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Acute Care Hospital

St Rose Hospital

Hayward, California · Alameda County · Emergency services listed

St Rose Hospital is an acute care hospital at 27200 Calaroga Ave, Hayward, CA 94545. Phone: (510) 782-6200. Its official website lists an emergency room. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

St Rose Hospital is an acute care hospital in Hayward, California. Its official website lists an emergency room (Medicare data does not list emergency services). CMS overall star rating: 1 of 5 stars. Its official website lists 11 services, specialties and programs. Medicare lists 124 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
171Beds (hospital website)
11Services listed

Quick answers

Does St Rose Hospital have an emergency room?
Yes. The hospital’s official website lists an emergency room at St Rose Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is St Rose Hospital?
27200 Calaroga Ave, Hayward, CA 94545, in Alameda County, California.
What is the phone number of St Rose Hospital?
(510) 782-6200, as listed by Medicare (CMS).
What is the Medicare star rating of St Rose Hospital?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to St Rose Hospital for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to St Rose Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.8753; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5]

Procedures[5]

  • Laparoscopic surgery

Programs and centers[4][5][7]

  • Hospitalist Program
  • Subacute Unit
  • Outpatient Care Center
  • Designated Cardiac Receiving Center

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

ParkingFree parking for all patients and visitors[6]
Patient portalPatient Portal

Recognition[7]

  • The Joint Commission accreditation
  • Designated Cardiac Receiving Center (Alameda County)
  • American Heart Association Mission: Lifeline STEMI Receiving Center - Gold Plus

Doctors and clinicians (124)

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

Main specialties

Doctors with a page on this site (124)

And 100 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Hayward

Hospitals in Alameda County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well71%National average: 80%
“Always” got help as soon as they wanted61%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home80%National average: 86%
Room and bathroom “always” clean80%National average: 73%
Completed surveys389Response rate: 21%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections0.382No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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

Complications and deaths

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

Deaths within 30 days: heart attack patients13.2%
Deaths within 30 days: heart failure patients11.2%
Deaths within 30 days: pneumonia patients20.6%
Deaths within 30 days: COPD patients11%
Serious complications (patient safety indicator PSI-90)1.03No different from the national rate
Complications after hip or knee replacement4.6%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.7%
Readmitted within 30 days: heart attack15.5%
Readmitted within 30 days: heart failure20.3%
Readmitted within 30 days: pneumonia18.8%
Readmitted within 30 days: COPD20.9%
Readmitted within 30 days: hip or knee replacement5.4%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)158 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)73%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.8753Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack1.0905More readmissions than expected
Heart failure1.0765More readmissions than expected
Pneumonia1.1105More readmissions than expected
COPD (chronic lung disease)1.0988More readmissions than expected
Hip or knee replacement1.2013More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score20.62 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)6.00 out of 100
Person and community engagement (patient survey)19.00 out of 100
Safety (infections and sepsis care)57.50 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.12Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as St Rose Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 48 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATEGORYIII $1,732.50 $519.75 $1,212.75 – $1,685
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,330
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $1,330
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $1,330
  • Aetna Health Plans of California — Aetna Medicare PPO: $388.14
  • Blue Cross of California — Blue Cross HMO/PPO: $1,685
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $1,685
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $1,685
  • Blue Shield — Blue Shield: $970.35
  • Blue Shield Affinity — Blue Shield Affinity: $970.35
  • Blue Shield Hill — Blue Shield Hill: $970.35
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CATEGORYIII $1,732.50 $519.75 $1,212.75 – $1,334.03
Emergency room visit (moderate): rates for 2 insurance plans
  • Interplan — Interplan: $1,212.75
  • Multiplan Inc — Multiplan: $1,334.03
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATEGORYIV $2,741.55 $822.47 $1,685 – $2,330.32
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $2,055
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $2,055
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $2,055
  • Aetna Health Plans of California — Aetna Medicare PPO: $593.30
  • Blue Cross of California — Blue Cross HMO/PPO: $1,685
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $1,685
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $1,685
  • Blue Shield — Blue Shield: $1,483.25
  • Blue Shield Affinity — Blue Shield Affinity: $1,483.25
  • Blue Shield Hill — Blue Shield Hill: $1,483.25
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CATEGORYIV $2,741.55 $822.47 $1,919.09 – $2,110.99
Emergency room visit (moderately high): rates for 2 insurance plans
  • Interplan — Interplan: $1,919.09
  • Multiplan Inc — Multiplan: $2,110.99
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATEGORYV $4,242 $1,272.60 $1,900 – $3,605.70
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $3,250
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $3,250
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3,250
  • Aetna Health Plans of California — Aetna Medicare PPO: $846.78
  • Blue Cross of California — Blue Cross HMO/PPO: $2,609
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $2,609
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $2,609
  • Blue Shield — Blue Shield: $2,116.95
  • Blue Shield Affinity — Blue Shield Affinity: $2,116.95
  • Blue Shield Hill — Blue Shield Hill: $2,116.95
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CATEGORYV $4,242 $1,272.60 $2,969.40 – $3,266.34
Emergency room visit (high): rates for 2 insurance plans
  • Interplan — Interplan: $2,969.40
  • Multiplan Inc — Multiplan: $3,266.34

