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Acute Care Hospital

Scripps Green Hospital

La Jolla, California · San Diego County

Summary

Scripps Green Hospital is an acute care hospital in La Jolla, California. Medicare data does not list emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 58 services, specialties and programs. Medicare lists 997 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(858) 554‑3600 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
997Doctors and clinicians
58Services listed

Quick answers

Does Scripps Green Hospital have an emergency room?
Medicare (CMS) data does not list emergency services at Scripps Green Hospital. The closest hospitals that do: Scripps Memorial Hospital La Jolla (1.4 mi), VA San Diego Healthcare System (1.7 mi) and Sharp Memorial Hospital (8.4 mi). In a medical emergency, call 911.
Where is Scripps Green Hospital?
10666 North Torrey Pines Road, La Jolla, CA 92037, in San Diego County, California.
What is the phone number of Scripps Green Hospital?
(858) 554-3600, as listed by Medicare (CMS).
What is the Medicare star rating of Scripps Green Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][11]

Conditions treated[4][5][9][12]

Treatments[4][5][9]

Procedures[4][5][8][9]

Emergency care (hospital website)[4][12]

Stroke designationStroke Gold Plus Quality Achievement Award (American Heart Association/American Stroke Association)

Visiting and practical information

VisitingGeneral visiting hours 8 a.m.-8:30 p.m., adjustable to patient needs[4]
ParkingFirst 30 min free; $6 up to 4 hours; $12 daily max; valet $8; free for disabled visitors and clergy[4]
Interpreters and languagesLinks to a Language Services (medical interpreters) page[4]
Patient portalMyScripps

Doctors and clinicians (997)

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

Main specialties

Doctors with a page on this site (997)

And 973 more: the button below opens the full list.

Nearest emergency rooms

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Scripps Green 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) 5 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1083%National average: 72%
Would definitely recommend the hospital86%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well86%National average: 80%
Staff “always” explained medicines before giving them70%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night61%National average: 60%
Completed surveys1,523Response rate: 34%

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)0.289No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.74No different from the national benchmark
Surgical site infections after colon surgery0.511No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.742No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.206Better 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients8.8%
Deaths within 30 days: pneumonia patients11.7%
Deaths within 30 days: COPD patients7.4%
Deaths within 30 days: stroke patients10.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Complications after hip or knee replacement2.8%

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 attackToo few cases to report
Readmitted within 30 days: heart failure20.4%
Readmitted within 30 days: pneumonia15.3%
Readmitted within 30 days: COPD20.3%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement4.4%

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)84%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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 CaliforniaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as Scripps Green 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC G-Tube Removal Only $293.71 $73.43 $23.50 – $428.09
Established patient office visit (about 20–29 minutes): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $74.01
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $97.81
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $171.24
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $88.11
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $176.37
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $171.24
  • BC [814] — BLUE CROSS HMO: $61.97
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $171.24
  • BLUE CROSS [220] — BLUE CROSS HMO: $61.97
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $61.97
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER Level III $2,414.77 $603.69 $69.85 – $2,173.29
Emergency room visit (moderate): 10 of 132 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $2,069.46
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $2,069.46
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $351.09
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $69.85
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $361.63
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $351.09
  • BC [814] — BLUE CROSS HMO: $1,970.45
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $351.09
  • BLUE CROSS [220] — BLUE CROSS HMO: $1,970.45
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $1,970.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Level IV Trauma $19,633.13 $4,908.28 $118.58 – $17,669.82
Emergency room visit (moderately high): 10 of 132 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $16,825.59
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $16,825.59
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $536.67
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $118.58
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $552.77
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $536.67
  • BC [814] — BLUE CROSS HMO: $16,020.63
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $536.67
  • BLUE CROSS [220] — BLUE CROSS HMO: $16,020.63
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $16,020.63
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Level IV $3,884.63 $971.16 $118.58 – $3,496.17
Emergency room visit (moderately high): 10 of 132 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $3,329.13
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $3,329.13
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $536.67
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $118.58
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $552.77
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $536.67
  • BC [814] — BLUE CROSS HMO: $3,169.86
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $536.67
  • BLUE CROSS [220] — BLUE CROSS HMO: $3,169.86
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $3,169.86
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Level V Trauma $23,622.75 $5,905.69 $172.27 – $21,260.48
Emergency room visit (high): 10 of 132 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $20,244.70
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $20,244.70
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $765.95
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $172.27
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $788.93
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $765.95
  • BC [814] — BLUE CROSS HMO: $19,276.16
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $765.95
  • BLUE CROSS [220] — BLUE CROSS HMO: $19,276.16
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $19,276.16
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Level V $7,874.25 $1,968.56 $172.27 – $7,086.83
Emergency room visit (high): 10 of 132 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $6,748.23
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $6,748.23
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $765.95
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $172.27
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $788.93
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $765.95
  • BC [814] — BLUE CROSS HMO: $6,425.39
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $765.95
  • BLUE CROSS [220] — BLUE CROSS HMO: $6,425.39
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $6,425.39

