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Acute Care Hospital

Sutter Maternity & Surgery Center of Santa Cruz

Santa Cruz, California · Santa Cruz County

Summary

Sutter Maternity & Surgery Center of Santa Cruz is an acute care hospital in Santa Cruz, California. Medicare data does not list emergency services. Its official website lists 17 services, specialties and programs. Medicare lists 99 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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

Call(831) 477‑2200 Directions Website Medicare profile
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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

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
YesBirthing-friendly (CMS)
99Doctors and clinicians
17Services listed

Quick answers

Does Sutter Maternity & Surgery Center of Santa Cruz have an emergency room?
Medicare (CMS) data does not list emergency services at Sutter Maternity & Surgery Center of Santa Cruz. The closest hospitals that do: Dominican Hospital (0.3 mi), Watsonville Community Hospital (11 mi) and Good Samaritan Hospital (18 mi). In a medical emergency, call 911.
Where is Sutter Maternity & Surgery Center of Santa Cruz?
2900 Chanticleer Avenue, Santa Cruz, CA 95065, in Santa Cruz County, California.
What is the phone number of Sutter Maternity & Surgery Center of Santa Cruz?
(831) 477-2200, as listed by Medicare (CMS).
What is the Medicare star rating of Sutter Maternity & Surgery Center of Santa Cruz?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5]

Treatments[6]

  • Labor and delivery
  • Fetal monitoring
  • Lactation services
  • Postpartum support

Procedures[4][5]

Programs and centers[5][6]

  • Birth center
  • Midwife services

Visiting and practical information

VisitingVisiting hours 7:30 a.m.-9 p.m. every day[4]
ParkingFree parking in the lot around the medical center, entered from Chanticleer Ave and Soquel Dr[4]
Interpreters and languagesFree medical interpreters available 24/7 in person, by phone or video[6]

Recognition[4][6]

  • ASGE Endoscopy Unit Recognition (2024)
  • Accredited by The Joint Commission
  • Certified Baby-Friendly Hospital (UNICEF)

Doctors and clinicians (99)

99 doctors and other clinicians list Sutter Maternity & Surgery Center of Santa Cruz 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 (99)

And 75 more: the button below opens the full list.

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.

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 Sutter Maternity & Surgery Center of Santa Cruz 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) 4 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1087%National average: 72%
Would definitely recommend the hospital85%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well83%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home93%National average: 86%
Room and bathroom “always” clean84%National average: 74%
Area around the room “always” quiet at night69%National average: 60%
Completed surveys203Response rate: 24%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.01No different from the national rate
Complications after hip or knee replacement3.6%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.3%

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Too few cases to report

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in CaliforniaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Sutter Maternity & Surgery Center of Santa Cruz 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 →

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: Metabolic panel total ca Not listed in the file Not listed in the file $8.46
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE BASIC METBLC PNL TOTAL CA $383 $383 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE BASIC METBLC PNL TOTAL CA $383 $383 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE COMPR MET PNL $471 $471 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE COMPR MET PNL $471 $471 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81
Obstetric blood test panel: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE PRENATAL PNL $148 $148 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE PRENATAL PNL $148 $148 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE LIPID PNL $343 $343 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE LIPID PNL $343 $343 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68
Kidney function panel: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE RENAL FUNCTION PNL $275 $275 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE RENAL FUNCTION PNL $275 $275 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17
Liver function panel: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE HEPATIC FUNCTION PNL $309 $309 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE HEPATIC FUNCTION PNL $309 $309 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17
Urine test (automated, with microscope): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/ MICRO $141 $141 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/ MICRO $141 $141 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48
Urine test (manual, without microscope): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POCT URNALYSIS MAN W/O MICRO $47 $47 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POCT URNALYSIS MAN W/O MICRO $47 $47 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25
Urine test (automated, without microscope): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/O MICRO $102 $102 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/O MICRO $102 $102 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE PSA TOTAL DIAGNOSTIC $242 $242 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE PSA TOTAL DIAGNOSTIC $242 $242 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE TSH $313 $313 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE TSH $313 $313 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE CBC AUTO W AUTO DIFF WBC $217 $217 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE CBC AUTO W AUTO DIFF WBC $217 $217 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE CBC AUTO $189 $189 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE CBC AUTO $189 $189 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE PROTHROMBIN TIME $158 $158 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE PROTHROMBIN TIME $158 $158 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE PTT PLAS OR WB $236 $236 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE PTT PLAS OR WB $236 $236 Not listed in the file

