Does Southern California Hospital at Hollywood have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Southern California Hospital at Hollywood. In a medical emergency, call 911.

Where is Southern California Hospital at Hollywood?

6245 de Longpre Ave, Hollywood, CA 90028, in Los Angeles County, California.

What is the phone number of Southern California Hospital at Hollywood?

(323) 462-2271, as listed by Medicare (CMS).

What is the Medicare star rating of Southern California Hospital at Hollywood?

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

Southern California Hospital at Hollywood

Quick answers

Does Southern California Hospital at Hollywood have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Southern California Hospital at Hollywood. In a medical emergency, call 911.
Where is Southern California Hospital at Hollywood?: 6245 de Longpre Ave, Hollywood, CA 90028, in Los Angeles County, California.
What is the phone number of Southern California Hospital at Hollywood?: (323) 462-2271, as listed by Medicare (CMS).
What is the Medicare star rating of Southern California Hospital at Hollywood?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5]

Cardiology
Critical care / ICU
Ear, nose and throat
Gender confirmation surgery
Imaging and radiology
Surgical services
Urgent care
Vascular services

Conditions treated^{[13][14][16][17]}

Peripheral artery disease
Deep vein thrombosis
Chronic renal failure
Pulmonary embolism
Venous insufficiency
Thoracic and lung cancers
Trauma
Heart failure
Respiratory failure
Sepsis
Stroke
Shock
Ruptured brain aneurysm
Hearing loss
Tinnitus
Balance disorders
Sinusitis
Deviated septum
Gastroesophageal reflux disease (GERD)
Head and neck cancer
Enlarged thyroid gland
Common cold
Sore throat
Bronchitis
Influenza
Urinary tract infection
Ear infection
Pink eye
Fractures or sprains
Back pain
Headache

Treatments^[9][10][14]

Echocardiogram
Electrocardiogram (EKG)
24-hour Holter monitoring
Carotid duplex ultrasound
Pericardiocentesis
Dialysis access
Vein mapping
CT scan
General X-ray
Vena cava filters
Arteriovenous fistula for dialysis
Thrombectomy
Angioplasty
Arteriovenous graft
Perma-catheter placement

Procedures^[11][12][14]

UroLift
Video-assisted thoracoscopic surgery (VATS)
Endoscopic retrograde cholangiopancreatography (ERCP)
Orthopedic surgery
Podiatric surgery
Vascular surgery
Gastrointestinal (GI) surgery
Urology surgery
Plastic surgery
Pain management
Outpatient surgery
Ear, nose and throat surgery
Organ harvest
Femoral popliteal bypass surgery
Penile inversion vaginoplasty
Intestinal vaginoplasty
Breast augmentation
Body contouring
Chest contouring
Facial feminization surgery
Metoidioplasty
Phalloplasty

Programs and centers^{[4][6][11][12][17]}

Minimally invasive bariatric surgery program
Transgender Surgery Center of California (Hollywood and Culver City)
Urgent care center (walk-in, 24/7)

Emergency care (hospital website)^[4][8]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours 8 a.m.-10 p.m. daily; two visitors per room at a time^[7]
Parking	Free parking in the hospital lot next to the hospital; paid parking at ARC Light Parking Garage, 1400 Ivar Ave^[15]

Recognition^[6][8][15]

The Joint Commission Gold Seal of Approval
MBSAQIP Center of Excellence (bariatric surgery)
CMS 4-Star Overall Hospital Quality Rating
Healthgrades 2026 Patient Safety Excellence Award
Healthgrades 2026 Gastrointestinal Care Excellence Award
The Joint Commission accreditation (Gold Seal)
Healthgrades Patient Safety Excellence Award 2026
Healthgrades Gastrointestinal Care Excellence Award 2026
Healthgrades Five-Star, Treatment of Heart Attack 2026
Healthgrades Five-Star, Treatment of Sepsis 2026

Doctors and clinicians (238)

238 doctors and other clinicians list Southern California Hospital at Hollywood 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 214 more: the button below opens the full list.

Other emergency rooms nearby

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

Kaiser Foundation Hospital - Los Angeles1.8 mi · Los Angeles, CA · Acute Care Hospital
Hollywood Presbyterian Medical Center1.9 mi · Los Angeles, CA · Acute Care Hospital
Children's Hosp of Los Angeles2.0 mi · Los Angeles, CA · Children's Hospital
Cedars-Sinai Medical Center3.5 mi · Los Angeles, CA · Acute Care Hospital
Providence Saint Joseph Medical Ctr4.1 mi · Burbank, CA · Acute Care Hospital

Other hospitals nearby

Docs Surgical Hospital3.4 mi · Los Angeles, CA · Acute Care Hospital
Gateways Hosp Mental Health Ctr4.0 mi · Los Angeles, CA · Psychiatric 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

Fountain View Subacute and Nursing Center0.9 mi · Los Angeles, CA · 2 of 5 stars
Hollywood Premier Healthcare Center0.9 mi · Los Angeles, CA · 2 of 5 stars
Palazzo Post Acute0.9 mi · Los Angeles, CA · 4 of 5 stars

All nursing homes in the state →

Outpatient surgery centers nearby

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

Advanced Sight Surgery Center1.6 mi · Los Angeles, CA
Hancock Park Surgery Center1.6 mi · Los Angeles, CA
Los Angeles Endoscopy Center1.6 mi · Los Angeles, 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

Triangle Square, First Floor Mental Health Office0.3 mi · Los Angeles, CA · Community health center
St. Anthony Medical Centers - Hollywood Site0.4 mi · Los Angeles, CA · Community health center
S. Mark Taper Foundation Health Center0.4 mi · Los Angeles, CA · Community health center

Clinics and urgent care

Anaheim Urgent Care, Inc0.3 mi · Los Angeles, CA · Urgent care center
Dareen Khalaf MD Inc0.3 mi · Los Angeles, CA · Urgent care center
De Longpre Medical Center Inc1.6 mi · Los Angeles, CA · Urgent care center

Pharmacies

Garfield Beach CVS LLC0.3 mi · Los Angeles, CA · Pharmacy
Los Angeles LGBT Center0.3 mi · Los Angeles, CA · Community/retail pharmacy
Met One Health RX0.3 mi · Hollywood, CA · Community/retail pharmacy

Assisted living nearby

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

Hollywood Royale Garden Assisted Living0.3 mi · Los Angeles, CA
Pacifica Senior Living Hollywood Hills0.3 mi · Los Angeles, CA
Adl Best Care 20.6 mi · Los Angeles, CA
Adl Best Care LLC0.6 mi · Los Angeles, 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 Southern California Hospital at Hollywood 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)	1 of 5 stars
Overall rating of the hospital	1 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	1 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	47%National average: 72%
Would definitely recommend the hospital	46%National average: 71%
Nurses “always” communicated well	61%National average: 80%
Doctors “always” communicated well	59%National average: 80%
Staff “always” explained medicines before giving them	48%National average: 62%
Were given information about recovery at home	73%National average: 86%
Room and bathroom “always” clean	64%National average: 74%
Area around the room “always” quiet at night	40%National average: 60%
Completed surveys	476Response rate: 10%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No 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	9.2%
Deaths within 30 days: heart failure patients	7.9%
Deaths within 30 days: pneumonia patients	7.4%
Deaths within 30 days: COPD patients	4.5%
Deaths within 30 days: stroke patients	9.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.86No different from the national rate
Complications after hip or knee replacement	4.1%

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	13.4%
Readmitted within 30 days: heart failure	21.3%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	19.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.5%

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	237 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	33%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 87 common services exactly as Southern California Hospital at Hollywood 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 →

