Does Trinity Hospital have an emergency room?

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

Where is Trinity Hospital?

60 Easter Avenue, Weaverville, CA 96093, in Trinity County, California.

What is the phone number of Trinity Hospital?

(530) 623-5541, as listed by Medicare (CMS).

What is the Medicare star rating of Trinity Hospital?

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.

Trinity Hospital — Phone, Address, ER & Ratings

Quick answers

Does Trinity Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Trinity Hospital. In a medical emergency, call 911.
Where is Trinity Hospital?: 60 Easter Avenue, Weaverville, CA 96093, in Trinity County, California.
What is the phone number of Trinity Hospital?: (530) 623-5541, as listed by Medicare (CMS).
What is the Medicare star rating of Trinity Hospital?: 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^{[5][6][7][8][9][10]}

Emergency medicine
Hospital medicine (hospitalist)
General surgery
Diagnostic imaging / radiology
Laboratory medicine
Physical therapy
Respiratory therapy
Skilled nursing care
Post-acute rehabilitation (swing bed)

Conditions treated^[7][8]

Asthma
COPD
Emphysema
Restrictive lung disease
Cystic fibrosis
Sleep apnea
Heart attack
Stroke
Orthopedic injuries
Balance and vestibular dysfunction
Pelvic floor dysfunction
Recurrent headaches
TMJ dysfunction
Chronic pain
Generalized weakness/debility

Treatments^{[5][7][8][10]}

Physical therapy
Respiratory therapy
Manual therapy
Therapeutic exercise
Neurologic rehabilitation
Cardiovascular and pulmonary rehabilitation
Post-operative rehabilitation
Fall prevention
Sports rehabilitation
Wound care
Pain management
IV therapy
Skin care
MetaNeb therapy
Nebulizer treatments
Oxygen therapy (CPAP/BiPAP)
Ventilation support

Procedures^[5][7]

X-ray
CT
Ultrasound
CT scan
CT angiography
Lung cancer screening CT
Echocardiogram
Laboratory testing
Blood typing and crossmatch
Spirometry
Electrocardiogram (EKG)
Arterial blood gas testing

Programs and centers^{[4][5][7][10]}

Swing bed care
Skilled nursing facility
Inpatient hospital care
Swing bed program
Blood banking

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	https://login.mycarecorner.net/

Recognition^[7][10][11]

Critical Access Hospital
ACR-accredited CT (American College of Radiology)

Doctors and clinicians (87)

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

Main specialties

Doctors with a page on this site (87)

Aaron G. Osborne, DOOrthopedic Surgery
Alice Berg, PAPhysician Assistant
Allen D. Morris, MDPathology
Amber D. Flowers, NPNurse Practitioner
Amit Bawa, MDFamily Practice
Amy Strouse, DOPhysical Medicine and Rehabilitation
Andrew J. Irizarry, CNACertified Registered Nurse Anesthetist (CRNA)
Anthony J. Sabo, DOGeneral Surgery
Arvind K. Behl, MDInternal Medicine
Asghar Ali, MDFamily Practice
Ashley N. Freeborn, NPNurse Practitioner
Benjamin A. Cramer, MDEmergency Medicine
Carla C. Graichen, MDEmergency Medicine
Catherine A. Ludlow, NPNurse Practitioner
Chad D. Smith, MDEmergency Medicine
Cherie L. Booker, NPNurse Practitioner
Christian C. Young, NPNurse Practitioner
Christopher C. Ludlow, PAPhysician Assistant
Christopher T. Ogden, NPNurse Practitioner
Dan C. Rusu, MDHospitalist
David W. Yoon, MDGeneral Practice
Deepak Khosla, MDCardiovascular Disease (Cardiology)
Donald E. Krouse, MDFamily Practice
Donald P. Lombardi, MDMedical Oncology

And 63 more: the button below opens the full list.

Other emergency rooms nearby

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

Mercy Medical Center Redding31 mi · Redding, CA · Acute Care Hospital
Shasta Regional Medical Center31 mi · Redding, CA · Acute Care Hospital
Mercy Medical Center of Mt Shasta51 mi · Mount Shasta, CA · Critical Access Hospital
St Elizabeth Community Hospital56 mi · Red Bluff, CA · Acute Care Hospital
Mad River Community Hospital61 mi · Arcata, CA · Acute Care Hospital

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

Other hospitals near Weaverville

Vibra Hospital of Northern California30 mi · Redding, CA · Long-Term Acute Care Hospital

Hospitals in Trinity 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

Trinity Hospital Skilled Nursing Facility0.0 mi · Weaverville, CA · 3 of 5 stars

All nursing homes 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

WeCare at Weaverville Health Center0.7 mi · Weaverville, CA · Community health center
Redding Rancheria1.9 mi · Weaverville, CA · Community health center

Clinics and urgent care

Trinity Community Health Clinic1.9 mi · Weaverville, CA · Rural health clinic
Hayfork Community Health Clinic21 mi · Hayfork, CA · Rural health clinic

Pharmacies

Longs Drug Stores California LLC1.9 mi · Weaverville, CA · Pharmacy

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 Trinity 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.

