Does Santa Monica - UCLA Med Ctr & Orthopaedic Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Santa Monica - UCLA Med Ctr & Orthopaedic Hospital. In a medical emergency, call 911.

Where is Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?

1250 16th Street, Santa Monica, CA 90404, in Los Angeles County, California.

What is the phone number of Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?

(310) 319-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?

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

Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Quick answers

Does Santa Monica - UCLA Med Ctr & Orthopaedic Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Santa Monica - UCLA Med Ctr & Orthopaedic Hospital. In a medical emergency, call 911.
Where is Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?: 1250 16th Street, Santa Monica, CA 90404, in Los Angeles County, California.
What is the phone number of Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?: (310) 319-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[7][10][14]

Emergency medicine
Pediatric emergency care
General surgery
Geriatric medicine
Medical oncology
Spine care
Pediatrics
Obstetrics (BirthPlace maternity)
Neonatal intensive care
Orthopaedics

Conditions treated^[6][13][14]

Heart attack
Chest pain
Stroke
Breathing disorders
Bone and joint disorders
Spinal disorders
Bone cancer

Treatments^[12][13][15]

Hip replacement
Knee replacement
Spine surgery

Procedures^[18]

Echocardiogram
Exercise stress test
Vascular ultrasound studies
Nuclear medicine scans
EEG and evoked potential studies
Endoscopy (GI lab)

Programs and centers^{[4][6][10][14]}

The BirthPlace maternity center
Neonatal Intensive Care Unit
Pediatrics Unit (UCLA Mattel Children's Hospital)
Teen and Young Adult Cancer Program
UCLA Rape Treatment Center
STEMI receiving center
fastER fast-track emergency care
fastER fast-track for minor injuries and illnesses
Emergency Department Approved for Pediatrics (Nethercutt Emergency Center)
Pediatric Intensive Care Unit
Inpatient pediatrics unit (25 beds)
Chase Child Life Program
UCLA Breast Center Santa Monica
UCLA Spine Center
Fifty Plus Program
Orthopaedic Oncology Unit
Respiratory care services

Emergency care (hospital website)^[4][6]

Emergency room	Yes

Visiting and practical information

Visiting	Pediatric unit: two visitors at a time, one overnight visitor, children under 12 need a supervising adult^[10]
Parking	Medical building and structure parking plus metered street parking; valet at 1250 16th St. and 1225 15th St^[7]
Interpreters and languages	Free interpreter services; tell staff at the pre-admission call so one can be arranged (surgery center page)^[9]

Recognition^[8]

Primary Stroke Center (Joint Commission)

Doctors and clinicians (1,760)

1,760 doctors and other clinicians list Santa Monica - UCLA Med Ctr & Orthopaedic Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,736 more: the button below opens the full list.

Other emergency rooms nearby

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

Saint John's Health Center0.7 mi · Santa Monica, CA · Acute Care Hospital
VA Greater Los Angeles Healthcare System2.6 mi · Los Angeles, CA · Federal/VA Acute Care Hospital
Resnick Neuropsychiatric Hospital at UCLA3.5 mi · Los Angeles, CA · Psychiatric Hospital
Ronald Reagan UCLA Medical Center3.5 mi · Los Angeles, CA · Acute Care Hospital
Cedar-Sinai Marina del Rey Hospital4.1 mi · Marina del Rey, CA · Acute Care Hospital

Other hospitals nearby

California Rehabilitation Institute, LLC4.8 mi · Los Angeles, CA · Inpatient Rehabilitation 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

Beachwood Post-Acute & Rehab0.3 mi · Santa Monica, CA · 1 of 5 stars
Berkley West Healthcare Center0.4 mi · Santa Monica, CA · 3 of 5 stars
Pacific Post Acute0.4 mi · Santa Monica, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Elevate Hospice Care, Inc.2.6 mi · Los Angeles, CA
First Serenity Hospice, Inc.2.6 mi · Los Angeles, CA
Hospice of Nation, Inc3.5 mi · Los Angeles, CA

All hospice providers in the state →

Home health agencies

A Plus Care, LLC2.6 mi · Los Angeles, CA
Absolute Home Health Agency, Inc2.6 mi · Los Angeles, CA · 3 of 5 stars
Danny's Home Health Care, Inc2.6 mi · Los Angeles, CA

All home health agencies in the state →

Dialysis facilities

DaVita Santa Monica Dialysis0.7 mi · Santa Monica, CA · 3 of 5 stars
DaVita Brentwood Home Training2.6 mi · Los Angeles, CA
DaVita Century City Dialysis Center2.6 mi · Los Angeles, CA · 2 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.

Directed Interventational Surg0.4 mi · Santa Monica, CA
Source Surgery Center, LLC0.4 mi · Santa Monica, CA
Surgery Center of the Pacific0.4 mi · Santa Monica, 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

Venice Family Clinic at the People Concern Annenberg Access Center0.9 mi · Santa Monica, CA · Community health center
Venice Family Clinic Annenberg Access Center - The People's Concern1.0 mi · Santa Monica, CA · Community health center
Santa Monica College1.1 mi · Santa Monica, CA · Community health center

Clinics and urgent care

Anaheim Urgent Care, Inc.0.9 mi · Santa Monica, CA · Urgent care center
Anaheim Urgent Care, Inc2.6 mi · Los Angeles, CA · Urgent care center
Emergency Physicians Urgent Care Inc.2.6 mi · Los Angeles, CA · Urgent care center

Pharmacies

Antar Corp0.4 mi · Santa Monica, CA · Community/retail pharmacy
Ascot Pharmacy Corp0.4 mi · Santa Monica, CA · Community/retail pharmacy
Longs Drug Stores California LLC0.4 mi · Santa Monica, CA · Pharmacy

