Does Sharp Memorial Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sharp Memorial Hospital. In a medical emergency, call 911.

Where is Sharp Memorial Hospital?

7901 Frost St, San Diego, CA 92123, in San Diego County, California.

What is the phone number of Sharp Memorial Hospital?

(858) 939-3400, as listed by Medicare (CMS).

What is the Medicare star rating of Sharp Memorial Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Sharp Memorial Hospital for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Sharp Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.4146; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Sharp Memorial Hospital — Phone, Address & ER

Quick answers

Does Sharp Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sharp Memorial Hospital. In a medical emergency, call 911.
Where is Sharp Memorial Hospital?: 7901 Frost St, San Diego, CA 92123, in San Diego County, California.
What is the phone number of Sharp Memorial Hospital?: (858) 939-3400, as listed by Medicare (CMS).
What is the Medicare star rating of Sharp Memorial Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Sharp Memorial Hospital for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Sharp Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.4146; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Cancer treatment
Head and neck
Heart and vascular
Orthopedics
Radiology
Rehabilitation
Stroke
Transplant
Wound care
Emergency services and trauma center

Treatments^[4]

Bloodless surgery and medicine
Infusion services
Spine rehabilitation

Procedures^[4]

Heart valve surgery
Thoracic (lung) surgery
Spine and brain surgery
Weight loss (bariatric) surgery

Programs and centers^[4]

Brain and spinal cord cancer treatment program
Integrative medicine
Arts for Healing
Pre-Anesthesia Evaluation Services

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Parking	Parking structures on Frost Street and Health Center Drive; fees may apply^[4]
Patient portal	Sharp account

Recognition^[4]

Gold Certified Planetree Person-Centered Care Hospital
Magnet Recognition (ANCC)

Doctors and clinicians (930)

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

Main specialties

And 906 more: the button below opens the full list.

Other emergency rooms nearby

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

Rady Children's Hospital - San Diego0.3 mi · San Diego, CA · Children's Hospital
UC San Diego Health Hillcrest - Hillcrest Medical Center3.3 mi · San Diego, CA · Acute Care Hospital
Scripps Mercy Hospital3.4 mi · San Diego, CA · Acute Care Hospital
Kaiser Foundation Hospital - San Diego3.5 mi · San Diego, CA · Acute Care Hospital
NMC San Diego5.3 mi · San Diego, CA · Military Hospital (Department of Defense)

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near San Diego

Sharp Mesa Vista Hospital0.4 mi · San Diego, CA · Psychiatric Hospital
Kindred Hospital - San Diego3.2 mi · San Diego, CA · Long-Term Acute Care Hospital
Select Specialty Hospital - San Diego3.5 mi · San Diego, CA · Long-Term Acute Care Hospital

All hospitals in San Diego · Hospitals in San Diego County · Hospitals near me

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

Helen Bernardy Center D/P SNF0.3 mi · San Diego, CA · 5 of 5 stars
The Shores Post-Acute0.5 mi · San Diego, CA · 4 of 5 stars
Kearny Mesa Convalescent and Nursing Home0.9 mi · San Diego, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Art of Hospice Care, Inc0.9 mi · San Diego, CA
Calstro Hospice San Diego0.9 mi · San Diego, CA
Radiant Hospice0.9 mi · San Diego, CA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Seaport Scripps Home Health0.9 mi · San Diego, CA · 4 of 5 stars
Absolute Home Health Inc1.4 mi · San Diego, CA · 5 of 5 stars
Accentcare Home Health of California, Inc1.4 mi · San Diego, CA · 3.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Care Balboa - Kearny Mesa0.9 mi · San Diego, CA · 3 of 5 stars
Childrens Hospital of San Diego1.4 mi · San Diego, CA
FKC Home Training Center of San Diego1.4 mi · San Diego, CA · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Cabrillo Surgery Center Inc1.4 mi · San Diego, CA
Coast Surgery Center for Orthopedic and Arthroscop1.4 mi · San Diego, CA
Heart of San Diego Surgical Center, LLC1.4 mi · San Diego, CA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

San Diego Family Care1.2 mi · San Diego, CA · Community health center
Linda Vista Health Care Center1.2 mi · San Diego, CA · Community health center
Linda Vista Health Care Center1.2 mi · San Diego, CA · Community health center

Clinics and urgent care

Somagen Healthcare Inc0.9 mi · San Diego, CA · Urgent care center
Somagen Healthcare Inc2.0 mi · San Diego, CA · Urgent care center
Monica Perlman MD Inc.3.1 mi · San Diego, CA · Urgent care center

Pharmacies

Alto Pharmacy, LLC0.9 mi · San Diego, CA · Community/retail pharmacy
Kaiser Foundation Health Plan Inc0.9 mi · San Diego, CA · Community/retail pharmacy
Kaiser Foundation Health Plan Inc0.9 mi · San Diego, CA · Community/retail pharmacy

Assisted living nearby

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

Butterfly Gardens0.9 mi · San Diego, CA
Carmona's Residential Care0.9 mi · San Diego, CA
Carpel Board & Care Facility #20.9 mi · San Diego, CA
Carpel Board and Care Facility0.9 mi · San Diego, CA

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Sharp Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	80%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	79%National average: 80%
“Always” got help as soon as they wanted	60%National average: 64%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	72%National average: 73%
Completed surveys	6,136Response rate: 25%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)	0.782No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.836No different from the national benchmark
Surgical site infections after colon surgery	1.037No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.374No different from the national benchmark
MRSA bloodstream infections	1.296No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.897No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12.1%
Deaths within 30 days: heart failure patients	7.9%
Deaths within 30 days: pneumonia patients	12.2%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	10.3%
Serious complications (patient safety indicator PSI-90)	1.2No different from the national rate
Complications after hip or knee replacement	3.5%
Too few cases to report	Deaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	15.5%
Readmitted within 30 days: heart attack	13.2%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	12.8%
Readmitted within 30 days: hip or knee replacement	6.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	192 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Sharp Memorial Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.4146Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack	0.9828Fewer readmissions than expected
Heart failure	0.9954Fewer readmissions than expected
Pneumonia	0.9837Fewer readmissions than expected
COPD (chronic lung disease)	1.0030More readmissions than expected
Hip or knee replacement	1.1890More readmissions than expected
Coronary bypass surgery (CABG)	1.0271More readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	25.17 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	38.33 out of 100
Person and community engagement (patient survey)	49.00 out of 100
Safety (infections and sepsis care)	13.33 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.00Same as the national median hospital

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 San Diego Best hospitals in San Diego

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Sharp Memorial 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 →