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 dye Not listed in the file Not listed in the file $147.35 – $1,410
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $1,337
  • Anthem — Hmo/Ppo: $1,270
  • Anthem — Individual: $916
  • Anthem — Medicare Adv_ Hmo / Ppo: $147.35
  • Blue Shield — Hmo/Ppo: $1,064
  • Blue Shield — Individual: $835
  • Cigna — Hmo/Ppo: $1,275
  • Health Net — Hmo/Ppo: $1,410
  • United — Hmo / Ppo: $1,367
  • United — Hmo/Ppo: $1,367
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $491.72 – $6,382
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $6,049
  • Anthem — Hmo/Ppo: $5,755
  • Anthem — Individual: $4,144
  • Anthem — Medicare Adv_ Hmo / Ppo: $491.72
  • Blue Shield — Hmo/Ppo: $4,826
  • Blue Shield — Individual: $3,786
  • Cigna — Hmo/Ppo: $5,762
  • Health Net — Hmo/Ppo: $6,382
  • United — Hmo / Ppo: $6,187
  • United — Hmo/Ppo: $6,187
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W STEM W AND WO CONTR $8,334 $8,334 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W STEM W AND WO CONTR $8,334 $8,334 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW $804 $804 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW $804 $804 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR CHEST SPECIAL VIEWS 2 VIEW $804 $804 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $147.35
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $147.35
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR SPINE LUMB 4 VIEW OR MORE $1,151 $1,151 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR SPINE LUMB 4 VIEW OR MORE $1,151 $1,151 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $336.30 – $3,676
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $3,484
  • Anthem — Hmo/Ppo: $3,313
  • Anthem — Individual: $2,386
  • Anthem — Medicare Adv_ Hmo / Ppo: $336.30
  • Blue Shield — Hmo/Ppo: $2,772
  • Blue Shield — Individual: $2,173
  • Cigna — Hmo/Ppo: $3,317
  • Health Net — Hmo/Ppo: $3,676
  • United — Hmo / Ppo: $3,563
  • United — Hmo/Ppo: $3,563
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI SPINE LUMB WO CONTR $5,217 $5,217 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI SPINE LUMB WO CONTR $5,217 $5,217 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $247.22 – $2,107
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,002
  • Anthem — Hmo/Ppo: $1,900
  • Anthem — Individual: $1,369
  • Anthem — Medicare Adv_ Hmo / Ppo: $247.22
  • Blue Shield — Hmo/Ppo: $1,590
  • Blue Shield — Individual: $1,247
  • Cigna — Hmo/Ppo: $1,904
  • Health Net — Hmo/Ppo: $2,107
  • United — Hmo / Ppo: $2,046
  • United — Hmo/Ppo: $2,046
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $336.30 – $3,689
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $3,499
  • Anthem — Hmo/Ppo: $3,324
  • Anthem — Individual: $2,393
  • Anthem — Medicare Adv_ Hmo / Ppo: $336.30
  • Blue Shield — Hmo/Ppo: $2,766
  • Blue Shield — Individual: $2,170
  • Cigna — Hmo/Ppo: $3,331
  • Health Net — Hmo/Ppo: $3,689
  • United — Hmo / Ppo: $3,576
  • United — Hmo/Ppo: $3,576
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $491.72 – $6,421
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Hmo/Ppo: $4,424
  • Anthem — Medicare Adv_ Hmo / Ppo: $491.72
  • Blue Shield — Hmo/Ppo: $6,302
  • Blue Shield — Individual: $4,948
  • Cigna — Hmo/Ppo: $5,868
  • United — Hmo / Ppo: $6,421
  • United — Hmo/Ppo: $6,421
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $147.35
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $147.35
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ABD COMPLETE $1,887 $1,887 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABD COMPLETE $1,887 $1,887 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $147.35
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $147.35
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $147.35
Transvaginal ultrasound: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $147.35
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US TRANSVAGINAL NON-OB $1,310 $1,310 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US TRANSVAGINAL NON-OB $1,310 $1,310 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT THERAPEUTIC EXERCISE EA 15 MIN $236 $236 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT THERAPEUTIC EXERCISE EA 15 MIN $236 $236 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL LOW COMPLEXITY $495 $495 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL LOW COMPLEXITY $495 $495 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL MOD COMPLEXITY $558 $558 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL MOD COMPLEXITY $558 $558 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL HIGH COMPLEXITY $629 $629 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL HIGH COMPLEXITY $629 $629 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $5,518.57 – $8,707
