Does Providence Queen of the Valley Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Providence Queen of the Valley Medical Center. In a medical emergency, call 911.

Where is Providence Queen of the Valley Medical Center?

1000 Trancas St, Napa, CA 94558, in Napa County, California.

What is the phone number of Providence Queen of the Valley Medical Center?

(707) 252-4411, as listed by Medicare (CMS).

What is the Medicare star rating of Providence Queen of the Valley Medical Center?

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

Providence Queen of the Valley Medical Center

Quick answers

Does Providence Queen of the Valley Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Providence Queen of the Valley Medical Center. In a medical emergency, call 911.
Where is Providence Queen of the Valley Medical Center?: 1000 Trancas St, Napa, CA 94558, in Napa County, California.
What is the phone number of Providence Queen of the Valley Medical Center?: (707) 252-4411, as listed by Medicare (CMS).
What is the Medicare star rating of Providence Queen of the Valley 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][7][8][10][11][12]}

Breast Care
Emergency and Trauma
Heart Care
Medical Imaging
Neuroscience
Spine Care
Sports Medicine
Women's Health
Emergency medicine
Orthopedics
Neurology
Neurosurgery
Oncology
Palliative care
Rehabilitation
Audiology
Minimally invasive surgery
Bariatric surgery
Pain management

Conditions treated^[8][11][12]

Chest pain
Heart attack
Broken bones
Head trauma
Seizures
Poisoning
Severe shortness of breath
Allergic reactions
Stroke
Transient ischemic attack (TIA)
Brain injuries
Brain cancer and tumors
Spine injuries
Spine cancer and tumors
Multiple sclerosis
Parkinson's disease and movement disorders
Headaches and migraines
Hydrocephalus and spina bifida
Paralysis
Sleep disorders
Peripheral nerve disorders
Arthritis
Joint pain
Bone fractures
Ankle injuries
Back pain
Rotator cuff injuries and tears
Sports injuries
Sprains and strains
Joint dislocations
Osteoporosis
Tendon disorders

Treatments^{[4][8][10][11][12]}

Nutrition and diabetes wellness
Robotic-assisted (MAKO) surgery
Total knee replacement
Partial knee resurfacing
Total hip replacement
Joint revision surgery
Hand surgery
Spine surgery
Cervical spinal fusion
Disc device implantation
Back and neck surgery
Cranial surgery
Radiation therapy
Cardiac catheterization
Pain-relieving injections
Physical therapy
Osteoporosis screening
MRI
PET-CT
EEG
Acupuncture
Massage therapy
Direct access colonoscopy

Procedures^[5]

Robotic surgery (da Vinci)

Programs and centers^{[4][8][10][12]}

Surgery Center
Rapid Care Unit (Napa Valley Vintners Rapid Care Unit)
Naloxone distribution box program
Stroke Survivors Group
Synergy Medical Fitness Center (cardiac rehabilitation, Rock Steady Boxing)
Institute of Integrative Health
Center for Maternal and Infant Care
Direct Access Colonoscopy Program

Emergency care (hospital website)^{[4][5][7][8][12]}

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Call ahead to confirm the patient is there; stop at the lobby Concierge desk; a separate current visitor policy page exists^[6]
Interpreters and languages	Free interpreter services for non-English speakers and hearing-impaired patients; ask registration staff, nurse, or doctor^[9]
Patient portal	MyChart

Recognition^{[4][7][8][11]}

U.S. News & World Report High Performing: Hip Fracture (2026-27)
U.S. News & World Report High Performing: Kidney Failure (2026-27)
U.S. News & World Report High Performing: Pacemaker Implantation (2026-27)
U.S. News & World Report High Performing Hospital in Hip Fracture (2026-27)
U.S. News & World Report High Performing Hospital in Kidney Failure (2026-27)
U.S. News & World Report High Performing Hospital in Pacemaker Implantation (2026-27)
Joint Commission Gold Seal of Approval
American College of Surgeons Verified Level III Trauma Center
National Accreditation Program for Breast Centers (NAPBC) Breast Center Accreditation
Commission on Cancer Accredited Comprehensive Community Cancer Program
MBSAQIP Accredited Bariatric Surgery Center
American College of Emergency Physicians Accredited Level 3 Bronze Geriatric Emergency Department (2023-2026)
California Maternal Quality Care Collaborative Honor Roll (three consecutive years, 2023-2026)

Doctors and clinicians (361)

361 doctors and other clinicians list Providence Queen of the Valley 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

Doctors with a page on this site (361)