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASICMETABOLICPANEL $303.45 $91.04 $7.88 – $257.93
Basic metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $151.72
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $11.05
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $13.37
  • Aetna Health Plans of California — Aetna Medicare PPO: $8.46
  • Blue Cross of California — Blue Cross HMO/PPO: $24.01
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $24.01
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $24.01
  • Blue Shield — Blue Shield: $21.15
  • Blue Shield Affinity — Blue Shield Affinity: $21.15
  • Blue Shield Hill — Blue Shield Hill: $21.15
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASICMETABOLICPANEL $303.45 $91.04 $212.42 – $233.66
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Interplan — Interplan: $212.42
  • Multiplan Inc — Multiplan: $233.66
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVEMETABOLICPANEL $443.10 $132.93 $9.83 – $376.63
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $221.55
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $13.80
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $16.71
  • Aetna Health Plans of California — Aetna Medicare PPO: $10.56
  • Blue Cross of California — Blue Cross HMO/PPO: $30.03
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $30.03
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $30.03
  • Blue Shield — Blue Shield: $26.40
  • Blue Shield Affinity — Blue Shield Affinity: $26.40
  • Blue Shield Hill — Blue Shield Hill: $26.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVEMETABOLICPANEL $443.10 $132.93 $310.17 – $341.19
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Interplan — Interplan: $310.17
  • Multiplan Inc — Multiplan: $341.19
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CORONARYRISKPANEL $159.60 $47.88 $12.47 – $135.66
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $79.80
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $17.50
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $21.18
  • Aetna Health Plans of California — Aetna Medicare PPO: $13.39
  • Blue Cross of California — Blue Cross HMO/PPO: $37.99
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $37.99
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $37.99
  • Blue Shield — Blue Shield: $33.48
  • Blue Shield Affinity — Blue Shield Affinity: $33.48
  • Blue Shield Hill — Blue Shield Hill: $33.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LC - LIPIDCASCADEW/REFLEXAPOB $26.61 $7.98 $12.47 – $33.48
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $13.30
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $17.50
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $21.18
  • Aetna Health Plans of California — Aetna Medicare PPO: $13.39
  • Blue Cross of California — Blue Cross HMO/PPO: $26.61
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $26.61
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $26.61
  • Blue Shield — Blue Shield: $33.48
  • Blue Shield Affinity — Blue Shield Affinity: $33.48
  • Blue Shield Hill — Blue Shield Hill: $33.48
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CORONARYRISKPANEL $159.60 $47.88 $111.72 – $122.89
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Interplan — Interplan: $111.72
  • Multiplan Inc — Multiplan: $122.89
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENALFUNCTIONPANEL $373.80 $112.14 $8.08 – $317.73
Kidney function panel: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $186.90
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $11.34
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $13.73
  • Aetna Health Plans of California — Aetna Medicare PPO: $8.68
  • Blue Cross of California — Blue Cross HMO/PPO: $24.62
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $24.62
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $24.62
  • Blue Shield — Blue Shield: $21.70
  • Blue Shield Affinity — Blue Shield Affinity: $21.70
  • Blue Shield Hill — Blue Shield Hill: $21.70
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENALFUNCTIONPANEL $373.80 $112.14 $261.66 – $287.83
Kidney function panel: rates for 2 insurance plans
  • Interplan — Interplan: $261.66
  • Multiplan Inc — Multiplan: $287.83
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATICFUNCTIONPANEL $233.10 $69.93 $7.60 – $198.13
Liver function panel: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $116.55
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $10.67
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $12.91
  • Aetna Health Plans of California — Aetna Medicare PPO: $8.17
  • Blue Cross of California — Blue Cross HMO/PPO: $23.19
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $23.19
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $23.19
  • Blue Shield — Blue Shield: $20.43
  • Blue Shield Affinity — Blue Shield Affinity: $20.43
  • Blue Shield Hill — Blue Shield Hill: $20.43
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATICFUNCTIONPANEL $233.10 $69.93 $163.17 – $179.49
Liver function panel: rates for 2 insurance plans
  • Interplan — Interplan: $163.17
  • Multiplan Inc — Multiplan: $179.49
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSISAUTOWITHMICRO $126 $37.80 $2.95 – $107.10
Urine test (automated, with microscope): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $63
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $4.13
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $5
  • Aetna Health Plans of California — Aetna Medicare PPO: $3.17
  • Blue Cross of California — Blue Cross HMO/PPO: $8.67
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $8.67
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $8.67
  • Blue Shield — Blue Shield: $7.92
  • Blue Shield Affinity — Blue Shield Affinity: $7.92
  • Blue Shield Hill — Blue Shield Hill: $7.92
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UADIPAUTOW/MICRO $126 $37.80 $2.95 – $107.10
Urine test (automated, with microscope): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $63
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $4.13
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $5
  • Aetna Health Plans of California — Aetna Medicare PPO: $3.17
  • Blue Cross of California — Blue Cross HMO/PPO: $8.67
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $8.67
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $8.67
  • Blue Shield — Blue Shield: $7.92
  • Blue Shield Affinity — Blue Shield Affinity: $7.92
  • Blue Shield Hill — Blue Shield Hill: $7.92
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSISAUTOWITHMICRO $126 $37.80 $88.20 – $97.02
Urine test (automated, with microscope): rates for 2 insurance plans
  • Interplan — Interplan: $88.20
  • Multiplan Inc — Multiplan: $97.02
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSISAUTOW/OMICRO $73.50 $22.05 $2.10 – $62.48
Urine test (automated, without microscope): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $36.75
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $2.94
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3.55
  • Aetna Health Plans of California — Aetna Medicare PPO: $2.25
  • Blue Cross of California — Blue Cross HMO/PPO: $6.38
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $6.38
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $6.38
  • Blue Shield — Blue Shield: $5.63
  • Blue Shield Affinity — Blue Shield Affinity: $5.63
  • Blue Shield Hill — Blue Shield Hill: $5.63
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA/CULTUREPROTOCOL $73.50 $22.05 $2.10 – $62.48
Urine test (automated, without microscope): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $36.75
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $2.94
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3.55
  • Aetna Health Plans of California — Aetna Medicare PPO: $2.25
  • Blue Cross of California — Blue Cross HMO/PPO: $6.38
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $6.38
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $6.38
  • Blue Shield — Blue Shield: $5.63
  • Blue Shield Affinity — Blue Shield Affinity: $5.63
  • Blue Shield Hill — Blue Shield Hill: $5.63
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSISAUTOW/OMICRO $73.50 $22.05 $51.45 – $56.59
Urine test (automated, without microscope): rates for 2 insurance plans
  • Interplan — Interplan: $51.45
  • Multiplan Inc — Multiplan: $56.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATESPECIFICANTIGENSCRN $48.28 $14.48 $17.12 – $48.28
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $24.14
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $24.03
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $29.08
  • Aetna Health Plans of California — Aetna Medicare PPO: $18.39
  • Blue Cross of California — Blue Cross HMO/PPO: $48.28
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $48.28
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $48.28
  • Blue Shield — Blue Shield: $45.98
  • Blue Shield Affinity — Blue Shield Affinity: $45.98
  • Blue Shield Hill — Blue Shield Hill: $45.98
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATESPECIFICAGMONITOR $48.28 $14.48 $17.12 – $48.28
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $24.14
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $24.03
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $29.08
  • Aetna Health Plans of California — Aetna Medicare PPO: $18.39
  • Blue Cross of California — Blue Cross HMO/PPO: $48.28
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $48.28
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $48.28
  • Blue Shield — Blue Shield: $45.98
  • Blue Shield Affinity — Blue Shield Affinity: $45.98
