Does Valley Children's Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Valley Children's Hospital. In a medical emergency, call 911.

Where is Valley Children's Hospital?

9300 Valley Childrens Place, Madera, CA 93636, in Madera County, California.

What is the phone number of Valley Children's Hospital?

(559) 353-5116, as listed by Medicare (CMS).

What is the Medicare star rating of Valley Children's Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Valley Children's Hospital — Phone, Address & ER

Quick answers

Does Valley Children's Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Valley Children's Hospital. In a medical emergency, call 911.
Where is Valley Children's Hospital?: 9300 Valley Childrens Place, Madera, CA 93636, in Madera County, California.
What is the phone number of Valley Children's Hospital?: (559) 353-5116, as listed by Medicare (CMS).
What is the Medicare star rating of Valley Children's Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][9][11][16][17]}

Pediatric subspecialty and surgical care
Pediatric cardiac surgery
Neonatal intensive care (NICU)
Pediatric intensive care (PICU)
Pediatric rehabilitation
Day surgery
Women's health services
Oncology
Hematology

Conditions treated^{[9][10][11][12][13][14][15][17]}

Leukemia
Lymphoma
Brain tumors
Neuroblastoma
Osteosarcoma
Hepatoblastoma
Retinoblastoma
Wilms tumor
Hemophilia
Von Willebrand disease
Thalassemia
Sickle cell disease
Thrombocytopenia
Langerhans cell histiocytosis
Vascular malformations
Hemangiomas

Treatments^{[11][13][15][17][18]}

Chemotherapy
Blood transfusions
Bone marrow aspirations and biopsies
Lumbar punctures
Laser therapy
Sclerotherapy

Procedures^[11]

Apheresis

Programs and centers^{[4][9][10][11][12][13][14][15][17]}

Pediatric Residency Program (Stanford affiliated)
Hospital Medicine Fellowship
Pharmacy Residency and Fellowship
Leukemia and Lymphoma Program
Solid Tumors Program
Neuro-Oncology Program
Histiocytosis Program
Blood Disorders Program
Hemophilia Treatment Center
Hemoglobinopathy Program
Apheresis Program
Vascular Malformations Program
Fresno Truck Center Childhood Cancer Survivorship Program

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

Emergency room	Yes
Trauma designation	Level II Pediatric Trauma Center

Visiting and practical information

Visiting	Parents may stay overnight in sleeper chairs in most rooms; other visitors allowed if the child's condition permits^[7]
Parking	Free self-parking for families and visitors in areas marked 'Visitor Parking'; EV charging stations on campus^[6]
Interpreters and languages	Interpreter services 24/7 for 100+ languages; in-person, phone and video; provided free of charge^[8]
Patient portal	MyChart

Recognition^[4]

Magnet Nursing designation
Beacon Award for Critical Care Excellence (PICU)
Leapfrog Top Children's Hospital

Doctors and clinicians (6)

6 doctors and other clinicians list Valley Children's 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 (6)

Amy W. Davis, MDPathology
Bianca Castellanos, MDPediatric Medicine
Fred H. Laningham Iii, MDDiagnostic Radiology
Kathy Helton-Skally, MDDiagnostic Radiology
Paolo M. Aquino, MDCardiovascular Disease (Cardiology)
Susan Winter, MDPediatric Medicine

Other emergency rooms nearby

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

Kaiser Foundation Hospital - Fresno3.2 mi · Fresno, CA · Acute Care Hospital
Saint Agnes Medical Center4.0 mi · Fresno, CA · Acute Care Hospital
Fresno VA Medical Center (VA Central California Healthcare System)7.8 mi · Fresno, CA · Federal/VA Acute Care Hospital
Clovis Community Medical Center8.0 mi · Clovis, CA · Acute Care Hospital
Community Regional Medical Center9.8 mi · Fresno, CA · Acute Care Hospital

Find the closest emergency room to where you are →

Other hospitals near Madera

River Vista Behavioral Health0.1 mi · Madera, CA · Psychiatric Hospital
San Joaquin Valley Rehabilitation Hospital4.0 mi · Fresno, CA · Inpatient Rehabilitation Hospital
Fresno Surgical Hospital4.3 mi · Fresno, CA · Acute Care Hospital

All hospitals in Madera · Hospitals in Madera 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

North Point Healthcare & Wellness Centre LP4.4 mi · Fresno, CA · 5 of 5 stars
The Terraces at San Joaquin Gardens Village4.7 mi · Fresno, CA · 5 of 5 stars
Horizon Health & Subacute Center4.9 mi · Fresno, CA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Aseracare Hospice2.9 mi · Fresno, CA
Athena Hospice3.6 mi · Fresno, CA
Bristol Hospice Fresno3.6 mi · Fresno, CA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Interim Healthcare of the Central Valley2.9 mi · Fresno, CA · 3.5 of 5 stars
Wellpointe Home Health2.9 mi · Fresno, CA · 1.5 of 5 stars
A Plus Home Health Inc3.6 mi · Fresno, CA

All home health agencies in the state →

Dialysis facilities

DaVita Herndon Dialysis2.9 mi · Fresno, CA · 3 of 5 stars
DaVita Fresno Palm Bluffs Dialysis3.6 mi · Fresno, CA · 4 of 5 stars
DaVita Fresno at Home Center-PD4.8 mi · Fresno, CA

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

California Colon and Rectal Cancer Screening, LLC2.9 mi · Fresno, CA
Central California Endoscopy Center2.9 mi · Fresno, CA
Comprehensive Pain Management2.9 mi · Fresno, CA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Camarena Health - Millbrook Health Center3.8 mi · Fresno, CA · Community health center
Camarena Health- SAMC Urgent Care3.9 mi · Fresno, CA · Community health center
Camarena Health - Madera Ranchos4.3 mi · Madera, CA · Community health center

Clinics and urgent care

Dry Creek Urgent Care2.9 mi · Fresno, CA · Urgent care center
Premium Urgent Care, Inc.2.9 mi · Fresno, CA · Urgent care center
Premium Urgent Care, Inc.2.9 mi · Fresno, CA · Urgent care center

Pharmacies

Community Health Enterprises2.9 mi · Fresno, CA · Community/retail pharmacy
Costco Wholesale Corporation2.9 mi · Fresno, CA · Community/retail pharmacy
Garys All-Med Drugs Inc2.9 mi · Fresno, CA · Community/retail pharmacy

Assisted living nearby

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

5 Star Retirement Group Corp2.9 mi · Fresno, CA
5 Star Retirement Group Corp2.9 mi · Fresno, CA
5 Star Retirement Group Corp2.9 mi · Fresno, CA
A Place Called Home Residential Care 82.9 mi · Fresno, CA