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: pneumonia patients	18.8%
Not reported to Medicare	Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	64 minutesNational average: 162 minutes
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Not reported to Medicare: the patient survey, infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 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 49 common services exactly as Trinity 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 49 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: LEVEL 3 INTERMEDIATE OFFICE VISIT NEW PT	$213	$106.50	$115.02 – $213
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Default: $115.02 Blue Cross of CA Anthem — Default: $181.80 Blue Shield of CA — Default: $145.05 Cigna — Default: $146.61 Medicare A CA JE — Default: $131.51 Medicare B CA JE Northern CA — Default: $119.21 Partnership Health Plan of California MCD Rep — Default: $213 TriWest — Default: $127.48 United Healthcare — Default: $99.66
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 26 In the file: LEVEL 3 INTERMEDIATE OFFICE VISIT NEW PT,Professional	$207	Not listed in the file	$57.20 – $146.61
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Default: $121.64 Blue Cross of CA Anthem — Default: $108.94 Blue Shield of CA — Default: $145.05 Cigna — Default: $146.61 Medicare A CA JE — Default: $127.80 Medicare B CA JE Northern CA — Default: $119.21 Partnership Health Plan of California MCD Rep — Default: $57.20 TriWest — Default: $115.56 United Healthcare — Default: $99.66
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: LEVEL 4 EXTENDED OFFICE VISIT- NEW PT	$345	$172.50	$179.38 – $294.46
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Default: $186.30 Blue Cross of CA Anthem — Default: $294.46 Blue Shield of CA — Default: $208.67 Cigna — Default: $222.03 Medicare A CA JE — Default: $213 Medicare B CA JE Northern CA — Default: $179.38 Partnership Health Plan of California MCD Rep — Default: $275.60 TriWest — Default: $206.48 United Healthcare — Default: $153.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 26 In the file: LEVEL 4 EXTENDED OFFICE VISIT- NEW PT,Professional	$335	Not listed in the file	$68.90 – $222.03
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Default: $183.04 Blue Cross of CA Anthem — Default: $168.50 Blue Shield of CA — Default: $208.67 Cigna — Default: $222.03 Medicare A CA JE — Default: $206.83 Medicare B CA JE Northern CA — Default: $179.38 Partnership Health Plan of California MCD Rep — Default: $68.90 TriWest — Default: $173.89 United Healthcare — Default: $153.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: LEVEL 5 COMPREHEN OFFICE VISIT- NEW PT	$454	$227	$238.71 – $387.49
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Default: $245.16 Blue Cross of CA Anthem — Default: $387.49 Blue Shield of CA — Default: $236.84 Cigna — Default: $279.01 Medicare A CA JE — Default: $280.30 Medicare B CA JE Northern CA — Default: $238.71 Partnership Health Plan of California MCD Rep — Default: $330.80 TriWest — Default: $271.72 United Healthcare — Default: $190.74
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 26 In the file: LEVEL 5 COMPREHEN OFFICE VISIT- NEW PT,Professional	$441	Not listed in the file	$82.70 – $279.01
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Default: $243.58 Blue Cross of CA Anthem — Default: $211.35 Blue Shield of CA — Default: $236.84 Cigna — Default: $279.01 Medicare A CA JE — Default: $272.27 Medicare B CA JE Northern CA — Default: $238.71 Partnership Health Plan of California MCD Rep — Default: $82.70 TriWest — Default: $231.40 United Healthcare — Default: $190.74
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: LEVEL 3 INTERMEDIATE OFFICE VISIT- ESTAB	$133	$66.50	$71.82 – $113.52
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Default: $71.82 Blue Cross of CA Anthem — Default: $113.52 Blue Shield of CA — Default: $97.25 Cigna — Default: $99.68 Medicare A CA JE — Default: $82.11 Medicare B CA JE Northern CA — Default: $97.24 Partnership Health Plan of California MCD Rep — Default: $96 TriWest — Default: $79.60 United Healthcare — Default: $67.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EMPLOYEE PHYSICAL	$142	$71	$76.68 – $121.20
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Default: $76.68 Blue Cross of CA Anthem — Default: $121.20 Blue Shield of CA — Default: $97.25 Cigna — Default: $99.68 Medicare A CA JE — Default: $87.67 Medicare B CA JE Northern CA — Default: $97.24 Partnership Health Plan of California MCD Rep — Default: $96 TriWest — Default: $84.99 United Healthcare — Default: $67.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: SCHOOL/CAMP PHYSICAL	$135	$67.50	$72.90 – $115.22
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Aetna — Default: $72.90 Blue Cross of CA Anthem — Default: $115.22 Medicare A CA JE — Default: $83.35 Medicare B CA JE Northern CA — Default: $97.24 Partnership Health Plan of California MCD Rep — Default: $96 TriWest — Default: $80.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: LEVEL 4 EXTENDED OFFICE VISIT- ESTAB PT	$208	$104	$112.32 – $177.53
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Default: $112.32 Blue Cross of CA Anthem — Default: $177.53 Blue Shield of CA — Default: $137.69 Cigna — Default: $146.50 Medicare A CA JE — Default: $128.42 Medicare B CA JE Northern CA — Default: $138.12 Partnership Health Plan of California MCD Rep — Default: $150 TriWest — Default: $124.49 United Healthcare — Default: $99.33
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 26 In the file: LEVEL 4 EXTENDED OFFICE VISIT- ESTAB PT,Professional	$202	Not listed in the file	$37.50 – $146.50
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Default: $140.94 Blue Cross of CA Anthem — Default: $101.22 Blue Shield of CA — Default: $137.69 Cigna — Default: $146.50 Medicare A CA JE — Default: $124.71 Medicare B CA JE Northern CA — Default: $138.12 Partnership Health Plan of California MCD Rep — Default: $37.50 TriWest — Default: $133.89 United Healthcare — Default: $99.33
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: WELLNESS AND CHDP EXAM- INITIAL 18-39	$423	$211.50	$228.42 – $423
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Aetna — Default: $228.42 Blue Cross of CA Anthem — Default: $361.03 Blue Shield of CA — Default: $176.52 Cigna — Default: $178.42 Medicare A CA JE — Default: $261.16 Partnership Health Plan of California MCD Rep — Default: $423 TriWest — Default: $253.17 United Healthcare — Default: $122.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · modifier 26 In the file: WELLNESS AND CHDP EXAM- INITIAL 18-39,Professional	$411	Not listed in the file	$114.10 – $253.75
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans Blue Cross of CA Anthem — Default: $124.22 Blue Shield of CA — Default: $176.52 Cigna — Default: $178.42 Medicare A CA JE — Default: $253.75 Partnership Health Plan of California MCD Rep — Default: $114.10 United Healthcare — Default: $122.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: WELLNESS EXAM- INITIAL 40-64	$423	$211.50	$228.42 – $423
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — Default: $228.42 Blue Cross of CA Anthem — Default: $361.03 Blue Shield of CA — Default: $204.71 Cigna — Default: $206.92 Medicare A CA JE — Default: $261.16 Partnership Health Plan of California MCD Rep — Default: $423 TriWest — Default: $253.17 United Healthcare — Default: $140.91
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier 26 In the file: WELLNESS EXAM- INITIAL 40-64,Professional	$411	Not listed in the file	$132.20 – $253.75
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans Blue Cross of CA Anthem — Default: $145.21 Blue Shield of CA — Default: $204.71 Cigna — Default: $206.92 Medicare A CA JE — Default: $253.75 Partnership Health Plan of California MCD Rep — Default: $132.20 United Healthcare — Default: $140.91
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL THREE PHYSICAN FEE	$164	$82	$66.82 – $164
Emergency room visit (moderate): rates for 9 insurance plans Aetna — Default: $88.56 Blue Cross of CA Anthem — Default: $139.97 Blue Shield of CA — Default: $128.74 Cigna — Default: $123 Medicare A CA JE — Default: $76.84 Medicare B CA JE Northern CA — Default: $66.82 Partnership Health Plan of California MCD Rep — Default: $164 TriWest — Default: $74.49 United Healthcare — Default: $57.09
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL III BRIEF	$1,179	$589.50	$66.82 – $1,013.94
Emergency room visit (moderate): rates for 9 insurance plans Aetna — Default: $636.66 Blue Cross of CA Anthem — Default: $1,006.28 Blue Shield of CA — Default: $925.52 Cigna — Default: $884.25 Medicare A CA JE — Default: $727.91 Medicare B CA JE Northern CA — Default: $66.82 Partnership Health Plan of California MCD Rep — Default: $178.40 TriWest — Default: $705.63 United Healthcare — Default: $1,013.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 26 In the file: ER LEVEL THREE PHYSICAN FEE,Professional fee, no charge change	$164	$82	$44.60 – $101.25
Emergency room visit (moderate): rates for 9 insurance plans Aetna — Default: $68.18 Blue Cross of CA Anthem — Default: $72.73 Blue Shield of CA — Default: $88.28 Cigna — Default: $82.03 Medicare A CA JE — Default: $101.25 Medicare B CA JE Northern CA — Default: $66.82 Partnership Health Plan of California MCD Rep — Default: $44.60 TriWest — Default: $64.77 United Healthcare — Default: $57.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL FOUR PHYSICAN FEE	$309	$154.50	$113.49 – $263.73
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — Default: $166.86 Blue Cross of CA Anthem — Default: $263.73 Blue Shield of CA — Default: $242.56 Cigna — Default: $231.75 Medicare A CA JE — Default: $130.52 Medicare B CA JE Northern CA — Default: $113.49 Partnership Health Plan of California MCD Rep — Default: $215.32 TriWest — Default: $126.52 United Healthcare — Default: $108.90
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL IV HIGH ACUITY	$1,788	$894	$113.49 – $1,537.68
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — Default: $965.52 Blue Cross of CA Anthem — Default: $1,526.06 Blue Shield of CA — Default: $1,403.58 Cigna — Default: $1,341 Medicare A CA JE — Default: $1,103.91 Medicare B CA JE Northern CA — Default: $113.49 Partnership Health Plan of California MCD Rep — Default: $215.32 TriWest — Default: $1,070.12 United Healthcare — Default: $1,537.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 26 In the file: ER LEVEL FOUR PHYSICAN FEE,Professional fee, no charge change	$309	$154.50	$68.35 – $190.78
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — Default: $115.81 Blue Cross of CA Anthem — Default: $137.10 Blue Shield of CA — Default: $151.55 Cigna — Default: $155.53 Medicare A CA JE — Default: $190.78 Medicare B CA JE Northern CA — Default: $113.49 Partnership Health Plan of California MCD Rep — Default: $68.35 TriWest — Default: $110.02 United Healthcare — Default: $108.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL FIVE PHYSICIAN FEE	$453	$226.50	$164.89 – $432.32
Emergency room visit (high): rates for 9 insurance plans Aetna — Default: $244.62 Blue Cross of CA Anthem — Default: $386.64 Blue Shield of CA — Default: $355.60 Cigna — Default: $339.75 Medicare A CA JE — Default: $189.63 Medicare B CA JE Northern CA — Default: $164.89 Partnership Health Plan of California MCD Rep — Default: $432.32 TriWest — Default: $183.82 United Healthcare — Default: $160.05
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL V COMPLEX	$2,568	$1,284	$164.89 – $2,208.48
Emergency room visit (high): rates for 9 insurance plans Aetna — Default: $1,386.72 Blue Cross of CA Anthem — Default: $2,191.79 Blue Shield of CA — Default: $2,015.88 Cigna — Default: $1,926 Medicare A CA JE — Default: $1,585.48 Medicare B CA JE Northern CA — Default: $164.89 Partnership Health Plan of California MCD Rep — Default: $432.32 TriWest — Default: $1,536.95 United Healthcare — Default: $2,208.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 26 In the file: ER LEVEL FIVE PHYSICIAN FEE,Professional fee, no charge change	$453	$226.50	$108.08 – $279.68
Emergency room visit (high): rates for 9 insurance plans Aetna — Default: $168.26 Blue Cross of CA Anthem — Default: $184.22 Blue Shield of CA — Default: $222.08 Cigna — Default: $229.26 Medicare A CA JE — Default: $279.68 Medicare B CA JE Northern CA — Default: $164.89 Partnership Health Plan of California MCD Rep — Default: $108.08 TriWest — Default: $159.85 United Healthcare — Default: $160.05