  • Blue Shield Hill — Blue Shield Hill: $45.98
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LC ASSAY OF PSA TOTAL $8.40 $2.52 $4.20 – $24.03
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $4.20
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $8.40
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $8.40
  • Aetna Health Plans of California — Aetna Medicare PPO: $8.40
  • Blue Cross of California — Blue Cross HMO/PPO: $8.40
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $8.40
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $8.40
  • Blue Shield — Blue Shield: $21
  • Blue Shield Affinity — Blue Shield Affinity: $21
  • Blue Shield Hill — Blue Shield Hill: $21
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROIDSTIMULATINGHORMO(TSH) $116.55 $34.97 $15.64 – $99.07
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $58.27
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $21.94
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $26.56
  • Aetna Health Plans of California — Aetna Medicare PPO: $16.80
  • Blue Cross of California — Blue Cross HMO/PPO: $47.67
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $47.67
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $47.67
  • Blue Shield — Blue Shield: $42
  • Blue Shield Affinity — Blue Shield Affinity: $42
  • Blue Shield Hill — Blue Shield Hill: $42
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LC- THYROID CASCADE PROFILE $5.98 $1.79 $2.99 – $21.94
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $2.99
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $5.98
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $5.98
  • Aetna Health Plans of California — Aetna Medicare PPO: $5.98
  • Blue Cross of California — Blue Cross HMO/PPO: $5.98
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $5.98
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $5.98
  • Blue Shield — Blue Shield: $14.95
  • Blue Shield Affinity — Blue Shield Affinity: $14.95
  • Blue Shield Hill — Blue Shield Hill: $14.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROIDSTIMHORMONE(TSH)(SMC $42 $12.60 $15.64 – $42
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $21
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $21.94
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $26.56
  • Aetna Health Plans of California — Aetna Medicare PPO: $16.80
  • Blue Cross of California — Blue Cross HMO/PPO: $42
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $42
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $42
  • Blue Shield — Blue Shield: $42
  • Blue Shield Affinity — Blue Shield Affinity: $42
  • Blue Shield Hill — Blue Shield Hill: $42
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMGRMPLT CMPLTDIFFAUTO $25.17 $7.55 $7.23 – $22.06
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $12.59
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $10.16
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $12.29
  • Aetna Health Plans of California — Aetna Medicare PPO: $7.77
  • Blue Cross of California — Blue Cross HMO/PPO: $22.06
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $22.06
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $22.06
  • Blue Shield — Blue Shield: $19.42
  • Blue Shield Affinity — Blue Shield Affinity: $19.42
  • Blue Shield Hill — Blue Shield Hill: $19.42
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMGRMPLAT MANUALDIFFWBC $165.36 $49.61 $7.23 – $140.56
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $82.68
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $10.16
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $12.29
  • Aetna Health Plans of California — Aetna Medicare PPO: $7.77
  • Blue Cross of California — Blue Cross HMO/PPO: $22.06
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $22.06
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $22.06
  • Blue Shield — Blue Shield: $19.42
  • Blue Shield Affinity — Blue Shield Affinity: $19.42
  • Blue Shield Hill — Blue Shield Hill: $19.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMGRMPLT CMPLTDIFFAUTO $25.17 $7.55 $17.62 – $19.38
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Interplan — Interplan: $17.62
  • Multiplan Inc — Multiplan: $19.38
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMGRM PLATELETCTAUTOMAT $175.35 $52.61 $6.03 – $149.05
Complete blood count (CBC), automated: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $87.67
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $8.45
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $10.22
  • Aetna Health Plans of California — Aetna Medicare PPO: $6.47
  • Blue Cross of California — Blue Cross HMO/PPO: $18.36
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $18.36
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $18.36
  • Blue Shield — Blue Shield: $16.18
  • Blue Shield Affinity — Blue Shield Affinity: $16.18
  • Blue Shield Hill — Blue Shield Hill: $16.18
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LC-CBC AUTOMATED $62.16 $18.65 $6.03 – $52.84
Complete blood count (CBC), automated: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $31.08
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $8.45
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $10.22
  • Aetna Health Plans of California — Aetna Medicare PPO: $6.47
  • Blue Cross of California — Blue Cross HMO/PPO: $18.36
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $18.36
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $18.36
  • Blue Shield — Blue Shield: $16.18
  • Blue Shield Affinity — Blue Shield Affinity: $16.18
  • Blue Shield Hill — Blue Shield Hill: $16.18
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMGRM PLATELETCTAUTOMAT $175.35 $52.61 $122.74 – $135.02
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Interplan — Interplan: $122.74
  • Multiplan Inc — Multiplan: $135.02
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WHS-PT INR $26.25 $7.88 $4 – $22.31
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $13.13
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $5.13
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6.21
  • Aetna Health Plans of California — Aetna Medicare PPO: $4.29
  • Blue Cross of California — Blue Cross HMO/PPO: $11.17
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $11.17
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $11.17
  • Blue Shield — Blue Shield: $10.72
  • Blue Shield Affinity — Blue Shield Affinity: $10.72
  • Blue Shield Hill — Blue Shield Hill: $10.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LC-PT MIXING STUDY $63.02 $18.91 $4 – $53.57
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $31.51
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $5.13
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6.21
  • Aetna Health Plans of California — Aetna Medicare PPO: $4.29
  • Blue Cross of California — Blue Cross HMO/PPO: $11.17
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $11.17
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $11.17
  • Blue Shield — Blue Shield: $10.72
  • Blue Shield Affinity — Blue Shield Affinity: $10.72
  • Blue Shield Hill — Blue Shield Hill: $10.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME $99.75 $29.93 $4 – $84.79
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $49.88
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $5.13
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6.21
  • Aetna Health Plans of California — Aetna Medicare PPO: $4.29
  • Blue Cross of California — Blue Cross HMO/PPO: $11.17
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $11.17
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $11.17
  • Blue Shield — Blue Shield: $10.72
  • Blue Shield Affinity — Blue Shield Affinity: $10.72
  • Blue Shield Hill — Blue Shield Hill: $10.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WHS-APTT $203.78 $61.13 $5.60 – $173.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $101.89
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $7.84
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $9.49
  • Aetna Health Plans of California — Aetna Medicare PPO: $6.01
  • Blue Cross of California — Blue Cross HMO/PPO: $17.04
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $17.04
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $17.04
  • Blue Shield — Blue Shield: $15.02
  • Blue Shield Affinity — Blue Shield Affinity: $15.02
  • Blue Shield Hill — Blue Shield Hill: $15.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTINTIMEPARTIAL $102.90 $30.87 $5.60 – $87.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $51.45
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $7.84
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $9.49
  • Aetna Health Plans of California — Aetna Medicare PPO: $6.01
  • Blue Cross of California — Blue Cross HMO/PPO: $17.04
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $17.04
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $17.04
  • Blue Shield — Blue Shield: $15.02
  • Blue Shield Affinity — Blue Shield Affinity: $15.02
  • Blue Shield Hill — Blue Shield Hill: $15.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTINTIMEPART(PTT) $102.90 $30.87 $5.60 – $87.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $51.45
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $7.84
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $9.49
  • Aetna Health Plans of California — Aetna Medicare PPO: $6.01
  • Blue Cross of California — Blue Cross HMO/PPO: $17.04
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $17.04
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $17.04
  • Blue Shield — Blue Shield: $15.02
  • Blue Shield Affinity — Blue Shield Affinity: $15.02
  • Blue Shield Hill — Blue Shield Hill: $15.02