Assisted living nearby

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

Bentley Suites0.4 mi · Santa Monica, CA
Brookdale Santa Monica Gardens0.4 mi · Santa Monica, CA
Santa Monica Home & Care 10.4 mi · Santa Monica, CA
Santa Monica Home & Care 20.4 mi · Santa Monica, 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 Santa Monica - UCLA Med Ctr & Orthopaedic Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	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	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	3 of 5 stars
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	75%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	56%National average: 60%
Completed surveys	639Response rate: 19%

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)	1.479No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.902No different from the national benchmark
Surgical site infections after colon surgery	0.274No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.612No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.667Better 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	11.4%
Deaths within 30 days: heart failure patients	7.1%
Deaths within 30 days: pneumonia patients	9.4%
Deaths within 30 days: COPD patients	6.8%
Deaths within 30 days: stroke patients	10.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.03No different from the national rate
Complications after hip or knee replacement	4%

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	14.5%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	224 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)	76%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 Santa Monica Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as Santa Monica - UCLA Med Ctr & Orthopaedic Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$57.20
New patient office visit (about 30–44 minutes): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $57.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$68.90
New patient office visit (about 45–59 minutes): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $68.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$82.70
New patient office visit (about 60–74 minutes): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $82.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$24
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$37.50
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $37.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$59.50
Office consultation with a specialist (moderate): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $59.50
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$81.40
Office consultation with a specialist (moderate to high): rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $81.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$114.10
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $114.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$132.20
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $132.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$7.27 – $24.28
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $8.46 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $14.05 Anthem Vivity-Anthem HMO — All Products-HMO: $12.51 Blue Shield — Medicare Advantage: $8.46 Centivo — PPO: $20.30 Central Health Plan — Medicare HMO: $10.15 Health Plan of Nevada Commercial — All Products: $23.35 Health Plan of Nevada Medicare — Medicare: $8.46 HealthSmart — Workers Compensation: $10.15 LA Care Covered CA — HMO: $11.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$9.28 – $30.31
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $10.56 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $17.54 Anthem Vivity-Anthem HMO — All Products-HMO: $15.62 Blue Shield — Medicare Advantage: $10.56 Centivo — PPO: $25.34 Central Health Plan — Medicare HMO: $12.67 Health Plan of Nevada Commercial — All Products: $29.15 Health Plan of Nevada Medicare — Medicare: $10.56 HealthSmart — Workers Compensation: $12.67 LA Care Covered CA — HMO: $14.78
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$35.83 – $137.21
Obstetric blood test panel: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $47.81 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $79.42 Anthem Vivity-Anthem HMO — All Products-HMO: $70.72 Blue Shield — Medicare Advantage: $47.81 Centivo — PPO: $114.74 Central Health Plan — Medicare HMO: $57.37 Health Plan of Nevada Commercial — All Products: $131.96 Health Plan of Nevada Medicare — Medicare: $47.81 HealthSmart — Workers Compensation: $57.37 LA Care Covered CA — HMO: $66.93
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$11.54 – $38.43
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $13.39 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $22.24 Anthem Vivity-Anthem HMO — All Products-HMO: $19.81 Blue Shield — Medicare Advantage: $13.39 Centivo — PPO: $32.14 Central Health Plan — Medicare HMO: $16.07 Health Plan of Nevada Commercial — All Products: $36.96 Health Plan of Nevada Medicare — Medicare: $13.39 HealthSmart — Workers Compensation: $16.07 LA Care Covered CA — HMO: $18.75
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.60 – $24.91
Kidney function panel: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $8.68 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $14.42 Anthem Vivity-Anthem HMO — All Products-HMO: $12.84 Blue Shield — Medicare Advantage: $8.68 Centivo — PPO: $20.83 Central Health Plan — Medicare HMO: $10.42 Health Plan of Nevada Commercial — All Products: $23.96 Health Plan of Nevada Medicare — Medicare: $8.68 HealthSmart — Workers Compensation: $10.42 LA Care Covered CA — HMO: $12.15
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$6.38 – $23.45
Liver function panel: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $8.17 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $13.57 Anthem Vivity-Anthem HMO — All Products-HMO: $12.08 Blue Shield — Medicare Advantage: $8.17 Centivo — PPO: $19.61 Central Health Plan — Medicare HMO: $9.80 Health Plan of Nevada Commercial — All Products: $22.55 Health Plan of Nevada Medicare — Medicare: $8.17 HealthSmart — Workers Compensation: $9.80 LA Care Covered CA — HMO: $11.44
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.77 – $9.10
Urine test (automated, with microscope): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $3.17 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $5.27 Anthem Vivity-Anthem HMO — All Products-HMO: $4.69 Blue Shield — Medicare Advantage: $3.17 Centivo — PPO: $7.61 Central Health Plan — Medicare HMO: $3.80 Health Plan of Nevada Commercial — All Products: $8.75 Health Plan of Nevada Medicare — Medicare: $3.17 HealthSmart — Workers Compensation: $3.80 LA Care Covered CA — HMO: $4.44
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.96 – $6.46
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $2.25 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $3.74 Anthem Vivity-Anthem HMO — All Products-HMO: $3.33 Blue Shield — Medicare Advantage: $2.25 Centivo — PPO: $5.40 Central Health Plan — Medicare HMO: $2.70 Health Plan of Nevada Commercial — All Products: $6.21 Health Plan of Nevada Medicare — Medicare: $2.25 HealthSmart — Workers Compensation: $2.70 LA Care Covered CA — HMO: $3.15
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$16.35 – $52.78
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $18.39 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $30.55 Anthem Vivity-Anthem HMO — All Products-HMO: $27.20 Blue Shield — Medicare Advantage: $18.39 Centivo — PPO: $44.14 Central Health Plan — Medicare HMO: $22.07 Health Plan of Nevada Commercial — All Products: $50.76 Health Plan of Nevada Medicare — Medicare: $18.39 HealthSmart — Workers Compensation: $22.07 LA Care Covered CA — HMO: $25.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$14.76 – $48.22
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $16.80 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $27.91 Anthem Vivity-Anthem HMO — All Products-HMO: $24.85 Blue Shield — Medicare Advantage: $16.80 Centivo — PPO: $40.32 Central Health Plan — Medicare HMO: $20.16 Health Plan of Nevada Commercial — All Products: $46.37 Health Plan of Nevada Medicare — Medicare: $16.80 HealthSmart — Workers Compensation: $20.16 LA Care Covered CA — HMO: $23.52
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$6.75 – $22.30
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $7.77 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $12.91 Anthem Vivity-Anthem HMO — All Products-HMO: $11.49 Blue Shield — Medicare Advantage: $7.77 Centivo — PPO: $18.65 Central Health Plan — Medicare HMO: $9.32 Health Plan of Nevada Commercial — All Products: $21.45 Health Plan of Nevada Medicare — Medicare: $7.77 HealthSmart — Workers Compensation: $9.32 LA Care Covered CA — HMO: $10.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$5.71 – $18.57
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $6.47 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $10.75 Anthem Vivity-Anthem HMO — All Products-HMO: $9.57 Blue Shield — Medicare Advantage: $6.47 Centivo — PPO: $15.53 Central Health Plan — Medicare HMO: $7.76 Health Plan of Nevada Commercial — All Products: $17.86 Health Plan of Nevada Medicare — Medicare: $6.47 HealthSmart — Workers Compensation: $7.76 LA Care Covered CA — HMO: $9.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.49 – $12.31
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $4.29 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $7.13 Anthem Vivity-Anthem HMO — All Products-HMO: $6.35 Blue Shield — Medicare Advantage: $4.29 Centivo — PPO: $10.30 Central Health Plan — Medicare HMO: $5.15 Health Plan of Nevada Commercial — All Products: $11.84 Health Plan of Nevada Medicare — Medicare: $4.29 HealthSmart — Workers Compensation: $5.15 LA Care Covered CA — HMO: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.34 – $18.57
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $6.01 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $9.98 Anthem Vivity-Anthem HMO — All Products-HMO: $8.89 Blue Shield — Medicare Advantage: $6.01 Centivo — PPO: $14.42 Central Health Plan — Medicare HMO: $7.21 Health Plan of Nevada Commercial — All Products: $16.59 Health Plan of Nevada Medicare — Medicare: $6.01 HealthSmart — Workers Compensation: $7.21 LA Care Covered CA — HMO: $8.41

