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Acute Care Hospital

USC Arcadia Hospital

Arcadia, California · Los Angeles County · Emergency services listed

USC Arcadia Hospital is an acute care hospital at 300 W Huntington Dr, Arcadia, CA 91007. Phone: (626) 898-8000. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

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

Summary

USC Arcadia Hospital is an acute care hospital in Arcadia, California. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 63 services, specialties and programs. Medicare lists 506 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(626) 898‑8000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
348Beds (hospital website)
506Doctors and clinicians
63Services listed

Quick answers

Does USC Arcadia Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at USC Arcadia Hospital. In a medical emergency, call 911.
Where is USC Arcadia Hospital?
300 W Huntington Dr, Arcadia, CA 91007, in Los Angeles County, California.
What is the phone number of USC Arcadia Hospital?
(626) 898-8000, as listed by Medicare (CMS).
What is the Medicare star rating of USC Arcadia Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to USC Arcadia Hospital for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to USC Arcadia Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.9810; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5][8][9][15]

Conditions treated[5][6][8][9][11][12][13][14]

Treatments[5][8][9][10][11][12][13][14]

  • CT scanning
  • MRI
  • Nuclear imaging
  • Interventional radiology
  • Mechanical thrombectomy
  • Hyperbaric oxygen therapy
  • Open-heart surgery
  • Cardiac catheterization and stenting
  • Electrophysiology studies
  • Catheter ablation for arrhythmia
  • Bypass surgery
  • Angioplasty
  • Skin grafting
  • Low-dose CT lung cancer screening
  • Robotic thoracic surgery
  • Bronchoscopy (robotic and navigational)
  • Weight loss surgery

Programs and centers[4][5][6][7][8][9][11][12][13][14]

  • STEMI Receiving Center
  • Certified stroke center
  • Emergency department (24-hour)
  • Comprehensive stroke program
  • Chest Pain Team
  • Pediatric emergency care (EDAP)
  • Maternity and labor and delivery
  • Neonatal intensive care unit (Level II)
  • Cardiac rehabilitation
  • Wound Healing Center
  • Hyperbaric Oxygen Center
  • Limb preservation program
  • Comprehensive lymphedema program
  • Pelvic floor rehabilitation
  • Lung cancer screening program
  • GYN Oncology Institute
  • Outpatient therapy services
  • Acute rehabilitation

Emergency care (hospital website)[4][5][6][12]

Emergency roomYes
Open 24/7Yes
Stroke designationCertified stroke center

Visiting and practical information

VisitingVisiting hours vary by department; check with the unit or call ahead[5]
ParkingOn-site parking for patients and visitors, with disabled spaces; follow posted signs[4]
Interpreters and languagesA Chinese-language website is linked; no interpreter service stated[5]
Patient portalmyUSCchart

Recognition[6][9][12][13]

  • Comprehensive Stroke Center certification (DNV GL)
  • STEMI receiving center (designated by LA County EMS)
  • Comprehensive Community Cancer Program (Commission on Cancer accredited)

Doctors and clinicians (506)

506 doctors and other clinicians list USC Arcadia 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 (506)

And 482 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Arcadia

Hospitals in Los Angeles County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What USC Arcadia 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff1 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1063%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well73%National average: 80%
“Always” got help as soon as they wanted47%National average: 64%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home82%National average: 86%
Room and bathroom “always” clean71%National average: 73%
Completed surveys552Response rate: 21%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.351No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.653No different from the national benchmark
Surgical site infections after colon surgery3.069Worse than the national benchmark
MRSA bloodstream infections0.506No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.049No different from the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Deaths within 30 days: heart attack patients14.3%
Deaths within 30 days: heart failure patients9.6%
Deaths within 30 days: pneumonia patients13.4%
Deaths within 30 days: COPD patients6.6%
Deaths within 30 days: stroke patients10.9%
Deaths within 30 days: coronary bypass surgery (CABG)1.8%
Serious complications (patient safety indicator PSI-90)1.06No different from the national rate
Complications after hip or knee replacement2.9%

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)16.2%
Readmitted within 30 days: heart attack14.3%
Readmitted within 30 days: heart failure18.9%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD19.9%
Readmitted within 30 days: coronary bypass surgery11.5%
Readmitted within 30 days: hip or knee replacement4.4%