$ 72 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: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$57.20 – $230.21
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $165.48 Aetna — All Non-Gatekeeper Plans: $165.48 Aetna — Exchange: $145.99 Aetna — Medicare Advantage: $112.30 Aids Healthcare Foundation — Managed Medi-Cal: $80.08 Aids Healthcare Foundation — Medicare Advantage: $114.54 Alignment Health Plan — Medicare Advantage: $112.30 Anthem Blue Cross — Medicare Advantage: $112.30 Blue Shield of California — Medicare Advantage: $112.30 Blue Shield Promise — Medi-Cal: $57.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$68.90 – $343.91
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $279.65 Aetna — All Non-Gatekeeper Plans: $279.65 Aetna — Exchange: $218.09 Aetna — Medicare Advantage: $167.76 Aids Healthcare Foundation — Managed Medi-Cal: $96.46 Aids Healthcare Foundation — Medicare Advantage: $171.11 Alignment Health Plan — Medicare Advantage: $167.76 Anthem Blue Cross — Medicare Advantage: $167.76 Blue Shield of California — Medicare Advantage: $167.76 Blue Shield Promise — Medi-Cal: $68.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$82.70 – $453.07
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $359.63 Aetna — All Non-Gatekeeper Plans: $359.63 Aetna — Exchange: $287.31 Aetna — Medicare Advantage: $221.01 Aids Healthcare Foundation — Managed Medi-Cal: $115.78 Aids Healthcare Foundation — Medicare Advantage: $225.43 Alignment Health Plan — Medicare Advantage: $221.01 Anthem Blue Cross — Medicare Advantage: $221.01 Blue Shield of California — Medicare Advantage: $221.01 Blue Shield Promise — Medi-Cal: $82.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$24 – $188.97
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $109.40 Aetna — All Non-Gatekeeper Plans: $109.40 Aetna — Exchange: $119.83 Aetna — Medicare Advantage: $92.18 Aids Healthcare Foundation — Managed Medi-Cal: $33.60 Aids Healthcare Foundation — Medicare Advantage: $94.02 Alignment Health Plan — Medicare Advantage: $92.18 Anthem Blue Cross — Medicare Advantage: $92.18 Blue Shield of California — Medicare Advantage: $92.18 Blue Shield Promise — Medi-Cal: $24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$37.50 – $265.13
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $168.41 Aetna — All Non-Gatekeeper Plans: $168.41 Aetna — Exchange: $168.13 Aetna — Medicare Advantage: $129.33 Aids Healthcare Foundation — Managed Medi-Cal: $52.50 Aids Healthcare Foundation — Medicare Advantage: $131.92 Alignment Health Plan — Medicare Advantage: $129.33 Anthem Blue Cross — Medicare Advantage: $129.33 Blue Shield of California — Medicare Advantage: $129.33 Blue Shield Promise — Medi-Cal: $37.50
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	$59.50 – $231.30
Office consultation with a specialist (moderate): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $207.04 Aetna — All Non-Gatekeeper Plans: $207.04 Aetna — Exchange: $146.68 Aetna — Medicare Advantage: $112.83 Aids Healthcare Foundation — Managed Medi-Cal: $83.30 Aids Healthcare Foundation — Medicare Advantage: $115.09 Alignment Health Plan — Medicare Advantage: $112.83 Anthem Blue Cross — Medicare Advantage: $112.83 Blue Shield of California — Medicare Advantage: $112.83 Blue Shield Promise — Medi-Cal: $59.50
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	$81.40 – $329.03
Office consultation with a specialist (moderate to high): 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $329.03 Aetna — All Non-Gatekeeper Plans: $329.03 Aetna — Exchange: $208.55 Aetna — Medicare Advantage: $160.42 Aids Healthcare Foundation — Managed Medi-Cal: $113.96 Aids Healthcare Foundation — Medicare Advantage: $163.63 Alignment Health Plan — Medicare Advantage: $160.42 Anthem Blue Cross — Medicare Advantage: $160.42 Blue Shield of California — Medicare Advantage: $160.42 Blue Shield Promise — Medi-Cal: $81.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$114.10 – $268.01
Preventive checkup, new patient, age 18–39: 10 of 28 insurance plan rates Aetna — Exchange: $169.96 Aetna — Medicare Advantage: $130.74 Aids Healthcare Foundation — Managed Medi-Cal: $159.74 Aids Healthcare Foundation — Medicare Advantage: $133.35 Alignment Health Plan — Medicare Advantage: $130.74 Anthem Blue Cross — Medicare Advantage: $130.74 Blue Shield of California — Medicare Advantage: $130.74 Blue Shield Promise — Medi-Cal: $114.10 Bright Health — Covered California: $143.81 Bright Health — Medicare Advantage: $133.35
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT, NEW, AGE 18-39	Not listed in the file	Not listed in the file	$114.10 – $268.01
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $181.53 Aetna — All Non-Gatekeeper Plans: $181.53
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$132.20 – $307.92
Preventive checkup, new patient, age 40–64: 10 of 28 insurance plan rates Aetna — Exchange: $195.26 Aetna — Medicare Advantage: $150.20 Aids Healthcare Foundation — Managed Medi-Cal: $185.08 Aids Healthcare Foundation — Medicare Advantage: $153.21 Alignment Health Plan — Medicare Advantage: $150.20 Anthem Blue Cross — Medicare Advantage: $150.20 Blue Shield of California — Medicare Advantage: $150.20 Blue Shield Promise — Medi-Cal: $132.20 Bright Health — Covered California: $165.22 Bright Health — Medicare Advantage: $153.21
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT, NEW, AGE 40-64	Not listed in the file	Not listed in the file	$132.20 – $307.92
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $222.80 Aetna — All Non-Gatekeeper Plans: $222.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$3.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,387
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $133.61 Aetna — All Non-Gatekeeper Plans: $133.61 Aetna — Exchange: $359.96 Aetna — Medicare Advantage: $276.89 Aids Healthcare Foundation — Managed Medi-Cal: $62.44 Aids Healthcare Foundation — Medicare Advantage: $282.43 Alignment Health Plan — Medicare Advantage: $276.89 Anthem Blue Cross — Covered California: $499.04 Anthem Blue Cross — IND1: $713.98 Anthem Blue Cross — INDX: $892.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$3.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,387
Emergency room visit (moderate): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $3.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $4.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — HMO: $3.97 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$5.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,387
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $250.95 Aetna — All Non-Gatekeeper Plans: $250.95 Aetna — Exchange: $553.57 Aetna — Medicare Advantage: $425.82 Aids Healthcare Foundation — Managed Medi-Cal: $95.69 Aids Healthcare Foundation — Medicare Advantage: $434.34 Alignment Health Plan — Medicare Advantage: $425.82 Anthem Blue Cross — Covered California: $767.45 Anthem Blue Cross — IND1: $1,098.01 Anthem Blue Cross — INDX: $1,372.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$5.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,387
Emergency room visit (moderately high): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $5.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $6.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — HMO: $6.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$8.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,387
Emergency room visit (high): 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $367.71 Aetna — All Non-Gatekeeper Plans: $367.71 Aetna — Exchange: $797.03 Aetna — Medicare Advantage: $613.10 Aids Healthcare Foundation — Managed Medi-Cal: $151.31 Aids Healthcare Foundation — Medicare Advantage: $625.36 Alignment Health Plan — Medicare Advantage: $613.10 Anthem Blue Cross — Covered California: $1,104.99 Anthem Blue Cross — IND1: $1,580.93 Anthem Blue Cross — INDX: $1,976.21
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$8.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,387
Emergency room visit (high): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $8.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — HMO: $9.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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 PANEL (BMP)	$633.16	$633.16	$0.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $544.52
Basic metabolic panel (blood test): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $395.03 Aetna — All Non-Gatekeeper Plans: $25.76 Aetna — Exchange: $11 Aetna — Medicare Advantage: $8.46 Aids Healthcare Foundation — Managed Medi-Cal: $10.18 Aids Healthcare Foundation — Medicare Advantage: $8.63 Alignment Health Plan — Medicare Advantage: $8.46 American Mental Health Network — Fed Med: $474.87 Anthem Blue Cross — Covered California: $15.57 Anthem Blue Cross — IND1: $22.28
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL (BMP)	$633.16	$633.16	$443.21 – $544.52
Basic metabolic panel (blood test): rates for 4 insurance plans American Mental Health Network — Fed Med: $474.87 Multiplan — Commercial: $544.52 PHCS Network — Commercial PPO: $449.54 Prime Health Services — Commercial: $443.21
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$25.19
Basic metabolic panel (blood test): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $25.19 Aetna — All Non-Gatekeeper Plans: $25.19
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$1,139.69	$1,139.69	$0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $980.13
Comprehensive metabolic panel (blood test): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $711.05 Aetna — All Non-Gatekeeper Plans: $32.17 Aetna — Exchange: $13.73 Aetna — Medicare Advantage: $10.56 Aids Healthcare Foundation — Managed Medi-Cal: $12.99 Aids Healthcare Foundation — Medicare Advantage: $10.77 Alignment Health Plan — Medicare Advantage: $10.56 American Mental Health Network — Fed Med: $854.77 Anthem Blue Cross — Covered California: $19.44 Anthem Blue Cross — IND1: $27.81
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$1,139.69	$1,139.69	$797.78 – $980.13
Comprehensive metabolic panel (blood test): rates for 4 insurance plans American Mental Health Network — Fed Med: $854.77 Multiplan — Commercial: $980.13 PHCS Network — Commercial PPO: $809.18 Prime Health Services — Commercial: $797.78
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$31.46
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $31.46 Aetna — All Non-Gatekeeper Plans: $31.46
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 – $152.61
Obstetric blood test panel: 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $152.61 Aetna — All Non-Gatekeeper Plans: $152.61 Aetna — Exchange: $62.15 Aetna — Medicare Advantage: $47.81 Aids Healthcare Foundation — Managed Medi-Cal: $50.16 Aids Healthcare Foundation — Medicare Advantage: $48.77 Alignment Health Plan — Medicare Advantage: $47.81 Anthem Blue Cross — Medicare Advantage: $47.81 Blue Shield of California — Medicare Advantage: $47.81 Blue Shield Promise — Medi-Cal: $35.83
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$240.60	$240.60	$0.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $206.92
Cholesterol panel (lipid panel): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $150.11 Aetna — All Non-Gatekeeper Plans: $40.77 Aetna — Exchange: $17.41 Aetna — Medicare Advantage: $13.39 Aids Healthcare Foundation — Managed Medi-Cal: $16.16 Aids Healthcare Foundation — Medicare Advantage: $13.66 Alignment Health Plan — Medicare Advantage: $13.39 American Mental Health Network — Fed Med: $180.45 Anthem Blue Cross — Covered California: $24.65 Anthem Blue Cross — IND1: $35.27
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$240.60	$240.60	$168.42 – $206.92
Cholesterol panel (lipid panel): rates for 4 insurance plans American Mental Health Network — Fed Med: $180.45 Multiplan — Commercial: $206.92 PHCS Network — Commercial PPO: $170.83 Prime Health Services — Commercial: $168.42
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	Not listed in the file	Not listed in the file	$39.88
Cholesterol panel (lipid panel): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $39.88 Aetna — All Non-Gatekeeper Plans: $39.88
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PNL	$633.16	$633.16	$0.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $544.52
Kidney function panel: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $395.03 Aetna — All Non-Gatekeeper Plans: $26.44 Aetna — Exchange: $11.28 Aetna — Medicare Advantage: $8.68 Aids Healthcare Foundation — Managed Medi-Cal: $10.64 Aids Healthcare Foundation — Medicare Advantage: $8.85 Alignment Health Plan — Medicare Advantage: $8.68 American Mental Health Network — Fed Med: $474.87 Anthem Blue Cross — Covered California: $15.98 Anthem Blue Cross — IND1: $22.86
