Hospital type: Critical Access Hospital · Ownership: Government - Hospital District or Authority
Seneca District Hospital is a critical access hospital at 130 Brentwood Drive, Chester, CA 96020. Phone: (530) 258-2151. It has an emergency department.
Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).
Summary
Seneca District Hospital is a critical access hospital in Chester, California. Medicare data lists emergency services. Its official website lists 21 services, specialties and programs. Medicare lists 57 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
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.
Does Seneca District Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Seneca District Hospital. In a medical emergency, call 911.
Where is Seneca District Hospital?
130 Brentwood Drive, Chester, CA 96020, in Plumas County, California.
What is the phone number of Seneca District Hospital?
(530) 258-2151, as listed by Medicare (CMS).
What is the Medicare star rating of Seneca District Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
57 doctors and other clinicians list Seneca District Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 33 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Seneca District 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.
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)
Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)
96 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
1%National average: 2%
Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)
Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 41 common services exactly as Seneca District 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.
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$897
$717.60
$63.97 – $888.03
Emergency room visit (moderate): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $870.09
AMTHEM BC MCAL — AMTHEM BC MCAL: $64.93
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $807.30
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $734.64
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $852.15
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $627.90
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $799.23
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $888.03
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $78.05
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $852.15
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$1,987
$1,589.60
$98.04 – $1,967.13
Emergency room visit (moderately high): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $1,927.39
AMTHEM BC MCAL — AMTHEM BC MCAL: $99.51
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $1,788.30
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $1,627.35
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $1,887.65
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $1,390.90
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $1,770.42
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $1,967.13
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $119.61
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $1,887.65
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$2,361
$1,888.80
$155.03 – $2,337.39
Emergency room visit (high): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $2,290.17
AMTHEM BC MCAL — AMTHEM BC MCAL: $157.36
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,124.90
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $1,933.66
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $2,242.95
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $1,652.70
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,103.65
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $2,337.39
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $189.14
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $2,242.95
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: Blood test, basic group of blood chemicals (Calcium, total)
$125
$100
$9.70 – $123.75
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $121.25
AMTHEM BC MCAL — AMTHEM BC MCAL: $9.84
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $112.50
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $102.38
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $118.75
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $87.50
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $111.38
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $123.75
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $11.83
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $118.75
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$175
$140
$12.11 – $173.25
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $169.75
AMTHEM BC MCAL — AMTHEM BC MCAL: $12.29
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $157.50
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $143.33
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $166.25
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $122.50
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $155.93
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $173.25
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $14.77
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $166.25
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$169
$135.20
$15.36 – $167.31
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $163.93
AMTHEM BC MCAL — AMTHEM BC MCAL: $15.59
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $152.10
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $138.41
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $160.55
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $118.30
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $150.58
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $167.31
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $18.74
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $160.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$155
$124
$9.95 – $153.45
Kidney function panel: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $150.35
AMTHEM BC MCAL — AMTHEM BC MCAL: $10.10
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $139.50
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $126.95
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $147.25
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $108.50
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $138.11
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $153.45
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $12.14
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $147.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$116.50
$93.20
$9.15 – $115.34
Liver function panel: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $113.01
AMTHEM BC MCAL — AMTHEM BC MCAL: $9.29
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $104.85
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $95.41
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $110.68
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $81.55
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $103.80
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $115.34
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $11.16
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $110.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$96
$76.80
$3.63 – $95.04
Urine test (automated, with microscope): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $93.12
AMTHEM BC MCAL — AMTHEM BC MCAL: $3.68
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $86.40
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $78.62
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $91.20
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $67.20
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $85.54
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $95.04
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $4.43
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $91.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$55
$44
$2.58 – $54.45
Urine test (automated, without microscope): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $53.35
AMTHEM BC MCAL — AMTHEM BC MCAL: $2.62
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $49.50
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $45.05
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $52.25
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $38.50
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $49.01
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $54.45
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $3.15
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $52.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$4.79
$3.83
$1.82 – $4.79
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $4.65
AMTHEM BC MCAL — AMTHEM BC MCAL: $4.79
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $4.31
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $3.92
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $4.55
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $3.35
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $4.27
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $4.74
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $4.79
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $4.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$208
$166.40
$19.28 – $205.92
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $201.76
AMTHEM BC MCAL — AMTHEM BC MCAL: $19.57
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $187.20
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $170.35
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $197.60
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $145.60
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $185.33
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $205.92
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $23.52