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)256 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)68%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 USC Arcadia Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.9810Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack1.0471More readmissions than expected
Heart failure0.9342Fewer readmissions than expected
Pneumonia0.9869Fewer readmissions than expected
COPD (chronic lung disease)0.9903Fewer readmissions than expected
Hip or knee replacement1.0321More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score20.08 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)35.00 out of 100
Person and community engagement (patient survey)12.00 out of 100
Safety (infections and sepsis care)33.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.13Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in CaliforniaBest hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 49 common services exactly as USC Arcadia 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC PHYSICAL $361 $126.35 $126.35 – $361
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates
  • Affliated Health — Affliated Health: $270.75
  • AHMC ALLIED — AHMC ALLIED: $180.50
  • Beech Street — Beech Street: $270.75
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $195
  • Blue Shield PPO — Blue Shield PPO: $202
  • CIGNA — CIGNA: $196.38
  • CIGNA PPO — CIGNA PPO: $196.38
  • HEALTHCARE PARTNERS — HEALTHCARE PARTNERS: $157.22
  • HEALTHNET HMO — HEALTHNET HMO: $209.63
  • INTERLINK — INTERLINK: $288.80
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC PHYSICAL $361 $126.35 $270.75 – $361
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $270.75
  • Beech Street — Beech Street: $270.75
  • INTERLINK — INTERLINK: $288.80
  • INTERPLAN — INTERPLAN: $288.80
  • MEDIGAP — MEDIGAP: $361
  • MULTIPLAN — MULTIPLAN: $288.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $361
  • Three Rivers — Three Rivers: $288.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED PHYSICAL $476 $166.60 $166.60 – $476
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates
  • Affliated Health — Affliated Health: $357
  • AHMC ALLIED — AHMC ALLIED: $238
  • Beech Street — Beech Street: $357
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $195
  • Blue Shield PPO — Blue Shield PPO: $202
  • CIGNA — CIGNA: $258.94
  • CIGNA PPO — CIGNA PPO: $258.94
  • HEALTHCARE PARTNERS — HEALTHCARE PARTNERS: $207.30
  • HEALTHNET HMO — HEALTHNET HMO: $276.41
  • INTERLINK — INTERLINK: $380.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED PHYSICAL $476 $166.60 $357 – $476
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $357
  • Beech Street — Beech Street: $357
  • INTERLINK — INTERLINK: $380.80
  • INTERPLAN — INTERPLAN: $380.80
  • MEDIGAP — MEDIGAP: $476
  • MULTIPLAN — MULTIPLAN: $380.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $476
  • Three Rivers — Three Rivers: $380.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE PHYSICAL $652 $228.20 $195 – $652
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates
  • Affliated Health — Affliated Health: $489
  • AHMC ALLIED — AHMC ALLIED: $326
  • Beech Street — Beech Street: $489
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $195
  • Blue Shield PPO — Blue Shield PPO: $202
  • CIGNA — CIGNA: $354.69
  • CIGNA PPO — CIGNA PPO: $354.69
  • HEALTHCARE PARTNERS — HEALTHCARE PARTNERS: $283.95
  • HEALTHNET HMO — HEALTHNET HMO: $378.62
  • INTERLINK — INTERLINK: $521.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE PHYSICAL $652 $228.20 $489 – $652
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $489
  • Beech Street — Beech Street: $489
  • INTERLINK — INTERLINK: $521.60
  • INTERPLAN — INTERPLAN: $521.60
  • MEDIGAP — MEDIGAP: $652
  • MULTIPLAN — MULTIPLAN: $521.60
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $652
  • Three Rivers — Three Rivers: $521.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED CONSULTATION $361 $126.35 $126.35 – $361
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates
  • Affliated Health — Affliated Health: $270.75
  • AHMC ALLIED — AHMC ALLIED: $180.50
  • Beech Street — Beech Street: $270.75
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $195
  • Blue Shield PPO — Blue Shield PPO: $202
  • CIGNA — CIGNA: $196.38
  • CIGNA PPO — CIGNA PPO: $196.38
  • HEALTHCARE PARTNERS — HEALTHCARE PARTNERS: $157.22
  • HEALTHNET HMO — HEALTHNET HMO: $209.63
  • INTERLINK — INTERLINK: $288.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED CONSULTATION $361 $126.35 $270.75 – $361
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $270.75
  • Beech Street — Beech Street: $270.75
  • INTERLINK — INTERLINK: $288.80
  • INTERPLAN — INTERPLAN: $288.80
  • MEDIGAP — MEDIGAP: $361
  • MULTIPLAN — MULTIPLAN: $288.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $361
  • Three Rivers — Three Rivers: $288.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY SERVICE LEVEL 3 $2,465 $862.75 $287.98 – $3,280
Emergency room visit (moderate): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $1,848.75
  • AHMC ALLIED — AHMC ALLIED: $1,232.50
  • Beech Street — Beech Street: $1,848.75
  • Blue Cross — Blue Cross: $1,361
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $287.98
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $1,833.96
  • Blue Shield PPO — Blue Shield PPO: $1,902.98
  • BLUE SHIELD SR — BLUE SHIELD SR: $349.37
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $338.89
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $335.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY SERVICE LEVEL 3 $2,465 $862.75 $1,848.75 – $2,465
Emergency room visit (moderate): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $1,848.75
  • Beech Street — Beech Street: $1,848.75
  • INTERLINK — INTERLINK: $1,972
  • INTERPLAN — INTERPLAN: $1,972
  • MEDIGAP — MEDIGAP: $2,465
  • MULTIPLAN — MULTIPLAN: $1,972
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $2,465
  • Three Rivers — Three Rivers: $1,972
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY SERVICE LEVEL 4 $3,374 $1,180.90 $463.14 – $4,720
Emergency room visit (moderately high): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $2,530.50
  • AHMC ALLIED — AHMC ALLIED: $1,687
  • Beech Street — Beech Street: $2,530.50
  • Blue Cross — Blue Cross: $2,080.40
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $463.14
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $2,510.26
  • Blue Shield PPO — Blue Shield PPO: $2,604.73
  • BLUE SHIELD SR — BLUE SHIELD SR: $534.04
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $518.02
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $512.68
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY SERVICE LEVEL 4 $3,374 $1,180.90 $2,530.50 – $3,374
Emergency room visit (moderately high): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $2,530.50
  • Beech Street — Beech Street: $2,530.50
  • INTERLINK — INTERLINK: $2,699.20
  • INTERPLAN — INTERPLAN: $2,699.20
  • MEDIGAP — MEDIGAP: $3,374
  • MULTIPLAN — MULTIPLAN: $2,699.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $3,374
  • Three Rivers — Three Rivers: $2,699.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY SERVICE LEVEL 5 $5,432 $1,901.20 $684.30 – $5,432
Emergency room visit (high): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $4,074
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $4,074
  • Blue Cross — Blue Cross: $2,969.20
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $684.30
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $3,406
  • Blue Shield PPO — Blue Shield PPO: $3,537
  • BLUE SHIELD SR — BLUE SHIELD SR: $762.20
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $739.33
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $731.71
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY SERVICE LEVEL 5 $5,432 $1,901.20 $4,074 – $5,432
Emergency room visit (high): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $4,074
  • Beech Street — Beech Street: $4,074
  • INTERLINK — INTERLINK: $4,345.60
  • INTERPLAN — INTERPLAN: $4,345.60
  • MEDIGAP — MEDIGAP: $5,432
  • MULTIPLAN — MULTIPLAN: $4,345.60
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $5,432
  • Three Rivers — Three Rivers: $4,345.60