Aaron Goertz, DOPulmonary Disease
Abhijit A. Adhye, MDInternal Medicine
Abhinav Koul, MDGastroenterology
Adam G. KaplanUrology
Adam L. Bartret, MDDiagnostic Radiology
Adam W. Nevitt, MDDiagnostic Radiology
Adamane S. Lalithmohan, MDCardiovascular Disease (Cardiology)
Adrian Chase, MDAnesthesiology
Aimee C. Chagnon, MDNeurology
Alex E. Miner, DOPhysical Medicine and Rehabilitation
Alex Rainow, MDCardiovascular Disease (Cardiology)
Alexa P. Henderson, MDInternal Medicine
Alexander N. Fisher, MDAnesthesiology
Alexander R. Page, MDInterventional Radiology
Alexandra H. Nicholson, MDNeurology
Alexandre Demoraes, MDFamily Practice
Ali Akhavan, MDInternal Medicine
Ali Banaie, MDGastroenterology
Ali S. Vaziri, MDGastroenterology
Ali-Reza R. Barmaki, MDInternal Medicine
Aliasghar Mohyuddin, MDInternal Medicine
Alicia K. Florez, NPNurse Practitioner
Alireza Goodarzi, MDFamily Practice
Amanda S. Holthouse, DOObstetrics/Gynecology

And 337 more: the button below opens the full list.

Other emergency rooms nearby

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

Sonoma Valley Hospital9.5 mi · Sonoma, CA · Acute Care Hospital
Sutter Solano Medical Center14 mi · Vallejo, CA · Acute Care Hospital
Kaiser Foundation Hospital and Rehab Center14 mi · Vallejo, CA · Acute Care Hospital
Kaiser Foundation Hospital - Vacaville16 mi · Vacaville, CA · Acute Care Hospital
NorthBay Medical Center16 mi · Fairfield, CA · Acute Care Hospital

Other hospitals nearby

Dept of State Hospitals - Napa3.9 mi · Napa, CA · Psychiatric Hospital
Adventist Health Vallejo14 mi · Vallejo, CA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Napa Post Acute0.3 mi · Napa, CA · 1 of 5 stars
Napa Valley Care Center0.3 mi · Napa, CA · 3 of 5 stars
Napa Community Health Center0.7 mi · Napa, CA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Providence at Home With Compassus Hospice and Palliative Care Napa Valley5.0 mi · Napa, CA · 4 of 5 stars
Care Must Hospice7.4 mi · Napa, CA
Athome Hospice Care LLC10 mi · American Canyon, CA

All hospice providers in the state →

Home health agencies

Danny's Home Health Care Inc5.0 mi · Napa, CA · 3 of 5 stars
Providence at Home With Compassus Home Health, Napa Valley7.4 mi · Napa, CA · 4 of 5 stars
By the Bay Health10 mi · Sonoma, CA

All home health agencies in the state →

Dialysis facilities

DaVita Napa Dialysis Center7.4 mi · Napa, CA · 3 of 5 stars
DaVita Napa Home Training7.4 mi · Napa, CA · 4 of 5 stars
DaVita Silverado Dialysis7.4 mi · Napa, CA · 4 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.

Napa Ambulatory Surgery Center, Inc7.4 mi · Napa, CA
Napa Surgery Center7.4 mi · Napa, CA
Napa Surgical Specialists, LLC7.4 mi · Napa, 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

OLE Health - North Napa Campus0.3 mi · Napa, CA · Community health center
OLE Health - South Napa Campus2.9 mi · Napa, CA · Community health center
South Napa Shelter2.9 mi · Napa, CA · Community health center

Clinics and urgent care

County of Napa5.0 mi · Napa, CA · Urgent care center
Urgent Care Plus Telehealth Inc5.0 mi · Napa, CA · Urgent care center
Urgent Care Plus Telehealth Inc10 mi · Sonoma, CA · Urgent care center

Pharmacies

Lucky Stores II LLC5.0 mi · Napa, CA · Community/retail pharmacy
Costco Wholesale Corporation7.4 mi · Napa, CA · Community/retail pharmacy
Family Drug Inc.7.4 mi · Napa, CA · Community/retail pharmacy

Assisted living nearby

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

Assisted Living of Napa Valley-Hamilton5.0 mi · Napa, CA
Nazareth Rose Garden of Napa5.0 mi · Napa, CA
Poppy Fields Care Home5.0 mi · Napa, CA
The Meadows of Napa Valley5.0 mi · Napa, 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 Queen of the Valley 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	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	73%National average: 74%
Area around the room “always” quiet at night	40%National average: 60%
Completed surveys	449Response rate: 22%

