Does St Joseph's Medical Center of Stockton have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Joseph's Medical Center of Stockton. In a medical emergency, call 911.

Where is St Joseph's Medical Center of Stockton?

1800 N California St, Stockton, CA 95204, in San Joaquin County, California.

What is the phone number of St Joseph's Medical Center of Stockton?

(209) 943-2000, as listed by Medicare (CMS).

What is the Medicare star rating of St Joseph's Medical Center of Stockton?

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

St Joseph's Medical Center of Stockton

Quick answers

Does St Joseph's Medical Center of Stockton have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Joseph's Medical Center of Stockton. In a medical emergency, call 911.
Where is St Joseph's Medical Center of Stockton?: 1800 N California St, Stockton, CA 95204, in San Joaquin County, California.
What is the phone number of St Joseph's Medical Center of Stockton?: (209) 943-2000, as listed by Medicare (CMS).
What is the Medicare star rating of St Joseph's Medical Center of Stockton?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cancer Care
General Surgery
Heart Care
Interventional Radiology
Maternity Care
Neonatal Intensive Care
Neurological Care
Orthopedic Care
Pediatric Care
Spine Care
Vascular Care
Women's Health
Cardiology (heart care)
Neurology
Radiation oncology
Physical therapy and rehabilitation

Programs and centers^[4]

Morrissey Family Heart & Vascular Institute
St Joseph's Cancer Institute
Neurology and Stroke Center
Family Birth Center
Rehabilitation Therapy
Surgery Center

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours 9 a.m.-9 p.m.; visitors 16 or older with ID, one visitor per room^[4]
Parking	Patient and visitor parking available 24 hours a day^[4]
Patient portal	My Portal by Dignity Health

Doctors and clinicians (525)

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

Main specialties

Doctors with a page on this site (525)

Abdul W. Khan, MDInternal Medicine
Abdullah M. Khalid, MDHospitalist
Abhijit Patil, MDDiagnostic Radiology
Abhinandan Anand Raman, MDInfectious Disease
Ace J. Panes, CNACertified Registered Nurse Anesthetist (CRNA)
Adam Gardizi, CNACertified Registered Nurse Anesthetist (CRNA)
Adarshdeep Kaur, NPNurse Practitioner
Adeel J. Ahmed, MDInternal Medicine
Adeline Domkam, NPNurse Practitioner
Adnan Khan, MDCardiovascular Disease (Cardiology)
Adnan Malik, MDGastroenterology
Ajay K. Toppur Ramanakumar, MDCardiovascular Disease (Cardiology)
Ajay Rachakonda, MDNephrology
Ajaykumar N. Amin, DOObstetrics/Gynecology
Ajithkumar Puthillath, MDMedical Oncology
Ajitpal S. Sethi, MDSleep Medicine
Alaa Gabi, MDInterventional Cardiology
Alan Dean, MDAnesthesiology
Alan T. Kawaguchi, MDOrthopedic Surgery
Alex C. Nee, MDCritical Care (Intensivists)
Alex H. Phan, MDPhysical Medicine and Rehabilitation
Alexander Hazel, DOPsychiatry
Alexander T. Chen, DOEmergency Medicine
Alexander W. Baradei, MDPsychiatry

And 501 more: the button below opens the full list.

Other emergency rooms nearby

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

Dameron Hospital0.8 mi · Stockton, CA · Acute Care Hospital
San Joaquin General Hospital5.7 mi · French Camp, CA · Acute Care Hospital
Kaiser Foundation Hospital Manteca12 mi · Manteca, CA · Acute Care Hospital
Doctors Hospital of Manteca13 mi · Manteca, CA · Acute Care Hospital
Adventist Health Lodi Memorial13 mi · Lodi, CA · Acute Care Hospital

Other hospitals nearby

Stockton Regional Rehabilitation Hospital0.3 mi · Stockton, CA · Inpatient Rehabilitation Hospital
St Joseph's Behavioral Health Center0.6 mi · Stockton, 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

Hampton Post Acute0.5 mi · Stockton, CA · 1 of 5 stars
Noble Care Center0.6 mi · Stockton, CA · 2 of 5 stars
Good Samaritan Rehab and Care Center0.6 mi · Stockton, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Infinity Care Services Hospice0.6 mi · Stockton, CA
Hospice of San Joaquin1.7 mi · Stockton, CA · 5 of 5 stars
Prohealth Home Care, Inc3.1 mi · Stockton, CA

All hospice providers in the state →

Home health agencies

Home Health of California Inc0.6 mi · Stockton, CA · 2 of 5 stars
Infinity Care Services, Inc0.6 mi · Stockton, CA
1st Choice Home Healthcare3.1 mi · Stockton, CA

All home health agencies in the state →

Dialysis facilities

Fresenius N. California - Stockton1.7 mi · Stockton, CA · 3 of 5 stars
SHC University Park1.7 mi · Stockton, CA · 3 of 5 stars
DaVita Stockton Home Training Dialysis3.1 mi · Stockton, CA · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Ambulatory Surgery Center of Stockton1.6 mi · Stockton, CA
National Surgical Centers Stockton1.7 mi · Stockton, CA
San Joaquin Laser & Surgery Center1.7 mi · Stockton, 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

Children's Health Services0.1 mi · Stockton, CA · Community health center
Children's Health Services0.1 mi · Stockton, CA · Community health center
Family Practice Clinic California0.1 mi · Stockton, CA · Community health center

Clinics and urgent care

American Current Care of California, a Medical Corporation4.4 mi · Stockton, CA · Urgent care center
Pacific Urgent Care Inc6.5 mi · Stockton, CA · Urgent care center
Alshifa Medical Group Inc13 mi · Stockton, CA · Urgent care center

Pharmacies

County of San Joaquin0.6 mi · Stockton, CA · Clinic pharmacy
Day and Night Drug Store Inc0.6 mi · Stockton, CA · Community/retail pharmacy
East Main Medical Pharmacy1.6 mi · Stockton, CA · Clinic pharmacy

Assisted living nearby

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

Villa Teresa Memory Care Home1.6 mi · Stockton, CA
A1 del Monte Stockton1.7 mi · Stockton, CA
Bonnie's Place1.7 mi · Stockton, CA
Country Palms Care Home1.7 mi · Stockton, 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 St Joseph's Medical Center of Stockton reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	41%National average: 60%
Completed surveys	541Response rate: 14%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.537No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.08Better than the national benchmark
Surgical site infections after colon surgery	1.646No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.486No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.34Better 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	13.9%
Deaths within 30 days: heart failure patients	12.2%
Deaths within 30 days: pneumonia patients	18.4%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	9%
Deaths within 30 days: coronary bypass surgery (CABG)	2.4%
Serious complications (patient safety indicator PSI-90)	1.06No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.7%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	20.4%
Readmitted within 30 days: coronary bypass surgery	14.1%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	225 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)	58%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 Stockton Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as St Joseph's Medical Center of Stockton 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 →