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $197.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$148
$118.40
$8.91 – $146.52
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $143.56
AMTHEM BC MCAL — AMTHEM BC MCAL: $9.04
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $133.20
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $121.21
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $140.60
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $103.60
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $131.87
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $146.52
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $10.87
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $140.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$87.50
$70
$7.42 – $86.63
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $84.88
AMTHEM BC MCAL — AMTHEM BC MCAL: $7.53
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $78.75
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $71.66
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $83.13
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $61.25
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $77.96
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $86.63
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $9.05
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $83.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$105
$84
$4.92 – $103.95
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $101.85
AMTHEM BC MCAL — AMTHEM BC MCAL: $4.99
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $94.50
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $86
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $99.75
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $73.50
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $93.56
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $103.95
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $6
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $99.75
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$108.50
$86.80
$6.89 – $107.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $105.25
AMTHEM BC MCAL — AMTHEM BC MCAL: $6.99
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $97.65
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $88.86
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $103.08
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $75.95
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $96.67
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $107.42
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $8.40
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $103.08
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 scan head or brain without contrast
$2,847
$2,277.60
$165.86 – $2,818.53
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $2,761.59
AMTHEM BC MCAL — AMTHEM BC MCAL: $168.35
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,562.30
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,331.69
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $2,704.65
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $1,992.90
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,536.68
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $2,818.53
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $202.35
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $2,704.65
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$5,378
$4,302.40
$594.39 – $5,324.22
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $5,216.66
AMTHEM BC MCAL — AMTHEM BC MCAL: $603.31
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $4,840.20
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $4,404.58
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $5,109.10
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $3,764.60
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $4,791.80
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $5,324.22
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $725.16
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $5,109.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$476
$380.80
$39.42 – $471.24
Chest X-ray, 2 views: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $461.72
AMTHEM BC MCAL — AMTHEM BC MCAL: $40.01
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $428.40
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $389.84
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $452.20
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $333.20
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $424.12
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $471.24
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $48.09
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $452.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$819
$655.20
$62.90 – $810.81
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $794.43
AMTHEM BC MCAL — AMTHEM BC MCAL: $63.84
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $737.10
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $670.76
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $778.05
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $573.30
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $729.73
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $810.81
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $76.74
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $778.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$3,560
$2,848
$390.06 – $3,524.40
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,453.20
AMTHEM BC MCAL — AMTHEM BC MCAL: $395.91
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $3,204
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,915.64
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,382
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,492
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $3,171.96
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $3,524.40
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $475.87
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,382
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$3,480
$2,784
$293.26 – $3,445.20
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,375.60
AMTHEM BC MCAL — AMTHEM BC MCAL: $297.66
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $3,132
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,850.12
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,306
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,436
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $3,100.68
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $3,445.20
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $357.78
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,306
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast
$3,524
$2,819.20
$560.10 – $3,488.76
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,418.28
AMTHEM BC MCAL — AMTHEM BC MCAL: $568.51
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $3,171.60
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,886.16
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,347.80
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,466.80
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $3,139.88
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $3,488.76
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $683.33
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,347.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$3,480
$2,784
$404.21 – $3,445.20
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,375.60
AMTHEM BC MCAL — AMTHEM BC MCAL: $410.28
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $3,132
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,850.12
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,306
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,436
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $3,100.68
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $3,445.20
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $493.14
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,306
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$1,188
$950.40
$119.34 – $1,176.12
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $1,152.36
AMTHEM BC MCAL — AMTHEM BC MCAL: $121.13
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $1,069.20
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $972.97
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $1,128.60
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $831.60
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $1,058.51
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $1,176.12
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $145.60
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $1,128.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$450
$360
$135.29 – $450
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $436.50
AMTHEM BC MCAL — AMTHEM BC MCAL: $137.32
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $405
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $368.55
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $427.50
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $315
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $400.95
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $445.50
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $165.06
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $427.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$369
$295.20
$97.04 – $365.31
Transvaginal ultrasound: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $357.93
AMTHEM BC MCAL — AMTHEM BC MCAL: $98.49
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $332.10
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $302.21
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $350.55
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $258.30