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$57	$28.50	$7.27 – $49.02
Basic metabolic panel (blood test): rates for 9 insurance plans Aetna — Default: $30.78 Blue Cross of CA Anthem — Default: $48.65 Blue Shield of CA — Default: $44.74 Cigna — Default: $42.75 Medicare A CA JE — Default: $35.19 Medicare B CA JE Northern CA — Default: $8.29 Partnership Health Plan of California MCD Rep — Default: $7.27 TriWest — Default: $34.11 United Healthcare — Default: $49.02
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL	$71	$35.50	$9.19 – $61.06
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Aetna — Default: $38.34 Blue Cross of CA Anthem — Default: $60.60 Blue Shield of CA — Default: $55.74 Cigna — Default: $53.25 Medicare A CA JE — Default: $43.84 Medicare B CA JE Northern CA — Default: $10.35 Partnership Health Plan of California MCD Rep — Default: $9.19 TriWest — Default: $42.49 United Healthcare — Default: $61.06
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL (14) RL	$71	$35.50	$9.19 – $61.06
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Aetna — Default: $38.34 Blue Cross of CA Anthem — Default: $60.60 Blue Shield of CA — Default: $55.74 Cigna — Default: $53.25 Medicare A CA JE — Default: $43.84 Medicare B CA JE Northern CA — Default: $10.35 Partnership Health Plan of California MCD Rep — Default: $9.19 TriWest — Default: $42.49 United Healthcare — Default: $61.06
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: PRENATAL PANEL LAB	$168	$84	$35.83 – $144.48
Obstetric blood test panel: rates for 9 insurance plans Aetna — Default: $90.72 Blue Cross of CA Anthem — Default: $143.39 Blue Shield of CA — Default: $131.88 Cigna — Default: $126 Medicare A CA JE — Default: $103.72 Medicare B CA JE Northern CA — Default: $46.85 Partnership Health Plan of California MCD Rep — Default: $35.83 TriWest — Default: $100.55 United Healthcare — Default: $144.48
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$87	$43.50	$11.54 – $74.82
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — Default: $46.98 Blue Cross of CA Anthem — Default: $74.25 Blue Shield of CA — Default: $68.30 Cigna — Default: $65.25 Medicare A CA JE — Default: $53.71 Medicare B CA JE Northern CA — Default: $13.12 Partnership Health Plan of California MCD Rep — Default: $11.54 TriWest — Default: $52.07 United Healthcare — Default: $74.82
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: NMR LIPOPROFILE+LIPIDS+GRAPH	$127	$63.50	$11.54 – $109.22
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — Default: $68.58 Blue Cross of CA Anthem — Default: $108.39 Blue Shield of CA — Default: $99.70 Cigna — Default: $95.25 Medicare A CA JE — Default: $78.41 Medicare B CA JE Northern CA — Default: $13.12 Partnership Health Plan of California MCD Rep — Default: $11.54 TriWest — Default: $76.01 United Healthcare — Default: $109.22
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL RL	$87	$43.50	$11.54 – $74.82
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — Default: $46.98 Blue Cross of CA Anthem — Default: $74.25 Blue Shield of CA — Default: $68.30 Cigna — Default: $65.25 Medicare A CA JE — Default: $53.71 Medicare B CA JE Northern CA — Default: $13.12 Partnership Health Plan of California MCD Rep — Default: $11.54 TriWest — Default: $52.07 United Healthcare — Default: $74.82
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL PANEL	$59	$29.50	$7.60 – $50.74
Kidney function panel: rates for 9 insurance plans Aetna — Default: $31.86 Blue Cross of CA Anthem — Default: $50.36 Blue Shield of CA — Default: $46.32 Cigna — Default: $44.25 Medicare A CA JE — Default: $36.43 Medicare B CA JE Northern CA — Default: $8.51 Partnership Health Plan of California MCD Rep — Default: $7.60 TriWest — Default: $35.31 United Healthcare — Default: $50.74
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION LAB	$54	$27	$6.38 – $46.44
Liver function panel: rates for 9 insurance plans Aetna — Default: $29.16 Blue Cross of CA Anthem — Default: $46.09 Blue Shield of CA — Default: $42.39 Cigna — Default: $40.50 Medicare A CA JE — Default: $33.34 Medicare B CA JE Northern CA — Default: $8.01 Partnership Health Plan of California MCD Rep — Default: $6.38 TriWest — Default: $32.32 United Healthcare — Default: $46.44
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: .UA AUTO W/MICRO	$24	$12	$2.77 – $20.64
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — Default: $12.96 Blue Cross of CA Anthem — Default: $20.48 Blue Shield of CA — Default: $18.84 Cigna — Default: $18 Medicare A CA JE — Default: $14.82 Medicare B CA JE Northern CA — Default: $3.11 Partnership Health Plan of California MCD Rep — Default: $2.77 TriWest — Default: $14.36 United Healthcare — Default: $20.64
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA/M W/RFLX CULTURE ROUTINE	$24	$12	$2.77 – $20.64
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — Default: $12.96 Blue Cross of CA Anthem — Default: $20.48 Blue Shield of CA — Default: $18.84 Cigna — Default: $18 Medicare A CA JE — Default: $14.82 Medicare B CA JE Northern CA — Default: $3.11 Partnership Health Plan of California MCD Rep — Default: $2.77 TriWest — Default: $14.36 United Healthcare — Default: $20.64
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS W/MICRO	$24	$12	$2.77 – $20.64
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — Default: $12.96 Blue Cross of CA Anthem — Default: $20.48 Blue Shield of CA — Default: $18.84 Cigna — Default: $18 Medicare A CA JE — Default: $14.82 Medicare B CA JE Northern CA — Default: $3.11 Partnership Health Plan of California MCD Rep — Default: $2.77 TriWest — Default: $14.36 United Healthcare — Default: $20.64
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE KETONES	$24	$12	$2.15 – $20.64
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — Default: $12.96 Blue Cross of CA Anthem — Default: $20.48 Blue Shield of CA — Default: $18.84 Cigna — Default: $18 Medicare A CA JE — Default: $14.82 Medicare B CA JE Northern CA — Default: $3.41 Partnership Health Plan of California MCD Rep — Default: $2.15 TriWest — Default: $14.36 United Healthcare — Default: $20.64
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE DIP	$24	$12	$2.15 – $20.64
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — Default: $12.96 Blue Cross of CA Anthem — Default: $20.48 Blue Shield of CA — Default: $18.84 Cigna — Default: $18 Medicare A CA JE — Default: $14.82 Medicare B CA JE Northern CA — Default: $3.41 Partnership Health Plan of California MCD Rep — Default: $2.15 TriWest — Default: $14.36 United Healthcare — Default: $20.64
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE DIP	$22	Not listed in the file	$2.09 – $13.58
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — Default: $3.48 Blue Cross of CA Anthem — Default: $2.09 Blue Shield of CA — Default: $2.91 Cigna — Default: $3.10 Medicare A CA JE — Default: $13.58 Medicare B CA JE Northern CA — Default: $3.41 Partnership Health Plan of California MCD Rep — Default: $2.15 TriWest — Default: $3.31 United Healthcare — Default: $2.09
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: .URINALYSIS NO MICRO	$20	$10	$1.96 – $17.20