$ 1 amount is marked with “!”: it is 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. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT LOW 30MN NW PT	$676	$183.79	$82.05 – $676
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $378.56 BCBS - Anthem — Commercial\|MCS: $676 BCBS - Anthem — Commercial\|Non-MCS: $520.52 BCBS - Anthem — Commercial\|Select PPO: $439.40 BCBS - Anthem — Medicaid\|> 21: $101.90 BCBS - Anthem — Medicaid\|All Other Plans: $101.90 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: VISIT LOW 30MN NW PT	$676	$183.79	$371.80
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Oscar — Commercial\|All Plans: $371.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT MDT 45MN NW PT	$451	$122.62	$94.71 – $451
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $252.56 BCBS - Anthem — Commercial\|MCS: $451 BCBS - Anthem — Commercial\|Non-MCS: $347.27 BCBS - Anthem — Commercial\|Select PPO: $293.15 BCBS - Anthem — Medicaid\|> 21: $122.74 BCBS - Anthem — Medicaid\|All Other Plans: $122.74 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK NEW PT	$451	$122.62	$94.71 – $26,377
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates BCBS - Anthem — Medicaid\|> 21: $122.74 BCBS - Anthem — Medicaid\|All Other Plans: $122.74 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163 Health Net — Medicaid\|All Plans: $321.58 HPSJ — Medicaid\|> 21: $98.83 HPSJ — Medicaid\|All Other Plans: $98.83 Kaiser — Commercial\|Affiliated Payers: $325
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK NEW PT	$451	$122.62	$248.05
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Oscar — Commercial\|All Plans: $248.05
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: VISIT HIGH 60MN NW PT	$901	$244.96	$118.62 – $901
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $504.56 BCBS - Anthem — Commercial\|MCS: $901 BCBS - Anthem — Commercial\|Non-MCS: $693.77 BCBS - Anthem — Commercial\|Select PPO: $585.65 BCBS - Anthem — Medicaid\|> 21: $147.33 BCBS - Anthem — Medicaid\|All Other Plans: $147.33 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: VISIT HIGH 60MN NW PT	$901	$244.96	$495.55
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Oscar — Commercial\|All Plans: $495.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT LOW 20MN EST PT	$676	$183.79	$34.43 – $676
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $378.56 BCBS - Anthem — Commercial\|MCS: $676 BCBS - Anthem — Commercial\|Non-MCS: $520.52 BCBS - Anthem — Commercial\|Select PPO: $439.40 BCBS - Anthem — Medicaid\|> 21: $42.76 BCBS - Anthem — Medicaid\|All Other Plans: $42.76 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT LOW 20MN EST PT	$676	$183.79	$371.80
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Oscar — Commercial\|All Plans: $371.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT MDT 30MN EST PT	$811	$220.49	$53.79 – $811
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $454.16 BCBS - Anthem — Commercial\|MCS: $811 BCBS - Anthem — Commercial\|Non-MCS: $624.47 BCBS - Anthem — Commercial\|Select PPO: $527.15 BCBS - Anthem — Medicaid\|> 21: $66.81 BCBS - Anthem — Medicaid\|All Other Plans: $66.81 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK EST PT	$811	$220.49	$53.79 – $26,377 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates BCBS - Anthem — Medicaid\|> 21: $66.81 BCBS - Anthem — Medicaid\|All Other Plans: $66.81 Blue Shield CA — Commercial\|All Other Plans: $178 Blue Shield CA — Commercial\|Calpers PPO: $175 Blue Shield CA — Commercial\|Exchange: $133 Blue Shield CA — Commercial\|Tandem: $163 Health Net — Medicaid\|All Plans: $175.04 HPSJ — Medicaid\|> 21: $53.79 HPSJ — Medicaid\|All Other Plans: $53.79 Kaiser — Commercial\|Affiliated Payers: $170.31
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK EST PT	$811	$220.49	$446.05
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Oscar — Commercial\|All Plans: $446.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3	$3,853	$1,047.53	$63.97 – $25,256
Emergency room visit (moderate): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $2,003.56 Aetna — Commercial\|HMO: $2,003.56 Aetna — Commercial\|PPO: $2,003.56 Aetna — Commercial\|Whole Health: $1,656.79 Aetna — Medicare\|All Plans: $382.52 Alignment Health — Medicare\|All Plans: $344.27 BCBS - Anthem — Commercial\|Exchange: $3,700 BCBS - Anthem — Commercial\|MCS: $7,122 BCBS - Anthem — Commercial\|Non-MCS: $5,069 BCBS - Anthem — Commercial\|Select PPO: $4,309
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3	$3,853	$1,047.53	$2,119.15
Emergency room visit (moderate): rates for 1 insurance plan Oscar — Commercial\|All Plans: $2,119.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4	$5,939	$1,614.65	$98.04 – $25,256
Emergency room visit (moderately high): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $3,088.28 Aetna — Commercial\|HMO: $3,088.28 Aetna — Commercial\|PPO: $3,088.28 Aetna — Commercial\|Whole Health: $2,553.77 Aetna — Medicare\|All Plans: $584.70 Alignment Health — Medicare\|All Plans: $526.23 BCBS - Anthem — Commercial\|Exchange: $7,396 BCBS - Anthem — Commercial\|MCS: $14,235 BCBS - Anthem — Commercial\|Non-MCS: $10,132 BCBS - Anthem — Commercial\|Select PPO: $8,612
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4	$5,939	$1,614.65	$3,266.45
Emergency room visit (moderately high): rates for 1 insurance plan Oscar — Commercial\|All Plans: $3,266.45
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5	$8,026	$2,182.04	$155.03 – $25,256
Emergency room visit (high): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,173.52 Aetna — Commercial\|HMO: $4,173.52 Aetna — Commercial\|PPO: $4,173.52 Aetna — Commercial\|Whole Health: $3,451.18 Aetna — Medicare\|All Plans: $834.51 Alignment Health — Medicare\|All Plans: $751.06 BCBS - Anthem — Commercial\|Exchange: $9,614 BCBS - Anthem — Commercial\|MCS: $18,504 BCBS - Anthem — Commercial\|Non-MCS: $13,170 BCBS - Anthem — Commercial\|Select PPO: $11,195
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5	$8,026	$2,182.04	$4,414.30
Emergency room visit (high): rates for 1 insurance plan Oscar — Commercial\|All Plans: $4,414.30