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $328.78
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $365.31
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $118.39
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $350.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast
$451
$360.80
$171.38 – $451
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $437.47
AMTHEM BC MCAL — AMTHEM BC MCAL: $177.69
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $405.90
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $369.37
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $428.45
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $315.70
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $401.84
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $446.49
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $213.58
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $428.45
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts
$520
$416
$197.60 – $520
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $504.40
AMTHEM BC MCAL — AMTHEM BC MCAL: $225.30
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $468
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $425.88
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $494
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $364
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $463.32
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $514.80
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $270.81
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $494
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography
$313
$250.40
$118.94 – $313
Screening mammogram, both breasts: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $303.61
AMTHEM BC MCAL — AMTHEM BC MCAL: $182.43
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $281.70
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $256.35
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $297.35
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $219.10
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $278.88
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $309.87
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $219.27
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $297.35
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: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$92
$73.60
$15.72 – $91.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $89.24
AMTHEM BC MCAL — AMTHEM BC MCAL: $15.96
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $82.80
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $75.35
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $87.40
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $64.40
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $81.97
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $91.08
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $19.18
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $87.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$214
$171.20
$81.32 – $749
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $207.58
AMTHEM BC MCAL — AMTHEM BC MCAL: $217.21
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $192.60
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $175.27
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $203.30
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $149.80
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $190.67
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $211.86
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $261.08
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $203.30
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$214
$171.20
$81.32 – $214
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $207.58
AMTHEM BC MCAL — AMTHEM BC MCAL: $197.36
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $192.60
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $175.27
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $203.30
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $149.80
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $190.67
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $211.86
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $214
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $203.30
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$2,417
$1,933.60
$224.12 – $2,392.83
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $2,344.49
AMTHEM BC MCAL — AMTHEM BC MCAL: $227.48
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,175.30
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $1,979.52
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $2,296.15
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $1,691.90
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,153.55
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $2,392.83
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $273.43
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $2,296.15
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$2,622
$2,097.60
$234.18 – $2,595.78
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $2,543.34
AMTHEM BC MCAL — AMTHEM BC MCAL: $237.69
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,359.80
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,147.42
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $2,490.90
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $1,835.40
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,336.20
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $2,595.78
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $285.70
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $2,490.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$2,970
$2,376
$295.23 – $2,940.30
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $2,880.90
AMTHEM BC MCAL — AMTHEM BC MCAL: $299.66
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,673
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,432.43
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $2,821.50
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,079
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,646.27
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $2,940.30
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $360.18
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $2,821.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$3,218
$2,574.40
$330.23 – $3,185.82
Colonoscopy with biopsy: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,121.46
AMTHEM BC MCAL — AMTHEM BC MCAL: $335.18
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,896.20
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,635.54
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,057.10
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,252.60
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,867.24
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $3,185.82
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $402.88
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,057.10
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$3,226
$2,580.80
$400.22 – $3,193.74
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,129.22
AMTHEM BC MCAL — AMTHEM BC MCAL: $406.22
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,903.40
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,642.09
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,064.70
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,258.20
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,874.37
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $3,193.74
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $488.27
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,064.70
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$4,108
$3,286.40
$1,561.04 – $14,378
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $3,984.76
AMTHEM BC MCAL — AMTHEM BC MCAL: $4,169.62
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $3,697.20
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $3,364.45
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $3,902.60
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,875.60
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $3,660.23
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $4,066.92
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $5,011.76
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $3,902.60
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope
$15,333.75
$12,267
$668.60 – $15,180.41
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $14,873.74
AMTHEM BC MCAL — AMTHEM BC MCAL: $678.63
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $13,800.38
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $12,558.34
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $14,567.06
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $10,733.63
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $13,662.37
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $15,180.41
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $815.70
CIGNA- ALL PLANS — CIGNA- ALL PLANS: $14,567.06
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$2,940
$2,352
$143.34 – $2,910.60
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
ALLIANCE- ALL PLANS — ALLIANCE- ALL PLANS: $2,851.80
AMTHEM BC MCAL — AMTHEM BC MCAL: $145.49
ANTHEM BC CA EXCHANGE — ANTHEM BC CA EXCHANGE: $2,646
ANTHEM BC-ALL OTHER PLANS — ANTHEM BC-ALL OTHER PLANS: $2,407.86
BEECH STREET CORP- ALL PLANS — BEECH STREET CORP- ALL PLANS: $2,793
BLUE SHIELD CA TRICARE — BLUE SHIELD CA TRICARE: $2,058
BLUE SHIELD IPF/CA EXCHANGE — BLUE SHIELD IPF/CA EXCHANGE: $2,619.54
BLUE SHIELD OF CA- ALL OTHER PLANS — BLUE SHIELD OF CA- ALL OTHER PLANS: $2,910.60
CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS — CA HEALTH AND WELLNESS (CENTENE)- ALL PLANS: $174.87
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.