About the Medicare star rating

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

Medicare quality data

What Valley Children's 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.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Valley Children's 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 84 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$71.62 – $143.13
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $126.33 AllCare IPA — All Commercial Products: $71.62 Blue Cross — Managed Medicaid: $129.73 CenCal Health — Managed Medicaid: $141.59 Central Valley Medical Providers IPA — Managed Medicaid: $107.43 Community Care IPA — All Commercial Products: $71.62 Community Care IPA — Managed Medicaid: $113.15 Dignity IPA_Formerly IMG — Managed Medicaid: $100.26 Kaiser — Managed Medicaid: $72.40 Kern Family Health Care — Managed Medicaid: $143.13
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$86.26 – $172.39
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $152.16 AllCare IPA — All Commercial Products: $86.26 Blue Cross — Managed Medicaid: $156.25 CenCal Health — Managed Medicaid: $170.53 Central Valley Medical Providers IPA — Managed Medicaid: $129.39 Community Care IPA — All Commercial Products: $86.26 Community Care IPA — Managed Medicaid: $136.29 Dignity IPA_Formerly IMG — Managed Medicaid: $120.76 Kaiser — Managed Medicaid: $87.20 Kern Family Health Care — Managed Medicaid: $172.39
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$103.54 – $206.93
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $182.65 AllCare IPA — All Commercial Products: $103.54 Blue Cross — Managed Medicaid: $187.55 CenCal Health — Managed Medicaid: $204.70 Central Valley Medical Providers IPA — Managed Medicaid: $155.31 Community Care IPA — All Commercial Products: $103.54 Community Care IPA — Managed Medicaid: $163.59 Dignity IPA_Formerly IMG — Managed Medicaid: $144.96 Kaiser — Managed Medicaid: $104.67 Kern Family Health Care — Managed Medicaid: $206.93
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$30.04 – $60.04
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $52.99 AllCare IPA — All Commercial Products: $30.04 Blue Cross — Managed Medicaid: $54.42 CenCal Health — Managed Medicaid: $59.39 Central Valley Medical Providers IPA — Managed Medicaid: $45.06 Community Care IPA — All Commercial Products: $30.04 Community Care IPA — Managed Medicaid: $47.47 Dignity IPA_Formerly IMG — Managed Medicaid: $42.06 Kaiser — Managed Medicaid: $30.37 Kern Family Health Care — Managed Medicaid: $60.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$46.95 – $93.82
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $82.81 AllCare IPA — All Commercial Products: $46.95 Blue Cross — Managed Medicaid: $85.04 CenCal Health — Managed Medicaid: $92.81 Central Valley Medical Providers IPA — Managed Medicaid: $70.42 Community Care IPA — All Commercial Products: $46.95 Community Care IPA — Managed Medicaid: $74.17 Dignity IPA_Formerly IMG — Managed Medicaid: $65.72 Kaiser — Managed Medicaid: $47.46 Kern Family Health Care — Managed Medicaid: $93.82
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$74.49 – $148.86
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $131.39 AllCare IPA — All Commercial Products: $74.49 Blue Cross — Managed Medicaid: $134.92 CenCal Health — Managed Medicaid: $147.26 Central Valley Medical Providers IPA — Managed Medicaid: $111.73 Community Care IPA — All Commercial Products: $74.49 Community Care IPA — Managed Medicaid: $117.69 Dignity IPA_Formerly IMG — Managed Medicaid: $104.28 Kaiser — Managed Medicaid: $75.30 Kern Family Health Care — Managed Medicaid: $148.86
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$101.91 – $203.67
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $179.77 AllCare IPA — All Commercial Products: $101.91 Blue Cross — Managed Medicaid: $184.60 CenCal Health — Managed Medicaid: $201.48 Central Valley Medical Providers IPA — Managed Medicaid: $152.87 Community Care IPA — All Commercial Products: $101.91 Community Care IPA — Managed Medicaid: $161.02 Dignity IPA_Formerly IMG — Managed Medicaid: $142.68 Kaiser — Managed Medicaid: $103.02 Kern Family Health Care — Managed Medicaid: $203.67
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$114.10 – $232.11
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $201.27 AllCare IPA — All Commercial Products: $114.10 Blue Cross — Managed Medicaid: $206.68 CenCal Health — Managed Medicaid: $225.58 Central California Alliance for Health — Managed Medicaid: $232.11 Central Valley Medical Providers IPA — Managed Medicaid: $171.15 Community Care IPA — All Commercial Products: $114.10 Community Care IPA — Managed Medicaid: $180.28 Dignity IPA_Formerly IMG — Managed Medicaid: $159.74 Kaiser — Managed Medicaid: $165.45
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$132.20 – $268.93
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $233.20 AllCare IPA — All Commercial Products: $132.20 Blue Cross — Managed Medicaid: $239.47 CenCal Health — Managed Medicaid: $261.36 Central California Alliance for Health — Managed Medicaid: $268.93 Central Valley Medical Providers IPA — Managed Medicaid: $198.30 Community Care IPA — All Commercial Products: $132.20 Community Care IPA — Managed Medicaid: $208.88 Dignity IPA_Formerly IMG — Managed Medicaid: $185.08 Kaiser — Managed Medicaid: $191.69
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$2,199	Not listed in the file	$415.80 – $3,635
Emergency room visit (moderate): 10 of 42 insurance plan rates Adventist — Managed Medicaid: $415.80 Aetna — All Commercial Products: $1,473.33 AllCare IPA — All Commercial Products: $63.97 Bakersfield Family Medical Group — All Commercial Products: $1,649.25 Blue Cross — All Commercial Products: $3,635 Blue Cross — Managed Medicaid: $115.88 Blue Shield — All Commercial Products: $1,720.28 Blue Shield — Value Network: $1,514.89 CenCal Health — Managed Medicaid: $489 Central California Alliance for Health — Managed Medicaid: $130.14
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$3,528	Not listed in the file	$415.80 – $6,332
Emergency room visit (moderately high): 10 of 42 insurance plan rates Adventist — Managed Medicaid: $415.80 Aetna — All Commercial Products: $2,363.76 AllCare IPA — All Commercial Products: $98.04 Bakersfield Family Medical Group — All Commercial Products: $2,646 Blue Cross — All Commercial Products: $3,635 Blue Cross — Managed Medicaid: $177.59 Blue Shield — All Commercial Products: $2,759.95 Blue Shield — Value Network: $2,430.44 CenCal Health — Managed Medicaid: $489 Central California Alliance for Health — Managed Medicaid: $199.45
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$5,053	Not listed in the file	$415.80 – $6,332
Emergency room visit (high): 10 of 42 insurance plan rates Adventist — Managed Medicaid: $415.80 Aetna — All Commercial Products: $3,385.51 AllCare IPA — All Commercial Products: $155.03 Bakersfield Family Medical Group — All Commercial Products: $3,789.75 Blue Cross — All Commercial Products: $3,635 Blue Cross — Managed Medicaid: $280.82 Blue Shield — All Commercial Products: $3,952.96 Blue Shield — Value Network: $3,481.01 CenCal Health — Managed Medicaid: $489 Central California Alliance for Health — Managed Medicaid: $315.38

