Where is Vibra Hospital of Sacramento?

330 Montrose Drive, Folsom, CA 95630, in Sacramento County, California.

What is the phone number of Vibra Hospital of Sacramento?

(916) 351-9151, as listed by Medicare (CMS).

Vibra Hospital of Sacramento — Folsom, CA

Quick answers

Where is Vibra Hospital of Sacramento?: 330 Montrose Drive, Folsom, CA 95630, in Sacramento County, California.
What is the phone number of Vibra Hospital of Sacramento?: (916) 351-9151, as listed by Medicare (CMS).

Specialties and care areas^[4][9]

Critical care
Cardiac
Neuro
Respiratory
Sepsis and infectious disease
Post-trauma care
Wound care
Complex medical
Traumatic injury

Conditions treated^{[6][7][8][11][12][13][14][15]}

Spinal cord injury
Brain injury
Stroke
Intracranial hemorrhage
Subarachnoid hemorrhage
Subdural hematoma
Status epilepticus
Meningitis, encephalitis, autoimmune infections
Neuromuscular or neurovascular disorders
Recent heart attack
Congestive heart failure
Arrhythmias
Endocarditis
Heart valve replacement recovery
Pulmonary edema
Respiratory failure
Chronic obstructive pulmonary disease (COPD)
Bronchitis, emphysema, asthma, pneumonia
Neuromuscular respiratory paralysis
Sepsis
MRSA infection
VRE infection
C. diff infection
CRE infection
Osteomyelitis
Cellulitis
Stage III and IV pressure ulcers
Vascular ulcers
Burns
Wound dehiscence
Complex ostomies
Fistulas
Multi-system complications

Treatments^{[7][8][9][11][12][13][14][15]}

Mechanical ventilator weaning
Mechanical ventilator dependence care
High flow oxygen
CPAP/BiPAP
MetaNeb respiratory therapy
IV medication therapy
Dialysis
Telemetry monitoring
Cardiac device monitoring
Central line and PICC/midline care
IV antibiotics
Negative pressure wound therapy
Compression therapy
Biological skin substitutes
Wound care
Physical therapy
Occupational therapy
Speech-language pathology
Bariatric equipment and services
24-hour nursing care
Radiology, pharmacy, and laboratory services
Dietary and nutrition support
Physician specialist consultations

Procedures^{[6][12][13][15]}

Wound debridement
Tracheostomy management
Tracheostomy decannulation
Specialty beds and equipment for wound care

Programs and centers^{[4][6][8][11][12][14][15]}

Medically complex patient care
Post-trauma program
Neuro program
Respiratory program
Cardiac program
Complex wound care program
Infectious disease program

Visiting and practical information

Parking	Level 3 (DC fast) EV charging stations available to patients, visitors, staff and public^[16]

Recognition^[4]

Joint Commission Gold Seal of Approval for Hospital Accreditation

Nearest emergency rooms

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

Mercy Hospital of Folsom1.0 mi · Folsom, CA · Acute Care Hospital
Sutter Roseville Medical Center6.4 mi · Roseville, CA · Acute Care Hospital
Kaiser Foundation Hospital - Roseville6.7 mi · Roseville, CA · Acute Care Hospital
Mercy San Juan Medical Center8.5 mi · Carmichael, CA · Acute Care Hospital
VA N California Healthcare System11 mi · Mather, CA · Federal/VA Acute Care Hospital

Other hospitals nearby

Heritage Oaks Hospital12 mi · Sacramento, CA · Psychiatric Hospital

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

Folsom Care Center0.7 mi · Folsom, CA · 4 of 5 stars
Fair Oaks Healthcare Center5.8 mi · Fair Oaks, CA · 3 of 5 stars
Citrus Heights Post Acute6.7 mi · Citrus Heights, CA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

American Heritage Hospice, Inc1.6 mi · Folsom, CA
Centric Care Hospice, Inc1.6 mi · Folsom, CA
Oak Creek Hospice, LLC1.6 mi · Folsom, CA

All hospice providers in the state →

Home health agencies

Bellestar Home Health Care, Inc1.6 mi · Folsom, CA
Frontline Home Health Care, Inc1.6 mi · Folsom, CA
Hearts Home Healthcare, Inc1.6 mi · Folsom, CA · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Folsom Dialysis1.6 mi · Folsom, CA · 5 of 5 stars
SHC Folsom1.6 mi · Folsom, CA · 3 of 5 stars
DaVita Orangevale Dialysis Center3.3 mi · Orangevale, CA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Folsom Plaza Surgical Associates, Inc1.6 mi · Folsom, CA
Folsom Sierra Endoscopy Center1.6 mi · Folsom, CA
Folsom Surgery Center1.6 mi · Folsom, 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

WellSpace Health - Folsom Community Health Center2.1 mi · Folsom, CA · Community health center
WellSpace Health - Sunrise Community Health Center6.4 mi · Citrus Heights, CA · Community health center
San Juan High School7.0 mi · Citrus Heights, CA · Community health center

