Does Sierra View Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sierra View Medical Center. In a medical emergency, call 911.

Where is Sierra View Medical Center?

465 W Putnam Ave, Porterville, CA 93257, in Tulare County, California.

What is the phone number of Sierra View Medical Center?

(559) 784-1110, as listed by Medicare (CMS).

What is the Medicare star rating of Sierra View Medical Center?

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

Sierra View Medical Center — Porterville, CA

Quick answers

Does Sierra View Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sierra View Medical Center. In a medical emergency, call 911.
Where is Sierra View Medical Center?: 465 W Putnam Ave, Porterville, CA 93257, in Tulare County, California.
What is the phone number of Sierra View Medical Center?: (559) 784-1110, as listed by Medicare (CMS).
What is the Medicare star rating of Sierra View Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[5][8][9][10][11][12]}

Critical care
Maternal child health
Urology
Wound healing
Emergency medicine
Oncology
Radiation oncology
Hematology
Medical oncology
Stroke care
Orthopedics
General surgery
Ear, nose and throat (ENT) surgery
Gastrointestinal surgery
Gynecology
Podiatry
Cardiac catheterization
Medical/surgical
Physical therapy
Rehabilitation therapy
Respiratory therapy
Outpatient imaging
Skilled nursing (distinct part)

Conditions treated^[9][10][12]

Stroke
Transient ischemic attack (TIA)
Cancer
Hip injuries and disorders
Hip fracture
Knee injuries and disorders

Treatments^{[5][9][10][11]}

TeleNeurology for stroke alerts
Inpatient surgical care
Outpatient (same-day) surgery
Cancer support groups
Physical therapy
Rehabilitation therapy
Respiratory therapy
Wound care

Procedures^[11][12]

Hip replacement
Anterior hip replacement
Posterior or lateral hip replacement
Revision hip replacement
Total knee replacement
Partial knee replacement
Revision knee replacement
Rapid recovery hip and knee replacement
Outpatient joint replacement
Arthroscopic knee surgery
Pacemaker placement
Peripheral vascular procedures

Programs and centers^{[5][10][11][12][13]}

Wound Healing Center
Roger S. Good Cancer Treatment Center
Advanced Primary Stroke Center
Sierra View Hip & Knee Center
Urology Clinic in alliance with Keck Medicine of USC
Ambulatory Surgery Center
Cardiac Catheterization Lab
Breastfeeding Resource Center
Critical Care Services
Maternal Child Health
Graduate Medical Education
Paws 4 Healing / Pet Partners volunteer program

Emergency care (hospital website)^[8][10]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Advanced Primary Stroke Center (Joint Commission)

Visiting and practical information

Visiting	General visiting hours 6 a.m.-9 p.m.; some departments have additional restrictions^[6]
Interpreters and languages	On-site qualified interpreters offered, video/phone interpreting, ASL devices and TDD available; free language help notices in many languages^[14]
Patient portal	Patient Portal

Recognition^[4][5][10]

Baby-Friendly designated hospital
The Joint Commission accreditation (Gold Seal of Approval)
The Joint Commission Gold Seal of Approval
Advanced Primary Stroke Center Certification (The Joint Commission)
AHA Get With The Guidelines-Stroke Gold Plus
AHA Target: Stroke Honor Roll
AHA Target: Type 2 Diabetes Honor Roll
Pioneer in Quality organization

Doctors and clinicians (273)

273 doctors and other clinicians list Sierra View Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 249 more: the button below opens the full list.

Other emergency rooms nearby

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

Adventist Health Tulare21 mi · Tulare, CA · Acute Care Hospital
Kaweah Health Medical Center23 mi · Visalia, CA · Acute Care Hospital
Adventist Health Delano24 mi · Delano, CA · Acute Care Hospital
Adventist Health Hanford37 mi · Hanford, CA · Acute Care Hospital
Adventist Health Reedley44 mi · Reedley, CA · Acute Care Hospital

Other hospitals nearby

Porterville Developmental Center3.2 mi · Porterville, CA · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Sierra View Medical Center0.1 mi · Porterville, CA · 4 of 5 stars
Sequoia Transitional Care0.3 mi · Porterville, CA · 4 of 5 stars
Sierra Valley Rehab Center0.4 mi · Porterville, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Ardent Hospice of the Valley22 mi · Delano, CA

All hospice providers in the state →

Home health agencies

Seva Home Health9.8 mi · Porterville, CA

All home health agencies in the state →

Dialysis facilities

Dialysis Center of Porterville, LLC9.8 mi · Porterville, CA · 4 of 5 stars
Sierra Valley Dialysis Center9.8 mi · Porterville, CA · 3 of 5 stars
DaVita Exeter Dialysis16 mi · Exeter, CA · 3 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.

Natraj Surgery Center, Inc9.8 mi · Porterville, CA
Hapy Bear Surgery Center, LLC21 mi · Tulare, CA
Pacific Coast Surgical Center #7, LLC22 mi · Delano, 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

Aria Community Health Center0.1 mi · Porterville, CA · Community health center
Aria Community Health Center0.2 mi · Porterville, CA · Community health center
Aria Community Health Center0.2 mi · Porterville, CA · Community health center

Clinics and urgent care

Sierra View Community Health Center - Terra Bella8.9 mi · Terra Bella, CA · Rural health clinic
Aurora Grace E Hwang9.7 mi · Lindsay, CA · Rural health clinic
Clinica Agua Viva9.7 mi · Lindsay, CA · Rural health clinic

Pharmacies

Lindsay Healthcare Inc9.7 mi · Lindsay, CA · Community/retail pharmacy
Sweets Drug Store9.7 mi · Lindsay, CA · Community/retail pharmacy
Brilor, Inc.9.8 mi · Porterville, CA · Community/retail pharmacy

Assisted living nearby

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

Atkins Way Home9.8 mi · Porterville, CA
Bella Home9.8 mi · Porterville, CA
Bella Home Senior Care9.8 mi · Porterville, CA
Gaither's Family Home9.8 mi · Porterville, 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 Sierra View Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	57%National average: 72%
Would definitely recommend the hospital	52%National average: 71%
Nurses “always” communicated well	75%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	325Response rate: 12%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.606No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.5%
Deaths within 30 days: heart failure patients	12.2%
Deaths within 30 days: pneumonia patients	21.4%
Deaths within 30 days: COPD patients	11.5%
Deaths within 30 days: stroke patients	11.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.08No different from the national rate
Complications after hip or knee replacement	4.6%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.9%
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	17.8%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	189 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	76%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Sierra View Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 31 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.