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — Default: $10.80 Blue Cross of CA Anthem — Default: $17.07 Blue Shield of CA — Default: $15.70 Cigna — Default: $15 Medicare A CA JE — Default: $12.35 Medicare B CA JE Northern CA — Default: $2.20 Partnership Health Plan of California MCD Rep — Default: $1.96 TriWest — Default: $11.97 United Healthcare — Default: $17.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL	$117	$58.50	$16.35 – $100.62
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — Default: $63.18 Blue Cross of CA Anthem — Default: $99.86 Blue Shield of CA — Default: $91.84 Cigna — Default: $87.75 Medicare A CA JE — Default: $72.24 Medicare B CA JE Northern CA — Default: $18.02 Partnership Health Plan of California MCD Rep — Default: $16.35 TriWest — Default: $70.02 United Healthcare — Default: $100.62
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROSTATE-SPECIFIC AG SERUM	$117	$58.50	$16.35 – $100.62
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — Default: $63.18 Blue Cross of CA Anthem — Default: $99.86 Blue Shield of CA — Default: $91.84 Cigna — Default: $87.75 Medicare A CA JE — Default: $72.24 Medicare B CA JE Northern CA — Default: $18.02 Partnership Health Plan of California MCD Rep — Default: $16.35 TriWest — Default: $70.02 United Healthcare — Default: $100.62
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA ULTRA W/SERIAL MONITOR SEND	$117	$58.50	$16.35 – $100.62
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — Default: $63.18 Blue Cross of CA Anthem — Default: $99.86 Blue Shield of CA — Default: $91.84 Cigna — Default: $87.75 Medicare A CA JE — Default: $72.24 Medicare B CA JE Northern CA — Default: $18.02 Partnership Health Plan of California MCD Rep — Default: $16.35 TriWest — Default: $70.02 United Healthcare — Default: $100.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$106	$53	$14.76 – $91.16
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — Default: $57.24 Blue Cross of CA Anthem — Default: $90.47 Blue Shield of CA — Default: $83.21 Cigna — Default: $79.50 Medicare A CA JE — Default: $65.44 Medicare B CA JE Northern CA — Default: $16.46 Partnership Health Plan of California MCD Rep — Default: $14.76 TriWest — Default: $63.44 United Healthcare — Default: $91.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH RL	$106	$53	$14.76 – $91.16
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — Default: $57.24 Blue Cross of CA Anthem — Default: $90.47 Blue Shield of CA — Default: $83.21 Cigna — Default: $79.50 Medicare A CA JE — Default: $65.44 Medicare B CA JE Northern CA — Default: $16.46 Partnership Health Plan of California MCD Rep — Default: $14.76 TriWest — Default: $63.44 United Healthcare — Default: $91.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID CASCADE PROFILE RL	$106	$53	$14.76 – $91.16
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — Default: $57.24 Blue Cross of CA Anthem — Default: $90.47 Blue Shield of CA — Default: $83.21 Cigna — Default: $79.50 Medicare A CA JE — Default: $65.44 Medicare B CA JE Northern CA — Default: $16.46 Partnership Health Plan of California MCD Rep — Default: $14.76 TriWest — Default: $63.44 United Healthcare — Default: $91.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .COMPLETE CBC W/AUTO DIFF	$53	$26.50	$6.75 – $45.58
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — Default: $28.62 Blue Cross of CA Anthem — Default: $45.24 Blue Shield of CA — Default: $41.60 Cigna — Default: $39.75 Medicare A CA JE — Default: $32.72 Medicare B CA JE Northern CA — Default: $7.61 Partnership Health Plan of California MCD Rep — Default: $6.75 TriWest — Default: $31.72 United Healthcare — Default: $45.58
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH DIFFERENTIAL	$53	$26.50	$6.75 – $45.58
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — Default: $28.62 Blue Cross of CA Anthem — Default: $45.24 Blue Shield of CA — Default: $41.60 Cigna — Default: $39.75 Medicare A CA JE — Default: $32.72 Medicare B CA JE Northern CA — Default: $7.61 Partnership Health Plan of California MCD Rep — Default: $6.75 TriWest — Default: $31.72 United Healthcare — Default: $45.58
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC	$44	$22	$5.71 – $37.84
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — Default: $23.76 Blue Cross of CA Anthem — Default: $37.55 Blue Shield of CA — Default: $34.54 Cigna — Default: $33 Medicare A CA JE — Default: $27.17 Medicare B CA JE Northern CA — Default: $6.34 Partnership Health Plan of California MCD Rep — Default: $5.71 TriWest — Default: $26.33 United Healthcare — Default: $37.84
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HEMOGRAM	$44	$22	$5.71 – $37.84
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — Default: $23.76 Blue Cross of CA Anthem — Default: $37.55 Blue Shield of CA — Default: $34.54 Cigna — Default: $33 Medicare A CA JE — Default: $27.17 Medicare B CA JE Northern CA — Default: $6.34 Partnership Health Plan of California MCD Rep — Default: $5.71 TriWest — Default: $26.33 United Healthcare — Default: $37.84
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: .HEMOGRAM	$44	$22	$5.71 – $37.84
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — Default: $23.76 Blue Cross of CA Anthem — Default: $37.55 Blue Shield of CA — Default: $34.54 Cigna — Default: $33 Medicare A CA JE — Default: $27.17 Medicare B CA JE Northern CA — Default: $6.34 Partnership Health Plan of California MCD Rep — Default: $5.71 TriWest — Default: $26.33 United Healthcare — Default: $37.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME/INR	$29	$14.50	$3.49 – $24.94
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — Default: $15.66 Blue Cross of CA Anthem — Default: $24.75 Blue Shield of CA — Default: $22.76 Cigna — Default: $21.75 Medicare A CA JE — Default: $17.90 Medicare B CA JE Northern CA — Default: $4.20 Partnership Health Plan of California MCD Rep — Default: $3.49 TriWest — Default: $17.36 United Healthcare — Default: $24.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT	$42	$21	$5.34 – $36.12
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — Default: $22.68 Blue Cross of CA Anthem — Default: $35.85 Blue Shield of CA — Default: $32.97 Cigna — Default: $31.50 Medicare A CA JE — Default: $25.93 Medicare B CA JE Northern CA — Default: $5.89 Partnership Health Plan of California MCD Rep — Default: $5.34 TriWest — Default: $25.14 United Healthcare — Default: $36.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: ANTIPHOSPHOLIPID SYNDROME	$909	$454.50	$5.34 – $781.74
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — Default: $490.86 Blue Cross of CA Anthem — Default: $775.83 Blue Shield of CA — Default: $713.56 Cigna — Default: $681.75 Medicare A CA JE — Default: $561.22 Medicare B CA JE Northern CA — Default: $5.89 Partnership Health Plan of California MCD Rep — Default: $5.34 TriWest — Default: $544.04 United Healthcare — Default: $781.74
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT MIXING STUDIES	$222	$111	$5.34 – $190.92
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — Default: $119.88 Blue Cross of CA Anthem — Default: $189.48 Blue Shield of CA — Default: $174.27 Cigna — Default: $166.50 Medicare A CA JE — Default: $137.06 Medicare B CA JE Northern CA — Default: $5.89 Partnership Health Plan of California MCD Rep — Default: $5.34 TriWest — Default: $132.87 United Healthcare — Default: $190.92

