plans: $7,176 Healthnet — Blue And Gold Other Commercial Plan: $4,449 Multiplan — Beech Street All Commercial Plans: $7,309
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	$1,142 – $35,214
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $13,671.74 Blue Cross — All Commercial Plans: $7,953 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $14,323.59 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $16,132.44 Blue Shield — Epn/Ifp Benefit Exchange: $2,685 Blue Shield — Hmo/Ppo/Epo: $3,217 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,895 Central Health Plan — Medicare Managed Care Plan: $15,038.92 Cigna — Oap Hmo/Pos: $4,768
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	$1,747 – $11,827
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,163.48 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,361.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $4,912.85 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Central Health Plan — Medicare Managed Care Plan: $4,579.83 Cigna — Oap Hmo/Pos: $3,962
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$907.88 – $3,217
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $907.88 Blue Cross — All Commercial Plans: $2,716 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $951.17 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,071.29 Blue Shield — Epn/Ifp Benefit Exchange: $2,685 Blue Shield — Hmo/Ppo/Epo: $3,217 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,895 Central Health Plan — Medicare Managed Care Plan: $998.67 Cigna — Oap Hmo/Pos: $2,589
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	$2,258	$790.30	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	$2,258	$790.30	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	$1,137.58 – $7,309
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,137.58 Blue Cross — All Commercial Plans: $2,716 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,191.82 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,342.33 Blue Shield — Epn/Ifp Benefit Exchange: $2,685 Blue Shield — Hmo/Ppo/Epo: $3,217 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,895 Central Health Plan — Medicare Managed Care Plan: $1,251.34 Cigna — Oap Hmo/Pos: $2,589
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	$2,616	$915.60	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	$1,528 – $7,309
Carpal tunnel release: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $2,511.53 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $2,631.28 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $2,963.57 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Central Health Plan — Medicare Managed Care Plan: $2,762.68 Cigna — Oap Hmo/Pos: $3,463
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$2,835	$992.25	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	$707.39 – $7,309
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $707.39 Blue Cross — All Commercial Plans: $3,757 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $741.12 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $834.71 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Central Health Plan — Medicare Managed Care Plan: $778.13 Cigna — Oap Hmo/Pos: $3,463
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,968.25 – $9,357
Cataract removal with lens implant: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $2,968.25 Blue Cross — All Commercial Plans: $7,953 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $3,109.77 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $3,502.48 Blue Shield — Epn/Ifp Benefit Exchange: $7,811 Blue Shield — Hmo/Ppo/Epo: $9,357 Blue Shield — Medicare Managed Care Plan: $3,322 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,421 Central Health Plan — Medicare Managed Care Plan: $3,265.07 Cigna — Oap Hmo/Pos: $7,493

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	$1,528 – $6,749
Vaginal delivery, with care before and after: rates for 7 insurance plans Blue Cross — All Commercial Plans: $6,749 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Cigna — Oap Hmo/Pos: $4,768 Cigna — Ppo: $4,890
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	$1,747 – $6,749
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Blue Cross — All Commercial Plans: $6,749 Blue Shield — Epn/Ifp Benefit Exchange: $4,107 Blue Shield — Hmo/Ppo/Epo: $4,920 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,428 Cigna — Oap Hmo/Pos: $4,768 Cigna — Ppo: $4,890
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	$1,528 – $6,264
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Blue Cross — All Commercial Plans: $6,264 Blue Shield — Epn/Ifp Benefit Exchange: $3,594 Blue Shield — Hmo/Ppo/Epo: $4,305 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,874 Cigna — Oap Hmo/Pos: $4,768 Cigna — Ppo: $4,890

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	$43,335 – $648,490
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 34 insurance plan rates Aetna — All Commercial Plans: $205,756.18 Aetna — Medicare Managed Care Plan: $100,095.55 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $116,933.90 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $131,708.66 Blue Cross — Medicare Managed Care Plan: $100,095.55 Blue Shield — Epn/Ifp Benefit Exchange: $134,245.82 Blue Shield — Hmo/Ppo/Epo: $201,978.89 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $181,775.78 Brand New Day — Medicare Managed Care Plan: $100,095.55 Brandman Centers — Medicare Managed Care Plan: $100,095.55
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	$40,447 – $229,888
Spinal fusion (not neck), without major complications: rates for 8 insurance plans Blue Shield — Epn/Ifp Benefit Exchange: $50,617.78 Blue Shield — Hmo/Ppo/Epo: $76,156.74 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $68,539.10 Cigna — Oap Hmo/Pos: $46,796.09 Cigna — Ppo: $54,760.45 First Health/Coventry — Coventry All Commercial Plans: $229,888 Multiplan — Beech Street All Commercial Plans: $40,447 Unitedhealthcare — All Commercial Plans: $84,160.96
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	$14,157 – $130,383
Hip or knee replacement (major joint of the leg), without major complications: 10 of 34 insurance plan rates Aetna — All Commercial Plans: $40,200.75 Aetna — Medicare Managed Care Plan: $20,421.71 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $22,846.60 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $25,733.30 Blue Cross — Medicare Managed Care Plan: $20,421.71 Blue Shield — Epn/Ifp Benefit Exchange: $24,453.61 Blue Shield — Hmo/Ppo/Epo: $36,791.56 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $33,111.46 Brand New Day — Medicare Managed Care Plan: $20,421.71 Brandman Centers — Medicare Managed Care Plan: $20,421.71
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	$25,619.74 – $123,523
Neck (cervical) spinal fusion, without complications: 10 of 34 insurance plan rates Aetna — All Commercial Plans: $50,471.07 Aetna — Medicare Managed Care Plan: $25,619.74 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $28,683.36 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $32,307.55 Blue Cross — Medicare Managed Care Plan: $25,619.74 Blue Shield — Epn/Ifp Benefit Exchange: $32,694.91 Blue Shield — Hmo/Ppo/Epo: $49,190.97 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $44,270.61 Brand New Day — Medicare Managed Care Plan: $25,619.74 Brandman Centers — Medicare Managed Care Plan: $25,619.74
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	$13,440.26 – $54,898
Uterus and ovary surgery (not for cancer), without complications: 10 of 34 insurance plan rates Aetna — All Commercial Plans: $25,555.35 Aetna — Medicare Managed Care Plan: $13,440.26 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $14,523.44 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $16,358.49 Blue Cross — Medicare Managed Care Plan: $13,440.26 Blue Shield — Epn/Ifp Benefit Exchange: $14,573.83 Blue Shield — Hmo/Ppo/Epo: $21,926.99 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $19,733.72 Brand New Day — Medicare Managed Care Plan: $13,440.26 Brandman Centers — Medicare Managed Care Plan: $13,440.26

Source: Providence Holy Cross Medical Center’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	15031 Rinaldi St, Mission Hills, CA 91346
County	Los Angeles County
State	California
Phone	(818) 365‑8051
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050278
Name in Medicare records	PROVIDENCE HOLY CROSS MEDICAL CENTER
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.

Providence Holy Cross Medical Center — providence.org
About Us - Providence Holy Cross Medical Center — providence.org
Patients and Visitors - Providence Holy Cross Medical Center — providence.org
Providence Holy Cross Medical Center | Providence — providence.org
Emergency Services | Holy Cross Medical Center | Providence — providence.org
Quality & Safety| Holy Cross Medical Center | Providence — providence.org
Recognition | Holy Family Medical Center | Providence — providence.org