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PNL	$633.16	$633.16	$443.21 – $544.52
Kidney function panel: rates for 4 insurance plans American Mental Health Network — Fed Med: $474.87 Multiplan — Commercial: $544.52 PHCS Network — Commercial PPO: $449.54 Prime Health Services — Commercial: $443.21
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$25.86
Kidney function panel: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $25.86 Aetna — All Non-Gatekeeper Plans: $25.86
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PNL (Chem)	$1,264.02	$1,264.02	$0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,087.06
Liver function panel: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $788.62 Aetna — All Non-Gatekeeper Plans: $24.87 Aetna — Exchange: $10.62 Aetna — Medicare Advantage: $8.17 Aids Healthcare Foundation — Managed Medi-Cal: $8.93 Aids Healthcare Foundation — Medicare Advantage: $8.33 Alignment Health Plan — Medicare Advantage: $8.17 American Mental Health Network — Fed Med: $948.02 Anthem Blue Cross — Covered California: $15.04 Anthem Blue Cross — IND1: $21.52
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PNL (Chem)	$1,264.02	$1,264.02	$884.81 – $1,087.06
Liver function panel: rates for 4 insurance plans American Mental Health Network — Fed Med: $948.02 Multiplan — Commercial: $1,087.06 PHCS Network — Commercial PPO: $897.45 Prime Health Services — Commercial: $884.81
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$24.32
Liver function panel: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $24.32 Aetna — All Non-Gatekeeper Plans: $24.32
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPY	$82.89	$82.89	$0.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $71.29
Urine test (automated, with microscope): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $51.72 Aetna — All Non-Gatekeeper Plans: $9.62 Aetna — Exchange: $4.12 Aetna — Medicare Advantage: $3.17 Aids Healthcare Foundation — Managed Medi-Cal: $3.88 Aids Healthcare Foundation — Medicare Advantage: $3.23 Alignment Health Plan — Medicare Advantage: $3.17 American Mental Health Network — Fed Med: $62.17 Anthem Blue Cross — Covered California: $5.84 Anthem Blue Cross — IND1: $8.35
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPY	$82.89	$82.89	$58.02 – $71.29
Urine test (automated, with microscope): rates for 4 insurance plans American Mental Health Network — Fed Med: $62.17 Multiplan — Commercial: $71.29 PHCS Network — Commercial PPO: $58.85 Prime Health Services — Commercial: $58.02
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO. W/SCOPE	Not listed in the file	Not listed in the file	$9.41
Urine test (automated, with microscope): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $9.41 Aetna — All Non-Gatekeeper Plans: $9.41
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7.62
Urine test (manual, without microscope): 10 of 28 insurance plan rates Aetna — Exchange: $4.52 Aetna — Medicare Advantage: $3.48 Aids Healthcare Foundation — Managed Medi-Cal: $3.01 Aids Healthcare Foundation — Medicare Advantage: $3.55 Alignment Health Plan — Medicare Advantage: $3.48 Anthem Blue Cross — Medicare Advantage: $3.48 Blue Shield of California — Medicare Advantage: $3.48 Blue Shield Promise — Medi-Cal: $2.15 Bright Health — Covered California: $3.83 Bright Health — Medicare Advantage: $3.55
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7.62
Urine test (manual, without microscope): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $0.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — HMO: $0.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-AUTOMATED, WITHOUT MICRO	Not listed in the file	Not listed in the file	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7.62
Urine test (manual, without microscope): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $7.62 Aetna — All Non-Gatekeeper Plans: $7.62
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPY	$95.55	$95.55	$0.07 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $82.17
Urine test (automated, without microscope): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $59.61 Aetna — All Non-Gatekeeper Plans: $6.85 Aetna — Exchange: $2.93 Aetna — Medicare Advantage: $2.25 Aids Healthcare Foundation — Managed Medi-Cal: $2.74 Aids Healthcare Foundation — Medicare Advantage: $2.30 Alignment Health Plan — Medicare Advantage: $2.25 American Mental Health Network — Fed Med: $71.66 Anthem Blue Cross — Covered California: $4.14 Anthem Blue Cross — IND1: $5.93
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPY	$95.55	$95.55	$66.89 – $82.17
Urine test (automated, without microscope): rates for 4 insurance plans American Mental Health Network — Fed Med: $71.66 Multiplan — Commercial: $82.17 PHCS Network — Commercial PPO: $67.84 Prime Health Services — Commercial: $66.89
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED, WITHOUT MICRO	Not listed in the file	Not listed in the file	$6.70
Urine test (automated, without microscope): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $6.70 Aetna — All Non-Gatekeeper Plans: $6.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG	$575.60	$575.60	$0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $495.02
PSA (prostate specific antigen) blood test: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $359.12 Aetna — All Non-Gatekeeper Plans: $56.02 Aetna — Exchange: $23.91 Aetna — Medicare Advantage: $18.39 Aids Healthcare Foundation — Managed Medi-Cal: $22.89 Aids Healthcare Foundation — Medicare Advantage: $18.76 Alignment Health Plan — Medicare Advantage: $18.39 American Mental Health Network — Fed Med: $431.70 Anthem Blue Cross — Covered California: $33.85 Anthem Blue Cross — IND1: $48.44
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG	$575.60	$575.60	$402.92 – $495.02
PSA (prostate specific antigen) blood test: rates for 4 insurance plans American Mental Health Network — Fed Med: $431.70 Multiplan — Commercial: $495.02 PHCS Network — Commercial PPO: $408.68 Prime Health Services — Commercial: $402.92
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL	Not listed in the file	Not listed in the file	$54.79
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $54.79 Aetna — All Non-Gatekeeper Plans: $54.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$526.10	$526.10	$0.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $452.45
Thyroid stimulating hormone (TSH) test: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $328.23 Aetna — All Non-Gatekeeper Plans: $51.13 Aetna — Exchange: $21.84 Aetna — Medicare Advantage: $16.80 Aids Healthcare Foundation — Managed Medi-Cal: $20.66 Aids Healthcare Foundation — Medicare Advantage: $17.14 Alignment Health Plan — Medicare Advantage: $16.80 American Mental Health Network — Fed Med: $394.58 Anthem Blue Cross — Covered California: $30.93 Anthem Blue Cross — IND1: $44.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$526.10	$526.10	$368.27 – $452.45
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans American Mental Health Network — Fed Med: $394.58 Multiplan — Commercial: $452.45 PHCS Network — Commercial PPO: $373.53 Prime Health Services — Commercial: $368.27
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$50.01
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $50.01 Aetna — All Non-Gatekeeper Plans: $50.01
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC (Hema)	$402.92	$402.92	$0.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $346.51
Complete blood count (CBC) with differential: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $251.38 Aetna — All Non-Gatekeeper Plans: $23.67 Aetna — Exchange: $10.10 Aetna — Medicare Advantage: $7.77 Aids Healthcare Foundation — Managed Medi-Cal: $9.45 Aids Healthcare Foundation — Medicare Advantage: $7.93 Alignment Health Plan — Medicare Advantage: $7.77 American Mental Health Network — Fed Med: $302.19 Anthem Blue Cross — Covered California: $14.30 Anthem Blue Cross — IND1: $20.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC (Hema)	$402.92	$402.92	$282.04 – $346.51
Complete blood count (CBC) with differential: rates for 4 insurance plans American Mental Health Network — Fed Med: $302.19 Multiplan — Commercial: $346.51 PHCS Network — Commercial PPO: $286.07 Prime Health Services — Commercial: $282.04
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMAT HEMOGRAM-COMPLET DIF	Not listed in the file	Not listed in the file	$23.15
Complete blood count (CBC) with differential: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $23.15 Aetna — All Non-Gatekeeper Plans: $23.15
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM & PLATELET CNT, AUTO	$202.61	$202.61	$0.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $174.24
Complete blood count (CBC), automated: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $126.41 Aetna — All Non-Gatekeeper Plans: $19.70 Aetna — Exchange: $8.41 Aetna — Medicare Advantage: $6.47 Aids Healthcare Foundation — Managed Medi-Cal: $7.99 Aids Healthcare Foundation — Medicare Advantage: $6.60 Alignment Health Plan — Medicare Advantage: $6.47 American Mental Health Network — Fed Med: $151.96 Anthem Blue Cross — Covered California: $11.91 Anthem Blue Cross — IND1: $17.04
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM & PLATELET CNT, AUTO	$202.61	$202.61	$141.83 – $174.24
Complete blood count (CBC), automated: rates for 4 insurance plans American Mental Health Network — Fed Med: $151.96 Multiplan — Commercial: $174.24 PHCS Network — Commercial PPO: $143.85 Prime Health Services — Commercial: $141.83
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMO/PLATELET CNT-AUTOMATED	Not listed in the file	Not listed in the file	$19.27
Complete blood count (CBC), automated: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $19.27 Aetna — All Non-Gatekeeper Plans: $19.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN (Hema)	$308.52	$308.52	$0.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $265.33
Blood clotting time test (prothrombin time, PT): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $192.49 Aetna — All Non-Gatekeeper Plans: $11.96 Aetna — Exchange: $5.58 Aetna — Medicare Advantage: $4.29 Aids Healthcare Foundation — Managed Medi-Cal: $4.89 Aids Healthcare Foundation — Medicare Advantage: $4.38 Alignment Health Plan — Medicare Advantage: $4.29 American Mental Health Network — Fed Med: $231.39 Anthem Blue Cross — Covered California: $7.90 Anthem Blue Cross — IND1: $11.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN (Hema)	$308.52	$308.52	$215.96 – $265.33
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans American Mental Health Network — Fed Med: $231.39 Multiplan — Commercial: $265.33 PHCS Network — Commercial PPO: $219.05 Prime Health Services — Commercial: $215.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$11.70
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $11.70 Aetna — All Non-Gatekeeper Plans: $11.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT (Hema)	$362.63	$362.63	$0.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $311.86
Blood clotting test (partial thromboplastin time, PTT): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $226.24 Aetna — All Non-Gatekeeper Plans: $18.27 Aetna — Exchange: $7.81 Aetna — Medicare Advantage: $6.01 Aids Healthcare Foundation — Managed Medi-Cal: $7.48 Aids Healthcare Foundation — Medicare Advantage: $6.13 Alignment Health Plan — Medicare Advantage: $6.01 American Mental Health Network — Fed Med: $271.97 Anthem Blue Cross — Covered California: $11.06 Anthem Blue Cross — IND1: $15.83
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBPLSTIN TIME PARTIALQ7079	$13	$13	$0.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19.79
Blood clotting test (partial thromboplastin time, PTT): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $8.11 Aetna — All Non-Gatekeeper Plans: $18.27 Aetna — Exchange: $7.81 Aetna — Medicare Advantage: $6.01 Aids Healthcare Foundation — Managed Medi-Cal: $7.48 Aids Healthcare Foundation — Medicare Advantage: $6.13 Alignment Health Plan — Medicare Advantage: $6.01 American Mental Health Network — Fed Med: $9.75 Anthem Blue Cross — Covered California: $11.06 Anthem Blue Cross — IND1: $15.83
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT (Hema)	$362.63	$362.63	$253.84 – $311.86
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans American Mental Health Network — Fed Med: $271.97 Multiplan — Commercial: $311.86 PHCS Network — Commercial PPO: $257.47 Prime Health Services — Commercial: $253.84