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel $244 $61 $8.46 – $195.20
Basic metabolic panel (blood test): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $110.78
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $122.98
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $8.46
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $8.46
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $8.71
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $8.46
  • BC [814] — BLUE CROSS HMO: $53.92
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $8.46
  • BLUE CROSS [220] — BLUE CROSS HMO: $53.92
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $51.48
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier TC In the file: HC Basic Metabolic Panel|TECHNICAL COMPONENT $244 $61 $8.46 – $195.20
Basic metabolic panel (blood test): rates for 8 insurance plans
  • MC ALIGNMENT [917] — SHPS SHGH: $39.04
  • MC BLUE CROSS [901] — SHPS SHGH: $39.04
  • MC BLUE SHIELD [902] — SHPS SHGH: $39.04
  • MC BLUE SHIELD PROMISE HEALTH PLAN [914] — SHPS SHGH: $39.04
  • MC CIGNA [903] — SHPS SHGH: $39.04
  • MC HEALTH NET [904] — SHPS SHGH: $39.04
  • MC SCAN [905] — SHPS SHGH: $39.04
  • MC UNITED [906] — SHPS SHGH: $39.04
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Panel $391.99 $98 $10.56 – $313.59
Comprehensive metabolic panel (blood test): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $177.96
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $197.56
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $10.56
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $10.56
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $10.88
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $10.56
  • BC [814] — BLUE CROSS HMO: $86.63
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $10.56
  • BLUE CROSS [220] — BLUE CROSS HMO: $86.63
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $82.71
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Metabolic Pnl,Comp, Wb $391.99 $98 $10.56 – $313.59
Comprehensive metabolic panel (blood test): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $177.96
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $197.56
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $10.56
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $10.56
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $10.88
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $10.56
  • BC [814] — BLUE CROSS HMO: $86.63
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $10.56
  • BLUE CROSS [220] — BLUE CROSS HMO: $86.63
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $82.71
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Obstetric Panel $348.08 $87.02 $27.85 – $278.46
Obstetric blood test panel: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $158.03
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $175.43
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $47.81
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $47.81
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $49.24
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $47.81
  • BC [814] — BLUE CROSS HMO: $76.93
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $47.81
  • BLUE CROSS [220] — BLUE CROSS HMO: $76.93
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $73.44
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel $88 $22 $7.04 – $70.40
Kidney function panel: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $39.95
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $44.35
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $8.68
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $8.68
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $8.94
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $8.68
  • BC [814] — BLUE CROSS HMO: $19.45
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $8.68
  • BLUE CROSS [220] — BLUE CROSS HMO: $19.45
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $18.57
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Fx Panel $284.84 $71.21 $8.17 – $227.87
Liver function panel: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $129.32
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $143.56
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $8.17
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $8.17
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $8.42
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $8.17
  • BC [814] — BLUE CROSS HMO: $62.95
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $8.17
  • BLUE CROSS [220] — BLUE CROSS HMO: $62.95
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $60.10
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis-Complete $141.43 $35.36 $3.17 – $113.14
Urine test (automated, with microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $64.21
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $71.28
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $3.17
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $3.17
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $3.27
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $3.17
  • BC [814] — BLUE CROSS HMO: $31.26
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $3.17
  • BLUE CROSS [220] — BLUE CROSS HMO: $31.26
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $29.84
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Phurine $19.08 $4.77 $1.53 – $15.26
Urine test (manual, without microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $8.66
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $9.62
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $3.48
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $3.48
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $3.58
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $3.48
  • BC [814] — BLUE CROSS HMO: $4.22
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $3.48
  • BLUE CROSS [220] — BLUE CROSS HMO: $4.22
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $4.03
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis;Dipstick $19.08 $4.77 $1.53 – $15.26
Urine test (manual, without microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $8.66
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $9.62
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $3.48
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $3.48
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $3.58
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $3.48
  • BC [814] — BLUE CROSS HMO: $4.22
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $3.48
  • BLUE CROSS [220] — BLUE CROSS HMO: $4.22
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $4.03
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Dipstick/Reducing/Sub/Ph $19.08 $4.77 $1.53 – $15.26
Urine test (manual, without microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $8.66
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $9.62
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $3.48
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $3.48
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $3.58
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $3.48
  • BC [814] — BLUE CROSS HMO: $4.22
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $3.48
  • BLUE CROSS [220] — BLUE CROSS HMO: $4.22
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $4.03
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Sp Gravity $65.03 $16.26 $2.25 – $52.02
Urine test (automated, without microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $29.52
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $32.78
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $2.25
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $2.25
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $2.32
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $2.25
  • BC [814] — BLUE CROSS HMO: $14.37
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $2.25
  • BLUE CROSS [220] — BLUE CROSS HMO: $14.37
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $13.72
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Macro/Sp Gravity $84.77 $21.19 $2.25 – $67.82
Urine test (automated, without microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $38.49
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $42.72
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $2.25
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $2.25
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $2.32
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $2.25
  • BC [814] — BLUE CROSS HMO: $18.73
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $2.25
  • BLUE CROSS [220] — BLUE CROSS HMO: $18.73
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $17.89
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urine Screen $65.03 $16.26 $2.25 – $52.02
Urine test (automated, without microscope): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $29.52
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $32.78
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $2.25
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $2.25
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $2.32
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $2.25
  • BC [814] — BLUE CROSS HMO: $14.37
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $2.25
  • BLUE CROSS [220] — BLUE CROSS HMO: $14.37
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $13.72
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Antigen (Psa Screen) $126 $31.50 $10.08 – $100.80
PSA (prostate specific antigen) blood test: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $57.20
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $63.50
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $18.39
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $18.39
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $18.94
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $18.39
  • BC [814] — BLUE CROSS HMO: $27.85
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $18.39
  • BLUE CROSS [220] — BLUE CROSS HMO: $27.85
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $26.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh $134.32 $33.58 $10.75 – $107.46
Thyroid stimulating hormone (TSH) test: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $60.98
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $67.70
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $16.80
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $16.80
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $17.30
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $16.80
  • BC [814] — BLUE CROSS HMO: $29.68
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $16.80
  • BLUE CROSS [220] — BLUE CROSS HMO: $29.68
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $28.34
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc $110 $27.50 $7.77 – $88
Complete blood count (CBC) with differential: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $49.94
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $55.44
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $7.77
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $7.77
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $8
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $7.77
  • BC [814] — BLUE CROSS HMO: $24.31
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $7.77
  • BLUE CROSS [220] — BLUE CROSS HMO: $24.31
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $23.21
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Hemogram $151.63 $37.91 $6.47 – $121.30
Complete blood count (CBC), automated: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $68.84
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $76.42
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $6.47
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $6.47
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $6.66
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $6.47
  • BC [814] — BLUE CROSS HMO: $33.51
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $6.47
  • BLUE CROSS [220] — BLUE CROSS HMO: $33.51
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $31.99
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time $103 $25.75 $4.29 – $82.40
Blood clotting time test (prothrombin time, PT): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $46.76
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $51.91
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $4.29
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $4.29
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $4.42
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $4.29
  • BC [814] — BLUE CROSS HMO: $22.76
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $4.29
  • BLUE CROSS [220] — BLUE CROSS HMO: $22.76
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $21.73
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Aptt $135 $33.75 $6.01 – $108
Blood clotting test (partial thromboplastin time, PTT): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $61.29
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $68.04
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $6.01
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $6.01
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $6.19
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $6.01
  • BC [814] — BLUE CROSS HMO: $29.84
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $6.01
  • BLUE CROSS [220] — BLUE CROSS HMO: $29.84
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $28.49

