Does Sutter Tracy Community Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sutter Tracy Community Hospital. In a medical emergency, call 911.

Where is Sutter Tracy Community Hospital?

1420 North Tracy Blvd, Tracy, CA 95376, in San Joaquin County, California.

What is the phone number of Sutter Tracy Community Hospital?

(209) 835-1500, as listed by Medicare (CMS).

What is the Medicare star rating of Sutter Tracy Community Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Sutter Tracy Community Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Sutter Tracy Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3061; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Sutter Tracy Community Hospital — Phone, Address & ER

Quick answers

Does Sutter Tracy Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sutter Tracy Community Hospital. In a medical emergency, call 911.
Where is Sutter Tracy Community Hospital?: 1420 North Tracy Blvd, Tracy, CA 95376, in San Joaquin County, California.
What is the phone number of Sutter Tracy Community Hospital?: (209) 835-1500, as listed by Medicare (CMS).
What is the Medicare star rating of Sutter Tracy Community Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Sutter Tracy Community Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Sutter Tracy Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3061; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Emergency care
Surgery
Weight loss
Maternity care
Stroke care

Procedures^[4]

Robotic-assisted general and orthopedic procedures
Hip and knee replacement

Programs and centers^[5]

Emergency care
Weight loss

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center (The Joint Commission)

Visiting and practical information

Parking	Free onsite parking for patients and visitors^[4]
Interpreters and languages	Language assistance listed as an amenity^[4]

Recognition^[4][5]

The Joint Commission Primary Stroke Center
American Heart Association Stroke Center certification
Blue Distinction Center: maternity care
Blue Distinction Center: hip and knee replacement
AHA Get With The Guidelines Stroke Gold Plus (2025)
Primary Stroke Center (The Joint Commission)

Doctors and clinicians (248)

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

Main specialties

And 224 more: the button below opens the full list.

Other emergency rooms nearby

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

Kaiser Foundation Hospital Manteca11 mi · Manteca, CA · Acute Care Hospital
San Joaquin General Hospital13 mi · French Camp, CA · Acute Care Hospital
Doctors Hospital of Manteca14 mi · Manteca, CA · Acute Care Hospital
Dameron Hospital17 mi · Stockton, CA · Acute Care Hospital
St Joseph's Medical Center of Stockton17 mi · Stockton, CA · Acute Care Hospital

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

Other hospitals near Tracy

Stockton Regional Rehabilitation Hospital17 mi · Stockton, CA · Inpatient Rehabilitation Hospital

Hospitals in San Joaquin County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Tracy Nursing and Rehabilitation Center0.3 mi · Tracy, CA · 4 of 5 stars
North Park Post-Acute0.8 mi · Tracy, CA · 3 of 5 stars
Guardian Care and Rehabilitation Center13 mi · Manteca, CA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

National Hospice and Palliative Care11 mi · Manteca, CA
Infinity Care Services Hospice17 mi · Stockton, CA
Hospice of San Joaquin17 mi · Stockton, CA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

A Caring Life Home Health, Inc.0.5 mi · Tracy, CA · 3 of 5 stars
Advanced Home Health Care, LLC0.5 mi · Tracy, CA
Ameriprime Home Health Care0.5 mi · Tracy, CA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Grant Line Dialysis0.5 mi · Tracy, CA · 4 of 5 stars
DaVita Tracy Dialysis0.5 mi · Tracy, CA · 5 of 5 stars
SHC Tracy6.6 mi · Tracy, CA · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Tracy Surgery Center LLC0.5 mi · Tracy, CA
Naadi Manteca ASC11 mi · Manteca, CA
National Surgical Centers Stockton17 mi · Stockton, CA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Community Medical Centers, Tracy Dental0.5 mi · Tracy, CA · Community health center
Community Medical Centers, Tracy0.7 mi · Tracy, CA · Community health center
Community Medical Centers, TUSD Student Wellness Center0.8 mi · Tracy, CA · Community health center

Clinics and urgent care

A Perfect Finnish Medical Spa, Inc.0.5 mi · Tracy, CA · Urgent care center
Tri Valley Care LLC5.2 mi · Tracy, CA · Urgent care center
Blue Lotus Health LLC9.3 mi · Mountain House, CA · Urgent care center