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)	0.684No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0.887No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.107Better 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	11.8%
Deaths within 30 days: heart failure patients	12%
Deaths within 30 days: pneumonia patients	16.7%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	11%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	0.85No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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	14.2%
Readmitted within 30 days: heart failure	20.1%
Readmitted within 30 days: pneumonia	20.4%
Readmitted within 30 days: COPD	20.2%
Readmitted within 30 days: coronary bypass surgery	10.5%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	152 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%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 72 common services exactly as Providence Queen of the Valley 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	$387.59
Emergency room visit (moderate): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $387.59
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 3 CDM	$1,017	$518.67	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM	$3,329	$1,697.79	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	$592.45
Emergency room visit (moderately high): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $592.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 4 CDM	$1,583	$807.33	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED SEXUAL ASSAULT EXAM CDM	$1,630	$831.30	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	$845.57
Emergency room visit (high): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $845.57
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 5 CDM	$2,274	$1,159.74	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM	$10,785	$5,500.35	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 – $125.61
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna — All Commercial Plans: $70.56 Aetna — Medicare Managed Care Plan: $8.46 Blue Cross — Epo Exchange: $87.30 Blue Cross — Mcs Ppo: $125.61 Blue Cross — Nonmcs All Commercial Plans: $104.68 Unitedhealthcare — All Commercial Plans: $16.92 Unitedhealthcare — Select/Navigate Hmo: $16.92
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$1,075	$548.25	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	$128	$65.28	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 – $157.09
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna — All Commercial Plans: $88.10 Aetna — Medicare Managed Care Plan: $10.56 Blue Cross — Epo Exchange: $109.18 Blue Cross — Mcs Ppo: $157.09 Blue Cross — Nonmcs All Commercial Plans: $130.91 Unitedhealthcare — All Commercial Plans: $21.12 Unitedhealthcare — Select/Navigate Hmo: $21.12
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$30	$15.30	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$160	$81.60	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 – $445.46
Obstetric blood test panel: rates for 7 insurance plans Aetna — All Commercial Plans: $445.46 Aetna — Medicare Managed Care Plan: $47.81 Blue Cross — Epo Exchange: $169.88 Blue Cross — Mcs Ppo: $244.43 Blue Cross — Nonmcs All Commercial Plans: $203.70 Unitedhealthcare — All Commercial Plans: $95.62 Unitedhealthcare — Select/Navigate Hmo: $95.62
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $198.76
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — All Commercial Plans: $111.65 Aetna — Medicare Managed Care Plan: $13.39 Blue Cross — Epo Exchange: $138.14 Blue Cross — Mcs Ppo: $198.76 Blue Cross — Nonmcs All Commercial Plans: $165.64 Unitedhealthcare — All Commercial Plans: $26.78 Unitedhealthcare — Select/Navigate Hmo: $26.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE	$433	$220.83	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$201	$102.51	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 – $128.81
Kidney function panel: rates for 7 insurance plans Aetna — All Commercial Plans: $72.36 Aetna — Medicare Managed Care Plan: $8.68 Blue Cross — Epo Exchange: $89.52 Blue Cross — Mcs Ppo: $128.81 Blue Cross — Nonmcs All Commercial Plans: $107.34 Unitedhealthcare — All Commercial Plans: $17.36 Unitedhealthcare — Select/Navigate Hmo: $17.36
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$661	$337.11	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	$131	$66.81	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 – $121.32
Liver function panel: rates for 7 insurance plans Aetna — All Commercial Plans: $68.08 Aetna — Medicare Managed Care Plan: $8.17 Blue Cross — Epo Exchange: $84.31 Blue Cross — Mcs Ppo: $121.32 Blue Cross — Nonmcs All Commercial Plans: $101.10 Unitedhealthcare — All Commercial Plans: $16.34 Unitedhealthcare — Select/Navigate Hmo: $16.34
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$939	$478.89	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	$123	$62.73	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 – $45.37
Urine test (automated, with microscope): rates for 7 insurance plans Aetna — All Commercial Plans: $26.39 Aetna — Medicare Managed Care Plan: $3.17 Blue Cross — Epo Exchange: $31.53 Blue Cross — Mcs Ppo: $45.37 Blue Cross — Nonmcs All Commercial Plans: $37.81 Unitedhealthcare — All Commercial Plans: $6.34 Unitedhealthcare — Select/Navigate Hmo: $6.34
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$455	$232.05	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	$59	$30.09	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 – $35.28
Urine test (manual, without microscope): rates for 7 insurance plans Aetna — All Commercial Plans: $21.29 Aetna — Medicare Managed Care Plan: $3.48 Blue Cross — Epo Exchange: $24.52 Blue Cross — Mcs Ppo: $35.28 Blue Cross — Nonmcs All Commercial Plans: $29.40 Unitedhealthcare — All Commercial Plans: $6.96 Unitedhealthcare — Select/Navigate Hmo: $6.96
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$169	$86.19	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$51	$26.01	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 – $33.38
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — All Commercial Plans: $18.75 Aetna — Medicare Managed Care Plan: $2.25 Blue Cross — Epo Exchange: $23.20 Blue Cross — Mcs Ppo: $33.38 Blue Cross — Nonmcs All Commercial Plans: $27.81 Unitedhealthcare — All Commercial Plans: $4.50 Unitedhealthcare — Select/Navigate Hmo: $4.50