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BASIC METABOLIC PANEL $589 $206.15 $8.12 – $589
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $441.75
  • AHMC ALLIED — AHMC ALLIED: $294.50
  • Beech Street — Beech Street: $441.75
  • Blue Cross — Blue Cross: $11.51
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $22.52
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $153.08
  • Blue Shield PPO — Blue Shield PPO: $153.08
  • BLUE SHIELD SR — BLUE SHIELD SR: $8.46
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $8.21
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $8.12
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 90 In the file: BASIC METABOLIC PANEL $589 $206.15 $441.75 – $589
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $441.75
  • Beech Street — Beech Street: $441.75
  • INTERLINK — INTERLINK: $471.20
  • INTERPLAN — INTERPLAN: $471.20
  • MEDIGAP — MEDIGAP: $589
  • MULTIPLAN — MULTIPLAN: $471.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $589
  • Three Rivers — Three Rivers: $471.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL W/GFR $593 $207.55 $10.14 – $593
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $444.75
  • AHMC ALLIED — AHMC ALLIED: $296.50
  • Beech Street — Beech Street: $444.75
  • Blue Cross — Blue Cross: $14.37
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $28.14
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $191.12
  • Blue Shield PPO — Blue Shield PPO: $191.12
  • BLUE SHIELD SR — BLUE SHIELD SR: $10.56
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $10.24
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $10.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL W/GFR $593 $207.55 $444.75 – $593
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $444.75
  • Beech Street — Beech Street: $444.75
  • INTERLINK — INTERLINK: $474.40
  • INTERPLAN — INTERPLAN: $474.40
  • MEDIGAP — MEDIGAP: $593
  • MULTIPLAN — MULTIPLAN: $474.40
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $593
  • Three Rivers — Three Rivers: $474.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: LIPID PANEL $366 $128.10 $12.85 – $366
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $274.50
  • AHMC ALLIED — AHMC ALLIED: $183
  • Beech Street — Beech Street: $274.50
  • Blue Cross — Blue Cross: $18.22
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $35.66
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $242.24
  • Blue Shield PPO — Blue Shield PPO: $242.24
  • BLUE SHIELD SR — BLUE SHIELD SR: $13.39
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $12.99
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $12.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 90 In the file: LIPID PANEL $366 $128.10 $274.50 – $366
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $274.50
  • Beech Street — Beech Street: $274.50
  • INTERLINK — INTERLINK: $292.80
  • INTERPLAN — INTERPLAN: $292.80
  • MEDIGAP — MEDIGAP: $366
  • MULTIPLAN — MULTIPLAN: $292.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $366
  • Three Rivers — Three Rivers: $292.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: RENAL FUNCTION PANEL $3.45 $1.21 $1.21 – $156.96
Kidney function panel: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $2.59
  • AHMC ALLIED — AHMC ALLIED: $1.73
  • Beech Street — Beech Street: $2.59
  • Blue Cross — Blue Cross: $3.45
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $23.12
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $156.96
  • Blue Shield PPO — Blue Shield PPO: $156.96
  • BLUE SHIELD SR — BLUE SHIELD SR: $3.45
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $3.35
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $3.31
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 90 In the file: RENAL FUNCTION PANEL $3.45 $1.21 $2.59 – $3.45
Kidney function panel: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $2.59
  • Beech Street — Beech Street: $2.59
  • INTERLINK — INTERLINK: $2.76
  • INTERPLAN — INTERPLAN: $2.76
  • MEDIGAP — MEDIGAP: $3.45
  • MULTIPLAN — MULTIPLAN: $2.76
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $3.45
  • Three Rivers — Three Rivers: $2.76
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PROFILE $361 $126.35 $7.84 – $361
Liver function panel: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $270.75
  • AHMC ALLIED — AHMC ALLIED: $180.50
  • Beech Street — Beech Street: $270.75
  • Blue Cross — Blue Cross: $11.12
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $21.75
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $147.77
  • Blue Shield PPO — Blue Shield PPO: $147.77
  • BLUE SHIELD SR — BLUE SHIELD SR: $8.17
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $7.92
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $7.84
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIVER PROFILE $361 $126.35 $270.75 – $361
Liver function panel: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $270.75
  • Beech Street — Beech Street: $270.75
  • INTERLINK — INTERLINK: $288.80
  • INTERPLAN — INTERPLAN: $288.80
  • MEDIGAP — MEDIGAP: $361
  • MULTIPLAN — MULTIPLAN: $288.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $361
  • Three Rivers — Three Rivers: $288.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: URINALY ROUTINE AUTO W/MICRO $259 $90.65 $3.04 – $259
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $194.25
  • AHMC ALLIED — AHMC ALLIED: $129.50
  • Beech Street — Beech Street: $194.25
  • Blue Cross — Blue Cross: $4.31
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $8.42
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $57.32
  • Blue Shield PPO — Blue Shield PPO: $57.32
  • BLUE SHIELD SR — BLUE SHIELD SR: $3.17
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $3.07
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $3.04
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: URINALY ROUTINE AUTO W/MICRO $259 $90.65 $194.25 – $259
Urine test (automated, with microscope): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $194.25
  • Beech Street — Beech Street: $194.25
  • INTERLINK — INTERLINK: $207.20
  • INTERPLAN — INTERPLAN: $207.20
  • MEDIGAP — MEDIGAP: $259
  • MULTIPLAN — MULTIPLAN: $207.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $259
  • Three Rivers — Three Rivers: $207.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIP STIX URINALYSIS NO MICRO $126 $44.10 $3.34 – $126
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $94.50
  • AHMC ALLIED — AHMC ALLIED: $63
  • Beech Street — Beech Street: $94.50
  • Blue Cross — Blue Cross: $4.73
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $6.81
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $46.20
  • Blue Shield PPO — Blue Shield PPO: $46.20
  • BLUE SHIELD SR — BLUE SHIELD SR: $3.48
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $3.38
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $3.34
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIP STIX URINALYSIS $104 $36.40 $3.34 – $104
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $78
  • AHMC ALLIED — AHMC ALLIED: $52
  • Beech Street — Beech Street: $78
  • Blue Cross — Blue Cross: $4.73
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $6.81
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $46.20
  • Blue Shield PPO — Blue Shield PPO: $46.20
  • BLUE SHIELD SR — BLUE SHIELD SR: $3.48
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $3.38
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $3.34
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIP STIX URINALYSIS NO MICRO $126 $44.10 $94.50 – $126
Urine test (manual, without microscope): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $94.50
  • Beech Street — Beech Street: $94.50
  • INTERLINK — INTERLINK: $100.80
  • INTERPLAN — INTERPLAN: $100.80
  • MEDIGAP — MEDIGAP: $126
  • MULTIPLAN — MULTIPLAN: $100.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $126
  • Three Rivers — Three Rivers: $100.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PH, URINE $114 $39.90 $2.16 – $114
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $85.50
  • AHMC ALLIED — AHMC ALLIED: $57
  • Beech Street — Beech Street: $85.50
  • Blue Cross — Blue Cross: $3.06
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $5.98
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $40.63
  • Blue Shield PPO — Blue Shield PPO: $40.63
  • BLUE SHIELD SR — BLUE SHIELD SR: $2.25
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $2.18
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $2.16
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICRO $166 $58.10 $2.16 – $166
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $124.50
  • AHMC ALLIED — AHMC ALLIED: $83
  • Beech Street — Beech Street: $124.50
  • Blue Cross — Blue Cross: $3.06
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $5.98
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $40.63
  • Blue Shield PPO — Blue Shield PPO: $40.63
  • BLUE SHIELD SR — BLUE SHIELD SR: $2.25
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $2.18
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $2.16
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PH, URINE $114 $39.90 $85.50 – $114
Urine test (automated, without microscope): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $85.50
  • Beech Street — Beech Street: $85.50
  • INTERLINK — INTERLINK: $91.20
  • INTERPLAN — INTERPLAN: $91.20
  • MEDIGAP — MEDIGAP: $114
  • MULTIPLAN — MULTIPLAN: $91.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $114
  • Three Rivers — Three Rivers: $91.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG $7.28 $2.55 $2.55 – $332.56
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $5.46
  • AHMC ALLIED — AHMC ALLIED: $3.64
  • Beech Street — Beech Street: $5.46
  • Blue Cross — Blue Cross: $7.28
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $48.99
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $332.56
  • Blue Shield PPO — Blue Shield PPO: $332.56
  • BLUE SHIELD SR — BLUE SHIELD SR: $7.28
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $7.06
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $6.99
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG $7.28 $2.55 $5.46 – $7.28
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $5.46
  • Beech Street — Beech Street: $5.46
  • INTERLINK — INTERLINK: $5.82
  • INTERPLAN — INTERPLAN: $5.82
  • MEDIGAP — MEDIGAP: $7.28
  • MULTIPLAN — MULTIPLAN: $5.82
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $7.28
  • Three Rivers — Three Rivers: $5.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: PSA TOTAL $16 $5.60 $5.60 – $332.56
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $12
  • AHMC ALLIED — AHMC ALLIED: $8
  • Beech Street — Beech Street: $12
  • Blue Cross — Blue Cross: $16
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $48.99
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $332.56
  • Blue Shield PPO — Blue Shield PPO: $332.56
  • BLUE SHIELD SR — BLUE SHIELD SR: $16
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $15.52
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $15.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION $336 $117.60 $16.13 – $336
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $252
  • AHMC ALLIED — AHMC ALLIED: $168
  • Beech Street — Beech Street: $252
  • Blue Cross — Blue Cross: $22.86
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $44.74
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $303.70
  • Blue Shield PPO — Blue Shield PPO: $303.70
  • BLUE SHIELD SR — BLUE SHIELD SR: $16.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $16.30
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $16.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION $336 $117.60 $252 – $336
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $252
  • Beech Street — Beech Street: $252
  • INTERLINK — INTERLINK: $268.80
  • INTERPLAN — INTERPLAN: $268.80
  • MEDIGAP — MEDIGAP: $336
  • MULTIPLAN — MULTIPLAN: $268.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $336
  • Three Rivers — Three Rivers: $268.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: NBSD-THYROID STIM HORMONE-NB $20.32 $7.11 $7.11 – $303.70
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $15.24
  • AHMC ALLIED — AHMC ALLIED: $10.16
  • Beech Street — Beech Street: $15.24
  • Blue Cross — Blue Cross: $20.32
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $44.74
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $303.70
  • Blue Shield PPO — Blue Shield PPO: $303.70
  • BLUE SHIELD SR — BLUE SHIELD SR: $16.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $16.30
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $16.13
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: CBC COMPLETE BLOOD COUNT $256 $89.60 $7.46 – $256
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $192
  • AHMC ALLIED — AHMC ALLIED: $128
  • Beech Street — Beech Street: $192
  • Blue Cross — Blue Cross: $10.57
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $20.72
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $140.53
  • Blue Shield PPO — Blue Shield PPO: $140.53
  • BLUE SHIELD SR — BLUE SHIELD SR: $7.77
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $7.54
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $7.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 90 In the file: CBC COMPLETE BLOOD COUNT $256 $89.60 $192 – $256
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $192
  • Beech Street — Beech Street: $192
  • INTERLINK — INTERLINK: $204.80
  • INTERPLAN — INTERPLAN: $204.80
  • MEDIGAP — MEDIGAP: $256
  • MULTIPLAN — MULTIPLAN: $204.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $256
  • Three Rivers — Three Rivers: $204.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM $69 $24.15 $6.21 – $116.98
Complete blood count (CBC), automated: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $51.75
  • AHMC ALLIED — AHMC ALLIED: $34.50
  • Beech Street — Beech Street: $51.75
  • Blue Cross — Blue Cross: $8.80
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $17.24
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $116.98
  • Blue Shield PPO — Blue Shield PPO: $116.98
  • BLUE SHIELD SR — BLUE SHIELD SR: $6.47
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $6.28
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $6.21
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM $69 $24.15 $51.75 – $69
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $51.75
  • Beech Street — Beech Street: $51.75
  • INTERLINK — INTERLINK: $55.20
  • INTERPLAN — INTERPLAN: $55.20
  • MEDIGAP — MEDIGAP: $69
  • MULTIPLAN — MULTIPLAN: $55.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $69
  • Three Rivers — Three Rivers: $55.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: LUPUS COAG RFLX PAN $44 $15.40 $4.12 – $71.04
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $33
  • AHMC ALLIED — AHMC ALLIED: $22
  • Beech Street — Beech Street: $33
  • Blue Cross — Blue Cross: $5.84
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $10.45
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $71.04
  • Blue Shield PPO — Blue Shield PPO: $71.04
  • BLUE SHIELD SR — BLUE SHIELD SR: $4.29
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $4.16
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: PROTHROMBIN TIME $15 $5.25 $4.12 – $71.04
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $11.25
  • AHMC ALLIED — AHMC ALLIED: $7.50
  • Beech Street — Beech Street: $11.25
  • Blue Cross — Blue Cross: $5.84
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $10.45
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $71.04
  • Blue Shield PPO — Blue Shield PPO: $71.04
  • BLUE SHIELD SR — BLUE SHIELD SR: $4.29
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $4.16
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: PROTHROMBIN TIME,QUICK $251 $87.85 $4.12 – $251
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $188.25
  • AHMC ALLIED — AHMC ALLIED: $125.50
  • Beech Street — Beech Street: $188.25
  • Blue Cross — Blue Cross: $5.84
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $10.45
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $71.04
  • Blue Shield PPO — Blue Shield PPO: $71.04
  • BLUE SHIELD SR — BLUE SHIELD SR: $4.29
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $4.16
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $4.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUPUS ANTICOAGULANT PANEL $273 $95.55 $5.77 – $273
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $204.75
  • AHMC ALLIED — AHMC ALLIED: $136.50
  • Beech Street — Beech Street: $204.75
  • Blue Cross — Blue Cross: $8.18
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $15.98
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $108.44
  • Blue Shield PPO — Blue Shield PPO: $108.44
  • BLUE SHIELD SR — BLUE SHIELD SR: $6.01
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $5.83
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUPUS ANTICOAGULANT PANEL $273 $95.55 $204.75 – $273
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $204.75
  • Beech Street — Beech Street: $204.75
  • INTERLINK — INTERLINK: $218.40
  • INTERPLAN — INTERPLAN: $218.40
  • MEDIGAP — MEDIGAP: $273
  • MULTIPLAN — MULTIPLAN: $218.40
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $273
  • Three Rivers — Three Rivers: $218.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: THROMBOPLASTIN TIME PARTIAL $25 $8.75 $5.77 – $108.44
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $18.75
  • AHMC ALLIED — AHMC ALLIED: $12.50
  • Beech Street — Beech Street: $18.75
  • Blue Cross — Blue Cross: $8.18
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $15.98
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $108.44
  • Blue Shield PPO — Blue Shield PPO: $108.44
  • BLUE SHIELD SR — BLUE SHIELD SR: $6.01
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $5.83
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $5.77