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$185	Not listed in the file	$11.98 – $83.88
Basic metabolic panel (blood test): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $21.13 Aetna — All Commercial Products: $123.95 AllCare IPA — All Commercial Products: $11.98 Bakersfield Family Medical Group — All Commercial Products: $138.75 Blue Cross — All Commercial Products: $83.88 Blue Cross — Managed Medicaid: $21.70 Blue Shield — All Commercial Products: $140.36 Blue Shield — Value Network: $123.56 CenCal Health — Managed Medicaid: $23.68 Central California Alliance for Health — Managed Medicaid: $16.40
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$83.88
Basic metabolic panel (blood test): rates for 1 insurance plan Blue Cross — All Commercial Products: $83.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$203	Not listed in the file	$14.97 – $104.70
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $26.41 Aetna — All Commercial Products: $136.01 AllCare IPA — All Commercial Products: $14.97 Bakersfield Family Medical Group — All Commercial Products: $152.25 Blue Cross — All Commercial Products: $104.70 Blue Cross — Managed Medicaid: $27.12 Blue Shield — All Commercial Products: $154.02 Blue Shield — Value Network: $135.58 CenCal Health — Managed Medicaid: $29.60 Central California Alliance for Health — Managed Medicaid: $20.49
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$104.70
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Blue Cross — All Commercial Products: $104.70
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$54.49 – $474.04
Obstetric blood test panel: 10 of 19 insurance plan rates Adventist — Managed Medicaid: $96.13 AllCare IPA — All Commercial Products: $54.49 Blue Cross — All Commercial Products: $474.04 Blue Cross — Managed Medicaid: $98.71 CenCal Health — Managed Medicaid: $107.73 Central California Alliance for Health — Managed Medicaid: $74.58 Central Valley Medical Providers IPA — Managed Medicaid: $81.74 Community Care IPA — Managed Medicaid: $86.10 Dignity IPA_Formerly IMG — Managed Medicaid: $76.29 Kaiser — Managed Medicaid: $55.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$177	Not listed in the file	$18.97 – $132.76
Cholesterol panel (lipid panel): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $33.46 Aetna — All Commercial Products: $118.59 AllCare IPA — All Commercial Products: $18.97 Bakersfield Family Medical Group — All Commercial Products: $132.75 Blue Cross — All Commercial Products: $132.76 Blue Cross — Managed Medicaid: $34.36 Blue Shield — All Commercial Products: $134.29 Blue Shield — Value Network: $118.22 CenCal Health — Managed Medicaid: $37.50 Central California Alliance for Health — Managed Medicaid: $25.96
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$132.76
Cholesterol panel (lipid panel): rates for 1 insurance plan Blue Cross — All Commercial Products: $132.76
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$189	Not listed in the file	$12.30 – $86.06
Kidney function panel: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $21.70 Aetna — All Commercial Products: $126.63 AllCare IPA — All Commercial Products: $12.30 Bakersfield Family Medical Group — All Commercial Products: $141.75 Blue Cross — All Commercial Products: $86.06 Blue Cross — Managed Medicaid: $22.28 Blue Shield — All Commercial Products: $143.39 Blue Shield — Value Network: $126.23 CenCal Health — Managed Medicaid: $24.32 Central California Alliance for Health — Managed Medicaid: $16.83
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$86.06
Kidney function panel: rates for 1 insurance plan Blue Cross — All Commercial Products: $86.06
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$149	Not listed in the file	$11.57 – $81.01
Liver function panel: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $20.41 Aetna — All Commercial Products: $99.83 AllCare IPA — All Commercial Products: $11.57 Bakersfield Family Medical Group — All Commercial Products: $111.75 Blue Cross — All Commercial Products: $81.01 Blue Cross — Managed Medicaid: $20.96 Blue Shield — All Commercial Products: $113.05 Blue Shield — Value Network: $99.52 CenCal Health — Managed Medicaid: $22.87 Central California Alliance for Health — Managed Medicaid: $15.83
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$179	Not listed in the file	$4.48 – $1,131.52
Urine test (automated, with microscope): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $7.90 Aetna — All Commercial Products: $119.93 AllCare IPA — All Commercial Products: $4.48 Bakersfield Family Medical Group — All Commercial Products: $134.25 Blue Cross — All Commercial Products: $31.43 Blue Cross — Managed Medicaid: $8.12 Blue Shield — All Commercial Products: $135.81 Blue Shield — Value Network: $119.55 CenCal Health — Managed Medicaid: $8.86 Central California Alliance for Health — Managed Medicaid: $6.13
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.62 – $829.24
Urine test (manual, without microscope): 10 of 19 insurance plan rates Adventist — Managed Medicaid: $6.39 AllCare IPA — All Commercial Products: $3.62 Blue Cross — All Commercial Products: $34.50 Blue Cross — Managed Medicaid: $6.56 CenCal Health — Managed Medicaid: $7.16 Central California Alliance for Health — Managed Medicaid: $4.95 Central Valley Medical Providers IPA — Managed Medicaid: $5.43 Community Care IPA — Managed Medicaid: $5.72 Dignity IPA_Formerly IMG — Managed Medicaid: $5.07 Kaiser — Managed Medicaid: $5.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$108	Not listed in the file	$3.18 – $1,318.04
Urine test (automated, without microscope): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $5.61 Aetna — All Commercial Products: $72.36 AllCare IPA — All Commercial Products: $3.18 Bakersfield Family Medical Group — All Commercial Products: $81 Blue Cross — All Commercial Products: $22.31 Blue Cross — Managed Medicaid: $5.76 Blue Shield — All Commercial Products: $81.94 Blue Shield — Value Network: $72.13 CenCal Health — Managed Medicaid: $6.29 Central California Alliance for Health — Managed Medicaid: $4.35
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: HC KIDNEY STONE URINE LABCORP	$6.66	Not listed in the file	$2.34 – $6.37
Urine test (automated, without microscope): 10 of 29 insurance plan rates Aetna — All Commercial Products: $4.46 AllCare IPA — All Commercial Products: $3.33 Bakersfield Family Medical Group — All Commercial Products: $5 Blue Cross — All Commercial Products: $3.78 Blue Shield — All Commercial Products: $5.05 Blue Shield — Value Network: $4.45 Central Valley Medical Providers IPA — All Commercial Products: $3.33 Central Valley Medical Providers IPA — Managed Medicaid: $3.33 Community Care Health Plan — Commercial HMO: $5.33 Community Health — All Commercial Products: $3.66
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: HC URINALYSIS POCT	$72	Not listed in the file	$25.34 – $68.88
Urine test (automated, without microscope): 10 of 29 insurance plan rates Aetna — All Commercial Products: $48.24 AllCare IPA — All Commercial Products: $36 Bakersfield Family Medical Group — All Commercial Products: $54 Blue Cross — All Commercial Products: $22.31 Blue Shield — All Commercial Products: $54.63 Blue Shield — Value Network: $48.09 Central Valley Medical Providers IPA — All Commercial Products: $36 Central Valley Medical Providers IPA — Managed Medicaid: $36 Community Care Health Plan — Commercial HMO: $57.58 Community Health — All Commercial Products: $39.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$26.06 – $182.34
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates Adventist — Managed Medicaid: $45.97 AllCare IPA — All Commercial Products: $26.06 Blue Cross — All Commercial Products: $182.34 Blue Cross — Managed Medicaid: $47.21 CenCal Health — Managed Medicaid: $51.52 Central California Alliance for Health — Managed Medicaid: $35.67 Central Valley Medical Providers IPA — Managed Medicaid: $39.09 Community Care IPA — Managed Medicaid: $41.17 Dignity IPA_Formerly IMG — Managed Medicaid: $36.48 Kaiser — Managed Medicaid: $37.79
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: HC PSA/FREE PSA LABCORP	$3.50	Not listed in the file	$1.23 – $3.35
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates Aetna — All Commercial Products: $2.35 AllCare IPA — All Commercial Products: $1.75 Bakersfield Family Medical Group — All Commercial Products: $2.63 Blue Cross — All Commercial Products: $1.99 Blue Shield — All Commercial Products: $2.66 Blue Shield — Value Network: $2.34 Central Valley Medical Providers IPA — All Commercial Products: $1.75 Central Valley Medical Providers IPA — Managed Medicaid: $1.75 Community Care Health Plan — Commercial HMO: $2.80 Community Health — All Commercial Products: $1.93
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: HC PSA TOTAL LABCORP	$10	Not listed in the file	$3.52 – $9.57
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates Aetna — All Commercial Products: $6.70 AllCare IPA — All Commercial Products: $5 Bakersfield Family Medical Group — All Commercial Products: $7.50 Blue Cross — All Commercial Products: $5.68 Blue Shield — All Commercial Products: $7.59 Blue Shield — Value Network: $6.68 Central Valley Medical Providers IPA — All Commercial Products: $5 Central Valley Medical Providers IPA — Managed Medicaid: $5 Community Care Health Plan — Commercial HMO: $8 Community Health — All Commercial Products: $5.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$674	Not listed in the file	$23.80 – $166.57
Thyroid stimulating hormone (TSH) test: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $41.98 Aetna — All Commercial Products: $451.58 AllCare IPA — All Commercial Products: $23.80 Bakersfield Family Medical Group — All Commercial Products: $505.50 Blue Cross — All Commercial Products: $166.57 Blue Cross — Managed Medicaid: $43.11 Blue Shield — All Commercial Products: $511.36 Blue Shield — Value Network: $450.16 CenCal Health — Managed Medicaid: $47.05 Central California Alliance for Health — Managed Medicaid: $32.57
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: HC THYROID CASCADE LABCORP	$4	Not listed in the file	$1.41 – $3.83
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates Aetna — All Commercial Products: $2.68 AllCare IPA — All Commercial Products: $2 Bakersfield Family Medical Group — All Commercial Products: $3 Blue Cross — All Commercial Products: $2.27 Blue Shield — All Commercial Products: $3.03 Blue Shield — Value Network: $2.67 Central Valley Medical Providers IPA — All Commercial Products: $2 Central Valley Medical Providers IPA — Managed Medicaid: $2 Community Care Health Plan — Commercial HMO: $3.20 Community Health — All Commercial Products: $2.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$166.57
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Blue Cross — All Commercial Products: $166.57
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC	$245	Not listed in the file	$11.02 – $105.44
Complete blood count (CBC) with differential: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $19.44 Aetna — All Commercial Products: $164.15 AllCare IPA — All Commercial Products: $11.02 Bakersfield Family Medical Group — All Commercial Products: $183.75 Blue Cross — All Commercial Products: $77.04 Blue Cross — Managed Medicaid: $19.96 Blue Shield — All Commercial Products: $185.88 Blue Shield — Value Network: $163.64 CenCal Health — Managed Medicaid: $21.79 Central California Alliance for Health — Managed Medicaid: $15.08
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: HC AVISE SLE MONITOR PLUS EXAGEN 85025	$22.50	Not listed in the file	$7.92 – $21.53
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates Aetna — All Commercial Products: $15.08 AllCare IPA — All Commercial Products: $11.25 Bakersfield Family Medical Group — All Commercial Products: $16.88 Blue Cross — All Commercial Products: $12.78 Blue Shield — All Commercial Products: $17.07 Blue Shield — Value Network: $15.03 Central Valley Medical Providers IPA — All Commercial Products: $11.25 Central Valley Medical Providers IPA — Managed Medicaid: $11.25 Community Care Health Plan — Commercial HMO: $17.99 Community Health — All Commercial Products: $12.38
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$77.04
Complete blood count (CBC) with differential: rates for 1 insurance plan Blue Cross — All Commercial Products: $77.04
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$245	Not listed in the file	$9.17 – $89.04
Complete blood count (CBC), automated: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $16.18 Aetna — All Commercial Products: $164.15 AllCare IPA — All Commercial Products: $9.17 Bakersfield Family Medical Group — All Commercial Products: $183.75 Blue Cross — All Commercial Products: $64.15 Blue Cross — Managed Medicaid: $16.61 Blue Shield — All Commercial Products: $185.88 Blue Shield — Value Network: $163.64 CenCal Health — Managed Medicaid: $18.13 Central California Alliance for Health — Managed Medicaid: $12.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$503	Not listed in the file	$5.56 – $65.88
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $9.81 Aetna — All Commercial Products: $337.01 AllCare IPA — All Commercial Products: $5.56 Bakersfield Family Medical Group — All Commercial Products: $377.25 Blue Cross — All Commercial Products: $42.54 Blue Cross — Managed Medicaid: $10.07 Blue Shield — All Commercial Products: $381.63 Blue Shield — Value Network: $335.95 CenCal Health — Managed Medicaid: $10.99 Central California Alliance for Health — Managed Medicaid: $7.61
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$42.54
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan Blue Cross — All Commercial Products: $42.54
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$503	Not listed in the file	$8.50 – $408.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $14.99 Aetna — All Commercial Products: $337.01 AllCare IPA — All Commercial Products: $8.50 Bakersfield Family Medical Group — All Commercial Products: $377.25 Blue Cross — All Commercial Products: $59.59 Blue Cross — Managed Medicaid: $15.40 Blue Shield — All Commercial Products: $381.63 Blue Shield — Value Network: $335.95 CenCal Health — Managed Medicaid: $16.80 Central California Alliance for Health — Managed Medicaid: $11.63