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$106	$54.06	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	$43	$21.93	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 – $273.01
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna — All Commercial Plans: $153.33 Aetna — Medicare Managed Care Plan: $18.39 Blue Cross — Epo Exchange: $189.74 Blue Cross — Mcs Ppo: $273.01 Blue Cross — Nonmcs All Commercial Plans: $227.51 Unitedhealthcare — All Commercial Plans: $36.78 Unitedhealthcare — Select/Navigate Hmo: $36.78
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$68	$34.68	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$326	$166.26	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 – $249.43
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — All Commercial Plans: $140.06 Aetna — Medicare Managed Care Plan: $16.80 Blue Cross — Epo Exchange: $173.35 Blue Cross — Mcs Ppo: $249.43 Blue Cross — Nonmcs All Commercial Plans: $207.86 Unitedhealthcare — All Commercial Plans: $33.60 Unitedhealthcare — Select/Navigate Hmo: $33.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$8.50	$4.34	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$297	$151.47	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 – $115.42
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna — All Commercial Plans: $64.78 Aetna — Medicare Managed Care Plan: $7.77 Blue Cross — Epo Exchange: $80.22 Blue Cross — Mcs Ppo: $115.42 Blue Cross — Nonmcs All Commercial Plans: $96.18 Unitedhealthcare — All Commercial Plans: $15.54 Unitedhealthcare — Select/Navigate Hmo: $15.54
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$3.78	$1.93	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$135	$68.85	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 – $96.03
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — All Commercial Plans: $53.99 Aetna — Medicare Managed Care Plan: $6.47 Blue Cross — Epo Exchange: $66.74 Blue Cross — Mcs Ppo: $96.03 Blue Cross — Nonmcs All Commercial Plans: $80.03 Unitedhealthcare — All Commercial Plans: $12.94 Unitedhealthcare — Select/Navigate Hmo: $12.94
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$415	$211.65	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	$114	$58.14	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 – $58.46
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna — All Commercial Plans: $32.77 Aetna — Medicare Managed Care Plan: $4.29 Blue Cross — Epo Exchange: $40.63 Blue Cross — Mcs Ppo: $58.46 Blue Cross — Nonmcs All Commercial Plans: $48.72 Unitedhealthcare — All Commercial Plans: $8.58 Unitedhealthcare — Select/Navigate Hmo: $8.58
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$69.67	$35.53	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$69	$35.19	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 – $89.14
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna — All Commercial Plans: $50.09 Aetna — Medicare Managed Care Plan: $6.01 Blue Cross — Epo Exchange: $61.95 Blue Cross — Mcs Ppo: $89.14 Blue Cross — Nonmcs All Commercial Plans: $74.28 Unitedhealthcare — All Commercial Plans: $12.02 Unitedhealthcare — Select/Navigate Hmo: $12.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM	$45	$22.95	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$69.68	$35.54	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$148.44 – $1,989.65
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — All Commercial Plans: $1,256.96 Aetna — Medicare Managed Care Plan: $148.44 Blue Cross — Epo Exchange: $1,382.79 Blue Cross — Mcs Ppo: $1,989.65 Blue Cross — Nonmcs All Commercial Plans: $1,658.05 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$4,705	$2,399.55	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	$1,968	$1,003.68	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	$495.35 – $9,257.90
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — All Commercial Plans: $2,511.83 Aetna — Medicare Managed Care Plan: $495.35 Blue Cross — Epo Exchange: $6,434.17 Blue Cross — Mcs Ppo: $9,257.90 Blue Cross — Nonmcs All Commercial Plans: $7,714.95 Unitedhealthcare — All Commercial Plans: $610.96 Unitedhealthcare — Select/Navigate Hmo: $610.96
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE	$15,477	$7,893.27	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	$10,970	$5,594.70	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	$123.56 – $341.37
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — All Commercial Plans: $159.48 Aetna — Medicare Managed Care Plan: $123.56 Blue Cross — Epo Exchange: $237.25 Blue Cross — Mcs Ppo: $341.37 Blue Cross — Nonmcs All Commercial Plans: $284.47 Unitedhealthcare — All Commercial Plans: $127.70 Unitedhealthcare — Select/Navigate Hmo: $127.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$2,013	$1,026.63	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$360	$183.60	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	$148.44 – $388.74
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna — All Commercial Plans: $323.24 Aetna — Medicare Managed Care Plan: $148.44 Blue Cross — Epo Exchange: $270.17 Blue Cross — Mcs Ppo: $388.74 Blue Cross — Nonmcs All Commercial Plans: $323.95 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$3,202	$1,633.02	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: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$416	$212.16	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	$338.78 – $5,211.95
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — All Commercial Plans: $2,511.83 Aetna — Medicare Managed Care Plan: $338.78 Blue Cross — Epo Exchange: $3,622.27 Blue Cross — Mcs Ppo: $5,211.95 Blue Cross — Nonmcs All Commercial Plans: $4,343.31 Unitedhealthcare — All Commercial Plans: $372.86 Unitedhealthcare — Select/Navigate Hmo: $372.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$17,729	$9,041.79	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	$4,291	$2,188.41	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	$249.04 – $2,876.14
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — All Commercial Plans: $1,923.54 Aetna — Medicare Managed Care Plan: $249.04 Blue Cross — Epo Exchange: $1,998.90 Blue Cross — Mcs Ppo: $2,876.14 Blue Cross — Nonmcs All Commercial Plans: $2,396.80 Unitedhealthcare — All Commercial Plans: $291.55 Unitedhealthcare — Select/Navigate Hmo: $291.55