Clinics and urgent care

MED-7 Urgent Care Center Medical Group1.6 mi · Folsom, CA · Urgent care center
Rainbow Kids Urgent Care1.6 mi · Folsom, CA · Urgent care center
Rapidcare Walk in Medical Group, Inc.1.6 mi · Folsom, CA · Urgent care center

Pharmacies

Corrections and Rehabilitation-Headquarters0.9 mi · Represa, CA · Pharmacy
Corrections and Rehabilitation-Headquarters0.9 mi · Represa, CA · Pharmacy
Corrections and Rehabilitation-Headquarters1.6 mi · Folsom, CA · Pharmacy

Assisted living nearby

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

Arcely J Pua Homecare1.6 mi · Folsom, CA
Brookdale Folsom1.6 mi · Folsom, CA
Bu-Won Care Home1.6 mi · Folsom, CA
Caring Hands Assisted Living1.6 mi · Folsom, CA

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 39 common services exactly as Vibra Hospital of Sacramento 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: NEW PATIENT INTERMED 30-44 MIN	$301	Not listed in the file	$260.33 – $301
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $301 Blue Shield — Medicare Replacement: $301 Blue Shield Commercial — Commercial: $301 Blue Shield EPN — Commercial: $301 Central CA Alliance for Health — Medicaid Replacement: $301 Health Plan of San Joaquin — Medicaid Advantage: $301 Kaiser — Commercial: $301 Kaiser — Medicare Advantage: $301 Kaiser Medi-Cal — Medi-Cal: $301 Physicians Plus ACO — Commercial: $301
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: NEW PATIENT EXTENDED 45-59 MIN	$510	Not listed in the file	$441.10 – $510
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $510 Blue Shield — Medicare Replacement: $510 Blue Shield Commercial — Commercial: $510 Blue Shield EPN — Commercial: $510 Central CA Alliance for Health — Medicaid Replacement: $510 Health Plan of San Joaquin — Medicaid Advantage: $510 Kaiser — Commercial: $510 Kaiser — Medicare Advantage: $510 Kaiser Medi-Cal — Medi-Cal: $510 Physicians Plus ACO — Commercial: $510
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: NEW PATIENT COMPLEX 60-74MIN	$655	Not listed in the file	$566.51 – $655
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $655 Blue Shield — Medicare Replacement: $655 Blue Shield Commercial — Commercial: $655 Blue Shield EPN — Commercial: $655 Central CA Alliance for Health — Medicaid Replacement: $655 Health Plan of San Joaquin — Medicaid Advantage: $655 Kaiser — Commercial: $655 Kaiser — Medicare Advantage: $655 Kaiser Medi-Cal — Medi-Cal: $655 Physicians Plus ACO — Commercial: $655
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: ESTABLISHED PATIENT INTERMED	$199	Not listed in the file	$172.12 – $199
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $199 Blue Shield — Medicare Replacement: $199 Blue Shield Commercial — Commercial: $199 Blue Shield EPN — Commercial: $199 Central CA Alliance for Health — Medicaid Replacement: $199 Health Plan of San Joaquin — Medicaid Advantage: $199 Kaiser — Commercial: $199 Kaiser — Medicare Advantage: $199 Kaiser Medi-Cal — Medi-Cal: $199 Physicians Plus ACO — Commercial: $199
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: ESTABLISHED PATIENT EXTENDED	$308	Not listed in the file	$266.39 – $308
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $308 Blue Shield — Medicare Replacement: $308 Blue Shield Commercial — Commercial: $308 Blue Shield EPN — Commercial: $308 Central CA Alliance for Health — Medicaid Replacement: $308 Health Plan of San Joaquin — Medicaid Advantage: $308 Kaiser — Commercial: $308 Kaiser — Medicare Advantage: $308 Kaiser Medi-Cal — Medi-Cal: $308 Physicians Plus ACO — Commercial: $308