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$3,248	Not listed in the file	$282.35 – $574.38
CT scan of the head or brain, without contrast: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $498.06 Aetna — All Commercial Products: $2,176.16 AllCare IPA — All Commercial Products: $282.35 Bakersfield Family Medical Group — All Commercial Products: $2,436 Blue Cross — All Commercial Products: $2,360 Blue Cross — Managed Medicaid: $511.44 Blue Shield — All Commercial Products: $2,464.26 Blue Shield — Value Network: $2,169.34 CenCal Health — Managed Medicaid: $558.20 Central California Alliance for Health — Managed Medicaid: $574.38
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$570.69
CT scan of the head or brain, without contrast: rates for 1 insurance plan Blue Cross — All Commercial Products: $570.69
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST	$10,979	Not listed in the file	$1,367 – $2,780.88
MRI of the brain, before and after contrast: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $2,411.38 Aetna — All Commercial Products: $7,355.93 AllCare IPA — All Commercial Products: $1,367 Bakersfield Family Medical Group — All Commercial Products: $8,234.25 Blue Cross — All Commercial Products: $5,405 Blue Cross — Managed Medicaid: $2,476.18 Blue Shield — All Commercial Products: $8,329.77 Blue Shield — Value Network: $7,332.87 CenCal Health — Managed Medicaid: $2,702.55 Central California Alliance for Health — Managed Medicaid: $2,780.88
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$10,979	Not listed in the file	$1,367 – $2,780.88
MRI of the brain, before and after contrast: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $2,411.38 Aetna — All Commercial Products: $7,355.93 AllCare IPA — All Commercial Products: $1,367 Bakersfield Family Medical Group — All Commercial Products: $8,234.25 Blue Cross — All Commercial Products: $5,405 Blue Cross — Managed Medicaid: $2,476.18 Blue Shield — All Commercial Products: $8,329.77 Blue Shield — Value Network: $7,332.87 CenCal Health — Managed Medicaid: $2,702.55 Central California Alliance for Health — Managed Medicaid: $2,780.88
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$1,801.36
MRI of the brain, before and after contrast: rates for 1 insurance plan Blue Cross — All Commercial Products: $1,801.36
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$614	Not listed in the file	$27.47 – $55.88
Chest X-ray, 2 views: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $48.46 Aetna — All Commercial Products: $411.38 AllCare IPA — All Commercial Products: $27.47 Bakersfield Family Medical Group — All Commercial Products: $460.50 Blue Cross — All Commercial Products: $348.63 Blue Cross — Managed Medicaid: $49.76 Blue Shield — All Commercial Products: $465.84 Blue Shield — Value Network: $410.09 CenCal Health — Managed Medicaid: $54.31 Central California Alliance for Health — Managed Medicaid: $55.88
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$193.97
Chest X-ray, 2 views: rates for 1 insurance plan Blue Cross — All Commercial Products: $193.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$860	Not listed in the file	$71.23 – $144.91
X-ray of the lower spine, at least 4 views: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $125.65 Aetna — All Commercial Products: $576.20 AllCare IPA — All Commercial Products: $71.23 Bakersfield Family Medical Group — All Commercial Products: $645 Blue Cross — All Commercial Products: $488.31 Blue Cross — Managed Medicaid: $129.03 Blue Shield — All Commercial Products: $652.48 Blue Shield — Value Network: $574.39 CenCal Health — Managed Medicaid: $140.83 Central California Alliance for Health — Managed Medicaid: $144.91
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$327.92
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Blue Cross — All Commercial Products: $327.92
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$6,732	Not listed in the file	$825.86 – $1,680.04
MRI of the lower back (lumbar spine), without contrast: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $1,456.81 Aetna — All Commercial Products: $4,510.44 AllCare IPA — All Commercial Products: $825.86 Bakersfield Family Medical Group — All Commercial Products: $5,049 Blue Cross — All Commercial Products: $5,405 Blue Cross — Managed Medicaid: $1,495.96 Blue Shield — All Commercial Products: $5,107.57 Blue Shield — Value Network: $4,496.30 CenCal Health — Managed Medicaid: $1,632.72 Central California Alliance for Health — Managed Medicaid: $1,680.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$1,038.13
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Blue Cross — All Commercial Products: $1,038.13
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$4,524	Not listed in the file	$363.66 – $739.80
CT scan of the pelvis, with contrast: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $641.50 Aetna — All Commercial Products: $3,031.08 AllCare IPA — All Commercial Products: $363.66 Bakersfield Family Medical Group — All Commercial Products: $3,393 Blue Cross — All Commercial Products: $2,360 Blue Cross — Managed Medicaid: $658.74 Blue Shield — All Commercial Products: $3,432.36 Blue Shield — Value Network: $3,021.58 CenCal Health — Managed Medicaid: $718.96 Central California Alliance for Health — Managed Medicaid: $739.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$1,467.86
CT scan of the pelvis, with contrast: rates for 1 insurance plan Blue Cross — All Commercial Products: $1,467.86
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$560.10 – $1,139.42
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Adventist — Managed Medicaid: $988.02 AllCare IPA — All Commercial Products: $560.10 Blue Cross — Managed Medicaid: $1,014.57 CenCal Health — Managed Medicaid: $1,107.33 Central California Alliance for Health — Managed Medicaid: $1,139.42 Central Valley Medical Providers IPA — Managed Medicaid: $840.16 Community Care IPA — Managed Medicaid: $884.97 Dignity IPA_Formerly IMG — Managed Medicaid: $784.15 Kaiser — Managed Medicaid: $566.20 Kern Family Health Care — Managed Medicaid: $1,119.37
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: HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO CONT	$6,884	Not listed in the file	$2,422.48 – $6,585.92
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — All Commercial Products: $4,612.28 AllCare IPA — All Commercial Products: $3,442 Bakersfield Family Medical Group — All Commercial Products: $5,163 Blue Cross — All Commercial Products: $5,405 Blue Shield — All Commercial Products: $5,222.89 Blue Shield — Value Network: $4,597.82 Central Valley Medical Providers IPA — All Commercial Products: $3,442 Central Valley Medical Providers IPA — Managed Medicaid: $3,442 Community Care Health Plan — Commercial HMO: $5,505.13 Community Health — All Commercial Products: $3,786.20
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: HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO CONT	$6,884	Not listed in the file	$2,422.48 – $6,585.92
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — All Commercial Products: $4,612.28 AllCare IPA — All Commercial Products: $3,442 Bakersfield Family Medical Group — All Commercial Products: $5,163 Blue Cross — All Commercial Products: $5,405 Blue Shield — All Commercial Products: $5,222.89 Blue Shield — Value Network: $4,597.82 Central Valley Medical Providers IPA — All Commercial Products: $3,442 Central Valley Medical Providers IPA — Managed Medicaid: $3,442 Community Care Health Plan — Commercial HMO: $5,505.13 Community Health — All Commercial Products: $3,786.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$9,997	Not listed in the file	$281.80 – $573.27
CT scan of the abdomen and pelvis, with contrast: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $497.10 Aetna — All Commercial Products: $6,697.99 AllCare IPA — All Commercial Products: $281.80 Bakersfield Family Medical Group — All Commercial Products: $7,497.75 Blue Cross — All Commercial Products: $2,360 Blue Cross — Managed Medicaid: $510.45 Blue Shield — All Commercial Products: $7,584.72 Blue Shield — Value Network: $6,677 CenCal Health — Managed Medicaid: $557.12 Central California Alliance for Health — Managed Medicaid: $573.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$1,841.78
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Blue Cross — All Commercial Products: $1,841.78
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	$1,838	Not listed in the file	$119.34 – $242.78
Ultrasound of the abdomen, complete: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $210.52 Aetna — All Commercial Products: $1,231.46 AllCare IPA — All Commercial Products: $119.34 Bakersfield Family Medical Group — All Commercial Products: $1,378.50 Blue Cross — All Commercial Products: $706 Blue Cross — Managed Medicaid: $216.18 Blue Shield — All Commercial Products: $1,394.49 Blue Shield — Value Network: $1,227.60 CenCal Health — Managed Medicaid: $235.94 Central California Alliance for Health — Managed Medicaid: $242.78
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$644.67
Ultrasound of the abdomen, complete: rates for 1 insurance plan Blue Cross — All Commercial Products: $644.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHG US, OB >/= 14 WKS, SNGL FETUS	$1,469	Not listed in the file	$135.29 – $275.23
Pregnancy ultrasound (after the first trimester): 10 of 41 insurance plan rates Adventist — Managed Medicaid: $238.66 Aetna — All Commercial Products: $984.23 AllCare IPA — All Commercial Products: $135.29 Bakersfield Family Medical Group — All Commercial Products: $1,101.75 Blue Cross — All Commercial Products: $706 Blue Cross — Managed Medicaid: $245.07 Blue Shield — All Commercial Products: $1,114.53 Blue Shield — Value Network: $981.15 CenCal Health — Managed Medicaid: $267.47 Central California Alliance for Health — Managed Medicaid: $275.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$725.59
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Blue Cross — All Commercial Products: $725.59
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,426	Not listed in the file	$97.04 – $197.40
Transvaginal ultrasound: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $171.17 Aetna — All Commercial Products: $955.42 AllCare IPA — All Commercial Products: $97.04 Bakersfield Family Medical Group — All Commercial Products: $1,069.50 Blue Cross — All Commercial Products: $706 Blue Cross — Managed Medicaid: $175.77 Blue Shield — All Commercial Products: $1,081.91 Blue Shield — Value Network: $952.43 CenCal Health — Managed Medicaid: $191.84 Central California Alliance for Health — Managed Medicaid: $197.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$708.85
Transvaginal ultrasound: rates for 1 insurance plan Blue Cross — All Commercial Products: $708.85
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$117.08 – $238.18
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Adventist — Managed Medicaid: $206.53 AllCare IPA — All Commercial Products: $117.08 Blue Cross — Managed Medicaid: $212.08 CenCal Health — Managed Medicaid: $231.47 Central California Alliance for Health — Managed Medicaid: $238.18 Central Valley Medical Providers IPA — Managed Medicaid: $175.62 Community Care IPA — Managed Medicaid: $184.99 Dignity IPA_Formerly IMG — Managed Medicaid: $163.91 Kaiser — Managed Medicaid: $169.77 Kern Family Health Care — Managed Medicaid: $233.98
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$731.17
Diagnostic mammogram, one breast: rates for 1 insurance plan Blue Cross — All Commercial Products: $731.17
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$148.03 – $301.14
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Adventist — Managed Medicaid: $261.12 AllCare IPA — All Commercial Products: $148.03 Blue Cross — Managed Medicaid: $268.14 CenCal Health — Managed Medicaid: $292.66 Central California Alliance for Health — Managed Medicaid: $301.14 Central Valley Medical Providers IPA — Managed Medicaid: $222.05 Community Care IPA — Managed Medicaid: $233.89 Dignity IPA_Formerly IMG — Managed Medicaid: $207.24 Kaiser — Managed Medicaid: $214.64 Kern Family Health Care — Managed Medicaid: $295.84
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$932.09
Diagnostic mammogram, both breasts: rates for 1 insurance plan Blue Cross — All Commercial Products: $932.09
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$119.45 – $243
Screening mammogram, both breasts: 10 of 16 insurance plan rates Adventist — Managed Medicaid: $210.71 AllCare IPA — All Commercial Products: $119.45 Blue Cross — Managed Medicaid: $216.37 CenCal Health — Managed Medicaid: $236.15 Central California Alliance for Health — Managed Medicaid: $243 Central Valley Medical Providers IPA — Managed Medicaid: $179.18 Community Care IPA — Managed Medicaid: $188.73 Dignity IPA_Formerly IMG — Managed Medicaid: $167.23 Kaiser — Managed Medicaid: $173.20 Kern Family Health Care — Managed Medicaid: $238.72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$771.60
Screening mammogram, both breasts: rates for 1 insurance plan Blue Cross — All Commercial Products: $771.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$28.23 – $57.43
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $49.80 AllCare IPA — All Commercial Products: $28.23 Blue Cross — Managed Medicaid: $51.13 CenCal Health — Managed Medicaid: $55.81 Central California Alliance for Health — Managed Medicaid: $57.43 Central Valley Medical Providers IPA — Managed Medicaid: $42.34 Community Care IPA — All Commercial Products: $28.23 Community Care IPA — Managed Medicaid: $44.60 Dignity IPA_Formerly IMG — Managed Medicaid: $39.52 Kaiser — Managed Medicaid: $28.54
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY	$36,756	Not listed in the file	$762.86 – $1,551.89
Left heart catheterization (diagnostic): 10 of 42 insurance plan rates Adventist — Managed Medicaid: $1,345.69 Aetna — All Commercial Products: $24,626.52 AllCare IPA — All Commercial Products: $762.86 Bakersfield Family Medical Group — All Commercial Products: $27,567 Blue Cross — All Commercial Products: $10,536 Blue Cross — Managed Medicaid: $1,381.84 Blue Shield — All Commercial Products: $20,718 Blue Shield — Value Network: $18,831 CenCal Health — Managed Medicaid: $1,508.17 Central California Alliance for Health — Managed Medicaid: $1,551.89
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$24,446	Not listed in the file	$855.56 – $1,740.47
Heart rhythm study (electrophysiology evaluation): 10 of 42 insurance plan rates Adventist — Managed Medicaid: $1,509.21 Aetna — All Commercial Products: $16,378.82 AllCare IPA — All Commercial Products: $855.56 Bakersfield Family Medical Group — All Commercial Products: $18,334.50 Blue Cross — All Commercial Products: $13,880.44 Blue Cross — Managed Medicaid: $1,549.77 Blue Shield — All Commercial Products: $13,953.78 Blue Shield — Value Network: $12,755.92 CenCal Health — Managed Medicaid: $1,691.45 Central California Alliance for Health — Managed Medicaid: $1,740.47
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$880.47 – $1,791.14
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,553.15 AllCare IPA — All Commercial Products: $880.47 Blue Cross — Managed Medicaid: $1,594.88 CenCal Health — Managed Medicaid: $1,740.69 Central California Alliance for Health — Managed Medicaid: $1,791.14 Central Valley Medical Providers IPA — Managed Medicaid: $1,320.71 Community Care IPA — All Commercial Products: $880.47 Community Care IPA — Managed Medicaid: $1,391.14 Dignity IPA_Formerly IMG — Managed Medicaid: $1,232.66 Kaiser — Managed Medicaid: $1,276.68
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/> YRS 4/> PARAM	$5,187	Not listed in the file	$499.27 – $1,015.67
Sleep study (overnight, in a sleep lab): 10 of 42 insurance plan rates Adventist — Managed Medicaid: $880.72 Aetna — All Commercial Products: $3,475.29 AllCare IPA — All Commercial Products: $499.27 Bakersfield Family Medical Group — All Commercial Products: $3,890.25 Blue Cross — All Commercial Products: $2,945.18 Blue Cross — Managed Medicaid: $904.38 Blue Shield — All Commercial Products: $3,935.38 Blue Shield — Value Network: $3,464.40 CenCal Health — Managed Medicaid: $987.06 Central California Alliance for Health — Managed Medicaid: $1,015.67