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) · Hospital (facility) fee In the file: OP VISIT NEW PATIENT LEVEL 3	$306.60	$214.62	$85.85 – $275.94
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $199.29 BCBS — ALL PRODUCTS: $275.94 BLUE CROSS — MEDI-CAL: $101.27 BLUE SHIELD — ALL PRODUCTS: $273.49 CIGNA — ALL PRODUCTS: $275.94 DIGNITY HEALTH — MEDI-CAL: $101.27 HEALTHNET — ALL PRODUCTS: $85.85 HEALTHNET — MEDI-CAL: $106.94 HEALTHNET — MEDICARE ADVANTAGE: $229.95 HEALTHSMART — PPO: $260.61
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RTX OP VISIT NEW LVL III	$702.40	$491.68	$196.67 – $632.16
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $456.56 BCBS — ALL PRODUCTS: $632.16 BLUE CROSS — MEDI-CAL: $101.27 BLUE SHIELD — ALL PRODUCTS: $626.54 CIGNA — ALL PRODUCTS: $632.16 DIGNITY HEALTH — MEDI-CAL: $101.27 HEALTHNET — ALL PRODUCTS: $196.67 HEALTHNET — MEDI-CAL: $106.94 HEALTHNET — MEDICARE ADVANTAGE: $526.80 HEALTHSMART — PPO: $597.04
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OP VISIT NEW PATIENT LVL 3	$461.60	$323.12	$129.25 – $415.44
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $300.04 BCBS — ALL PRODUCTS: $415.44 BLUE CROSS — MEDI-CAL: $101.27 BLUE SHIELD — ALL PRODUCTS: $411.75 CIGNA — ALL PRODUCTS: $415.44 DIGNITY HEALTH — MEDI-CAL: $101.27 HEALTHNET — ALL PRODUCTS: $129.25 HEALTHNET — MEDI-CAL: $106.94 HEALTHNET — MEDICARE ADVANTAGE: $346.20 HEALTHSMART — PPO: $392.36
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT NEW PATIENT LEVEL 4	$428.30	$299.81	$119.92 – $385.47
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $278.40 BCBS — ALL PRODUCTS: $385.47 BLUE CROSS — MEDI-CAL: $151.90 BLUE SHIELD — ALL PRODUCTS: $382.04 CIGNA — ALL PRODUCTS: $385.47 DIGNITY HEALTH — MEDI-CAL: $151.90 HEALTHNET — ALL PRODUCTS: $119.92 HEALTHNET — MEDI-CAL: $160.41 HEALTHNET — MEDICARE ADVANTAGE: $321.23 HEALTHSMART — PPO: $364.06
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RTX OP VISIT NEW LVL IV	$595.80	$417.06	$166.82 – $536.22
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $387.27 BCBS — ALL PRODUCTS: $536.22 BLUE CROSS — MEDI-CAL: $151.90 BLUE SHIELD — ALL PRODUCTS: $531.45 CIGNA — ALL PRODUCTS: $536.22 DIGNITY HEALTH — MEDI-CAL: $151.90 HEALTHNET — ALL PRODUCTS: $166.82 HEALTHNET — MEDI-CAL: $160.41 HEALTHNET — MEDICARE ADVANTAGE: $446.85 HEALTHSMART — PPO: $506.43
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OP VISIT NEW PATIENT LVL 4	$611.10	$427.77	$171.11 – $549.99
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $397.22 BCBS — ALL PRODUCTS: $549.99 BLUE CROSS — MEDI-CAL: $151.90 BLUE SHIELD — ALL PRODUCTS: $545.10 CIGNA — ALL PRODUCTS: $549.99 DIGNITY HEALTH — MEDI-CAL: $151.90 HEALTHNET — ALL PRODUCTS: $171.11 HEALTHNET — MEDI-CAL: $160.41 HEALTHNET — MEDICARE ADVANTAGE: $458.33 HEALTHSMART — PPO: $519.44
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT NEW PATIENT LEVEL 5	$552.20	$386.54	$154.62 – $496.98
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $358.93 BCBS — ALL PRODUCTS: $496.98 BLUE CROSS — MEDI-CAL: $197.98 BLUE SHIELD — ALL PRODUCTS: $492.56 CIGNA — ALL PRODUCTS: $496.98 DIGNITY HEALTH — MEDI-CAL: $197.98 HEALTHNET — ALL PRODUCTS: $154.62 HEALTHNET — MEDI-CAL: $209.07 HEALTHNET — MEDICARE ADVANTAGE: $414.15 HEALTHSMART — PPO: $469.37
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OP VISIT NEW PATIENT LVL 5	$836.10	$585.27	$234.11 – $752.49
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $543.47 BCBS — ALL PRODUCTS: $752.49 BLUE CROSS — MEDI-CAL: $197.98 BLUE SHIELD — ALL PRODUCTS: $745.80 CIGNA — ALL PRODUCTS: $752.49 DIGNITY HEALTH — MEDI-CAL: $197.98 HEALTHNET — ALL PRODUCTS: $234.11 HEALTHNET — MEDI-CAL: $209.07 HEALTHNET — MEDICARE ADVANTAGE: $627.08 HEALTHSMART — PPO: $710.69
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AHC NEW E/M LEVEL 5	$360.50	$252.35	$100.94 – $324.45
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $234.33 BCBS — ALL PRODUCTS: $324.45 BLUE CROSS — MEDI-CAL: $197.98 BLUE SHIELD — ALL PRODUCTS: $321.57 CIGNA — ALL PRODUCTS: $324.45 DIGNITY HEALTH — MEDI-CAL: $197.98 HEALTHNET — ALL PRODUCTS: $100.94 HEALTHNET — MEDI-CAL: $209.07 HEALTHNET — MEDICARE ADVANTAGE: $270.38 HEALTHSMART — PPO: $306.43
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT ESTAB PATIENT LEVEL 3	$306.60	$214.62	$85.85 – $275.94
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $199.29 BCBS — ALL PRODUCTS: $275.94 BLUE CROSS — MEDI-CAL: $82.02 BLUE SHIELD — ALL PRODUCTS: $273.49 CIGNA — ALL PRODUCTS: $275.94 DIGNITY HEALTH — MEDI-CAL: $82.02 HEALTHNET — ALL PRODUCTS: $85.85 HEALTHNET — MEDI-CAL: $86.61 HEALTHNET — MEDICARE ADVANTAGE: $229.95 HEALTHSMART — PPO: $260.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RTX OP VISIT ESTAB LVL III	$702.40	$491.68	$196.67 – $632.16
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $456.56 BCBS — ALL PRODUCTS: $632.16 BLUE CROSS — MEDI-CAL: $82.02 BLUE SHIELD — ALL PRODUCTS: $626.54 CIGNA — ALL PRODUCTS: $632.16 DIGNITY HEALTH — MEDI-CAL: $82.02 HEALTHNET — ALL PRODUCTS: $196.67 HEALTHNET — MEDI-CAL: $86.61 HEALTHNET — MEDICARE ADVANTAGE: $526.80 HEALTHSMART — PPO: $597.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OP VISIT EST PATIENT LVL 3	$404.30	$283.01	$113.20 – $363.87
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $262.80 BCBS — ALL PRODUCTS: $363.87 BLUE CROSS — MEDI-CAL: $82.02 BLUE SHIELD — ALL PRODUCTS: $360.64 CIGNA — ALL PRODUCTS: $363.87 DIGNITY HEALTH — MEDI-CAL: $82.02 HEALTHNET — ALL PRODUCTS: $113.20 HEALTHNET — MEDI-CAL: $86.61 HEALTHNET — MEDICARE ADVANTAGE: $303.23 HEALTHSMART — PPO: $343.66
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT ESTAB PATIENT LEVEL 4	$428.30	$299.81	$119.92 – $385.47
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $278.40 BCBS — ALL PRODUCTS: $385.47 BLUE CROSS — MEDI-CAL: $115.88 BLUE SHIELD — ALL PRODUCTS: $382.04 CIGNA — ALL PRODUCTS: $385.47 DIGNITY HEALTH — MEDI-CAL: $115.88 HEALTHNET — ALL PRODUCTS: $119.92 HEALTHNET — MEDI-CAL: $122.37 HEALTHNET — MEDICARE ADVANTAGE: $321.23 HEALTHSMART — PPO: $364.06
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RTX OP VISIT ESTAB LVL IV	$595.80	$417.06	$166.82 – $536.22
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $387.27 BCBS — ALL PRODUCTS: $536.22 BLUE CROSS — MEDI-CAL: $115.88 BLUE SHIELD — ALL PRODUCTS: $531.45 CIGNA — ALL PRODUCTS: $536.22 DIGNITY HEALTH — MEDI-CAL: $115.88 HEALTHNET — ALL PRODUCTS: $166.82 HEALTHNET — MEDI-CAL: $122.37 HEALTHNET — MEDICARE ADVANTAGE: $446.85 HEALTHSMART — PPO: $506.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC OP VISIT EST PATIENT LVL 4	$461.60	$323.12	$129.25 – $415.44
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $300.04 BCBS — ALL PRODUCTS: $415.44 BLUE CROSS — MEDI-CAL: $115.88 BLUE SHIELD — ALL PRODUCTS: $411.75 CIGNA — ALL PRODUCTS: $415.44 DIGNITY HEALTH — MEDI-CAL: $115.88 HEALTHNET — ALL PRODUCTS: $129.25 HEALTHNET — MEDI-CAL: $122.37 HEALTHNET — MEDICARE ADVANTAGE: $346.20 HEALTHSMART — PPO: $392.36
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$103.09 – $108.86
Office consultation with a specialist (moderate): rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $103.09 DIGNITY HEALTH — MEDI-CAL: $103.09 HEALTHNET — MEDI-CAL: $108.86 LASALLE — MEDI-CAL: $103.09
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$147.06 – $155.30
Office consultation with a specialist (moderate to high): rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $147.06 DIGNITY HEALTH — MEDI-CAL: $147.06 HEALTHNET — MEDI-CAL: $155.30 LASALLE — MEDI-CAL: $147.06
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AHC NEW ICPM E/M 18-39YR	$309	$216.30	$86.52 – $278.10
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $200.85 BCBS — ALL PRODUCTS: $278.10 BLUE CROSS — MEDI-CAL: $144.10 BLUE SHIELD — ALL PRODUCTS: $275.63 CIGNA — ALL PRODUCTS: $278.10 DIGNITY HEALTH — MEDI-CAL: $144.10 HEALTHNET — ALL PRODUCTS: $86.52 HEALTHNET — MEDI-CAL: $152.17 HEALTHNET — MEDICARE ADVANTAGE: $231.75 HEALTHSMART — PPO: $262.65
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RHC NEW ICPM E/M 18-39YR	$449.10	$314.37	$125.75 – $404.19
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $291.92 BCBS — ALL PRODUCTS: $404.19 BLUE CROSS — MEDI-CAL: $144.10 BLUE SHIELD — ALL PRODUCTS: $400.60 CIGNA — ALL PRODUCTS: $404.19 DIGNITY HEALTH — MEDI-CAL: $144.10 HEALTHNET — ALL PRODUCTS: $125.75 HEALTHNET — MEDI-CAL: $152.17 HEALTHNET — MEDICARE ADVANTAGE: $336.83 HEALTHSMART — PPO: $381.74
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW ICPM E/M 18-39YR	$309	$216.30	$86.52 – $278.10
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $200.85 BCBS — ALL PRODUCTS: $278.10 BLUE CROSS — MEDI-CAL: $144.10 BLUE SHIELD — ALL PRODUCTS: $275.63 CIGNA — ALL PRODUCTS: $278.10 DIGNITY HEALTH — MEDI-CAL: $144.10 HEALTHNET — ALL PRODUCTS: $86.52 HEALTHNET — MEDI-CAL: $152.17 HEALTHNET — MEDICARE ADVANTAGE: $231.75 HEALTHSMART — PPO: $262.65
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AHC NEW ICPM E/M 40-64YR	$309	$216.30	$86.52 – $278.10
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $200.85 BCBS — ALL PRODUCTS: $278.10 BLUE CROSS — MEDI-CAL: $135.01 BLUE SHIELD — ALL PRODUCTS: $275.63 CIGNA — ALL PRODUCTS: $278.10 DIGNITY HEALTH — MEDI-CAL: $135.01 HEALTHNET — ALL PRODUCTS: $86.52 HEALTHNET — MEDI-CAL: $142.57 HEALTHNET — MEDICARE ADVANTAGE: $231.75 HEALTHSMART — PPO: $262.65
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RHC NEW ICPM E/M 40-64YR	$449.10	$314.37	$125.75 – $404.19
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $291.92 BCBS — ALL PRODUCTS: $404.19 BLUE CROSS — MEDI-CAL: $135.01 BLUE SHIELD — ALL PRODUCTS: $400.60 CIGNA — ALL PRODUCTS: $404.19 DIGNITY HEALTH — MEDI-CAL: $135.01 HEALTHNET — ALL PRODUCTS: $125.75 HEALTHNET — MEDI-CAL: $142.57 HEALTHNET — MEDICARE ADVANTAGE: $336.83 HEALTHSMART — PPO: $381.74
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW ICPM E/M 40-64YR	$309	$216.30	$86.52 – $278.10
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $200.85 BCBS — ALL PRODUCTS: $278.10 BLUE CROSS — MEDI-CAL: $135.01 BLUE SHIELD — ALL PRODUCTS: $275.63 CIGNA — ALL PRODUCTS: $278.10 DIGNITY HEALTH — MEDI-CAL: $135.01 HEALTHNET — ALL PRODUCTS: $86.52 HEALTHNET — MEDI-CAL: $142.57 HEALTHNET — MEDICARE ADVANTAGE: $231.75 HEALTHSMART — PPO: $262.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3	$613	$429.10	$306.50 – $551.70
Emergency room visit (moderate): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $306.50 BCBS — ALL PRODUCTS: $551.70 BLUE SHIELD — ALL PRODUCTS: $546.80 CIGNA — ALL PRODUCTS: $551.70 DIGNITY HEALTH — ALL PRODUCTS: $421.31 DIGNITY HEALTH — MEDICARE ADVANTAGE: $351.09 HEALTHNET — ALL PRODUCTS: $540.69 HEALTHNET — MEDI-CAL: $47.10 HEALTHNET — MEDICARE ADVANTAGE: $351.09 HEALTHSMART — PPO: $521.05
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4	$1,226	$858.20	$613 – $1,103.40
Emergency room visit (moderately high): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $613 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $1,093.59 CIGNA — ALL PRODUCTS: $1,103.40 DIGNITY HEALTH — ALL PRODUCTS: $644 DIGNITY HEALTH — MEDICARE ADVANTAGE: $536.67 HEALTHNET — ALL PRODUCTS: $826.47 HEALTHNET — MEDI-CAL: $72.18 HEALTHNET — MEDICARE ADVANTAGE: $536.67 HEALTHSMART — PPO: $1,042.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5	$2,298	$1,608.60	$1,000 – $2,068.20
Emergency room visit (high): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,149 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $2,049.82 CIGNA — ALL PRODUCTS: $2,068.20 DIGNITY HEALTH — ALL PRODUCTS: $919.14 DIGNITY HEALTH — MEDICARE ADVANTAGE: $765.95 HEALTHNET — ALL PRODUCTS: $1,179.57 HEALTHNET — MEDI-CAL: $114.13 HEALTHNET — MEDICARE ADVANTAGE: $765.95 HEALTHSMART — PPO: $1,953.30