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: LabCorp BMP	$80.45	Not listed in the file	$69.58 – $80.45
Basic metabolic panel (blood test): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $80.45 Blue Shield — Medicare Replacement: $80.45 Blue Shield Commercial — Commercial: $80.45 Blue Shield EPN — Commercial: $80.45 Central CA Alliance for Health — Medicaid Replacement: $80.45 Health Plan of San Joaquin — Medicaid Advantage: $80.45 Kaiser — Commercial: $80.45 Kaiser — Medicare Advantage: $80.45 Kaiser Medi-Cal — Medi-Cal: $80.45 Physicians Plus ACO — Commercial: $80.45
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL (BMP)	$80.45	Not listed in the file	$69.58 – $80.45
Basic metabolic panel (blood test): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $80.45 Blue Shield — Medicare Replacement: $80.45 Blue Shield Commercial — Commercial: $80.45 Blue Shield EPN — Commercial: $80.45 Central CA Alliance for Health — Medicaid Replacement: $80.45 Health Plan of San Joaquin — Medicaid Advantage: $80.45 Kaiser — Commercial: $80.45 Kaiser — Medicare Advantage: $80.45 Kaiser Medi-Cal — Medi-Cal: $80.45 Physicians Plus ACO — Commercial: $80.45
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: SEND-OUT : BMP	$80.45	Not listed in the file	$69.58 – $80.45
Basic metabolic panel (blood test): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $80.45 Blue Shield — Medicare Replacement: $80.45 Blue Shield Commercial — Commercial: $80.45 Blue Shield EPN — Commercial: $80.45 Central CA Alliance for Health — Medicaid Replacement: $80.45 Health Plan of San Joaquin — Medicaid Advantage: $80.45 Kaiser — Commercial: $80.45 Kaiser — Medicare Advantage: $80.45 Kaiser Medi-Cal — Medi-Cal: $80.45 Physicians Plus ACO — Commercial: $80.45
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPLETE METABOLIC PANEL (CMP)	$100.53	Not listed in the file	$86.95 – $100.53
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $100.53 Blue Shield — Medicare Replacement: $100.53 Blue Shield Commercial — Commercial: $100.53 Blue Shield EPN — Commercial: $100.53 Central CA Alliance for Health — Medicaid Replacement: $100.53 Health Plan of San Joaquin — Medicaid Advantage: $100.53 Kaiser — Commercial: $100.53 Kaiser — Medicare Advantage: $100.53 Kaiser Medi-Cal — Medi-Cal: $100.53 Physicians Plus ACO — Commercial: $100.53
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: LabCorp CMP	$100.53	Not listed in the file	$86.95 – $100.53
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $100.53 Blue Shield — Medicare Replacement: $100.53 Blue Shield Commercial — Commercial: $100.53 Blue Shield EPN — Commercial: $100.53 Central CA Alliance for Health — Medicaid Replacement: $100.53 Health Plan of San Joaquin — Medicaid Advantage: $100.53 Kaiser — Commercial: $100.53 Kaiser — Medicare Advantage: $100.53 Kaiser Medi-Cal — Medi-Cal: $100.53 Physicians Plus ACO — Commercial: $100.53
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: SEND-OUT : CMP	$100.53	Not listed in the file	$86.95 – $100.53
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $100.53 Blue Shield — Medicare Replacement: $100.53 Blue Shield Commercial — Commercial: $100.53 Blue Shield EPN — Commercial: $100.53 Central CA Alliance for Health — Medicaid Replacement: $100.53 Health Plan of San Joaquin — Medicaid Advantage: $100.53 Kaiser — Commercial: $100.53 Kaiser — Medicare Advantage: $100.53 Kaiser Medi-Cal — Medi-Cal: $100.53 Physicians Plus ACO — Commercial: $100.53
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	$78.28	Not listed in the file	$67.70 – $78.28
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $78.28 Blue Shield — Medicare Replacement: $78.28 Blue Shield Commercial — Commercial: $78.28 Blue Shield EPN — Commercial: $78.28 Central CA Alliance for Health — Medicaid Replacement: $78.28 Health Plan of San Joaquin — Medicaid Advantage: $78.28 Kaiser — Commercial: $78.28 Kaiser — Medicare Advantage: $78.28 Kaiser Medi-Cal — Medi-Cal: $78.28 Physicians Plus ACO — Commercial: $78.28
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$82.55	Not listed in the file	$71.40 – $82.55