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$10,579	$5,395.29	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	$3,707	$1,890.57	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	$338.78 – $4,683.91
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna — All Commercial Plans: $2,511.83 Aetna — Medicare Managed Care Plan: $338.78 Blue Cross — Epo Exchange: $3,255.28 Blue Cross — Mcs Ppo: $4,683.91 Blue Cross — Nonmcs All Commercial Plans: $3,903.28 Unitedhealthcare — All Commercial Plans: $372.86 Unitedhealthcare — Select/Navigate Hmo: $372.86
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$13,195	$6,729.45	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$4,291	$2,188.41	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	$495.35 – $2,936.60
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — All Commercial Plans: $2,036.46 Aetna — Medicare Managed Care Plan: $495.35 Blue Cross — Epo Exchange: $2,040.92 Blue Cross — Mcs Ppo: $2,936.60 Blue Cross — Nonmcs All Commercial Plans: $2,447.18 Unitedhealthcare — All Commercial Plans: $610.96 Unitedhealthcare — Select/Navigate Hmo: $610.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST	$9,314	$4,750.14	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	$3,784	$1,929.84	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	$148.44 – $839.23
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna — All Commercial Plans: $777.69 Aetna — Medicare Managed Care Plan: $148.44 Blue Cross — Epo Exchange: $583.26 Blue Cross — Mcs Ppo: $839.23 Blue Cross — Nonmcs All Commercial Plans: $699.36 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$4,886	$2,491.86	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$1,234	$629.34	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	$148.44 – $870.61
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Aetna — All Commercial Plans: $777.69 Aetna — Medicare Managed Care Plan: $148.44 Blue Cross — Epo Exchange: $605.07 Blue Cross — Mcs Ppo: $870.61 Blue Cross — Nonmcs All Commercial Plans: $725.51 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$4,615	$2,353.65	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$1,280	$652.80	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	$148.44 – $739.15
Transvaginal ultrasound: rates for 7 insurance plans Aetna — All Commercial Plans: $739.15 Aetna — Medicare Managed Care Plan: $148.44 Blue Cross — Epo Exchange: $452.76 Blue Cross — Mcs Ppo: $651.46 Blue Cross — Nonmcs All Commercial Plans: $542.88 Unitedhealthcare — All Commercial Plans: $179.33 Unitedhealthcare — Select/Navigate Hmo: $179.33
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$2,369	$1,208.19	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$958	$488.58	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 – $1,123.44
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — All Commercial Plans: $768.55 Blue Cross — Epo Exchange: $780.78 Blue Cross — Mcs Ppo: $1,123.44 Blue Cross — Nonmcs All Commercial Plans: $936.20 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	$787	$401.37	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$838	$427.38	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$192.86 – $1,438.22
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial Plans: $983.74 Blue Cross — Epo Exchange: $999.55 Blue Cross — Mcs Ppo: $1,438.22 Blue Cross — Nonmcs All Commercial Plans: $1,198.52 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	$1,126	$574.26	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$1,035	$527.85	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$159.95 – $1,187.79
Screening mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial Plans: $812.18 Blue Cross — Epo Exchange: $825.51 Blue Cross — Mcs Ppo: $1,187.79 Blue Cross — Nonmcs All Commercial Plans: $989.83 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	$915	$466.65	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	$915	$466.65	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	$120.15 – $397.33
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans Aetna — All Commercial Plans: $120.15 Blue Cross — Epo Exchange: $276.14 Blue Cross — Mcs Ppo: $397.33 Blue Cross — Nonmcs All Commercial Plans: $331.11
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$4,603.09 – $20,335
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — All Commercial Plans: $19,158 Aetna — Medicare Managed Care Plan: $4,603.09 Blue Cross — Epo Exchange: $12,563 Blue Cross — Mcs Ppo: $18,077 Blue Cross — Nonmcs All Commercial Plans: $15,064 Blue Shield — Epn Exchange: $16,692 Blue Shield — Hmo/Pos/Ppo: $20,335 Healthnet — Hmo/Pos/Ppo: $16,652 Unitedhealthcare — All Commercial Plans: $19,918 Unitedhealthcare — Select/Navigate Hmo: $17,909
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$20,387	$10,397.37	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	$9,256 – $35,965
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans Aetna — All Commercial Plans: $19,158 Aetna — Medicare Managed Care Plan: $11,074.44 Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Healthnet — Hmo/Pos/Ppo: $35,965 Unitedhealthcare — All Commercial Plans: $27,195 Unitedhealthcare — Select/Navigate Hmo: $24,453
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$21,892	$11,164.92	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	$12,563 – $113,226
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans Aetna — All Commercial Plans: $19,158 Aetna — Medicare Managed Care Plan: $37,112.14 Blue Cross — Epo Exchange: $12,563 Blue Cross — Mcs Ppo: $18,077 Blue Cross — Nonmcs All Commercial Plans: $15,064 Blue Shield — Epn Exchange: $16,692 Blue Shield — Hmo/Pos/Ppo: $20,335 Healthnet — Hmo/Pos/Ppo: $113,226 Unitedhealthcare — All Commercial Plans: $35,769 Unitedhealthcare — Select/Navigate Hmo: $32,162
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	$59,391	$30,289.41	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	$1,219.29 – $2,743.53
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans Aetna — All Commercial Plans: $1,791.93 Aetna — Medicare Managed Care Plan: $1,219.29 Blue Cross — Epo Exchange: $1,906.74 Blue Cross — Mcs Ppo: $2,743.53 Blue Cross — Nonmcs All Commercial Plans: $2,286.29