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/ BRAIN W/O CONTRAST $3,990 $1,197 $95.52 – $3,391.50
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $750
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $181.74
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $220.01
  • Aetna Health Plans of California — Aetna Medicare PPO: $148.65
  • Blue Cross of California — Blue Cross HMO/PPO: $380.28
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $380.28
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $380.28
  • Blue Shield — Blue Shield: $371.63
  • Blue Shield Affinity — Blue Shield Affinity: $371.63
  • Blue Shield Hill — Blue Shield Hill: $371.63
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD/ BRAIN W/O CONTRAST $3,990 $1,197 $2,793 – $3,072.30
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Interplan — Interplan: $2,793
  • Multiplan Inc — Multiplan: $3,072.30
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR head/brain wo/w con $3,857.70 $1,157.31 $344.78 – $3,279.04
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,600
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $678.06
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $820.81
  • Aetna Health Plans of California — Aetna Medicare PPO: $496.06
  • Blue Cross of California — Blue Cross HMO/PPO: $1,769.46
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $1,769.46
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $1,769.46
  • Blue Shield — Blue Shield: $1,240.15
  • Blue Shield Affinity — Blue Shield Affinity: $1,240.15
  • Blue Shield Hill — Blue Shield Hill: $1,240.15
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR head/brain wo/w con $3,857.70 $1,157.31 $2,700.39 – $2,970.43
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Interplan — Interplan: $2,700.39
  • Multiplan Inc — Multiplan: $2,970.43
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest Xray 2 Views $326.08 $97.82 $25.14 – $277.17
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $163.04
  • Aetna Health Plans of California — Aetna Medicare PPO: $123.74
  • Blue Cross of California — Blue Cross HMO/PPO: $65.25
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $65.25
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $65.25
  • Blue Shield — Blue Shield: $309.35
  • Blue Shield Affinity — Blue Shield Affinity: $309.35
  • Blue Shield Hill — Blue Shield Hill: $309.35
  • Brown & Toland — Brown Toland: $123.74
  • Canopy — Canopy Commercial: $235.11
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Chest Xray 2 Views $326.08 $97.82 $228.26 – $251.08
Chest X-ray, 2 views: rates for 2 insurance plans
  • Interplan — Interplan: $228.26
  • Multiplan Inc — Multiplan: $251.08
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE COMPT MIN4V $1,687.35 $506.21 $42.73 – $1,434.25
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $843.67
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $45.12
  • Aetna Health Plans of California — Aetna Medicare PPO: $148.65
  • Blue Cross of California — Blue Cross HMO/PPO: $74.30
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $74.30
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $74.30
  • Blue Shield — Blue Shield: $371.63
  • Blue Shield Affinity — Blue Shield Affinity: $371.63
  • Blue Shield Hill — Blue Shield Hill: $371.63
  • Brown & Toland — Brown Toland: $148.65
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE COMPT MIN4V $1,687.35 $506.21 $1,181.14 – $1,299.26
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Interplan — Interplan: $1,181.14
  • Multiplan Inc — Multiplan: $1,299.26
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR lumbar spine wo con $2,999.85 $899.96 $196.47 – $2,999.85
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,600
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $429.47
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $519.88
  • Aetna Health Plans of California — Aetna Medicare PPO: $339.26
  • Blue Cross of California — Blue Cross HMO/PPO: $996.16
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $996.16
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $996.16
  • Blue Shield — Blue Shield: $848.15
  • Blue Shield Affinity — Blue Shield Affinity: $848.15
  • Blue Shield Hill — Blue Shield Hill: $848.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR lumbar spine wo con $2,999.85 $899.96 $2,099.90 – $2,309.88
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Interplan — Interplan: $2,099.90
  • Multiplan Inc — Multiplan: $2,309.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST $4,121.25 $1,236.38 $218.70 – $3,503.06
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $750
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $279.45
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $338.28
  • Aetna Health Plans of California — Aetna Medicare PPO: $249.40
  • Blue Cross of California — Blue Cross HMO/PPO: $549.72
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $549.72
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $549.72
  • Blue Shield — Blue Shield: $623.50
  • Blue Shield Affinity — Blue Shield Affinity: $623.50
  • Blue Shield Hill — Blue Shield Hill: $623.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W IV ORAL CONTRAST $4,121.25 $1,236.38 $218.70 – $3,503.06
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $750
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $279.45
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $338.28
  • Aetna Health Plans of California — Aetna Medicare PPO: $249.40
  • Blue Cross of California — Blue Cross HMO/PPO: $549.72
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $549.72
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $549.72
  • Blue Shield — Blue Shield: $623.50
  • Blue Shield Affinity — Blue Shield Affinity: $623.50
  • Blue Shield Hill — Blue Shield Hill: $623.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT CYSTOGRAM $4,121.25 $1,236.38 $218.70 – $3,503.06
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $750
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $279.45
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $338.28
  • Aetna Health Plans of California — Aetna Medicare PPO: $249.40
  • Blue Cross of California — Blue Cross HMO/PPO: $549.72
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $549.72
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $549.72
  • Blue Shield — Blue Shield: $623.50
  • Blue Shield Affinity — Blue Shield Affinity: $623.50
  • Blue Shield Hill — Blue Shield Hill: $623.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MR hip LT wo con $2,996.70 $899.01 $221.15 – $2,547.19
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,600
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $429.47
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $519.88
  • Aetna Health Plans of California — Aetna Medicare PPO: $339.26
  • Blue Cross of California — Blue Cross HMO/PPO: $895.24
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $895.24
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $895.24
  • Blue Shield — Blue Shield: $848.15
  • Blue Shield Affinity — Blue Shield Affinity: $848.15
  • Blue Shield Hill — Blue Shield Hill: $848.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MR knee LT wo con $2,996.70 $899.01 $221.15 – $2,547.19
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,600
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $429.47
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $519.88
  • Aetna Health Plans of California — Aetna Medicare PPO: $339.26
  • Blue Cross of California — Blue Cross HMO/PPO: $895.24
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $895.24
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $895.24