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$1,366	$371.38	$7.61 – $1,038.16
Basic metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $60.65 Aetna — Commercial\|HMO: $60.65 Aetna — Commercial\|PPO: $60.65 Aetna — Commercial\|Whole Health: $49.71 Aetna — Medicare\|All Plans: $8.46 Alignment Health — Medicare\|All Plans: $7.61 BCBS - Anthem — Commercial\|Exchange: $84.09 BCBS - Anthem — Commercial\|MCS: $161.90 BCBS - Anthem — Commercial\|Non-MCS: $115.27 BCBS - Anthem — Commercial\|Select PPO: $97.92
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: SJM-BASIC METABOLIC PANEL	$762	$207.17	$7.61 – $579.12
Basic metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $60.65 Aetna — Commercial\|HMO: $60.65 Aetna — Commercial\|PPO: $60.65 Aetna — Commercial\|Whole Health: $49.71 Aetna — Medicare\|All Plans: $8.46 Alignment Health — Medicare\|All Plans: $7.61 BCBS - Anthem — Commercial\|Exchange: $84.09 BCBS - Anthem — Commercial\|MCS: $161.90 BCBS - Anthem — Commercial\|Non-MCS: $115.27 BCBS - Anthem — Commercial\|Select PPO: $97.92
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$1,366	$371.38	$751.30
Basic metabolic panel (blood test): rates for 1 insurance plan Oscar — Commercial\|All Plans: $751.30
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$1,575	$428.20	$9.50 – $1,197
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $75.67 Aetna — Commercial\|HMO: $75.67 Aetna — Commercial\|PPO: $75.67 Aetna — Commercial\|Whole Health: $62.02 Aetna — Medicare\|All Plans: $10.56 Alignment Health — Medicare\|All Plans: $9.50 BCBS - Anthem — Commercial\|Exchange: $105.17 BCBS - Anthem — Commercial\|MCS: $202.47 BCBS - Anthem — Commercial\|Non-MCS: $144.15 BCBS - Anthem — Commercial\|Select PPO: $122.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: SJM-COMP METABOLIC PNL	$941	$255.84	$9.50 – $715.16
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $75.67 Aetna — Commercial\|HMO: $75.67 Aetna — Commercial\|PPO: $75.67 Aetna — Commercial\|Whole Health: $62.02 Aetna — Medicare\|All Plans: $10.56 Alignment Health — Medicare\|All Plans: $9.50 BCBS - Anthem — Commercial\|Exchange: $105.17 BCBS - Anthem — Commercial\|MCS: $202.47 BCBS - Anthem — Commercial\|Non-MCS: $144.15 BCBS - Anthem — Commercial\|Select PPO: $122.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL	$1,575	$428.20	$866.25
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Oscar — Commercial\|All Plans: $866.25
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	$576	$156.60	$43.03 – $437.76
Obstetric blood test panel: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $324.38 Aetna — Commercial\|HMO: $324.38 Aetna — Commercial\|PPO: $324.38 Aetna — Commercial\|Whole Health: $265.88 Aetna — Medicare\|All Plans: $47.81 Alignment Health — Medicare\|All Plans: $43.03 BCBS - Anthem — Commercial\|Exchange: $163.64 BCBS - Anthem — Commercial\|MCS: $315.04 BCBS - Anthem — Commercial\|Non-MCS: $224.30 BCBS - Anthem — Commercial\|Select PPO: $190.54
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	$576	$156.60	$316.80
Obstetric blood test panel: rates for 1 insurance plan Oscar — Commercial\|All Plans: $316.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$1,015	$275.95	$12.05 – $771.40
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $95.97 Aetna — Commercial\|HMO: $95.97 Aetna — Commercial\|PPO: $95.97 Aetna — Commercial\|Whole Health: $78.66 Aetna — Medicare\|All Plans: $13.39 Alignment Health — Medicare\|All Plans: $12.05 BCBS - Anthem — Commercial\|Exchange: $133.06 BCBS - Anthem — Commercial\|MCS: $256.18 BCBS - Anthem — Commercial\|Non-MCS: $182.39 BCBS - Anthem — Commercial\|Select PPO: $154.94
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-CRISK E 20468A	$10.60	$2.89	$2.23 – $78.40
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $10.60 Aetna — Commercial\|HMO: $10.60 Aetna — Commercial\|PPO: $10.60 Aetna — Commercial\|Whole Health: $10.60 Aetna — Medicare\|All Plans: $10.60 Alignment Health — Medicare\|All Plans: $9.54 BCBS - Anthem — Commercial\|Exchange: $6.68 BCBS - Anthem — Commercial\|MCS: $10.60 BCBS - Anthem — Commercial\|Non-MCS: $9.12 BCBS - Anthem — Commercial\|Select PPO: $7.74
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPOELECT 80503B	$20.34	$5.53	$4.28 – $78.40
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $20.34 Aetna — Commercial\|HMO: $20.34 Aetna — Commercial\|PPO: $20.34 Aetna — Commercial\|Whole Health: $20.34 Aetna — Medicare\|All Plans: $13.39 Alignment Health — Medicare\|All Plans: $12.05 BCBS - Anthem — Commercial\|Exchange: $12.82 BCBS - Anthem — Commercial\|MCS: $20.34 BCBS - Anthem — Commercial\|Non-MCS: $17.50 BCBS - Anthem — Commercial\|Select PPO: $14.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$1,496	$406.72	$7.81 – $1,136.96
Kidney function panel: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $62.18 Aetna — Commercial\|HMO: $62.18 Aetna — Commercial\|PPO: $62.18 Aetna — Commercial\|Whole Health: $50.96 Aetna — Medicare\|All Plans: $8.68 Alignment Health — Medicare\|All Plans: $7.81 BCBS - Anthem — Commercial\|Exchange: $86.23 BCBS - Anthem — Commercial\|MCS: $166.02 BCBS - Anthem — Commercial\|Non-MCS: $118.20 BCBS - Anthem — Commercial\|Select PPO: $100.41
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: SJM-RENAL FUNCT PANEL	$941	$255.84	$7.81 – $715.16
Kidney function panel: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $62.18 Aetna — Commercial\|HMO: $62.18 Aetna — Commercial\|PPO: $62.18 Aetna — Commercial\|Whole Health: $50.96 Aetna — Medicare\|All Plans: $8.68 Alignment Health — Medicare\|All Plans: $7.81 BCBS - Anthem — Commercial\|Exchange: $86.23 BCBS - Anthem — Commercial\|MCS: $166.02 BCBS - Anthem — Commercial\|Non-MCS: $118.20 BCBS - Anthem — Commercial\|Select PPO: $100.41
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$1,496	$406.72	$822.80
Kidney function panel: rates for 1 insurance plan Oscar — Commercial\|All Plans: $822.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$1,497	$407	$7.35 – $1,137.72
Liver function panel: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $58.50 Aetna — Commercial\|HMO: $58.50 Aetna — Commercial\|PPO: $58.50 Aetna — Commercial\|Whole Health: $47.95 Aetna — Medicare\|All Plans: $8.17 Alignment Health — Medicare\|All Plans: $7.35 BCBS - Anthem — Commercial\|Exchange: $81.22 BCBS - Anthem — Commercial\|MCS: $156.36 BCBS - Anthem — Commercial\|Non-MCS: $111.32 BCBS - Anthem — Commercial\|Select PPO: $94.57
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: SJM-HEP FUNCT PANEL	$776	$210.98	$7.35 – $589.76
Liver function panel: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $58.50 Aetna — Commercial\|HMO: $58.50 Aetna — Commercial\|PPO: $58.50 Aetna — Commercial\|Whole Health: $47.95 Aetna — Medicare\|All Plans: $8.17 Alignment Health — Medicare\|All Plans: $7.35 BCBS - Anthem — Commercial\|Exchange: $81.22 BCBS - Anthem — Commercial\|MCS: $156.36 BCBS - Anthem — Commercial\|Non-MCS: $111.32 BCBS - Anthem — Commercial\|Select PPO: $94.57
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$1,497	$407	$823.35
Liver function panel: rates for 1 insurance plan Oscar — Commercial\|All Plans: $823.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: SJM-UA AUTO W MICRO	$362	$98.42	$2.85 – $275.12
Urine test (automated, with microscope): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $22.63 Aetna — Commercial\|HMO: $22.63 Aetna — Commercial\|PPO: $22.63 Aetna — Commercial\|Whole Health: $18.55 Aetna — Medicare\|All Plans: $3.17 Alignment Health — Medicare\|All Plans: $2.85 BCBS - Anthem — Commercial\|Exchange: $30.37 BCBS - Anthem — Commercial\|MCS: $58.48 BCBS - Anthem — Commercial\|Non-MCS: $41.63 BCBS - Anthem — Commercial\|Select PPO: $35.37
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO	$631	$171.56	$2.85 – $479.56
Urine test (automated, with microscope): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $22.63 Aetna — Commercial\|HMO: $22.63 Aetna — Commercial\|PPO: $22.63 Aetna — Commercial\|Whole Health: $18.55 Aetna — Medicare\|All Plans: $3.17 Alignment Health — Medicare\|All Plans: $2.85 BCBS - Anthem — Commercial\|Exchange: $30.37 BCBS - Anthem — Commercial\|MCS: $58.48 BCBS - Anthem — Commercial\|Non-MCS: $41.63 BCBS - Anthem — Commercial\|Select PPO: $35.37
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: SJM-UA AUTO W MICRO	$362	$98.42	$199.10
Urine test (automated, with microscope): rates for 1 insurance plan Oscar — Commercial\|All Plans: $199.10
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NONAUTO W/O MICRO NONL	$89	$24.20	$3.08 – $67.64
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $18.33 Aetna — Commercial\|HMO: $18.33 Aetna — Commercial\|PPO: $18.33 Aetna — Commercial\|Whole Health: $15.03 Aetna — Medicare\|All Plans: $3.48 Alignment Health — Medicare\|All Plans: $3.13 BCBS - Anthem — Commercial\|Exchange: $23.62 BCBS - Anthem — Commercial\|MCS: $45.47 BCBS - Anthem — Commercial\|Non-MCS: $32.37 BCBS - Anthem — Commercial\|Select PPO: $27.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NONAUTO WO MICRO	$85	$23.11	$3.08 – $64.60
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $18.33 Aetna — Commercial\|HMO: $18.33 Aetna — Commercial\|PPO: $18.33 Aetna — Commercial\|Whole Health: $15.03 Aetna — Medicare\|All Plans: $3.48 Alignment Health — Medicare\|All Plans: $3.13 BCBS - Anthem — Commercial\|Exchange: $23.62 BCBS - Anthem — Commercial\|MCS: $45.47 BCBS - Anthem — Commercial\|Non-MCS: $32.37 BCBS - Anthem — Commercial\|Select PPO: $27.50
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: UA NONAUTO W/O MICRO NONL	$89	$24.20	$48.95
Urine test (manual, without microscope): rates for 1 insurance plan Oscar — Commercial\|All Plans: $48.95
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO	$185	$50.30	$2.02 – $140.60
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $16.07 Aetna — Commercial\|HMO: $16.07 Aetna — Commercial\|PPO: $16.07 Aetna — Commercial\|Whole Health: $13.17 Aetna — Medicare\|All Plans: $2.25 Alignment Health — Medicare\|All Plans: $2.02 BCBS - Anthem — Commercial\|Exchange: $22.34 BCBS - Anthem — Commercial\|MCS: $43.02 BCBS - Anthem — Commercial\|Non-MCS: $30.63 BCBS - Anthem — Commercial\|Select PPO: $26.02
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO LAB	$126	$34.26	$2.02 – $95.76
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $16.07 Aetna — Commercial\|HMO: $16.07 Aetna — Commercial\|PPO: $16.07 Aetna — Commercial\|Whole Health: $13.17 Aetna — Medicare\|All Plans: $2.25 Alignment Health — Medicare\|All Plans: $2.02 BCBS - Anthem — Commercial\|Exchange: $22.34 BCBS - Anthem — Commercial\|MCS: $43.02 BCBS - Anthem — Commercial\|Non-MCS: $30.63 BCBS - Anthem — Commercial\|Select PPO: $26.02
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO WO MICRO	$185	$50.30	$101.75
Urine test (automated, without microscope): rates for 1 insurance plan Oscar — Commercial\|All Plans: $101.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: MH-ASSAY OF PSA TOTAL	$312	$84.83	$16.55 – $312
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $131.78 Aetna — Commercial\|HMO: $131.78 Aetna — Commercial\|PPO: $131.78 Aetna — Commercial\|Whole Health: $108.01 Aetna — Medicare\|All Plans: $18.39 Alignment Health — Medicare\|All Plans: $16.55 BCBS - Anthem — Commercial\|Exchange: $182.77 BCBS - Anthem — Commercial\|MCS: $312 BCBS - Anthem — Commercial\|Non-MCS: $250.52 BCBS - Anthem — Commercial\|Select PPO: $212.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$287	$78.03	$16.55 – $287
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $131.78 Aetna — Commercial\|HMO: $131.78 Aetna — Commercial\|PPO: $131.78 Aetna — Commercial\|Whole Health: $108.01 Aetna — Medicare\|All Plans: $18.39 Alignment Health — Medicare\|All Plans: $16.55 BCBS - Anthem — Commercial\|Exchange: $180.81 BCBS - Anthem — Commercial\|MCS: $287 BCBS - Anthem — Commercial\|Non-MCS: $246.82 BCBS - Anthem — Commercial\|Select PPO: $209.51
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA FP 80206A	$5	$1.36	$1.05 – $107.68
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $5 Aetna — Commercial\|HMO: $5 Aetna — Commercial\|PPO: $5 Aetna — Commercial\|Whole Health: $5 Aetna — Medicare\|All Plans: $5 Alignment Health — Medicare\|All Plans: $4.50 BCBS - Anthem — Commercial\|Exchange: $3.15 BCBS - Anthem — Commercial\|MCS: $5 BCBS - Anthem — Commercial\|Non-MCS: $4.30 BCBS - Anthem — Commercial\|Select PPO: $3.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: H-NEWBORN SCREEN 69750	$21	$5.71	$4.41 – $98.40
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $21 Aetna — Commercial\|HMO: $21 Aetna — Commercial\|PPO: $21 Aetna — Commercial\|Whole Health: $21 Aetna — Medicare\|All Plans: $16.80 Alignment Health — Medicare\|All Plans: $15.12 BCBS - Anthem — Commercial\|Exchange: $13.23 BCBS - Anthem — Commercial\|MCS: $21 BCBS - Anthem — Commercial\|Non-MCS: $18.06 BCBS - Anthem — Commercial\|Select PPO: $15.33
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: H-TSH 7827	$1,234	$335.49	$15.12 – $937.84
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $120.31 Aetna — Commercial\|HMO: $120.31 Aetna — Commercial\|PPO: $120.31 Aetna — Commercial\|Whole Health: $98.61 Aetna — Medicare\|All Plans: $16.80 Alignment Health — Medicare\|All Plans: $15.12 BCBS - Anthem — Commercial\|Exchange: $166.98 BCBS - Anthem — Commercial\|MCS: $321.48 BCBS - Anthem — Commercial\|Non-MCS: $228.88 BCBS - Anthem — Commercial\|Select PPO: $194.44
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE	$309	$84.01	$15.12 – $309
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $120.31 Aetna — Commercial\|HMO: $120.31 Aetna — Commercial\|PPO: $120.31 Aetna — Commercial\|Whole Health: $98.61 Aetna — Medicare\|All Plans: $16.80 Alignment Health — Medicare\|All Plans: $15.12 BCBS - Anthem — Commercial\|Exchange: $166.98 BCBS - Anthem — Commercial\|MCS: $309 BCBS - Anthem — Commercial\|Non-MCS: $228.88 BCBS - Anthem — Commercial\|Select PPO: $194.44
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$655	$178.08	$6.99 – $497.80
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $55.68 Aetna — Commercial\|HMO: $55.68 Aetna — Commercial\|PPO: $55.68 Aetna — Commercial\|Whole Health: $45.64 Aetna — Medicare\|All Plans: $7.77 Alignment Health — Medicare\|All Plans: $6.99 BCBS - Anthem — Commercial\|Exchange: $77.27 BCBS - Anthem — Commercial\|MCS: $148.76 BCBS - Anthem — Commercial\|Non-MCS: $105.91 BCBS - Anthem — Commercial\|Select PPO: $89.97
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: SJM-CBC AUTO W DIFF	$441	$119.90	$6.99 – $335.16
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $55.68 Aetna — Commercial\|HMO: $55.68 Aetna — Commercial\|PPO: $55.68 Aetna — Commercial\|Whole Health: $45.64 Aetna — Medicare\|All Plans: $7.77 Alignment Health — Medicare\|All Plans: $6.99 BCBS - Anthem — Commercial\|Exchange: $77.27 BCBS - Anthem — Commercial\|MCS: $148.76 BCBS - Anthem — Commercial\|Non-MCS: $105.91 BCBS - Anthem — Commercial\|Select PPO: $89.97
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$655	$178.08	$360.25
Complete blood count (CBC) with differential: rates for 1 insurance plan Oscar — Commercial\|All Plans: $360.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF	$585	$159.05	$5.82 – $444.60
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $46.36 Aetna — Commercial\|HMO: $46.36 Aetna — Commercial\|PPO: $46.36 Aetna — Commercial\|Whole Health: $38 Aetna — Medicare\|All Plans: $6.47 Alignment Health — Medicare\|All Plans: $5.82 BCBS - Anthem — Commercial\|Exchange: $64.29 BCBS - Anthem — Commercial\|MCS: $123.78 BCBS - Anthem — Commercial\|Non-MCS: $88.12 BCBS - Anthem — Commercial\|Select PPO: $74.86
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: SJM-CBC AUTO WO DIFF	$470	$127.78	$5.82 – $357.20
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $46.36 Aetna — Commercial\|HMO: $46.36 Aetna — Commercial\|PPO: $46.36 Aetna — Commercial\|Whole Health: $38 Aetna — Medicare\|All Plans: $6.47 Alignment Health — Medicare\|All Plans: $5.82 BCBS - Anthem — Commercial\|Exchange: $64.29 BCBS - Anthem — Commercial\|MCS: $123.78 BCBS - Anthem — Commercial\|Non-MCS: $88.12 BCBS - Anthem — Commercial\|Select PPO: $74.86
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF	$585	$159.05	$321.75
Complete blood count (CBC), automated: rates for 1 insurance plan Oscar — Commercial\|All Plans: $321.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$629	$171.01	$3.86 – $478.04
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $28.15 Aetna — Commercial\|HMO: $28.15 Aetna — Commercial\|PPO: $28.15 Aetna — Commercial\|Whole Health: $23.07 Aetna — Medicare\|All Plans: $4.29 Alignment Health — Medicare\|All Plans: $3.86 BCBS - Anthem — Commercial\|Exchange: $39.14 BCBS - Anthem — Commercial\|MCS: $75.35 BCBS - Anthem — Commercial\|Non-MCS: $53.64 BCBS - Anthem — Commercial\|Select PPO: $45.57
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157A	$7	$1.91	$1.47 – $25.14
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $7 Aetna — Commercial\|HMO: $7 Aetna — Commercial\|PPO: $7 Aetna — Commercial\|Whole Health: $7 Aetna — Medicare\|All Plans: $4.29 Alignment Health — Medicare\|All Plans: $3.86 BCBS - Anthem — Commercial\|Exchange: $4.41 BCBS - Anthem — Commercial\|MCS: $7 BCBS - Anthem — Commercial\|Non-MCS: $6.02 BCBS - Anthem — Commercial\|Select PPO: $5.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009A	$6.66	$1.82	$1.40 – $25.14
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $6.66 Aetna — Commercial\|HMO: $6.66 Aetna — Commercial\|PPO: $6.66 Aetna — Commercial\|Whole Health: $6.66 Aetna — Medicare\|All Plans: $4.29 Alignment Health — Medicare\|All Plans: $3.86 BCBS - Anthem — Commercial\|Exchange: $4.20 BCBS - Anthem — Commercial\|MCS: $6.66 BCBS - Anthem — Commercial\|Non-MCS: $5.73 BCBS - Anthem — Commercial\|Select PPO: $4.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: H-LUPUS ANTICOAG 1235	$9	$2.45	$1.89 – $35.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $9 Aetna — Commercial\|HMO: $9 Aetna — Commercial\|PPO: $9 Aetna — Commercial\|Whole Health: $9 Aetna — Medicare\|All Plans: $6.01 Alignment Health — Medicare\|All Plans: $5.41 BCBS - Anthem — Commercial\|Exchange: $5.67 BCBS - Anthem — Commercial\|MCS: $9 BCBS - Anthem — Commercial\|Non-MCS: $7.74 BCBS - Anthem — Commercial\|Select PPO: $6.57
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: H-LUPUS ANTICOAG PNL 1229	$6	$1.64	$1.26 – $35.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $6 Aetna — Commercial\|HMO: $6 Aetna — Commercial\|PPO: $6 Aetna — Commercial\|Whole Health: $6 Aetna — Medicare\|All Plans: $6 Alignment Health — Medicare\|All Plans: $5.40 BCBS - Anthem — Commercial\|Exchange: $3.78 BCBS - Anthem — Commercial\|MCS: $6 BCBS - Anthem — Commercial\|Non-MCS: $5.16 BCBS - Anthem — Commercial\|Select PPO: $4.38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME	$812	$220.76	$5.41 – $617.12
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $42.99 Aetna — Commercial\|HMO: $42.99 Aetna — Commercial\|PPO: $42.99 Aetna — Commercial\|Whole Health: $35.23 Aetna — Medicare\|All Plans: $6.01 Alignment Health — Medicare\|All Plans: $5.41 BCBS - Anthem — Commercial\|Exchange: $59.67 BCBS - Anthem — Commercial\|MCS: $114.89 BCBS - Anthem — Commercial\|Non-MCS: $81.80 BCBS - Anthem — Commercial\|Select PPO: $69.49