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$101.27 – $385.91
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $134.46 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $165.21 Anthem Vivity-Anthem HMO — All Products-HMO: $147.23 Blue Shield — Medicare Advantage: $135.12 Centivo — PPO: $322.71 Central Health Plan — Medicare HMO: $164.84 Health Plan of Nevada Commercial — All Products: $374.57 Health Plan of Nevada Medicare — Medicare: $135.71 HealthSmart — Workers Compensation: $161.36 LA Care Covered CA — HMO: $192.31
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$311.06 – $1,287.80
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $448.71 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $554.83 Anthem Vivity-Anthem HMO — All Products-HMO: $494.43 Blue Shield — Medicare Advantage: $453.77 Centivo — PPO: $1,076.90 Central Health Plan — Medicare HMO: $576.60 Health Plan of Nevada Commercial — All Products: $1,249.95 Health Plan of Nevada Medicare — Medicare: $452.88 HealthSmart — Workers Compensation: $538.45 LA Care Covered CA — HMO: $672.70
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$27.48 – $321.24
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $111.93 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $136.78 Anthem Vivity-Anthem HMO — All Products-HMO: $121.89 Blue Shield — Medicare Advantage: $111.88 Centivo — PPO: $268.63 Central Health Plan — Medicare HMO: $136.24 Health Plan of Nevada Commercial — All Products: $311.79 Health Plan of Nevada Medicare — Medicare: $112.97 HealthSmart — Workers Compensation: $134.31 LA Care Covered CA — HMO: $158.95
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$43.85 – $385.91
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $134.46 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $165.21 Anthem Vivity-Anthem HMO — All Products-HMO: $147.23 Blue Shield — Medicare Advantage: $135.12 Centivo — PPO: $322.71 Central Health Plan — Medicare HMO: $164.84 Health Plan of Nevada Commercial — All Products: $374.57 Health Plan of Nevada Medicare — Medicare: $135.71 HealthSmart — Workers Compensation: $161.36 LA Care Covered CA — HMO: $192.31
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$186 – $880.75
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $306.88 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $375.53 Anthem Vivity-Anthem HMO — All Products-HMO: $334.65 Blue Shield — Medicare Advantage: $307.13 Centivo — PPO: $736.52 Central Health Plan — Medicare HMO: $367.39 Health Plan of Nevada Commercial — All Products: $854.87 Health Plan of Nevada Medicare — Medicare: $309.73 HealthSmart — Workers Compensation: $368.26 LA Care Covered CA — HMO: $428.62
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$204.45 – $647.46
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $225.59 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $276.56 Anthem Vivity-Anthem HMO — All Products-HMO: $246.46 Blue Shield — Medicare Advantage: $226.19 Centivo — PPO: $541.43 Central Health Plan — Medicare HMO: $275.48 Health Plan of Nevada Commercial — All Products: $628.43 Health Plan of Nevada Medicare — Medicare: $227.69 HealthSmart — Workers Compensation: $270.71 LA Care Covered CA — HMO: $321.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$196.92 – $880.75
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $306.88 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $375.53 Anthem Vivity-Anthem HMO — All Products-HMO: $334.65 Blue Shield — Medicare Advantage: $307.13 Centivo — PPO: $736.52 Central Health Plan — Medicare HMO: $367.39 Health Plan of Nevada Commercial — All Products: $854.87 Health Plan of Nevada Medicare — Medicare: $309.73 HealthSmart — Workers Compensation: $368.26 LA Care Covered CA — HMO: $428.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$281.80 – $1,287.80
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $448.71 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $554.83 Anthem Vivity-Anthem HMO — All Products-HMO: $494.43 Blue Shield — Medicare Advantage: $453.77 Centivo — PPO: $1,076.90 Central Health Plan — Medicare HMO: $576.60 Health Plan of Nevada Commercial — All Products: $1,249.95 Health Plan of Nevada Medicare — Medicare: $452.88 HealthSmart — Workers Compensation: $538.45 LA Care Covered CA — HMO: $672.70
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$83.20 – $385.91
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $134.46 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $165.21 Anthem Vivity-Anthem HMO — All Products-HMO: $147.23 Blue Shield — Medicare Advantage: $135.12 Centivo — PPO: $322.71 Central Health Plan — Medicare HMO: $164.84 Health Plan of Nevada Commercial — All Products: $374.57 Health Plan of Nevada Medicare — Medicare: $135.71 HealthSmart — Workers Compensation: $161.36 LA Care Covered CA — HMO: $192.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$94.32 – $385.91
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $134.46 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $165.21 Anthem Vivity-Anthem HMO — All Products-HMO: $147.23 Blue Shield — Medicare Advantage: $135.12 Centivo — PPO: $322.71 Central Health Plan — Medicare HMO: $164.84 Health Plan of Nevada Commercial — All Products: $374.57 Health Plan of Nevada Medicare — Medicare: $135.71 HealthSmart — Workers Compensation: $161.36 LA Care Covered CA — HMO: $192.31
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$67.65 – $385.91
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $134.46 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $165.21 Anthem Vivity-Anthem HMO — All Products-HMO: $147.23 Blue Shield — Medicare Advantage: $135.12 Centivo — PPO: $322.71 Central Health Plan — Medicare HMO: $164.84 Health Plan of Nevada Commercial — All Products: $374.57 Health Plan of Nevada Medicare — Medicare: $135.71 HealthSmart — Workers Compensation: $161.36 LA Care Covered CA — HMO: $192.31
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$117.08 – $482.48
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates Aetna Medicare — Medicare: $168.11 Blue Shield — Medicare Advantage: $164.52 Centivo — PPO: $403.46 Central Health Plan — Medicare HMO: $199.63 Health Plan of Nevada Commercial — All Products: $463.98 Health Plan of Nevada Medicare — Medicare: $168.11 HealthSmart — Workers Compensation: $201.73 LA Care Covered CA — HMO: $232.90 LA Care DSNP — Medicare HMO: $164.52 LA care Medi-Cal HMO — Medi-Cal HMO: $117.08
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$148.03 – $611.54
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates Aetna Medicare — Medicare: $213.08 Blue Shield — Medicare Advantage: $207.95 Centivo — PPO: $511.39 Central Health Plan — Medicare HMO: $252.83 Health Plan of Nevada Commercial — All Products: $588.10 Health Plan of Nevada Medicare — Medicare: $213.08 HealthSmart — Workers Compensation: $255.70 LA Care Covered CA — HMO: $294.97 LA Care DSNP — Medicare HMO: $207.95 LA care Medi-Cal HMO — Medi-Cal HMO: $148.03
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$119.45 – $494.62
Screening mammogram, both breasts: 10 of 20 insurance plan rates Aetna Medicare — Medicare: $172.34 Blue Shield — Medicare Advantage: $169.06 Centivo — PPO: $413.62 Central Health Plan — Medicare HMO: $204.79 Health Plan of Nevada Commercial — All Products: $475.66 Health Plan of Nevada Medicare — Medicare: $172.34 HealthSmart — Workers Compensation: $206.81 LA Care Covered CA — HMO: $238.92 LA Care DSNP — Medicare HMO: $169.06 LA care Medi-Cal HMO — Medi-Cal HMO: $119.45