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$12.58 – $25.13
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $22.19 AllCare IPA — All Commercial Products: $12.58 Blue Cross — Managed Medicaid: $22.78 CenCal Health — Managed Medicaid: $24.86 Central Valley Medical Providers IPA — Managed Medicaid: $18.87 Community Care IPA — All Commercial Products: $12.58 Community Care IPA — Managed Medicaid: $19.87 Dignity IPA_Formerly IMG — Managed Medicaid: $17.61 Kaiser — Managed Medicaid: $12.71 Kern Family Health Care — Managed Medicaid: $25.13
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT THERAPEUTIC EXERCISES INS	$236	Not listed in the file	$83.05 – $225.78
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates Aetna — All Commercial Products: $158.12 AllCare IPA — All Commercial Products: $118 Bakersfield Family Medical Group — All Commercial Products: $177 Blue Cross — All Commercial Products: $719 Blue Shield — All Commercial Products: $179.05 Blue Shield — Value Network: $157.62 Central Valley Medical Providers IPA — All Commercial Products: $118 Central Valley Medical Providers IPA — Managed Medicaid: $118 Community Care Health Plan — Commercial HMO: $188.73 Community Health — All Commercial Products: $129.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX INS	$1,073	Not listed in the file	$377.59 – $1,026.54
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates Aetna — All Commercial Products: $718.91 AllCare IPA — All Commercial Products: $536.50 Bakersfield Family Medical Group — All Commercial Products: $804.75 Blue Cross — All Commercial Products: $719 Blue Shield — All Commercial Products: $814.09 Blue Shield — Value Network: $716.66 Central Valley Medical Providers IPA — All Commercial Products: $536.50 Central Valley Medical Providers IPA — Managed Medicaid: $536.50 Community Care Health Plan — Commercial HMO: $858.08 Community Health — All Commercial Products: $590.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX INS	$1,073	Not listed in the file	$377.59 – $1,026.54
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates Aetna — All Commercial Products: $718.91 AllCare IPA — All Commercial Products: $536.50 Bakersfield Family Medical Group — All Commercial Products: $804.75 Blue Cross — All Commercial Products: $719 Blue Shield — All Commercial Products: $814.09 Blue Shield — Value Network: $716.66 Central Valley Medical Providers IPA — All Commercial Products: $536.50 Central Valley Medical Providers IPA — Managed Medicaid: $536.50 Community Care Health Plan — Commercial HMO: $858.08 Community Health — All Commercial Products: $590.15
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$135.56 – $275.77
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Adventist — Managed Medicaid: $239.13 AllCare IPA — All Commercial Products: $135.56 Blue Cross — Managed Medicaid: $245.55 CenCal Health — Managed Medicaid: $268 Central California Alliance for Health — Managed Medicaid: $275.77 Central Valley Medical Providers IPA — Managed Medicaid: $203.34 Community Care IPA — Managed Medicaid: $214.18 Dignity IPA_Formerly IMG — Managed Medicaid: $189.78 Kaiser — Managed Medicaid: $196.56 Kern Family Health Care — Managed Medicaid: $270.92
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX INS	$1,073	Not listed in the file	$377.59 – $1,026.54
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates Aetna — All Commercial Products: $718.91 AllCare IPA — All Commercial Products: $536.50 Bakersfield Family Medical Group — All Commercial Products: $804.75 Blue Cross — All Commercial Products: $719 Blue Shield — All Commercial Products: $814.09 Blue Shield — Value Network: $716.66 Central Valley Medical Providers IPA — All Commercial Products: $536.50 Central Valley Medical Providers IPA — Managed Medicaid: $536.50 Community Care Health Plan — Commercial HMO: $858.08 Community Health — All Commercial Products: $590.15
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$604	Not listed in the file	$52.87 – $105.66
Psychotherapy, 30 minutes: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $93.26 Aetna — All Commercial Products: $404.68 AllCare IPA — All Commercial Products: $52.87 Bakersfield Family Medical Group — All Commercial Products: $453 Blue Cross — All Commercial Products: $342.95 Blue Cross — Managed Medicaid: $95.77 Blue Shield — All Commercial Products: $290.52 Blue Shield — Value Network: $290.52 CenCal Health — Managed Medicaid: $104.52 Central Valley Medical Providers IPA — All Commercial Products: $302
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$932	Not listed in the file	$67.16 – $134.22
Psychotherapy, 45 minutes: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $118.47 Aetna — All Commercial Products: $624.44 AllCare IPA — All Commercial Products: $67.16 Bakersfield Family Medical Group — All Commercial Products: $699 Blue Cross — All Commercial Products: $529.19 Blue Cross — Managed Medicaid: $121.65 Blue Shield — All Commercial Products: $448.29 Blue Shield — Value Network: $448.29 CenCal Health — Managed Medicaid: $132.78 Central Valley Medical Providers IPA — All Commercial Products: $466
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$1,229	Not listed in the file	$98.02 – $195.89
Psychotherapy, 60 minutes: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $172.91 Aetna — All Commercial Products: $823.43 AllCare IPA — All Commercial Products: $98.02 Bakersfield Family Medical Group — All Commercial Products: $921.75 Blue Cross — All Commercial Products: $697.83 Blue Cross — Managed Medicaid: $177.55 Blue Shield — All Commercial Products: $591.15 Blue Shield — Value Network: $591.15 CenCal Health — Managed Medicaid: $193.79 Central Valley Medical Providers IPA — All Commercial Products: $614.50
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$86.64 – $173.15
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Adventist — Managed Medicaid: $152.83 AllCare IPA — All Commercial Products: $86.64 Blue Cross — Managed Medicaid: $156.94 CenCal Health — Managed Medicaid: $171.29 Central Valley Medical Providers IPA — Managed Medicaid: $129.96 Community Care IPA — All Commercial Products: $86.64 Community Care IPA — Managed Medicaid: $136.89 Dignity IPA_Formerly IMG — Managed Medicaid: $121.30 Kaiser — Managed Medicaid: $125.63 Kern Family Health Care — Managed Medicaid: $173.15
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$538	Not listed in the file	$89.65 – $179.17
Family psychotherapy, with the patient: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $158.14 Aetna — All Commercial Products: $360.46 AllCare IPA — All Commercial Products: $89.65 Bakersfield Family Medical Group — All Commercial Products: $403.50 Blue Cross — All Commercial Products: $305.48 Blue Cross — Managed Medicaid: $162.39 Blue Shield — All Commercial Products: $258.78 Blue Shield — Value Network: $258.78 CenCal Health — Managed Medicaid: $177.24 Central Valley Medical Providers IPA — All Commercial Products: $269
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$274	Not listed in the file	$3.98 – $7.96
Group psychotherapy: 10 of 41 insurance plan rates Adventist — Managed Medicaid: $7.02 Aetna — All Commercial Products: $183.58 AllCare IPA — All Commercial Products: $3.98 Bakersfield Family Medical Group — All Commercial Products: $205.50 Blue Cross — All Commercial Products: $155.58 Blue Cross — Managed Medicaid: $7.21 Blue Shield — All Commercial Products: $131.79 Blue Shield — Value Network: $131.79 CenCal Health — Managed Medicaid: $7.87 Central Valley Medical Providers IPA — All Commercial Products: $137