Pharmacies

Lucky Stores II LLC0.5 mi · Tracy, CA · Community/retail pharmacy
NJP RX L L C0.5 mi · Tracy, CA · Community/retail pharmacy
Safeway Inc0.5 mi · Tracy, CA · Community/retail pharmacy

Assisted living nearby

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

Gavero's Care Home0.5 mi · Tracy, CA
Golden Valley Residential Care Facility0.5 mi · Tracy, CA
Living Grace Assisted Living and Memory Care0.5 mi · Tracy, CA
Marbella Tracy0.5 mi · Tracy, CA

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	82%National average: 80%
“Always” got help as soon as they wanted	59%National average: 64%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	80%National average: 73%
Completed surveys	456Response rate: 16%

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

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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

Complications and deaths

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

Deaths within 30 days: heart failure patients	10.6%
Deaths within 30 days: pneumonia patients	13.3%
Deaths within 30 days: COPD patients	9.3%
Deaths within 30 days: stroke patients	14.6%
Serious complications (patient safety indicator PSI-90)	0.82No different from the national rate
Complications after hip or knee replacement	3.7%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	14.5%
Readmitted within 30 days: heart failure	18.8%
Readmitted within 30 days: pneumonia	16.6%
Readmitted within 30 days: COPD	18.8%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	152 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	64%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.3061Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure	0.8605Fewer readmissions than expected
Pneumonia	0.9220Fewer readmissions than expected
COPD (chronic lung disease)	0.9447Fewer readmissions than expected
Hip or knee replacement	1.0355More readmissions than expected
No result published	Heart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	23.50 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	10.00 out of 100
Person and community engagement (patient survey)	14.00 out of 100
Safety (infections and sepsis care)	60.00 out of 100
Efficiency and cost reduction (Medicare spending)	10.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	0.98Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Sutter Tracy Community Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 64 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$360.05
Emergency room visit (moderate): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $360.05
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 3	$2,882	$2,882	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 3	$2,882	$2,882	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$550.35
Emergency room visit (moderately high): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $550.35
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 4	$4,634	$4,634	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 4	$4,634	$4,634	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$785.48
Emergency room visit (high): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $785.48
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 5	$6,672	$6,672	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 5	$6,672	$6,672	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 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 BASIC METABOLIC PANEL	$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 BASIC METABOLIC PANEL	$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	$139	$139	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	$139	$139	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 LIPID PANEL	$343	$343	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL	$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 RENAL FUNCTION PANEL	$275	$275	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL	$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 HEPATIC FUNCTION PANEL	$309	$309	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL	$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 URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM	$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 URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM	$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 URINALYSIS AUTOMATED W/OUT MICROSCOPIC EXAM	$96	$96	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS AUTOMATED W/OUT MICROSCOPIC EXAM	$96	$96	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 CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL	$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 CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL	$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 CBC AUTOMATED	$178	$178	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC AUTOMATED	$178	$178	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 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 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 PTT PLASMA OR WHOLE BLOOD	$221	$221	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 PTT PLASMA OR WHOLE BLOOD	$221	$221	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$137.89 – $1,410