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$28.70
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan LA care Medi-Cal HMO — Medi-Cal HMO: $28.70
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$762.86 – $11,966.94
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $4,169.67 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $4,996.92 Anthem Vivity-Anthem HMO — All Products-HMO: $4,452.96 Blue Shield — Medicare Advantage: $4,086.77 Centivo — PPO: $10,007.20 Central Health Plan — Medicare HMO: $4,885.63 Health Plan of Nevada Commercial — All Products: $11,615.23 Health Plan of Nevada Medicare — Medicare: $4,208.42 HealthSmart — Workers Compensation: $5,003.60 LA Care Covered CA — HMO: $5,699.90
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$596.46 – $28,790.89
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $10,031.67 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $11,788.63 Anthem Vivity-Anthem HMO — All Products-HMO: $10,505.35 Blue Shield — Medicare Advantage: $9,641.44 Centivo — PPO: $24,076.01 Central Health Plan — Medicare HMO: $11,197.20 Health Plan of Nevada Commercial — All Products: $27,944.73 Health Plan of Nevada Medicare — Medicare: $10,124.90 HealthSmart — Workers Compensation: $12,038 LA Care Covered CA — HMO: $13,063.40
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$880.47 – $96,482.66
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $33,617.65 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $38,112.57 Anthem Vivity-Anthem HMO — All Products-HMO: $33,963.74 Blue Shield — Medicare Advantage: $31,170.74 Centivo — PPO: $80,682.37 Central Health Plan — Medicare HMO: $35,609.47 Health Plan of Nevada Commercial — All Products: $93,647.05 Health Plan of Nevada Medicare — Medicare: $33,930.09 HealthSmart — Workers Compensation: $40,341.18 LA Care Covered CA — HMO: $41,544.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$348.07 – $3,169.87
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna Medicare — Medicare: $1,104.48 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,580.59 Anthem Vivity-Anthem HMO — All Products-HMO: $1,408.53 Blue Shield — Medicare Advantage: $1,292.70 Centivo — PPO: $2,650.76 Central Health Plan — Medicare HMO: $1,567.60 Health Plan of Nevada Commercial — All Products: $3,076.71 Health Plan of Nevada Medicare — Medicare: $1,114.75 HealthSmart — Workers Compensation: $1,325.38 LA Care Covered CA — HMO: $1,828.86