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$302.26 – $614.88
Removal of breast growth (open surgery): 10 of 18 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $302.26 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $10,614 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $614.88 Central Valley Medical Providers IPA — Managed Medicaid: $453.39 Community Care IPA — Managed Medicaid: $477.57 Dignity IPA_Formerly IMG — Managed Medicaid: $423.16 Health Net — Managed Medicaid: $1,811
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,136.11 – $4,345.49
Total hip replacement: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $2,136.11 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $4,345.49 Central Valley Medical Providers IPA — Managed Medicaid: $3,204.16 Community Care IPA — Managed Medicaid: $3,375.05 Dignity IPA_Formerly IMG — Managed Medicaid: $2,990.55 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $2,159.34
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,136.11 – $4,345.49
Total knee replacement: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $2,136.11 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $4,345.49 Central Valley Medical Providers IPA — Managed Medicaid: $3,204.16 Community Care IPA — Managed Medicaid: $3,375.05 Dignity IPA_Formerly IMG — Managed Medicaid: $2,990.55 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $2,159.34
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$605.06 – $1,230.87
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $605.06 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $1,230.87 Central Valley Medical Providers IPA — Managed Medicaid: $907.59 Community Care IPA — Managed Medicaid: $955.99 Dignity IPA_Formerly IMG — Managed Medicaid: $847.08 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $611.64
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$790.35 – $1,607.82
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $790.35 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $13,125 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $1,607.82 Central Valley Medical Providers IPA — Managed Medicaid: $1,185.53 Community Care IPA — Managed Medicaid: $1,248.76 Dignity IPA_Formerly IMG — Managed Medicaid: $1,106.50 Health Net — Managed Medicaid: $1,811
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$241.91 – $492.12
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $241.91 Blue Cross — All Commercial Products: $11,570 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $10,614 Blue Shield — Value Network: $9,647 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $492.12 Central Valley Medical Providers IPA — Managed Medicaid: $362.87 Community Care Health Plan — Commercial HMO: $11,357
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$321.48 – $653.98
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $321.48 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $653.98 Central Valley Medical Providers IPA — Managed Medicaid: $482.22 Community Care IPA — Managed Medicaid: $507.93 Dignity IPA_Formerly IMG — Managed Medicaid: $450.07 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $324.97
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$335.91 – $683.34
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $335.91 Blue Cross — All Commercial Products: $7,508 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $9,287 Blue Shield — Value Network: $8,441 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $683.34 Central Valley Medical Providers IPA — Managed Medicaid: $503.86 Community Care Health Plan — Commercial HMO: $9,937
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$423.48 – $861.48
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $423.48 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $9,287 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $861.48 Central Valley Medical Providers IPA — Managed Medicaid: $635.22 Community Care IPA — Managed Medicaid: $669.10 Dignity IPA_Formerly IMG — Managed Medicaid: $592.87 Health Net — Managed Medicaid: $1,811
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$473.68 – $963.61
Colonoscopy with biopsy: 10 of 21 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $473.68 Blue Cross — All Commercial Products: $8,616 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $9,287 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $963.61 Central Valley Medical Providers IPA — Managed Medicaid: $710.52 Community Care IPA — Managed Medicaid: $748.42 Dignity IPA_Formerly IMG — Managed Medicaid: $663.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$574.08 – $1,167.84
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $574.08 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $1,167.84 Central Valley Medical Providers IPA — Managed Medicaid: $861.11 Community Care IPA — Managed Medicaid: $907.04 Dignity IPA_Formerly IMG — Managed Medicaid: $803.71 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $580.32
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$169.77 – $345.36
Ultrasound of the lower bowel by endoscope: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $169.77 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $345.36 Central Valley Medical Providers IPA — Managed Medicaid: $254.66 Community Care IPA — Managed Medicaid: $268.24 Dignity IPA_Formerly IMG — Managed Medicaid: $237.68 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $246.17
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$668.60 – $1,360.14
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $668.60 Blue Cross — All Commercial Products: $13,769 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $20,718 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $1,360.14 Central Valley Medical Providers IPA — Managed Medicaid: $1,002.90 Community Care Health Plan — Commercial HMO: $22,168 Community Care IPA — Managed Medicaid: $1,056.39
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$493.45 – $1,003.82
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $493.45 Blue Cross — Managed Medicaid: $1,417 Blue Shield — All Commercial Products: $13,125 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $1,003.82 Central Valley Medical Providers IPA — Managed Medicaid: $740.17 Community Care IPA — Managed Medicaid: $779.65 Dignity IPA_Formerly IMG — Managed Medicaid: $690.83 Health Net — Managed Medicaid: $1,811
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$953.09 – $1,938.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $953.09 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $1,938.87 Central Valley Medical Providers IPA — Managed Medicaid: $1,429.64 Community Care IPA — Managed Medicaid: $1,505.88 Dignity IPA_Formerly IMG — Managed Medicaid: $1,334.33 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $1,381.98
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$251.48 – $511.58
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $251.48 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $511.58 Central Valley Medical Providers IPA — Managed Medicaid: $377.22 Community Care IPA — Managed Medicaid: $397.34 Dignity IPA_Formerly IMG — Managed Medicaid: $352.07 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $254.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$220.03 – $447.61
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $220.03 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $447.61 Central Valley Medical Providers IPA — Managed Medicaid: $330.05 Community Care IPA — Managed Medicaid: $347.65 Dignity IPA_Formerly IMG — Managed Medicaid: $308.04 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $319.04
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$205.61 – $418.27
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $205.61 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $418.27 Central Valley Medical Providers IPA — Managed Medicaid: $308.41 Community Care IPA — Managed Medicaid: $324.86 Dignity IPA_Formerly IMG — Managed Medicaid: $287.85 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $207.84
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$454.46 – $924.51
Carpal tunnel release: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $454.46 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $924.51 Central Valley Medical Providers IPA — Managed Medicaid: $681.69 Community Care IPA — Managed Medicaid: $718.05 Dignity IPA_Formerly IMG — Managed Medicaid: $636.25 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $459.40
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$267.01 – $543.19
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $267.01 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $543.19 Central Valley Medical Providers IPA — Managed Medicaid: $400.52 Community Care IPA — Managed Medicaid: $421.88 Dignity IPA_Formerly IMG — Managed Medicaid: $373.82 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $269.92
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,441.87 – $2,933.20
Cataract removal with lens implant: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $1,441.87 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $2,933.20 Central Valley Medical Providers IPA — Managed Medicaid: $2,162.81 Community Care IPA — Managed Medicaid: $2,278.16 Dignity IPA_Formerly IMG — Managed Medicaid: $2,018.62 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $1,457.55