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — Hmo/Ppo: $1,097 Anthem — Hmo/Ppo: $1,236 Anthem — Individual: $779 Anthem — Medicare Adv_ Hmo / Ppo: $137.89 Blue Shield — Hmo/Ppo: $824 Blue Shield — Individual: $634 Cigna — Hmo/Ppo: $1,092 Health Net — Hmo/Ppo: $1,410 United — Hmo / Ppo: $1,085 United — Hmo/Ppo: $1,085
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT BRAIN WO CONTR	$4,312	$4,312	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT BRAIN WO CONTR	$4,312	$4,312	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: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$460.15 – $6,382
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna — Hmo/Ppo: $4,987 Anthem — Hmo/Ppo: $5,608 Anthem — Individual: $3,532 Anthem — Medicare Adv_ Hmo / Ppo: $460.15 Blue Shield — Hmo/Ppo: $4,317 Blue Shield — Individual: $3,338 Cigna — Hmo/Ppo: $4,960 Health Net — Hmo/Ppo: $6,382 United — Hmo / Ppo: $4,923 United — Hmo/Ppo: $4,923
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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$114.78
Chest X-ray, 2 views: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $114.78
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
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	$137.89
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $137.89
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	$314.71 – $3,676
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna — Hmo/Ppo: $2,864 Anthem — Hmo/Ppo: $3,227 Anthem — Individual: $2,034 Anthem — Medicare Adv_ Hmo / Ppo: $314.71 Blue Shield — Hmo/Ppo: $2,154 Blue Shield — Individual: $1,664 Cigna — Hmo/Ppo: $2,849 Health Net — Hmo/Ppo: $3,676 United — Hmo / Ppo: $2,828 United — Hmo/Ppo: $2,828
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	$231.35 – $2,107
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — Hmo/Ppo: $1,643 Anthem — Hmo/Ppo: $1,850 Anthem — Individual: $1,165 Anthem — Medicare Adv_ Hmo / Ppo: $231.35 Blue Shield — Hmo/Ppo: $1,181 Blue Shield — Individual: $916 Cigna — Hmo/Ppo: $1,635 Health Net — Hmo/Ppo: $2,107 United — Hmo / Ppo: $1,624 United — Hmo/Ppo: $1,624
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONTR	$5,746	$5,746	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONTR	$5,746	$5,746	Not listed in the file
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	$314.71 – $3,689
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — Hmo/Ppo: $2,862 Anthem — Hmo/Ppo: $3,231 Anthem — Individual: $2,036 Anthem — Medicare Adv_ Hmo / Ppo: $314.71 Blue Shield — Hmo/Ppo: $1,899 Blue Shield — Individual: $1,467 Cigna — Hmo/Ppo: $2,847 Health Net — Hmo/Ppo: $3,689 United — Hmo / Ppo: $2,824 United — Hmo/Ppo: $2,824
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 50 In the file: HCHG MRI EXTREM LOWER JOINT WO CONTR BIL	$7,464	$7,464	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HCHG MRI EXTREM LOWER JOINT WO CONTR BIL	$7,464	$7,464	Not listed in the file
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	$460.15 – $6,117
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — Hmo/Ppo: $4,424 Anthem — Medicare Adv_ Hmo / Ppo: $460.15 Blue Shield — Hmo/Ppo: $6,001 Blue Shield — Individual: $4,638 Cigna — Hmo/Ppo: $5,590 United — Hmo / Ppo: $6,117 United — Hmo/Ppo: $6,117
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT ABD & PELVIS W/CON	$8,287	$8,287	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT ABD & PELVIS W/CON	$8,287	$8,287	Not listed in the file
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	$137.89
Ultrasound of the abdomen, complete: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $137.89
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	$137.89
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $137.89
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US OB > 14 WEEKS SINGLE FETUS	$1,479	$1,479	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US OB > 14 WEEKS SINGLE FETUS	$1,479	$1,479	Not listed in the file
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	$137.89
Transvaginal ultrasound: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $137.89
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
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$113.31
Diagnostic mammogram, one breast: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $113.31
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HCHG XR MAMMO DX W/WO CAD LT	$677	$677	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HCHG XR MAMMO DX W/WO CAD LT	$677	$677	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR MAMMO DX W/WO CAD BIL	$929	$929	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR MAMMO DX W/WO CAD BIL	$929	$929	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$120.80
Diagnostic mammogram, both breasts: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $120.80
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR MAMMO SCREENING W/WO CAD BIL	$602	$602	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR MAMMO SCREENING W/WO CAD BIL	$602	$602	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$99.75
Screening mammogram, both breasts: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $99.75