  • Blue Shield — Blue Shield: $848.15
  • Blue Shield Affinity — Blue Shield Affinity: $848.15
  • Blue Shield Hill — Blue Shield Hill: $848.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MR knee RT wo con $2,996.70 $899.01 $221.15 – $2,547.19
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,600
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $429.47
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $519.88
  • Aetna Health Plans of California — Aetna Medicare PPO: $339.26
  • Blue Cross of California — Blue Cross HMO/PPO: $895.24
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $895.24
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $895.24
  • Blue Shield — Blue Shield: $848.15
  • Blue Shield Affinity — Blue Shield Affinity: $848.15
  • Blue Shield Hill — Blue Shield Hill: $848.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CTABDOMEN PELVISWCONTRAST $6,163.50 $1,849.05 $287.70 – $5,238.97
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $750
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $343.43
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $415.74
  • Aetna Health Plans of California — Aetna Medicare PPO: $496.06
  • Blue Cross of California — Blue Cross HMO/PPO: $561.27
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $561.27
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $561.27
  • Blue Shield — Blue Shield: $1,240.15
  • Blue Shield Affinity — Blue Shield Affinity: $1,240.15
  • Blue Shield Hill — Blue Shield Hill: $1,240.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CTABD PELW/IVCONTONLY $6,163.50 $1,849.05 $287.70 – $5,238.97
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $750
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $343.43
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $415.74
  • Aetna Health Plans of California — Aetna Medicare PPO: $496.06
  • Blue Cross of California — Blue Cross HMO/PPO: $561.27
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $561.27
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $561.27
  • Blue Shield — Blue Shield: $1,240.15
  • Blue Shield Affinity — Blue Shield Affinity: $1,240.15
  • Blue Shield Hill — Blue Shield Hill: $1,240.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CTABDOMEN PELVISWCONTRAST $6,163.50 $1,849.05 $4,314.45 – $4,745.90
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Interplan — Interplan: $4,314.45
  • Multiplan Inc — Multiplan: $4,745.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $2,533.65 $760.10 $108.02 – $2,153.60
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $1,266.83
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $122.08
  • Aetna Health Plans of California — Aetna Medicare PPO: $148.65
  • Blue Cross of California — Blue Cross HMO/PPO: $160.40
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $160.40
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $160.40
  • Blue Shield — Blue Shield: $371.63
  • Blue Shield Affinity — Blue Shield Affinity: $371.63
  • Blue Shield Hill — Blue Shield Hill: $371.63
  • Brown & Toland — Brown Toland: $148.65
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $2,533.65 $760.10 $1,773.56 – $1,950.91
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Interplan — Interplan: $1,773.56
  • Multiplan Inc — Multiplan: $1,950.91
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >14 WKS FETUS $415.80 $124.74 $120.99 – $353.43
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $207.90
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $122.08
  • Aetna Health Plans of California — Aetna Medicare PPO: $148.65
  • Blue Cross of California — Blue Cross HMO/PPO: $166.40
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $166.40
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $166.40
  • Blue Shield — Blue Shield: $371.63
  • Blue Shield Affinity — Blue Shield Affinity: $371.63
  • Blue Shield Hill — Blue Shield Hill: $371.63
  • Brown & Toland — Brown Toland: $148.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >14 WKS FETUS $415.80 $124.74 $291.06 – $320.17
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Interplan — Interplan: $291.06
  • Multiplan Inc — Multiplan: $320.17
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,131.90 $339.57 $114.97 – $962.12
Transvaginal ultrasound: 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $565.95
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $120.78
  • Aetna Health Plans of California — Aetna Medicare PPO: $148.65
  • Blue Cross of California — Blue Cross HMO/PPO: $124.51
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $124.51
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $124.51
  • Blue Shield — Blue Shield: $371.63
  • Blue Shield Affinity — Blue Shield Affinity: $371.63
  • Blue Shield Hill — Blue Shield Hill: $371.63
  • Brown & Toland — Brown Toland: $148.65
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,131.90 $339.57 $792.33 – $871.56
Transvaginal ultrasound: rates for 2 insurance plans
  • Interplan — Interplan: $792.33
  • Multiplan Inc — Multiplan: $871.56
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MM DIGITAL DIAG UNILATERAL $417.65 $125.30 $113.28 – $355
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $292.35
  • Aetna Health Plans of California — Aetna Medicare PPO: $121.18
  • Blue Cross of California — Blue Cross HMO/PPO: $214.72
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $214.72
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $214.72
  • Blue Shield — Blue Shield: $302.95
  • Blue Shield Affinity — Blue Shield Affinity: $302.95
  • Blue Shield Hill — Blue Shield Hill: $302.95
  • Brown & Toland — Brown Toland: $121.18
  • Canopy — Canopy Commercial: $230.24
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MM DIGITAL DIAG UNILATERAL $417.65 $125.30 $292.36 – $321.59
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Interplan — Interplan: $292.36
  • Multiplan Inc — Multiplan: $321.59
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MM DIGITAL DIAG BILATERAL $528.88 $158.66 $145.11 – $449.55
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $370.22
  • Aetna Health Plans of California — Aetna Medicare PPO: $155.23
  • Blue Cross of California — Blue Cross HMO/PPO: $274.89
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $274.89
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $274.89
  • Blue Shield — Blue Shield: $388.07
  • Blue Shield Affinity — Blue Shield Affinity: $388.07
  • Blue Shield Hill — Blue Shield Hill: $388.07
  • Brown & Toland — Brown Toland: $155.23
  • Canopy — Canopy Commercial: $294.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MM DIGITAL DIAG BILATERAL $528.88 $158.66 $370.22 – $407.24
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Interplan — Interplan: $370.22
  • Multiplan Inc — Multiplan: $407.24
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHYSCREENING $428.48 $128.54 $119.39 – $364.21
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $299.94
  • Aetna Health Plans of California — Aetna Medicare PPO: $128.24
  • Blue Cross of California — Blue Cross HMO/PPO: $227.02
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $227.02
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $227.02
  • Blue Shield — Blue Shield: $320.60
  • Blue Shield Affinity — Blue Shield Affinity: $320.60
  • Blue Shield Hill — Blue Shield Hill: $320.60
  • Brown & Toland — Brown Toland: $128.24
  • Canopy — Canopy Commercial: $243.66
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAPHYSCREENING $428.48 $128.54 $299.94 – $329.93
Screening mammogram, both breasts: rates for 2 insurance plans
  • Interplan — Interplan: $299.94
  • Multiplan Inc — Multiplan: $329.93