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head WO $3,457.62 $864.40 $62.46 – $2,766.10
CT scan of the head or brain, without contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $698.44
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $698.44
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $134.46
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $80.08
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $138.50
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $134.46
  • BC [814] — BLUE CROSS HMO: $598.17
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $134.46
  • BLUE CROSS [220] — BLUE CROSS HMO: $598.17
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $598.17
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MR Brain W/WO $5,902.98 $1,475.74 $197.04 – $4,722.38
MRI of the brain, before and after contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $1,192.40
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,192.40
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $448.71
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $252.61
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $462.17
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $448.71
  • BC [814] — BLUE CROSS HMO: $1,021.22
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $448.71
  • BLUE CROSS [220] — BLUE CROSS HMO: $1,021.22
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $1,021.22
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: HC MR Brain W/WO|TECHNICAL COMPONENT $5,902.98 $1,475.74 $197.04 – $4,722.38
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • MC ALIGNMENT [917] — SHPS SHGH: $472.24
  • MC BLUE CROSS [901] — SHPS SHGH: $472.24
  • MC BLUE SHIELD [902] — SHPS SHGH: $472.24
  • MC BLUE SHIELD PROMISE HEALTH PLAN [914] — SHPS SHGH: $472.24
  • MC CIGNA [903] — SHPS SHGH: $472.24
  • MC HEALTH NET [904] — SHPS SHGH: $472.24
  • MC SCAN [905] — SHPS SHGH: $472.24
  • MC UNITED [906] — SHPS SHGH: $472.24
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Chest 2 Views $974.59 $243.65 $27.35 – $779.67
Chest X-ray, 2 views: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $442.46
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $491.19
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $111.93
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $27.35
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $115.29
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $111.93
  • BC [814] — BLUE CROSS HMO: $215.38
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • BLUE CROSS [220] — BLUE CROSS HMO: $215.38
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $205.64
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier FY In the file: HC Chest 2 Views|X RAY COMPUTED RADIOGRAPHY $974.59 $243.65 $27.35 – $779.67
Chest X-ray, 2 views: 10 of 63 insurance plan rates
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $111.93
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $115.29
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $111.93
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • BLUE CROSS BLUE SHIELD MCR ADV [231] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • BLUE CROSS MEDICARE ADVANTAGE [222] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • BLUE SHIELD MEDICARE ADVANTAGE [232] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • BS MCR ADV [829] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • CENTRAL HEALTH MCR ADV [441] — MEDICARE HMO/PPO W PASS THRU SHGH: $111.93
  • CIGNA MEDICARE ADVANTAGE [281] — MEDICARE HMO/PPO SHGH: $111.93
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 76 In the file: HC Chest 2 Views|REPEAT PROCEDURE BY SAME PHYSICIAN $974.59 $243.65 $27.35 – $779.67
Chest X-ray, 2 views: rates for 8 insurance plans
  • MC ALIGNMENT [917] — SHPS SHGH: $146.19
  • MC BLUE CROSS [901] — SHPS SHGH: $146.19
  • MC BLUE SHIELD [902] — SHPS SHGH: $146.19
  • MC BLUE SHIELD PROMISE HEALTH PLAN [914] — SHPS SHGH: $146.19
  • MC CIGNA [903] — SHPS SHGH: $146.19
  • MC HEALTH NET [904] — SHPS SHGH: $146.19
  • MC SCAN [905] — SHPS SHGH: $146.19
  • MC UNITED [906] — SHPS SHGH: $146.19
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Spine L-S Min 4vw $1,168.13 $292.03 $48.52 – $934.50
X-ray of the lower spine, at least 4 views: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $530.33
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $588.74
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $134.46
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $48.52
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $138.50
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $134.46
  • BC [814] — BLUE CROSS HMO: $258.16
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $134.46
  • BLUE CROSS [220] — BLUE CROSS HMO: $258.16
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $246.48
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: HC Spine L-S Min 4vw|TECHNICAL COMPONENT $1,168.13 $292.03 $48.52 – $934.50
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • MPMG [800] — MPMG: $134.46
  • MPMG MCR ADV [836] — MPMG: $134.46
  • OCN MCR ADV [890] — PCAMG/OPTUM CARE NETWORK: $134.46
  • OPTUM CARE NETWORK NORTH COUNTY SD [808] — PCAMG/OPTUM CARE NETWORK: $134.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MR Lumbar WO $3,013 $753.25 $114.64 – $2,410.40
MRI of the lower back (lumbar spine), without contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $608.63
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $608.63
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $306.88
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $146.97
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $316.09
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $306.88
  • BC [814] — BLUE CROSS HMO: $521.25
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $306.88
  • BLUE CROSS [220] — BLUE CROSS HMO: $521.25
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $521.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W $2,920.22 $730.05 $160.44 – $2,336.18
CT scan of the pelvis, with contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $589.88
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $589.88
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $225.59
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $205.69
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $232.36
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $225.59
  • BC [814] — BLUE CROSS HMO: $505.20
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $225.59
  • BLUE CROSS [220] — BLUE CROSS HMO: $505.20
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $505.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Any Jt Lower Extrem W/O Contrast Matrl Bilateral $6,628.43 $1,657.11 $131.77 – $5,302.74
MRI of a leg joint (such as the knee), without contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $1,338.94
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,338.94
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $306.88
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $168.94
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $316.09
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $306.88
  • BC [814] — BLUE CROSS HMO: $1,146.72
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $306.88
  • BLUE CROSS [220] — BLUE CROSS HMO: $1,146.72
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $1,146.72
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Jnt Low Ext WO Unilat $3,780.92 $945.23 $131.77 – $3,024.74