$ 86 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 60 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC FACILITY FEE DETAILED NP	$471	$353.25	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $461.58
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Aetna - PPO: $353.25 Aetna — First Health Medicare: $461.58 Allianz Global Assistance — AZGA Services Canada: $329.70 Community Health Group — Community Health Group - Cal Mediconnect: $353.25 Epic Americas — AXA Assistance: $329.70 Health Net — Health Net - Medicare: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Kaiser — Kaiser - Rehab: $317.93 Molina — Molina - Cal Medi-Connect: $299.08 Molina — Molina Medi-Cal: $320.28
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC FACILITY FEE EXPANDED NP HEART FAILURE	$449	$336.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $404.10
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Blue Cross — Blue Cross - Prudent Buyer: $404.10 County Medical Services — County of San Diego: $253.68 Health Net — Health Net - Medi-Cal: $67.35 Kaiser — Kaiser - Rehab: $404.10 San Diego Pace — San Diego Pace: $269.40
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC FACILITY FEE EXPANDED NP HEART FAILURE	$449	$336.75	$67.35 – $1,142.53
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Aetna — Aetna Whole Health: $253.68 Aetna — First Health Medicare: $440.02 Epic Americas — AXA Assistance: $359.20 Health Net — Health Net - HMO/POS/EPO: $305.32 Managed Health Network — MHN - Medicare: $305.32
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC FACILITY FEE COMPREH NP 761	$635	$476.25	$1.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $622.30
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Aetna - HMO/POS: $393.70 Aetna — Aetna - PPO: $403.23 Aetna — Aetna Whole Health: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield — Blue Shield - HMO: $349.25 Community Health Group — Community Health Group - Cal Mediconnect: $403.23 Health Net — Health Net - Medicare: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Net — Health Net - PPO: $393.70 Interplan — Interplan: $444.50 Molina — Molina - Cal Medi-Connect: $520.70
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC FACILITY FEE COMPREH NP 761	$635	$476.25	$188.59 – $725
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Aetna - PPO: $416.56 Aetna — First Health - Direct: $317.50 Aetna — First Health - Leased/CCN: $476.25 Blue Cross — Blue Cross - Standard: $431.80 Blue Shield — Blue Shield - PPO: $431.80 County Medical Services — County of San Diego: $508 Health Net — Health Net - Medi-Cal: $444.50 Medicare — Medicare: $387.35
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC FACILITY FEE DETAILED NP HEART FAILURE	$606	$454.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $484.80
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Blue Cross — Blue Cross - Prudent Buyer: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield — Blue Shield - Promise: $466.62 Community Health Group — Community Health Group - Cal Mediconnect: $406.02 Humana — Choice Care Network: $424.20 Molina — Molina Medi-Cal: $424.20 Optum Health — Optum Health - Medicare: $206.04 United Healthcare — United Healthcare - HMO: $337.54
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC FACILITY FEE HIGH CMPLX NP 761	$817	$612.75	$51.63 – $653.60
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Aetna - PPO: $653.60 Aetna — Aetna Whole Health: $122.55 California Health and Wellness — California Health and Wellness: $343.14 County Medical Services — County of San Diego: $392.16 Epic Americas — AXA Assistance: $612.75 Health Net — Health Net - Medi-Cal: $490.20 Humana — Choice Care Network: $391.42 Kaiser — Kaiser - HMO: $653.60 United Healthcare — United Healthcare - PPO: $547.39
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC FACILITY FEE HIGH CMPLX NP 761	$817	$612.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $800.66
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Aetna - HMO/POS: $629.09 Blue Shield — Blue Shield - Promise: $277.78 Cigna — Cigna - PPO: $555.56 Health Net — Health Net - Medicare: $343.14 Health Net — Health Net - PPO: $800.66 Humana — Choice Care Network: $669.94 Indian Health Council — Indian Health Council: $326.80 Interplan — Interplan: $555.56 United Healthcare — United Healthcare - PPO: $571.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC FACILITY FEE COMPLEX NP HEART FAILURE	$778	$583.50	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $637.96
New patient office visit (about 60–74 minutes): rates for 6 insurance plans Aetna — First Health - Leased/CCN: $637.96 Aetna — First Health Medicare: $599.06 Health Net — Health Net - Medi-Cal: $494.03 Health Net — Health Net Individual - HMO: $326.76 Molina — Molina - Exchange: $529.04 Optum Health — Optum Health - Medicare: $521.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC FACILITY FEE EXPANDED EP	$415	$311.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $290.50
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — First Health - Leased/CCN: $282.20 Allianz Global Assistance — AZGA Services Canada: $141.10 Blue Cross — Blue Cross - HMO: $249 Blue Cross — Blue Cross - PPO: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross — Blue Cross - Prudent Buyer: $290.50 Blue Shield — Blue Shield - HMO: $278.05 Community Health Group — Community Health Group - Cal Mediconnect: $207.50 Community Health Group — Community Health Group - Medi-Cal: $116.20 County Medical Services — County of San Diego: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Net — Health Net - Medi-Cal: $282.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OB TRIAGE LEVEL 3 OP	$415	$311.25	$0.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,256.25
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Aetna Whole Health: $257.30 Aetna — First Health Medicare: $282.20 Blue Cross — Blue Cross - Prudent Buyer: $311.25 Community Health Group — Community Health Group - Cal Mediconnect: $319.55 Epic Americas — AXA Assistance: $290.50 Health Net — Health Net Cal MediConnect: $166 Indian Health Council — Indian Health Council: $234.47 Kaiser — Kaiser - Rehab: $231.16 United Healthcare — United Healthcare - Medicare: $280.13
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC FACILITY FEE EXPANDED EP HEART FAILURE	$395	$296.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,213.55
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — First Health - Direct: $197.50 Blue Cross — Blue Cross - Prudent Buyer: $237 Blue Shield — Blue Shield - PPO: $276.50 Cigna — Cigna - HMO: $258.73 Cigna — Cigna - PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) County Medical Services — County of San Diego: $316 Medi-Cal — Medi-Cal: $276.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OB TRIAGE LEVEL 4 OP	$494	$370.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,191.26
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Aetna - PPO: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — First Health Medicare: $306.28 Blue Cross — Blue Cross - HMO: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield — Blue Shield - Promise: $370.50 Cigna — Cigna - HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Epic Americas — AXA Assistance: $324.06 Health Net — Health Net - Medicare: $345.80 Interplan — Interplan: $395.20 Kaiser — Kaiser - Rehab: $167.96 Medi-Cal — Medi-Cal: $197.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC FACILITY FEE DETAILED EP HEART FAILURE	$470	$352.50	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $423
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — First Health Medicare: $329 Blue Cross — Blue Cross - HMO: $286.70 Blue Shield — Blue Shield - HMO: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Community Health Group — Community Health Group - Medi-Cal: $282 Molina — Molina - Exchange: $329 Optum Health — Optum Health - Medicare: $329 San Diego Pace — San Diego Pace: $282
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC FACILITY FEE DETAILED EP HEART FAILURE	$470	$352.50	$70.50 – $376
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Aetna — Aetna - PPO: $265.55 Blue Cross — Blue Cross - HMO: $352.50 Community Health Group — Community Health Group - Medi-Cal: $282 Health Net — Health Net - Medi-Cal: $265.55 Health Net — Health Net - PPO: $329 Optum Health — Optum Health - Medicare: $311.80
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$2,917	$2,187.75	$437.55 – $2,625.30
Emergency room visit (moderate): rates for 9 insurance plans Aetna — First Health Medicare: $1,648.10 Blue Cross — Blue Cross - HMO: $991.78 Blue Cross — Blue Cross - PPO: $2,625.30 County Medical Services — County of San Diego: $2,391.94 Epic Americas — AXA Assistance: $1,779.37 Health Net — Health Net - Medicare: $1,983.56 Health Net — Health Net Individual - HMO: $2,041.90 Indian Health Council — Indian Health Council: $2,041.90 Molina — Molina Medi-Cal: $437.55
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$2,917	$2,187.75	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,333.60
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Aetna - HMO/POS: $1,624.77 Aetna — First Health - Direct: $1,968.98 Allianz Global Assistance — AZGA Services Canada: $1,983.56 Community Health Group — Community Health Group - Medi-Cal: $1,983.56 Epic Americas — AXA Assistance: $2,041.90 Kaiser — Kaiser - Rehab: $2,333.60 Multiplan — Multiplan: $1,779.37 United Healthcare — United Healthcare - HMO: $2,041.90
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC ER TRAUMA LVL IV	$10,400	$7,800	$1,456 – $10,192
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Aetna - HMO/POS: $8,320 Aetna — Aetna - PPO: $8,320 Blue Cross — Blue Cross - HMO: $8,320 Humana — Choice Care Network: $4,160 Kaiser — Kaiser - HMO: $3,536 Medicare — Medicare: $4,368 Molina — Molina - Exchange: $6,968 United Healthcare — United Healthcare - PPO: $10,192
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$5,200	$3,900	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,264
Emergency room visit (moderately high): rates for 6 insurance plans Aetna — First Health - Direct: $1.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) County Medical Services — County of San Diego: $3,510 Health Net — Health Net Cal MediConnect: $3,900 Health Net — Health Net Individual - HMO: $3,900 Kaiser — Kaiser - HMO: $3,484 Kaiser — Kaiser - Rehab: $4,264
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ER TRAUMA LVL IV	$10,400	$7,800	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,528
Emergency room visit (moderately high): rates for 6 insurance plans Health Net — Health Net - PPO: $7,280 Health Net — Health Net Cal MediConnect: $7,280 Humana — Choice Care Network: $4,992 Kaiser — Kaiser - Rehab: $4,992 Molina — Molina - Exchange: $7,800 Optum Health — Optum Health - Commercial: $3,536
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC ER TYPE CRITICAL LT 30MIN	$9,500	$7,125	$725 – $9,310
Emergency room visit (high): 10 of 13 insurance plan rates Blue Cross — Blue Cross - MCS: $6,460 Blue Cross — Blue Cross - Prudent Buyer: $725 Blue Shield — Blue Shield - HMO: $6,460 Cigna — Cigna - HMO: $9,310 Community Health Group — Community Health Group - Cal Mediconnect: $7,600 Community Health Group — Community Health Group - Medi-Cal: $7,790 Health Net — Health Net Cal MediConnect: $6,650 Humana — Choice Care Network: $3,990 Indian Health Council — Indian Health Council: $1,425 Medicare — Medicare: $4,750
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ER TYPE CRITICAL LT 30MIN	$9,500	$7,125	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,790
Emergency room visit (high): rates for 10 insurance plans Aetna — Aetna - HMO/POS: $6,650 Allianz Global Assistance — AZGA Services Canada: $6,650 Blue Shield — Blue Shield - Promise: $2,660 Health Net — Health Net - Medicare: $3,230 Health Net — Health Net - PPO: $6,460 Indian Health Council — Indian Health Council: $3,800 Molina — Molina - Exchange: $6,232 United Healthcare — United Healthcare - HMO: $5,225 United Healthcare — United Healthcare - Medicare: $7,600 United Healthcare — United Healthcare - PPO: $7,790
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ER TRAUMA LVL V ADVANCED	$15,200	$11,400	$1.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $14,896
Emergency room visit (high): rates for 8 insurance plans Aetna — Aetna - PPO: $9,576 Aetna — First Health - Leased/CCN: $14,896 Health Net — Health Net - HMO/POS/EPO: $8,588 Health Net — Health Net - PPO: $10,336 Health Net — Health Net Individual - EPO: $11,400 Indian Health Council — Indian Health Council: $8,588 Optum Health — Optum Health - Commercial: $9,652 United Healthcare — United Healthcare - Medicare: $6,384