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $8,707
  • Anthem — Hmo/Ppo: $7,812
  • Anthem — Individual: $5,625
  • Anthem — Medicare Adv_ Hmo / Ppo: $5,518.57
  • Blue Shield — Hmo/Ppo: $7,346
  • Blue Shield — Individual: $6,486
  • Cigna — Hmo/Ppo: $6,616
  • Health Net — Hmo/Ppo: $7,282
  • United — Hmo / Ppo: $7,312
  • United — Hmo/Ppo: $7,312
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $18,095.36 – $63,249
Total hip replacement: rates for 3 insurance plans
  • Anthem — Medicare Adv_ Hmo / Ppo: $18,095.36
  • United — Hmo / Ppo: $63,249
  • United — Hmo/Ppo: $63,249
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $18,095.36 – $64,740
Total knee replacement: rates for 3 insurance plans
  • Anthem — Medicare Adv_ Hmo / Ppo: $18,095.36
  • United — Hmo / Ppo: $64,740
  • United — Hmo/Ppo: $64,740
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $2,699 – $8,468
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — Hmo/Ppo: $3,514
  • Anthem — Hmo/Ppo: $3,750
  • Anthem — Individual: $2,699
  • Blue Shield — Hmo/Ppo: $3,895
  • Blue Shield — Individual: $3,438
  • Cigna — Hmo/Ppo: $7,691
  • Health Net — Hmo/Ppo: $8,468
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 $4,611.69 – $8,468
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $8,209
  • Anthem — Hmo/Ppo: $7,755
  • Anthem — Individual: $5,583
  • Anthem — Medicare Adv_ Hmo / Ppo: $4,611.69
  • Blue Shield — Hmo/Ppo: $8,023
  • Blue Shield — Individual: $7,081
  • Cigna — Hmo/Ppo: $7,691
  • Health Net — Hmo/Ppo: $8,468
  • United — Hmo / Ppo: $8,370
  • United — Hmo/Ppo: $8,370
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $6,462 – $14,099
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $13,523
  • Anthem — Hmo/Ppo: $14,099
  • Anthem — Individual: $8,879
  • Anthem — Medicare Adv_ Hmo / Ppo: $8,343.65
  • Blue Shield — Hmo/Ppo: $11,123
  • Blue Shield — Individual: $9,822
  • Cigna — Hmo/Ppo: $6,462
  • Health Net — Hmo/Ppo: $7,113
  • United — Hmo / Ppo: $11,126
  • United — Hmo/Ppo: $11,126
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $1,278.34 – $3,410
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,668
  • Anthem — Hmo/Ppo: $3,000
  • Anthem — Individual: $2,159
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,278.34
  • Blue Shield — Hmo/Ppo: $2,728
  • Blue Shield — Individual: $2,409
  • Cigna — Hmo/Ppo: $3,084
  • Health Net — Hmo/Ppo: $3,410
  • United — Hmo / Ppo: $2,980
  • United — Hmo/Ppo: $2,980
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $1,278.34 – $3,410
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,668
  • Anthem — Hmo/Ppo: $3,000
  • Anthem — Individual: $2,159
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,278.34
  • Blue Shield — Hmo/Ppo: $2,728
  • Blue Shield — Individual: $2,409
  • Cigna — Hmo/Ppo: $3,084
  • Health Net — Hmo/Ppo: $3,410
  • United — Hmo / Ppo: $2,980
  • United — Hmo/Ppo: $2,980
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $1,310.72 – $3,783
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,909
  • Anthem — Hmo/Ppo: $3,177
  • Anthem — Individual: $2,286
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,310.72
  • Blue Shield — Hmo/Ppo: $2,997
  • Blue Shield — Individual: $2,646
  • Cigna — Hmo/Ppo: $3,419
  • Health Net — Hmo/Ppo: $3,783
  • United — Hmo / Ppo: $3,306
  • United — Hmo/Ppo: $3,306
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,686.59 – $3,783
Colonoscopy with biopsy: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,909
  • Anthem — Hmo/Ppo: $3,177
  • Anthem — Individual: $2,286
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,686.59
  • Blue Shield — Hmo/Ppo: $2,997
  • Blue Shield — Individual: $2,646
  • Cigna — Hmo/Ppo: $3,419
  • Health Net — Hmo/Ppo: $3,783
  • United — Hmo / Ppo: $3,306
  • United — Hmo/Ppo: $3,306
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,686.59 – $3,783
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,909
  • Anthem — Hmo/Ppo: $3,177
  • Anthem — Individual: $2,286
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,686.59
  • Blue Shield — Hmo/Ppo: $2,997
  • Blue Shield — Individual: $2,646
  • Cigna — Hmo/Ppo: $3,419
  • Health Net — Hmo/Ppo: $3,783
  • United — Hmo / Ppo: $3,306
  • United — Hmo/Ppo: $3,306
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,686.59
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,686.59
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,310.72 – $3,353
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,621
  • Anthem — Hmo/Ppo: $2,558
  • Anthem — Individual: $1,843
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,310.72
  • Blue Shield — Hmo/Ppo: $2,619
  • Blue Shield — Individual: $2,316