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	$30.47
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $30.47
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	$335	$170.85	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$278	$141.78	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	$121.46
Physical therapy evaluation (low complexity): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $121.46
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM	$502	$256.02	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	$502	$256.02	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
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $103.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM	$375	$191.25	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	$532	$271.32	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$121.47
Physical therapy evaluation (high complexity): rates for 1 insurance plan Aetna — Medicare Managed Care Plan: $121.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM	$562	$286.62	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	$562	$286.62	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$5,559.37 – $16,652
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — All Commercial Plans: $12,159 Aetna — Medicare Managed Care Plan: $5,559.37 Blue Cross — Epo Exchange: $7,745 Blue Cross — Mcs Ppo: $11,144 Blue Cross — Nonmcs All Commercial Plans: $9,287 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418 Healthnet — Hmo/Pos/Ppo: $16,652 Unitedhealthcare — All Commercial Plans: $11,781 Unitedhealthcare — Select/Navigate Hmo: $10,593
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	$8,552 – $62,607
Total hip replacement: rates for 10 insurance plans Aetna — All Commercial Plans: $15,790 Aetna — Medicare Managed Care Plan: $18,229.15 Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418 Healthnet — Hmo/Pos/Ppo: $62,607 Unitedhealthcare — All Commercial Plans: $35,769 Unitedhealthcare — Select/Navigate Hmo: $32,162
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	$8,552 – $62,607
Total knee replacement: rates for 10 insurance plans Aetna — All Commercial Plans: $15,790 Aetna — Medicare Managed Care Plan: $18,229.15 Blue Cross — Epo Exchange: $12,563 Blue Cross — Mcs Ppo: $18,077 Blue Cross — Nonmcs All Commercial Plans: $15,064 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418 Healthnet — Hmo/Pos/Ppo: $62,607 Unitedhealthcare — All Commercial Plans: $35,769 Unitedhealthcare — Select/Navigate Hmo: $32,162
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	$2,747 – $13,318
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Aetna — All Commercial Plans: $12,159 Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418 Unitedhealthcare — All Commercial Plans: $3,056 Unitedhealthcare — Select/Navigate Hmo: $2,747
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$4,645.79 – $19,918
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — All Commercial Plans: $17,369 Aetna — Medicare Managed Care Plan: $4,645.79 Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $10,575 Blue Shield — Hmo/Pos/Ppo: $12,882 Healthnet — Hmo/Pos/Ppo: $16,652 Unitedhealthcare — All Commercial Plans: $19,918 Unitedhealthcare — Select/Navigate Hmo: $17,909
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	$8,405.34 – $27,307
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — All Commercial Plans: $12,159 Aetna — Medicare Managed Care Plan: $8,405.34 Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418 Healthnet — Hmo/Pos/Ppo: $27,307 Unitedhealthcare — All Commercial Plans: $11,781 Unitedhealthcare — Select/Navigate Hmo: $10,593
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	$1,287.79 – $8,976
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — All Commercial Plans: $8,621 Aetna — Medicare Managed Care Plan: $1,287.79 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $5,592 Blue Shield — Hmo/Pos/Ppo: $6,812 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$3,141	$1,601.91	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	$1,287.79 – $9,175
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $1,287.79 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$3,141	$1,601.91	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	$1,320.41 – $9,175
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $1,320.41 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$3,162	$1,612.62	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	$1,699.06 – $9,175
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $1,699.06 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
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	$1,699.06 – $9,175
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $1,699.06 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
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	$1,699.06 – $9,175
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $1,699.06 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $5,592 Blue Shield — Hmo/Pos/Ppo: $6,812 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,320.41 – $9,175