MRI of a leg joint (such as the knee), without contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $763.75
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $763.75
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $306.88
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $168.94
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $316.09
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $306.88
  • BC [814] — BLUE CROSS HMO: $654.10
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $306.88
  • BLUE CROSS [220] — BLUE CROSS HMO: $654.10
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $654.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 76 In the file: HC MR Jnt Low Ext WO Unilat|REPEAT PROCEDURE BY SAME PHYSICIAN $3,780.92 $945.23 $131.77 – $3,024.74
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • MC ALIGNMENT [917] — SHPS SHGH: $264.66
  • MC BLUE CROSS [901] — SHPS SHGH: $264.66
  • MC BLUE SHIELD [902] — SHPS SHGH: $264.66
  • MC BLUE SHIELD PROMISE HEALTH PLAN [914] — SHPS SHGH: $264.66
  • MC CIGNA [903] — SHPS SHGH: $264.66
  • MC HEALTH NET [904] — SHPS SHGH: $264.66
  • MC SCAN [905] — SHPS SHGH: $264.66
  • MC UNITED [906] — SHPS SHGH: $264.66
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abdomen & Pelvis W $9,000 $2,250 $201.57 – $7,200
CT scan of the abdomen and pelvis, with contrast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $1,818
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,818
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $448.71
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $258.42
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $462.17
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $448.71
  • BC [814] — BLUE CROSS HMO: $1,557
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $448.71
  • BLUE CROSS [220] — BLUE CROSS HMO: $1,557
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $1,557
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete $1,369.44 $342.36 $91.44 – $1,095.55
Ultrasound of the abdomen, complete: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $621.73
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $690.20
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $134.46
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $91.44
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $138.50
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $134.46
  • BC [814] — BLUE CROSS HMO: $302.65
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $134.46
  • BLUE CROSS [220] — BLUE CROSS HMO: $302.65
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $288.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US Preg>14 Wks Sgl Ges $909.04 $227.26 $72.72 – $727.23
Pregnancy ultrasound (after the first trimester): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $412.70
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $458.16
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $134.46
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $105.82
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $138.50
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $134.46
  • BC [814] — BLUE CROSS HMO: $200.90
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $134.46
  • BLUE CROSS [220] — BLUE CROSS HMO: $200.90
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $191.81
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal $1,615.79 $403.95 $101.43 – $1,292.63
Transvaginal ultrasound: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $733.57
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $814.36
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $134.46
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $101.43
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $138.50
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $134.46
  • BC [814] — BLUE CROSS HMO: $357.09
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $134.46
  • BLUE CROSS [220] — BLUE CROSS HMO: $357.09
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $340.93
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Dx Uni Mammo Incl Cad $671.99 $168 $53.76 – $537.59
Diagnostic mammogram, one breast: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $305.08
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $338.68
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $102.85
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $102.85
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $105.94
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $102.85
  • BC [814] — BLUE CROSS HMO: $148.51
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $102.85
  • BLUE CROSS [220] — BLUE CROSS HMO: $148.51
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $141.79
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Dx Bilat Mammo Incl Cad $897.82 $224.45 $71.83 – $718.26
Diagnostic mammogram, both breasts: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $407.61
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $452.50
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $131.79
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $131.79
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $135.74
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $131.79
  • BC [814] — BLUE CROSS HMO: $198.42
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $131.79
  • BLUE CROSS [220] — BLUE CROSS HMO: $198.42
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $189.44
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Scrn Uni Mammo Ximg W/Cad $723.47 $180.87 $57.88 – $578.78
Screening mammogram, both breasts: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $328.46
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $364.63
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $108.84
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $108.84
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $112.11
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $108.84
  • BC [814] — BLUE CROSS HMO: $159.89
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $108.84
  • BLUE CROSS [220] — BLUE CROSS HMO: $159.89
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $152.65
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Scrn Uni Mammo Incl Cad $723.47 $180.87 $57.88 – $578.78
Screening mammogram, both breasts: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $328.46
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $364.63
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $108.84
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $108.84
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $112.11
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $108.84
  • BC [814] — BLUE CROSS HMO: $159.89
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $108.84
  • BLUE CROSS [220] — BLUE CROSS HMO: $159.89
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $152.65
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Scrn Bilat Mammo Incl Cad $723.47 $180.87 $57.88 – $578.78
Screening mammogram, both breasts: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $328.46
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $364.63
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $108.84
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $108.84
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $112.11
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $108.84
  • BC [814] — BLUE CROSS HMO: $159.89
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $108.84
  • BLUE CROSS [220] — BLUE CROSS HMO: $159.89
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $152.65