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT-BRAIN W/O CONTRAST $4,010 $1,403.50 $183.14 – $4,010
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,007.50
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,007.50
  • Blue Cross — Blue Cross: $521.25
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $406.17
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $2,678.68
  • Blue Shield PPO — Blue Shield PPO: $2,678.68
  • BLUE SHIELD SR — BLUE SHIELD SR: $133.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $129.79
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $128.45
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT-BRAIN W/O CONTRAST $4,010 $1,403.50 $3,007.50 – $4,010
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $3,007.50
  • Beech Street — Beech Street: $3,007.50
  • INTERLINK — INTERLINK: $3,208
  • INTERPLAN — INTERPLAN: $3,208
  • MEDIGAP — MEDIGAP: $4,010
  • MULTIPLAN — MULTIPLAN: $3,208
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $4,010
  • Three Rivers — Three Rivers: $3,208
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-BRAIN W/WO $7,610 $2,663.50 $730.19 – $7,610
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $5,707.50
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $5,707.50
  • Blue Cross — Blue Cross: $1,739.41
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,130.35
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $5,083.48
  • Blue Shield PPO — Blue Shield PPO: $5,083.48
  • BLUE SHIELD SR — BLUE SHIELD SR: $446.51
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $433.11
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $428.65
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-IAC W/WO $7,610 $2,663.50 $730.19 – $7,610
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $5,707.50
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $5,707.50
  • Blue Cross — Blue Cross: $1,739.41
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,130.35
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $5,083.48
  • Blue Shield PPO — Blue Shield PPO: $5,083.48
  • BLUE SHIELD SR — BLUE SHIELD SR: $446.51
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $433.11
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $428.65
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-BRAIN W/WO $7,610 $2,663.50 $5,707.50 – $7,610
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $5,707.50
  • Beech Street — Beech Street: $5,707.50
  • INTERLINK — INTERLINK: $6,088
  • INTERPLAN — INTERPLAN: $6,088
  • MEDIGAP — MEDIGAP: $7,610
  • MULTIPLAN — MULTIPLAN: $6,088
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $7,610
  • Three Rivers — Three Rivers: $6,088
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR-CHEST 2 VIEWS $791 $276.85 $99.39 – $791
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $593.25
  • AHMC ALLIED — AHMC ALLIED: $395.50
  • Beech Street — Beech Street: $593.25
  • Blue Cross — Blue Cross: $433.89
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $131.49
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $528.39
  • Blue Shield PPO — Blue Shield PPO: $528.39
  • BLUE SHIELD SR — BLUE SHIELD SR: $111.38
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $108.04
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $106.92
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR-CHEST 2 VIEWS $791 $276.85 $593.25 – $791
Chest X-ray, 2 views: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $593.25
  • Beech Street — Beech Street: $593.25
  • INTERLINK — INTERLINK: $632.80
  • INTERPLAN — INTERPLAN: $632.80
  • MEDIGAP — MEDIGAP: $791
  • MULTIPLAN — MULTIPLAN: $632.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $791
  • Three Rivers — Three Rivers: $632.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR-L/SP:CMP:4 OR MORE VWS $1,758 $615.30 $159.76 – $1,758
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $1,318.50
  • AHMC ALLIED — AHMC ALLIED: $879
  • Beech Street — Beech Street: $1,318.50
  • Blue Cross — Blue Cross: $521.25
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $159.76
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $1,174.34
  • Blue Shield PPO — Blue Shield PPO: $1,174.34
  • BLUE SHIELD SR — BLUE SHIELD SR: $133.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $129.79
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $128.45
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR-L/SP:CMP:4 OR MORE VWS $1,758 $615.30 $1,318.50 – $1,758
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $1,318.50
  • Beech Street — Beech Street: $1,318.50
  • INTERLINK — INTERLINK: $1,406.40
  • INTERPLAN — INTERPLAN: $1,406.40
  • MEDIGAP — MEDIGAP: $1,758
  • MULTIPLAN — MULTIPLAN: $1,406.40
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $1,758
  • Three Rivers — Three Rivers: $1,406.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-L/SP CANAL/CONTENT W/O $6,327 $2,214.45 $371.70 – $6,327
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $4,745.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $4,745.25
  • Blue Cross — Blue Cross: $1,189.61
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $716.30
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,226.44
  • Blue Shield PPO — Blue Shield PPO: $4,226.44
  • BLUE SHIELD SR — BLUE SHIELD SR: $305.38
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $296.22
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $293.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-L/SP CANAL/CONTENT W/O $6,327 $2,214.45 $4,745.25 – $6,327
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $4,745.25
  • Beech Street — Beech Street: $4,745.25
  • INTERLINK — INTERLINK: $5,061.60
  • INTERPLAN — INTERPLAN: $5,061.60
  • MEDIGAP — MEDIGAP: $6,327
  • MULTIPLAN — MULTIPLAN: $5,061.60
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $6,327
  • Three Rivers — Three Rivers: $5,061.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT-PELVIS W/CONTRAST $5,617 $1,965.95 $404.38 – $5,617
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $4,212.75
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $4,212.75
  • Blue Cross — Blue Cross: $874.51
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $636.04
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $3,752.16
  • Blue Shield PPO — Blue Shield PPO: $3,752.16
  • BLUE SHIELD SR — BLUE SHIELD SR: $224.49
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $217.76
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $215.51
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT-PELVIS W/CONTRAST $5,617 $1,965.95 $4,212.75 – $5,617
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $4,212.75
  • Beech Street — Beech Street: $4,212.75
  • INTERLINK — INTERLINK: $4,493.60
  • INTERPLAN — INTERPLAN: $4,493.60
  • MEDIGAP — MEDIGAP: $5,617
  • MULTIPLAN — MULTIPLAN: $4,493.60
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $5,617
  • Three Rivers — Three Rivers: $4,493.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI-ANKLE:LEFT W/O $4,111 $1,438.85 $371.70 – $4,111
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,083.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,083.25
  • Blue Cross — Blue Cross: $1,189.61
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $716.30
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $2,746.15
  • Blue Shield PPO — Blue Shield PPO: $2,746.15
  • BLUE SHIELD SR — BLUE SHIELD SR: $305.38
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $296.22
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $293.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI-ANKLE:RIGHT W/O $4,111 $1,438.85 $371.70 – $4,111
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,083.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,083.25
  • Blue Cross — Blue Cross: $1,189.61
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $716.30
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $2,746.15
  • Blue Shield PPO — Blue Shield PPO: $2,746.15
  • BLUE SHIELD SR — BLUE SHIELD SR: $305.38
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $296.22
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $293.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI-HIP:LEFT W/O $4,111 $1,438.85 $371.70 – $4,111
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,083.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,083.25
  • Blue Cross — Blue Cross: $1,189.61
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $716.30
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $2,746.15
  • Blue Shield PPO — Blue Shield PPO: $2,746.15
  • BLUE SHIELD SR — BLUE SHIELD SR: $305.38
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $296.22
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $293.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABDOMEN/PELVIS W/ $6,548 $2,291.80 $404.38 – $6,548
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $4,911
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $4,911
  • Blue Cross — Blue Cross: $1,739.41
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,228.81
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,374.06
  • Blue Shield PPO — Blue Shield PPO: $4,374.06
  • BLUE SHIELD SR — BLUE SHIELD SR: $446.51
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $433.11
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $428.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABDOMEN/PELVIS W/ $6,548 $2,291.80 $4,911 – $6,548
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $4,911
  • Beech Street — Beech Street: $4,911
  • INTERLINK — INTERLINK: $5,238.40
  • INTERPLAN — INTERPLAN: $5,238.40
  • MEDIGAP — MEDIGAP: $6,548
  • MULTIPLAN — MULTIPLAN: $5,238.40
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $6,548
  • Three Rivers — Three Rivers: $5,238.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US-ABDOMEN:COMPLETE $2,188 $765.80 $183.14 – $2,188
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $1,641
  • AHMC ALLIED — AHMC ALLIED: $1,094
  • Beech Street — Beech Street: $1,641
  • Blue Cross — Blue Cross: $521.25
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $203.85
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $1,461.58
  • Blue Shield PPO — Blue Shield PPO: $1,461.58
  • BLUE SHIELD SR — BLUE SHIELD SR: $133.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $129.79
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $128.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US-ABDOMEN:COMPLETE $2,188 $765.80 $1,641 – $2,188
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $1,641
  • Beech Street — Beech Street: $1,641
  • INTERLINK — INTERLINK: $1,750.40
  • INTERPLAN — INTERPLAN: $1,750.40
  • MEDIGAP — MEDIGAP: $2,188
  • MULTIPLAN — MULTIPLAN: $1,750.40
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $2,188
  • Three Rivers — Three Rivers: $1,750.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-OB >=14WKS $2,215 $775.25 $183.14 – $2,215
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $1,661.25
  • AHMC ALLIED — AHMC ALLIED: $1,107.50
  • Beech Street — Beech Street: $1,661.25
  • Blue Cross — Blue Cross: $521.25
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $203.85
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $1,479.62
  • Blue Shield PPO — Blue Shield PPO: $1,479.62
  • BLUE SHIELD SR — BLUE SHIELD SR: $133.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $129.79
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $128.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-OB >=14WKS $2,215 $775.25 $1,661.25 – $2,215
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $1,661.25
  • Beech Street — Beech Street: $1,661.25
  • INTERLINK — INTERLINK: $1,772
  • INTERPLAN — INTERPLAN: $1,772
  • MEDIGAP — MEDIGAP: $2,215
  • MULTIPLAN — MULTIPLAN: $1,772
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $2,215
  • Three Rivers — Three Rivers: $1,772
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL:NON-OB $1,304 $456.40 $183.14 – $1,304
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $978
  • AHMC ALLIED — AHMC ALLIED: $652
  • Beech Street — Beech Street: $978
  • Blue Cross — Blue Cross: $521.25
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $203.85
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $871.07
  • Blue Shield PPO — Blue Shield PPO: $871.07
  • BLUE SHIELD SR — BLUE SHIELD SR: $133.80
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $129.79
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $128.45
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL:NON-OB $1,304 $456.40 $978 – $1,304
Transvaginal ultrasound: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $978
  • Beech Street — Beech Street: $978
  • INTERLINK — INTERLINK: $1,043.20
  • INTERPLAN — INTERPLAN: $1,043.20
  • MEDIGAP — MEDIGAP: $1,304
  • MULTIPLAN — MULTIPLAN: $1,043.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $1,304
  • Three Rivers — Three Rivers: $1,043.20