Kidney function panel: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $82.55 Blue Shield — Medicare Replacement: $82.55 Blue Shield Commercial — Commercial: $82.55 Blue Shield EPN — Commercial: $82.55 Central CA Alliance for Health — Medicaid Replacement: $82.55 Health Plan of San Joaquin — Medicaid Advantage: $82.55 Kaiser — Commercial: $82.55 Kaiser — Medicare Advantage: $82.55 Kaiser Medi-Cal — Medi-Cal: $82.55 Physicians Plus ACO — Commercial: $82.55
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$77.65	Not listed in the file	$67.16 – $77.65
Liver function panel: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $77.65 Blue Shield — Medicare Replacement: $77.65 Blue Shield Commercial — Commercial: $77.65 Blue Shield EPN — Commercial: $77.65 Central CA Alliance for Health — Medicaid Replacement: $77.65 Health Plan of San Joaquin — Medicaid Advantage: $77.65 Kaiser — Commercial: $77.65 Kaiser — Medicare Advantage: $77.65 Kaiser Medi-Cal — Medi-Cal: $77.65 Physicians Plus ACO — Commercial: $77.65
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: SEND-OUT : LIVER FUNCTION PNL	$77.65	Not listed in the file	$67.16 – $77.65
Liver function panel: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $77.65 Blue Shield — Medicare Replacement: $77.65 Blue Shield Commercial — Commercial: $77.65 Blue Shield EPN — Commercial: $77.65 Central CA Alliance for Health — Medicaid Replacement: $77.65 Health Plan of San Joaquin — Medicaid Advantage: $77.65 Kaiser — Commercial: $77.65 Kaiser — Medicare Advantage: $77.65 Kaiser Medi-Cal — Medi-Cal: $77.65 Physicians Plus ACO — Commercial: $77.65
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Urinalysis w/reflux to Cult UA	$30.10	Not listed in the file	$26.03 – $30.10
Urine test (automated, with microscope): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $30.10 Blue Shield — Medicare Replacement: $30.10 Blue Shield Commercial — Commercial: $30.10 Blue Shield EPN — Commercial: $30.10 Central CA Alliance for Health — Medicaid Replacement: $30.10 Health Plan of San Joaquin — Medicaid Advantage: $30.10 Kaiser — Commercial: $30.10 Kaiser — Medicare Advantage: $30.10 Kaiser Medi-Cal — Medi-Cal: $30.10 Physicians Plus ACO — Commercial: $30.10
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA, FREE AND TOTAL	$174.90	Not listed in the file	$151.27 – $174.90
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $174.90 Blue Shield — Medicare Replacement: $174.90 Blue Shield Commercial — Commercial: $174.90 Blue Shield EPN — Commercial: $174.90 Central CA Alliance for Health — Medicaid Replacement: $174.90 Health Plan of San Joaquin — Medicaid Advantage: $174.90 Kaiser — Commercial: $174.90 Kaiser — Medicare Advantage: $174.90 Kaiser Medi-Cal — Medi-Cal: $174.90 Physicians Plus ACO — Commercial: $174.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: THYROID STIM. HORMONE (TSH)	$159.75	Not listed in the file	$138.17 – $159.75
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $159.75 Blue Shield — Medicare Replacement: $159.75 Blue Shield Commercial — Commercial: $159.75 Blue Shield EPN — Commercial: $159.75 Central CA Alliance for Health — Medicaid Replacement: $159.75 Health Plan of San Joaquin — Medicaid Advantage: $159.75 Kaiser — Commercial: $159.75 Kaiser — Medicare Advantage: $159.75 Kaiser Medi-Cal — Medi-Cal: $159.75 Physicians Plus ACO — Commercial: $159.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/ AUTODIFF	$73.95	Not listed in the file	$63.96 – $73.95
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $73.95 Blue Shield — Medicare Replacement: $73.95 Blue Shield Commercial — Commercial: $73.95 Blue Shield EPN — Commercial: $73.95 Central CA Alliance for Health — Medicaid Replacement: $73.95 Health Plan of San Joaquin — Medicaid Advantage: $73.95 Kaiser — Commercial: $73.95 Kaiser — Medicare Advantage: $73.95 Kaiser Medi-Cal — Medi-Cal: $73.95 Physicians Plus ACO — Commercial: $73.95
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: LabCorp CBC	$73.95	Not listed in the file	$63.96 – $73.95