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..BASIC METABOLIC PNL	$191.40	$133.98	$124.41 – $172.26
Basic metabolic panel (blood test): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $124.41 BCBS — ALL PRODUCTS: $172.26 BLUE CROSS — MEDI-CAL: $7.27 BLUE SHIELD — ALL PRODUCTS: $170.73 CIGNA — ALL PRODUCTS: $172.26 DIGNITY HEALTH — ALL PRODUCTS: $10.15 DIGNITY HEALTH — MEDI-CAL: $7.27 DIGNITY HEALTH — MEDICARE ADVANTAGE: $8.46 HEALTHNET — ALL PRODUCTS: $13.03 HEALTHNET — MEDI-CAL: $7.68
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..BASIC METABOLIC PNL	$191.40	$133.98	$53.59 – $172.26
Basic metabolic panel (blood test): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $124.41 BCBS — ALL PRODUCTS: $172.26 BLUE SHIELD — ALL PRODUCTS: $170.73 CIGNA — ALL PRODUCTS: $172.26 HEALTHNET — ALL PRODUCTS: $53.59 HEALTHNET — MEDI-CAL: $53.59 HEALTHNET — MEDICARE ADVANTAGE: $143.55 HEALTHSMART — PPO: $162.69 KAISER — ALL PRODUCTS: $133.98 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PNL	$216.70	$151.69	$140.86 – $195.03
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $140.86 BCBS — ALL PRODUCTS: $195.03 BLUE CROSS — MEDI-CAL: $9.19 BLUE SHIELD — ALL PRODUCTS: $193.30 CIGNA — ALL PRODUCTS: $195.03 DIGNITY HEALTH — ALL PRODUCTS: $12.67 DIGNITY HEALTH — MEDI-CAL: $9.19 DIGNITY HEALTH — MEDICARE ADVANTAGE: $10.56 HEALTHNET — ALL PRODUCTS: $16.26 HEALTHNET — MEDI-CAL: $9.70
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMP METABOLIC PNL	$216.70	$151.69	$60.68 – $195.03
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $140.86 BCBS — ALL PRODUCTS: $195.03 BLUE SHIELD — ALL PRODUCTS: $193.30 CIGNA — ALL PRODUCTS: $195.03 HEALTHNET — ALL PRODUCTS: $60.68 HEALTHNET — MEDI-CAL: $60.68 HEALTHNET — MEDICARE ADVANTAGE: $162.53 HEALTHSMART — PPO: $184.20 KAISER — ALL PRODUCTS: $151.69 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$35.83
Obstetric blood test panel: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $35.83 DIGNITY HEALTH — ALL PRODUCTS: $57.37 DIGNITY HEALTH — MEDI-CAL: $35.83 DIGNITY HEALTH — MEDICARE ADVANTAGE: $47.81 HEALTHNET — ALL PRODUCTS: $73.63 HEALTHNET — MEDI-CAL: $43.03 HEALTHNET — MEDICARE ADVANTAGE: $47.81 HUMANA — MEDICARE ADVANTAGE: $47.81 LASALLE — MEDI-CAL: $35.83 LASALLE — MEDICARE ADVANTAGE: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$123.50	$86.45	$80.28 – $111.15
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $80.28 BCBS — ALL PRODUCTS: $111.15 BLUE CROSS — MEDI-CAL: $11.54 BLUE SHIELD — ALL PRODUCTS: $110.16 CIGNA — ALL PRODUCTS: $111.15 DIGNITY HEALTH — ALL PRODUCTS: $16.07 DIGNITY HEALTH — MEDI-CAL: $11.54 DIGNITY HEALTH — MEDICARE ADVANTAGE: $13.39 HEALTHNET — ALL PRODUCTS: $20.62 HEALTHNET — MEDI-CAL: $12.19
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LIPID PANEL	$123.50	$86.45	$34.58 – $111.15
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $80.28 BCBS — ALL PRODUCTS: $111.15 BLUE SHIELD — ALL PRODUCTS: $110.16 CIGNA — ALL PRODUCTS: $111.15 HEALTHNET — ALL PRODUCTS: $34.58 HEALTHNET — MEDI-CAL: $34.58 HEALTHNET — MEDICARE ADVANTAGE: $92.63 HEALTHSMART — PPO: $104.98 KAISER — ALL PRODUCTS: $86.45 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: ..LIPOPRT FRACT NMR W LIPID-2*	$15.79	$11.05	$4.42 – $14.21
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $10.26 BCBS — ALL PRODUCTS: $14.21 BLUE SHIELD — ALL PRODUCTS: $14.08 CIGNA — ALL PRODUCTS: $14.21 HEALTHNET — ALL PRODUCTS: $4.42 HEALTHNET — MEDI-CAL: $4.42 HEALTHNET — MEDICARE ADVANTAGE: $11.84 HEALTHSMART — PPO: $13.42 KAISER — ALL PRODUCTS: $11.05 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL PANEL	$214.50	$150.15	$139.43 – $193.05
Kidney function panel: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $139.43 BCBS — ALL PRODUCTS: $193.05 BLUE CROSS — MEDI-CAL: $7.60 BLUE SHIELD — ALL PRODUCTS: $191.33 CIGNA — ALL PRODUCTS: $193.05 DIGNITY HEALTH — ALL PRODUCTS: $10.42 DIGNITY HEALTH — MEDI-CAL: $7.60 DIGNITY HEALTH — MEDICARE ADVANTAGE: $8.68 HEALTHNET — ALL PRODUCTS: $13.37 HEALTHNET — MEDI-CAL: $8.03
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: RENAL PANEL	$214.50	$150.15	$60.06 – $193.05
Kidney function panel: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $139.43 BCBS — ALL PRODUCTS: $193.05 BLUE SHIELD — ALL PRODUCTS: $191.33 CIGNA — ALL PRODUCTS: $193.05 HEALTHNET — ALL PRODUCTS: $60.06 HEALTHNET — MEDI-CAL: $60.06 HEALTHNET — MEDICARE ADVANTAGE: $160.88 HEALTHSMART — PPO: $182.33 KAISER — ALL PRODUCTS: $150.15 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PANEL	$253.50	$177.45	$164.78 – $228.15
Liver function panel: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $164.78 BCBS — ALL PRODUCTS: $228.15 BLUE CROSS — MEDI-CAL: $6.38 BLUE SHIELD — ALL PRODUCTS: $226.12 CIGNA — ALL PRODUCTS: $228.15 DIGNITY HEALTH — ALL PRODUCTS: $9.80 DIGNITY HEALTH — MEDI-CAL: $6.38 DIGNITY HEALTH — MEDICARE ADVANTAGE: $8.17 HEALTHNET — ALL PRODUCTS: $12.58 HEALTHNET — MEDI-CAL: $6.74
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LIVER PANEL	$253.50	$177.45	$70.98 – $228.15
Liver function panel: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $164.78 BCBS — ALL PRODUCTS: $228.15 BLUE SHIELD — ALL PRODUCTS: $226.12 CIGNA — ALL PRODUCTS: $228.15 HEALTHNET — ALL PRODUCTS: $70.98 HEALTHNET — MEDI-CAL: $70.98 HEALTHNET — MEDICARE ADVANTAGE: $190.13 HEALTHSMART — PPO: $215.48 KAISER — ALL PRODUCTS: $177.45 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA AUTO W MIC	$90.80	$63.56	$59.02 – $81.72
Urine test (automated, with microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $59.02 BCBS — ALL PRODUCTS: $81.72 BLUE CROSS — MEDI-CAL: $2.77 BLUE SHIELD — ALL PRODUCTS: $80.99 CIGNA — ALL PRODUCTS: $81.72 DIGNITY HEALTH — ALL PRODUCTS: $3.80 DIGNITY HEALTH — MEDI-CAL: $2.77 DIGNITY HEALTH — MEDICARE ADVANTAGE: $3.17 HEALTHNET — ALL PRODUCTS: $4.88 HEALTHNET — MEDI-CAL: $2.93
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA C/S IF POS AUTO W MIC	$90.80	$63.56	$59.02 – $81.72
Urine test (automated, with microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $59.02 BCBS — ALL PRODUCTS: $81.72 BLUE CROSS — MEDI-CAL: $2.77 BLUE SHIELD — ALL PRODUCTS: $80.99 CIGNA — ALL PRODUCTS: $81.72 DIGNITY HEALTH — ALL PRODUCTS: $3.80 DIGNITY HEALTH — MEDI-CAL: $2.77 DIGNITY HEALTH — MEDICARE ADVANTAGE: $3.17 HEALTHNET — ALL PRODUCTS: $4.88 HEALTHNET — MEDI-CAL: $2.93
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RHC URINALYSIS COMPLETE	$13.40	$9.38	$8.71 – $12.06
Urine test (automated, with microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $8.71 BCBS — ALL PRODUCTS: $12.06 BLUE CROSS — MEDI-CAL: $2.77 BLUE SHIELD — ALL PRODUCTS: $11.95 CIGNA — ALL PRODUCTS: $12.06 DIGNITY HEALTH — ALL PRODUCTS: $3.80 DIGNITY HEALTH — MEDI-CAL: $2.77 DIGNITY HEALTH — MEDICARE ADVANTAGE: $3.17 HEALTHNET — ALL PRODUCTS: $4.88 HEALTHNET — MEDI-CAL: $2.93
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECF GRAVITY: URINE	$22.80	$15.96	$14.82 – $20.52
Urine test (manual, without microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $14.82 BCBS — ALL PRODUCTS: $20.52 BLUE CROSS — MEDI-CAL: $2.15 BLUE SHIELD — ALL PRODUCTS: $20.34 CIGNA — ALL PRODUCTS: $20.52 DIGNITY HEALTH — ALL PRODUCTS: $4.18 DIGNITY HEALTH — MEDI-CAL: $2.15 DIGNITY HEALTH — MEDICARE ADVANTAGE: $3.48 HEALTHNET — ALL PRODUCTS: $5.36 HEALTHNET — MEDI-CAL: $2.27
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA BLD/DIPSTK NONAUTO WO MIC	$30.10	$21.07	$19.57 – $27.09
Urine test (manual, without microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $19.57 BCBS — ALL PRODUCTS: $27.09 BLUE CROSS — MEDI-CAL: $2.15 BLUE SHIELD — ALL PRODUCTS: $26.85 CIGNA — ALL PRODUCTS: $27.09 DIGNITY HEALTH — ALL PRODUCTS: $4.18 DIGNITY HEALTH — MEDI-CAL: $2.15 DIGNITY HEALTH — MEDICARE ADVANTAGE: $3.48 HEALTHNET — ALL PRODUCTS: $5.36 HEALTHNET — MEDI-CAL: $2.27
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RHC URINE - DIPSTICK	$16.50	$11.55	$10.73 – $14.85
Urine test (manual, without microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $10.73 BCBS — ALL PRODUCTS: $14.85 BLUE CROSS — MEDI-CAL: $2.15 BLUE SHIELD — ALL PRODUCTS: $14.72 CIGNA — ALL PRODUCTS: $14.85 DIGNITY HEALTH — ALL PRODUCTS: $4.18 DIGNITY HEALTH — MEDI-CAL: $2.15 DIGNITY HEALTH — MEDICARE ADVANTAGE: $3.48 HEALTHNET — ALL PRODUCTS: $5.36 HEALTHNET — MEDI-CAL: $2.27
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA10 AUTO WO MIC	$32.50	$22.75	$21.13 – $29.25
Urine test (automated, without microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $21.13 BCBS — ALL PRODUCTS: $29.25 BLUE CROSS — MEDI-CAL: $1.96 BLUE SHIELD — ALL PRODUCTS: $28.99 CIGNA — ALL PRODUCTS: $29.25 DIGNITY HEALTH — ALL PRODUCTS: $2.70 DIGNITY HEALTH — MEDI-CAL: $1.96 DIGNITY HEALTH — MEDICARE ADVANTAGE: $2.25 HEALTHNET — ALL PRODUCTS: $3.47 HEALTHNET — MEDI-CAL: $2.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AHC URINE DIP	$8.30	$5.81	$5.40 – $7.47
Urine test (automated, without microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $5.40 BCBS — ALL PRODUCTS: $7.47 BLUE CROSS — MEDI-CAL: $1.96 BLUE SHIELD — ALL PRODUCTS: $7.40 CIGNA — ALL PRODUCTS: $7.47 DIGNITY HEALTH — ALL PRODUCTS: $2.70 DIGNITY HEALTH — MEDI-CAL: $1.96 DIGNITY HEALTH — MEDICARE ADVANTAGE: $2.25 HEALTHNET — ALL PRODUCTS: $3.47 HEALTHNET — MEDI-CAL: $2.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URO URINALYSIS AUTO	$25.60	$17.92	$16.64 – $23.04
Urine test (automated, without microscope): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $16.64 BCBS — ALL PRODUCTS: $23.04 BLUE CROSS — MEDI-CAL: $1.96 BLUE SHIELD — ALL PRODUCTS: $22.84 CIGNA — ALL PRODUCTS: $23.04 DIGNITY HEALTH — ALL PRODUCTS: $2.70 DIGNITY HEALTH — MEDI-CAL: $1.96 DIGNITY HEALTH — MEDICARE ADVANTAGE: $2.25 HEALTHNET — ALL PRODUCTS: $3.47 HEALTHNET — MEDI-CAL: $2.07
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOT	$187.30	$131.11	$121.75 – $168.57
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $121.75 BCBS — ALL PRODUCTS: $168.57 BLUE CROSS — MEDI-CAL: $16.35 BLUE SHIELD — ALL PRODUCTS: $167.07 CIGNA — ALL PRODUCTS: $168.57 DIGNITY HEALTH — ALL PRODUCTS: $22.07 DIGNITY HEALTH — MEDI-CAL: $16.35 DIGNITY HEALTH — MEDICARE ADVANTAGE: $18.39 HEALTHNET — ALL PRODUCTS: $28.32 HEALTHNET — MEDI-CAL: $17.27
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA MCARE ANNUAL SCREEN	$187.30	$131.11	$121.75 – $168.57
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $121.75 BCBS — ALL PRODUCTS: $168.57 BLUE CROSS — MEDI-CAL: $16.35 BLUE SHIELD — ALL PRODUCTS: $167.07 CIGNA — ALL PRODUCTS: $168.57 DIGNITY HEALTH — ALL PRODUCTS: $22.07 DIGNITY HEALTH — MEDI-CAL: $16.35 DIGNITY HEALTH — MEDICARE ADVANTAGE: $18.39 HEALTHNET — ALL PRODUCTS: $28.32 HEALTHNET — MEDI-CAL: $17.27
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..PSA TOTAL*	$6.30	$4.41	$4.10 – $5.67
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $4.10 BCBS — ALL PRODUCTS: $5.67 BLUE CROSS — MEDI-CAL: $16.35 BLUE SHIELD — ALL PRODUCTS: $5.62 CIGNA — ALL PRODUCTS: $5.67 DIGNITY HEALTH — ALL PRODUCTS: $22.07 DIGNITY HEALTH — MEDI-CAL: $16.35 DIGNITY HEALTH — MEDICARE ADVANTAGE: $18.39 HEALTHNET — ALL PRODUCTS: $28.32 HEALTHNET — MEDI-CAL: $17.27