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93452-LHC W/O COR ANGIOGRAM $7,629 $2,670.15 $2,000 – $12,591.29
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $5,721.75
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $5,721.75
  • Blue Cross — Blue Cross: $16,163.59
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $5,753.95
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $12,127.34
  • Blue Shield PPO — Blue Shield PPO: $12,591.29
  • BLUE SHIELD SR — BLUE SHIELD SR: $4,149.23
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $4,024.75
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $3,983.26
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 93452-LHC W/O COR ANGIOGRAM $7,629 $2,670.15 $5,721.75 – $7,629
Left heart catheterization (diagnostic): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $5,721.75
  • Beech Street — Beech Street: $5,721.75
  • INTERLINK — INTERLINK: $6,103.20
  • INTERPLAN — INTERPLAN: $6,103.20
  • MEDIGAP — MEDIGAP: $7,629
  • MULTIPLAN — MULTIPLAN: $6,103.20
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $7,629
  • Three Rivers — Three Rivers: $6,103.20
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EPS W/O INDUCTION $19,471 $6,814.85 $2,000 – $19,471
Heart rhythm study (electrophysiology evaluation): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $14,603.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $14,603.25
  • Blue Cross — Blue Cross: $38,887.49
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $7,956.42
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $10,036.42
  • Blue Shield PPO — Blue Shield PPO: $10,420.38
  • BLUE SHIELD SR — BLUE SHIELD SR: $9,982.52
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $9,683.04
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $9,583.22
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EPS W/O INDUCTION $19,471 $6,814.85 $14,603.25 – $19,471
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $14,603.25
  • Beech Street — Beech Street: $14,603.25
  • INTERLINK — INTERLINK: $15,576.80
  • INTERPLAN — INTERPLAN: $15,576.80
  • MEDIGAP — MEDIGAP: $19,471
  • MULTIPLAN — MULTIPLAN: $15,576.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $19,471
  • Three Rivers — Three Rivers: $15,576.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP TRANSEPTAL $69,266 $24,243.10 $2,000 – $69,266
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $51,949.50
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $51,949.50
  • Blue Cross — Blue Cross: $130,317.83
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $27,001.01
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $12,127.34
  • Blue Shield PPO — Blue Shield PPO: $12,591.29
  • BLUE SHIELD SR — BLUE SHIELD SR: $33,452.93
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $32,449.34
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $32,114.81
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP TRANSEPTAL $69,266 $24,243.10 $51,949.50 – $69,266
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $51,949.50
  • Beech Street — Beech Street: $51,949.50
  • INTERLINK — INTERLINK: $55,412.80
  • INTERPLAN — INTERPLAN: $55,412.80
  • MEDIGAP — MEDIGAP: $69,266
  • MULTIPLAN — MULTIPLAN: $55,412.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $69,266
  • Three Rivers — Three Rivers: $55,412.80