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CON	$1,221	$331.96	$131.85 – $3,465
CT scan of the head or brain, without contrast: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $502.11 Aetna — Commercial\|HMO: $502.11 Aetna — Commercial\|PPO: $502.11 Aetna — Commercial\|Whole Health: $411.58 Aetna — Medicare\|All Plans: $146.50 Alignment Health — Medicare\|All Plans: $131.85 BCBS - Anthem — Commercial\|Exchange: $1,064 BCBS - Anthem — Commercial\|MCS: $2,048 BCBS - Anthem — Commercial\|Non-MCS: $1,458 BCBS - Anthem — Commercial\|Select PPO: $1,239
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON	$1,221	$331.96	$671.55
CT scan of the head or brain, without contrast: rates for 1 insurance plan Oscar — Commercial\|All Plans: $671.55
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON	$4,397	$1,195.42	$439.98 – $5,188
MRI of the brain, before and after contrast: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $1,183.56 Aetna — Commercial\|HMO: $1,183.56 Aetna — Commercial\|PPO: $1,183.56 Aetna — Commercial\|Whole Health: $970.16 Aetna — Medicare\|All Plans: $488.87 Alignment Health — Medicare\|All Plans: $439.98 BCBS - Anthem — Commercial\|Exchange: $1,426 BCBS - Anthem — Commercial\|MCS: $2,744 BCBS - Anthem — Commercial\|Non-MCS: $1,953 BCBS - Anthem — Commercial\|Select PPO: $1,660
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON	$4,397	$1,195.42	$2,418.35
MRI of the brain, before and after contrast: rates for 1 insurance plan Oscar — Commercial\|All Plans: $2,418.35
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS	$281	$76.40	$27.47 – $864.44
Chest X-ray, 2 views: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $63.31 Aetna — Commercial\|HMO: $63.31 Aetna — Commercial\|PPO: $63.31 Aetna — Commercial\|Whole Health: $51.90 Aetna — Medicare\|All Plans: $121.95 Alignment Health — Medicare\|All Plans: $109.75 BCBS - Anthem — Commercial\|Exchange: $177.03 BCBS - Anthem — Commercial\|MCS: $281 BCBS - Anthem — Commercial\|Non-MCS: $241.66 BCBS - Anthem — Commercial\|Select PPO: $205.13
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS	$281	$76.40	$154.55
Chest X-ray, 2 views: rates for 1 insurance plan Oscar — Commercial\|All Plans: $154.55
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$500	$135.94	$62.90 – $1,163.53
X-ray of the lower spine, at least 4 views: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $129.24 Aetna — Commercial\|HMO: $129.24 Aetna — Commercial\|PPO: $129.24 Aetna — Commercial\|Whole Health: $105.94 Aetna — Medicare\|All Plans: $146.50 Alignment Health — Medicare\|All Plans: $131.85 BCBS - Anthem — Commercial\|Exchange: $260.24 BCBS - Anthem — Commercial\|MCS: $500 BCBS - Anthem — Commercial\|Non-MCS: $356.71 BCBS - Anthem — Commercial\|Select PPO: $303.03
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$500	$135.94	$275
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Oscar — Commercial\|All Plans: $275
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON	$3,011	$818.61	$266.80 – $5,188
MRI of the lower back (lumbar spine), without contrast: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $1,183.56 Aetna — Commercial\|HMO: $1,183.56 Aetna — Commercial\|PPO: $1,183.56 Aetna — Commercial\|Whole Health: $970.16 Aetna — Medicare\|All Plans: $334.35 Alignment Health — Medicare\|All Plans: $300.92 BCBS - Anthem — Commercial\|Exchange: $1,426 BCBS - Anthem — Commercial\|MCS: $2,744 BCBS - Anthem — Commercial\|Non-MCS: $1,953 BCBS - Anthem — Commercial\|Select PPO: $1,660
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON	$3,011	$818.61	$1,656.05
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Oscar — Commercial\|All Plans: $1,656.05
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON	$2,039	$554.35	$221.21 – $3,465
CT scan of the pelvis, with contrast: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $768.29 Aetna — Commercial\|HMO: $768.29 Aetna — Commercial\|PPO: $768.29 Aetna — Commercial\|Whole Health: $629.76 Aetna — Medicare\|All Plans: $245.79 Alignment Health — Medicare\|All Plans: $221.21 BCBS - Anthem — Commercial\|Exchange: $1,064 BCBS - Anthem — Commercial\|MCS: $2,048 BCBS - Anthem — Commercial\|Non-MCS: $1,458 BCBS - Anthem — Commercial\|Select PPO: $1,239
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON	$2,039	$554.35	$1,121.45
CT scan of the pelvis, with contrast: rates for 1 insurance plan Oscar — Commercial\|All Plans: $1,121.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON	$3,375	$917.57	$281.80 – $3,465
CT scan of the abdomen and pelvis, with contrast: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $813.40 Aetna — Commercial\|HMO: $813.40 Aetna — Commercial\|PPO: $813.40 Aetna — Commercial\|Whole Health: $666.75 Aetna — Medicare\|All Plans: $488.87 Alignment Health — Medicare\|All Plans: $439.98 BCBS - Anthem — Commercial\|Exchange: $1,064 BCBS - Anthem — Commercial\|MCS: $2,048 BCBS - Anthem — Commercial\|Non-MCS: $1,458 BCBS - Anthem — Commercial\|Select PPO: $1,239
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON	$3,375	$917.57	$1,856.25
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Oscar — Commercial\|All Plans: $1,856.25
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON	$998	$271.33	$119.34 – $1,163.53
Ultrasound of the abdomen, complete: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $310.73 Aetna — Commercial\|HMO: $310.73 Aetna — Commercial\|PPO: $310.73 Aetna — Commercial\|Whole Health: $254.70 Aetna — Medicare\|All Plans: $146.50 Alignment Health — Medicare\|All Plans: $131.85 BCBS - Anthem — Commercial\|Exchange: $561.83 BCBS - Anthem — Commercial\|MCS: $998 BCBS - Anthem — Commercial\|Non-MCS: $770.10 BCBS - Anthem — Commercial\|Select PPO: $654.20
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON	$998	$271.33	$548.90
Ultrasound of the abdomen, complete: rates for 1 insurance plan Oscar — Commercial\|All Plans: $548.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES	$1,052	$286.01	$131.85 – $1,163.53
Pregnancy ultrasound (after the first trimester): 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $310.73 Aetna — Commercial\|HMO: $310.73 Aetna — Commercial\|PPO: $310.73 Aetna — Commercial\|Whole Health: $254.70 Aetna — Medicare\|All Plans: $146.50 Alignment Health — Medicare\|All Plans: $131.85 BCBS - Anthem — Commercial\|Exchange: $582.83 BCBS - Anthem — Commercial\|MCS: $1,052 BCBS - Anthem — Commercial\|Non-MCS: $798.89 BCBS - Anthem — Commercial\|Select PPO: $678.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES	$1,052	$286.01	$578.60
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Oscar — Commercial\|All Plans: $578.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$1,107	$300.97	$97.04 – $1,163.53
Transvaginal ultrasound: 10 of 50 insurance plan rates Aetna — Commercial\|All Other Plans: $295.32 Aetna — Commercial\|HMO: $295.32 Aetna — Commercial\|PPO: $295.32 Aetna — Commercial\|Whole Health: $242.08 Aetna — Medicare\|All Plans: $146.50 Alignment Health — Medicare\|All Plans: $131.85 BCBS - Anthem — Commercial\|Exchange: $436.12 BCBS - Anthem — Commercial\|MCS: $839.65 BCBS - Anthem — Commercial\|Non-MCS: $597.79 BCBS - Anthem — Commercial\|Select PPO: $507.83
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL	$1,107	$300.97	$608.85
Transvaginal ultrasound: rates for 1 insurance plan Oscar — Commercial\|All Plans: $608.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA MAMMO DIAG W CAD BIL	$771	$209.62	$148.03 – $1,107.84
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial\|All Other Plans: $393.72 Aetna — Commercial\|HMO: $393.72 Aetna — Commercial\|PPO: $393.72 Aetna — Commercial\|Whole Health: $322.73 BCBS - Anthem — Commercial\|Exchange: $485.73 BCBS - Anthem — Commercial\|MCS: $771 BCBS - Anthem — Commercial\|Non-MCS: $663.06 BCBS - Anthem — Commercial\|Select PPO: $562.83 BCBS - Anthem — Medicaid\|> 21: $148.03 BCBS - Anthem — Medicaid\|All Other Plans: $148.03
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MA MAMMO DIAG W CAD BIL	$771	$209.62	$424.05
Diagnostic mammogram, both breasts: rates for 1 insurance plan Oscar — Commercial\|All Plans: $424.05
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA MAMMO SCREEN W CAD BIL	$545	$148.17	$114.45 – $915.18
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial\|All Other Plans: $325.11 Aetna — Commercial\|HMO: $325.11 Aetna — Commercial\|PPO: $325.11 Aetna — Commercial\|Whole Health: $266.49 BCBS - Anthem — Commercial\|Exchange: $343.35 BCBS - Anthem — Commercial\|MCS: $545 BCBS - Anthem — Commercial\|Non-MCS: $468.70 BCBS - Anthem — Commercial\|Select PPO: $397.85 BCBS - Anthem — Medicaid\|> 21: $119.45 BCBS - Anthem — Medicaid\|All Other Plans: $119.45
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MA MAMMO SCREEN W CAD BIL	$545	$148.17	$299.75
Screening mammogram, both breasts: rates for 1 insurance plan Oscar — Commercial\|All Plans: $299.75