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 · Inpatient or outpatient In the file: PRO FEE CT HEAD OR BRAIN W/O CONTRAST	$69	$34.50	$37.26 – $69
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Default: $37.26 Blue Cross of CA Anthem — Default: $58.89 Blue Shield of CA — Default: $54.16 Cigna — Default: $51.75 Medicare A CA JE — Default: $45.16 Medicare B CA JE Northern CA — Default: $67.62 Partnership Health Plan of California MCD Rep — Default: $69 TriWest — Default: $43.78 United Healthcare — Default: $106.27
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD OR BRAIN W/O CONTRAST	$1,025	$512.50	$111.20 – $881.50
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Default: $553.50 Blue Cross of CA Anthem — Default: $874.84 Blue Shield of CA — Default: $804.62 Cigna — Default: $768.75 Medicare A CA JE — Default: $632.84 Medicare B CA JE Northern CA — Default: $111.20 Partnership Health Plan of California MCD Rep — Default: $405.08 TriWest — Default: $613.46 United Healthcare — Default: $881.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 26 In the file: PRO FEE CT HEAD OR BRAIN W/O CONTRAST,Professional fee, no charge change	$69	$34.50	$22.36 – $63.43
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Default: $40.07 Blue Cross of CA Anthem — Default: $37.39 Blue Shield of CA — Default: $63.43 Cigna — Default: $22.36 Medicare A CA JE — Default: $42.60 Medicare B CA JE Northern CA — Default: $39.27 Partnership Health Plan of California MCD Rep — Default: $35.44 TriWest — Default: $38.07 United Healthcare — Default: $36.54
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: PROFEE CHEST 2 VIEWS PA AND LATERAL	$18	$9	$9.72 – $18
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Default: $9.72 Blue Cross of CA Anthem — Default: $15.36 Blue Shield of CA — Default: $14.13 Cigna — Default: $13.50 Medicare A CA JE — Default: $11.54 Medicare B CA JE Northern CA — Default: $17.64 Partnership Health Plan of California MCD Rep — Default: $18 TriWest — Default: $11.19 United Healthcare — Default: $30.81
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEWS PA AND LATERAL	$234	$117	$34.60 – $201.24
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Default: $126.36 Blue Cross of CA Anthem — Default: $199.72 Blue Shield of CA — Default: $183.69 Cigna — Default: $175.50 Medicare A CA JE — Default: $144.47 Medicare B CA JE Northern CA — Default: $34.60 Partnership Health Plan of California MCD Rep — Default: $109.92 TriWest — Default: $140.05 United Healthcare — Default: $201.24
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 26 In the file: PROFEE CHEST 2 VIEWS PA AND LATERAL,Professional fee, no charge change	$18	$9	$9.34 – $14.82
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Default: $10.24 Blue Cross of CA Anthem — Default: $13.81 Blue Shield of CA — Default: $14.62 Cigna — Default: $14.82 Medicare A CA JE — Default: $11.11 Medicare B CA JE Northern CA — Default: $10.04 Partnership Health Plan of California MCD Rep — Default: $9.34 TriWest — Default: $9.73 United Healthcare — Default: $11.11
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: PRO FEE LUMBAR SPINE MIN OF 4 VIEWS	$21	$10.50	$11.34 – $21
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Default: $11.34 Blue Cross of CA Anthem — Default: $17.92 Blue Shield of CA — Default: $16.48 Cigna — Default: $15.75 Medicare A CA JE — Default: $14.51 Medicare B CA JE Northern CA — Default: $20.58 Partnership Health Plan of California MCD Rep — Default: $21 TriWest — Default: $14.07 United Healthcare — Default: $50.51
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBAR SPINE MIN OF 4 VIEWS	$389	$194.50	$56.20 – $334.54
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Default: $210.06 Blue Cross of CA Anthem — Default: $332.01 Blue Shield of CA — Default: $305.36 Cigna — Default: $291.75 Medicare A CA JE — Default: $240.17 Medicare B CA JE Northern CA — Default: $56.20 Partnership Health Plan of California MCD Rep — Default: $175.40 TriWest — Default: $232.82 United Healthcare — Default: $334.54
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 26 In the file: PRO FEE LUMBAR SPINE MIN OF 4 VIEWS,Professional fee, no charge change	$21	$10.50	$12.24 – $21
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Default: $12.88 Blue Cross of CA Anthem — Default: $16.64 Blue Shield of CA — Default: $21 Cigna — Default: $21 Medicare A CA JE — Default: $12.97 Medicare B CA JE Northern CA — Default: $12.62 Partnership Health Plan of California MCD Rep — Default: $13.59 TriWest — Default: $12.24 United Healthcare — Default: $16.48
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: PRO FEE CT PELVIS WITH CONTRAST	$93	$46.50	$50.22 – $93
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — Default: $50.22 Blue Cross of CA Anthem — Default: $79.38 Blue Shield of CA — Default: $73 Cigna — Default: $69.75 Medicare A CA JE — Default: $61.17 Medicare B CA JE Northern CA — Default: $91.14 Partnership Health Plan of California MCD Rep — Default: $93 TriWest — Default: $59.30 United Healthcare — Default: $202.18
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH CONTRAST	$1,556	$778	$237.94 – $1,338.16
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — Default: $840.24 Blue Cross of CA Anthem — Default: $1,328.05 Blue Shield of CA — Default: $1,221.46 Cigna — Default: $1,167 Medicare A CA JE — Default: $960.67 Medicare B CA JE Northern CA — Default: $237.94 Partnership Health Plan of California MCD Rep — Default: $817.80 TriWest — Default: $931.27 United Healthcare — Default: $1,338.16
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 26 In the file: PRO FEE CT PELVIS WITH CONTRAST,Professional fee, no charge change	$93	$46.50	$30.41 – $86.27
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — Default: $54.28 Blue Cross of CA Anthem — Default: $51.08 Blue Shield of CA — Default: $86.27 Cigna — Default: $30.41 Medicare A CA JE — Default: $57.42 Medicare B CA JE Northern CA — Default: $53.19 Partnership Health Plan of California MCD Rep — Default: $49.07 TriWest — Default: $51.57 United Healthcare — Default: $50.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: PRO FEE CT ABDOMEN/PELVIS WITH CONTRAST	$145	$72.50	$78.30 – $145
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Default: $78.30 Blue Cross of CA Anthem — Default: $123.76 Blue Shield of CA — Default: $113.82 Cigna — Default: $108.75 Medicare A CA JE — Default: $95.97 Medicare B CA JE Northern CA — Default: $142.10 Partnership Health Plan of California MCD Rep — Default: $145 TriWest — Default: $93.03 United Healthcare — Default: $278.31
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN AND PELVIS WITH CONTRAST	$1,556	$778	$315.56 – $1,338.16
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Default: $840.24 Blue Cross of CA Anthem — Default: $1,328.05 Blue Shield of CA — Default: $1,221.46 Cigna — Default: $1,167 Medicare A CA JE — Default: $960.67 Medicare B CA JE Northern CA — Default: $315.56 Partnership Health Plan of California MCD Rep — Default: $1,127.20 TriWest — Default: $931.27 United Healthcare — Default: $1,338.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 26 In the file: PRO FEE CT ABDOMEN/PELVIS WITH CONTRAST,Professional fee, no charge change	$145	$72.50	$47.70 – $135.32
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Default: $85.16 Blue Cross of CA Anthem — Default: $75.98 Blue Shield of CA — Default: $135.32 Cigna — Default: $47.70 Medicare A CA JE — Default: $89.52 Medicare B CA JE Northern CA — Default: $83.46 Partnership Health Plan of California MCD Rep — Default: $78.90 TriWest — Default: $80.90 United Healthcare — Default: $78.87
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: PRO FEE US ABDOMEN COMPLETE	$64	$32	$34.56 – $64
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — Default: $34.56 Blue Cross of CA Anthem — Default: $54.62 Blue Shield of CA — Default: $50.24 Cigna — Default: $48 Medicare A CA JE — Default: $43.02 Medicare B CA JE Northern CA — Default: $62.72 Partnership Health Plan of California MCD Rep — Default: $64 TriWest — Default: $41.70 United Healthcare — Default: $142.93
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$345	$172.50	$119.55 – $332.80
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — Default: $186.30 Blue Cross of CA Anthem — Default: $294.46 Blue Shield of CA — Default: $270.82 Cigna — Default: $258.75 Medicare A CA JE — Default: $213 Medicare B CA JE Northern CA — Default: $119.55 Partnership Health Plan of California MCD Rep — Default: $332.80 TriWest — Default: $206.48 United Healthcare — Default: $296.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 26 In the file: PRO FEE US ABDOMEN COMPLETE,Professional fee, no charge change	$64	$32	$25.79 – $54.94
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — Default: $38.17 Blue Cross of CA Anthem — Default: $43.14 Blue Shield of CA — Default: $54.13 Cigna — Default: $54.94 Medicare A CA JE — Default: $39.51 Medicare B CA JE Northern CA — Default: $37.41 Partnership Health Plan of California MCD Rep — Default: $25.79 TriWest — Default: $36.26 United Healthcare — Default: $41.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: PRO FEE US OB 14 + WKS >FIRST TRIMESTER	$79	$39.50	$42.66 – $79
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — Default: $42.66 Blue Cross of CA Anthem — Default: $67.43 Blue Shield of CA — Default: $62.02 Cigna — Default: $59.25 Medicare A CA JE — Default: $54.23 Medicare B CA JE Northern CA — Default: $77.42 Partnership Health Plan of California MCD Rep — Default: $79 TriWest — Default: $52.57 United Healthcare — Default: $147.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB 14 + WKS >FIRST TRIMESTER	$384	$192	$142.22 – $377.28
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — Default: $207.36 Blue Cross of CA Anthem — Default: $327.74 Blue Shield of CA — Default: $301.44 Cigna — Default: $288 Medicare A CA JE — Default: $237.08 Medicare B CA JE Northern CA — Default: $142.22 Partnership Health Plan of California MCD Rep — Default: $377.28 TriWest — Default: $229.82 United Healthcare — Default: $330.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 26 In the file: PRO FEE US OB 14 + WKS >FIRST TRIMESTER,Professional fee, no charge change	$79	$39.50	$31.13 – $68.42
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — Default: $48.12 Blue Cross of CA Anthem — Default: $52.19 Blue Shield of CA — Default: $63.03 Cigna — Default: $68.42 Medicare A CA JE — Default: $48.77 Medicare B CA JE Northern CA — Default: $47.16 Partnership Health Plan of California MCD Rep — Default: $31.13 TriWest — Default: $45.71 United Healthcare — Default: $50.15
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: PRO FEE US TRANSVAGINAL	$56	$28	$30.24 – $56
Transvaginal ultrasound: rates for 9 insurance plans Aetna — Default: $30.24 Blue Cross of CA Anthem — Default: $47.80 Blue Shield of CA — Default: $43.96 Cigna — Default: $42 Medicare A CA JE — Default: $37.18 Medicare B CA JE Northern CA — Default: $54.88 Partnership Health Plan of California MCD Rep — Default: $56 TriWest — Default: $36.04 United Healthcare — Default: $127.89
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL	$277	$138.50	$123.45 – $270.60
Transvaginal ultrasound: rates for 9 insurance plans Aetna — Default: $149.58 Blue Cross of CA Anthem — Default: $236.42 Blue Shield of CA — Default: $217.44 Cigna — Default: $207.75 Medicare A CA JE — Default: $171.02 Medicare B CA JE Northern CA — Default: $123.45 Partnership Health Plan of California MCD Rep — Default: $270.60 TriWest — Default: $165.78 United Healthcare — Default: $238.22
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 26 In the file: PRO FEE US TRANSVAGINAL,Professional fee, no charge change	$56	$28	$18.27 – $47.19
Transvaginal ultrasound: rates for 9 insurance plans Aetna — Default: $32.99 Blue Cross of CA Anthem — Default: $33.17 Blue Shield of CA — Default: $35.62 Cigna — Default: $47.19 Medicare A CA JE — Default: $34.57 Medicare B CA JE Northern CA — Default: $32.33 Partnership Health Plan of California MCD Rep — Default: $18.27 TriWest — Default: $31.34 United Healthcare — Default: $35.11