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P.T. THERAPUTIC EXER 15 MINS $190 $66.50 $30.79 – $279
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $142.50
  • AHMC ALLIED — AHMC ALLIED: $95
  • Beech Street — Beech Street: $142.50
  • Blue Cross — Blue Cross: $63.14
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $69.48
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $32.07
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $31.11
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $30.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P.T. THERAPEUTIC EXERCISE-15 $190 $66.50 $30.79 – $279
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $142.50
  • AHMC ALLIED — AHMC ALLIED: $95
  • Beech Street — Beech Street: $142.50
  • Blue Cross — Blue Cross: $63.14
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $69.48
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $32.07
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $31.11
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $30.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O.T. THERAPEUTIC EXERCISE-15 M $190 $66.50 $30.79 – $243
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $142.50
  • AHMC ALLIED — AHMC ALLIED: $95
  • Beech Street — Beech Street: $142.50
  • Blue Cross — Blue Cross: $63.14
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $69.48
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $195
  • Blue Shield PPO — Blue Shield PPO: $202
  • BLUE SHIELD SR — BLUE SHIELD SR: $32.07
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $31.11
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $30.79
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 20 MIN LOW $421 $147.35 $103.97 – $421
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $315.75
  • AHMC ALLIED — AHMC ALLIED: $210.50
  • Beech Street — Beech Street: $315.75
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 20 MINS LOW $484 $169.40 $103.97 – $484
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $363
  • AHMC ALLIED — AHMC ALLIED: $242
  • Beech Street — Beech Street: $363
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 20 MINS $484 $169.40 $103.97 – $484
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $363
  • AHMC ALLIED — AHMC ALLIED: $242
  • Beech Street — Beech Street: $363
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 30 MINS MODERATE $502 $175.70 $103.97 – $502
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $376.50
  • AHMC ALLIED — AHMC ALLIED: $251
  • Beech Street — Beech Street: $376.50
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 30 MIN MODERATE $502 $175.70 $103.97 – $502
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $376.50
  • AHMC ALLIED — AHMC ALLIED: $251
  • Beech Street — Beech Street: $376.50
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 30 MINS $484 $169.40 $103.97 – $484
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $363
  • AHMC ALLIED — AHMC ALLIED: $242
  • Beech Street — Beech Street: $363
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 45 MINS HIGH $669 $234.15 $103.97 – $669
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $501.75
  • AHMC ALLIED — AHMC ALLIED: $334.50
  • Beech Street — Beech Street: $501.75
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 45 MIN HIGH $669 $234.15 $103.97 – $669
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $501.75
  • AHMC ALLIED — AHMC ALLIED: $334.50
  • Beech Street — Beech Street: $501.75
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL 45 MINS $669 $234.15 $103.97 – $669
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $501.75
  • AHMC ALLIED — AHMC ALLIED: $334.50
  • Beech Street — Beech Street: $501.75
  • Blue Cross — Blue Cross: $213.23
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $180.20
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $270
  • Blue Shield PPO — Blue Shield PPO: $279
  • BLUE SHIELD SR — BLUE SHIELD SR: $108.30
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $105.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $103.97