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CL-LT HRT CATH W/VENTRCLGRPHY $22,241 $6,672.30 $768.16 – $20,016.90
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $9,500
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $9,500
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $9,500
  • Aetna Health Plans of California — Aetna Medicare PPO: $4,609.65
  • Blue Cross of California — Blue Cross HMO/PPO: $6,468
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $6,468
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $6,468
  • Blue Shield — Blue Shield: $11,524.13
  • Blue Shield Affinity — Blue Shield Affinity: $11,524.13
  • Blue Shield Hill — Blue Shield Hill: $11,524.13
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CL-LT HRT CATH W/VENTRCLGRPHY $22,241 $6,672.30 $15,568.70 – $17,125.57
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • Interplan — Interplan: $15,568.70
  • Multiplan Inc — Multiplan: $17,125.57

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERPEXERCISEROMEA15MIN $252 $75.60 $33.56 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $250
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $34.86
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $250
  • Aetna Health Plans of California — Aetna Medicare PPO: $35.91
  • Blue Cross of California — Blue Cross HMO/PPO: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $184
  • Blue Shield — Blue Shield: $89.77
  • Blue Shield Affinity — Blue Shield Affinity: $89.77
  • Blue Shield Hill — Blue Shield Hill: $89.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQGP In the file: THERAPEUTIC EXERCISE PER 15 M $214.20 $64.26 $29.56 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $250
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $34.86
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $250
  • Aetna Health Plans of California — Aetna Medicare PPO: $31.60
  • Blue Cross of California — Blue Cross HMO/PPO: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $184
  • Blue Shield — Blue Shield: $79
  • Blue Shield Affinity — Blue Shield Affinity: $79
  • Blue Shield Hill — Blue Shield Hill: $79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTICEXERCISE15MIN $252 $75.60 $33.56 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $250
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $34.86
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $250
  • Aetna Health Plans of California — Aetna Medicare PPO: $35.91
  • Blue Cross of California — Blue Cross HMO/PPO: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $184
  • Blue Shield — Blue Shield: $89.77
  • Blue Shield Affinity — Blue Shield Affinity: $89.77
  • Blue Shield Hill — Blue Shield Hill: $89.77
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PTEVALLOWCOMPLEX20MIN $378.04 $113.41 $97.43 – $321.33
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $250
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $250
  • Aetna Health Plans of California — Aetna Medicare PPO: $121.93
  • Blue Cross of California — Blue Cross HMO/PPO: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $184
  • Blue Shield — Blue Shield: $304.83
  • Blue Shield Affinity — Blue Shield Affinity: $304.83
  • Blue Shield Hill — Blue Shield Hill: $304.83
  • Brown & Toland — Brown Toland: $121.93
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PTEVALLOWCOMPLEX20MIN $378.04 $113.41 $264.63 – $291.09
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • Interplan — Interplan: $264.63
  • Multiplan Inc — Multiplan: $291.09
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PTEVALMODCOMPLEX30MIN $378.04 $113.41 $97.43 – $321.33
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $250
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $250
  • Aetna Health Plans of California — Aetna Medicare PPO: $121.93
  • Blue Cross of California — Blue Cross HMO/PPO: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $184
  • Blue Shield — Blue Shield: $304.83
  • Blue Shield Affinity — Blue Shield Affinity: $304.83
  • Blue Shield Hill — Blue Shield Hill: $304.83
  • Brown & Toland — Brown Toland: $121.93
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PTEVALMODCOMPLEX30MIN $378.04 $113.41 $264.63 – $291.09
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • Interplan — Interplan: $264.63
  • Multiplan Inc — Multiplan: $291.09
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PTEVALHIGHCOMPLEX45MIN $378.04 $113.41 $97.43 – $321.33
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $250
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $250
  • Aetna Health Plans of California — Aetna Medicare PPO: $121.93
  • Blue Cross of California — Blue Cross HMO/PPO: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $184
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $184
  • Blue Shield — Blue Shield: $304.83
  • Blue Shield Affinity — Blue Shield Affinity: $304.83
  • Blue Shield Hill — Blue Shield Hill: $304.83
  • Brown & Toland — Brown Toland: $121.93
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PTEVALHIGHCOMPLEX45MIN $378.04 $113.41 $264.63 – $291.09
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • Interplan — Interplan: $264.63
  • Multiplan Inc — Multiplan: $291.09