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (THYRD STIM HORMNE)	$113	$79.10	$73.45 – $101.70
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $73.45 BCBS — ALL PRODUCTS: $101.70 BLUE CROSS — MEDI-CAL: $14.76 BLUE SHIELD — ALL PRODUCTS: $100.80 CIGNA — ALL PRODUCTS: $101.70 DIGNITY HEALTH — ALL PRODUCTS: $20.16 DIGNITY HEALTH — MEDI-CAL: $14.76 DIGNITY HEALTH — MEDICARE ADVANTAGE: $16.80 HEALTHNET — ALL PRODUCTS: $25.87 HEALTHNET — MEDI-CAL: $15.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TSH (THYRD STIM HORMNE)	$113	$79.10	$31.64 – $101.70
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $73.45 BCBS — ALL PRODUCTS: $101.70 BLUE SHIELD — ALL PRODUCTS: $100.80 CIGNA — ALL PRODUCTS: $101.70 HEALTHNET — ALL PRODUCTS: $31.64 HEALTHNET — MEDI-CAL: $31.64 HEALTHNET — MEDICARE ADVANTAGE: $84.75 HEALTHSMART — PPO: $96.05 KAISER — ALL PRODUCTS: $79.10 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: THYR CASCDING RFX*	$6.30	$4.41	$1.76 – $5.67
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $4.10 BCBS — ALL PRODUCTS: $5.67 BLUE SHIELD — ALL PRODUCTS: $5.62 CIGNA — ALL PRODUCTS: $5.67 HEALTHNET — ALL PRODUCTS: $1.76 HEALTHNET — MEDI-CAL: $1.76 HEALTHNET — MEDICARE ADVANTAGE: $4.73 HEALTHSMART — PPO: $5.36 KAISER — ALL PRODUCTS: $4.41 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..CBC: AUTO DIFF (5)	$108.10	$75.67	$70.27 – $97.29
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $70.27 BCBS — ALL PRODUCTS: $97.29 BLUE CROSS — MEDI-CAL: $6.75 BLUE SHIELD — ALL PRODUCTS: $96.43 CIGNA — ALL PRODUCTS: $97.29 DIGNITY HEALTH — ALL PRODUCTS: $9.32 DIGNITY HEALTH — MEDI-CAL: $6.75 DIGNITY HEALTH — MEDICARE ADVANTAGE: $7.77 HEALTHNET — ALL PRODUCTS: $11.97 HEALTHNET — MEDI-CAL: $7.13
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..CBC: AUTO DIFF (5)	$108.10	$75.67	$30.27 – $97.29
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $70.27 BCBS — ALL PRODUCTS: $97.29 BLUE SHIELD — ALL PRODUCTS: $96.43 CIGNA — ALL PRODUCTS: $97.29 HEALTHNET — ALL PRODUCTS: $30.27 HEALTHNET — MEDI-CAL: $30.27 HEALTHNET — MEDICARE ADVANTAGE: $81.08 HEALTHSMART — PPO: $91.89 KAISER — ALL PRODUCTS: $75.67 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..CBC	$95.30	$66.71	$61.95 – $85.77
Complete blood count (CBC), automated: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $61.95 BCBS — ALL PRODUCTS: $85.77 BLUE CROSS — MEDI-CAL: $5.71 BLUE SHIELD — ALL PRODUCTS: $85.01 CIGNA — ALL PRODUCTS: $85.77 DIGNITY HEALTH — ALL PRODUCTS: $7.76 DIGNITY HEALTH — MEDI-CAL: $5.71 DIGNITY HEALTH — MEDICARE ADVANTAGE: $6.47 HEALTHNET — ALL PRODUCTS: $9.96 HEALTHNET — MEDI-CAL: $6.03
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..CBC	$95.30	$66.71	$26.68 – $85.77
Complete blood count (CBC), automated: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $61.95 BCBS — ALL PRODUCTS: $85.77 BLUE SHIELD — ALL PRODUCTS: $85.01 CIGNA — ALL PRODUCTS: $85.77 HEALTHNET — ALL PRODUCTS: $26.68 HEALTHNET — MEDI-CAL: $26.68 HEALTHNET — MEDICARE ADVANTAGE: $71.48 HEALTHSMART — PPO: $81.01 KAISER — ALL PRODUCTS: $66.71 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..PT (PROTHROMBIN TIME)	$81.20	$56.84	$52.78 – $73.08
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $52.78 BCBS — ALL PRODUCTS: $73.08 BLUE CROSS — MEDI-CAL: $3.49 BLUE SHIELD — ALL PRODUCTS: $72.43 CIGNA — ALL PRODUCTS: $73.08 DIGNITY HEALTH — ALL PRODUCTS: $5.15 DIGNITY HEALTH — MEDI-CAL: $3.49 DIGNITY HEALTH — MEDICARE ADVANTAGE: $4.29 HEALTHNET — ALL PRODUCTS: $6.61 HEALTHNET — MEDI-CAL: $3.69
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..PT (PROTHROMBIN TIME)	$81.20	$56.84	$22.74 – $73.08
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $52.78 BCBS — ALL PRODUCTS: $73.08 BLUE SHIELD — ALL PRODUCTS: $72.43 CIGNA — ALL PRODUCTS: $73.08 HEALTHNET — ALL PRODUCTS: $22.74 HEALTHNET — MEDI-CAL: $22.74 HEALTHNET — MEDICARE ADVANTAGE: $60.90 HEALTHSMART — PPO: $69.02 KAISER — ALL PRODUCTS: $56.84 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: ..PROTHROMBIN TIME*	$3.57	$2.50	$1 – $3.21
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2.32 BCBS — ALL PRODUCTS: $3.21 BLUE SHIELD — ALL PRODUCTS: $3.18 CIGNA — ALL PRODUCTS: $3.21 HEALTHNET — ALL PRODUCTS: $1 HEALTHNET — MEDI-CAL: $1 HEALTHNET — MEDICARE ADVANTAGE: $2.68 HEALTHSMART — PPO: $3.03 KAISER — ALL PRODUCTS: $2.50 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..PTT (PART-THROM TIME)	$92.70	$64.89	$60.26 – $83.43
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $60.26 BCBS — ALL PRODUCTS: $83.43 BLUE CROSS — MEDI-CAL: $5.34 BLUE SHIELD — ALL PRODUCTS: $82.69 CIGNA — ALL PRODUCTS: $83.43 DIGNITY HEALTH — ALL PRODUCTS: $7.21 DIGNITY HEALTH — MEDI-CAL: $5.34 DIGNITY HEALTH — MEDICARE ADVANTAGE: $6.01 HEALTHNET — ALL PRODUCTS: $9.26 HEALTHNET — MEDI-CAL: $5.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..PTT (PART-THROM TIME)	$92.70	$64.89	$25.96 – $83.43
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $60.26 BCBS — ALL PRODUCTS: $83.43 BLUE SHIELD — ALL PRODUCTS: $82.69 CIGNA — ALL PRODUCTS: $83.43 HEALTHNET — ALL PRODUCTS: $25.96 HEALTHNET — MEDI-CAL: $25.96 HEALTHNET — MEDICARE ADVANTAGE: $69.53 HEALTHSMART — PPO: $78.80 KAISER — ALL PRODUCTS: $64.89 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: ..LUPUS ANTICOAGULANT*	$4.86	$3.40	$1.36 – $4.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $3.16 BCBS — ALL PRODUCTS: $4.37 BLUE SHIELD — ALL PRODUCTS: $4.34 CIGNA — ALL PRODUCTS: $4.37 HEALTHNET — ALL PRODUCTS: $1.36 HEALTHNET — MEDI-CAL: $1.36 HEALTHNET — MEDICARE ADVANTAGE: $3.65 HEALTHSMART — PPO: $4.13 KAISER — ALL PRODUCTS: $3.40 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT/HEAD W/O CON	$1,720.60	$1,204.42	$1,000 – $1,548.54
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,118.39 BCBS — ALL PRODUCTS: $1,000 BLUE CROSS — MEDI-CAL: $101.27 BLUE SHIELD — ALL PRODUCTS: $1,534.78 CIGNA — ALL PRODUCTS: $1,548.54 DIGNITY HEALTH — ALL PRODUCTS: $161.36 DIGNITY HEALTH — MEDI-CAL: $101.27 DIGNITY HEALTH — MEDICARE ADVANTAGE: $134.46 HEALTHNET — ALL PRODUCTS: $207.07 HEALTHNET — MEDI-CAL: $106.94
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT/HEAD W/O CON	$1,720.60	$1,204.42	$481.77 – $1,548.54
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,118.39 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $1,534.78 CIGNA — ALL PRODUCTS: $1,548.54 HEALTHNET — ALL PRODUCTS: $481.77 HEALTHNET — MEDI-CAL: $481.77 HEALTHNET — MEDICARE ADVANTAGE: $1,290.45 HEALTHSMART — PPO: $1,462.51 KAISER — ALL PRODUCTS: $1,204.42 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W&W/O CONT	$4,467.90	$3,127.53	$1,000 – $4,021.11
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,174 BCBS — ALL PRODUCTS: $1,000 BLUE CROSS — MEDI-CAL: $311.06 BLUE SHIELD — ALL PRODUCTS: $3,985.37 CIGNA — ALL PRODUCTS: $4,021.11 DIGNITY HEALTH — ALL PRODUCTS: $538.45 DIGNITY HEALTH — MEDI-CAL: $311.06 DIGNITY HEALTH — MEDICARE ADVANTAGE: $448.71 HEALTHNET — ALL PRODUCTS: $691.01 HEALTHNET — MEDI-CAL: $328.48
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W&W/O CONT	$4,467.90	$3,127.53	$1,000 – $4,021.11
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2,174 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $3,985.37 CIGNA — ALL PRODUCTS: $4,021.11 HEALTHNET — ALL PRODUCTS: $1,000 HEALTHNET — MEDI-CAL: $1,000 HEALTHNET — MEDICARE ADVANTAGE: $3,350.93 HEALTHSMART — PPO: $3,797.72 KAISER — ALL PRODUCTS: $3,127.53 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$351.50	$246.05	$228.48 – $316.35
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $228.48 BCBS — ALL PRODUCTS: $316.35 BLUE CROSS — MEDI-CAL: $27.47 BLUE SHIELD — ALL PRODUCTS: $313.54 CIGNA — ALL PRODUCTS: $316.35 DIGNITY HEALTH — ALL PRODUCTS: $134.31 DIGNITY HEALTH — MEDI-CAL: $27.47 DIGNITY HEALTH — MEDICARE ADVANTAGE: $111.93 HEALTHNET — ALL PRODUCTS: $172.37 HEALTHNET — MEDI-CAL: $29.01
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST, SPECIAL VIEWS	$287.80	$201.46	$187.07 – $259.02
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $187.07 BCBS — ALL PRODUCTS: $259.02 BLUE CROSS — MEDI-CAL: $27.47 BLUE SHIELD — ALL PRODUCTS: $256.72 CIGNA — ALL PRODUCTS: $259.02 DIGNITY HEALTH — ALL PRODUCTS: $134.31 DIGNITY HEALTH — MEDI-CAL: $27.47 DIGNITY HEALTH — MEDICARE ADVANTAGE: $111.93 HEALTHNET — ALL PRODUCTS: $172.37 HEALTHNET — MEDI-CAL: $29.01
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR CHEST 2 VIEWS	$351.50	$246.05	$98.42 – $316.35
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $228.48 BCBS — ALL PRODUCTS: $316.35 BLUE SHIELD — ALL PRODUCTS: $313.54 CIGNA — ALL PRODUCTS: $316.35 HEALTHNET — ALL PRODUCTS: $98.42 HEALTHNET — MEDI-CAL: $98.42 HEALTHNET — MEDICARE ADVANTAGE: $263.63 HEALTHSMART — PPO: $298.78 KAISER — ALL PRODUCTS: $246.05 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR L-S SPINE;COMPL MIN 4 VIEWS	$698.10	$488.67	$453.77 – $628.29
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $453.77 BCBS — ALL PRODUCTS: $628.29 BLUE CROSS — MEDI-CAL: $43.85 BLUE SHIELD — ALL PRODUCTS: $622.71 CIGNA — ALL PRODUCTS: $628.29 DIGNITY HEALTH — ALL PRODUCTS: $161.36 DIGNITY HEALTH — MEDI-CAL: $43.85 DIGNITY HEALTH — MEDICARE ADVANTAGE: $134.46 HEALTHNET — ALL PRODUCTS: $207.07 HEALTHNET — MEDI-CAL: $46.31
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR L-S SPINE;COMPL MIN 4 VIEWS	$698.10	$488.67	$195.47 – $628.29
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $453.77 BCBS — ALL PRODUCTS: $628.29 BLUE SHIELD — ALL PRODUCTS: $622.71 CIGNA — ALL PRODUCTS: $628.29 HEALTHNET — ALL PRODUCTS: $195.47 HEALTHNET — MEDI-CAL: $195.47 HEALTHNET — MEDICARE ADVANTAGE: $523.58 HEALTHSMART — PPO: $593.39 KAISER — ALL PRODUCTS: $488.67 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE W/O CONT	$3,549	$2,484.30	$1,000 – $3,194.10
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,174 BCBS — ALL PRODUCTS: $1,000 BLUE CROSS — MEDI-CAL: $186 BLUE SHIELD — ALL PRODUCTS: $3,165.71 CIGNA — ALL PRODUCTS: $3,194.10 DIGNITY HEALTH — ALL PRODUCTS: $368.26 DIGNITY HEALTH — MEDI-CAL: $186 DIGNITY HEALTH — MEDICARE ADVANTAGE: $306.88 HEALTHNET — ALL PRODUCTS: $472.60 HEALTHNET — MEDI-CAL: $196.42
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI L SPINE W/O CONT	$3,549	$2,484.30	$993.72 – $3,194.10
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2,174 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $3,165.71 CIGNA — ALL PRODUCTS: $3,194.10 HEALTHNET — ALL PRODUCTS: $993.72 HEALTHNET — MEDI-CAL: $993.72 HEALTHNET — MEDICARE ADVANTAGE: $2,661.75 HEALTHSMART — PPO: $3,016.65 KAISER — ALL PRODUCTS: $2,484.30 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT/PELVIS WITH CON	$2,681.90	$1,877.33	$1,000 – $2,413.71
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,743.24 BCBS — ALL PRODUCTS: $1,000 BLUE CROSS — MEDI-CAL: $204.45 BLUE SHIELD — ALL PRODUCTS: $2,392.25 CIGNA — ALL PRODUCTS: $2,413.71 DIGNITY HEALTH — ALL PRODUCTS: $270.71 DIGNITY HEALTH — MEDI-CAL: $204.45 DIGNITY HEALTH — MEDICARE ADVANTAGE: $225.59 HEALTHNET — ALL PRODUCTS: $347.42 HEALTHNET — MEDI-CAL: $215.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT/PELVIS WITH CON	$2,681.90	$1,877.33	$750.93 – $2,413.71