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UPPER GI INC ESOPHG $2,666 $933.10 $824.06 – $2,666
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $1,999.50
  • AHMC ALLIED — AHMC ALLIED: $1,333
  • Beech Street — Beech Street: $1,999.50
  • Blue Cross — Blue Cross: $4,522.03
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,251.38
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $1,983.50
  • Blue Shield PPO — Blue Shield PPO: $2,058.15
  • BLUE SHIELD SR — BLUE SHIELD SR: $1,160.82
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $1,126
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $1,114.39
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDOSCOPY UPPER GI INC ESOPHG $2,666 $933.10 $1,999.50 – $2,666
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • Affliated Health — Affliated Health: $1,999.50
  • Beech Street — Beech Street: $1,999.50
  • INTERLINK — INTERLINK: $2,132.80
  • INTERPLAN — INTERPLAN: $2,132.80
  • MEDIGAP — MEDIGAP: $2,666
  • MULTIPLAN — MULTIPLAN: $2,132.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $2,666
  • Three Rivers — Three Rivers: $2,132.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDO INC ESOPH W/BX $2,666 $933.10 $824.06 – $2,666
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $1,999.50
  • AHMC ALLIED — AHMC ALLIED: $1,333
  • Beech Street — Beech Street: $1,999.50
  • Blue Cross — Blue Cross: $4,522.03
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,251.38
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $1,983.50
  • Blue Shield PPO — Blue Shield PPO: $2,058.15
  • BLUE SHIELD SR — BLUE SHIELD SR: $1,160.82
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $1,126
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $1,114.39
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BRUSHING/ MIL-ROSE $128 $44.80 $44.80 – $1,251.38
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • Affliated Health — Affliated Health: $96
  • AHMC ALLIED — AHMC ALLIED: $64
  • Beech Street — Beech Street: $96
  • Blue Cross — Blue Cross: $4,522.03
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,251.38
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $85.50
  • Blue Shield PPO — Blue Shield PPO: $85.50
  • BLUE SHIELD SR — BLUE SHIELD SR: $1,160.82
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $1,126
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $1,114.39
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIT BIOPSY AND OR SNARE $117 $40.95 $40.95 – $1,251.38
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • Affliated Health — Affliated Health: $87.75
  • AHMC ALLIED — AHMC ALLIED: $58.50
  • Beech Street — Beech Street: $87.75
  • Blue Cross — Blue Cross: $4,522.03
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,251.38
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $78.16
  • Blue Shield PPO — Blue Shield PPO: $78.16
  • BLUE SHIELD SR — BLUE SHIELD SR: $1,160.82
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $1,126
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $1,114.39
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-LUMBAR PUNCT:CISTERNOGRAM $5,227 $1,829.45 $1,073.56 – $10,420.38
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,920.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,920.25
  • Blue Cross — Blue Cross: $3,519.39
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,073.56
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,062.36
  • Blue Shield PPO — Blue Shield PPO: $10,420.38
  • BLUE SHIELD SR — BLUE SHIELD SR: $903.43
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $876.33
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $867.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-GUIDED EPIDURAL INJECTION $5,227 $1,829.45 $1,073.56 – $10,420.38
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,920.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,920.25
  • Blue Cross — Blue Cross: $3,519.39
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,073.56
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,062.36
  • Blue Shield PPO — Blue Shield PPO: $10,420.38
  • BLUE SHIELD SR — BLUE SHIELD SR: $903.43
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $876.33
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $867.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR-LUMBAR PUNCT:CISTERNOGRAM $5,227 $1,829.45 $1,073.56 – $10,420.38
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $3,920.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $3,920.25
  • Blue Cross — Blue Cross: $3,519.39
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,073.56
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,062.36
  • Blue Shield PPO — Blue Shield PPO: $10,420.38
  • BLUE SHIELD SR — BLUE SHIELD SR: $903.43
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $876.33
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $867.29
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64483-NERVE BLOCK LUMBAR SACRA $5,911 $2,068.85 $1,106.74 – $10,420.38
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $4,433.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $4,433.25
  • Blue Cross — Blue Cross: $4,409.78
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,106.74
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,062.36
  • Blue Shield PPO — Blue Shield PPO: $10,420.38
  • BLUE SHIELD SR — BLUE SHIELD SR: $1,132.01
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $1,098.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $1,086.73
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 64483-NERVE BLOCK LUMBAR SACRA $5,911 $2,068.85 $4,433.25 – $5,911
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $4,433.25
  • Beech Street — Beech Street: $4,433.25
  • INTERLINK — INTERLINK: $4,728.80
  • INTERPLAN — INTERPLAN: $4,728.80
  • MEDIGAP — MEDIGAP: $5,911
  • MULTIPLAN — MULTIPLAN: $4,728.80
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $5,911
  • Three Rivers — Three Rivers: $4,728.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: CT-NERVE BLOCK:L/S RT-1 LVL $5,911 $2,068.85 $1,106.74 – $10,420.38
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • Affliated Health — Affliated Health: $4,433.25
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $4,433.25
  • Blue Cross — Blue Cross: $4,409.78
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $1,106.74
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $4,062.36
  • Blue Shield PPO — Blue Shield PPO: $10,420.38
  • BLUE SHIELD SR — BLUE SHIELD SR: $1,132.01
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $1,098.05
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $1,086.73