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$10.96 – $107.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna Medicare — Medicare: $37.31 Blue Shield — Medicare Advantage: $37.06 Centivo — PPO: $89.54 Central Health Plan — Medicare HMO: $44.59 Health Plan of Nevada Commercial — All Products: $102.98 Health Plan of Nevada Medicare — Medicare: $37.31 HealthSmart — Workers Compensation: $44.77 LA Care Covered CA — HMO: $52.02 LA Care DSNP — Medicare HMO: $37.06 LA care Medi-Cal HMO — Medi-Cal HMO: $10.96
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$126.19 – $362.85
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates Aetna Medicare — Medicare: $126.43 Blue Shield — Medicare Advantage: $126.19 Centivo — PPO: $303.43 Central Health Plan — Medicare HMO: $152.44 Health Plan of Nevada Commercial — All Products: $348.95 Health Plan of Nevada Medicare — Medicare: $126.43 HealthSmart — Workers Compensation: $151.72 LA Care Covered CA — HMO: $177.84 LA Care DSNP — Medicare HMO: $126.19 Monarch — Medicare: $126.19
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$126.19 – $362.85
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates Aetna Medicare — Medicare: $126.43 Blue Shield — Medicare Advantage: $126.19 Centivo — PPO: $303.43 Central Health Plan — Medicare HMO: $152.44 Health Plan of Nevada Commercial — All Products: $348.95 Health Plan of Nevada Medicare — Medicare: $126.43 HealthSmart — Workers Compensation: $151.72 LA Care Covered CA — HMO: $177.84 LA Care DSNP — Medicare HMO: $126.19 Monarch — Medicare: $126.19
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$126.19 – $362.85
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna Medicare — Medicare: $126.43 Blue Shield — Medicare Advantage: $126.19 Centivo — PPO: $303.43 Central Health Plan — Medicare HMO: $152.44 Health Plan of Nevada Commercial — All Products: $348.95 Health Plan of Nevada Medicare — Medicare: $126.43 HealthSmart — Workers Compensation: $151.72 LA Care Covered CA — HMO: $177.84 LA Care DSNP — Medicare HMO: $126.19 LA care Medi-Cal HMO — Medi-Cal HMO: $135.56
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$52.87 – $655.19
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $228.29 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $249.62 Anthem Vivity-Anthem HMO — All Products-HMO: $222.44 Blue Shield — Medicare Advantage: $204.15 Centivo — PPO: $547.89 Central Health Plan — Medicare HMO: $239.05 Health Plan of Nevada Commercial — All Products: $635.93 Health Plan of Nevada Medicare — Medicare: $230.41 HealthSmart — Workers Compensation: $273.95 LA Care Covered CA — HMO: $278.89
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$67.16 – $655.19
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $228.29 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $249.62 Anthem Vivity-Anthem HMO — All Products-HMO: $222.44 Blue Shield — Medicare Advantage: $204.15 Centivo — PPO: $547.89 Central Health Plan — Medicare HMO: $239.05 Health Plan of Nevada Commercial — All Products: $635.93 Health Plan of Nevada Medicare — Medicare: $230.41 HealthSmart — Workers Compensation: $273.95 LA Care Covered CA — HMO: $278.89
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$98.02 – $655.19
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $228.29 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $249.62 Anthem Vivity-Anthem HMO — All Products-HMO: $222.44 Blue Shield — Medicare Advantage: $204.15 Centivo — PPO: $547.89 Central Health Plan — Medicare HMO: $239.05 Health Plan of Nevada Commercial — All Products: $635.93 Health Plan of Nevada Medicare — Medicare: $230.41 HealthSmart — Workers Compensation: $273.95 LA Care Covered CA — HMO: $278.89
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$86.64 – $655.19
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $228.29 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $249.62 Anthem Vivity-Anthem HMO — All Products-HMO: $222.44 Blue Shield — Medicare Advantage: $204.15 Centivo — PPO: $547.89 Central Health Plan — Medicare HMO: $239.05 Health Plan of Nevada Commercial — All Products: $635.93 Health Plan of Nevada Medicare — Medicare: $230.41 HealthSmart — Workers Compensation: $273.95 LA Care Covered CA — HMO: $278.89
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$51 – $655.19
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $228.29 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $249.62 Anthem Vivity-Anthem HMO — All Products-HMO: $222.44 Blue Shield — Medicare Advantage: $204.15 Centivo — PPO: $547.89 Central Health Plan — Medicare HMO: $239.05 Health Plan of Nevada Commercial — All Products: $635.93 Health Plan of Nevada Medicare — Medicare: $230.41 HealthSmart — Workers Compensation: $273.95 LA Care Covered CA — HMO: $278.89
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$23.96 – $375
Group psychotherapy: 10 of 22 insurance plan rates Aetna Medicare — Medicare: $130.66 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $143.71 Anthem Vivity-Anthem HMO — All Products-HMO: $128.07 Blue Shield — Medicare Advantage: $117.53 Centivo — PPO: $313.59 Central Health Plan — Medicare HMO: $133.65 Health Plan of Nevada Commercial — All Products: $363.98 Health Plan of Nevada Medicare — Medicare: $131.88 HealthSmart — Workers Compensation: $156.79 LA Care Covered CA — HMO: $155.92