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $73.95 Blue Shield — Medicare Replacement: $73.95 Blue Shield Commercial — Commercial: $73.95 Blue Shield EPN — Commercial: $73.95 Central CA Alliance for Health — Medicaid Replacement: $73.95 Health Plan of San Joaquin — Medicaid Advantage: $73.95 Kaiser — Commercial: $73.95 Kaiser — Medicare Advantage: $73.95 Kaiser Medi-Cal — Medi-Cal: $73.95 Physicians Plus ACO — Commercial: $73.95
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: SEND-OUT : CBC	$73.95	Not listed in the file	$63.96 – $73.95
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $73.95 Blue Shield — Medicare Replacement: $73.95 Blue Shield Commercial — Commercial: $73.95 Blue Shield EPN — Commercial: $73.95 Central CA Alliance for Health — Medicaid Replacement: $73.95 Health Plan of San Joaquin — Medicaid Advantage: $73.95 Kaiser — Commercial: $73.95 Kaiser — Medicare Advantage: $73.95 Kaiser Medi-Cal — Medi-Cal: $73.95 Physicians Plus ACO — Commercial: $73.95
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTOMATED (HEMOGRAM)	$61.55	Not listed in the file	$53.23 – $61.55
Complete blood count (CBC), automated: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $61.55 Blue Shield — Medicare Replacement: $61.55 Blue Shield Commercial — Commercial: $61.55 Blue Shield EPN — Commercial: $61.55 Central CA Alliance for Health — Medicaid Replacement: $61.55 Health Plan of San Joaquin — Medicaid Advantage: $61.55 Kaiser — Commercial: $61.55 Kaiser — Medicare Advantage: $61.55 Kaiser Medi-Cal — Medi-Cal: $61.55 Physicians Plus ACO — Commercial: $61.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: Fingerstick PT/INR	$1	Not listed in the file	$0.86 – $1
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $1 Blue Shield — Medicare Replacement: $1 Blue Shield Commercial — Commercial: $1 Blue Shield EPN — Commercial: $1 Central CA Alliance for Health — Medicaid Replacement: $1 Health Plan of San Joaquin — Medicaid Advantage: $1 Kaiser — Commercial: $1 Kaiser — Medicare Advantage: $1 Kaiser Medi-Cal — Medi-Cal: $1 Physicians Plus ACO — Commercial: $1
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PT/INR	$37.35	Not listed in the file	$32.30 – $37.35
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $37.35 Blue Shield — Medicare Replacement: $37.35 Blue Shield Commercial — Commercial: $37.35 Blue Shield EPN — Commercial: $37.35 Central CA Alliance for Health — Medicaid Replacement: $37.35 Health Plan of San Joaquin — Medicaid Advantage: $37.35 Kaiser — Commercial: $37.35 Kaiser — Medicare Advantage: $37.35 Kaiser Medi-Cal — Medi-Cal: $37.35 Physicians Plus ACO — Commercial: $37.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: SEND-OUT : PT/INR	$37.35	Not listed in the file	$32.30 – $37.35
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $37.35 Blue Shield — Medicare Replacement: $37.35 Blue Shield Commercial — Commercial: $37.35 Blue Shield EPN — Commercial: $37.35 Central CA Alliance for Health — Medicaid Replacement: $37.35 Health Plan of San Joaquin — Medicaid Advantage: $37.35 Kaiser — Commercial: $37.35 Kaiser — Medicare Advantage: $37.35 Kaiser Medi-Cal — Medi-Cal: $37.35 Physicians Plus ACO — Commercial: $37.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: THROMBOPLASTIN TIME PART-APTT	$57.10	Not listed in the file	$49.39 – $57.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $57.10 Blue Shield — Medicare Replacement: $57.10 Blue Shield Commercial — Commercial: $57.10 Blue Shield EPN — Commercial: $57.10 Central CA Alliance for Health — Medicaid Replacement: $57.10 Health Plan of San Joaquin — Medicaid Advantage: $57.10 Kaiser — Commercial: $57.10 Kaiser — Medicare Advantage: $57.10 Kaiser Medi-Cal — Medi-Cal: $57.10 Physicians Plus ACO — Commercial: $57.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: SEND-OUT : PTT	$57.10	Not listed in the file	$49.39 – $57.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $57.10 Blue Shield — Medicare Replacement: $57.10 Blue Shield Commercial — Commercial: $57.10 Blue Shield EPN — Commercial: $57.10 Central CA Alliance for Health — Medicaid Replacement: $57.10 Health Plan of San Joaquin — Medicaid Advantage: $57.10 Kaiser — Commercial: $57.10 Kaiser — Medicare Advantage: $57.10 Kaiser Medi-Cal — Medi-Cal: $57.10 Physicians Plus ACO — Commercial: $57.10