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,743.24 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $2,392.25 CIGNA — ALL PRODUCTS: $2,413.71 HEALTHNET — ALL PRODUCTS: $750.93 HEALTHNET — MEDI-CAL: $750.93 HEALTHNET — MEDICARE ADVANTAGE: $2,011.43 HEALTHSMART — PPO: $2,279.62 KAISER — ALL PRODUCTS: $1,877.33 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT-LOWER EXT W/O CONT	$3,549	$2,484.30	$1,000 – $3,194.10
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,174 BCBS — ALL PRODUCTS: $1,000 BLUE CROSS — MEDI-CAL: $390.48 BLUE SHIELD — ALL PRODUCTS: $3,165.71 CIGNA — ALL PRODUCTS: $3,194.10 DIGNITY HEALTH — ALL PRODUCTS: $368.26 DIGNITY HEALTH — MEDI-CAL: $390.48 DIGNITY HEALTH — MEDICARE ADVANTAGE: $306.88 HEALTHNET — ALL PRODUCTS: $472.60 HEALTHNET — MEDI-CAL: $412.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI JOINT-LOWER EXT W/O CONT	$3,549	$2,484.30	$993.72 – $3,194.10
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2,174 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $3,165.71 CIGNA — ALL PRODUCTS: $3,194.10 HEALTHNET — ALL PRODUCTS: $993.72 HEALTHNET — MEDI-CAL: $993.72 HEALTHNET — MEDICARE ADVANTAGE: $2,661.75 HEALTHSMART — PPO: $3,016.65 KAISER — ALL PRODUCTS: $2,484.30 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI ANY JNT LW EXT WO DY BILAT	$2,807.20	$1,965.04	$786.02 – $2,526.48
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,824.68 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $2,504.02 CIGNA — ALL PRODUCTS: $2,526.48 HEALTHNET — ALL PRODUCTS: $786.02 HEALTHNET — MEDI-CAL: $786.02 HEALTHNET — MEDICARE ADVANTAGE: $2,105.40 HEALTHSMART — PPO: $2,386.12 KAISER — ALL PRODUCTS: $1,965.04 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD AND PELVIS W/ CONTRAST	$2,681.90	$1,877.33	$1,000 – $2,413.71
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,743.24 BCBS — ALL PRODUCTS: $1,000 BLUE CROSS — MEDI-CAL: $281.80 BLUE SHIELD — ALL PRODUCTS: $2,392.25 CIGNA — ALL PRODUCTS: $2,413.71 DIGNITY HEALTH — ALL PRODUCTS: $538.45 DIGNITY HEALTH — MEDI-CAL: $281.80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $448.71 HEALTHNET — ALL PRODUCTS: $691.01 HEALTHNET — MEDI-CAL: $297.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD AND PELVIS W/ CONTRAST	$2,681.90	$1,877.33	$750.93 – $2,413.71
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,743.24 BCBS — ALL PRODUCTS: $1,000 BLUE SHIELD — ALL PRODUCTS: $2,392.25 CIGNA — ALL PRODUCTS: $2,413.71 HEALTHNET — ALL PRODUCTS: $750.93 HEALTHNET — MEDI-CAL: $750.93 HEALTHNET — MEDICARE ADVANTAGE: $2,011.43 HEALTHSMART — PPO: $2,279.62 KAISER — ALL PRODUCTS: $1,877.33 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD GENERAL	$1,040.20	$728.14	$676.13 – $936.18
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $676.13 BCBS — ALL PRODUCTS: $936.18 BLUE CROSS — MEDI-CAL: $83.20 BLUE SHIELD — ALL PRODUCTS: $927.86 CIGNA — ALL PRODUCTS: $936.18 DIGNITY HEALTH — ALL PRODUCTS: $161.36 DIGNITY HEALTH — MEDI-CAL: $83.20 DIGNITY HEALTH — MEDICARE ADVANTAGE: $134.46 HEALTHNET — ALL PRODUCTS: $207.07 HEALTHNET — MEDI-CAL: $87.86
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABD GENERAL	$1,040.20	$728.14	$291.26 – $936.18
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $676.13 BCBS — ALL PRODUCTS: $936.18 BLUE SHIELD — ALL PRODUCTS: $927.86 CIGNA — ALL PRODUCTS: $936.18 HEALTHNET — ALL PRODUCTS: $291.26 HEALTHNET — MEDI-CAL: $291.26 HEALTHNET — MEDICARE ADVANTAGE: $780.15 HEALTHSMART — PPO: $884.17 KAISER — ALL PRODUCTS: $728.14 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG&FETAL AGE AFTR 1ST TRI	$1,040.20	$728.14	$676.13 – $936.18
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $676.13 BCBS — ALL PRODUCTS: $936.18 BLUE CROSS — MEDI-CAL: $127.94 BLUE SHIELD — ALL PRODUCTS: $927.86 CIGNA — ALL PRODUCTS: $936.18 DIGNITY HEALTH — ALL PRODUCTS: $161.36 DIGNITY HEALTH — MEDI-CAL: $127.94 DIGNITY HEALTH — MEDICARE ADVANTAGE: $134.46 HEALTHNET — ALL PRODUCTS: $207.07 HEALTHNET — MEDI-CAL: $135.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US PREG&FETAL AGE AFTR 1ST TRI	$1,040.20	$728.14	$291.26 – $936.18
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $676.13 BCBS — ALL PRODUCTS: $936.18 BLUE SHIELD — ALL PRODUCTS: $927.86 CIGNA — ALL PRODUCTS: $936.18 HEALTHNET — ALL PRODUCTS: $291.26 HEALTHNET — MEDI-CAL: $291.26 HEALTHNET — MEDICARE ADVANTAGE: $780.15 HEALTHSMART — PPO: $884.17 KAISER — ALL PRODUCTS: $728.14 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: US PREG AFTER 1ST TRI => 14 WE	$488	$341.60	$136.64 – $439.20
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $317.20 BCBS — ALL PRODUCTS: $439.20 BLUE SHIELD — ALL PRODUCTS: $435.30 CIGNA — ALL PRODUCTS: $439.20 HEALTHNET — ALL PRODUCTS: $136.64 HEALTHNET — MEDI-CAL: $136.64 HEALTHNET — MEDICARE ADVANTAGE: $366 HEALTHSMART — PPO: $414.80 KAISER — ALL PRODUCTS: $341.60 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NOT OB	$538.80	$377.16	$350.22 – $484.92
Transvaginal ultrasound: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $350.22 BCBS — ALL PRODUCTS: $484.92 BLUE CROSS — MEDI-CAL: $67.65 BLUE SHIELD — ALL PRODUCTS: $480.61 CIGNA — ALL PRODUCTS: $484.92 DIGNITY HEALTH — ALL PRODUCTS: $161.36 DIGNITY HEALTH — MEDI-CAL: $67.65 DIGNITY HEALTH — MEDICARE ADVANTAGE: $134.46 HEALTHNET — ALL PRODUCTS: $207.07 HEALTHNET — MEDI-CAL: $71.44
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL NOT OB	$538.80	$377.16	$150.86 – $484.92
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $350.22 BCBS — ALL PRODUCTS: $484.92 BLUE SHIELD — ALL PRODUCTS: $480.61 CIGNA — ALL PRODUCTS: $484.92 HEALTHNET — ALL PRODUCTS: $150.86 HEALTHNET — MEDI-CAL: $150.86 HEALTHNET — MEDICARE ADVANTAGE: $404.10 HEALTHSMART — PPO: $457.98 KAISER — ALL PRODUCTS: $377.16 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..MB MAMMO UNILATERAL DIAG	$296.40	$207.48	$192.66 – $266.76
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $192.66 BCBS — ALL PRODUCTS: $266.76 BLUE CROSS — MEDI-CAL: $117.08 BLUE SHIELD — ALL PRODUCTS: $264.39 CIGNA — ALL PRODUCTS: $266.76 DIGNITY HEALTH — ALL PRODUCTS: $201.73 DIGNITY HEALTH — MEDI-CAL: $117.08 DIGNITY HEALTH — MEDICARE ADVANTAGE: $168.11 HEALTHNET — ALL PRODUCTS: $258.89 HEALTHNET — MEDI-CAL: $123.64
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..MB MAMMO UNILATERAL DIAG	$296.40	$207.48	$82.99 – $266.76
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $192.66 BCBS — ALL PRODUCTS: $266.76 BLUE SHIELD — ALL PRODUCTS: $264.39 CIGNA — ALL PRODUCTS: $266.76 HEALTHNET — ALL PRODUCTS: $82.99 HEALTHNET — MEDI-CAL: $82.99 HEALTHNET — MEDICARE ADVANTAGE: $222.30 HEALTHSMART — PPO: $251.94 KAISER — ALL PRODUCTS: $207.48 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..MB MAMMOGRAM BILAT DIAG	$379.40	$265.58	$246.61 – $341.46
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $246.61 BCBS — ALL PRODUCTS: $341.46 BLUE CROSS — MEDI-CAL: $148.03 BLUE SHIELD — ALL PRODUCTS: $338.42 CIGNA — ALL PRODUCTS: $341.46 DIGNITY HEALTH — ALL PRODUCTS: $255.70 DIGNITY HEALTH — MEDI-CAL: $148.03 DIGNITY HEALTH — MEDICARE ADVANTAGE: $213.08 HEALTHNET — ALL PRODUCTS: $328.14 HEALTHNET — MEDI-CAL: $156.32
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..MB MAMMOGRAM BILAT DIAG	$379.40	$265.58	$106.23 – $341.46
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $246.61 BCBS — ALL PRODUCTS: $341.46 BLUE SHIELD — ALL PRODUCTS: $338.42 CIGNA — ALL PRODUCTS: $341.46 HEALTHNET — ALL PRODUCTS: $106.23 HEALTHNET — MEDI-CAL: $106.23 HEALTHNET — MEDICARE ADVANTAGE: $284.55 HEALTHSMART — PPO: $322.49 KAISER — ALL PRODUCTS: $265.58 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ..MB MAMMOGRAM SCREENING-BILAT	$366.50	$256.55	$238.23 – $329.85
Screening mammogram, both breasts: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $238.23 BCBS — ALL PRODUCTS: $329.85 BLUE CROSS — MEDI-CAL: $119.45 BLUE SHIELD — ALL PRODUCTS: $326.92 CIGNA — ALL PRODUCTS: $329.85 DIGNITY HEALTH — ALL PRODUCTS: $206.81 DIGNITY HEALTH — MEDI-CAL: $119.45 DIGNITY HEALTH — MEDICARE ADVANTAGE: $172.34 HEALTHNET — ALL PRODUCTS: $265.40 HEALTHNET — MEDI-CAL: $126.14
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: ..MB MAMMO UNILAT SCREEN	$296.40	$207.48	$82.99 – $266.76
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $192.66 BCBS — ALL PRODUCTS: $266.76 BLUE SHIELD — ALL PRODUCTS: $264.39 CIGNA — ALL PRODUCTS: $266.76 HEALTHNET — ALL PRODUCTS: $82.99 HEALTHNET — MEDI-CAL: $82.99 HEALTHNET — MEDICARE ADVANTAGE: $222.30 HEALTHSMART — PPO: $251.94 KAISER — ALL PRODUCTS: $207.48 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ..MB MAMMOGRAM SCREENING-BILAT	$366.50	$256.55	$102.62 – $329.85
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $238.23 BCBS — ALL PRODUCTS: $329.85 BLUE SHIELD — ALL PRODUCTS: $326.92 CIGNA — ALL PRODUCTS: $329.85 HEALTHNET — ALL PRODUCTS: $102.62 HEALTHNET — MEDI-CAL: $102.62 HEALTHNET — MEDICARE ADVANTAGE: $274.88 HEALTHSMART — PPO: $311.53 KAISER — ALL PRODUCTS: $256.55 KEY NETWORK — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$28.70 – $30.31
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $28.70 DIGNITY HEALTH — MEDI-CAL: $28.70 HEALTHNET — MEDI-CAL: $30.31 LASALLE — MEDI-CAL: $28.70
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$762.86
Left heart catheterization (diagnostic): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $762.86 DIGNITY HEALTH — ALL PRODUCTS: $5,003.60 DIGNITY HEALTH — MEDI-CAL: $762.86 DIGNITY HEALTH — MEDICARE ADVANTAGE: $4,169.67 HEALTHNET — ALL PRODUCTS: $6,421.29 HEALTHNET — MEDI-CAL: $3,752.70 HEALTHNET — MEDICARE ADVANTAGE: $4,169.67 HUMANA — MEDICARE ADVANTAGE: $4,169.67 LASALLE — MEDI-CAL: $762.86 LASALLE — MEDICARE ADVANTAGE: $4,169.67
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$596.46
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $596.46 DIGNITY HEALTH — ALL PRODUCTS: $12,038 DIGNITY HEALTH — MEDI-CAL: $596.46 DIGNITY HEALTH — MEDICARE ADVANTAGE: $10,031.67 HEALTHNET — ALL PRODUCTS: $15,448.77 HEALTHNET — MEDI-CAL: $9,028.50 HEALTHNET — MEDICARE ADVANTAGE: $10,031.67 HUMANA — MEDICARE ADVANTAGE: $10,031.67 LASALLE — MEDI-CAL: $596.46 LASALLE — MEDICARE ADVANTAGE: $10,031.67
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$880.47
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $880.47 DIGNITY HEALTH — ALL PRODUCTS: $40,341.18 DIGNITY HEALTH — MEDI-CAL: $880.47 DIGNITY HEALTH — MEDICARE ADVANTAGE: $33,617.65 HEALTHNET — ALL PRODUCTS: $51,771.19 HEALTHNET — MEDI-CAL: $30,255.89 HEALTHNET — MEDICARE ADVANTAGE: $33,617.65 HUMANA — MEDICARE ADVANTAGE: $33,617.65 LASALLE — MEDI-CAL: $880.47 LASALLE — MEDICARE ADVANTAGE: $33,617.65
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$348.07
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $348.07 DIGNITY HEALTH — ALL PRODUCTS: $1,325.38 DIGNITY HEALTH — MEDI-CAL: $348.07 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,104.48 HEALTHNET — ALL PRODUCTS: $1,700.90 HEALTHNET — MEDI-CAL: $994.03 HEALTHNET — MEDICARE ADVANTAGE: $1,104.48 HUMANA — MEDICARE ADVANTAGE: $1,104.48 LASALLE — MEDI-CAL: $348.07 LASALLE — MEDICARE ADVANTAGE: $1,104.48