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$30.47
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $30.47
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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$121.46
Physical therapy evaluation (low complexity): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $121.46
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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$103.01
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $103.01
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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$121.47
Physical therapy evaluation (high complexity): rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $121.47
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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,687 – $7,919
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Hmo/Ppo: $7,919 Anthem — Hmo/Ppo: $7,441 Anthem — Individual: $4,687 Anthem — Medicare Adv_ Hmo / Ppo: $5,164.31 Blue Shield — Hmo/Ppo: $6,997 Blue Shield — Individual: $6,175 Cigna — Hmo/Ppo: $6,313 Health Net — Hmo/Ppo: $6,931 United — Hmo / Ppo: $6,977 United — Hmo/Ppo: $6,977
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	$16,933.74 – $59,605
Total hip replacement: rates for 3 insurance plans Anthem — Medicare Adv_ Hmo / Ppo: $16,933.74 United — Hmo / Ppo: $59,605 United — Hmo/Ppo: $59,605
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	$16,933.74 – $61,651
Total knee replacement: rates for 3 insurance plans Anthem — Medicare Adv_ Hmo / Ppo: $16,933.74 United — Hmo / Ppo: $61,651 United — Hmo/Ppo: $61,651
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	$2,248 – $8,058
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — Hmo/Ppo: $3,349 Anthem — Hmo/Ppo: $3,569 Anthem — Individual: $2,248 Blue Shield — Hmo/Ppo: $3,710 Blue Shield — Individual: $3,276 Cigna — Hmo/Ppo: $7,342 Health Net — Hmo/Ppo: $8,058
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	$4,315.65 – $8,058
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — Hmo/Ppo: $7,812 Anthem — Hmo/Ppo: $7,387 Anthem — Individual: $4,654 Anthem — Medicare Adv_ Hmo / Ppo: $4,315.65 Blue Shield — Hmo/Ppo: $7,642 Blue Shield — Individual: $6,742 Cigna — Hmo/Ppo: $7,342 Health Net — Hmo/Ppo: $8,058 United — Hmo / Ppo: $7,964 United — Hmo/Ppo: $7,964
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	$6,163 – $14,099
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — Hmo/Ppo: $12,299 Anthem — Hmo/Ppo: $14,099 Anthem — Individual: $8,879 Anthem — Medicare Adv_ Hmo / Ppo: $7,808.03 Blue Shield — Hmo/Ppo: $10,593 Blue Shield — Individual: $9,354 Cigna — Hmo/Ppo: $6,163 Health Net — Hmo/Ppo: $6,769 United — Hmo / Ppo: $10,597 United — Hmo/Ppo: $10,597
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	$1,196.28 – $3,244
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Hmo/Ppo: $2,388 Anthem — Hmo/Ppo: $2,800 Anthem — Individual: $1,765 Anthem — Medicare Adv_ Hmo / Ppo: $1,196.28 Blue Shield — Hmo/Ppo: $2,598 Blue Shield — Individual: $2,294 Cigna — Hmo/Ppo: $2,940 Health Net — Hmo/Ppo: $3,244 United — Hmo / Ppo: $2,834 United — Hmo/Ppo: $2,834
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	$1,196.28 – $3,244
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — Hmo/Ppo: $2,388 Anthem — Hmo/Ppo: $2,800 Anthem — Individual: $1,765 Anthem — Medicare Adv_ Hmo / Ppo: $1,196.28 Blue Shield — Hmo/Ppo: $2,598 Blue Shield — Individual: $2,294 Cigna — Hmo/Ppo: $2,940 Health Net — Hmo/Ppo: $3,244 United — Hmo / Ppo: $2,834 United — Hmo/Ppo: $2,834
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	$1,226.58 – $3,599
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Hmo/Ppo: $2,646 Anthem — Hmo/Ppo: $2,964 Anthem — Individual: $1,869 Anthem — Medicare Adv_ Hmo / Ppo: $1,226.58 Blue Shield — Hmo/Ppo: $2,855 Blue Shield — Individual: $2,521 Cigna — Hmo/Ppo: $3,261 Health Net — Hmo/Ppo: $3,599 United — Hmo / Ppo: $3,146 United — Hmo/Ppo: $3,146
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	$1,578.32 – $3,599
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — Hmo/Ppo: $2,646 Anthem — Hmo/Ppo: $2,964 Anthem — Individual: $1,869 Anthem — Medicare Adv_ Hmo / Ppo: $1,578.32 Blue Shield — Hmo/Ppo: $2,855 Blue Shield — Individual: $2,521 Cigna — Hmo/Ppo: $3,261 Health Net — Hmo/Ppo: $3,599 United — Hmo / Ppo: $3,146 United — Hmo/Ppo: $3,146
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	$1,578.32 – $3,599
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — Hmo/Ppo: $2,646 Anthem — Hmo/Ppo: $2,964 Anthem — Individual: $1,869 Anthem — Medicare Adv_ Hmo / Ppo: $1,578.32 Blue Shield — Hmo/Ppo: $2,855 Blue Shield — Individual: $2,521 Cigna — Hmo/Ppo: $3,261 Health Net — Hmo/Ppo: $3,599 United — Hmo / Ppo: $3,146 United — Hmo/Ppo: $3,146
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	$1,578.32