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG 12 LEAD W/INTERPETATION & REPORT	$176	$88	$15.70 – $150.22
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans Aetna — Default: $95.04 Blue Cross of CA Anthem — Default: $150.22 Blue Shield of CA — Default: $36.92 Cigna — Default: $23.29 Medicare A CA JE — Default: $108.66 Medicare B CA JE Northern CA — Default: $15.70 Partnership Health Plan of California MCD Rep — Default: $114.80 TriWest — Default: $105.34 United Healthcare — Default: $15.51
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · modifier 26 In the file: EKG 12 LEAD W/INTERPETATION & REPORT,Professional	$171	Not listed in the file	$15.22 – $105.58
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans Aetna — Default: $16.02 Blue Cross of CA Anthem — Default: $21.92 Blue Shield of CA — Default: $36.92 Cigna — Default: $23.29 Medicare A CA JE — Default: $105.58 Medicare B CA JE Northern CA — Default: $15.70 Partnership Health Plan of California MCD Rep — Default: $28.70 TriWest — Default: $15.22 United Healthcare — Default: $15.51

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPUETIC EX/15MIN	$95	$47.50	$6.37 – $75
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — Default: $30.47 Blue Cross of CA Anthem — Default: $75 Blue Shield of CA — Default: $37.49 Cigna — Default: $34.40 Medicare A CA JE — Default: $58.65 Medicare B CA JE Northern CA — Default: $29.86 Partnership Health Plan of California MCD Rep — Default: $6.37 TriWest — Default: $28.95 United Healthcare — Default: $29.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPUETIC EX/15MIN,PT Plan of Care	$95	$47.50	$29.86 – $81.70
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — Default: $51.30 Blue Cross of CA Anthem — Default: $81.08 Blue Shield of CA — Default: $74.58 Cigna — Default: $71.25 Medicare A CA JE — Default: $58.65 Medicare B CA JE Northern CA — Default: $29.86 Partnership Health Plan of California MCD Rep — Default: $43.84 TriWest — Default: $56.86 United Healthcare — Default: $81.70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVALUATION LOW COMPLEXITY	$145	$72.50	$75 – $103.01
Physical therapy evaluation (low complexity): rates for 8 insurance plans Aetna — Default: $103.01 Blue Cross of CA Anthem — Default: $75 Blue Shield of CA — Default: $82.67 Cigna — Default: $84.24 Medicare A CA JE — Default: $89.52 Medicare B CA JE Northern CA — Default: $100.95 TriWest — Default: $97.86 United Healthcare — Default: $75.24
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION LOW COMPLEXITY,PT Plan of Care	$145	$72.50	$78.30 – $124.70
Physical therapy evaluation (low complexity): rates for 8 insurance plans Aetna — Default: $78.30 Blue Cross of CA Anthem — Default: $123.76 Blue Shield of CA — Default: $113.82 Cigna — Default: $108.75 Medicare A CA JE — Default: $89.52 Medicare B CA JE Northern CA — Default: $100.95 TriWest — Default: $86.78 United Healthcare — Default: $124.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVALUATION MODERATE COMPLEXITY	$217	$108.50	$75 – $133.98
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Aetna — Default: $103.01 Blue Cross of CA Anthem — Default: $75 Blue Shield of CA — Default: $85.15 Cigna — Default: $84.24 Medicare A CA JE — Default: $133.98 Medicare B CA JE Northern CA — Default: $100.95 TriWest — Default: $97.86 United Healthcare — Default: $75.24
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION MODERATE COMPLEXITY,PT Plan of Care	$217	$108.50	$100.95 – $186.62
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Aetna — Default: $117.18 Blue Cross of CA Anthem — Default: $185.21 Blue Shield of CA — Default: $170.34 Cigna — Default: $162.75 Medicare A CA JE — Default: $133.98 Medicare B CA JE Northern CA — Default: $100.95 TriWest — Default: $129.87 United Healthcare — Default: $186.62
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVALUATION HIGH COMPLEXITY	$287	$143.50	$75 – $177.19
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — Default: $103.01 Blue Cross of CA Anthem — Default: $75 Blue Shield of CA — Default: $88.73 Cigna — Default: $84.24 Medicare A CA JE — Default: $177.19 Medicare B CA JE Northern CA — Default: $100.95 Partnership Health Plan of California MCD Rep — Default: $135.56 TriWest — Default: $97.86 United Healthcare — Default: $75.24
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION HIGH COMPLEXITY,PT Plan of Care	$287	$143.50	$100.95 – $246.82
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — Default: $154.98 Blue Cross of CA Anthem — Default: $244.95 Blue Shield of CA — Default: $225.30 Cigna — Default: $215.25 Medicare A CA JE — Default: $177.19 Medicare B CA JE Northern CA — Default: $100.95 Partnership Health Plan of California MCD Rep — Default: $135.56 TriWest — Default: $171.77 United Healthcare — Default: $246.82
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY45 MIN W/ PATIENT	$220	$110	$115.35 – $220
Psychotherapy, 45 minutes: rates for 9 insurance plans Aetna — Default: $118.80 Blue Cross of CA Anthem — Default: $187.77 Blue Shield of CA — Default: $172.70 Cigna — Default: $165 Medicare A CA JE — Default: $135.83 Medicare B CA JE Northern CA — Default: $115.35 Partnership Health Plan of California MCD Rep — Default: $220 TriWest — Default: $131.67 United Healthcare — Default: $189.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY45 MIN W/ PATIENT/FAMILY	$214	Not listed in the file	$79.20 – $213.90
Psychotherapy, 45 minutes: rates for 9 insurance plans Aetna — Default: $117.70 Blue Cross of CA Anthem — Default: $104.03 Blue Shield of CA — Default: $213.90 Cigna — Default: $113.15 Medicare A CA JE — Default: $132.12 Medicare B CA JE Northern CA — Default: $115.35 Partnership Health Plan of California MCD Rep — Default: $89.64 TriWest — Default: $111.82 United Healthcare — Default: $79.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · modifier 26 In the file: PSYCHOTHERAPY45 MIN W/ PATIENT/FAMILY,Professional	$214	Not listed in the file	$79.20 – $213.90
Psychotherapy, 45 minutes: rates for 9 insurance plans Aetna — Default: $117.70 Blue Cross of CA Anthem — Default: $104.03 Blue Shield of CA — Default: $213.90 Cigna — Default: $113.15 Medicare A CA JE — Default: $132.12 Medicare B CA JE Northern CA — Default: $115.35 Partnership Health Plan of California MCD Rep — Default: $89.64 TriWest — Default: $111.82 United Healthcare — Default: $79.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY60 MIN W/ PATIENT	$232	$116	$125.28 – $232
Psychotherapy, 60 minutes: rates for 9 insurance plans Aetna — Default: $125.28 Blue Cross of CA Anthem — Default: $198.01 Blue Shield of CA — Default: $182.12 Cigna — Default: $174 Medicare A CA JE — Default: $143.24 Medicare B CA JE Northern CA — Default: $169.24 Partnership Health Plan of California MCD Rep — Default: $232 TriWest — Default: $138.85 United Healthcare — Default: $199.52
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY60 MIN W/ PATIENT/FAMILY	$225	Not listed in the file	$118.47 – $225
Psychotherapy, 60 minutes: rates for 9 insurance plans Aetna — Default: $172.69 Blue Cross of CA Anthem — Default: $135.96 Blue Shield of CA — Default: $225 Cigna — Default: $169.61 Medicare A CA JE — Default: $138.92 Medicare B CA JE Northern CA — Default: $169.24 Partnership Health Plan of California MCD Rep — Default: $131.97 TriWest — Default: $164.06 United Healthcare — Default: $118.47
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · modifier 26 In the file: PSYCHOTHERAPY60 MIN W/ PATIENT/FAMILY,Professional	$225	Not listed in the file	$118.47 – $225
Psychotherapy, 60 minutes: rates for 9 insurance plans Aetna — Default: $172.69 Blue Cross of CA Anthem — Default: $135.96 Blue Shield of CA — Default: $225 Cigna — Default: $169.61 Medicare A CA JE — Default: $138.92 Medicare B CA JE Northern CA — Default: $169.24 Partnership Health Plan of California MCD Rep — Default: $131.97 TriWest — Default: $164.06 United Healthcare — Default: $118.47
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY50 MIN W/ FAMILY	$220	$110	$51 – $189.20
Family psychotherapy, with the patient: rates for 9 insurance plans Aetna — Default: $118.80 Blue Cross of CA Anthem — Default: $187.77 Blue Shield of CA — Default: $172.70 Cigna — Default: $165 Medicare A CA JE — Default: $135.83 Medicare B CA JE Northern CA — Default: $109.91 Partnership Health Plan of California MCD Rep — Default: $51 TriWest — Default: $131.67 United Healthcare — Default: $189.20