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT Not listed in the file Not listed in the file $3,378 – $38,500
Total hip replacement: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $4,400
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $4,400
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $4,400
  • Aetna Health Plans of California — Aetna Medicare PPO: $18,255.12
  • Blue Cross of California — Blue Cross HMO/PPO: $3,378
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,378
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,378
  • Blue Shield — Blue Shield: $45,637.80
  • Blue Shield Affinity — Blue Shield Affinity: $45,637.80
  • Blue Shield Hill — Blue Shield Hill: $45,637.80
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT Not listed in the file Not listed in the file $4,400 – $38,500
Total knee replacement: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $4,400
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $4,400
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $4,400
  • Aetna Health Plans of California — Aetna Medicare PPO: $18,255.12
  • Blue Cross of California — Blue Cross HMO/PPO: $5,534
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $5,534
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $5,534
  • Blue Shield — Blue Shield: $45,637.80
  • Blue Shield Affinity — Blue Shield Affinity: $45,637.80
  • Blue Shield Hill — Blue Shield Hill: $45,637.80
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 $2,212.44 – $38,500
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $3,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $3,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $4,652.41
  • Blue Cross of California — Blue Cross HMO/PPO: $3,082
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,082
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,082
  • Blue Shield — Blue Shield: $11,631.02
  • Blue Shield Affinity — Blue Shield Affinity: $11,631.02
  • Blue Shield Hill — Blue Shield Hill: $11,631.02
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 $3,400 – $38,500
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $3,400
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $3,400
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3,400
  • Aetna Health Plans of California — Aetna Medicare PPO: $8,596.04
  • Blue Cross of California — Blue Cross HMO/PPO: $5,534
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $5,534
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $5,534
  • Blue Shield — Blue Shield: $21,490.10
  • Blue Shield Affinity — Blue Shield Affinity: $21,490.10
  • Blue Shield Hill — Blue Shield Hill: $21,490.10
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA Not listed in the file Not listed in the file $2,346.08 – $38,500
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $3,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $3,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $5,090.92
  • Blue Cross of California — Blue Cross HMO/PPO: $3,082
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,082
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,082
  • Blue Shield — Blue Shield: $12,727.30
  • Blue Shield Affinity — Blue Shield Affinity: $12,727.30
  • Blue Shield Hill — Blue Shield Hill: $12,727.30
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 $2,055 – $38,500
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $3,000
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $3,000
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $3,000
  • Aetna Health Plans of California — Aetna Medicare PPO: $4,602.82
  • Blue Cross of California — Blue Cross HMO/PPO: $2,055
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $2,055
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $2,055
  • Blue Shield — Blue Shield: $11,507.05
  • Blue Shield Affinity — Blue Shield Affinity: $11,507.05
  • Blue Shield Hill — Blue Shield Hill: $11,507.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR INJ THERAPEUT LUMBAR W/IMG $2,439.81 $731.94 $521.16 – $2,073.84
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $2,000
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $2,000
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $2,000
  • Aetna Health Plans of California — Aetna Medicare PPO: $1,003.68
  • Blue Cross of California — Blue Cross HMO/PPO: $1,599
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $1,599
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $1,599
  • Blue Shield — Blue Shield: $2,509.20
  • Blue Shield Affinity — Blue Shield Affinity: $2,509.20
  • Blue Shield Hill — Blue Shield Hill: $2,509.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CL-NJX INTERLAMINAR LMBR/SAC $2,439.81 $731.94 $521.16 – $2,073.84
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $2,000
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $2,000
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $2,000
  • Aetna Health Plans of California — Aetna Medicare PPO: $1,003.68
  • Blue Cross of California — Blue Cross HMO/PPO: $1,599
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $1,599
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $1,599
  • Blue Shield — Blue Shield: $2,509.20
  • Blue Shield Affinity — Blue Shield Affinity: $2,509.20
  • Blue Shield Hill — Blue Shield Hill: $2,509.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR INJ THERAPEUT LUMBAR W/IMG $2,439.81 $731.94 $1,707.87 – $1,878.65
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • Interplan — Interplan: $1,707.87
  • Multiplan Inc — Multiplan: $1,878.65
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 $1,276 – $38,500
Carpal tunnel release: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $2,300
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $2,300
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $2,300
  • Aetna Health Plans of California — Aetna Medicare PPO: $4,997.07
  • Blue Cross of California — Blue Cross HMO/PPO: $2,055
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $2,055
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $2,055
  • Blue Shield — Blue Shield: $12,492.67
  • Blue Shield Affinity — Blue Shield Affinity: $12,492.67
  • Blue Shield Hill — Blue Shield Hill: $12,492.67