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 SCAN HEAD W/O CONT.	$4,063.74	$4,063.74	$4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,494.82
CT scan of the head or brain, without contrast: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $2,535.37 Aetna — All Non-Gatekeeper Plans: $1,547.07 Aetna — Exchange: $138.24 Aetna — Medicare Advantage: $106.34 Aids Healthcare Foundation — Managed Medi-Cal: $141.78 Aids Healthcare Foundation — Medicare Advantage: $108.47 Alignment Health Plan — Medicare Advantage: $106.34 American Mental Health Network — Fed Med: $3,047.81 Anthem Blue Cross — Covered California: $191.66 Anthem Blue Cross — IND1: $274.21
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT SCAN HEAD W/O CONT.	$4,063.74	$4,063.74	$2,844.62 – $3,494.82
CT scan of the head or brain, without contrast: rates for 4 insurance plans American Mental Health Network — Fed Med: $3,047.81 Multiplan — Commercial: $3,494.82 PHCS Network — Commercial PPO: $2,885.26 Prime Health Services — Commercial: $2,844.62
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAT SCAN OF HEAD OR BRAIN	Not listed in the file	Not listed in the file	$400.42
CT scan of the head or brain, without contrast: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $400.42 Aetna — All Non-Gatekeeper Plans: $400.42
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & W/CONT.	$9,126.87	$9,126.87	$13.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,849.11
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $1,827 Aetna — All Non-Gatekeeper Plans: $2,264 Aetna — Exchange: $464.27 Aetna — Medicare Advantage: $357.13 Aids Healthcare Foundation — Managed Medi-Cal: $435.48 Aids Healthcare Foundation — Medicare Advantage: $364.27 Alignment Health Plan — Medicare Advantage: $357.13 American Mental Health Network — Fed Med: $6,845.15 Anthem Blue Cross — Covered California: $643.66 Anthem Blue Cross — IND1: $920.89
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & W/CONT.	$9,126.87	$9,126.87	$6,388.81 – $7,849.11
MRI of the brain, before and after contrast: rates for 4 insurance plans American Mental Health Network — Fed Med: $6,845.15 Multiplan — Commercial: $7,849.11 PHCS Network — Commercial PPO: $6,480.08 Prime Health Services — Commercial: $6,388.81
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI OF BRAIN W/O & W/ CONTRA	Not listed in the file	Not listed in the file	$833.85
MRI of the brain, before and after contrast: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $833.85 Aetna — All Non-Gatekeeper Plans: $833.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST; 2 VIEWS	$842.68	$842.68	$1.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $724.70
Chest X-ray, 2 views: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $50.04 Aetna — All Non-Gatekeeper Plans: $50.04 Aetna — Exchange: $114.47 Aetna — Medicare Advantage: $88.05 Aids Healthcare Foundation — Managed Medi-Cal: $38.47 Aids Healthcare Foundation — Medicare Advantage: $89.81 Alignment Health Plan — Medicare Advantage: $88.05 American Mental Health Network — Fed Med: $632.01 Anthem Blue Cross — Covered California: $158.69 Anthem Blue Cross — IND1: $227.03
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST; 2 VIEWS	$842.68	$842.68	$589.88 – $724.70
Chest X-ray, 2 views: rates for 4 insurance plans American Mental Health Network — Fed Med: $632.01 Multiplan — Commercial: $724.70 PHCS Network — Commercial PPO: $598.30 Prime Health Services — Commercial: $589.88
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$48.94
Chest X-ray, 2 views: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $48.94 Aetna — All Non-Gatekeeper Plans: $48.94
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR COMP MIN 4 VW	$1,161.56	$1,161.56	$1.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $998.94
X-ray of the lower spine, at least 4 views: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $105.45 Aetna — All Non-Gatekeeper Plans: $105.45 Aetna — Exchange: $138.24 Aetna — Medicare Advantage: $106.34 Aids Healthcare Foundation — Managed Medi-Cal: $61.39 Aids Healthcare Foundation — Medicare Advantage: $108.47 Alignment Health Plan — Medicare Advantage: $106.34 American Mental Health Network — Fed Med: $871.17 Anthem Blue Cross — Covered California: $191.66 Anthem Blue Cross — IND1: $274.21
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBAR COMP MIN 4 VW	$1,161.56	$1,161.56	$813.09 – $998.94
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans American Mental Health Network — Fed Med: $871.17 Multiplan — Commercial: $998.94 PHCS Network — Commercial PPO: $824.71 Prime Health Services — Commercial: $813.09
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM OF LOWER SPINE	Not listed in the file	Not listed in the file	$103.12
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $103.12 Aetna — All Non-Gatekeeper Plans: $103.12
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.	$6,504.98	$6,504.98	$8.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,594.28
MRI of the lower back (lumbar spine), without contrast: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $1,827 Aetna — All Non-Gatekeeper Plans: $2,264 Aetna — Exchange: $314.24 Aetna — Medicare Advantage: $241.72 Aids Healthcare Foundation — Managed Medi-Cal: $260.40 Aids Healthcare Foundation — Medicare Advantage: $246.55 Alignment Health Plan — Medicare Advantage: $241.72 American Mental Health Network — Fed Med: $4,878.74 Anthem Blue Cross — Covered California: $435.65 Anthem Blue Cross — IND1: $623.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L/SPINE W/O CONT.	$6,504.98	$6,504.98	$4,553.49 – $5,594.28
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans American Mental Health Network — Fed Med: $4,878.74 Multiplan — Commercial: $5,594.28 PHCS Network — Commercial PPO: $4,618.54 Prime Health Services — Commercial: $4,553.49
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAGNETIC RESONANCE IMAGING	Not listed in the file	Not listed in the file	$833.85
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $833.85 Aetna — All Non-Gatekeeper Plans: $833.85
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN PELVIS W/CONT.	$4,155.84	$4,155.84	$7.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,574.02
CT scan of the pelvis, with contrast: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $2,592.83 Aetna — All Non-Gatekeeper Plans: $1,582.13 Aetna — Exchange: $231.43 Aetna — Medicare Advantage: $178.02 Aids Healthcare Foundation — Managed Medi-Cal: $286.23 Aids Healthcare Foundation — Medicare Advantage: $181.58 Alignment Health Plan — Medicare Advantage: $178.02 American Mental Health Network — Fed Med: $3,116.88 Anthem Blue Cross — Covered California: $320.84 Anthem Blue Cross — IND1: $459.03
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT SCAN PELVIS W/CONT.	$4,155.84	$4,155.84	$2,909.09 – $3,574.02
CT scan of the pelvis, with contrast: rates for 4 insurance plans American Mental Health Network — Fed Med: $3,116.88 Multiplan — Commercial: $3,574.02 PHCS Network — Commercial PPO: $2,950.65 Prime Health Services — Commercial: $2,909.09
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONTRAST CAT SCAN OF PELVIS	Not listed in the file	Not listed in the file	$612.67
CT scan of the pelvis, with contrast: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $612.67 Aetna — All Non-Gatekeeper Plans: $612.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT ANY JT W/O CONT	$5,328.63	$5,328.63	$8.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,582.62
MRI of a leg joint (such as the knee), without contrast: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $1,827 Aetna — All Non-Gatekeeper Plans: $2,264 Aetna — Exchange: $314.24 Aetna — Medicare Advantage: $241.72 Aids Healthcare Foundation — Managed Medi-Cal: $546.67 Aids Healthcare Foundation — Medicare Advantage: $246.55 Alignment Health Plan — Medicare Advantage: $241.72 American Mental Health Network — Fed Med: $3,996.47 Anthem Blue Cross — Covered California: $435.65 Anthem Blue Cross — IND1: $623.29
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT ANY JT W/O CONT	$5,328.63	$5,328.63	$3,730.04 – $4,582.62
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans American Mental Health Network — Fed Med: $3,996.47 Multiplan — Commercial: $4,582.62 PHCS Network — Commercial PPO: $3,783.33 Prime Health Services — Commercial: $3,730.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI; ANY LOWER EXTREMITY JNT	Not listed in the file	Not listed in the file	$833.85
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $833.85 Aetna — All Non-Gatekeeper Plans: $833.85
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN ABD&PELVIS W CONT	$8,322.39	$8,322.39	$14.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,157.26
CT scan of the abdomen and pelvis, with contrast: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $5,192.34 Aetna — All Non-Gatekeeper Plans: $3,168.33 Aetna — Exchange: $464.27 Aetna — Medicare Advantage: $357.13 Aids Healthcare Foundation — Managed Medi-Cal: $394.52 Aids Healthcare Foundation — Medicare Advantage: $364.27 Alignment Health Plan — Medicare Advantage: $357.13 American Mental Health Network — Fed Med: $6,241.79 Anthem Blue Cross — Covered California: $643.66 Anthem Blue Cross — IND1: $920.89
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT SCAN ABD&PELVIS W CONT	$8,322.39	$8,322.39	$5,825.67 – $7,157.26
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans American Mental Health Network — Fed Med: $6,241.79 Multiplan — Commercial: $7,157.26 PHCS Network — Commercial PPO: $5,908.90 Prime Health Services — Commercial: $5,825.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD&PELV W/CONTRAST	Not listed in the file	Not listed in the file	$648.61
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $648.61 Aetna — All Non-Gatekeeper Plans: $648.61
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL	$1,939.78	$1,939.78	$2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,668.21
Ultrasound of the abdomen, complete: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $253.43 Aetna — All Non-Gatekeeper Plans: $738.47 Aetna — Exchange: $138.24 Aetna — Medicare Advantage: $106.34 Aids Healthcare Foundation — Managed Medi-Cal: $116.48 Aids Healthcare Foundation — Medicare Advantage: $108.47 Alignment Health Plan — Medicare Advantage: $106.34 American Mental Health Network — Fed Med: $1,454.84 Anthem Blue Cross — Covered California: $191.66 Anthem Blue Cross — IND1: $274.21
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL	$1,939.78	$1,939.78	$1,357.85 – $1,668.21
Ultrasound of the abdomen, complete: rates for 4 insurance plans American Mental Health Network — Fed Med: $1,454.84 Multiplan — Commercial: $1,668.21 PHCS Network — Commercial PPO: $1,377.24 Prime Health Services — Commercial: $1,357.85
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND, ABDOMINAL	Not listed in the file	Not listed in the file	$247.84
Ultrasound of the abdomen, complete: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $247.84 Aetna — All Non-Gatekeeper Plans: $247.84
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB/FETAL AGE (>/= 14 WKS)	$1,199.56	$1,199.56	$2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,031.62
Pregnancy ultrasound (after the first trimester): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $253.43 Aetna — All Non-Gatekeeper Plans: $456.67 Aetna — Exchange: $138.24 Aetna — Medicare Advantage: $106.34 Aids Healthcare Foundation — Managed Medi-Cal: $132.05 Aids Healthcare Foundation — Medicare Advantage: $108.47 Alignment Health Plan — Medicare Advantage: $106.34 American Mental Health Network — Fed Med: $899.67 Anthem Blue Cross — Covered California: $191.66 Anthem Blue Cross — IND1: $274.21
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB/FETAL AGE (>/= 14 WKS)	$1,199.56	$1,199.56	$839.69 – $1,031.62
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans American Mental Health Network — Fed Med: $899.67 Multiplan — Commercial: $1,031.62 PHCS Network — Commercial PPO: $851.69 Prime Health Services — Commercial: $839.69
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM, PG UTERUS, COMPL	Not listed in the file	Not listed in the file	$247.84
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $247.84 Aetna — All Non-Gatekeeper Plans: $247.84
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$2,004.24	$2,004.24	$2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,723.65
Transvaginal ultrasound: 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $240.85 Aetna — All Non-Gatekeeper Plans: $763.01 Aetna — Exchange: $138.24 Aetna — Medicare Advantage: $106.34 Aids Healthcare Foundation — Managed Medi-Cal: $94.71 Aids Healthcare Foundation — Medicare Advantage: $108.47 Alignment Health Plan — Medicare Advantage: $106.34 American Mental Health Network — Fed Med: $1,503.18 Anthem Blue Cross — Covered California: $191.66 Anthem Blue Cross — IND1: $274.21
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$2,004.24	$2,004.24	$1,402.97 – $1,723.65
Transvaginal ultrasound: rates for 4 insurance plans American Mental Health Network — Fed Med: $1,503.18 Multiplan — Commercial: $1,723.65 PHCS Network — Commercial PPO: $1,423.01 Prime Health Services — Commercial: $1,402.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM, TRANSVAGINAL	Not listed in the file	Not listed in the file	$235.54
Transvaginal ultrasound: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $235.54 Aetna — All Non-Gatekeeper Plans: $235.54
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$100.64 – $266.88
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $234.95 Aetna — All Non-Gatekeeper Plans: $234.95 Aetna — Exchange: $169.24 Aetna — Medicare Advantage: $130.18 Aids Healthcare Foundation — Managed Medi-Cal: $163.91 Aids Healthcare Foundation — Medicare Advantage: $132.79 Alignment Health Plan — Medicare Advantage: $130.18 Anthem Blue Cross — Medicare Advantage: $130.18 Blue Shield of California — Medicare Advantage: $130.18 Blue Shield Promise — Medi-Cal: $117.08
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	Not listed in the file	Not listed in the file	$100.64 – $266.88
Diagnostic mammogram, one breast: rates for 1 insurance plan United Healthcare — Commercial All Plans: $100.64
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$128.29 – $336.91
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $300.63 Aetna — All Non-Gatekeeper Plans: $300.63 Aetna — Exchange: $213.65 Aetna — Medicare Advantage: $164.35 Aids Healthcare Foundation — Managed Medi-Cal: $207.24 Aids Healthcare Foundation — Medicare Advantage: $167.63 Alignment Health Plan — Medicare Advantage: $164.35 Anthem Blue Cross — Medicare Advantage: $164.35 Blue Shield of California — Medicare Advantage: $164.35 Blue Shield Promise — Medi-Cal: $148.03
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	Not listed in the file	Not listed in the file	$128.29 – $336.91
Diagnostic mammogram, both breasts: rates for 1 insurance plan United Healthcare — Commercial All Plans: $128.29
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$106.02 – $273.29
Screening mammogram, both breasts: 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $248.26 Aetna — All Non-Gatekeeper Plans: $248.26 Aetna — Exchange: $173.31 Aetna — Medicare Advantage: $133.31 Aids Healthcare Foundation — Managed Medi-Cal: $167.23 Aids Healthcare Foundation — Medicare Advantage: $135.98 Alignment Health Plan — Medicare Advantage: $133.31 Anthem Blue Cross — Medicare Advantage: $133.31 Blue Shield of California — Medicare Advantage: $133.31 Blue Shield Promise — Medi-Cal: $119.45
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	Not listed in the file	Not listed in the file	$106.02 – $273.29
Screening mammogram, both breasts: rates for 1 insurance plan United Healthcare — Commercial All Plans: $106.02