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EXERCISE 15 MIN	$90.90	$63.63	$59.09 – $81.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $59.09 BCBS — ALL PRODUCTS: $81.81 BLUE CROSS — MEDI-CAL: $10.96 BLUE SHIELD — ALL PRODUCTS: $81.08 CIGNA — ALL PRODUCTS: $81.81 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $57.46 HEALTHNET — MEDI-CAL: $11.57
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT THERAPEUTIC EXERCISE 15 MIN	$90.90	$63.63	$59.09 – $81.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $59.09 BCBS — ALL PRODUCTS: $81.81 BLUE CROSS — MEDI-CAL: $10.96 BLUE SHIELD — ALL PRODUCTS: $81.08 CIGNA — ALL PRODUCTS: $81.81 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $57.46 HEALTHNET — MEDI-CAL: $11.57
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC EXERCISE 15 MIN	$90.90	$63.63	$25.45 – $81.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $59.09 BCBS — ALL PRODUCTS: $81.81 BLUE SHIELD — ALL PRODUCTS: $81.08 CIGNA — ALL PRODUCTS: $81.81 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $25.45 HEALTHNET — MEDI-CAL: $25.45 HEALTHNET — MEDICARE ADVANTAGE: $68.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$268.50	$187.95	$174.53 – $241.65
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates AETNA — ALL PRODUCTS: $174.53 BCBS — ALL PRODUCTS: $241.65 BLUE SHIELD — ALL PRODUCTS: $239.50 CIGNA — ALL PRODUCTS: $241.65 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $194.70 HEALTHNET — MEDI-CAL: $113.79 HEALTHNET — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	$268.50	$187.95	$75.18 – $241.65
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $174.53 BCBS — ALL PRODUCTS: $241.65 BLUE SHIELD — ALL PRODUCTS: $239.50 CIGNA — ALL PRODUCTS: $241.65 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $75.18 HEALTHNET — MEDI-CAL: $75.18 HEALTHNET — MEDICARE ADVANTAGE: $201.38
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$295	$206.50	$191.75 – $265.50
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates AETNA — ALL PRODUCTS: $191.75 BCBS — ALL PRODUCTS: $265.50 BLUE SHIELD — ALL PRODUCTS: $263.14 CIGNA — ALL PRODUCTS: $265.50 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $194.70 HEALTHNET — MEDI-CAL: $113.79 HEALTHNET — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	$295	$206.50	$82.60 – $265.50
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $191.75 BCBS — ALL PRODUCTS: $265.50 BLUE SHIELD — ALL PRODUCTS: $263.14 CIGNA — ALL PRODUCTS: $265.50 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $82.60 HEALTHNET — MEDI-CAL: $82.60 HEALTHNET — MEDICARE ADVANTAGE: $221.25
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$324.70	$227.29	$211.06 – $292.23
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $211.06 BCBS — ALL PRODUCTS: $292.23 BLUE CROSS — MEDI-CAL: $135.56 BLUE SHIELD — ALL PRODUCTS: $289.63 CIGNA — ALL PRODUCTS: $292.23 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $194.70 HEALTHNET — MEDI-CAL: $143.15
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	$324.70	$227.29	$90.92 – $292.23
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $211.06 BCBS — ALL PRODUCTS: $292.23 BLUE SHIELD — ALL PRODUCTS: $289.63 CIGNA — ALL PRODUCTS: $292.23 DIGNITY HEALTH — ALL PRODUCTS: $80 DIGNITY HEALTH — MEDI-CAL: $80 DIGNITY HEALTH — MEDICARE ADVANTAGE: $80 HEALTHNET — ALL PRODUCTS: $90.92 HEALTHNET — MEDI-CAL: $90.92 HEALTHNET — MEDICARE ADVANTAGE: $243.53
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$67.83
Psychotherapy, 30 minutes: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $67.83 DIGNITY HEALTH — ALL PRODUCTS: $273.95 DIGNITY HEALTH — MEDI-CAL: $67.83 DIGNITY HEALTH — MEDICARE ADVANTAGE: $228.29 HEALTHNET — ALL PRODUCTS: $351.56 HEALTHNET — MEDI-CAL: $205.46 HEALTHNET — MEDICARE ADVANTAGE: $228.29 HUMANA — MEDICARE ADVANTAGE: $228.29 LASALLE — MEDI-CAL: $67.83 LASALLE — MEDICARE ADVANTAGE: $228.29
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$89.64
Psychotherapy, 45 minutes: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $89.64 DIGNITY HEALTH — ALL PRODUCTS: $273.95 DIGNITY HEALTH — MEDI-CAL: $89.64 DIGNITY HEALTH — MEDICARE ADVANTAGE: $228.29 HEALTHNET — ALL PRODUCTS: $351.56 HEALTHNET — MEDI-CAL: $205.46 HEALTHNET — MEDICARE ADVANTAGE: $228.29 HUMANA — MEDICARE ADVANTAGE: $228.29 LASALLE — MEDI-CAL: $89.64 LASALLE — MEDICARE ADVANTAGE: $228.29
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$131.97
Psychotherapy, 60 minutes: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $131.97 DIGNITY HEALTH — ALL PRODUCTS: $273.95 DIGNITY HEALTH — MEDI-CAL: $131.97 DIGNITY HEALTH — MEDICARE ADVANTAGE: $228.29 HEALTHNET — ALL PRODUCTS: $351.56 HEALTHNET — MEDI-CAL: $205.46 HEALTHNET — MEDICARE ADVANTAGE: $228.29 HUMANA — MEDICARE ADVANTAGE: $228.29 LASALLE — MEDI-CAL: $131.97 LASALLE — MEDICARE ADVANTAGE: $228.29
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$86.64
Family psychotherapy, without the patient: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $86.64 DIGNITY HEALTH — ALL PRODUCTS: $273.95 DIGNITY HEALTH — MEDI-CAL: $86.64 DIGNITY HEALTH — MEDICARE ADVANTAGE: $228.29 HEALTHNET — ALL PRODUCTS: $351.56 HEALTHNET — MEDI-CAL: $205.46 HEALTHNET — MEDICARE ADVANTAGE: $228.29 HUMANA — MEDICARE ADVANTAGE: $228.29 LASALLE — MEDI-CAL: $86.64 LASALLE — MEDICARE ADVANTAGE: $228.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$89.65
Family psychotherapy, with the patient: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $89.65 DIGNITY HEALTH — ALL PRODUCTS: $273.95 DIGNITY HEALTH — MEDI-CAL: $89.65 DIGNITY HEALTH — MEDICARE ADVANTAGE: $228.29 HEALTHNET — ALL PRODUCTS: $351.56 HEALTHNET — MEDI-CAL: $205.46 HEALTHNET — MEDICARE ADVANTAGE: $228.29 HUMANA — MEDICARE ADVANTAGE: $228.29 LASALLE — MEDI-CAL: $89.65 LASALLE — MEDICARE ADVANTAGE: $228.29
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$23.96
Group psychotherapy: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $23.96 DIGNITY HEALTH — ALL PRODUCTS: $156.79 DIGNITY HEALTH — MEDI-CAL: $23.96 DIGNITY HEALTH — MEDICARE ADVANTAGE: $130.66 HEALTHNET — ALL PRODUCTS: $201.22 HEALTHNET — MEDI-CAL: $117.60 HEALTHNET — MEDICARE ADVANTAGE: $130.66 HUMANA — MEDICARE ADVANTAGE: $130.66 LASALLE — MEDI-CAL: $23.96 LASALLE — MEDICARE ADVANTAGE: $130.66