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO	$864.28	Not listed in the file	$747.52 – $864.28
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $864.28 Blue Shield — Medicare Replacement: $864.28 Blue Shield Commercial — Commercial: $864.28 Blue Shield EPN — Commercial: $864.28 Central CA Alliance for Health — Medicaid Replacement: $864.28 Health Plan of San Joaquin — Medicaid Advantage: $864.28 Kaiser — Commercial: $864.28 Kaiser — Medicare Advantage: $864.28 Kaiser Medi-Cal — Medi-Cal: $864.28 Physicians Plus ACO — Commercial: $864.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN/STEM WO/W	$2,852.72	Not listed in the file	$2,467.32 – $2,852.72
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $2,852.72 Blue Shield — Medicare Replacement: $2,852.72 Blue Shield Commercial — Commercial: $2,852.72 Blue Shield EPN — Commercial: $2,852.72 Central CA Alliance for Health — Medicaid Replacement: $2,852.72 Health Plan of San Joaquin — Medicaid Advantage: $2,852.72 Kaiser — Commercial: $2,852.72 Kaiser — Medicare Advantage: $2,852.72 Kaiser Medi-Cal — Medi-Cal: $2,852.72 Physicians Plus ACO — Commercial: $2,852.72
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR Chest 2 views	$136.36	Not listed in the file	$117.94 – $136.36
Chest X-ray, 2 views: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $136.36 Blue Shield — Medicare Replacement: $136.36 Blue Shield Commercial — Commercial: $136.36 Blue Shield EPN — Commercial: $136.36 Central CA Alliance for Health — Medicaid Replacement: $136.36 Health Plan of San Joaquin — Medicaid Advantage: $136.36 Kaiser — Commercial: $136.36 Kaiser — Medicare Advantage: $136.36 Kaiser Medi-Cal — Medi-Cal: $136.36 Physicians Plus ACO — Commercial: $136.36
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR Lumbar Sprine 4 views	$245.40	Not listed in the file	$212.25 – $245.40
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $245.40 Blue Shield — Medicare Replacement: $245.40 Blue Shield Commercial — Commercial: $245.40 Blue Shield EPN — Commercial: $245.40 Central CA Alliance for Health — Medicaid Replacement: $245.40 Health Plan of San Joaquin — Medicaid Advantage: $245.40 Kaiser — Commercial: $245.40 Kaiser — Medicare Advantage: $245.40 Kaiser Medi-Cal — Medi-Cal: $245.40 Physicians Plus ACO — Commercial: $245.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI lumbar spine w/o dye	$1,826.32	Not listed in the file	$1,579.58 – $1,826.32
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $1,826.32 Blue Shield — Medicare Replacement: $1,826.32 Blue Shield Commercial — Commercial: $1,826.32 Blue Shield EPN — Commercial: $1,826.32 Central CA Alliance for Health — Medicaid Replacement: $1,826.32 Health Plan of San Joaquin — Medicaid Advantage: $1,826.32 Kaiser — Commercial: $1,826.32 Kaiser — Medicare Advantage: $1,826.32 Kaiser Medi-Cal — Medi-Cal: $1,826.32 Physicians Plus ACO — Commercial: $1,826.32
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI SPINE LUMBAR W/O	$2,303.72	Not listed in the file	$1,992.49 – $2,303.72
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $2,303.72 Blue Shield — Medicare Replacement: $2,303.72 Blue Shield Commercial — Commercial: $2,303.72 Blue Shield EPN — Commercial: $2,303.72 Central CA Alliance for Health — Medicaid Replacement: $2,303.72 Health Plan of San Joaquin — Medicaid Advantage: $2,303.72 Kaiser — Commercial: $2,303.72 Kaiser — Medicare Advantage: $2,303.72 Kaiser Medi-Cal — Medi-Cal: $2,303.72 Physicians Plus ACO — Commercial: $2,303.72
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT pelvis w/dye	$1,294.04	Not listed in the file	$1,119.22 – $1,294.04
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $1,294.04 Blue Shield — Medicare Replacement: $1,294.04 Blue Shield Commercial — Commercial: $1,294.04 Blue Shield EPN — Commercial: $1,294.04 Central CA Alliance for Health — Medicaid Replacement: $1,294.04 Health Plan of San Joaquin — Medicaid Advantage: $1,294.04 Kaiser — Commercial: $1,294.04 Kaiser — Medicare Advantage: $1,294.04 Kaiser Medi-Cal — Medi-Cal: $1,294.04 Physicians Plus ACO — Commercial: $1,294.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier RT In the file: MRI jnt of lwr extre w/o dye	$1,800.92	Not listed in the file	$1,557.62 – $1,800.92
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $1,800.92 Blue Shield — Medicare Replacement: $1,800.92 Blue Shield Commercial — Commercial: $1,800.92 Blue Shield EPN — Commercial: $1,800.92 Central CA Alliance for Health — Medicaid Replacement: $1,800.92 Health Plan of San Joaquin — Medicaid Advantage: $1,800.92 Kaiser — Commercial: $1,800.92 Kaiser — Medicare Advantage: $1,800.92 Kaiser Medi-Cal — Medi-Cal: $1,800.92 Physicians Plus ACO — Commercial: $1,800.92
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier LT In the file: MRI jnt of lwr extre w/o dye	$1,800.92	Not listed in the file	$1,557.62 – $1,800.92
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $1,800.92 Blue Shield — Medicare Replacement: $1,800.92 Blue Shield Commercial — Commercial: $1,800.92 Blue Shield EPN — Commercial: $1,800.92 Central CA Alliance for Health — Medicaid Replacement: $1,800.92 Health Plan of San Joaquin — Medicaid Advantage: $1,800.92 Kaiser — Commercial: $1,800.92 Kaiser — Medicare Advantage: $1,800.92 Kaiser Medi-Cal — Medi-Cal: $1,800.92 Physicians Plus ACO — Commercial: $1,800.92
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT abd & pelv w/contrast	$1,489.40	Not listed in the file	$1,288.18 – $1,489.40
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $1,489.40 Blue Shield — Medicare Replacement: $1,489.40 Blue Shield Commercial — Commercial: $1,489.40 Blue Shield EPN — Commercial: $1,489.40 Central CA Alliance for Health — Medicaid Replacement: $1,489.40 Health Plan of San Joaquin — Medicaid Advantage: $1,489.40 Kaiser — Commercial: $1,489.40 Kaiser — Medicare Advantage: $1,489.40 Kaiser Medi-Cal — Medi-Cal: $1,489.40 Physicians Plus ACO — Commercial: $1,489.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US abdom complete	$596.72	Not listed in the file	$516.10 – $596.72
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $596.72 Blue Shield — Medicare Replacement: $596.72 Blue Shield Commercial — Commercial: $596.72 Blue Shield EPN — Commercial: $596.72 Central CA Alliance for Health — Medicaid Replacement: $596.72 Health Plan of San Joaquin — Medicaid Advantage: $596.72 Kaiser — Commercial: $596.72 Kaiser — Medicare Advantage: $596.72 Kaiser Medi-Cal — Medi-Cal: $596.72 Physicians Plus ACO — Commercial: $596.72
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL NON-OB	$132.56	Not listed in the file	$114.65 – $132.56
Transvaginal ultrasound: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $132.56 Blue Shield — Medicare Replacement: $132.56 Blue Shield Commercial — Commercial: $132.56 Blue Shield EPN — Commercial: $132.56 Central CA Alliance for Health — Medicaid Replacement: $132.56 Health Plan of San Joaquin — Medicaid Advantage: $132.56 Kaiser — Commercial: $132.56 Kaiser — Medicare Advantage: $132.56 Kaiser Medi-Cal — Medi-Cal: $132.56 Physicians Plus ACO — Commercial: $132.56