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan Anthem — Medicare Adv_ Hmo / Ppo: $1,578.32
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	$1,226.58 – $3,191
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — Hmo/Ppo: $2,347 Anthem — Hmo/Ppo: $2,392 Anthem — Individual: $1,505 Anthem — Medicare Adv_ Hmo / Ppo: $1,226.58 Blue Shield — Hmo/Ppo: $2,496 Blue Shield — Individual: $2,201 Cigna — Hmo/Ppo: $2,892 Health Net — Hmo/Ppo: $3,191 United — Hmo / Ppo: $2,790 United — Hmo/Ppo: $2,790
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	$7,973.82 – $13,042
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Hmo/Ppo: $12,642 Anthem — Hmo/Ppo: $12,975 Anthem — Individual: $8,174 Anthem — Medicare Adv_ Hmo / Ppo: $7,973.82 Blue Shield — Hmo/Ppo: $12,927 Blue Shield — Individual: $11,413 Cigna — Hmo/Ppo: $11,883 Health Net — Hmo/Ppo: $13,042 United — Hmo / Ppo: $12,889 United — Hmo/Ppo: $12,889
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	$4,722.41 – $11,267
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Hmo/Ppo: $10,750 Anthem — Hmo/Ppo: $9,186 Anthem — Individual: $5,787 Anthem — Medicare Adv_ Hmo / Ppo: $4,722.41 Blue Shield — Hmo/Ppo: $9,214 Blue Shield — Individual: $8,130 Cigna — Hmo/Ppo: $8,152 Health Net — Hmo/Ppo: $11,267 United — Hmo / Ppo: $8,841 United — Hmo/Ppo: $8,841
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	$10,797 – $12,605
Prostate biopsy: rates for 6 insurance plans Aetna — Hmo/Ppo: $12,605 Blue Shield — Hmo/Ppo: $12,227 Blue Shield — Individual: $10,797 Cigna — Hmo/Ppo: $10,861 United — Hmo / Ppo: $12,005 United — Hmo/Ppo: $12,005
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	$14,020.35 – $63,415
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans Aetna — Hmo/Ppo: $63,415 Anthem — Medicare Adv_ Hmo / Ppo: $14,020.35 Blue Shield — Hmo/Ppo: $62,147 Blue Shield — Individual: $54,876 Cigna — Hmo/Ppo: $54,645 United — Hmo / Ppo: $60,400 United — Hmo/Ppo: $60,400
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	$3,993 – $6,513
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — Hmo/Ppo: $6,513 Anthem — Hmo/Ppo: $6,337 Anthem — Individual: $3,993 Anthem — Medicare Adv_ Hmo / Ppo: $4,269.65 Blue Shield — Hmo/Ppo: $6,249 Blue Shield — Individual: $5,517 Cigna — Hmo/Ppo: $5,695 Health Net — Hmo/Ppo: $6,248 United — Hmo / Ppo: $6,178 United — Hmo/Ppo: $6,178
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	$931.03 – $4,134
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Aetna — Hmo/Ppo: $1,969 Anthem — Hmo/Ppo: $2,306 Anthem — Individual: $1,454 Anthem — Medicare Adv_ Hmo / Ppo: $931.03 Blue Shield — Hmo/Ppo: $4,134 Blue Shield — Individual: $3,650 Cigna — Hmo/Ppo: $3,438 United — Hmo / Ppo: $3,799 United — Hmo/Ppo: $3,799
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	$5,134	$5,134	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	$5,134	$5,134	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	$1,166.59 – $2,374
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — Hmo/Ppo: $1,969 Anthem — Hmo/Ppo: $2,306 Anthem — Individual: $1,454 Anthem — Medicare Adv_ Hmo / Ppo: $1,166.59 Blue Shield — Hmo/Ppo: $2,374 Blue Shield — Individual: $2,097 Cigna — Hmo/Ppo: $1,849 Health Net — Hmo/Ppo: $2,030 United — Hmo / Ppo: $2,007 United — Hmo/Ppo: $2,007
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	$4,617	$4,617	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	$4,617	$4,617	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	$2,575.57 – $5,129
Carpal tunnel release: rates for 10 insurance plans Aetna — Hmo/Ppo: $4,971 Anthem — Hmo/Ppo: $4,751 Anthem — Individual: $2,994 Anthem — Medicare Adv_ Hmo / Ppo: $2,575.57 Blue Shield — Hmo/Ppo: $4,903 Blue Shield — Individual: $4,329 Cigna — Hmo/Ppo: $4,674 Health Net — Hmo/Ppo: $5,129 United — Hmo / Ppo: $5,068 United — Hmo/Ppo: $5,068
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	$725.43 – $1,524
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — Hmo/Ppo: $1,423 Anthem — Hmo/Ppo: $1,524 Anthem — Individual: $960 Anthem — Medicare Adv_ Hmo / Ppo: $725.43 Blue Shield — Hmo/Ppo: $1,520 Blue Shield — Individual: $1,339 Cigna — Hmo/Ppo: $1,338 Health Net — Hmo/Ppo: $1,473 United — Hmo / Ppo: $1,456 United — Hmo/Ppo: $1,456
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CATARACT LASER CAPSULOTOMY YAG	$3,641	$3,641	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CATARACT LASER CAPSULOTOMY YAG	$3,641	$3,641	Not listed in the file
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	$3,043.93 – $6,488
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Hmo/Ppo: $6,287 Anthem — Hmo/Ppo: $6,020 Anthem — Individual: $3,793 Anthem — Medicare Adv_ Hmo / Ppo: $3,043.93 Blue Shield — Hmo/Ppo: $6,257 Blue Shield — Individual: $5,522 Cigna — Hmo/Ppo: $5,909 Health Net — Hmo/Ppo: $6,488 United — Hmo / Ppo: $6,411 United — Hmo/Ppo: $6,411