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	$14.42 – $49.06
Electrocardiogram (ECG/EKG) with reading: 10 of 28 insurance plan rates Aetna — Exchange: $18.75 Aetna — Medicare Advantage: $14.42 Aids Healthcare Foundation — Managed Medi-Cal: $40.18 Aids Healthcare Foundation — Medicare Advantage: $14.71 Alignment Health Plan — Medicare Advantage: $14.42 Anthem Blue Cross — Medicare Advantage: $14.42 Blue Shield of California — Medicare Advantage: $14.42 Blue Shield Promise — Medi-Cal: $28.70 Bright Health — Covered California: $15.87 Bright Health — Medicare Advantage: $14.71
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	$14.42 – $49.06
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $49.06 Aetna — All Non-Gatekeeper Plans: $49.06
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	$69.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11,671
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $11,356 Aetna — All Non-Gatekeeper Plans: $11,671 Aetna — Exchange: $4,181.33 Aetna — Medicare Advantage: $3,216.41 Aids Healthcare Foundation — Managed Medi-Cal: $1,068 Aids Healthcare Foundation — Medicare Advantage: $3,280.74 Alignment Health Plan — Medicare Advantage: $3,216.41 Anthem Blue Cross — Covered California: $5,796.97 Anthem Blue Cross — IND1: $8,293.81 Anthem Blue Cross — INDX: $10,367.53
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	$69.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11,671
Left heart catheterization (diagnostic): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $69.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $86.31 Blue Shield of California — HMO: $79.27
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	$95.65 – $24,458.87
Heart rhythm study (electrophysiology evaluation): 10 of 31 insurance plan rates Aetna — Exchange: $9,864.53 Aetna — Medicare Advantage: $7,588.10 Aids Healthcare Foundation — Managed Medi-Cal: $835.04 Aids Healthcare Foundation — Medicare Advantage: $7,739.86 Alignment Health Plan — Medicare Advantage: $7,588.10 Anthem Blue Cross — Covered California: $13,676.10 Anthem Blue Cross — IND1: $19,566.58 Anthem Blue Cross — INDX: $24,458.87 Anthem Blue Cross — Medicare Advantage: $7,588.10 Blue Shield of California — Medicare Advantage: $7,588.10
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$95.65 – $24,458.87
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Aetna — All Gatekeeper Plans: $836.06 Aetna — All Non-Gatekeeper Plans: $836.06 United Healthcare — Commercial All Plans: $10,734
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$95.65 – $24,458.87
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $95.65 Blue Shield of California — EPO/PPO/Out of State: $119.35 Blue Shield of California — HMO: $109.61
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	$324.59 – $79,075.39
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $2,406.04 Aetna — All Non-Gatekeeper Plans: $2,406.04 Aetna — Exchange: $31,891.99 Aetna — Medicare Advantage: $24,532.30 Aids Healthcare Foundation — Managed Medi-Cal: $1,232.66 Aids Healthcare Foundation — Medicare Advantage: $25,022.95 Alignment Health Plan — Medicare Advantage: $24,532.30 Anthem Blue Cross — Covered California: $44,214.76 Anthem Blue Cross — IND1: $63,258.66 Anthem Blue Cross — INDX: $79,075.39
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$324.59 – $79,075.39
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $324.59 Blue Shield of California — EPO/PPO/Out of State: $405.02 Blue Shield of California — HMO: $371.98
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 PULM VEIN ISOLATION	Not listed in the file	Not listed in the file	$324.59 – $79,075.39
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan United Healthcare — Commercial All Plans: $21,185
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	$20.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,279.38
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $1,498.61 Aetna — All Non-Gatekeeper Plans: $1,498.61 Aetna — Exchange: $1,322.61 Aetna — Medicare Advantage: $1,017.39 Aids Healthcare Foundation — Managed Medi-Cal: $487.30 Aids Healthcare Foundation — Medicare Advantage: $1,037.74 Alignment Health Plan — Medicare Advantage: $1,017.39 Anthem Blue Cross — Covered California: $1,833.65 Anthem Blue Cross — IND1: $2,623.43 Anthem Blue Cross — INDX: $3,279.38
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography 4 or more	Not listed in the file	Not listed in the file	$20.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,279.38
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $20.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $25.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — HMO: $23.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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: OT THERAPEUTIC EX EA 15	$476.60	$476.60	$0.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $409.88
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $54.80 Aetna — All Non-Gatekeeper Plans: $54.80 Aetna — Exchange: $39.19 Aetna — Medicare Advantage: $30.14 Aids Healthcare Foundation — Managed Medi-Cal: $15.34 Aids Healthcare Foundation — Medicare Advantage: $30.75 Alignment Health Plan — Medicare Advantage: $30.14 American Mental Health Network — Fed Med: $357.45 Anthem Blue Cross — Covered California: $227.81 Anthem Blue Cross — IND1: $231.53
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EX EA 15 MIN	$343.06	$343.06	$0.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $314
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $54.80 Aetna — All Non-Gatekeeper Plans: $54.80 Aetna — Exchange: $39.19 Aetna — Medicare Advantage: $30.14 Aids Healthcare Foundation — Managed Medi-Cal: $15.34 Aids Healthcare Foundation — Medicare Advantage: $30.75 Alignment Health Plan — Medicare Advantage: $30.14 American Mental Health Network — Fed Med: $257.30 Anthem Blue Cross — Covered California: $163.98 Anthem Blue Cross — IND1: $166.66
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OT THERAPEUTIC EX EA 15	$476.60	$476.60	$333.62 – $409.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans American Mental Health Network — Fed Med: $357.45 Multiplan — Commercial: $409.88 PHCS Network — Commercial PPO: $338.39 Prime Health Services — Commercial: $333.62
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$597.47	$597.47	$145.49
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates Aetna — All Gatekeeper Plans: $145.49 Aetna — All Non-Gatekeeper Plans: $145.49 Aetna — Exchange: $133.25 Aetna — Medicare Advantage: $102.50 Aids Healthcare Foundation — Medicare Advantage: $104.55 Alignment Health Plan — Medicare Advantage: $102.50 American Mental Health Network — Fed Med: $448.10 Anthem Blue Cross — Covered California: $285.59 Anthem Blue Cross — IND1: $290.25 Anthem Blue Cross — INDX: $362.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$597.47	$597.47	$418.23 – $513.82
Physical therapy evaluation (low complexity): rates for 4 insurance plans American Mental Health Network — Fed Med: $448.10 Multiplan — Commercial: $513.82 PHCS Network — Commercial PPO: $424.20 Prime Health Services — Commercial: $418.23
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$629.70	$629.70	$145.49
Physical therapy evaluation (moderate complexity): 10 of 43 insurance plan rates Aetna — All Gatekeeper Plans: $145.49 Aetna — All Non-Gatekeeper Plans: $145.49 Aetna — Exchange: $133.25 Aetna — Medicare Advantage: $102.50 Aids Healthcare Foundation — Medicare Advantage: $104.55 Alignment Health Plan — Medicare Advantage: $102.50 American Mental Health Network — Fed Med: $472.28 Anthem Blue Cross — Covered California: $301 Anthem Blue Cross — IND1: $305.91 Anthem Blue Cross — INDX: $382.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$629.70	$629.70	$440.79 – $541.54
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans American Mental Health Network — Fed Med: $472.28 Multiplan — Commercial: $541.54 PHCS Network — Commercial PPO: $447.09 Prime Health Services — Commercial: $440.79
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$660.79	$660.79	$145.49
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates Aetna — All Gatekeeper Plans: $145.49 Aetna — All Non-Gatekeeper Plans: $145.49 Aetna — Exchange: $133.25 Aetna — Medicare Advantage: $102.50 Aids Healthcare Foundation — Managed Medi-Cal: $189.78 Aids Healthcare Foundation — Medicare Advantage: $104.55 Alignment Health Plan — Medicare Advantage: $102.50 American Mental Health Network — Fed Med: $495.59 Anthem Blue Cross — Covered California: $315.86 Anthem Blue Cross — IND1: $321.01
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$660.79	$660.79	$462.55 – $568.28
Physical therapy evaluation (high complexity): rates for 4 insurance plans American Mental Health Network — Fed Med: $495.59 Multiplan — Commercial: $568.28 PHCS Network — Commercial PPO: $469.16 Prime Health Services — Commercial: $462.55
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	$2.28 – $517.90
Psychotherapy, 30 minutes: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $188.30 Aetna — All Non-Gatekeeper Plans: $188.30 Aetna — Exchange: $208.87 Aetna — Medicare Advantage: $160.67 Aids Healthcare Foundation — Managed Medi-Cal: $74.02 Aids Healthcare Foundation — Medicare Advantage: $163.88 Alignment Health Plan — Medicare Advantage: $160.67 Anthem Blue Cross — Covered California: $289.58 Anthem Blue Cross — IND1: $414.31 Anthem Blue Cross — INDX: $517.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx pt&/family 30 minutes	Not listed in the file	Not listed in the file	$2.28 – $517.90
Psychotherapy, 30 minutes: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $2.28 Blue Shield of California — EPO/PPO/Out of State: $2.84 Blue Shield of California — HMO: $2.61
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	$2.94 – $517.90
Psychotherapy, 45 minutes: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $273.80 Aetna — All Non-Gatekeeper Plans: $273.80 Aetna — Exchange: $208.87 Aetna — Medicare Advantage: $160.67 Aids Healthcare Foundation — Managed Medi-Cal: $94.02 Aids Healthcare Foundation — Medicare Advantage: $163.88 Alignment Health Plan — Medicare Advantage: $160.67 Anthem Blue Cross — Covered California: $289.58 Anthem Blue Cross — IND1: $414.31 Anthem Blue Cross — INDX: $517.90
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx pt&/family 45 minutes	Not listed in the file	Not listed in the file	$2.94 – $517.90
Psychotherapy, 45 minutes: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $2.94 Blue Shield of California — EPO/PPO/Out of State: $3.67 Blue Shield of California — HMO: $3.37
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	$2.94 – $517.90
Psychotherapy, 60 minutes: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $374.88 Aetna — All Non-Gatekeeper Plans: $374.88 Aetna — Exchange: $208.87 Aetna — Medicare Advantage: $160.67 Aids Healthcare Foundation — Managed Medi-Cal: $137.23 Aids Healthcare Foundation — Medicare Advantage: $163.88 Alignment Health Plan — Medicare Advantage: $160.67 Anthem Blue Cross — Covered California: $289.58 Anthem Blue Cross — IND1: $414.31 Anthem Blue Cross — INDX: $517.90
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx pt&/family 60 minutes	Not listed in the file	Not listed in the file	$2.94 – $517.90
Psychotherapy, 60 minutes: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $2.94 Blue Shield of California — EPO/PPO/Out of State: $3.67 Blue Shield of California — HMO: $3.37
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	$3.24 – $517.90
Family psychotherapy, without the patient: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $323.58 Aetna — All Non-Gatekeeper Plans: $323.58 Aetna — Exchange: $208.87 Aetna — Medicare Advantage: $160.67 Aids Healthcare Foundation — Managed Medi-Cal: $121.30 Aids Healthcare Foundation — Medicare Advantage: $163.88 Alignment Health Plan — Medicare Advantage: $160.67 Anthem Blue Cross — Covered California: $289.58 Anthem Blue Cross — IND1: $414.31 Anthem Blue Cross — INDX: $517.90
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o patient	Not listed in the file	Not listed in the file	$3.24 – $517.90
Family psychotherapy, without the patient: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $3.24 Blue Shield of California — EPO/PPO/Out of State: $4.04 Blue Shield of California — HMO: $3.71
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	$3.24 – $517.90
Family psychotherapy, with the patient: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $323.58 Aetna — All Non-Gatekeeper Plans: $323.58 Aetna — Exchange: $208.87 Aetna — Medicare Advantage: $160.67 Aids Healthcare Foundation — Managed Medi-Cal: $125.51 Aids Healthcare Foundation — Medicare Advantage: $163.88 Alignment Health Plan — Medicare Advantage: $160.67 Anthem Blue Cross — Covered California: $289.58 Anthem Blue Cross — IND1: $414.31 Anthem Blue Cross — INDX: $517.90
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/patient	Not listed in the file	Not listed in the file	$3.24 – $517.90
Family psychotherapy, with the patient: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $3.24 Blue Shield of California — EPO/PPO/Out of State: $4.04 Blue Shield of California — HMO: $3.71
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	$1.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $298.17
Group psychotherapy: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $102.05 Aetna — All Non-Gatekeeper Plans: $102.05 Aetna — Exchange: $120.25 Aetna — Medicare Advantage: $92.50 Aids Healthcare Foundation — Managed Medi-Cal: $20.27 Aids Healthcare Foundation — Medicare Advantage: $94.35 Alignment Health Plan — Medicare Advantage: $92.50 Anthem Blue Cross — Covered California: $166.72 Anthem Blue Cross — IND1: $238.53 Anthem Blue Cross — INDX: $298.17
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	$1.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $298.17
Group psychotherapy: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $1.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $1.80 Blue Shield of California — HMO: $1.65