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$4,865.48 – $14,453.04
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Aetna Medicare — Medicare: $5,035.90 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $5,949.05 Anthem Vivity-Anthem HMO — All Products-HMO: $5,301.45 Blue Shield — All Products: $7,998.44 Blue Shield — EPN: $5,997.45 Blue Shield — Medicare Advantage: $4,865.48 Centivo — PPO: $12,086.17 Central Health Plan — Medicare HMO: $5,715.01 Health Plan of Nevada Commercial — All Products: $14,028.27 Health Plan of Nevada Medicare — Medicare: $5,082.70
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$5,997.45 – $47,391.42
Total hip replacement: 10 of 24 insurance plan rates Aetna Medicare — Medicare: $16,512.69 Anthem Blue Cross — All Products: $13,417 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $19,989.46 Anthem Vivity-Anthem HMO — All Products-HMO: $17,813.46 Blue Shield — All Products: $7,998.44 Blue Shield — EPN: $5,997.45 Blue Shield — Medicare Advantage: $16,348.58 Centivo — PPO: $39,630.45 Central Health Plan — Medicare HMO: $19,732.76 Health Plan of Nevada Commercial — All Products: $45,998.59
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$5,997.45 – $47,391.42
Total knee replacement: 10 of 24 insurance plan rates Aetna Medicare — Medicare: $16,512.69 Anthem Blue Cross — All Products: $20,265 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $19,989.46 Anthem Vivity-Anthem HMO — All Products-HMO: $17,813.46 Blue Shield — All Products: $7,998.44 Blue Shield — EPN: $5,997.45 Blue Shield — Medicare Advantage: $16,348.58 Centivo — PPO: $39,630.45 Central Health Plan — Medicare HMO: $19,732.76 Health Plan of Nevada Commercial — All Products: $45,998.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$4,122.60 – $12,077.93
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates Aetna Medicare — Medicare: $4,208.34 Anthem Blue Cross — All Products: $11,883 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $5,040.72 Anthem Vivity-Anthem HMO — All Products-HMO: $4,492 Blue Shield — All Products: $9,890.38 Blue Shield — EPN: $7,416.07 Blue Shield — Medicare Advantage: $4,122.60 Centivo — PPO: $10,100.01 Central Health Plan — Medicare HMO: $4,853.05 Health Plan of Nevada Commercial — All Products: $11,722.96
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$4,120.64 – $21,851.86
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Aetna Medicare — Medicare: $7,613.89 Anthem Blue Cross — All Products: $11,883 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $9,190.37 Anthem Vivity-Anthem HMO — All Products-HMO: $8,189.93 Blue Shield — EPN: $8,431.03 Blue Shield — Medicare Advantage: $7,516.44 Centivo — PPO: $18,273.34 Central Health Plan — Medicare HMO: $8,780.28 Health Plan of Nevada Commercial — All Products: $21,209.64 Health Plan of Nevada Medicare — Medicare: $7,684.65
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$1,166.53 – $3,347.95
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,166.53 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,456.56 Anthem Vivity-Anthem HMO — All Products-HMO: $1,298 Blue Shield — Medicare Advantage: $1,191.26 Centivo — PPO: $2,799.68 Central Health Plan — Medicare HMO: $1,359.11 Health Plan of Nevada Commercial — All Products: $3,249.56 Health Plan of Nevada Medicare — Medicare: $1,177.38 HealthSmart — Workers Compensation: $1,399.84 LA Care Covered CA — HMO: $1,585.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$1,166.53 – $3,347.95
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,166.53 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,456.56 Anthem Vivity-Anthem HMO — All Products-HMO: $1,298 Blue Shield — Medicare Advantage: $1,191.26 Centivo — PPO: $2,799.68 Central Health Plan — Medicare HMO: $1,359.11 Health Plan of Nevada Commercial — All Products: $3,249.56 Health Plan of Nevada Medicare — Medicare: $1,177.38 HealthSmart — Workers Compensation: $1,399.84 LA Care Covered CA — HMO: $1,585.63
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$1,158.42 – $6,998.63
Colonoscopy (diagnostic): 10 of 24 insurance plan rates Aetna Medicare — Medicare: $1,196.08 Anthem Blue Cross — All Products: $5,326 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,416.40 Anthem Vivity-Anthem HMO — All Products-HMO: $1,262.21 Blue Shield — All Products: $6,998.63 Blue Shield — EPN: $5,247.77 Blue Shield — Medicare Advantage: $1,158.42 Centivo — PPO: $2,870.59 Central Health Plan — Medicare HMO: $1,370.31 Health Plan of Nevada Commercial — All Products: $3,331.86
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,498.14 – $4,417.16
Colonoscopy with biopsy: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,539.08 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,831.78 Anthem Vivity-Anthem HMO — All Products-HMO: $1,632.38 Blue Shield — Medicare Advantage: $1,498.14 Centivo — PPO: $3,693.79 Central Health Plan — Medicare HMO: $1,769.30 Health Plan of Nevada Commercial — All Products: $4,287.34 Health Plan of Nevada Medicare — Medicare: $1,553.38 HealthSmart — Workers Compensation: $1,846.90 LA Care Covered CA — HMO: $2,064.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,498.14 – $6,998.63
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates Aetna Medicare — Medicare: $1,539.08 Anthem Blue Cross — All Products: $5,326 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,831.78 Anthem Vivity-Anthem HMO — All Products-HMO: $1,632.38 Blue Shield — All Products: $6,998.63 Blue Shield — EPN: $5,247.77 Blue Shield — Medicare Advantage: $1,498.14 Centivo — PPO: $3,693.79 Central Health Plan — Medicare HMO: $1,769.30 Health Plan of Nevada Commercial — All Products: $4,287.34
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,498.14 – $4,417.16
Ultrasound of the lower bowel by endoscope: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,539.08 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,831.78 Anthem Vivity-Anthem HMO — All Products-HMO: $1,632.38 Blue Shield — Medicare Advantage: $1,498.14 Centivo — PPO: $3,693.79 Central Health Plan — Medicare HMO: $1,769.30 Health Plan of Nevada Commercial — All Products: $4,287.34 Health Plan of Nevada Medicare — Medicare: $1,553.38 HealthSmart — Workers Compensation: $1,846.90 LA Care Covered CA — HMO: $2,064.19