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: EKG	$446.30	Not listed in the file	$386 – $446.30
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $446.30 Blue Shield — Medicare Replacement: $446.30 Blue Shield Commercial — Commercial: $446.30 Blue Shield EPN — Commercial: $446.30 Central CA Alliance for Health — Medicaid Replacement: $446.30 Health Plan of San Joaquin — Medicaid Advantage: $446.30 Kaiser — Commercial: $446.30 Kaiser — Medicare Advantage: $446.30 Kaiser Medi-Cal — Medi-Cal: $446.30 Physicians Plus ACO — Commercial: $446.30

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GO In the file: OT THER EXER 15MIN	$114	Not listed in the file	$98.60 – $114
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $114 Blue Shield — Medicare Replacement: $114 Blue Shield Commercial — Commercial: $114 Blue Shield EPN — Commercial: $114 Central CA Alliance for Health — Medicaid Replacement: $114 Health Plan of San Joaquin — Medicaid Advantage: $114 Kaiser — Commercial: $114 Kaiser — Medicare Advantage: $114 Kaiser Medi-Cal — Medi-Cal: $114 Physicians Plus ACO — Commercial: $114
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GP In the file: PT THPY EXER 15MIN	$222.05	Not listed in the file	$192.05 – $222.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $222.05 Blue Shield — Medicare Replacement: $222.05 Blue Shield Commercial — Commercial: $222.05 Blue Shield EPN — Commercial: $222.05 Central CA Alliance for Health — Medicaid Replacement: $222.05 Health Plan of San Joaquin — Medicaid Advantage: $222.05 Kaiser — Commercial: $222.05 Kaiser — Medicare Advantage: $222.05 Kaiser Medi-Cal — Medi-Cal: $222.05 Physicians Plus ACO — Commercial: $222.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL LOW COMPLEX	$323.30	Not listed in the file	$279.62 – $323.30
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $323.30 Blue Shield — Medicare Replacement: $323.30 Blue Shield Commercial — Commercial: $323.30 Blue Shield EPN — Commercial: $323.30 Central CA Alliance for Health — Medicaid Replacement: $323.30 Health Plan of San Joaquin — Medicaid Advantage: $323.30 Kaiser — Commercial: $323.30 Kaiser — Medicare Advantage: $323.30 Kaiser Medi-Cal — Medi-Cal: $323.30 Physicians Plus ACO — Commercial: $323.30
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GO In the file: OT MUSCL TST EXCL HAND	$89	Not listed in the file	$76.98 – $89
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $89 Blue Shield — Medicare Replacement: $89 Blue Shield Commercial — Commercial: $89 Blue Shield EPN — Commercial: $89 Central CA Alliance for Health — Medicaid Replacement: $89 Health Plan of San Joaquin — Medicaid Advantage: $89 Kaiser — Commercial: $89 Kaiser — Medicare Advantage: $89 Kaiser Medi-Cal — Medi-Cal: $89 Physicians Plus ACO — Commercial: $89
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL MOD COMPLEX	$323.30	Not listed in the file	$279.62 – $323.30
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $323.30 Blue Shield — Medicare Replacement: $323.30 Blue Shield Commercial — Commercial: $323.30 Blue Shield EPN — Commercial: $323.30 Central CA Alliance for Health — Medicaid Replacement: $323.30 Health Plan of San Joaquin — Medicaid Advantage: $323.30 Kaiser — Commercial: $323.30 Kaiser — Medicare Advantage: $323.30 Kaiser Medi-Cal — Medi-Cal: $323.30 Physicians Plus ACO — Commercial: $323.30
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL HIGH COMPLEX	$323.30	Not listed in the file	$279.62 – $323.30
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $323.30 Blue Shield — Medicare Replacement: $323.30 Blue Shield Commercial — Commercial: $323.30 Blue Shield EPN — Commercial: $323.30 Central CA Alliance for Health — Medicaid Replacement: $323.30 Health Plan of San Joaquin — Medicaid Advantage: $323.30 Kaiser — Commercial: $323.30 Kaiser — Medicare Advantage: $323.30 Kaiser Medi-Cal — Medi-Cal: $323.30 Physicians Plus ACO — Commercial: $323.30