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$352	$264	$49.28 – $281.60
Basic metabolic panel (blood test): rates for 7 insurance plans Blue Cross — Blue Cross - HMO: $281.60 Blue Cross — Blue Cross - Prudent Buyer: $230.56 Community Health Group — Community Health Group - Cal Mediconnect: $49.28 Epic Americas — AXA Assistance: $147.84 Health Net — Health Net - Medicare: $237.60 United Healthcare — United Healthcare - HMO: $239.36 United Healthcare — United Healthcare - Medicare: $198.88
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$352	$264	$1 – $725
Basic metabolic panel (blood test): rates for 5 insurance plans Health Net — Health Net - HMO/POS/EPO: $281.60 Medicare — Medicare: $237.60 Optum Health — Optum Health - Medicare: $281.60 United Healthcare — United Healthcare - Medicare: $198.88 United Healthcare — United Healthcare - PPO: $198.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE	$452	$339	$1 – $406.80
Comprehensive metabolic panel (blood test): rates for 7 insurance plans California Health and Wellness — California Health and Wellness: $255.38 Epic Americas — AXA Assistance: $63.28 Health Net — Health Net - Medicare: $307.36 Indian Health Council — Indian Health Council: $275.72 Molina — Molina - Cal Medi-Connect: $348.04 San Diego Pace — San Diego Pace: $153.68 United Healthcare — United Healthcare - Medicare: $226
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE	$452	$339	$67.80 – $442.96
Comprehensive metabolic panel (blood test): rates for 4 insurance plans Cigna — Cigna - HMO: $339 Health Net — Health Net - Medicare: $296.51 Optum Health — Optum Health - Medicare: $316.40 San Diego Pace — San Diego Pace: $307.36
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL - BUNDLED CHARGE	$306	$229.50	$42.84 – $299.88
Obstetric blood test panel: rates for 8 insurance plans Allianz Global Assistance — AZGA Services Canada: $299.88 Blue Cross — Blue Cross - HMO: $244.80 Blue Cross — Blue Cross - Standard: $235.62 County Medical Services — County of San Diego: $104.04 Epic Americas — AXA Assistance: $235.62 Health Net — Health Net - HMO/POS/EPO: $275.40 Managed Health Network — MHN - Medicare: $208.08 Optum Health — Optum Health - Commercial: $214.20
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL - BUNDLED CHARGE	$306	$229.50	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $625.89
Obstetric blood test panel: rates for 6 insurance plans Blue Cross — Blue Cross - HMO: $229.50 Cigna — Cigna - PPO: $229.50 Managed Health Network — MHN - Medicare: $214.20 Medicare — Medicare: $244.80 Multiplan — Multiplan: $85.68 United Healthcare — United Healthcare - Medicare: $42.84
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL - BUNDLED CHARGE	$194	$145.50	$1.30 – $190.12
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — Aetna - PPO: $65.96 Blue Cross — Blue Cross - MCS: $97 Blue Cross — Blue Cross - Prudent Buyer: $130.95 Blue Shield — Blue Shield - PPO: $155.20 Blue Shield — Blue Shield - Promise: $109.61 Cigna — Cigna - PPO: $118.34 Health Net — Health Net - Medicare: $116.40 Health Net — Health Net Cal MediConnect: $118.34 Health Net — Health Net Individual - HMO: $135.80 Humana — Choice Care Network: $190.12
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC NMR LIPID PNL	$14	$10.50	$5.88 – $71.39
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Aetna - HMO/POS: $10.50 Blue Cross — Blue Cross - Prudent Buyer: $10.50 Blue Shield — Blue Shield - HMO: $9.38 Blue Shield — Blue Shield - PPO: $10.50 Community Health Group — Community Health Group - Medi-Cal: $10.50 Health Net — Health Net - Medicare: $7.70 Health Net — Health Net Cal MediConnect: $8.89 Humana — Choice Care Network: $9.52 Managed Health Network — MHN - Medicare: $5.88 Molina — Molina - Exchange: $9.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC NMR LIPID PNL	$14	$10.50	$0.88 – $363.60
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — First Health - Direct: $9.45 Blue Cross — Blue Cross - HMO: $2.10 Blue Cross — Blue Cross - PPO: $5.60 Blue Cross — Blue Cross - Prudent Buyer: $8.89 Optum Health — Optum Health - Medicare: $0.88 United Healthcare — United Healthcare - Medicare: $9.17 United Healthcare — United Healthcare - PPO: $2.10
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$180	$135	$50.40 – $126
Kidney function panel: rates for 6 insurance plans Aetna — Aetna - PPO: $72 Blue Cross — Blue Cross - HMO: $121.50 Blue Cross — Blue Cross - PPO: $101.70 Cigna — Cigna - HMO: $122.40 Community Health Group — Community Health Group - Cal Mediconnect: $61.20 Epic Americas — AXA Assistance: $120.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$180	$135	$11.38 – $162
Kidney function panel: rates for 5 insurance plans Blue Cross — Blue Cross - HMO: $101.70 Community Health Group — Community Health Group - Medi-Cal: $114.30 Indian Health Council — Indian Health Council: $162 Multiplan — Multiplan: $108 Optum Health — Optum Health - Commercial: $61.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$260	$195	$1.10 – $254.80
Liver function panel: rates for 10 insurance plans Blue Cross — Blue Cross - HMO: $1.10 Epic Americas — AXA Assistance: $254.80 Health Net — Health Net - HMO/POS/EPO: $176.80 Humana — Choice Care Network: $176.80 Medi-Cal — Medi-Cal: $213.20 Medicare — Medicare: $195 Molina — Molina Medi-Cal: $88.40 Optum Health — Optum Health - Commercial: $156 San Diego Pace — San Diego Pace: $208 United Healthcare — United Healthcare - HMO: $175.50
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$260	$195	$45.50 – $213.20
Liver function panel: rates for 8 insurance plans Blue Cross — Blue Cross - PPO: $208 Blue Shield — Blue Shield - HMO: $144.82 Blue Shield — Blue Shield - Promise: $195 County Medical Services — County of San Diego: $213.20 Epic Americas — AXA Assistance: $88.40 Health Net — Health Net - Medi-Cal: $208 Indian Health Council — Indian Health Council: $146.90 Multiplan — Multiplan: $172.48
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC	$111	$83.25	$1.30 – $725
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — Aetna - PPO: $77.70 Blue Cross — Blue Cross - PPO: $66.60 Blue Shield — Blue Shield - HMO: $62.71 Epic Americas — AXA Assistance: $83.25 Indian Health Council — Indian Health Council: $37.74 Managed Health Network — MHN - Medicare: $85.47 Medi-Cal — Medi-Cal: $99.90 Medicare — Medicare: $77.70 Optum Health — Optum Health - Medicare: $73.64
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC	$111	$83.25	$16.65 – $725
Urine test (automated, with microscope): rates for 6 insurance plans Community Health Group — Community Health Group - Medi-Cal: $83.25 Health Net — Health Net Individual - HMO: $61.05 Medicare — Medicare: $44.40 Molina — Molina - Cal Medi-Connect: $62.71 Molina — Molina Medi-Cal: $55.50 Optum Health — Optum Health - Commercial: $77.70
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC ACETONE/KETONE URINE QUAL	$29	$21.75	$1.15 – $23.20
Urine test (manual, without microscope): rates for 4 insurance plans Aetna — Aetna Whole Health: $19.58 Community Health Group — Community Health Group - Cal Mediconnect: $22.33 Medicare — Medicare: $19.72 Molina — Molina Medi-Cal: $23.20
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HC ACETONE/KETONE URINE QUAL	$29	$21.75	$8.12 – $28.42
Urine test (manual, without microscope): rates for 4 insurance plans Blue Cross — Blue Cross - HMO: $12.18 Blue Cross — Blue Cross - PPO: $8.12 Health Net — Health Net - HMO/POS/EPO: $22.33 Optum Health — Optum Health - Commercial: $19.43
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONLY	$86	$64.50	$26.23 – $725
Urine test (automated, without microscope): rates for 7 insurance plans Blue Cross — Blue Cross - HMO: $60.20 Blue Cross — Blue Cross - MCS: $60.20 Blue Cross — Blue Cross - Prudent Buyer: $57.05 Blue Cross — Blue Cross - Standard: $64.50 Blue Shield — Blue Shield - HMO: $60.20 County Medical Services — County of San Diego: $60.20 Health Net — Health Net Cal MediConnect: $58.05
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONLY	$86	$64.50	$1.15 – $70.52
Urine test (automated, without microscope): rates for 7 insurance plans Cigna — Cigna - HMO: $70.52 Cigna — Cigna - PPO: $54.61 Community Health Group — Community Health Group - Cal Mediconnect: $68.80 County Medical Services — County of San Diego: $60.20 Humana — Choice Care Network: $54.61 Kaiser — Kaiser - HMO: $15.05 United Healthcare — United Healthcare - PPO: $60.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA DIAG	$147	$110.25	$43.66 – $22,815.81 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — First Health - Direct: $102.90 Aetna — First Health - Leased/CCN: $81.88 Blue Cross — Blue Cross - PPO: $102.90 Community Health Group — Community Health Group - Medi-Cal: $91.14 Health Net — Health Net - HMO/POS/EPO: $67.47 Health Net — Health Net - Medi-Cal: $99.23 Health Net — Health Net - PPO: $73.50 Molina — Molina - Cal Medi-Connect: $117.60 Optum Health — Optum Health - Commercial: $99.96 United Healthcare — United Healthcare - HMO: $83.05
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA DIAG	$147	$110.25	$1 – $725
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — Aetna - PPO: $110.25 Blue Shield — Blue Shield - HMO: $96.43 California Health and Wellness — California Health and Wellness: $117.60 Cigna — Cigna - PPO: $1 Health Net — Health Net - Medicare: $1 Health Net — Health Net Individual - HMO: $83.05 Kaiser — Kaiser - HMO: $725 Multiplan — Multiplan: $58.80 United Healthcare — United Healthcare - Medicare: $70.56
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA TOTAL AND FREE	$6.50	$4.88	$0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5.33
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Blue Shield — Blue Shield - PPO: $2.60 Blue Shield — Blue Shield - Promise: $2.60 California Health and Wellness — California Health and Wellness: $5.20 Community Health Group — Community Health Group - Cal Mediconnect: $3.67 County Medical Services — County of San Diego: $2.60 Health Net — Health Net - Medi-Cal: $2.60 Health Net — Health Net Cal MediConnect: $3.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH GS (NBS)	$32	$24	$1 – $39.28
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — Aetna - PPO: $22.40 Blue Cross — Blue Cross - PPO: $22.40 Blue Shield — Blue Shield - HMO: $26.24 Health Net — Health Net - Medicare: $1 Kaiser — Kaiser - HMO: $24.64 Medi-Cal — Medi-Cal: $25.60 Multiplan — Multiplan: $28.80 San Diego Pace — San Diego Pace: $20.16 United Healthcare — United Healthcare - HMO: $22.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$207	$155.25	$13.08 – $159.39
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Blue Cross — Blue Cross - Prudent Buyer: $13.08 County Medical Services — County of San Diego: $140.76 Health Net — Health Net - Medi-Cal: $144.90 Health Net — Health Net - Medicare: $140.76 Managed Health Network — MHN - Medicare: $31.05 Molina — Molina Medi-Cal: $144.90 United Healthcare — United Healthcare - PPO: $144.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC TSH GS (NBS)	$32	$24	$9.50 – $25.60
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Aetna — Aetna - PPO: $22.40 Blue Cross — Blue Cross - HMO: $25.60 California Health and Wellness — California Health and Wellness: $10.88 Health Net — Health Net Individual - HMO: $22.40 Medi-Cal — Medi-Cal: $9.50 San Diego Pace — San Diego Pace: $22.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPLETE CBC & AUTO DIFF WBC	$197	$147.75	$1 – $193.06
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Aetna — Aetna - HMO/POS: $133.96 Aetna — Aetna - PPO: $129.03 Aetna — First Health Medicare: $1 Blue Shield — Blue Shield - HMO: $132.98 Blue Shield — Blue Shield - Promise: $111.30 Community Health Group — Community Health Group - Medi-Cal: $27.58 County Medical Services — County of San Diego: $157.60 Epic Americas — AXA Assistance: $66.98 Health Net — Health Net - HMO/POS/EPO: $1.15 Managed Health Network — MHN - Medicare: $133.96
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC COMPLETE CBC & AUTO DIFF WBC	$197	$147.75	$60.09 – $725
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Aetna - HMO/POS: $147.75 Aetna — First Health Medicare: $118.20 Allianz Global Assistance — AZGA Services Canada: $131.99 Blue Cross — Blue Cross - Standard: $133.96 Health Net — Health Net - PPO: $133.96 Molina — Molina - Exchange: $109.73 San Diego Pace — San Diego Pace: $129.03 United Healthcare — United Healthcare - PPO: $66.98
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC HEMOGRAM	$159	$119.25	$47.22 – $127.20
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Aetna — First Health - Direct: $111.30 Aetna — First Health Medicare: $89.83 Blue Cross — Blue Cross - MCS: $87.45 California Health and Wellness — California Health and Wellness: $119.25 Epic Americas — AXA Assistance: $111.30 Health Net — Health Net - Medi-Cal: $108.12 Health Net — Health Net - Medicare: $106.53 Health Net — Health Net Individual - HMO: $104.30 Humana — Choice Care Network: $76.32 Interplan — Interplan: $104.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC HEMOGRAM	$159	$119.25	$1 – $938.84
Complete blood count (CBC), automated: rates for 8 insurance plans Blue Cross — Blue Cross - PPO: $54.06 Blue Cross — Blue Cross - Standard: $66.78 Blue Shield — Blue Shield - PPO: $79.50 Blue Shield — Blue Shield - Promise: $1 Cigna — Cigna - PPO: $105.48 County Medical Services — County of San Diego: $143.10 Health Net — Health Net - PPO: $143.10 San Diego Pace — San Diego Pace: $122.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$11.37	$8.53	$1 – $9.10
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Aetna — First Health - Direct: $7.96 Blue Cross — Blue Cross - PPO: $6.82 Cigna — Cigna - PPO: $5.46 Health Net — Health Net - HMO/POS/EPO: $3.18 Health Net — Health Net - Medicare: $5.46 Health Net — Health Net Individual - EPO: $1 Humana — Choice Care Network: $1 Indian Health Council — Indian Health Council: $7.45 Kaiser — Kaiser - Rehab: $7.96 Molina — Molina - Cal Medi-Connect: $7.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HC PROTHROMBIN TIME	$11.37	$8.53	$3.38 – $11.14
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Aetna - HMO/POS: $9.32 Aetna — Aetna - PPO: $8.53 Aetna — First Health Medicare: $4.55 Allianz Global Assistance — AZGA Services Canada: $5.68 California Health and Wellness — California Health and Wellness: $6.33 Community Health Group — Community Health Group - Cal Mediconnect: $7.96 Epic Americas — AXA Assistance: $8.53 Kaiser — Kaiser - HMO: $8.75 Optum Health — Optum Health - Medicare: $7.67 San Diego Pace — San Diego Pace: $6.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME - PROTIME-INR	$127	$95.25	$1 – $101.60
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Aetna - PPO: $101.60 Blue Cross — Blue Cross - Standard: $83.19 Cigna — Cigna - HMO: $1 Health Net — Health Net - Medi-Cal: $86.36 Humana — Choice Care Network: $35.56 Kaiser — Kaiser - Rehab: $86.36 Molina — Molina - Cal Medi-Connect: $63.50 Multiplan — Multiplan: $95.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PTT	$129	$96.75	$19.35 – $725
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — First Health - Direct: $86.43 Blue Cross — Blue Cross - PPO: $51.60 Blue Cross — Blue Cross - Prudent Buyer: $51.60 Blue Shield — Blue Shield - HMO: $43.86 Cigna — Cigna - HMO: $51.60 Health Net — Health Net Cal MediConnect: $85.58 Managed Health Network — MHN - Medicare: $90.30 Molina — Molina Medi-Cal: $72.88 Multiplan — Multiplan: $126.42 Optum Health — Optum Health - Medicare: $103.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$11.37	$8.53	$0.72 – $10.23
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — First Health - Leased/CCN: $10.23 Blue Cross — Blue Cross - HMO: $7.96 Blue Cross — Blue Cross - PPO: $4.55 Blue Cross — Blue Cross - Prudent Buyer: $4.55 Cigna — Cigna - PPO: $9.32 Community Health Group — Community Health Group - Medi-Cal: $0.72 County Medical Services — County of San Diego: $9.32 Molina — Molina Medi-Cal: $8.75
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$11.37	$8.53	$3.87 – $10.23
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Blue Cross — Blue Cross - Standard: $3.87 Blue Shield — Blue Shield - Promise: $8.53 Community Health Group — Community Health Group - Cal Mediconnect: $6.25 Community Health Group — Community Health Group - Medi-Cal: $6.25 Health Net — Health Net - HMO/POS/EPO: $6.94 Medicare — Medicare: $7.16 Multiplan — Multiplan: $6.33 United Healthcare — United Healthcare - PPO: $7.96