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Poly 4 or More Para Atted $2,313.49 $578.37 $185.08 – $2,761.21
Sleep study (overnight, in a sleep lab): 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $1,050.32
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,166
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,104.48
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $659.45
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,137.62
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,104.48
  • BC [814] — BLUE CROSS HMO: $511.28
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,104.48
  • BLUE CROSS [220] — BLUE CROSS HMO: $511.28
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $488.15

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ther Ex 15 Min $172.80 $43.20 $13.82 – $138.24
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $78.45
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $87.09
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $32.04
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $50
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $33
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $32.04
  • BC [814] — BLUE CROSS HMO: $38.19
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • BLUE CROSS [220] — BLUE CROSS HMO: $38.19
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $36.46
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier CQ In the file: HC Ther Ex 15 Min|OP PT SERVICES BY PTA $172.80 $43.20 $13.82 – $138.24
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 71 insurance plan rates
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $32.04
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $33
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $32.04
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • BLUE CROSS BLUE SHIELD MCR ADV [231] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • BLUE CROSS MEDICARE ADVANTAGE [222] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • BLUE SHIELD MEDICARE ADVANTAGE [232] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • BS MCR ADV [829] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • CENTRAL HEALTH MCR ADV [441] — MEDICARE HMO/PPO W PASS THRU SHGH: $32.04
  • CIGNA MEDICARE ADVANTAGE [281] — MEDICARE HMO/PPO SHGH: $32.04
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity $218.88 $54.72 $17.51 – $295
Physical therapy evaluation (low complexity): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $99.37
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $110.32
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $108.29
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $50
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $111.54
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $108.29
  • BC [814] — BLUE CROSS HMO: $48.37
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $108.29
  • BLUE CROSS [220] — BLUE CROSS HMO: $48.37
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $46.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity $248.26 $62.06 $19.86 – $295
Physical therapy evaluation (moderate complexity): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $112.71
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $125.12
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $108.29
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $50
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $111.54
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $108.29
  • BC [814] — BLUE CROSS HMO: $54.87
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $108.29
  • BLUE CROSS [220] — BLUE CROSS HMO: $54.87
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $52.38
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity $279.36 $69.84 $22.35 – $295
Physical therapy evaluation (high complexity): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $126.83
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $140.80
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $108.29
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $50
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $111.54
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $108.29
  • BC [814] — BLUE CROSS HMO: $61.74
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $108.29
  • BLUE CROSS [220] — BLUE CROSS HMO: $61.74
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $58.94