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,158.42 – $3,432.75
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,196.08 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,416.40 Anthem Vivity-Anthem HMO — All Products-HMO: $1,262.21 Blue Shield — Medicare Advantage: $1,158.42 Centivo — PPO: $2,870.59 Central Health Plan — Medicare HMO: $1,370.31 Health Plan of Nevada Commercial — All Products: $3,331.86 Health Plan of Nevada Medicare — Medicare: $1,207.20 HealthSmart — Workers Compensation: $1,435.30 LA Care Covered CA — HMO: $1,598.70
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$7,413.14 – $22,315.85
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates Aetna Medicare — Medicare: $7,775.56 Anthem Blue Cross — All Products: $20,265 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $9,064.07 Anthem Vivity-Anthem HMO — All Products-HMO: $8,077.38 Blue Shield — All Products: $15,612.33 Blue Shield — EPN: $11,706.55 Blue Shield — Medicare Advantage: $7,413.14 Centivo — PPO: $18,661.34 Central Health Plan — Medicare HMO: $8,651.05 Health Plan of Nevada Commercial — All Products: $21,659.99
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$4,484.02 – $13,216.33
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates Aetna Medicare — Medicare: $4,604.99 Anthem Blue Cross — All Products: $11,883 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $5,482.63 Anthem Vivity-Anthem HMO — All Products-HMO: $4,885.81 Blue Shield — All Products: $9,890.38 Blue Shield — EPN: $7,416.07 Blue Shield — Medicare Advantage: $4,484.02 Centivo — PPO: $11,051.98 Central Health Plan — Medicare HMO: $5,187.15 Health Plan of Nevada Commercial — All Products: $12,827.90
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$2,602.84 – $3,562.81
Prostate biopsy: 10 of 11 insurance plan rates Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $3,182.49 Anthem Vivity-Anthem HMO — All Products-HMO: $2,836.05 Blue Shield — Medicare Advantage: $2,602.84 Central Health Plan — Medicare HMO: $3,053.84 LA Care Covered CA — HMO: $3,562.81 LA Care DSNP — Medicare HMO: $2,602.84 Monarch — Medicare: $2,602.84 Providence Healthcare — Medicare: $2,863.12 SCAN — Medicare: $3,513.83 Torrance Memorial Medicare — HMO-Medicare: $2,863.12
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$13,228.50 – $39,237.90
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates Aetna Medicare — Medicare: $13,671.74 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $16,174.53 Anthem Vivity-Anthem HMO — All Products-HMO: $14,413.81 Blue Shield — Medicare Advantage: $13,228.50 Centivo — PPO: $32,812.18 Central Health Plan — Medicare HMO: $15,433.57 Health Plan of Nevada Commercial — All Products: $38,084.70 Health Plan of Nevada Medicare — Medicare: $13,798.80 HealthSmart — Workers Compensation: $16,406.09 LA Care Covered CA — HMO: $18,005.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$4,039.91 – $11,949.20
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates Aetna Medicare — Medicare: $4,163.48 Anthem Blue Cross — All Products: $6,925 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $4,939.61 Anthem Vivity-Anthem HMO — All Products-HMO: $4,401.89 Blue Shield — All Products: $7,998.44 Blue Shield — EPN: $5,997.45 Blue Shield — Medicare Advantage: $4,039.91 Centivo — PPO: $9,992.36 Central Health Plan — Medicare HMO: $4,687.42 Health Plan of Nevada Commercial — All Products: $11,598.01
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$879.92 – $3,264.85
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,137.58 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,383.13 Anthem Vivity-Anthem HMO — All Products-HMO: $1,232.56 Blue Shield — Medicare Advantage: $1,131.20 Centivo — PPO: $2,730.19 Central Health Plan — Medicare HMO: $1,366.60 Health Plan of Nevada Commercial — All Products: $3,168.90 Health Plan of Nevada Medicare — Medicare: $1,148.15 HealthSmart — Workers Compensation: $1,365.10 LA Care Covered CA — HMO: $1,594.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$1,131.20 – $3,264.85
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $1,137.58 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $1,383.13 Anthem Vivity-Anthem HMO — All Products-HMO: $1,232.56 Blue Shield — Medicare Advantage: $1,131.20 Centivo — PPO: $2,730.19 Central Health Plan — Medicare HMO: $1,366.60 Health Plan of Nevada Commercial — All Products: $3,168.90 Health Plan of Nevada Medicare — Medicare: $1,148.15 HealthSmart — Workers Compensation: $1,365.10 LA Care Covered CA — HMO: $1,594.37
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$2,481.19 – $7,208.09
Carpal tunnel release: 10 of 23 insurance plan rates Aetna Medicare — Medicare: $2,511.53 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $3,033.77 Anthem Vivity-Anthem HMO — All Products-HMO: $2,703.52 Blue Shield — All Products: $6,998.63 Blue Shield — EPN: $5,247.77 Blue Shield — Medicare Advantage: $2,481.19 Centivo — PPO: $6,027.67 Central Health Plan — Medicare HMO: $2,894.86 Health Plan of Nevada Commercial — All Products: $6,996.25 Health Plan of Nevada Medicare — Medicare: $2,534.87
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$697.05 – $2,030.20
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $707.39 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $852.29 Anthem Vivity-Anthem HMO — All Products-HMO: $759.51 Blue Shield — Medicare Advantage: $697.05 Centivo — PPO: $1,697.73 Central Health Plan — Medicare HMO: $871.51 Health Plan of Nevada Commercial — All Products: $1,970.54 Health Plan of Nevada Medicare — Medicare: $713.96 HealthSmart — Workers Compensation: $848.87 LA Care Covered CA — HMO: $1,016.76
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,897.90 – $8,518.87
Cataract removal with lens implant: 10 of 21 insurance plan rates Aetna Medicare — Medicare: $2,968.25 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $3,543.26 Anthem Vivity-Anthem HMO — All Products-HMO: $3,157.55 Blue Shield — Medicare Advantage: $2,897.90 Centivo — PPO: $7,123.79 Central Health Plan — Medicare HMO: $3,493.96 Health Plan of Nevada Commercial — All Products: $8,268.50 Health Plan of Nevada Medicare — Medicare: $2,995.83 HealthSmart — Workers Compensation: $3,561.90 LA Care Covered CA — HMO: $4,076.29