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LT HRT CTH VENTRICULGRPHY	$18,314	$4,979.06	$762.86 – $20,312
Left heart catheterization (diagnostic): 10 of 53 insurance plan rates Aetna — Commercial\|All Other Plans: $10,374 Aetna — Commercial\|HMO: $10,374 Aetna — Commercial\|PPO: $10,374 Aetna — Commercial\|Whole Health: $8,503 Aetna — Medicare\|All Plans: $4,542.88 Alignment Health — Medicare\|All Plans: $4,088.59 BCBS - Anthem — Commercial\|Exchange: $10,554 BCBS - Anthem — Commercial\|MCS: $20,312 BCBS - Anthem — Commercial\|Non-MCS: $14,457 BCBS - Anthem — Commercial\|Select PPO: $12,288
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LT HRT CTH VENTRICULGRPHY	$18,314	$4,979.06	$10,072.70
Left heart catheterization (diagnostic): rates for 1 insurance plan Oscar — Commercial\|All Plans: $10,072.70
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMP EP EVAL W RT ATR PCE	$15,472	$4,206.40	$684.45 – $26,654
Heart rhythm study (electrophysiology evaluation): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $10,375 Aetna — Commercial\|HMO: $10,375 Aetna — Commercial\|PPO: $10,375 Aetna — Commercial\|Whole Health: $8,503 Aetna — Medicare\|All Plans: $10,929.57 Alignment Health — Medicare\|All Plans: $9,836.61 BCBS - Anthem — Commercial\|Exchange: $8,308 BCBS - Anthem — Commercial\|MCS: $15,990 BCBS - Anthem — Commercial\|Non-MCS: $11,381 BCBS - Anthem — Commercial\|Select PPO: $9,674
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: COMP EP EVAL W RT ATR PCE	$15,472	$4,206.40	$8,509.60
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Oscar — Commercial\|All Plans: $8,509.60
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EP AFIB ABL PV ISOL 3DMAP	$76,224	$20,723.12	$880.47 – $71,650.56
Heart rhythm study with ablation for atrial fibrillation: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $10,375 Aetna — Commercial\|HMO: $10,375 Aetna — Commercial\|PPO: $10,375 Aetna — Commercial\|Whole Health: $8,503 Aetna — Medicare\|All Plans: $36,626.66 Alignment Health — Medicare\|All Plans: $32,963.99 BCBS - Anthem — Commercial\|Exchange: $14,694 BCBS - Anthem — Commercial\|MCS: $28,281 BCBS - Anthem — Commercial\|Non-MCS: $20,129 BCBS - Anthem — Commercial\|Select PPO: $17,110
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EP AFIB ABL PV ISOL 3DMAP	$76,224	$20,723.12	$41,923.20
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Oscar — Commercial\|All Plans: $41,923.20