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$97,043.03 – $390,452
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $325,384 Anthem — Hmo/Ppo: $336,964 Anthem — Individual: $212,277 Anthem — Medicare Adv_ Hmo / Ppo: $97,043.03 Blue Shield — Hmo/Ppo: $359,910 Blue Shield — Individual: $277,130 Blue Shield — Medicare Adv_ Hmo / Ppo: $97,043.03 Central Health Plan — Medicare Adv_ Hmo / Ppo: $97,043.03 Cigna — Hmo/Ppo: $390,452 Health Net — Hmo/Ppo: $348,338
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	$136,030
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Health Net — Hmo/Ppo: $136,030
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	$19,952.80 – $89,320
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $80,452 Anthem — Hmo/Ppo: $83,087 Anthem — Individual: $52,342 Anthem — Medicare Adv_ Hmo / Ppo: $19,952.80 Blue Shield — Hmo/Ppo: $84,828 Blue Shield — Individual: $65,317 Blue Shield — Medicare Adv_ Hmo / Ppo: $19,952.80 Central Health Plan — Medicare Adv_ Hmo / Ppo: $19,952.80 Cigna — Hmo/Ppo: $89,320 Health Net — Hmo/Ppo: $85,905
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	$24,982.28 – $80,066
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $63,676 Anthem — Hmo/Ppo: $66,348 Anthem — Individual: $41,797 Anthem — Medicare Adv_ Hmo / Ppo: $24,982.28 Blue Shield — Hmo/Ppo: $67,269 Blue Shield — Individual: $51,797 Blue Shield — Medicare Adv_ Hmo / Ppo: $24,982.28 Central Health Plan — Medicare Adv_ Hmo / Ppo: $24,982.28 Cigna — Hmo/Ppo: $70,089 Health Net — Hmo/Ppo: $68,089
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$13,197.74 – $26,660
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $24,484 Anthem — Hmo/Ppo: $25,860 Anthem — Individual: $16,291 Anthem — Medicare Adv_ Hmo / Ppo: $13,197.74 Blue Shield — Hmo/Ppo: $26,660 Blue Shield — Individual: $20,530 Blue Shield — Medicare Adv_ Hmo / Ppo: $13,197.74 Central Health Plan — Medicare Adv_ Hmo / Ppo: $13,197.74 Cigna — Hmo/Ppo: $24,183 Health Net — Hmo/Ppo: $23,934

Source: Sutter Tracy Community Hospital’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 type	Acute Care Hospital
Address	1420 North Tracy Blvd, Tracy, CA 95376
County	San Joaquin County
State	California
Phone	(209) 835‑1500
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050313
Name in Medicare records	SUTTER TRACY COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	sutterhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Sutter Tracy Community Hospital — sutterhealth.org
Sutter Tracy Community Hospital is a Hospital in Tracy, CA | Sutter Health — sutterhealth.org

Sutter Tracy Community Hospital

Summary

Profile from official sources

At a glance