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 · Inpatient (hospital stay) In the file: HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST	$3,714	$2,785.50	$519.96 – $3,342.60
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — First Health Medicare: $2,042.70 Blue Cross — Blue Cross - MCS: $557.10 Blue Cross — Blue Cross - PPO: $3,045.48 Blue Shield — Blue Shield - PPO: $2,265.54 Blue Shield — Blue Shield - Promise: $2,265.54 Humana — Choice Care Network: $2,971.20 Medi-Cal — Medi-Cal: $2,971.20 Molina — Molina - Cal Medi-Connect: $557.10
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST	$3,714	$2,785.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,639.72
CT scan of the head or brain, without contrast: rates for 6 insurance plans Aetna — First Health - Direct: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Net — Health Net - PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Net — Health Net Individual - EPO: $2,971.20 Humana — Choice Care Network: $1,485.60 Managed Health Network — MHN - Medicare: $1,039.92 United Healthcare — United Healthcare - PPO: $557.10
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$6,083	$4,562.25	$912.45 – $4,866.40
MRI of the brain, before and after contrast: rates for 10 insurance plans Blue Cross — Blue Cross - PPO: $4,258.10 Blue Cross — Blue Cross - Standard: $3,436.89 Blue Shield — Blue Shield - HMO: $4,258.10 Blue Shield — Blue Shield - PPO: $4,136.44 California Health and Wellness — California Health and Wellness: $4,683.91 Cigna — Cigna - HMO: $4,562.25 Humana — Choice Care Network: $2,433.20 Interplan — Interplan: $4,258.10 Molina — Molina Medi-Cal: $3,436.89 United Healthcare — United Healthcare - HMO: $3,436.89
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$6,083	$4,562.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,866.40
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — Aetna - PPO: $4,258.10 Blue Cross — Blue Cross - PPO: $4,562.25 Blue Cross — Blue Cross - Prudent Buyer: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Cigna - HMO: $3,710.63 Health Net — Health Net Cal MediConnect: $4,866.40 Managed Health Network — MHN - Medicare: $1,703.24 San Diego Pace — San Diego Pace: $2,068.22
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$710	$532.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $725
Chest X-ray, 2 views: rates for 9 insurance plans Allianz Global Assistance — AZGA Services Canada: $241.40 Blue Cross — Blue Cross - PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield — Blue Shield - PPO: $725 Cigna — Cigna - HMO: $355 Health Net — Health Net - Medicare: $497 Health Net — Health Net - PPO: $44.87 Optum Health — Optum Health - Commercial: $340.80 San Diego Pace — San Diego Pace: $482.80 United Healthcare — United Healthcare - HMO: $695.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$710	$532.50	$44.87 – $725
Chest X-ray, 2 views: rates for 3 insurance plans Aetna — First Health - Direct: $284 Blue Cross — Blue Cross - Prudent Buyer: $497 Optum Health — Optum Health - Medicare: $532.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$1,151	$863.25	$341.85 – $920.80
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans County Medical Services — County of San Diego: $753.91 Health Net — Health Net Individual - EPO: $782.68 Molina — Molina - Exchange: $730.88 Optum Health — Optum Health - Commercial: $863.25 United Healthcare — United Healthcare - HMO: $863.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$1,151	$863.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,127.98
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans Aetna — Aetna Whole Health: $460.40 Blue Shield — Blue Shield - Promise: $782.68 Health Net — Health Net - Medicare: $805.70 Managed Health Network — MHN - Medicare: $755.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$4,149	$3,111.75	$1,232.25 – $3,402.18
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — Aetna Whole Health: $3,319.20 Blue Cross — Blue Cross - Standard: $2,281.95 Blue Shield — Blue Shield - HMO: $2,613.87 Community Health Group — Community Health Group - Cal Mediconnect: $2,344.18 Health Net — Health Net - HMO/POS/EPO: $3,402.18 Health Net — Health Net Individual - EPO: $2,530.89 Kaiser — Kaiser - Rehab: $1,410.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$4,149	$3,111.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,319.20
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans Health Net — Health Net - PPO: $2,904.30 Humana — Choice Care Network: $1,410.66 Indian Health Council — Indian Health Council: $1,991.52 Medicare — Medicare: $2,904.30 Molina — Molina Medi-Cal: $622.35
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$3,256	$2,442	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,190.88
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — First Health - Direct: $3,190.88 Allianz Global Assistance — AZGA Services Canada: $2,930.40 Blue Cross — Blue Cross - MCS: $1,986.16 Blue Cross — Blue Cross - PPO: $2,197.80 Blue Cross — Blue Cross - Standard: $1,562.88 Health Net — Health Net Individual - HMO: $2,160.03 Molina — Molina Medi-Cal: $2,279.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$3,256	$2,442	$455.84 – $2,604.80
CT scan of the pelvis, with contrast: rates for 5 insurance plans Aetna — Aetna - HMO/POS: $2,279.20 Blue Cross — Blue Cross - MCS: $2,214.08 Indian Health Council — Indian Health Council: $2,442 Multiplan — Multiplan: $2,214.08 Optum Health — Optum Health - Commercial: $2,279.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$4,329	$3,246.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,242.42
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — First Health - Leased/CCN: $1,731.60 Blue Cross — Blue Cross - PPO: $3,246.75 Blue Cross — Blue Cross - Standard: $3,463.20 Blue Shield — Blue Shield - HMO: $2,871.86 Indian Health Council — Indian Health Council: $1,285.71 Interplan — Interplan: $3,246.75 Medi-Cal — Medi-Cal: $2,871.86 Molina — Molina - Cal Medi-Connect: $3,030.30 Molina — Molina Medi-Cal: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — United Healthcare - PPO: $4,242.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$4,329	$3,246.75	$273.59 – $3,463.20
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — First Health - Leased/CCN: $2,640.69 Aetna — First Health Medicare: $2,943.72 Blue Cross — Blue Cross - PPO: $3,246.75 Blue Shield — Blue Shield - PPO: $649.35 Health Net — Health Net Individual - HMO: $1,212.12 Optum Health — Optum Health - Commercial: $2,943.72 Optum Health — Optum Health - Medicare: $3,463.20 United Healthcare — United Healthcare - PPO: $2,445.88
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$6,658	$4,993.50	$1,977.43 – $5,326.40
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates California Health and Wellness — California Health and Wellness: $3,661.90 Cigna — Cigna - PPO: $5,126.66 Community Health Group — Community Health Group - Cal Mediconnect: $2,796.36 Health Net — Health Net - HMO/POS/EPO: $2,663.20 Health Net — Health Net - Medi-Cal: $2,663.20 Health Net — Health Net Individual - HMO: $2,663.20 Humana — Choice Care Network: $2,263.72 Interplan — Interplan: $5,326.40 Molina — Molina Medi-Cal: $4,227.83 Optum Health — Optum Health - Commercial: $3,994.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$6,658	$4,993.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,524.84
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans Health Net — Health Net - Medi-Cal: $2,663.20 Medi-Cal — Medi-Cal: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare — Medicare: $5,326.40 United Healthcare — United Healthcare - Medicare: $6,524.84
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US ABDOMB-SCAN &/OR REAL TIMECOMPLETE - US ABDOMEN COMPLETE	$1,866	$1,399.50	$554.20 – $1,492.80
Ultrasound of the abdomen, complete: rates for 5 insurance plans Aetna — Aetna - HMO/POS: $1,399.50 Aetna — First Health - Leased/CCN: $634.44 Blue Cross — Blue Cross - MCS: $1,306.20 Health Net — Health Net - HMO/POS/EPO: $1,399.50 United Healthcare — United Healthcare - Medicare: $1,184.91
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US ABDOMB-SCAN &/OR REAL TIMECOMPLETE - US ABDOMEN COMPLETE	$1,866	$1,399.50	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,828.68
Ultrasound of the abdomen, complete: rates for 4 insurance plans Aetna — First Health - Direct: $1,399.50 Health Net — Health Net Individual - EPO: $634.44 Multiplan — Multiplan: $1,399.50 Optum Health — Optum Health - Medicare: $1,679.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,425	$1,068.75	$0.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,140
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates Aetna — Aetna - HMO/POS: $484.50 Aetna — Aetna Whole Health: $1,140 Blue Cross — Blue Cross - HMO: $1,068.75 Blue Cross — Blue Cross - PPO: $484.50 County Medical Services — County of San Diego: $869.25 Health Net — Health Net Individual - EPO: $213.75 Health Net — Health Net Individual - HMO: $954.75 Kaiser — Kaiser - HMO: $954.75 Medicare — Medicare: $570 Molina — Molina - Cal Medi-Connect: $1,140
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,425	$1,068.75	$213.75 – $1,168.50
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — First Health Medicare: $1,068.75 Blue Shield — Blue Shield - HMO: $969 Blue Shield — Blue Shield - Promise: $484.50 Cigna — Cigna - PPO: $1,068.75 Health Net — Health Net - HMO/POS/EPO: $1,168.50 Health Net — Health Net - PPO: $213.75 Health Net — Health Net Cal MediConnect: $904.88 United Healthcare — United Healthcare - HMO: $1,140
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC ECHOGRAPHYTRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,178	$883.50	$74.45 – $965.96
Transvaginal ultrasound: rates for 8 insurance plans Health Net — Health Net - HMO/POS/EPO: $801.04 Health Net — Health Net - Medi-Cal: $647.90 Health Net — Health Net - Medicare: $883.50 Health Net — Health Net - PPO: $665.57 Health Net — Health Net Cal MediConnect: $942.40 Humana — Choice Care Network: $400.52 Interplan — Interplan: $565.44 United Healthcare — United Healthcare - Medicare: $718.58
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC ECHOGRAPHYTRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,178	$883.50	$164.92 – $965.96
Transvaginal ultrasound: rates for 3 insurance plans Aetna — Aetna - PPO: $647.90 Interplan — Interplan: $824.60 United Healthcare — United Healthcare - HMO: $824.60
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT	$560	$420	$166.32 – $448
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — First Health - Leased/CCN: $336 Community Health Group — Community Health Group - Medi-Cal: $420 County Medical Services — County of San Diego: $380.80 Health Net — Health Net Individual - EPO: $431.20 Medi-Cal — Medi-Cal: $190.40 Medicare — Medicare: $280 United Healthcare — United Healthcare - Medicare: $448 United Healthcare — United Healthcare - PPO: $380.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT	$560	$420	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $448
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna — First Health - Leased/CCN: $341.60 Aetna — First Health Medicare: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross — Blue Cross - HMO: $190.40 California Health and Wellness — California Health and Wellness: $316.40 Health Net — Health Net - Medicare: $448 Health Net — Health Net Individual - HMO: $392 Medicare — Medicare: $311.92
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$701	$525.75	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $630.90
Diagnostic mammogram, both breasts: rates for 9 insurance plans Aetna — First Health - Direct: $420.60 Blue Cross — Blue Cross - MCS: $539.77 Blue Cross — Blue Cross - Prudent Buyer: $525.75 Cigna — Cigna - HMO: $630.90 County Medical Services — County of San Diego: $630.90 Health Net — Health Net Individual - EPO: $476.68 Health Net — Health Net Individual - HMO: $196.28 Kaiser — Kaiser - Rehab: $105.15 United Healthcare — United Healthcare - HMO: $560.80
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$701	$525.75	$208.20 – $560.80
Diagnostic mammogram, both breasts: rates for 5 insurance plans Blue Cross — Blue Cross - MCS: $420.60 Blue Cross — Blue Cross - Prudent Buyer: $490.70 Health Net — Health Net Individual - HMO: $390.46 Humana — Choice Care Network: $459.16 San Diego Pace — San Diego Pace: $490.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$580	$435	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $464
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Aetna Whole Health: $464 Aetna — First Health - Direct: $101.50 Aetna — First Health Medicare: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Community Health Group — Community Health Group - Cal Mediconnect: $359.60 Health Net — Health Net - HMO/POS/EPO: $319 Indian Health Council — Indian Health Council: $232 Medi-Cal — Medi-Cal: $464 Multiplan — Multiplan: $394.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$580	$435	$67.89 – $464
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Aetna - HMO/POS: $406 Blue Cross — Blue Cross - HMO: $380.48 Blue Cross — Blue Cross - PPO: $353.80 Blue Cross — Blue Cross - Standard: $197.20 California Health and Wellness — California Health and Wellness: $232 Health Net — Health Net - HMO/POS/EPO: $406 Medicare — Medicare: $232 Multiplan — Multiplan: $394.40