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	$45.40 – $12,342.99
Removal of breast growth (open surgery): 10 of 32 insurance plan rates Aetna — Exchange: $4,978.06 Aetna — Medicare Advantage: $3,829.28 Aids Healthcare Foundation — Managed Medi-Cal: $295.01 Aids Healthcare Foundation — Medicare Advantage: $3,905.87 Alignment Health Plan — Medicare Advantage: $3,829.28 Anthem Blue Cross — Covered California: $6,901.55 Anthem Blue Cross — IND1: $9,874.14 Anthem Blue Cross — INDX: $12,342.99 Anthem Blue Cross — Medicare Advantage: $3,829.28 Blue Shield of California — Medicare Advantage: $3,829.28
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	$45.40 – $12,342.99
Removal of breast growth (open surgery): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $45.40 Blue Shield of California — EPO/PPO/Out of State: $56.65 Blue Shield of California — HMO: $52.03
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENO	Not listed in the file	Not listed in the file	$45.40 – $12,342.99
Removal of breast growth (open surgery): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $883.88 Aetna — All Non-Gatekeeper Plans: $883.88
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 – $41,473.84
Total hip replacement: 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $3,280.51 Aetna — All Non-Gatekeeper Plans: $3,280.51 Aetna — Exchange: $16,726.87 Aetna — Medicare Advantage: $12,866.82 Aids Healthcare Foundation — Managed Medi-Cal: $2,084.88 Aids Healthcare Foundation — Medicare Advantage: $13,124.16 Alignment Health Plan — Medicare Advantage: $12,866.82 Anthem Blue Cross — Covered California: $23,189.97 Anthem Blue Cross — IND1: $33,178.21 Anthem Blue Cross — INDX: $41,473.84
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 – $41,473.84
Total knee replacement: 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $3,507.57 Aetna — All Non-Gatekeeper Plans: $3,507.57 Aetna — Exchange: $16,726.87 Aetna — Medicare Advantage: $12,866.82 Aids Healthcare Foundation — Managed Medi-Cal: $2,084.88 Aids Healthcare Foundation — Medicare Advantage: $13,124.16 Alignment Health Plan — Medicare Advantage: $12,866.82 Anthem Blue Cross — Covered California: $23,189.97 Anthem Blue Cross — IND1: $33,178.21 Anthem Blue Cross — INDX: $41,473.84
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	$52.79 – $4,186
Shoulder arthroscopy: shaving of shoulder bone: 10 of 28 insurance plan rates Aetna — Exchange: $213.51 Aetna — Medicare Advantage: $164.24 Aids Healthcare Foundation — Managed Medi-Cal: $590.55 Aids Healthcare Foundation — Medicare Advantage: $167.52 Alignment Health Plan — Medicare Advantage: $164.24 Anthem Blue Cross — Medicare Advantage: $164.24 Blue Shield of California — Medicare Advantage: $164.24 Blue Shield Promise — Medi-Cal: $421.82 Bright Health — Covered California: $180.66 Bright Health — Medicare Advantage: $167.52
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$52.79 – $4,186
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $52.79 Blue Shield of California — EPO/PPO/Out of State: $65.87 Blue Shield of California — HMO: $60.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$52.79 – $4,186
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $1,524.77 Aetna — All Non-Gatekeeper Plans: $1,524.77
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	$52.79 – $10,458.41
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates Aetna — Exchange: $4,217.99 Aetna — Medicare Advantage: $3,244.61 Aids Healthcare Foundation — Managed Medi-Cal: $771.40 Aids Healthcare Foundation — Medicare Advantage: $3,309.50 Alignment Health Plan — Medicare Advantage: $3,244.61 Anthem Blue Cross — Covered California: $5,847.79 Anthem Blue Cross — IND1: $8,366.51 Anthem Blue Cross — INDX: $10,458.41 Anthem Blue Cross — Medicare Advantage: $3,244.61 Blue Shield of California — Medicare Advantage: $3,244.61
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$52.79 – $10,458.41
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Aetna — All Gatekeeper Plans: $1,476.33 Aetna — All Non-Gatekeeper Plans: $1,476.33 United Healthcare — Commercial All Plans: $7,071
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$52.79 – $10,458.41
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $52.79 Blue Shield of California — EPO/PPO/Out of State: $65.87 Blue Shield of California — HMO: $60.50
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	$44.34 – $19,068.05
Removal of tonsils and adenoids (under age 12): 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $698.09 Aetna — All Non-Gatekeeper Plans: $698.09 Aetna — Exchange: $7,690.36 Aetna — Medicare Advantage: $5,915.66 Aids Healthcare Foundation — Managed Medi-Cal: $236.11 Aids Healthcare Foundation — Medicare Advantage: $6,033.97 Alignment Health Plan — Medicare Advantage: $5,915.66 Anthem Blue Cross — Covered California: $10,661.84 Anthem Blue Cross — IND1: $15,254.04 Anthem Blue Cross — INDX: $19,068.05
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	$44.34 – $19,068.05
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $44.34 Blue Shield of California — EPO/PPO/Out of State: $55.33 Blue Shield of California — HMO: $50.82
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 3	Not listed in the file	Not listed in the file	$44.34 – $19,068.05
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan Cigna — Commercial: $4,186
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	$15.04 – $3,521
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates Aetna — Exchange: $1,218.83 Aetna — Medicare Advantage: $937.56 Aids Healthcare Foundation — Managed Medi-Cal: $313.77 Aids Healthcare Foundation — Medicare Advantage: $956.31 Alignment Health Plan — Medicare Advantage: $937.56 Anthem Blue Cross — Covered California: $1,689.77 Anthem Blue Cross — IND1: $2,417.58 Anthem Blue Cross — INDX: $3,022.05 Anthem Blue Cross — Medicare Advantage: $937.56 Blue Shield of California — Medicare Advantage: $937.56
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY DIAGNOSIS	Not listed in the file	Not listed in the file	$15.04 – $3,521
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Aetna — All Gatekeeper Plans: $342 Aetna — All Non-Gatekeeper Plans: $342 United Healthcare — Commercial All Plans: $2,700
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Uppr gi endoscopy diagnosis	Not listed in the file	Not listed in the file	$15.04 – $3,521
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $15.04 Blue Shield of California — EPO/PPO/Out of State: $18.77 Blue Shield of California — HMO: $17.24
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	$15.04 – $3,855
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates Aetna — Exchange: $1,218.83 Aetna — Medicare Advantage: $937.56 Aids Healthcare Foundation — Managed Medi-Cal: $327.85 Aids Healthcare Foundation — Medicare Advantage: $956.31 Alignment Health Plan — Medicare Advantage: $937.56 Anthem Blue Cross — Covered California: $1,689.77 Anthem Blue Cross — IND1: $2,417.58 Anthem Blue Cross — INDX: $3,022.05 Anthem Blue Cross — Medicare Advantage: $937.56 Blue Shield of California — Medicare Advantage: $937.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY BIOPSY	Not listed in the file	Not listed in the file	$15.04 – $3,855
Upper GI endoscopy with biopsy: rates for 3 insurance plans Aetna — All Gatekeeper Plans: $403.08 Aetna — All Non-Gatekeeper Plans: $403.08 United Healthcare — Commercial All Plans: $2,700
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Upper gi endoscopy biopsy	Not listed in the file	Not listed in the file	$15.04 – $3,855
Upper GI endoscopy with biopsy: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $15.04 Blue Shield of California — EPO/PPO/Out of State: $18.77 Blue Shield of California — HMO: $17.24
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	$16.67 – $3,855
Colonoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $506.81 Aetna — All Non-Gatekeeper Plans: $506.81 Aetna — Exchange: $1,185.22 Aetna — Medicare Advantage: $911.71 Aids Healthcare Foundation — Managed Medi-Cal: $413.32 Aids Healthcare Foundation — Medicare Advantage: $929.94 Alignment Health Plan — Medicare Advantage: $911.71 Anthem Blue Cross — Covered California: $1,643.18 Anthem Blue Cross — IND1: $2,350.92 Anthem Blue Cross — INDX: $2,938.73
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	$16.67 – $3,855
Colonoscopy (diagnostic): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $16.67 Blue Shield of California — EPO/PPO/Out of State: $20.81 Blue Shield of California — HMO: $19.11
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 2	Not listed in the file	Not listed in the file	$16.67 – $3,855
Colonoscopy (diagnostic): rates for 1 insurance plan Cigna — Commercial: $3,855
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	$16.67 – $3,855
Colonoscopy with biopsy: 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $608.63 Aetna — All Non-Gatekeeper Plans: $608.63 Aetna — Exchange: $1,532.80 Aetna — Medicare Advantage: $1,179.08 Aids Healthcare Foundation — Managed Medi-Cal: $462.32 Aids Healthcare Foundation — Medicare Advantage: $1,202.66 Alignment Health Plan — Medicare Advantage: $1,179.08 Anthem Blue Cross — Covered California: $2,125.07 Anthem Blue Cross — IND1: $3,040.36 Anthem Blue Cross — INDX: $3,800.55
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	$16.67 – $3,855
Colonoscopy with biopsy: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $16.67 Blue Shield of California — EPO/PPO/Out of State: $20.81 Blue Shield of California — HMO: $19.11
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 2	Not listed in the file	Not listed in the file	$16.67 – $3,855
Colonoscopy with biopsy: rates for 1 insurance plan Cigna — Commercial: $3,855
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	$16.67 – $3,855
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $721.14 Aetna — All Non-Gatekeeper Plans: $721.14 Aetna — Exchange: $1,532.80 Aetna — Medicare Advantage: $1,179.08 Aids Healthcare Foundation — Managed Medi-Cal: $560.31 Aids Healthcare Foundation — Medicare Advantage: $1,202.66 Alignment Health Plan — Medicare Advantage: $1,179.08 Anthem Blue Cross — Covered California: $2,125.07 Anthem Blue Cross — IND1: $3,040.36 Anthem Blue Cross — INDX: $3,800.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lesion removal colonoscopy	Not listed in the file	Not listed in the file	$16.67 – $3,855
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $16.67 Blue Shield of California — EPO/PPO/Out of State: $20.81 Blue Shield of California — HMO: $19.11
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 2	Not listed in the file	Not listed in the file	$16.67 – $3,855
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Cigna — Commercial: $3,855
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	$16.67 – $3,855
Ultrasound of the lower bowel by endoscope: 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $694.48 Aetna — All Non-Gatekeeper Plans: $694.48 Aetna — Exchange: $1,532.80 Aetna — Medicare Advantage: $1,179.08 Aids Healthcare Foundation — Managed Medi-Cal: $237.51 Aids Healthcare Foundation — Medicare Advantage: $1,202.66 Alignment Health Plan — Medicare Advantage: $1,179.08 Anthem Blue Cross — Covered California: $2,125.07 Anthem Blue Cross — IND1: $3,040.36 Anthem Blue Cross — INDX: $3,800.55
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	$16.67 – $3,855
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $16.67 Blue Shield of California — EPO/PPO/Out of State: $20.81 Blue Shield of California — HMO: $19.11
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 2	Not listed in the file	Not listed in the file	$16.67 – $3,855
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan Cigna — Commercial: $3,855
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	$14.79 – $3,855
Screening colonoscopy (not high risk): 10 of 32 insurance plan rates Aetna — Exchange: $1,185.22 Aetna — Medicare Advantage: $911.71 Aids Healthcare Foundation — Medicare Advantage: $929.94 Alignment Health Plan — Medicare Advantage: $911.71 Anthem Blue Cross — Covered California: $1,643.18 Anthem Blue Cross — IND1: $2,350.92 Anthem Blue Cross — INDX: $2,938.73 Anthem Blue Cross — Medicare Advantage: $911.71 Blue Shield of California — Covered California/IFP/PPO: $14.79 Blue Shield of California — EPO/PPO/Out of State: $18.46
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	$14.79 – $3,855
Screening colonoscopy (not high risk): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $471.46 Aetna — All Non-Gatekeeper Plans: $471.46
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 2	Not listed in the file	Not listed in the file	$14.79 – $3,855
Screening colonoscopy (not high risk): rates for 1 insurance plan Cigna — Commercial: $3,855
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	$85.45 – $18,806.01
Gallbladder removal by laparoscope: 10 of 34 insurance plan rates Aetna — All Gatekeeper Plans: $1,665.76 Aetna — All Non-Gatekeeper Plans: $1,665.76 Aetna — Exchange: $7,584.67 Aetna — Medicare Advantage: $5,834.36 Aids Healthcare Foundation — Managed Medi-Cal: $652.57 Aids Healthcare Foundation — Medicare Advantage: $5,951.05 Alignment Health Plan — Medicare Advantage: $5,834.36 Anthem Blue Cross — Covered California: $10,515.32 Anthem Blue Cross — IND1: $15,044.41 Anthem Blue Cross — INDX: $18,806.01
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	$85.45 – $18,806.01
Gallbladder removal by laparoscope: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $85.45 Blue Shield of California — EPO/PPO/Out of State: $106.63 Blue Shield of California — HMO: $97.93
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 9	Not listed in the file	Not listed in the file	$85.45 – $18,806.01
Gallbladder removal by laparoscope: rates for 1 insurance plan Cigna — Commercial: $6,187
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	$58.61 – $11,375.28
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates Aetna — Exchange: $4,587.78 Aetna — Medicare Advantage: $3,529.06 Aids Healthcare Foundation — Managed Medi-Cal: $481.61 Aids Healthcare Foundation — Medicare Advantage: $3,599.64 Alignment Health Plan — Medicare Advantage: $3,529.06 Anthem Blue Cross — Covered California: $6,360.45 Anthem Blue Cross — IND1: $9,099.99 Anthem Blue Cross — INDX: $11,375.28 Anthem Blue Cross — Medicare Advantage: $3,529.06 Blue Shield of California — Medicare Advantage: $3,529.06
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	$58.61 – $11,375.28
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $58.61 Blue Shield of California — EPO/PPO/Out of State: $73.14 Blue Shield of California — HMO: $67.17
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RPR I/HERN INIT REDUC>5 YR	Not listed in the file	Not listed in the file	$58.61 – $11,375.28
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $1,159.85 Aetna — All Non-Gatekeeper Plans: $1,159.85
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APC	Not listed in the file	Not listed in the file	$24.63 – $6,602.99
Prostate biopsy: 10 of 27 insurance plan rates Aetna — Exchange: $2,663.06 Aetna — Medicare Advantage: $2,048.51 Aids Healthcare Foundation — Medicare Advantage: $2,089.48 Alignment Health Plan — Medicare Advantage: $2,048.51 Anthem Blue Cross — Covered California: $3,692.04 Anthem Blue Cross — IND1: $5,282.25 Anthem Blue Cross — INDX: $6,602.99 Anthem Blue Cross — Medicare Advantage: $2,048.51 Blue Shield of California — Medicare Advantage: $2,048.51 Bright Health — Covered California: $2,253.36
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fee Schedule	Not listed in the file	Not listed in the file	$24.63 – $6,602.99
Prostate biopsy: rates for 3 insurance plans Aids Healthcare Foundation — Managed Medi-Cal: $122.49 Blue Shield Promise — Medi-Cal: $87.49 Health Net of California — Managed Medi-Cal: $96.24
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$24.63 – $6,602.99
Prostate biopsy: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $24.63 Blue Shield of California — EPO/PPO/Out of State: $30.74 Blue Shield of California — HMO: $28.23
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	$953.26 – $33,558.67
Prostate removal by laparoscope (radical prostatectomy): 10 of 31 insurance plan rates Aetna — Exchange: $13,534.59 Aetna — Medicare Advantage: $10,411.22 Aids Healthcare Foundation — Managed Medi-Cal: $1,334.56 Aids Healthcare Foundation — Medicare Advantage: $10,619.44 Alignment Health Plan — Medicare Advantage: $10,411.22 Anthem Blue Cross — Covered California: $18,764.23 Anthem Blue Cross — IND1: $26,846.24 Anthem Blue Cross — INDX: $33,558.67 Anthem Blue Cross — Medicare Advantage: $10,411.22 Blue Shield of California — Medicare Advantage: $10,411.22
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$953.26 – $33,558.67
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans Aetna — All Gatekeeper Plans: $4,389.90 Aetna — All Non-Gatekeeper Plans: $4,389.90
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING	Not listed in the file	Not listed in the file	$953.26 – $33,558.67
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan United Healthcare — Commercial All Plans: $16,013
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	$40.95 – $10,248.62
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates Aetna — Exchange: $4,133.39 Aetna — Medicare Advantage: $3,179.53 Aids Healthcare Foundation — Managed Medi-Cal: $245.45 Aids Healthcare Foundation — Medicare Advantage: $3,243.12 Alignment Health Plan — Medicare Advantage: $3,179.53 Anthem Blue Cross — Covered California: $5,730.48 Anthem Blue Cross — IND1: $8,198.68 Anthem Blue Cross — INDX: $10,248.62 Anthem Blue Cross — Medicare Advantage: $3,179.53 Blue Shield of California — Medicare Advantage: $3,179.53
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	$40.95 – $10,248.62
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $40.95 Blue Shield of California — EPO/PPO/Out of State: $51.10 Blue Shield of California — HMO: $46.93
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	$40.95 – $10,248.62
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $664.02 Aetna — All Non-Gatekeeper Plans: $664.02
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	$12.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,521
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $234.27 Aetna — All Non-Gatekeeper Plans: $234.27 Aetna — Exchange: $900.28 Aetna — Medicare Advantage: $692.52 Aids Healthcare Foundation — Managed Medi-Cal: $308.04 Aids Healthcare Foundation — Medicare Advantage: $706.37 Alignment Health Plan — Medicare Advantage: $692.52 Anthem Blue Cross — Covered California: $1,248.14 Anthem Blue Cross — IND1: $1,785.73 Anthem Blue Cross — INDX: $2,232.22
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	$12.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,521
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $12.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $16.10 Blue Shield of California — HMO: $14.79
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 1	Not listed in the file	Not listed in the file	$12.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,521
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Cigna — Commercial: $3,521
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	$13.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,521
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $236.71 Aetna — All Non-Gatekeeper Plans: $236.71 Aetna — Exchange: $1,157.38 Aetna — Medicare Advantage: $890.29 Aids Healthcare Foundation — Managed Medi-Cal: $200.68 Aids Healthcare Foundation — Medicare Advantage: $908.10 Alignment Health Plan — Medicare Advantage: $890.29 Anthem Blue Cross — Covered California: $1,604.58 Anthem Blue Cross — IND1: $2,295.69 Anthem Blue Cross — INDX: $2,869.69
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$13.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,521
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $13.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $16.60 Blue Shield of California — HMO: $15.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 1	Not listed in the file	Not listed in the file	$13.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,521
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan Cigna — Commercial: $3,521
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	$33.61 – $6,294.41
Carpal tunnel release: 10 of 32 insurance plan rates Aetna — Exchange: $2,538.60 Aetna — Medicare Advantage: $1,952.77 Aids Healthcare Foundation — Managed Medi-Cal: $443.56 Aids Healthcare Foundation — Medicare Advantage: $1,991.83 Alignment Health Plan — Medicare Advantage: $1,952.77 Anthem Blue Cross — Covered California: $3,519.50 Anthem Blue Cross — IND1: $5,035.40 Anthem Blue Cross — INDX: $6,294.41 Anthem Blue Cross — Medicare Advantage: $1,952.77 Blue Shield of California — Medicare Advantage: $1,952.77
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	$33.61 – $6,294.41
Carpal tunnel release: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $33.61 Blue Shield of California — EPO/PPO/Out of State: $41.94 Blue Shield of California — HMO: $38.52
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REVISE MEDIAN NERVE AT WRIST	Not listed in the file	Not listed in the file	$33.61 – $6,294.41
Carpal tunnel release: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $975.45 Aetna — All Non-Gatekeeper Plans: $975.45
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	$9.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,855
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates Aetna — Exchange: $713.18 Aetna — Medicare Advantage: $548.60 Aids Healthcare Foundation — Managed Medi-Cal: $260.61 Aids Healthcare Foundation — Medicare Advantage: $559.57 Alignment Health Plan — Medicare Advantage: $548.60 Anthem Blue Cross — Covered California: $988.75 Anthem Blue Cross — IND1: $1,414.62 Anthem Blue Cross — INDX: $1,768.32 Anthem Blue Cross — Medicare Advantage: $548.60 Blue Shield of California — Medicare Advantage: $548.60
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	$9.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,855
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $9.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Shield of California — EPO/PPO/Out of State: $12.02 Blue Shield of California — HMO: $11.04
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LASERING, SECONDARY CATARACT	Not listed in the file	Not listed in the file	$9.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,855
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $669.94 Aetna — All Non-Gatekeeper Plans: $669.94
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	$42.50 – $7,351.51
Cataract removal with lens implant: 10 of 33 insurance plan rates Aetna — All Gatekeeper Plans: $1,639.35 Aetna — All Non-Gatekeeper Plans: $1,639.35 Aetna — Exchange: $2,964.95 Aetna — Medicare Advantage: $2,280.73 Aids Healthcare Foundation — Managed Medi-Cal: $1,407.29 Aids Healthcare Foundation — Medicare Advantage: $2,326.34 Alignment Health Plan — Medicare Advantage: $2,280.73 Anthem Blue Cross — Covered California: $4,110.58 Anthem Blue Cross — IND1: $5,881.06 Anthem Blue Cross — INDX: $7,351.51
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$42.50 – $7,351.51
Cataract removal with lens implant: rates for 3 insurance plans Blue Shield of California — Covered California/IFP/PPO: $42.50 Blue Shield of California — EPO/PPO/Out of State: $53.04 Blue Shield of California — HMO: $48.71
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 8	Not listed in the file	Not listed in the file	$42.50 – $7,351.51
Cataract removal with lens implant: rates for 1 insurance plan Cigna — Commercial: $5,853