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HC Excise Brst Les =>1 Uni $15,935.77 $3,983.94 $424.09 – $12,748.62
Removal of breast growth (open surgery): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $3,219.03
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $3,219.03
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $5,035.90
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $424.09
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $5,186.98
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $5,035.90
  • BC [814] — BLUE CROSS HMO: $2,756.89
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $5,035.90
  • BLUE CROSS [220] — BLUE CROSS HMO: $2,756.89
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $2,756.89
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HC Excise Brst Les =>1 Bil $23,958.14 $5,989.53 $424.09 – $19,166.51
Removal of breast growth (open surgery): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $4,839.54
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $4,839.54
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $5,035.90
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $424.09
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $5,186.98
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $5,035.90
  • BC [814] — BLUE CROSS HMO: $4,144.76
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $5,035.90
  • BLUE CROSS [220] — BLUE CROSS HMO: $4,144.76
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $4,144.76
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: HC Arthroscopy Shldr Decomp $17,253 $4,313.25 $147.65 – $13,802.40
Shoulder arthroscopy: shaving of shoulder bone: 10 of 70 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $3,485.11
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $3,485.11
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $147.65
  • BC [814] — BLUE CROSS HMO: $2,984.77
  • BLUE CROSS [220] — BLUE CROSS HMO: $2,984.77
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $2,984.77
  • BLUE CROSS [220] — BLUE CROSS PPO MCS: $3,278.07
  • BLUE CROSS [220] — BLUE CROSS PPO NON-MCS: $2,984.77
  • BLUE CROSS BLUE SHIELD [233] — BLUE CROSS HMO: $2,984.77
  • BLUE CROSS BLUE SHIELD [233] — BLUE CROSS PPO NON-MCS: $2,984.77
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: HC Knee Meniscec Med or Lat $11,855.97 $2,963.99 $548.23 – $10,520.85
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $2,394.91
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $2,394.91
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $4,208.34
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $548.23
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $4,334.59
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $4,208.34
  • BC [814] — BLUE CROSS HMO: $2,051.08
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $4,208.34
  • BLUE CROSS [220] — BLUE CROSS HMO: $2,051.08
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $2,051.08
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Egd Diag Brush/Wash $2,901.60 $725.40 $115.67 – $2,916.34
Upper GI endoscopy (diagnostic): 10 of 136 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $2,486.67
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $2,486.67
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,166.53
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $115.67
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,201.53
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,166.53
  • BC [814] — BLUE CROSS HMO: $2,367.71
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,166.53
  • BLUE CROSS [220] — BLUE CROSS HMO: $2,367.71
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $2,367.71
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Egd Diag W/Fmt $2,901.60 $725.40 $115.67 – $2,916.34
Upper GI endoscopy (diagnostic): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $731.20
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $966.23
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,166.53
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $115.67
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,201.53
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,166.53
  • BC [814] — BLUE CROSS HMO: $641.25
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,166.53
  • BLUE CROSS [220] — BLUE CROSS HMO: $641.25
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $612.24
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · modifier 74 In the file: HC Egd Diag Brush/Wash|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $2,901.60 $725.40 $115.67 – $2,916.34
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates
  • MC ALIGNMENT [917] — SHPS SHGH: $1,450.80
  • MC BLUE CROSS [901] — SHPS SHGH: $435.24
  • MC BLUE SHIELD [902] — SHPS SHGH: $1,450.80
  • MC BLUE SHIELD PROMISE HEALTH PLAN [914] — SHPS SHGH: $435.24
  • MC CIGNA [903] — SHPS SHGH: $1,450.80
  • MC HEALTH NET [904] — SHPS SHGH: $1,450.80
  • MC SCAN [905] — SHPS SHGH: $1,450.80
  • MC UNITED [906] — SHPS SHGH: $1,450.80
  • MPMG [800] — MPMG: $1,166.53
  • MPMG MCR ADV [836] — MPMG: $1,166.53
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC Egd W/Biopsy Sgl/Mult $2,597.40 $649.35 $128.99 – $2,916.34
Upper GI endoscopy with biopsy: 10 of 136 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $654.54
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $864.93
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,166.53
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $128.99
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,201.53
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,166.53
  • BC [814] — BLUE CROSS HMO: $574.03
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,166.53
  • BLUE CROSS [220] — BLUE CROSS HMO: $574.03
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $548.05
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC Colonoscpy $2,997.98 $749.49 $170.35 – $2,990.20
Colonoscopy (diagnostic): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $755.49
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $998.33
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,196.08
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $170.35
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,231.96
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,196.08
  • BC [814] — BLUE CROSS HMO: $662.55
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,196.08
  • BLUE CROSS [220] — BLUE CROSS HMO: $662.55
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $632.57
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC Diagnostic Colonoscopy $2,997.98 $749.49 $170.35 – $2,990.20
Colonoscopy (diagnostic): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $605.59
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $605.59
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,196.08
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $170.35
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,231.96
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,196.08
  • BC [814] — BLUE CROSS HMO: $518.65
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,196.08
  • BLUE CROSS [220] — BLUE CROSS HMO: $518.65
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $518.65
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC Colonoscopy W/Fmt $2,997.98 $749.49 $170.35 – $2,990.20
Colonoscopy (diagnostic): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $755.49
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $998.33
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,196.08
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $170.35
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,231.96
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,196.08
  • BC [814] — BLUE CROSS HMO: $662.55
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,196.08
  • BLUE CROSS [220] — BLUE CROSS HMO: $662.55
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $632.57
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC Colonoscopy W/Biopsy $3,887.40 $971.85 $184.11 – $3,847.70
Colonoscopy with biopsy: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $979.62
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,294.50
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,539.08
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $184.11
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,585.25
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,539.08
  • BC [814] — BLUE CROSS HMO: $859.12
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,539.08
  • BLUE CROSS [220] — BLUE CROSS HMO: $859.12
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $820.24
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC Colonoscpy Tum/Pol/Les Sr $3,385.34 $846.33 $231.38 – $3,847.70
Colonoscopy with removal of polyps (snare): 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $853.11
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,127.32
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,539.08
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $231.38
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,585.25
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,539.08
  • BC [814] — BLUE CROSS HMO: $748.16
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,539.08
  • BLUE CROSS [220] — BLUE CROSS HMO: $748.16
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $714.31
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: HC Colonscopy Endo US Exam $3,691.96 $922.99 $234.68 – $3,847.70
Ultrasound of the lower bowel by endoscope: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $930.37
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,229.42
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,539.08
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $234.68
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,585.25
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,539.08
  • BC [814] — BLUE CROSS HMO: $815.92
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,539.08