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP	$19,565	$14,673.75	$725 – $19,173.70
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — Aetna - HMO/POS: $13,206.38 Allianz Global Assistance — AZGA Services Canada: $15,652 California Health and Wellness — California Health and Wellness: $8,217.30 Cigna — Cigna - PPO: $13,304.20 Health Net — Health Net - PPO: $1,236.51 Humana — Choice Care Network: $11,739 Interplan — Interplan: $13,695.50 Molina — Molina - Cal Medi-Connect: $9,782.50 Molina — Molina - Exchange: $12,834.64 Molina — Molina Medi-Cal: $15,652
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP	$19,565	$14,673.75	$479.44 – $19,173.70
Left heart catheterization (diagnostic): rates for 5 insurance plans Community Health Group — Community Health Group - Cal Mediconnect: $7,826 Community Health Group — Community Health Group - Medi-Cal: $15,652 Indian Health Council — Indian Health Council: $15,652 Interplan — Interplan: $11,739 Molina — Molina Medi-Cal: $12,423.77
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$16,411	$12,308.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $16,082.78
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans Aetna — First Health - Leased/CCN: $13,128.80 Blue Shield — Blue Shield - Promise: $2,461.65 Health Net — Health Net - HMO/POS/EPO: $5,579.74 Health Net — Health Net Individual - HMO: $9,026.05 Interplan — Interplan: $12,308.25 Kaiser — Kaiser - HMO: $13,128.80 San Diego Pace — San Diego Pace: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — United Healthcare - Medicare: $11,159.48 United Healthcare — United Healthcare - PPO: $11,077.43
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$16,411	$12,308.25	$1,037.18 – $14,769.90
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans Aetna — First Health Medicare: $11,159.48 Blue Cross — Blue Cross - Prudent Buyer: $13,457.02 Blue Cross — Blue Cross - Standard: $8,205.50 Community Health Group — Community Health Group - Medi-Cal: $9,272.21 Epic Americas — AXA Assistance: $12,308.25 Kaiser — Kaiser - HMO: $13,457.02 Medicare — Medicare: $14,769.90 San Diego Pace — San Diego Pace: $9,272.21 United Healthcare — United Healthcare - PPO: $11,077.43
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$70,160	$52,620	$725 – $56,128
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — Aetna Whole Health: $47,708.80 Blue Cross — Blue Cross - MCS: $44,200.80 Epic Americas — AXA Assistance: $10,524 Humana — Choice Care Network: $23,854.40 Managed Health Network — MHN - Medicare: $35,080 Medicare — Medicare: $23,854.40 Molina — Molina Medi-Cal: $44,551.60 United Healthcare — United Healthcare - HMO: $39,640.40
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$70,160	$52,620	$725 – $56,128
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — Aetna - HMO/POS: $49,112 Blue Cross — Blue Cross - HMO: $52,620 Blue Cross — Blue Cross - Prudent Buyer: $39,640.40 California Health and Wellness — California Health and Wellness: $10,524 Community Health Group — Community Health Group - Medi-Cal: $28,064 Humana — Choice Care Network: $56,128 Molina — Molina - Cal Medi-Connect: $52,620 United Healthcare — United Healthcare - PPO: $10,524
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC SLEEP STUDY 4 OR MORE	$7,380	$5,535	$1,107 – $7,232.40
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans Aetna — First Health - Leased/CCN: $4,501.80 Aetna — First Health Medicare: $5,018.40 Blue Cross — Blue Cross - HMO: $5,018.40 Blue Shield — Blue Shield - HMO: $1,107 Blue Shield — Blue Shield - Promise: $2,952 Indian Health Council — Indian Health Council: $7,232.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC SLEEP STUDY 4 OR MORE	$7,380	$5,535	$1.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,232.40
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Epic Americas — AXA Assistance: $5,166 Health Net — Health Net - HMO/POS/EPO: $4,428 Health Net — Health Net - Medi-Cal: $5,018.40