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $2,000 – $109,478.87
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $109,478.87
  • Blue Cross of California — Blue Cross HMO/PPO: $5,951
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,930
  • Blue Shield — Blue Shield: $109,478.87
  • Blue Shield Affinity — Blue Shield Affinity: $109,478.87
  • Blue Shield Hill — Blue Shield Hill: $109,478.87
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $1,025 – $41,282.51
Spinal fusion (not neck), without major complications: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $41,282.51
  • Blue Cross of California — Blue Cross HMO/PPO: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,930
  • Blue Shield — Blue Shield: $41,282.51
  • Blue Shield Affinity — Blue Shield Affinity: $41,282.51
  • Blue Shield Hill — Blue Shield Hill: $41,282.51
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 $1,025 – $22,031.35
Hip or knee replacement (major joint of the leg), without major complications: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $22,031.35
  • Blue Cross of California — Blue Cross HMO/PPO: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,930
  • Blue Shield — Blue Shield: $22,031.35
  • Blue Shield Affinity — Blue Shield Affinity: $22,031.35
  • Blue Shield Hill — Blue Shield Hill: $22,031.35
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 $1,025 – $27,736.54
Neck (cervical) spinal fusion, without complications: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $27,736.54
  • Blue Cross of California — Blue Cross HMO/PPO: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,930
  • Blue Shield — Blue Shield: $27,736.54
  • Blue Shield Affinity — Blue Shield Affinity: $27,736.54
  • Blue Shield Hill — Blue Shield Hill: $27,736.54
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 $1,025 – $15,596.26
Uterus and ovary surgery (not for cancer), without complications: 10 of 33 insurance plan rates
  • Aetna Health Plans of California — Aetna Health Plan: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Affinity: $6,200
  • Aetna Health Plans of California — Aetna Health Plan/Hill: $6,200
  • Aetna Health Plans of California — Aetna Medicare PPO: $14,368.71
  • Blue Cross of California — Blue Cross HMO/PPO: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Affinity: $3,930
  • Blue Cross of California — Blue Cross HMO/PPO/Hill: $3,930
  • Blue Shield — Blue Shield: $14,368.71
  • Blue Shield Affinity — Blue Shield Affinity: $14,368.71
  • Blue Shield Hill — Blue Shield Hill: $14,368.71

Source: St Rose Hospital’s standard charges file (strosehospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 23, 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 typeAcute Care Hospital
Address27200 Calaroga Ave, Hayward, CA 94545
CountyAlameda County
StateCalifornia
Phone(510) 782‑6200
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating1 of 5 stars
CMS Certification Number050002
Name in Medicare recordsST ROSE HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(510) 264‑4000[4][6]
Name on the hospital’s websiteSt. Rose Hospital
Official websitestrosehospital.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. St. Rose Hospital — strosehospital.org
  2. Our Services — strosehospital.org
  3. Campus Information — strosehospital.org
  4. Accreditations & Awards — strosehospital.org