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD-DIAGNOSTIC	$3,823	$1,911.50	$336.88 – $3,287.78
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Default: $2,064.42 Blue Cross of CA Anthem — Default: $3,262.93 Blue Shield of CA — Default: $817.02 Cigna — Default: $2,867.25 Medicare A CA JE — Default: $2,360.32 Medicare B CA JE Northern CA — Default: $336.88 Partnership Health Plan of California MCD Rep — Default: $896.48 TriWest — Default: $2,288.07 United Healthcare — Default: $3,287.78
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PROFEE EGD-DIAGNOSTIC	$201	$100.50	$108.54 – $201
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Default: $108.54 Blue Cross of CA Anthem — Default: $171.55 Blue Shield of CA — Default: $157.78 Cigna — Default: $150.75 Medicare A CA JE — Default: $125.44 Medicare B CA JE Northern CA — Default: $196.98 Partnership Health Plan of California MCD Rep — Default: $201 TriWest — Default: $121.60 United Healthcare — Default: $292.71
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · modifier 26 In the file: PROFEE EGD-DIAGNOSTIC,Professional fee, no charge change	$201	$100.50	$124.10 – $343.48
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Default: $201 Blue Cross of CA Anthem — Default: $343.48 Blue Shield of CA — Default: $201 Cigna — Default: $201 Medicare A CA JE — Default: $124.10 Medicare B CA JE Northern CA — Default: $196.98 Partnership Health Plan of California MCD Rep — Default: $201 TriWest — Default: $160.80 United Healthcare — Default: $292.71
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD-W/BIOPSY, SINGLE OR MULTIPLE	$3,823	$1,911.50	$438.90 – $3,287.78
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Default: $2,064.42 Blue Cross of CA Anthem — Default: $3,262.93 Blue Shield of CA — Default: $817.02 Cigna — Default: $2,867.25 Medicare A CA JE — Default: $2,360.32 Medicare B CA JE Northern CA — Default: $438.90 Partnership Health Plan of California MCD Rep — Default: $936.72 TriWest — Default: $2,288.07 United Healthcare — Default: $3,287.78
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PROFEE EGD-W/BIOPSY SINGLE OR MULTIPLE	$226	$113	$122.04 – $226
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Default: $122.04 Blue Cross of CA Anthem — Default: $192.89 Blue Shield of CA — Default: $177.41 Cigna — Default: $169.50 Medicare A CA JE — Default: $140.03 Medicare B CA JE Northern CA — Default: $221.48 Partnership Health Plan of California MCD Rep — Default: $226 TriWest — Default: $135.75 United Healthcare — Default: $373.56
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · modifier 26 In the file: PROFEE EGD-W/BIOPSY SINGLE OR MULTIPLE,Professional fee, no charge change	$226	$113	$139.53 – $398.07
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Default: $226 Blue Cross of CA Anthem — Default: $398.07 Blue Shield of CA — Default: $226 Cigna — Default: $226 Medicare A CA JE — Default: $139.53 Medicare B CA JE Northern CA — Default: $221.48 Partnership Health Plan of California MCD Rep — Default: $226 TriWest — Default: $180.80 United Healthcare — Default: $373.56
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY-DIAGNOSTIC	$3,837	$1,918.50	$390.37 – $3,299.82
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Default: $2,071.98 Blue Cross of CA Anthem — Default: $3,274.88 Blue Shield of CA — Default: $865.93 Cigna — Default: $2,877.75 Medicare A CA JE — Default: $2,368.96 Medicare B CA JE Northern CA — Default: $390.37 Partnership Health Plan of California MCD Rep — Default: $1,180.92 TriWest — Default: $2,296.44 United Healthcare — Default: $3,299.82
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PROFEE COLONOSCOPY- DIAGNOSITIC	$300	$150	$162 – $300
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Default: $162 Blue Cross of CA Anthem — Default: $256.05 Blue Shield of CA — Default: $235.50 Cigna — Default: $225 Medicare A CA JE — Default: $185.29 Medicare B CA JE Northern CA — Default: $294 Partnership Health Plan of California MCD Rep — Default: $300 TriWest — Default: $179.62 United Healthcare — Default: $363.99
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · modifier 26 In the file: PROFEE COLONOSCOPY- DIAGNOSITIC,Professional fee, no charge change	$300	$150	$185.22 – $446.38
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Default: $300 Blue Cross of CA Anthem — Default: $446.38 Blue Shield of CA — Default: $300 Cigna — Default: $300 Medicare A CA JE — Default: $185.22 Medicare B CA JE Northern CA — Default: $294 Partnership Health Plan of California MCD Rep — Default: $295.23 TriWest — Default: $240 United Healthcare — Default: $363.99
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY- W/ BIOPSY SINGLE OR MULTIPL	$3,837	$1,918.50	$498.86 – $3,299.82
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Default: $2,071.98 Blue Cross of CA Anthem — Default: $3,274.88 Blue Shield of CA — Default: $865.93 Cigna — Default: $2,877.75 Medicare A CA JE — Default: $2,368.96 Medicare B CA JE Northern CA — Default: $498.86 Partnership Health Plan of California MCD Rep — Default: $1,320.92 TriWest — Default: $2,296.44 United Healthcare — Default: $3,299.82
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PROFEE COLONOSCOPY- W/ BIOPSY SIN OR MUL	$327	$163.50	$176.58 – $327
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Default: $176.58 Blue Cross of CA Anthem — Default: $279.09 Blue Shield of CA — Default: $256.70 Cigna — Default: $245.25 Medicare A CA JE — Default: $200.31 Medicare B CA JE Northern CA — Default: $320.46 Partnership Health Plan of California MCD Rep — Default: $327 TriWest — Default: $194.18 United Healthcare — Default: $433.29
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier 26 In the file: PROFEE COLONOSCOPY- W/ BIOPSY SIN OR MUL,Professional fee, no charge change	$327	$163.50	$201.89 – $534.33
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Default: $327 Blue Cross of CA Anthem — Default: $534.33 Blue Shield of CA — Default: $327 Cigna — Default: $327 Medicare A CA JE — Default: $201.89 Medicare B CA JE Northern CA — Default: $320.46 Partnership Health Plan of California MCD Rep — Default: $327 TriWest — Default: $261.60 United Healthcare — Default: $433.29
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY- REMOVAL W/ SNARE	$3,837	$1,918.50	$516.17 – $3,299.82
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Default: $2,071.98 Blue Cross of CA Anthem — Default: $3,274.88 Blue Shield of CA — Default: $989.82 Cigna — Default: $2,877.75 Medicare A CA JE — Default: $2,368.96 Medicare B CA JE Northern CA — Default: $516.17 Partnership Health Plan of California MCD Rep — Default: $1,600.88 TriWest — Default: $2,296.44 United Healthcare — Default: $3,299.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PROFEE COLONOSCOPY- W/ REMOVAL SNARE	$413	$206.50	$223.02 – $413
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Default: $223.02 Blue Cross of CA Anthem — Default: $352.50 Blue Shield of CA — Default: $324.20 Cigna — Default: $309.75 Medicare A CA JE — Default: $252 Medicare B CA JE Northern CA — Default: $404.74 Partnership Health Plan of California MCD Rep — Default: $413 TriWest — Default: $244.28 United Healthcare — Default: $489.06
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · modifier 26 In the file: PROFEE COLONOSCOPY- W/ REMOVAL SNARE,Professional fee, no charge change	$413	$206.50	$254.99 – $602.34
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Default: $413 Blue Cross of CA Anthem — Default: $602.34 Blue Shield of CA — Default: $413 Cigna — Default: $413 Medicare A CA JE — Default: $254.99 Medicare B CA JE Northern CA — Default: $404.74 Partnership Health Plan of California MCD Rep — Default: $400.22 TriWest — Default: $330.40 United Healthcare — Default: $489.06
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLONOSCOPY- CANCER SCREEN, NOT HRSK	$3,837	$1,918.50	$390.54 – $3,299.82
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Default: $2,071.98 Blue Cross of CA Anthem — Default: $3,274.88 Blue Shield of CA — Default: $865.93 Cigna — Default: $2,877.75 Medicare A CA JE — Default: $2,368.96 Medicare B CA JE Northern CA — Default: $390.54 TriWest — Default: $2,296.44 United Healthcare — Default: $3,299.82
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PROFEE COLONOSCOPY- SCREENING G0121	$300	$150	$162 – $294
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Default: $162 Blue Cross of CA Anthem — Default: $256.05 Blue Shield of CA — Default: $235.50 Cigna — Default: $225 Medicare A CA JE — Default: $185.49 Medicare B CA JE Northern CA — Default: $294 TriWest — Default: $179.82 United Healthcare — Default: $363.99
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · modifier 26 In the file: PROFEE COLONOSCOPY- SCREENING G0121,Professional fee, no charge change	$300	$150	$185.22 – $396.82
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Default: $300 Blue Cross of CA Anthem — Default: $396.82 Blue Shield of CA — Default: $300 Cigna — Default: $300 Medicare A CA JE — Default: $185.22 Medicare B CA JE Northern CA — Default: $294 TriWest — Default: $240 United Healthcare — Default: $363.99
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REPAIR-INGUINAL HERNIA 5YR+ REDUCIBLE	$13,783	$6,891.50	$488.02 – $11,853.38
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Default: $7,442.82 Blue Cross of CA Anthem — Default: $11,763.79 Blue Shield of CA — Default: $2,404.71 Cigna — Default: $10,337.25 Medicare A CA JE — Default: $8,509.62 Medicare B CA JE Northern CA — Default: $488.02 Partnership Health Plan of California MCD Rep — Default: $1,376.04 TriWest — Default: $8,249.13 United Healthcare — Default: $11,853.38
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PROFEE REPAIR INGUINAL HERNIA 5+ REDUC	$853	$426.50	$460.62 – $853
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Default: $460.62 Blue Cross of CA Anthem — Default: $728.04 Blue Shield of CA — Default: $669.60 Cigna — Default: $639.75 Medicare A CA JE — Default: $561.23 Medicare B CA JE Northern CA — Default: $488.02 Partnership Health Plan of California MCD Rep — Default: $853 TriWest — Default: $544.05 United Healthcare — Default: $487.41
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 26 In the file: PROFEE REPAIR INGUINAL HERNIA 5+ REDUC,Professional fee, no charge change	$853	$426.50	$344.01 – $695.79
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Default: $497.98 Blue Cross of CA Anthem — Default: $495.64 Blue Shield of CA — Default: $634.66 Cigna — Default: $695.79 Medicare A CA JE — Default: $526.64 Medicare B CA JE Northern CA — Default: $488.02 Partnership Health Plan of California MCD Rep — Default: $344.01 TriWest — Default: $473.08 United Healthcare — Default: $487.41
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: PROFEE CARPAL TUNNEL-NEUROPLASTY RIGHT	$720	Not listed in the file	$316.83 – $584.56
Carpal tunnel release: rates for 9 insurance plans Aetna — Default: $497.66 Blue Cross of CA Anthem — Default: $548.54 Blue Shield of CA — Default: $538.76 Cigna — Default: $584.56 Medicare A CA JE — Default: $444.53 Medicare B CA JE Northern CA — Default: $487.71 Partnership Health Plan of California MCD Rep — Default: $316.83 TriWest — Default: $472.78 United Healthcare — Default: $401.61
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: PROFEE CARPAL TUNNEL-NEUROPLASTY LEFT	$720	Not listed in the file	$316.83 – $584.56
Carpal tunnel release: rates for 9 insurance plans Aetna — Default: $497.66 Blue Cross of CA Anthem — Default: $548.54 Blue Shield of CA — Default: $538.76 Cigna — Default: $584.56 Medicare A CA JE — Default: $444.53 Medicare B CA JE Northern CA — Default: $487.71 Partnership Health Plan of California MCD Rep — Default: $316.83 TriWest — Default: $472.78 United Healthcare — Default: $401.61
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier RT In the file: CARPAL TUNNEL-NEUROPLASTY RIGHT,Right, no charge change	$3,972	$1,986	$253.16 – $3,415.92
Carpal tunnel release: rates for 9 insurance plans Aetna — Default: $2,144.88 Blue Cross of CA Anthem — Default: $3,390.10 Blue Shield of CA — Default: $1,765.40 Cigna — Default: $2,979 Medicare A CA JE — Default: $2,452.31 Medicare B CA JE Northern CA — Default: $487.71 Partnership Health Plan of California MCD Rep — Default: $253.16 TriWest — Default: $2,377.24 United Healthcare — Default: $3,415.92