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,561.43 – $3,176.42
Vaginal delivery, with care before and after: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $1,561.43 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $3,176.42 Central Valley Medical Providers IPA — Managed Medicaid: $2,342.15 Community Care IPA — Managed Medicaid: $2,467.06 Dignity IPA_Formerly IMG — Managed Medicaid: $2,186 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $1,578.41
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,561.52 – $3,176.59
Cesarean delivery (C-section), with care before and after: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $1,561.52 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $3,176.59 Central Valley Medical Providers IPA — Managed Medicaid: $2,342.27 Community Care IPA — Managed Medicaid: $2,467.20 Dignity IPA_Formerly IMG — Managed Medicaid: $2,186.12 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $1,578.50
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,561.43 – $3,176.42
Vaginal delivery after a previous C-section, with care before and after: 10 of 17 insurance plan rates Adventist — Managed Medicaid: $1,714.65 AllCare IPA — All Commercial Products: $1,561.43 Blue Cross — Managed Medicaid: $1,417 CenCal Health — Managed Medicaid: $2,075 Central California Alliance for Health — Managed Medicaid: $3,176.42 Central Valley Medical Providers IPA — Managed Medicaid: $2,342.15 Community Care IPA — Managed Medicaid: $2,467.06 Dignity IPA_Formerly IMG — Managed Medicaid: $2,186 Health Net — Managed Medicaid: $1,811 Kaiser — Managed Medicaid: $1,578.41