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) · modifier GO In the file: HC OT THERAPEUTIC EXERCISES	$218	$163.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $196.20
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Blue Cross — Blue Cross - HMO: $174.40 Blue Shield — Blue Shield - HMO: $1.10 County Medical Services — County of San Diego: $152.60 Health Net — Health Net - PPO: $174.40 Managed Health Network — MHN - Medicare: $138.43 Multiplan — Multiplan: $152.60 Optum Health — Optum Health - Commercial: $121.43 Optum Health — Optum Health - Medicare: $174.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GP In the file: HC PT THERAPEUTIC EXERCISES	$218	$163.50	$13.78 – $725
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Allianz Global Assistance — AZGA Services Canada: $148.24 Blue Shield — Blue Shield - PPO: $91.56 Cigna — Cigna - HMO: $725 Epic Americas — AXA Assistance: $163.50 Health Net — Health Net Individual - EPO: $135.16 Multiplan — Multiplan: $725 Optum Health — Optum Health - Medicare: $167.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: HC PT THERAPEUTIC EXERCISES	$218	$163.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $174.40
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans Aetna — Aetna - PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield — Blue Shield - Promise: $152.60 County Medical Services — County of San Diego: $152.60 Interplan — Interplan: $132.98 Molina — Molina Medi-Cal: $174.40 United Healthcare — United Healthcare - HMO: $74.12
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$329	$246.75	$46.06 – $322.42
Physical therapy evaluation (low complexity): rates for 8 insurance plans Aetna — Aetna - HMO/POS: $131.60 Aetna — Aetna - PPO: $92.12 Aetna — First Health Medicare: $183.25 Blue Shield — Blue Shield - HMO: $49.35 Indian Health Council — Indian Health Council: $230.30 Kaiser — Kaiser - HMO: $92.12 Molina — Molina - Cal Medi-Connect: $49.35 United Healthcare — United Healthcare - HMO: $185.88
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$329	$246.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $389.55
Physical therapy evaluation (low complexity): rates for 6 insurance plans Blue Cross — Blue Cross - Standard: $185.88 Blue Shield — Blue Shield - HMO: $131.60 Blue Shield — Blue Shield - PPO: $185.88 Health Net — Health Net Individual - HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Interplan — Interplan: $230.30 United Healthcare — United Healthcare - HMO: $322.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$480	$360	$142.56 – $470.40
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — First Health - Direct: $393.60 Blue Cross — Blue Cross - PPO: $360 Blue Shield — Blue Shield - HMO: $360 Blue Shield — Blue Shield - PPO: $267.36 County Medical Services — County of San Diego: $163.20 Health Net — Health Net - Medi-Cal: $163.20 Interplan — Interplan: $288 Kaiser — Kaiser - Rehab: $326.40 Managed Health Network — MHN - Medicare: $163.20 Molina — Molina - Cal Medi-Connect: $163.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$480	$360	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $725
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Aetna — Aetna - PPO: $321.60 Allianz Global Assistance — AZGA Services Canada: $360 Health Net — Health Net - Medi-Cal: $318.43 Health Net — Health Net - PPO: $336 Indian Health Council — Indian Health Council: $72 Kaiser — Kaiser - HMO: $384 Kaiser — Kaiser - Rehab: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Optum Health — Optum Health - Commercial: $324
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$577	$432.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $519.30
Physical therapy evaluation (high complexity): rates for 8 insurance plans Aetna — First Health - Direct: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Cigna - PPO: $519.30 Health Net — Health Net - PPO: $403.90 Health Net — Health Net Cal MediConnect: $461.60 Health Net — Health Net Individual - HMO: $403.90 Indian Health Council — Indian Health Council: $86.55 Interplan — Interplan: $288.50 United Healthcare — United Healthcare - Medicare: $317.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$577	$432.75	$36.47 – $444.29
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — Aetna - PPO: $444.29 Aetna — First Health - Leased/CCN: $321.39 Allianz Global Assistance — AZGA Services Canada: $196.18 Blue Cross — Blue Cross - Prudent Buyer: $386.59 Community Health Group — Community Health Group - Cal Mediconnect: $346.20 Health Net — Health Net - Medicare: $317.35 Molina — Molina - Cal Medi-Connect: $432.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier UA In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD	$3,558	$2,668.50	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,917.56
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Aetna - HMO/POS: $2,334.05 Aetna — First Health Medicare: $1,209.72 Blue Cross — Blue Cross - Standard: $1,423.20 Blue Shield — Blue Shield - Promise: $2,490.60 California Health and Wellness — California Health and Wellness: $2,259.33 Cigna — Cigna - PPO: $2,490.60 Community Health Group — Community Health Group - Cal Mediconnect: $1,981.81 Health Net — Health Net - Medicare: $224.87 Humana — Choice Care Network: $2,917.56 Indian Health Council — Indian Health Council: $1,209.72
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · modifier UA In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD	$3,558	$2,668.50	$1,056.73 – $3,202.20
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates Aetna — Aetna - PPO: $2,334.05 Blue Cross — Blue Cross - MCS: $2,259.33 Blue Cross — Blue Cross - PPO: $1,209.72 Blue Cross — Blue Cross - Standard: $2,134.80 Blue Shield — Blue Shield - HMO: $2,668.50 Community Health Group — Community Health Group - Cal Mediconnect: $2,170.38 County Medical Services — County of San Diego: $1,494.36 Epic Americas — AXA Assistance: $1,707.84 Health Net — Health Net Cal MediConnect: $2,739.66 Health Net — Health Net Individual - HMO: $2,490.60
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier UA In the file: HC EGD W/BIOPSY	$4,019	$3,014.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,617.10
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna — Aetna Whole Health: $1,366.46 Aetna — First Health - Direct: $3,617.10 Blue Cross — Blue Cross - Prudent Buyer: $3,014.25 California Health and Wellness — California Health and Wellness: $3,094.63 Cigna — Cigna - HMO: $3,295.58 Indian Health Council — Indian Health Council: $2,813.30 Interplan — Interplan: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier UA In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$4,019	$3,014.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,215.20
Upper GI endoscopy with biopsy: rates for 4 insurance plans Aetna — First Health - Direct: $2,813.30 Aetna — First Health - Leased/CCN: $2,813.30 Health Net — Health Net - Medicare: $3,215.20 United Healthcare — United Healthcare - PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · modifier UA In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$4,019	$3,014.25	$562.66 – $3,295.58
Upper GI endoscopy with biopsy: rates for 3 insurance plans Aetna — First Health - Leased/CCN: $2,411.40 Cigna — Cigna - HMO: $562.66 Molina — Molina - Cal Medi-Connect: $2,552.07
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier UA In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,383	$2,537.25	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,044.70
Colonoscopy (diagnostic): 10 of 14 insurance plan rates Aetna — Aetna - HMO/POS: $2,300.44 Aetna — Aetna - PPO: $507.45 Aetna — Aetna Whole Health: $2,368.10 Aetna — First Health - Leased/CCN: $2,300.44 Aetna — First Health Medicare: $1,691.50 Blue Cross — Blue Cross - MCS: $2,604.91 Blue Cross — Blue Cross - PPO: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Cigna - HMO: $2,537.25 County Medical Services — County of San Diego: $2,368.10 Epic Americas — AXA Assistance: $2,131.29
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · modifier UA In the file: HC SCREEN COLON NON HIGH RIS	$3,383	$2,537.25	$592.02 – $3,315.34
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Aetna Whole Health: $592.02 Aetna — First Health Medicare: $2,706.40 Blue Cross — Blue Cross - MCS: $2,266.61 Community Health Group — Community Health Group - Medi-Cal: $2,368.10 County Medical Services — County of San Diego: $2,368.10 Health Net — Health Net Cal MediConnect: $2,368.10 Humana — Choice Care Network: $2,063.63 Interplan — Interplan: $1,691.50 Managed Health Network — MHN - Medicare: $2,368.10 San Diego Pace — San Diego Pace: $1,691.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier UA In the file: HC SCREEN COLONOSCOPY HIGH R	$3,383	$2,537.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,706.40
Colonoscopy (diagnostic): rates for 8 insurance plans Allianz Global Assistance — AZGA Services Canada: $2,537.25 Health Net — Health Net - HMO/POS/EPO: $1,884.33 Health Net — Health Net - Medi-Cal: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Net — Health Net - Medicare: $1,552.80 Humana — Choice Care Network: $2,706.40 Indian Health Council — Indian Health Council: $947.24 Medicare — Medicare: $2,537.25 United Healthcare — United Healthcare - Medicare: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier UA In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$3,675	$2,756.25	$232.26 – $3,013.50