  • BLUE CROSS [220] — BLUE CROSS HMO: $815.92
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $779
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: HC Laparoscopy Surg Cholecystectomy $49,754.53 $12,438.63 $640.87 – $39,803.62
Gallbladder removal by laparoscope: 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $10,050.42
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $10,050.42
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $7,775.56
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $640.87
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $8,008.82
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $7,775.56
  • BC [814] — BLUE CROSS HMO: $8,607.53
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,775.56
  • BLUE CROSS [220] — BLUE CROSS HMO: $8,607.53
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $8,607.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: HC Prp I/Hern Init Reduc>5 R $13,329.79 $3,332.45 $519.79 – $19,520.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 132 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $11,423.63
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $11,423.63
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $4,604.99
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $519.79
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $4,743.14
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $4,604.99
  • BC [814] — BLUE CROSS HMO: $10,877.11
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $4,604.99
  • BLUE CROSS [220] — BLUE CROSS HMO: $10,877.11
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $10,877.11
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: HC Rpr I/Hern Init Redc >5yr $15,636.67 $3,909.17 $519.79 – $19,520.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $3,158.61
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $3,158.61
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $4,604.99
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $519.79
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $4,743.14
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $4,604.99
  • BC [814] — BLUE CROSS HMO: $2,705.14
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $4,604.99
  • BLUE CROSS [220] — BLUE CROSS HMO: $2,705.14
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $2,705.14
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 50 In the file: HC Rpr I/Hern Init Redc >5yr|BILATERAL PROCEDURE $15,636.67 $3,909.17 $519.79 – $19,520.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 59 insurance plan rates
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $7,808.19
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $8,042.43
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $7,808.19
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,808.19
  • BLUE CROSS BLUE SHIELD MCR ADV [231] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,808.19
  • BLUE CROSS MEDICARE ADVANTAGE [222] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,808.19
  • BLUE SHIELD MEDICARE ADVANTAGE [232] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,808.19
  • BS MCR ADV [829] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,808.19
  • CENTRAL HEALTH MCR ADV [441] — MEDICARE HMO/PPO W PASS THRU SHGH: $7,808.19
  • CIGNA MEDICARE ADVANTAGE [281] — MEDICARE HMO/PPO SHGH: $7,808.19
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HC Hysteroscopy Biopsy $28,325.92 $7,081.48 $206.18 – $22,660.74
Hysteroscopy with biopsy of the uterus lining: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $5,721.84
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $5,721.84
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $4,163.48
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $206.18
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $4,288.39
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $4,163.48
  • BC [814] — BLUE CROSS HMO: $4,900.38
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $4,163.48
  • BLUE CROSS [220] — BLUE CROSS HMO: $4,900.38
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $4,900.38
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Lumbr/Sacrl W Image $2,071.74 $517.93 $93.19 – $2,269.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $418.49
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $418.49
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $907.88
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $93.19
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $935.12
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $907.88
  • BC [814] — BLUE CROSS HMO: $358.41
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $907.88
  • BLUE CROSS [220] — BLUE CROSS HMO: $358.41
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $358.41
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Inj Foramn Epi L/S 1lev $2,277.28 $569.32 $105.07 – $2,843.95
Nerve root injection, lower back, with imaging guidance: 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $460.01
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $460.01
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,137.58
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $105.07
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,171.71
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,137.58
  • BC [814] — BLUE CROSS HMO: $393.97
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,137.58
  • BLUE CROSS [220] — BLUE CROSS HMO: $393.97
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $393.97
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Inj Foramen Epi L/S 1 Lev, Bilateral $4,554.55 $1,138.64 $105.07 – $3,643.64
Nerve root injection, lower back, with imaging guidance: 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $920.02
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $920.02
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,137.58
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $105.07
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,171.71
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,137.58
  • BC [814] — BLUE CROSS HMO: $787.94
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,137.58
  • BLUE CROSS [220] — BLUE CROSS HMO: $787.94
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $787.94
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $2,277.28 $569.32 $105.07 – $2,843.95
Nerve root injection, lower back, with imaging guidance: 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $460.01
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $460.01
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $1,137.58
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $105.07
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $1,171.71
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $1,137.58
  • BC [814] — BLUE CROSS HMO: $393.97
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $1,137.58
  • BLUE CROSS [220] — BLUE CROSS HMO: $393.97
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $393.97
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC Neuroplasty Med Nrv Carp $4,255.65 $1,063.91 $340.45 – $6,278.83
Carpal tunnel release: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $859.64
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $859.64
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $2,511.53
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $457.62
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $2,586.88
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $2,511.53
  • BC [814] — BLUE CROSS HMO: $736.23
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $2,511.53
  • BLUE CROSS [220] — BLUE CROSS HMO: $736.23
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $736.23
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC Discisn 2nd Cataract Lasr $1,006.20 $251.55 $80.50 – $1,768.47
Laser treatment of clouding after cataract surgery: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $203.25
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $203.25
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $707.39
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $305.24
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $728.61
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $707.39
  • BC [814] — BLUE CROSS HMO: $174.07
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $707.39
  • BLUE CROSS [220] — BLUE CROSS HMO: $174.07
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $174.07
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC Discisn 2nd Cataract Lasr V $1,006.20 $251.55 $80.50 – $1,768.47
Laser treatment of clouding after cataract surgery: 10 of 133 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $203.25
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $203.25
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $707.39
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $305.24
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $728.61
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $707.39
  • BC [814] — BLUE CROSS HMO: $174.07
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $707.39
  • BLUE CROSS [220] — BLUE CROSS HMO: $174.07
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $174.07
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: HC Cataract Rml W/Iol 1 Stg $7,774.02 $1,943.50 $501.72 – $7,420.62
Cataract removal with lens implant: 10 of 129 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $1,570.35
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $1,570.35
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $2,968.25
  • AETNA OPTUM CARE NETWORK - SDPMG [809] — SPMG: $501.72
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $3,057.29
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $2,968.25
  • BC [814] — BLUE CROSS HMO: $1,344.91
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $2,968.25
  • BLUE CROSS [220] — BLUE CROSS HMO: $1,344.91
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $1,344.91