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $1,320.41 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $1,727 Blue Shield — Hmo/Pos/Ppo: $2,104 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $4,800 Unitedhealthcare — Select/Navigate Hmo: $4,316
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	$8,583.81 – $27,307
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — All Commercial Plans: $19,345 Aetna — Medicare Managed Care Plan: $8,583.81 Blue Cross — Epo Exchange: $12,563 Blue Cross — Mcs Ppo: $18,077 Blue Cross — Nonmcs All Commercial Plans: $15,064 Blue Shield — Epn Exchange: $16,692 Blue Shield — Hmo/Pos/Ppo: $20,335 Healthnet — Hmo/Pos/Ppo: $27,307 Unitedhealthcare — All Commercial Plans: $27,195 Unitedhealthcare — Select/Navigate Hmo: $24,453
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	$5,083.67 – $19,918
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — All Commercial Plans: $17,369 Aetna — Medicare Managed Care Plan: $5,083.67 Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $10,575 Blue Shield — Hmo/Pos/Ppo: $12,882 Healthnet — Hmo/Pos/Ppo: $16,652 Unitedhealthcare — All Commercial Plans: $19,918 Unitedhealthcare — Select/Navigate Hmo: $17,909
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	$15,633	$7,972.83	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	$6,200 – $9,858
Prostate biopsy: rates for 9 insurance plans Aetna — All Commercial Plans: $9,175 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $9,858 Unitedhealthcare — All Commercial Plans: $8,291 Unitedhealthcare — Select/Navigate Hmo: $7,455
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE	$5,116	$2,609.16	Not listed in the file
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	$5,592 – $46,622
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans Aetna — All Commercial Plans: $19,345 Aetna — Medicare Managed Care Plan: $15,092.89 Blue Cross — Epo Exchange: $12,563 Blue Cross — Mcs Ppo: $18,077 Blue Cross — Nonmcs All Commercial Plans: $15,064 Blue Shield — Epn Exchange: $5,592 Blue Shield — Hmo/Pos/Ppo: $6,812 Healthnet — Hmo/Pos/Ppo: $46,622 Unitedhealthcare — All Commercial Plans: $35,769 Unitedhealthcare — Select/Navigate Hmo: $32,162
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$4,596.27 – $16,652
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — All Commercial Plans: $12,159 Aetna — Medicare Managed Care Plan: $4,596.27 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418 Healthnet — Hmo/Pos/Ppo: $16,652 Unitedhealthcare — All Commercial Plans: $11,781 Unitedhealthcare — Select/Navigate Hmo: $10,593
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	$1,002.25 – $8,976
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — All Commercial Plans: $8,621 Aetna — Medicare Managed Care Plan: $1,002.25 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $5,592 Blue Shield — Hmo/Pos/Ppo: $6,812 Healthnet — Hmo/Pos/Ppo: $3,331 Unitedhealthcare — All Commercial Plans: $4,800 Unitedhealthcare — Select/Navigate Hmo: $4,316
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	$7,107	$3,624.57	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	$7,107	$3,624.57	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	$1,255.83 – $8,976
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — All Commercial Plans: $8,621 Aetna — Medicare Managed Care Plan: $1,255.83 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $5,592 Blue Shield — Hmo/Pos/Ppo: $6,812 Healthnet — Hmo/Pos/Ppo: $6,127 Unitedhealthcare — All Commercial Plans: $4,800 Unitedhealthcare — Select/Navigate Hmo: $4,316
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	$11,806	$6,021.06	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,772.60 – $11,781
Carpal tunnel release: rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $2,772.60 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $9,858 Unitedhealthcare — All Commercial Plans: $11,781 Unitedhealthcare — Select/Navigate Hmo: $10,593
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$7,934	$4,046.34	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	$780.92 – $9,175
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — All Commercial Plans: $9,175 Aetna — Medicare Managed Care Plan: $780.92 Blue Cross — Epo Exchange: $6,200 Blue Cross — Mcs Ppo: $8,976 Blue Cross — Nonmcs All Commercial Plans: $7,480 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116 Healthnet — Hmo/Pos/Ppo: $3,331 Unitedhealthcare — All Commercial Plans: $4,800 Unitedhealthcare — Select/Navigate Hmo: $4,316
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$3,276.79 – $19,814
Cataract removal with lens implant: rates for 10 insurance plans Aetna — All Commercial Plans: $19,345 Aetna — Medicare Managed Care Plan: $3,276.79 Blue Cross — Epo Exchange: $12,563 Blue Cross — Mcs Ppo: $18,077 Blue Cross — Nonmcs All Commercial Plans: $15,064 Blue Shield — Epn Exchange: $16,265 Blue Shield — Hmo/Pos/Ppo: $19,814 Healthnet — Hmo/Pos/Ppo: $9,858 Unitedhealthcare — All Commercial Plans: $11,781 Unitedhealthcare — Select/Navigate Hmo: $10,593