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	$1,390.14 – $5,227.11
Vaginal delivery, with care before and after: 10 of 28 insurance plan rates Aetna — Exchange: $2,998.50 Aetna — Medicare Advantage: $2,306.54 Aids Healthcare Foundation — Managed Medi-Cal: $1,946.20 Aids Healthcare Foundation — Medicare Advantage: $2,352.67 Alignment Health Plan — Medicare Advantage: $2,306.54 Anthem Blue Cross — Medicare Advantage: $2,306.54 Blue Shield of California — Medicare Advantage: $2,306.54 Blue Shield Promise — Medi-Cal: $1,390.14 Bright Health — Covered California: $2,537.20 Bright Health — Medicare Advantage: $2,352.67
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL OBSTETRIC CARE	Not listed in the file	Not listed in the file	$1,390.14 – $5,227.11
Vaginal delivery, with care before and after: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $5,227.11 Aetna — All Non-Gatekeeper Plans: $5,227.11
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	$1,390.97 – $5,227.11
Cesarean delivery (C-section), with care before and after: 10 of 28 insurance plan rates Aetna — Exchange: $3,305.75 Aetna — Medicare Advantage: $2,542.89 Aids Healthcare Foundation — Managed Medi-Cal: $1,947.36 Aids Healthcare Foundation — Medicare Advantage: $2,593.74 Alignment Health Plan — Medicare Advantage: $2,542.89 Anthem Blue Cross — Medicare Advantage: $2,542.89 Blue Shield of California — Medicare Advantage: $2,542.89 Blue Shield Promise — Medi-Cal: $1,390.97 Bright Health — Covered California: $2,797.17 Bright Health — Medicare Advantage: $2,593.74
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC CARE/C-SECTION	Not listed in the file	Not listed in the file	$1,390.97 – $5,227.11
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $5,227.11 Aetna — All Non-Gatekeeper Plans: $5,227.11
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	$1,390.14 – $5,227.11
Vaginal delivery after a previous C-section, with care before and after: 10 of 30 insurance plan rates Aetna — All Gatekeeper Plans: $5,227.11 Aetna — All Non-Gatekeeper Plans: $5,227.11 Aetna — Exchange: $3,114.19 Aetna — Medicare Advantage: $2,395.53 Aids Healthcare Foundation — Managed Medi-Cal: $1,946.20 Aids Healthcare Foundation — Medicare Advantage: $2,443.44 Alignment Health Plan — Medicare Advantage: $2,395.53 Anthem Blue Cross — Medicare Advantage: $2,395.53 Blue Shield of California — Medicare Advantage: $2,395.53 Blue Shield Promise — Medi-Cal: $1,390.14