  • Cigna — Hmo/Ppo: $3,031
  • Health Net — Hmo/Ppo: $3,353
  • United — Hmo / Ppo: $2,932
  • United — Hmo/Ppo: $2,932
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 $8,520.81 – $13,708
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $13,289
  • Anthem — Hmo/Ppo: $13,622
  • Anthem — Individual: $9,808
  • Anthem — Medicare Adv_ Hmo / Ppo: $8,520.81
  • Blue Shield — Hmo/Ppo: $13,579
  • Blue Shield — Individual: $11,983
  • Cigna — Hmo/Ppo: $12,454
  • Health Net — Hmo/Ppo: $13,708
  • United — Hmo / Ppo: $13,549
  • United — Hmo/Ppo: $13,549
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $5,046.36 – $11,808
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $11,267
  • Anthem — Hmo/Ppo: $9,643
  • Anthem — Individual: $6,944
  • Anthem — Medicare Adv_ Hmo / Ppo: $5,046.36
  • Blue Shield — Hmo/Ppo: $9,673
  • Blue Shield — Individual: $8,537
  • Cigna — Hmo/Ppo: $8,541
  • Health Net — Hmo/Ppo: $11,808
  • United — Hmo / Ppo: $9,294
  • United — Hmo/Ppo: $9,294
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $11,337 – $13,060
Prostate biopsy: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $12,605
  • Blue Shield — Hmo/Ppo: $12,839
  • Blue Shield — Individual: $11,337
  • Cigna — Hmo/Ppo: $11,816
  • United — Hmo / Ppo: $13,060
  • United — Hmo/Ppo: $13,060
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG BIOPSY PROSTATE $9,221 $9,221 Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BIOPSY PROSTATE $9,221 $9,221 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $14,982.12 – $66,265
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans
  • Aetna — Hmo/Ppo: $63,415
  • Anthem — Medicare Adv_ Hmo / Ppo: $14,982.12
  • Blue Shield — Hmo/Ppo: $65,254
  • Blue Shield — Individual: $57,619
  • Cigna — Hmo/Ppo: $59,951
  • United — Hmo / Ppo: $66,265
  • United — Hmo/Ppo: $66,265
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 $4,562.54 – $7,160
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $7,160
  • Anthem — Hmo/Ppo: $6,656
  • Anthem — Individual: $4,793
  • Anthem — Medicare Adv_ Hmo / Ppo: $4,562.54
  • Blue Shield — Hmo/Ppo: $6,561
  • Blue Shield — Individual: $5,789
  • Cigna — Hmo/Ppo: $5,967
  • Health Net — Hmo/Ppo: $6,568
  • United — Hmo / Ppo: $6,492
  • United — Hmo/Ppo: $6,492
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $994.90 – $4,570
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — Hmo/Ppo: $2,070
  • Anthem — Hmo/Ppo: $2,425
  • Anthem — Individual: $1,745
  • Anthem — Medicare Adv_ Hmo / Ppo: $994.90
  • Blue Shield — Hmo/Ppo: $4,341
  • Blue Shield — Individual: $3,833
  • Cigna — Hmo/Ppo: $4,134
  • United — Hmo / Ppo: $4,570
  • United — Hmo/Ppo: $4,570
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE $5,452 $5,452 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE $5,452 $5,452 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $1,246.61 – $2,491
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $2,070
  • Anthem — Hmo/Ppo: $2,425
  • Anthem — Individual: $1,745
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,246.61
  • Blue Shield — Hmo/Ppo: $2,491
  • Blue Shield — Individual: $2,199
  • Cigna — Hmo/Ppo: $1,941
  • Health Net — Hmo/Ppo: $2,135
  • United — Hmo / Ppo: $2,110
  • United — Hmo/Ppo: $2,110
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $4,901 $4,901 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $4,901 $4,901 Not listed in the file
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 $2,752.25 – $5,389
Carpal tunnel release: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $5,226
  • Anthem — Hmo/Ppo: $4,988
  • Anthem — Individual: $3,591
  • Anthem — Medicare Adv_ Hmo / Ppo: $2,752.25
  • Blue Shield — Hmo/Ppo: $5,147
  • Blue Shield — Individual: $4,543
  • Cigna — Hmo/Ppo: $4,896
  • Health Net — Hmo/Ppo: $5,389
  • United — Hmo / Ppo: $5,327
  • United — Hmo/Ppo: $5,327
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $775.19 – $1,601
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $1,498
  • Anthem — Hmo/Ppo: $1,601
  • Anthem — Individual: $1,154
  • Anthem — Medicare Adv_ Hmo / Ppo: $775.19
  • Blue Shield — Hmo/Ppo: $1,593
  • Blue Shield — Individual: $1,407
  • Cigna — Hmo/Ppo: $1,403
  • Health Net — Hmo/Ppo: $1,545
  • United — Hmo / Ppo: $1,529
  • United — Hmo/Ppo: $1,529
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $3,252.74 – $6,820
Cataract removal with lens implant: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $6,611
  • Anthem — Hmo/Ppo: $6,319
  • Anthem — Individual: $4,550
  • Anthem — Medicare Adv_ Hmo / Ppo: $3,252.74
  • Blue Shield — Hmo/Ppo: $6,573
  • Blue Shield — Individual: $5,802
  • Cigna — Hmo/Ppo: $6,193
  • Health Net — Hmo/Ppo: $6,820
  • United — Hmo / Ppo: $6,737
  • United — Hmo/Ppo: $6,737