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — Aetna - PPO: $2,572.50 Blue Cross — Blue Cross - Standard: $3,013.50 Community Health Group — Community Health Group - Cal Mediconnect: $2,076.38 Epic Americas — AXA Assistance: $2,756.25 Health Net — Health Net - HMO/POS/EPO: $2,499 Health Net — Health Net - PPO: $2,499 Kaiser — Kaiser - Rehab: $2,205 United Healthcare — United Healthcare - Medicare: $514.50
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · modifier UA In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$3,675	$2,756.25	$1,091.47 – $3,601.50
Colonoscopy with biopsy: rates for 5 insurance plans Cigna — Cigna - HMO: $2,076.38 Epic Americas — AXA Assistance: $1,470 Health Net — Health Net - Medicare: $3,601.50 Indian Health Council — Indian Health Council: $2,480.63 United Healthcare — United Healthcare - PPO: $3,013.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier UA In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$4,649	$3,486.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,556.02
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Aetna - PPO: $4,556.02 Aetna — Aetna Whole Health: $3,486.75 Aetna — First Health Medicare: $3,138.08 Blue Shield — Blue Shield - Promise: $3,114.83 Cigna — Cigna - PPO: $2,324.50 Health Net — Health Net - PPO: $4,184.10 Health Net — Health Net Cal MediConnect: $3,254.30 Managed Health Network — MHN - Medicare: $2,556.95 Molina — Molina - Cal Medi-Connect: $2,626.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · modifier UA In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$4,649	$3,486.75	$650.86 – $3,719.20
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Aetna - HMO/POS: $2,626.68 Allianz Global Assistance — AZGA Services Canada: $2,835.89 Blue Cross — Blue Cross - Prudent Buyer: $697.35 California Health and Wellness — California Health and Wellness: $2,928.87 County Medical Services — County of San Diego: $813.57 Health Net — Health Net - Medi-Cal: $3,719.20 Health Net — Health Net - PPO: $3,486.75 Molina — Molina - Exchange: $3,161.32 Optum Health — Optum Health - Medicare: $2,835.89
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · modifier UA In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,711	$3,533.25	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,768.80
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans Blue Cross — Blue Cross - MCS: $2,355.50 Blue Cross — Blue Cross - Prudent Buyer: $2,991.49 Blue Shield — Blue Shield - HMO: $3,297.70 Blue Shield — Blue Shield - Promise: $2,873.71 Cigna — Cigna - HMO: $2,873.71 Kaiser — Kaiser - HMO: $3,297.70 Kaiser — Kaiser - Rehab: $706.65 Medi-Cal — Medi-Cal: $3,297.70 Medicare — Medicare: $2,355.50 Molina — Molina - Cal Medi-Connect: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · modifier UA In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,711	$3,533.25	$706.65 – $3,768.80
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans Allianz Global Assistance — AZGA Services Canada: $2,826.60 Blue Cross — Blue Cross - PPO: $2,826.60 Health Net — Health Net - Medi-Cal: $1,601.74 Health Net — Health Net Individual - HMO: $2,920.82 Kaiser — Kaiser - HMO: $3,768.80 Molina — Molina Medi-Cal: $3,297.70 San Diego Pace — San Diego Pace: $706.65
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · modifier UA In the file: HC PROSTATE BX INJ	$4,295	$3,221.25	$1,275.62 – $25,936.79
Prostate biopsy: rates for 9 insurance plans Aetna — Aetna - HMO/POS: $2,392.32 Allianz Global Assistance — AZGA Services Canada: $2,877.65 Blue Cross — Blue Cross - PPO: $3,221.25 California Health and Wellness — California Health and Wellness: $2,619.95 County Medical Services — County of San Diego: $1,718 Health Net — Health Net Individual - EPO: $1,718 Managed Health Network — MHN - Medicare: $3,006.50 Medicare — Medicare: $2,362.25 Molina — Molina - Cal Medi-Connect: $3,865.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier UA In the file: HC PROSTATE BX INJ	$4,295	$3,221.25	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,436
Prostate biopsy: rates for 8 insurance plans Aetna — Aetna - HMO/POS: $1,718 Aetna — First Health - Leased/CCN: $2,362.25 Allianz Global Assistance — AZGA Services Canada: $2,061.60 Blue Shield — Blue Shield - HMO: $1.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Cigna - PPO: $2,061.60 Managed Health Network — MHN - Medicare: $1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) San Diego Pace — San Diego Pace: $3,436 United Healthcare — United Healthcare - Medicare: $2,662.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier UA In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,624	$2,718	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,261.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — First Health - Direct: $2,536.80 Aetna — First Health Medicare: $725 Allianz Global Assistance — AZGA Services Canada: $2,899.20 Blue Cross — Blue Cross - MCS: $2,718 Blue Shield — Blue Shield - PPO: $3,261.60 California Health and Wellness — California Health and Wellness: $1,014.72 Humana — Choice Care Network: $1,739.52 Interplan — Interplan: $1,812 Multiplan — Multiplan: $2,446.20 United Healthcare — United Healthcare - PPO: $1,739.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · modifier UA In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,624	$2,718	$507.36 – $3,261.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Aetna — Aetna - HMO/POS: $3,261.60 Blue Cross — Blue Cross - HMO: $1,812 Blue Shield — Blue Shield - HMO: $2,536.80 Cigna — Cigna - PPO: $2,047.56 Health Net — Health Net - HMO/POS/EPO: $2,047.56 Health Net — Health Net Individual - EPO: $1,449.60 Molina — Molina - Cal Medi-Connect: $2,971.68 Optum Health — Optum Health - Medicare: $2,428.08 United Healthcare — United Healthcare - Medicare: $2,718
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · modifier UA In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL	$3,725	$2,793.75	$725 – $3,650.50
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans Aetna — First Health Medicare: $2,980 Blue Shield — Blue Shield - Promise: $2,074.83 Cigna — Cigna - HMO: $1,788 Cigna — Cigna - PPO: $2,533 Health Net — Health Net - Medi-Cal: $2,514.38 Health Net — Health Net - PPO: $2,104.63 Health Net — Health Net Cal MediConnect: $1,266.50 Interplan — Interplan: $1,564.50 Molina — Molina - Exchange: $2,104.63
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier UA In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL	$3,725	$2,793.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,054.50
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Allianz Global Assistance — AZGA Services Canada: $235.42 Blue Shield — Blue Shield - Promise: $1,266.50 Community Health Group — Community Health Group - Medi-Cal: $2,793.75 Medi-Cal — Medi-Cal: $558.75 Molina — Molina - Exchange: $1,788 Optum Health — Optum Health - Medicare: $1,490 United Healthcare — United Healthcare - HMO: $2,607.50
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · modifier UA In the file: HC CARPAL TUNNEL REL/DECOMP	$9,116	$6,837	$1,367.40 – $8,204.40
Carpal tunnel release: 10 of 12 insurance plan rates Aetna — Aetna Whole Health: $7,292.80 Aetna — First Health Medicare: $6,153.30 Blue Cross — Blue Cross - PPO: $6,381.20 Blue Shield — Blue Shield - HMO: $6,837 Blue Shield — Blue Shield - PPO: $1,367.40 California Health and Wellness — California Health and Wellness: $5,560.76 Cigna — Cigna - PPO: $5,560.76 Health Net — Health Net - HMO/POS/EPO: $8,204.40 Kaiser — Kaiser - HMO: $5,150.54 Medi-Cal — Medi-Cal: $5,077.61
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier UA In the file: HC CARPAL TUNNEL REL/DECOMP	$9,116	$6,837	$0.05 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,933.68
Carpal tunnel release: rates for 10 insurance plans Aetna — Aetna - PPO: $7,292.80 Aetna — First Health - Direct: $6,198.88 Aetna — First Health Medicare: $6,198.88 Blue Cross — Blue Cross - Standard: $6,837 Health Net — Health Net - PPO: $3,828.72 Kaiser — Kaiser - Rehab: $136.48 Medicare — Medicare: $6,381.20 Multiplan — Multiplan: $8,933.68 Optum Health — Optum Health - Medicare: $7,292.80 United Healthcare — United Healthcare - PPO: $6,047.55
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier RT In the file: HC DISCISSION2ND CATARACTLASER	$1,113	$834.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $912.66
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — Aetna Whole Health: $667.80 Blue Cross — Blue Cross - HMO: $751.28 Blue Shield — Blue Shield - Promise: $534.24 Community Health Group — Community Health Group - Medi-Cal: $467.46 Health Net — Health Net - Medi-Cal: $912.66 Health Net — Health Net Individual - HMO: $70.34 Indian Health Council — Indian Health Council: $779.10 Managed Health Network — MHN - Medicare: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medi-Cal — Medi-Cal: $779.10 United Healthcare — United Healthcare - HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · modifier RT In the file: HC DISCISSION2ND CATARACTLASER	$1,113	$834.75	$166.95 – $11,747
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans Cigna — Cigna - PPO: $706.75 Community Health Group — Community Health Group - Cal Mediconnect: $745.71 Epic Americas — AXA Assistance: $738.36 Health Net — Health Net - Medi-Cal: $890.40 Health Net — Health Net - PPO: $467.46 Health Net — Health Net Cal MediConnect: $11,747 Optum Health — Optum Health - Commercial: $445.20