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$302.26 – $11,505
Removal of breast growth (open surgery): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,915 Aetna — Commercial\|HMO: $4,915 Aetna — Commercial\|PPO: $4,915 Aetna — Commercial\|Whole Health: $4,029 Aetna — Medicare\|All Plans: $5,486.65 Alignment Health — Medicare\|All Plans: $4,937.98 BCBS - Anthem — Commercial\|Exchange: $5,752 BCBS - Anthem — Commercial\|MCS: $11,071 BCBS - Anthem — Commercial\|Non-MCS: $7,880 BCBS - Anthem — Commercial\|Select PPO: $6,698
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,708.89 – $28,785.10
Total hip replacement: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $8,463 Aetna — Commercial\|HMO: $8,463 Aetna — Commercial\|PPO: $8,463 Aetna — Commercial\|Whole Health: $6,937 Aetna — Medicare\|All Plans: $17,990.69 Alignment Health — Medicare\|All Plans: $16,191.62 BCBS - Anthem — Commercial\|Exchange: $8,613 BCBS - Anthem — Commercial\|MCS: $16,576 BCBS - Anthem — Commercial\|Non-MCS: $11,798 BCBS - Anthem — Commercial\|Select PPO: $10,028
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,708.89 – $28,785.10
Total knee replacement: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $8,463 Aetna — Commercial\|HMO: $8,463 Aetna — Commercial\|PPO: $8,463 Aetna — Commercial\|Whole Health: $6,937 Aetna — Medicare\|All Plans: $17,990.69 Alignment Health — Medicare\|All Plans: $16,191.62 BCBS - Anthem — Commercial\|Exchange: $14,694 BCBS - Anthem — Commercial\|MCS: $28,281 BCBS - Anthem — Commercial\|Non-MCS: $20,129 BCBS - Anthem — Commercial\|Select PPO: $17,110
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$605.06 – $15,990
Shoulder arthroscopy: shaving of shoulder bone: 10 of 32 insurance plan rates Aetna — Commercial\|All Other Plans: $4,915 Aetna — Commercial\|HMO: $4,915 Aetna — Commercial\|PPO: $4,915 Aetna — Commercial\|Whole Health: $4,029 BCBS - Anthem — Commercial\|Exchange: $8,308 BCBS - Anthem — Commercial\|MCS: $15,990 BCBS - Anthem — Commercial\|Non-MCS: $11,381 BCBS - Anthem — Commercial\|Select PPO: $9,674 BCBS - Anthem — Medicaid\|> 21: $605.06 BCBS - Anthem — Medicaid\|All Other Plans: $605.06
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$790.35 – $14,772
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $6,277 Aetna — Commercial\|HMO: $6,277 Aetna — Commercial\|PPO: $6,277 Aetna — Commercial\|Whole Health: $5,145 Aetna — Medicare\|All Plans: $4,585.01 Alignment Health — Medicare\|All Plans: $4,126.51 BCBS - Anthem — Commercial\|Exchange: $7,675 BCBS - Anthem — Commercial\|MCS: $14,772 BCBS - Anthem — Commercial\|Non-MCS: $10,514 BCBS - Anthem — Commercial\|Select PPO: $8,937
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$193.53 – $14,772
Removal of tonsils and adenoids (under age 12): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,915 Aetna — Commercial\|HMO: $4,915 Aetna — Commercial\|PPO: $4,915 Aetna — Commercial\|Whole Health: $4,029 Aetna — Medicare\|All Plans: $8,295.38 Alignment Health — Medicare\|All Plans: $7,465.84 BCBS - Anthem — Commercial\|Exchange: $7,675 BCBS - Anthem — Commercial\|MCS: $14,772 BCBS - Anthem — Commercial\|Non-MCS: $10,514 BCBS - Anthem — Commercial\|Select PPO: $8,937
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$257.18 – $8,624
Upper GI endoscopy (diagnostic): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $3,272 Aetna — Commercial\|HMO: $3,272 Aetna — Commercial\|PPO: $3,272 Aetna — Commercial\|Whole Health: $2,682 Aetna — Medicare\|All Plans: $1,270.95 Alignment Health — Medicare\|All Plans: $1,143.86 BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$268.73 – $10,066
Upper GI endoscopy with biopsy: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $1,270.95 Alignment Health — Medicare\|All Plans: $1,143.86 BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$338.78 – $10,066
Colonoscopy (diagnostic): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $1,303.14 Alignment Health — Medicare\|All Plans: $1,172.83 BCBS - Anthem — Commercial\|Exchange: $3,197 BCBS - Anthem — Commercial\|MCS: $6,154 BCBS - Anthem — Commercial\|Non-MCS: $2,114 BCBS - Anthem — Commercial\|Select PPO: $3,723
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$378.95 – $10,066
Colonoscopy with biopsy: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $1,676.84 Alignment Health — Medicare\|All Plans: $1,509.16 BCBS - Anthem — Commercial\|Exchange: $3,197 BCBS - Anthem — Commercial\|MCS: $6,154 BCBS - Anthem — Commercial\|Non-MCS: $2,114 BCBS - Anthem — Commercial\|Select PPO: $3,723
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$459.26 – $10,066
Colonoscopy with removal of polyps (snare): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $1,676.84 Alignment Health — Medicare\|All Plans: $1,509.16 BCBS - Anthem — Commercial\|Exchange: $3,197 BCBS - Anthem — Commercial\|MCS: $6,154 BCBS - Anthem — Commercial\|Non-MCS: $2,114 BCBS - Anthem — Commercial\|Select PPO: $3,723
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$169.65 – $10,066
Ultrasound of the lower bowel by endoscope: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $1,676.84 Alignment Health — Medicare\|All Plans: $1,509.16 BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$534.88 – $30,211
Gallbladder removal by laparoscope: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $7,369 Aetna — Commercial\|HMO: $7,369 Aetna — Commercial\|PPO: $7,369 Aetna — Commercial\|Whole Health: $6,040 Aetna — Medicare\|All Plans: $8,471.52 Alignment Health — Medicare\|All Plans: $7,624.37 BCBS - Anthem — Commercial\|Exchange: $14,694 BCBS - Anthem — Commercial\|MCS: $28,281 BCBS - Anthem — Commercial\|Non-MCS: $20,129 BCBS - Anthem — Commercial\|Select PPO: $17,110
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$394.76 – $14,772
Groin (inguinal) hernia repair, age 5 or older: 10 of 54 insurance plan rates Aetna — Commercial\|All Other Plans: $6,277 Aetna — Commercial\|HMO: $6,277 Aetna — Commercial\|PPO: $6,277 Aetna — Commercial\|Whole Health: $5,145 Aetna — Medicare\|All Plans: $5,017.17 Alignment Health — Medicare\|All Plans: $4,515.45 BCBS - Anthem — Commercial\|Exchange: $7,675 BCBS - Anthem — Commercial\|MCS: $14,772 BCBS - Anthem — Commercial\|Non-MCS: $10,514 BCBS - Anthem — Commercial\|Select PPO: $8,937
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$100.40 – $10,066
Prostate biopsy: 10 of 21 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217 BCBS - Anthem — Medicaid\|> 21: $100.40 BCBS - Anthem — Medicaid\|All Other Plans: $100.40 Cigna — Commercial\|All Other Plans: $10,066 Cigna — Commercial\|Pathwell: $10,066 Cigna — Commercial\|PPO: $10,066 Health Net — Commercial\|Care Product: $7,630
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$953.26 – $23,832.72
Prostate removal by laparoscope (radical prostatectomy): 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $7,369 Aetna — Commercial\|HMO: $7,369 Aetna — Commercial\|PPO: $7,369 Aetna — Commercial\|Whole Health: $6,040 Aetna — Medicare\|All Plans: $14,895.45 Alignment Health — Medicare\|All Plans: $13,405.91 BCBS - Anthem — Commercial\|Exchange: $9,912 BCBS - Anthem — Commercial\|MCS: $19,077 BCBS - Anthem — Commercial\|Non-MCS: $13,578 BCBS - Anthem — Commercial\|Select PPO: $11,541
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$251.48 – $11,505
Hysteroscopy with biopsy of the uterus lining: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,915 Aetna — Commercial\|HMO: $4,915 Aetna — Commercial\|PPO: $4,915 Aetna — Commercial\|Whole Health: $4,029 Aetna — Medicare\|All Plans: $4,536.14 Alignment Health — Medicare\|All Plans: $4,082.53 BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG	$1,869	$508.13	$220.03 – $7,518
Spinal injection, lower back (epidural), with imaging guidance: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $3,272 Aetna — Commercial\|HMO: $3,272 Aetna — Commercial\|PPO: $3,272 Aetna — Commercial\|Whole Health: $2,682 Aetna — Medicare\|All Plans: $989.14 Alignment Health — Medicare\|All Plans: $890.23 BCBS - Anthem — Commercial\|Exchange: $3,197 BCBS - Anthem — Commercial\|MCS: $6,154 BCBS - Anthem — Commercial\|Non-MCS: $2,114 BCBS - Anthem — Commercial\|Select PPO: $3,723
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG	$1,869	$508.13	$1,027.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Oscar — Commercial\|All Plans: $1,027.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,708	$736.23	$164.49 – $7,518
Nerve root injection, lower back, with imaging guidance: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $3,272 Aetna — Commercial\|HMO: $3,272 Aetna — Commercial\|PPO: $3,272 Aetna — Commercial\|Whole Health: $2,682 Aetna — Medicare\|All Plans: $1,239.40 Alignment Health — Medicare\|All Plans: $1,115.46 BCBS - Anthem — Commercial\|Exchange: $3,197 BCBS - Anthem — Commercial\|MCS: $6,154 BCBS - Anthem — Commercial\|Non-MCS: $2,114 BCBS - Anthem — Commercial\|Select PPO: $3,723
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EPI L/S SNGL INJ	$5,582	$1,517.59	$3,070.10
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan Oscar — Commercial\|All Plans: $3,070.10
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$363.57 – $10,066
Carpal tunnel release: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $2,736.33 Alignment Health — Medicare\|All Plans: $2,462.70 BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$213.61 – $10,066
Laser treatment of clouding after cataract surgery: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $4,365 Aetna — Commercial\|HMO: $4,365 Aetna — Commercial\|PPO: $4,365 Aetna — Commercial\|Whole Health: $3,578 Aetna — Medicare\|All Plans: $770.70 Alignment Health — Medicare\|All Plans: $693.63 BCBS - Anthem — Commercial\|Exchange: $4,481 BCBS - Anthem — Commercial\|MCS: $8,624 BCBS - Anthem — Commercial\|Non-MCS: $6,138 BCBS - Anthem — Commercial\|Select PPO: $5,217
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,153.50 – $21,952
Cataract removal with lens implant: 10 of 56 insurance plan rates Aetna — Commercial\|All Other Plans: $7,369 Aetna — Commercial\|HMO: $7,369 Aetna — Commercial\|PPO: $7,369 Aetna — Commercial\|Whole Health: $6,040 Aetna — Medicare\|All Plans: $3,233.93 Alignment Health — Medicare\|All Plans: $2,910.54 BCBS - Anthem — Commercial\|Exchange: $9,912 BCBS - Anthem — Commercial\|MCS: $19,077 BCBS - Anthem — Commercial\|Non-MCS: $13,578 BCBS - Anthem — Commercial\|Select PPO: $11,541