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NORMAL VAGINAL DELIVERY $9,200 $3,220 $749 – $9,200
Vaginal delivery, with care before and after: 10 of 22 insurance plan rates
  • Affliated Health — Affliated Health: $6,900
  • AHMC ALLIED — AHMC ALLIED: $2,000
  • Beech Street — Beech Street: $6,900
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $4,066.40
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $6,145.60
  • Blue Shield PPO — Blue Shield PPO: $6,145.60
  • CIGNA — CIGNA: $5,004.80
  • CIGNA PPO — CIGNA PPO: $5,004.80
  • HEALTHCARE PARTNERS — HEALTHCARE PARTNERS: $4,006.60
  • HEALTHNET HMO — HEALTHNET HMO: $5,342.44
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NORMAL VAGINAL DELIVERY $9,200 $3,220 $6,900 – $9,200
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • Affliated Health — Affliated Health: $6,900
  • Beech Street — Beech Street: $6,900
  • INTERLINK — INTERLINK: $7,360
  • INTERPLAN — INTERPLAN: $7,360
  • MEDIGAP — MEDIGAP: $9,200
  • MULTIPLAN — MULTIPLAN: $7,360
  • NON CONTRACTED (100% POC) — NON CONTRACTED (100 POC): $9,200
  • Three Rivers — Three Rivers: $7,360

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $2,800 – $168,753.30
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 35 insurance plan rates
  • Blue Cross — Blue Cross: $153,883.44
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $12,617
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $140,265.79
  • Blue Shield PPO — Blue Shield PPO: $154,294.32
  • BLUE SHIELD SR — BLUE SHIELD SR: $94,323.73
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $91,494.02
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $90,550.78
  • CIGNA — CIGNA: $105,165.10
  • CIGNA PPO — CIGNA PPO: $105,165.10
  • HEALTH SHARING MINISTRY (MCR) — HEALTH SHARING MINISTRY (MCR): $103,756.10
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 $2,800 – $53,144.35
Spinal fusion (not neck), without major complications: 10 of 26 insurance plan rates
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $12,617
  • BLUE SHIELD SR — BLUE SHIELD SR: $35,429.57
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $34,366.68
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $34,012.39
  • HEALTH SHARING MINISTRY (MCR) — HEALTH SHARING MINISTRY (MCR): $38,972.53
  • HEALTHNET HMO EXCHANGE (MCR) — HEALTHNET HMO EXCHANGE (MCR): $44,286.96
  • HEALTHNET PPO ENHANCED — HEALTHNET PPO ENHANCED: $41,098.30
  • HST TECHNOLOGY (MCR) — HST TECHNOLOGY (MCR): $53,144.35
  • MEDICARE MANAGED 100 Percantage — MEDICARE MANAGED 100 Percentage: $35,429.57
  • MHSC EMPLOYEE (MCR) — MHSC EMPLOYEE (MCR): $49,601.40
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 $2,800 – $33,273.53
Hip or knee replacement (major joint of the leg), without major complications: 10 of 35 insurance plan rates
  • Blue Cross — Blue Cross: $30,341.60
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $12,617
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $27,656.57
  • Blue Shield PPO — Blue Shield PPO: $30,422.61
  • BLUE SHIELD SR — BLUE SHIELD SR: $18,804.34
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $18,240.21
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $18,052.17
  • CIGNA — CIGNA: $20,735.67
  • CIGNA PPO — CIGNA PPO: $20,735.67
  • HEALTH SHARING MINISTRY (MCR) — HEALTH SHARING MINISTRY (MCR): $20,684.77
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 $2,800 – $42,112.43
Neck (cervical) spinal fusion, without complications: 10 of 35 insurance plan rates
  • Blue Cross — Blue Cross: $38,401.65
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $12,617
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $35,003.36
  • Blue Shield PPO — Blue Shield PPO: $38,504.18
  • BLUE SHIELD SR — BLUE SHIELD SR: $23,731.32
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $23,019.38
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $22,782.07
  • CIGNA — CIGNA: $26,243.97
  • CIGNA PPO — CIGNA PPO: $26,243.97
  • HEALTH SHARING MINISTRY (MCR) — HEALTH SHARING MINISTRY (MCR): $26,104.45
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 $2,800 – $21,402.07
Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates
  • Blue Cross — Blue Cross: $19,516.21
  • BLUE SHIELD EXCHANGE — BLUE SHIELD EXCHANGE: $12,617
  • BLUE SHIELD HMO — BLUE SHIELD HMO: $17,789.16
  • Blue Shield PPO — Blue Shield PPO: $19,568.32
  • BLUE SHIELD SR — BLUE SHIELD SR: $12,186.93
  • BLUE SHIELD SR Mediconnect — BLUE SHIELD SR Mediconnect: $11,821.32
  • BLUE SHIELD SR Other — BLUE SHIELD SR Other: $11,699.45
  • CIGNA — CIGNA: $13,337.52
  • CIGNA PPO — CIGNA PPO: $13,337.52
  • HEALTH SHARING MINISTRY (MCR) — HEALTH SHARING MINISTRY (MCR): $13,405.62

Source: USC Arcadia Hospital’s standard charges file (keckmedicine.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 27, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address300 W Huntington Dr, Arcadia, CA 91007
CountyLos Angeles County
StateCalifornia
Phone(626) 898‑8000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050238
Name in Medicare recordsUSC ARCADIA HOSPITAL
Profile levelMedicare data + hospital website
Official websitekeckmedicine.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. USC Arcadia Hospital — keckmedicine.org
  2. USC Arcadia Hospital - Keck Medicine of USC — keckmedicine.org
  3. Emergency - Keck Medicine of USC — keckmedicine.org
  4. Maternity Care and Services - Keck Medicine of USC — keckmedicine.org
  5. Outpatient Therapies - Keck Medicine of USC — keckmedicine.org
  6. Cardiology - Keck Medicine of USC — keckmedicine.org
  7. Radiology & Diagnostic Imaging - Keck Medicine of USC — keckmedicine.org
  8. Wound Healing Center and Hyperbaric Oxygen Center - Keck Medicine of USC — keckmedicine.org
  9. Stroke Care - Keck Medicine of USC — keckmedicine.org
  10. USC Arcadia Hospital Cancer Care - Keck Medicine of USC — keckmedicine.org
  11. Lung Disease Care at USC Arcadia Hospital - Keck Medicine of USC — keckmedicine.org
  12. Neurology - Keck Medicine of USC — keckmedicine.org