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$763,606.13	$572,704.59	$114,540.92 – $610,884.90
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans Blue Cross — Blue Cross - HMO: $458,163.67 Blue Cross — Blue Cross - MCS: $534,524.29 Blue Cross — Blue Cross - Prudent Buyer: $534,524.29 Blue Cross — Blue Cross - Standard: $259,626.08 Blue Shield — Blue Shield - PPO: $534,524.29 Humana — Choice Care Network: $534,524.29 Managed Health Network — MHN - Medicare: $458,163.67 Molina — Molina - Cal Medi-Connect: $610,884.90 Optum Health — Optum Health - Medicare: $419,983.37
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	$144,445.58	$108,334.18	$44,055.90 – $108,334.18
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans Aetna — First Health - Direct: $98,222.99 Blue Cross — Blue Cross - HMO: $98,222.99 Indian Health Council — Indian Health Council: $88,111.80 United Healthcare — United Healthcare - HMO: $88,111.80
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$170,901.23	$128,175.93	$725 – $140,139.01
Neck (cervical) spinal fusion, without complications: rates for 6 insurance plans Blue Shield — Blue Shield - HMO: $140,139.01 Blue Shield — Blue Shield - PPO: $93,995.68 Health Net — Health Net Individual - HMO: $136,720.99 San Diego Pace — San Diego Pace: $108,522.28 United Healthcare — United Healthcare - HMO: $128,175.93 United Healthcare — United Healthcare - Medicare: $58,106.42
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$111,452.12	$83,589.09	$33,101.28 – $85,818.13
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans Aetna — First Health Medicare: $74,672.92 Humana — Choice Care Network: $62,970.45 Managed Health Network — MHN - Medicare: $55,726.06 Optum Health — Optum Health - Medicare: $62,970.45 United Healthcare — United Healthcare - Medicare: $46,809.89

Source: Sharp Memorial Hospital’s standard charges file (downloads.ctfassets.net, CSV, CMS template V3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	7901 Frost St, San Diego, CA 92123
County	San Diego County
State	California
Phone	(858) 939‑3400
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050100
Name in Medicare records	SHARP MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	sharp.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Sharp Memorial Hospital — sharp.com

Sharp Memorial Hospital

Summary

Profile from official sources

At a glance