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$210.72
Removal of breast growth (open surgery): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $210.72 DIGNITY HEALTH — ALL PRODUCTS: $6,043.08 DIGNITY HEALTH — MEDI-CAL: $210.72 DIGNITY HEALTH — MEDICARE ADVANTAGE: $5,035.90 HEALTHNET — ALL PRODUCTS: $7,755.29 HEALTHNET — MEDI-CAL: $4,532.31 HEALTHNET — MEDICARE ADVANTAGE: $5,035.90 HUMANA — MEDICARE ADVANTAGE: $5,035.90 LASALLE — MEDI-CAL: $210.72 LASALLE — MEDICARE ADVANTAGE: $5,035.90
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,489.20
Total hip replacement: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $1,489.20 DIGNITY HEALTH — ALL PRODUCTS: $19,815.23 DIGNITY HEALTH — MEDI-CAL: $1,489.20 DIGNITY HEALTH — MEDICARE ADVANTAGE: $16,512.69 HEALTHNET — ALL PRODUCTS: $25,429.54 HEALTHNET — MEDI-CAL: $14,861.42 HEALTHNET — MEDICARE ADVANTAGE: $16,512.69 HUMANA — MEDICARE ADVANTAGE: $16,512.69 LASALLE — MEDI-CAL: $1,489.20 LASALLE — MEDICARE ADVANTAGE: $16,512.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,489.20
Total knee replacement: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $1,489.20 DIGNITY HEALTH — ALL PRODUCTS: $19,815.23 DIGNITY HEALTH — MEDI-CAL: $1,489.20 DIGNITY HEALTH — MEDICARE ADVANTAGE: $16,512.69 HEALTHNET — ALL PRODUCTS: $25,429.54 HEALTHNET — MEDI-CAL: $14,861.42 HEALTHNET — MEDICARE ADVANTAGE: $16,512.69 HUMANA — MEDICARE ADVANTAGE: $16,512.69 LASALLE — MEDI-CAL: $1,489.20 LASALLE — MEDICARE ADVANTAGE: $16,512.69
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$421.82 – $445.44
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $421.82 DIGNITY HEALTH — MEDI-CAL: $421.82 HEALTHNET — MEDI-CAL: $445.44 LASALLE — MEDI-CAL: $421.82
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$551
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $551 DIGNITY HEALTH — ALL PRODUCTS: $5,050.01 DIGNITY HEALTH — MEDI-CAL: $551 DIGNITY HEALTH — MEDICARE ADVANTAGE: $4,208.34 HEALTHNET — ALL PRODUCTS: $6,480.84 HEALTHNET — MEDI-CAL: $3,787.51 HEALTHNET — MEDICARE ADVANTAGE: $4,208.34 HUMANA — MEDICARE ADVANTAGE: $4,208.34 LASALLE — MEDI-CAL: $551 LASALLE — MEDICARE ADVANTAGE: $4,208.34
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$168.65
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $168.65 DIGNITY HEALTH — ALL PRODUCTS: $9,136.67 DIGNITY HEALTH — MEDI-CAL: $168.65 DIGNITY HEALTH — MEDICARE ADVANTAGE: $7,613.89 HEALTHNET — ALL PRODUCTS: $11,725.39 HEALTHNET — MEDI-CAL: $6,852.50 HEALTHNET — MEDICARE ADVANTAGE: $7,613.89 HUMANA — MEDICARE ADVANTAGE: $7,613.89 LASALLE — MEDI-CAL: $168.65 LASALLE — MEDICARE ADVANTAGE: $7,613.89
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$224.12
Upper GI endoscopy (diagnostic): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $224.12 DIGNITY HEALTH — ALL PRODUCTS: $1,399.84 DIGNITY HEALTH — MEDI-CAL: $224.12 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,166.53 HEALTHNET — ALL PRODUCTS: $1,796.46 HEALTHNET — MEDI-CAL: $1,049.88 HEALTHNET — MEDICARE ADVANTAGE: $1,166.53 HUMANA — MEDICARE ADVANTAGE: $1,166.53 LASALLE — MEDI-CAL: $224.12 LASALLE — MEDICARE ADVANTAGE: $1,166.53
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$234.18
Upper GI endoscopy with biopsy: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $234.18 DIGNITY HEALTH — ALL PRODUCTS: $1,399.84 DIGNITY HEALTH — MEDI-CAL: $234.18 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,166.53 HEALTHNET — ALL PRODUCTS: $1,796.46 HEALTHNET — MEDI-CAL: $1,049.88 HEALTHNET — MEDICARE ADVANTAGE: $1,166.53 HUMANA — MEDICARE ADVANTAGE: $1,166.53 LASALLE — MEDI-CAL: $234.18 LASALLE — MEDICARE ADVANTAGE: $1,166.53
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$295.23
Colonoscopy (diagnostic): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $295.23 DIGNITY HEALTH — ALL PRODUCTS: $1,435.30 DIGNITY HEALTH — MEDI-CAL: $295.23 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,196.08 HEALTHNET — ALL PRODUCTS: $1,841.96 HEALTHNET — MEDI-CAL: $1,076.47 HEALTHNET — MEDICARE ADVANTAGE: $1,196.08 HUMANA — MEDICARE ADVANTAGE: $1,196.08 LASALLE — MEDI-CAL: $295.23 LASALLE — MEDICARE ADVANTAGE: $1,196.08
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$330.23
Colonoscopy with biopsy: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $330.23 DIGNITY HEALTH — ALL PRODUCTS: $1,846.90 DIGNITY HEALTH — MEDI-CAL: $330.23 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,539.08 HEALTHNET — ALL PRODUCTS: $2,370.18 HEALTHNET — MEDI-CAL: $1,385.17 HEALTHNET — MEDICARE ADVANTAGE: $1,539.08 HUMANA — MEDICARE ADVANTAGE: $1,539.08 LASALLE — MEDI-CAL: $330.23 LASALLE — MEDICARE ADVANTAGE: $1,539.08
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$400.22
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $400.22 DIGNITY HEALTH — ALL PRODUCTS: $1,846.90 DIGNITY HEALTH — MEDI-CAL: $400.22 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,539.08 HEALTHNET — ALL PRODUCTS: $2,370.18 HEALTHNET — MEDI-CAL: $1,385.17 HEALTHNET — MEDICARE ADVANTAGE: $1,539.08 HUMANA — MEDICARE ADVANTAGE: $1,539.08 LASALLE — MEDI-CAL: $400.22 LASALLE — MEDICARE ADVANTAGE: $1,539.08
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$169.77
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $169.77 DIGNITY HEALTH — ALL PRODUCTS: $1,846.90 DIGNITY HEALTH — MEDI-CAL: $169.77 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,539.08 HEALTHNET — ALL PRODUCTS: $2,370.18 HEALTHNET — MEDI-CAL: $1,385.17 HEALTHNET — MEDICARE ADVANTAGE: $1,539.08 HUMANA — MEDICARE ADVANTAGE: $1,539.08 LASALLE — MEDI-CAL: $169.77 LASALLE — MEDICARE ADVANTAGE: $1,539.08
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,076.47 – $1,841.96
Screening colonoscopy (not high risk): rates for 7 insurance plans DIGNITY HEALTH — ALL PRODUCTS: $1,435.30 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,196.08 HEALTHNET — ALL PRODUCTS: $1,841.96 HEALTHNET — MEDI-CAL: $1,076.47 HEALTHNET — MEDICARE ADVANTAGE: $1,196.08 HUMANA — MEDICARE ADVANTAGE: $1,196.08 LASALLE — MEDICARE ADVANTAGE: $1,196.08
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$466.12
Gallbladder removal by laparoscope: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $466.12 DIGNITY HEALTH — ALL PRODUCTS: $9,330.67 DIGNITY HEALTH — MEDI-CAL: $466.12 DIGNITY HEALTH — MEDICARE ADVANTAGE: $7,775.56 HEALTHNET — ALL PRODUCTS: $11,974.36 HEALTHNET — MEDI-CAL: $6,998 HEALTHNET — MEDICARE ADVANTAGE: $7,775.56 HUMANA — MEDICARE ADVANTAGE: $7,775.56 LASALLE — MEDI-CAL: $466.12 LASALLE — MEDICARE ADVANTAGE: $7,775.56
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$344.01
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $344.01 DIGNITY HEALTH — ALL PRODUCTS: $5,525.99 DIGNITY HEALTH — MEDI-CAL: $344.01 DIGNITY HEALTH — MEDICARE ADVANTAGE: $4,604.99 HEALTHNET — ALL PRODUCTS: $7,091.69 HEALTHNET — MEDI-CAL: $4,144.49 HEALTHNET — MEDICARE ADVANTAGE: $4,604.99 HUMANA — MEDICARE ADVANTAGE: $4,604.99 LASALLE — MEDI-CAL: $344.01 LASALLE — MEDICARE ADVANTAGE: $4,604.99
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$953.09
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $953.09 DIGNITY HEALTH — ALL PRODUCTS: $16,406.09 DIGNITY HEALTH — MEDI-CAL: $953.09 DIGNITY HEALTH — MEDICARE ADVANTAGE: $13,671.74 HEALTHNET — ALL PRODUCTS: $21,054.48 HEALTHNET — MEDI-CAL: $12,304.57 HEALTHNET — MEDICARE ADVANTAGE: $13,671.74 HUMANA — MEDICARE ADVANTAGE: $13,671.74 LASALLE — MEDI-CAL: $953.09 LASALLE — MEDICARE ADVANTAGE: $13,671.74
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,278.35
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $1,278.35 DIGNITY HEALTH — ALL PRODUCTS: $4,996.18 DIGNITY HEALTH — MEDI-CAL: $1,278.35 DIGNITY HEALTH — MEDICARE ADVANTAGE: $4,163.48 HEALTHNET — ALL PRODUCTS: $6,411.77 HEALTHNET — MEDI-CAL: $3,747.14 HEALTHNET — MEDICARE ADVANTAGE: $4,163.48 HUMANA — MEDICARE ADVANTAGE: $4,163.48 LASALLE — MEDI-CAL: $1,278.35 LASALLE — MEDICARE ADVANTAGE: $4,163.48
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$220.03
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $220.03 DIGNITY HEALTH — ALL PRODUCTS: $1,089.46 DIGNITY HEALTH — MEDI-CAL: $220.03 DIGNITY HEALTH — MEDICARE ADVANTAGE: $907.88 HEALTHNET — ALL PRODUCTS: $1,398.14 HEALTHNET — MEDI-CAL: $817.09 HEALTHNET — MEDICARE ADVANTAGE: $907.88 HUMANA — MEDICARE ADVANTAGE: $907.88 LASALLE — MEDI-CAL: $220.03 LASALLE — MEDICARE ADVANTAGE: $907.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$143.34
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $143.34 DIGNITY HEALTH — ALL PRODUCTS: $1,365.10 DIGNITY HEALTH — MEDI-CAL: $143.34 DIGNITY HEALTH — MEDICARE ADVANTAGE: $1,137.58 HEALTHNET — ALL PRODUCTS: $1,751.87 HEALTHNET — MEDI-CAL: $1,023.82 HEALTHNET — MEDICARE ADVANTAGE: $1,137.58 HUMANA — MEDICARE ADVANTAGE: $1,137.58 LASALLE — MEDI-CAL: $143.34 LASALLE — MEDICARE ADVANTAGE: $1,137.58
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$316.83
Carpal tunnel release: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $316.83 DIGNITY HEALTH — ALL PRODUCTS: $3,013.84 DIGNITY HEALTH — MEDI-CAL: $316.83 DIGNITY HEALTH — MEDICARE ADVANTAGE: $2,511.53 HEALTHNET — ALL PRODUCTS: $3,867.76 HEALTHNET — MEDI-CAL: $2,260.38 HEALTHNET — MEDICARE ADVANTAGE: $2,511.53 HUMANA — MEDICARE ADVANTAGE: $2,511.53 LASALLE — MEDI-CAL: $316.83 LASALLE — MEDICARE ADVANTAGE: $2,511.53
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$186.15
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $186.15 DIGNITY HEALTH — ALL PRODUCTS: $848.87 DIGNITY HEALTH — MEDI-CAL: $186.15 DIGNITY HEALTH — MEDICARE ADVANTAGE: $707.39 HEALTHNET — ALL PRODUCTS: $1,089.38 HEALTHNET — MEDI-CAL: $636.65 HEALTHNET — MEDICARE ADVANTAGE: $707.39 HUMANA — MEDICARE ADVANTAGE: $707.39 LASALLE — MEDI-CAL: $186.15 LASALLE — MEDICARE ADVANTAGE: $707.39
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,005.21
Cataract removal with lens implant: rates for 10 insurance plans BLUE CROSS — MEDI-CAL: $1,005.21 DIGNITY HEALTH — ALL PRODUCTS: $3,561.90 DIGNITY HEALTH — MEDI-CAL: $1,005.21 DIGNITY HEALTH — MEDICARE ADVANTAGE: $2,968.25 HEALTHNET — ALL PRODUCTS: $4,571.10 HEALTHNET — MEDI-CAL: $2,671.42 HEALTHNET — MEDICARE ADVANTAGE: $2,968.25 HUMANA — MEDICARE ADVANTAGE: $2,968.25 LASALLE — MEDI-CAL: $1,005.21 LASALLE — MEDICARE ADVANTAGE: $2,968.25