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	$7,483 – $13,318
Vaginal delivery, with care before and after: rates for 5 insurance plans Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116
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	$8,552 – $13,318
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $8,552 Blue Shield — Hmo/Pos/Ppo: $10,418
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	$7,483 – $13,318
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans Blue Cross — Epo Exchange: $9,256 Blue Cross — Mcs Ppo: $13,318 Blue Cross — Nonmcs All Commercial Plans: $11,098 Blue Shield — Epn Exchange: $7,483 Blue Shield — Hmo/Pos/Ppo: $9,116

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	$4,455 – $437,346.48
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $437,346.48 Aetna — Medicare Managed Care Plan: $107,542.61 Blue Cross — Epo Exchange: $17,987 Blue Cross — Mcs Ppo: $25,880 Blue Cross — Medicare Managed Care Plan: $107,542.61 Blue Cross — Nonmcs All Commercial Plans: $21,567 Blue Shield — Epn Exchange: $200,894.16 Blue Shield — Hmo/Pos/Ppo: $242,645.85 Blue Shield — Medicare Managed Care Plan: $107,542.61 Cigna — All Commercial Plans: $4,455
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	$23,296 – $91,490.33
Spinal fusion (not neck), without major complications: rates for 6 insurance plans Blue Cross — Epo Exchange: $23,296 Blue Cross — Mcs Ppo: $33,520 Blue Cross — Nonmcs All Commercial Plans: $27,933 Blue Shield — Epn Exchange: $75,747.73 Blue Shield — Hmo/Pos/Ppo: $91,490.33 First Health/Coventry — First Health Ppo: 90% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$18,779 – $85,448.97
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $85,448.97 Aetna — Medicare Managed Care Plan: $21,615.60 Blue Cross — Medicare Managed Care Plan: $21,615.60 Blue Shield — Epn Exchange: $36,593.97 Blue Shield — Hmo/Pos/Ppo: $44,199.27 Blue Shield — Medicare Managed Care Plan: $21,615.60 Cigna — All Commercial Plans: $18,779 Cigna — Medicare Managed Care Plan: $21,615.60 Devoted Health — Medicare Managed Care Plan: $21,615.60 Healthnet — Hmo/Pos/Ppo: $38,145.55
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	$23,296 – $107,279.14
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $107,279.14 Aetna — Medicare Managed Care Plan: $27,221.60 Blue Cross — Epo Exchange: $23,296 Blue Cross — Mcs Ppo: $33,520 Blue Cross — Medicare Managed Care Plan: $27,221.60 Blue Cross — Nonmcs All Commercial Plans: $27,933 Blue Shield — Epn Exchange: $48,926.79 Blue Shield — Hmo/Pos/Ppo: $59,095.21 Blue Shield — Medicare Managed Care Plan: $27,221.60 Cigna — Medicare Managed Care Plan: $27,221.60
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	$13,727 – $54,319.35
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $54,319.35 Aetna — Medicare Managed Care Plan: $14,086.22 Blue Cross — Epo Exchange: $13,727 Blue Cross — Mcs Ppo: $19,751 Blue Cross — Medicare Managed Care Plan: $14,086.22 Blue Cross — Nonmcs All Commercial Plans: $16,459 Blue Shield — Epn Exchange: $21,809.23 Blue Shield — Hmo/Pos/Ppo: $26,341.83 Blue Shield — Medicare Managed Care Plan: $14,086.22 Cigna — Medicare Managed Care Plan: $14,086.22

Source: Providence Queen of the Valley 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	1000 Trancas St, Napa, CA 94558
County	Napa County
State	California
Phone	(707) 252‑4411
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050009
Name in Medicare records	PROVIDENCE QUEEN OF THE VALLEY 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 Queen of the Valley Medical Center — providence.org
About Us - Providence Queen of the Valley — providence.org
Visitor Information — providence.org
Recognition | Queen of the Valley Medical Center | Providence — providence.org
Emergency and Trauma | Queen of the Valley Medical Center | Providence — providence.org
For Patients and Visitors | Queen of the Valley Medical Center | Providence — providence.org
Departments | Queen of the Valley Medical Center | Providence — providence.org
Regional Orthopedic Center | Providence — providence.org
Neuroscience Center | Queen of the Valley Medical Center | Providence — providence.org