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	$56,991 – $224,979.11
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 37 insurance plan rates Aetna — All Gatekeeper Plans: $56,991 Aetna — All Non-Gatekeeper Plans: $67,489 Aetna — Exchange: $134,470.27 Aetna — Medicare Advantage: $103,438.67 Aids Healthcare Foundation — Medicare Advantage: $105,507.44 Alignment Health Plan — Medicare Advantage: $103,438.67 Anthem Blue Cross — Covered California: $107,048 Anthem Blue Cross — IND1: $150,488.81 Anthem Blue Cross — INDX: $188,103.68 Anthem Blue Cross — Medicare Advantage: $103,438.67
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Outpatient (no overnight 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	$232,737.01
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan Kaiser — Commercial: $232,737.01
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spine Surgery	Not listed in the file	Not listed in the file	$14,543
Spinal fusion (not neck), without major complications: rates for 2 insurance plans Aetna — All Gatekeeper Plans: $14,543 Aetna — All Non-Gatekeeper Plans: $14,543
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	$16,966 – $44,666.71
Hip or knee replacement (major joint of the leg), without major complications: 10 of 37 insurance plan rates Aetna — All Gatekeeper Plans: $16,966 Aetna — All Non-Gatekeeper Plans: $16,966 Aetna — Exchange: $26,697.35 Aetna — Medicare Advantage: $20,536.42 Aids Healthcare Foundation — Medicare Advantage: $20,947.15 Alignment Health Plan — Medicare Advantage: $20,536.42 Anthem Blue Cross — Covered California: $21,106.93 Anthem Blue Cross — IND1: $29,672.27 Anthem Blue Cross — INDX: $37,088.89 Anthem Blue Cross — Medicare Advantage: $20,536.42
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Outpatient (no overnight 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	$46,206.95
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan Kaiser — Commercial: $46,206.95
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	$14,543 – $56,430.57
Neck (cervical) spinal fusion, without complications: 10 of 37 insurance plan rates Aetna — All Gatekeeper Plans: $14,543 Aetna — All Non-Gatekeeper Plans: $14,543 Aetna — Exchange: $33,728.62 Aetna — Medicare Advantage: $25,945.09 Aids Healthcare Foundation — Medicare Advantage: $26,463.99 Alignment Health Plan — Medicare Advantage: $25,945.09 Anthem Blue Cross — Covered California: $26,713.85 Anthem Blue Cross — IND1: $37,554.52 Anthem Blue Cross — INDX: $46,941.32 Anthem Blue Cross — Medicare Advantage: $25,945.09
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$58,376.45
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Kaiser — Commercial: $58,376.45
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	$13,272.09 – $28,866.80
Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates Aetna — Exchange: $17,253.72 Aetna — Medicare Advantage: $13,272.09 Aids Healthcare Foundation — Medicare Advantage: $13,537.53 Alignment Health Plan — Medicare Advantage: $13,272.09 Anthem Blue Cross — Covered California: $13,576.32 Anthem Blue Cross — IND1: $19,085.69 Anthem Blue Cross — INDX: $23,856.18 Anthem Blue Cross — Medicare Advantage: $13,272.09 Blue Shield of California — Covered California/IFP/PPO: $14,677.48 Blue Shield of California — EPO/PPO/Out of State: $18,346.23
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Outpatient (no overnight 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	$29,862.20
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Kaiser — Commercial: $29,862.20

Source: Southern California Hospital at Hollywood’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 18, 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	6245 de Longpre Ave, Hollywood, CA 90028
County	Los Angeles County
State	California
Phone	(323) 462‑2271
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
CMS Certification Number	050135
Name in Medicare records	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
Profile level	Medicare data + hospital website
Official website	sch-hollywood.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.

Southern California Hospital at Hollywood — sch-hollywood.com
Specialties — sch-hollywood.com
Awards — sch-hollywood.com
Visiting Guidelines — sch-hollywood.com
Southern California Hospital at Hollywood — sch-hollywood.com
Cardiology Services | SCH Hollywood — sch-hollywood.com
Imaging and Radiology Services | SCH Hollywood — sch-hollywood.com
Surgical Services | SCH Hollywood — sch-hollywood.com
Gender Confirmation Surgery | SCH Hollywood — sch-hollywood.com
Ear, Nose and Throat Services | SCH Hollywood — sch-hollywood.com
Vascular Services | SCH Hollywood — sch-hollywood.com
Contact Us | SCH Hollywood — sch-hollywood.com
Critical Care/ICU | SCH Hollywood — sch-hollywood.com
Urgent Care | SCH Hollywood — sch-hollywood.com