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 $106,046.89 – $411,119
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates
  • Aetna — Hmo/Ppo: $325,384
  • Anthem — Hmo/Ppo: $334,371
  • Anthem — Individual: $240,736
  • Anthem — Medicare Adv_ Hmo / Ppo: $106,046.89
  • Blue Shield — Hmo/Ppo: $368,127
  • Blue Shield — Individual: $283,458
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $106,046.89
  • Cigna — Hmo/Ppo: $411,119
  • Health Net — Hmo/Ppo: $370,752
  • United — Hmo / Ppo: $337,089
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 $144,893
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Health Net — Hmo/Ppo: $144,893
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 $23,336.01 – $93,924
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates
  • Aetna — Hmo/Ppo: $80,452
  • Anthem — Hmo/Ppo: $82,456
  • Anthem — Individual: $59,366
  • Anthem — Medicare Adv_ Hmo / Ppo: $23,336.01
  • Blue Shield — Hmo/Ppo: $85,215
  • Blue Shield — Individual: $65,615
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $23,336.01
  • Cigna — Hmo/Ppo: $93,924
  • Health Net — Hmo/Ppo: $91,557
  • United — Hmo / Ppo: $83,273
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 $28,732.19 – $80,633
Neck (cervical) spinal fusion, without complications: 10 of 12 insurance plan rates
  • Aetna — Hmo/Ppo: $63,676
  • Anthem — Hmo/Ppo: $65,809
  • Anthem — Individual: $47,381
  • Anthem — Medicare Adv_ Hmo / Ppo: $28,732.19
  • Blue Shield — Hmo/Ppo: $67,576
  • Blue Shield — Individual: $52,034
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $28,732.19
  • Cigna — Hmo/Ppo: $73,802
  • Health Net — Hmo/Ppo: $72,540
  • United — Hmo / Ppo: $80,633
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 $16,088.45 – $27,268
Uterus and ovary surgery (not for cancer), without complications: 10 of 12 insurance plan rates
  • Aetna — Hmo/Ppo: $24,484
  • Anthem — Hmo/Ppo: $25,973
  • Anthem — Individual: $18,700
  • Anthem — Medicare Adv_ Hmo / Ppo: $16,088.45
  • Blue Shield — Hmo/Ppo: $27,268
  • Blue Shield — Individual: $20,998
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $16,088.45
  • Cigna — Hmo/Ppo: $24,627
  • Health Net — Hmo/Ppo: $25,062
  • United — Hmo / Ppo: $23,854

Source: Sutter Maternity & Surgery Center of Santa Cruz’s standard charges file (edge.sitecorecloud.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (sutterhealth.org), because the hospital has no cms-hpt.txt file; both are 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
Address2900 Chanticleer Avenue, Santa Cruz, CA 95065
CountySanta Cruz County
StateCalifornia
Phone(831) 477‑2200
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050714
Name in Medicare recordsSUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ
Profile levelMedicare data + hospital website
Official websitesutterhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  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. Sutter Maternity & Surgery Center of Santa Cruz — sutterhealth.org
  2. Sutter Maternity & Surgery Center of Santa Cruz is a Hospital in Santa Cruz, CA | Sutter Health — sutterhealth.org
  3. Sutter Maternity & Surgery Center of Santa Cruz Birth Center in Santa Cruz, CA | Sutter Health — sutterhealth.org