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) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,994.02 – $22,448
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $7,685 BCBS - Anthem — Commercial\|MCS: $14,790 BCBS - Anthem — Commercial\|Non-MCS: $10,527 BCBS - Anthem — Commercial\|Select PPO: $8,948 BCBS - Anthem — Medicaid\|> 21: $1,994.02 BCBS - Anthem — Medicaid\|All Other Plans: $1,994.02 Blue Shield CA — Commercial\|All Other Plans: $5,892 Blue Shield CA — Commercial\|Calpers PPO: $5,772 Blue Shield CA — Commercial\|Exchange: $4,457 Blue Shield CA — Commercial\|Tandem: $5,361
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,995.21 – $22,448
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $7,685 BCBS - Anthem — Commercial\|MCS: $14,790 BCBS - Anthem — Commercial\|Non-MCS: $10,527 BCBS - Anthem — Commercial\|Select PPO: $8,948 BCBS - Anthem — Medicaid\|> 21: $1,995.21 BCBS - Anthem — Medicaid\|All Other Plans: $1,995.21 Blue Shield CA — Commercial\|All Other Plans: $6,733 Blue Shield CA — Commercial\|Calpers PPO: $6,596 Blue Shield CA — Commercial\|Exchange: $5,094 Blue Shield CA — Commercial\|Tandem: $6,127
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,994.02 – $22,448
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|Exchange: $7,685 BCBS - Anthem — Commercial\|MCS: $14,790 BCBS - Anthem — Commercial\|Non-MCS: $10,527 BCBS - Anthem — Commercial\|Select PPO: $8,948 BCBS - Anthem — Medicaid\|> 21: $1,994.02 BCBS - Anthem — Medicaid\|All Other Plans: $1,994.02 Blue Shield CA — Commercial\|All Other Plans: $5,892 Blue Shield CA — Commercial\|Calpers PPO: $5,772 Blue Shield CA — Commercial\|Exchange: $4,457 Blue Shield CA — Commercial\|Tandem: $5,361