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,091.21 – $2,208.32
Vaginal delivery, with care before and after: rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $2,091.21 DIGNITY HEALTH — MEDI-CAL: $2,091.21 HEALTHNET — MEDI-CAL: $2,208.32 LASALLE — MEDI-CAL: $2,091.21
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,297.54 – $2,426.20
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $2,297.54 DIGNITY HEALTH — MEDI-CAL: $2,297.54 HEALTHNET — MEDI-CAL: $2,426.20 LASALLE — MEDI-CAL: $2,297.54
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,173.65 – $2,295.37
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans BLUE CROSS — MEDI-CAL: $2,173.65 DIGNITY HEALTH — MEDI-CAL: $2,173.65 HEALTHNET — MEDI-CAL: $2,295.37 LASALLE — MEDI-CAL: $2,173.65

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$110,102.57 – $169,557.96
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates DIGNITY HEALTH — MEDICARE ADVANTAGE: $110,102.57 HEALTHNET — ALL PRODUCTS: $169,557.96 HEALTHNET — MEDICARE ADVANTAGE: $110,102.57 HUMANA — MEDICARE ADVANTAGE: $110,102.57 LASALLE — MEDICARE ADVANTAGE: $110,102.57 BLUE SHIELD — ALL PRODUCTS: 89.2% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 90% (a percentage in the contract, not a dollar amount) HEALTHSMART — PPO: 85% (a percentage in the contract, not a dollar amount) KAISER — ALL PRODUCTS: 70% (a percentage in the contract, not a dollar amount) MULTIPLAN — COMPLIMENTARY: 85% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$22,039.17 – $33,940.32
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans DIGNITY HEALTH — MEDICARE ADVANTAGE: $22,039.17 HEALTHNET — ALL PRODUCTS: $33,940.32 HEALTHNET — MEDICARE ADVANTAGE: $22,039.17 HUMANA — MEDICARE ADVANTAGE: $22,039.17 LASALLE — MEDICARE ADVANTAGE: $22,039.17
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans BLUE SHIELD — ALL PRODUCTS: 89.2% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 90% (a percentage in the contract, not a dollar amount) HEALTHSMART — PPO: 85% (a percentage in the contract, not a dollar amount) KAISER — ALL PRODUCTS: 70% (a percentage in the contract, not a dollar amount) MULTIPLAN — COMPLIMENTARY: 85% (a percentage in the contract, not a dollar amount) MULTIPLAN — PPO: 77% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$27,784.55 – $42,788.21
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates DIGNITY HEALTH — MEDICARE ADVANTAGE: $27,784.55 HEALTHNET — ALL PRODUCTS: $42,788.21 HEALTHNET — MEDICARE ADVANTAGE: $27,784.55 HUMANA — MEDICARE ADVANTAGE: $27,784.55 LASALLE — MEDICARE ADVANTAGE: $27,784.55 BLUE SHIELD — ALL PRODUCTS: 89.2% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 90% (a percentage in the contract, not a dollar amount) HEALTHSMART — PPO: 85% (a percentage in the contract, not a dollar amount) KAISER — ALL PRODUCTS: 70% (a percentage in the contract, not a dollar amount) MULTIPLAN — COMPLIMENTARY: 85% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,322.59 – $22,056.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates DIGNITY HEALTH — MEDICARE ADVANTAGE: $14,322.59 HEALTHNET — ALL PRODUCTS: $22,056.79 HEALTHNET — MEDICARE ADVANTAGE: $14,322.59 HUMANA — MEDICARE ADVANTAGE: $14,322.59 LASALLE — MEDICARE ADVANTAGE: $14,322.59 BLUE SHIELD — ALL PRODUCTS: 89.2% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 90% (a percentage in the contract, not a dollar amount) HEALTHSMART — PPO: 85% (a percentage in the contract, not a dollar amount) KAISER — ALL PRODUCTS: 70% (a percentage in the contract, not a dollar amount) MULTIPLAN — COMPLIMENTARY: 85% (a percentage in the contract, not a dollar amount)

Source: Sierra View Medical Center’s standard charges file (sierraview.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	465 W Putnam Ave, Porterville, CA 93257
County	Tulare County
State	California
Phone	(559) 784‑1110
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050261
Name in Medicare records	SIERRA VIEW MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	sierra-view.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

About Sierra View Medical Center — sierra-view.com
Sierra View Medical Center — sierra-view.com
Visiting Guidelines — sierra-view.com
Emergency Medical Services | Sierra View Medical Center — sierra-view.com
Sierra View's Roger S. Good Cancer Treatment Center — sierra-view.com
Advanced Primary Stroke Center | Sierra View Medical Center — sierra-view.com
Surgical Services | Sierra View Medical Center — sierra-view.com
Sierra View Hip & Knee Center | Porterville Hospital — sierra-view.com
For Patients & Visitors | Sierra View Medical Center — sierra-view.com
Language Assistance Services | Sierra View Medical Center — sierra-view.com

Sierra View Medical Center

Summary

Profile from official sources

At a glance