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Inpatient Rehabilitation Hospital

Stockton Regional Rehabilitation Hospital

Stockton, California · San Joaquin County

Summary

Stockton Regional Rehabilitation Hospital is an inpatient rehabilitation hospital in Stockton, California. Its official website lists 41 services, specialties and programs. Source: CMS Inpatient Rehabilitation Facility - General Information, data updated 2026-08-12.

What is an inpatient rehabilitation hospital?

A hospital where people recover after a stroke, injury or surgery with daily physical, occupational and speech therapy. 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

41Services listed

Quick answers

Where is Stockton Regional Rehabilitation Hospital?
607 E Magnolia Street, Stockton, CA 95202, in San Joaquin County, California.
What is the phone number of Stockton Regional Rehabilitation Hospital?
(717) 620-2424, as listed by Medicare (CMS).

Specialties and care areas[4][5]

  • Inpatient rehabilitation
  • Neuropsychology

Conditions treated[4]

Treatments[4][9][11]

Programs and centers[4][5]

  • Transitional Outcomes Program

Visiting and practical information

VisitingOvernight visitors allowed with patient's permission; contact the hospital to confirm current visitor practices[7][10]
ParkingParking is complimentary and close to all entrances[7]

Recognition[5]

  • Brain Injury Certified
  • Stroke Rehabilitation Certified

Nearest emergency rooms

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

Other hospitals nearby

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 licence list, by straight-line distance.

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 52 common services exactly as Stockton Regional Rehabilitation 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file Not listed in the file
Emergency room visit (moderate): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file Not listed in the file
Emergency room visit (moderately high): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file Not listed in the file
Emergency room visit (high): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca Not listed in the file Not listed in the file Not listed in the file
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel Not listed in the file Not listed in the file Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel Not listed in the file Not listed in the file Not listed in the file
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel Not listed in the file Not listed in the file Not listed in the file
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel Not listed in the file Not listed in the file Not listed in the file
Liver function panel: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file Not listed in the file
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file Not listed in the file
Urine test (automated, without microscope): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total Not listed in the file Not listed in the file Not listed in the file
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file Not listed in the file
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated Not listed in the file Not listed in the file Not listed in the file
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time Not listed in the file Not listed in the file Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial Not listed in the file Not listed in the file Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)

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) In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file Not listed in the file
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file Not listed in the file
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file Not listed in the file
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file Not listed in the file
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye Not listed in the file Not listed in the file Not listed in the file
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file Not listed in the file Not listed in the file
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — HMO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — Leased PPO: 100% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >= 14 wks sngl fetus Not listed in the file Not listed in the file Not listed in the file
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob Not listed in the file Not listed in the file Not listed in the file
Transvaginal ultrasound: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file Not listed in the file
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file Not listed in the file
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file Not listed in the file
Screening mammogram, both breasts: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises Not listed in the file Not listed in the file Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna Network Services — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Alignment Health Plan — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medi-Cal: 100% (a percentage in the contract, not a dollar amount)
  • Astrana Health FKA For Your Benefit — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Health Net of California — EPO: 100% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file Not listed in the file Not listed in the file
Group psychotherapy: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 Not listed in the file
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Total hip replacement: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Total knee replacement: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file Not listed in the file
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Colonoscopy with biopsy: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate Not listed in the file Not listed in the file Not listed in the file
Prostate biopsy: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Carpal tunnel release: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Cataract removal with lens implant: rates for 10 insurance plans
  • Anthem Blue Cross — Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross — Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage HMO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Shield of California — Blue Shield Medicare Advantage PPO: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO DSNP: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare HMO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare Network PFFS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare POS Plans: 100% (a percentage in the contract, not a dollar amount)
  • Humana Insurance Company — Medicare PPO Plans: 100% (a percentage in the contract, not a dollar amount)
  • Imperial Health Holdings Medical Group — Medicare Advantage (MA or MA-PD): 100% (a percentage in the contract, not a dollar amount)

Source: Stockton Regional Rehabilitation Hospital’s standard charges file (ernesthealth.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 10, 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 typeInpatient Rehabilitation Hospital
Address607 E Magnolia Street, Stockton, CA 95202
CountySan Joaquin County
StateCalifornia
Phone(717) 620‑2424
OwnershipProprietary
CMS Certification Number053047
Name in Medicare recordsSTOCKTON REGIONAL REHABILITATION HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(209) 687‑5490[4][5]
Official websitestocktonrehab.com
CorrectionsReport an error or suggest an update →

Sources

  1. Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare tool to look up and compare this type of 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. Inpatient Rehabilitation — stocktonrehab.com
  2. Stockton Regional Rehabilitation Hospital — stocktonrehab.com
  3. Patient Information – Stockton Regional Rehabilitation Hospital — stocktonrehab.com
  4. Your Rehabilitation Team – Stockton Regional Rehabilitation Hospital — stocktonrehab.com
  5. Frequently Asked Questions – Stockton Regional Rehabilitation Hospital — stocktonrehab.com
  6. Technology – Stockton Regional Rehabilitation Hospital — stocktonrehab.com