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$9,100 – $25,309
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 16 insurance plan rates Blue Cross — All Commercial Products: $20,386 Blue Shield — All Commercial Products: $18,158 Blue Shield — Value Network: $16,146 Community Care Health Plan — Commercial HMO: $19,429 Dignity Health Central Coast — All Commercial Products: $16,866 First Health formerly Coventry — All Commercial Products: $9,100 Health Net — All Commercial Products: $16,989 Health Smart — All Commercial Products: $21,492 Kaiser — All Commercial Products: $15,884 Network By Design — All Commercial Products: $25,309
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 joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans Aetna — All Commercial Products: 67% (a percentage in the contract, not a dollar amount) Bakersfield Family Medical Group — All Commercial Products: 75% (a percentage in the contract, not a dollar amount) Community Health — All Commercial Products: 55% (a percentage in the contract, not a dollar amount) Fowler Packing — All Commercial Products: 62% (a percentage in the contract, not a dollar amount) Kern Legacy — All Commercial Products: 65% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 5 insurance plans Aetna — All Commercial Products: 67% (a percentage in the contract, not a dollar amount) Bakersfield Family Medical Group — All Commercial Products: 75% (a percentage in the contract, not a dollar amount) Community Health — All Commercial Products: 55% (a percentage in the contract, not a dollar amount) Fowler Packing — All Commercial Products: 62% (a percentage in the contract, not a dollar amount) Kern Legacy — All Commercial Products: 65% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans Aetna — All Commercial Products: 67% (a percentage in the contract, not a dollar amount) Bakersfield Family Medical Group — All Commercial Products: 75% (a percentage in the contract, not a dollar amount) Community Health — All Commercial Products: 55% (a percentage in the contract, not a dollar amount) Fowler Packing — All Commercial Products: 62% (a percentage in the contract, not a dollar amount) Kern Legacy — All Commercial Products: 65% (a percentage in the contract, not a dollar amount)

Source: Valley Children's Hospital’s standard charges file (share.valleychildrens.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Children's Hospital
Address	9300 Valley Childrens Place, Madera, CA 93636
County	Madera County
State	California
Phone	(559) 353‑5116
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	053300
Name in Medicare records	VALLEY CHILDREN'S HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(559) 353‑3000^[4]
Official website	valleychildrens.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

About Us | Valley Children's Healthcare — valleychildrens.org
Emergency Medicine | Valley Children's Healthcare — valleychildrens.org
Directions, maps and parking | Valley Children's Healthcare — valleychildrens.org
Patient rooms | Valley Children's Healthcare — valleychildrens.org
Translation and interpreter services | Valley Children's Healthcare — valleychildrens.org
Cancer and Blood Disorders Center | Valley Children's Healthcare — valleychildrens.org
Neuro-oncology Program | Valley Children's Healthcare — valleychildrens.org
Blood Disorders Program | Valley Children's Healthcare — valleychildrens.org
Histiocytosis Program | Valley Children's Healthcare — valleychildrens.org
Leukemia and Lymphoma Program | Valley Children's Healthcare — valleychildrens.org
Solid Tumors Program | Valley Children's Healthcare — valleychildrens.org
Vascular Malformations Program | Valley Children's Healthcare — valleychildrens.org
Contact the Cancer and Blood Disorders Center | Valley Children's Healthcare — valleychildrens.org
Cancer and Blood Disorder Specialties and Services | Valley Children's Healthcare — valleychildrens.org
Oncology Clinic | Valley Children's Healthcare — valleychildrens.org

Valley Children's Hospital

Summary

Profile from official sources

At a glance