Source: Trinity Hospital’s standard charges file (mcmedical.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	60 Easter Avenue, Weaverville, CA 96093
County	Trinity County
State	California
Phone	(530) 623‑5541
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	051315
Name in Medicare records	TRINITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	mcmedical.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.

Mountain Communities Healthcare District — mcmedical.org
Trinity Hospital — mcmedical.org
Mountain Communities Healthcare District (Providers) — mcmedical.org
Mountain Communities Healthcare District (Ancillary Services) — mcmedical.org
Mountain Communities Healthcare District (Physical Therapy) — mcmedical.org
Mountain Communities Healthcare District (Skilled Nursing) — mcmedical.org
Mountain Communities Healthcare District (Swing Bed) — mcmedical.org
Mountain Communities Healthcare District — mcmedical.org

Trinity Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^{[5][6][7][8][9][10]}

Conditions treated^[7][8]

Treatments^{[5][7][8][10]}

Procedures^[5][7]

Programs and centers^{[4][5][7][10]}

Emergency care (hospital website)^[5]

Visiting and practical information

Recognition^[7][10][11]

Doctors and clinicians (87)

Main specialties

Doctors with a page on this site (87)

Other emergency rooms nearby

Other hospitals near Weaverville

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Trinity Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[5][6][7][8][9][10]

Conditions treated[7][8]

Treatments[5][7][8][10]

Procedures[5][7]

Programs and centers[4][5][7][10]

Emergency care (hospital website)[5]

Visiting and practical information

Recognition[7][10][11]

Doctors and clinicians (87)

Main specialties

Doctors with a page on this site (87)

Other emergency rooms nearby

Other hospitals near Weaverville

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^{[5][6][7][8][9][10]}

Conditions treated^[7][8]

Treatments^{[5][7][8][10]}

Procedures^[5][7]

Programs and centers^{[4][5][7][10]}

Emergency care (hospital website)^[5]

Recognition^[7][10][11]