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$2,500 – $243,853.61
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 52 insurance plan rates Aetna — All Products: $131,258 Aetna Medicare — Medicare: $112,522.69 Anthem Blue Cross — All Products: $25,057 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $138,857.06 Anthem Vivity-Anthem HMO — All Products-HMO: $123,282.85 Blue Shield — All Products: $115,656 Blue Shield — EPN: $86,742 Blue Shield — Medicare Advantage: $112,522.69 Centivo — PPO: $163,141.49 Central Health Plan — Medicare HMO: $103,036.75
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$2,175 – $48,081.25
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $27,378.81 Anthem Vivity-Anthem HMO — All Products-HMO: $24,308 Centivo — PPO: $32,167.03 Central Health Plan — Medicare HMO: $20,316.02 Gold Coast Health Plan — HMO: $6,263.68 LA Care Covered CA — HMO: $23,702.01 Optum — Medicare: $48,081.25 TakeCare HMO — All Products: $2,175 Affiliate Health Fund — PPO: 85% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 85% (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) 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	$20,316.02 – $48,081.25
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates Aetna Medicare — Medicare: $22,519.86 Blue Shield — Medicare Advantage: $22,519.86 Health Plan of Nevada Medicare — Medicare: $22,519.86 HealthSmart — Workers Compensation: $29,539.05 Prime Health - Medicare — Medicare: $32,523.10 Primecare Medicare — Medicare: $21,682.06 Providence Healthcare — Medicare: $23,850.27 Redlands Community Medicare — Medicare: $22,519.86 St. Jude — Medicare HMO: $22,519.86 Torrance Memorial Medicare — HMO-Medicare: $23,850.27
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,175 – $60,853.72
Neck (cervical) spinal fusion, without complications: 10 of 33 insurance plan rates Aetna Medicare — Medicare: $28,391.78 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $34,651.81 Anthem Vivity-Anthem HMO — All Products-HMO: $30,765.26 Blue Shield — Medicare Advantage: $28,391.78 Centivo — PPO: $40,712 Central Health Plan — Medicare HMO: $25,712.85 Gold Coast Health Plan — HMO: $6,263.68 Health Plan of Nevada Medicare — Medicare: $28,391.78 HealthSmart — Workers Compensation: $37,385.92 LA Care Covered CA — HMO: $29,998.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,175 – $30,926.64
Uterus and ovary surgery (not for cancer), without complications: 10 of 33 insurance plan rates Aetna Medicare — Medicare: $14,633.34 Anthem Vivity, Anthem HMO — HMO-NonCity of LA: $17,610.50 Anthem Vivity-Anthem HMO — All Products-HMO: $15,635.30 Blue Shield — Medicare Advantage: $14,633.34 Centivo — PPO: $20,690.36 Central Health Plan — Medicare HMO: $13,067.60 Gold Coast Health Plan — HMO: $6,263.68 Health Plan of Nevada Medicare — Medicare: $14,633.34 HealthSmart — Workers Compensation: $19,000 LA Care Covered CA — HMO: $15,245.52

Source: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital’s standard charges file (uclahealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 29, 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	1250 16th Street, Santa Monica, CA 90404
County	Los Angeles County
State	California
Phone	(310) 319‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050112
Name in Medicare records	SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(424) 259‑6000^[4][7]
Name on the hospital’s website	UCLA Santa Monica Medical Center
Official website	uclahealth.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.

UCLA Santa Monica Medical Center — uclahealth.org
By the Numbers — uclahealth.org
Nethercutt Emergency Center — uclahealth.org
UCLA Santa Monica Medical Center — uclahealth.org
Awards and Achievements — uclahealth.org
Outpatient Surgery Center - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org
Pediatric Services - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org
Joint Replacement Surgery - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org
Spine Surgery - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org
Departments & Services - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org
Ortho/Spine Preoperative - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org
Outpatient Services - UCLA Santa Monica Medical Center | UCLA Health — uclahealth.org