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $145,426.90 $36,356.72 $16,164.18 – $52,946.38
Hip or knee replacement (major joint of the leg), without major complications: 10 of 123 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $22,430
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $22,430
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $18,689.88
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $18,689.88
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $18,689.88
  • BC [814] — BLUE CROSS HMO: $27,600.63
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $18,689.88
  • BLUE CROSS [220] — BLUE CROSS HMO: $27,600.63
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $16,164.18
  • BLUE CROSS [220] — BLUE CROSS PPO MCS: $52,946.38
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $290,201.60 $72,550.40 $20,458.09 – $67,011.24
Neck (cervical) spinal fusion, without complications: 10 of 123 insurance plan rates
  • AETNA [210] — AETNA HMO (GATEKEEPER): $26,984
  • AETNA [210] — AETNA PPO (NON-GATEKEEPER): $26,984
  • AETNA MEDICARE ADVANTAGE [212] — MEDICARE HMO/PPO SHGH: $23,654.72
  • ALIGNMENT HEALTH PLAN [443] — ALIGNMENT MEDICARE ADVANTAGE SHGH: $23,654.72
  • ASTIVA MCR ADV [464] — MEDICARE HMO/PPO SHGH: $23,654.72
  • BC [814] — BLUE CROSS HMO: $34,932.56
  • BC MCR ADV [830] — MEDICARE HMO/PPO W PASS THRU SHGH: $23,654.72
  • BLUE CROSS [220] — BLUE CROSS HMO: $34,932.56
  • BLUE CROSS [220] — BLUE CROSS HMO SELECT: $20,458.09
  • BLUE CROSS [220] — BLUE CROSS PPO MCS: $67,011.24

Source: Scripps Green Hospital’s standard charges file (apps.scripps.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 30, 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 typeAcute Care Hospital
Address10666 North Torrey Pines Road, La Jolla, CA 92037
CountySan Diego County
StateCalifornia
Phone(858) 554‑3600
Emergency servicesNot listed
OwnershipVoluntary non-profit - Other
Medicare overall rating5 of 5 stars
CMS Certification Number050424
Name in Medicare recordsSCRIPPS GREEN HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(858) 554‑9100[4]
Official websitescripps.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Scripps Green Hospital - La Jolla - Address and Parking — scripps.org
  2. Scripps Green Hospital services — scripps.org
  3. International Patient Services - Scripps - San Diego — scripps.org
  4. Hip Replacement Surgery — scripps.org
  5. Neurointerventional Surgery - San Diego - Scripps Health — scripps.org
  6. Out-of-Town Patients - San Diego - Scripps Health — scripps.org
  7. Stroke Care - San Diego - Scripps Health — scripps.org