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$8,440 – $46,193.93
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 34 insurance plan rates Aetna — Commercial\|All Other Plans: $24,091 Aetna — Commercial\|HMO: $24,091 Aetna — Commercial\|PPO: $24,091 Aetna — Commercial\|Whole Health: $19,568 Aetna — Medicare\|All Plans: $35,533.79 Alignment Health — Medicare\|All Plans: $35,533.79 BCBS - Anthem — Medicare\|All Plans: $35,533.79 Blue Shield CA — Medicare\|All Plans: $35,533.79 BrightHealth — Commercial\|All Plans: $37,310.48 Cigna — Commercial\|All Other Plans: $26,264
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION	Not listed in the file	Not listed in the file	$9,833
Spinal fusion (not neck), without major complications: rates for 2 insurance plans Sutter UMR — Commercial\|All Plans: $9,833 Oscar — Commercial\|All Plans: 55% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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	$7,708.33 – $27,044
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $7,766.57 Alignment Health — Medicare\|All Plans: $7,766.57 BCBS - Anthem — Medicare\|All Plans: $7,766.57 Blue Shield CA — Medicare\|All Plans: $7,766.57 BrightHealth — Commercial\|All Plans: $8,154.90 Cigna — Medicare\|All Plans: $7,766.57 EasyChoice — Medicare\|All Plans: $7,766.57 Health Net — Commercial\|Prison Healthcare: $10,096.55 HPSJ — Medicaid\|100 Percent: $7,708.33 HPSJ — Medicaid\|160 Percent: $7,708.33
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,506.31 – $27,044
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates Aetna — Medicare\|All Plans: $9,578.14 Alignment Health — Medicare\|All Plans: $9,578.14 BCBS - Anthem — Medicare\|All Plans: $9,578.14 Blue Shield CA — Medicare\|All Plans: $9,578.14 BrightHealth — Commercial\|All Plans: $10,057.05 Cigna — Medicare\|All Plans: $9,578.14 EasyChoice — Medicare\|All Plans: $9,578.14 Health Net — Commercial\|Prison Healthcare: $12,451.59 HPSJ — Medicaid\|100 Percent: $9,506.31 HPSJ — Medicaid\|160 Percent: $9,506.31
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$5,293.46 – $24,661
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates Aetna — Medicare\|All Plans: $5,333.46 Alignment Health — Medicare\|All Plans: $5,333.46 BCBS - Anthem — Medicare\|All Plans: $5,333.46 Blue Shield CA — Medicare\|All Plans: $5,333.46 BrightHealth — Commercial\|All Plans: $5,600.14 Cigna — Medicare\|All Plans: $5,333.46 EasyChoice — Medicare\|All Plans: $5,333.46 Health Net — Commercial\|Prison Healthcare: $6,933.50 HPSJ — Medicaid\|100 Percent: $5,293.46 HPSJ — Medicaid\|160 Percent: $5,293.46

Source: St Joseph's Medical Center of Stockton’s standard charges file (commonspirit.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1800 N California St, Stockton, CA 95204
County	San Joaquin County
State	California
Phone	(209) 943‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050084
Name in Medicare records	ST JOSEPH'S MEDICAL CENTER OF STOCKTON
Profile level	Medicare data + hospital website
Name on the hospital’s website	Dignity Health - St. Joseph's Medical Center
Official website	commonspirit.org
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.

Dignity Health - St. Joseph's Medical Center — commonspirit.org