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Upper Gastro/Endoscopy	$3,549.65	Not listed in the file	$3,070.09 – $3,549.65
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $3,549.65 Blue Shield — Medicare Replacement: $3,549.65 Blue Shield Commercial — Commercial: $3,549.65 Blue Shield EPN — Commercial: $3,549.65 Central CA Alliance for Health — Medicaid Replacement: $3,549.65 Health Plan of San Joaquin — Medicaid Advantage: $3,549.65 Kaiser — Commercial: $3,549.65 Kaiser — Medicare Advantage: $3,549.65 Kaiser Medi-Cal — Medi-Cal: $3,549.65 Physicians Plus ACO — Commercial: $3,549.65
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: SURG - EGD WITH BIOPSY	$3,549.65	Not listed in the file	$3,070.09 – $3,549.65
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $3,549.65 Blue Shield — Medicare Replacement: $3,549.65 Blue Shield Commercial — Commercial: $3,549.65 Blue Shield EPN — Commercial: $3,549.65 Central CA Alliance for Health — Medicaid Replacement: $3,549.65 Health Plan of San Joaquin — Medicaid Advantage: $3,549.65 Kaiser — Commercial: $3,549.65 Kaiser — Medicare Advantage: $3,549.65 Kaiser Medi-Cal — Medi-Cal: $3,549.65 Physicians Plus ACO — Commercial: $3,549.65
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: SURG - COLONOSCOPY-DIAG	$3,385.95	Not listed in the file	$2,928.51 – $3,385.95
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $3,385.95 Blue Shield — Medicare Replacement: $3,385.95 Blue Shield Commercial — Commercial: $3,385.95 Blue Shield EPN — Commercial: $3,385.95 Central CA Alliance for Health — Medicaid Replacement: $3,385.95 Health Plan of San Joaquin — Medicaid Advantage: $3,385.95 Kaiser — Commercial: $3,385.95 Kaiser — Medicare Advantage: $3,385.95 Kaiser Medi-Cal — Medi-Cal: $3,385.95 Physicians Plus ACO — Commercial: $3,385.95
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonscopy	$4,450.80	Not listed in the file	$3,849.50 – $4,450.80
Colonoscopy with biopsy: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $4,450.80 Blue Shield — Medicare Replacement: $4,450.80 Blue Shield Commercial — Commercial: $4,450.80 Blue Shield EPN — Commercial: $4,450.80 Central CA Alliance for Health — Medicaid Replacement: $4,450.80 Health Plan of San Joaquin — Medicaid Advantage: $4,450.80 Kaiser — Commercial: $4,450.80 Kaiser — Medicare Advantage: $4,450.80 Kaiser Medi-Cal — Medi-Cal: $4,450.80 Physicians Plus ACO — Commercial: $4,450.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: SURG - COLONOSCOPY W/REM LESS	$4,450.80	Not listed in the file	$3,849.50 – $4,450.80
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $4,450.80 Blue Shield — Medicare Replacement: $4,450.80 Blue Shield Commercial — Commercial: $4,450.80 Blue Shield EPN — Commercial: $4,450.80 Central CA Alliance for Health — Medicaid Replacement: $4,450.80 Health Plan of San Joaquin — Medicaid Advantage: $4,450.80 Kaiser — Commercial: $4,450.80 Kaiser — Medicare Advantage: $4,450.80 Kaiser Medi-Cal — Medi-Cal: $4,450.80 Physicians Plus ACO — Commercial: $4,450.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: SURG LUMBAR EPIDUR STEROID INJ	$3,141.50	Not listed in the file	$2,717.08 – $3,141.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $3,141.50 Blue Shield — Medicare Replacement: $3,141.50 Blue Shield Commercial — Commercial: $3,141.50 Blue Shield EPN — Commercial: $3,141.50 Central CA Alliance for Health — Medicaid Replacement: $3,141.50 Health Plan of San Joaquin — Medicaid Advantage: $3,141.50 Kaiser — Commercial: $3,141.50 Kaiser — Medicare Advantage: $3,141.50 Kaiser Medi-Cal — Medi-Cal: $3,141.50 Physicians Plus ACO — Commercial: $3,141.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: SURG LUMB TRANSF EPI STER SGL	$4,140.57	Not listed in the file	$3,581.18 – $4,140.57
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates Astiva Health — Medicare Replacement: $4,140.57 Blue Shield — Medicare Replacement: $4,140.57 Blue Shield Commercial — Commercial: $4,140.57 Blue Shield EPN — Commercial: $4,140.57 Central CA Alliance for Health — Medicaid Replacement: $4,140.57 Health Plan of San Joaquin — Medicaid Advantage: $4,140.57 Kaiser — Commercial: $4,140.57 Kaiser — Medicare Advantage: $4,140.57 Kaiser Medi-Cal — Medi-Cal: $4,140.57 Physicians Plus ACO — Commercial: $4,140.57

Source: Vibra Hospital of Sacramento’s standard charges file (vhsacramento.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 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	Long-Term Acute Care Hospital
Address	330 Montrose Drive, Folsom, CA 95630
County	Sacramento County
State	California
Phone	(916) 351‑9151
Ownership	Proprietary
CMS Certification Number	052033
Name in Medicare records	VIBRA HOSPITAL OF SACRAMENTO
Profile level	Medicare data + hospital website
Official website	vhsacramento.com
Corrections	Report an error or suggest an update →

Sources

Long-Term Care Hospital - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of 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.

Vibra Hospital of Sacramento — vhsacramento.com
Post-Trauma Services | Vibra Hospital of Sacramento — vhsacramento.com
Medically Complex Patients | Vibra Hospital of Sacramento — vhsacramento.com
Neuro Services | Vibra Hospital of Sacramento — vhsacramento.com
Our Services | Vibra Hospital of Sacramento — vhsacramento.com
Cardiac Services | Vibra Hospital of Sacramento — vhsacramento.com
Respiratory Services | Vibra Hospital of Sacramento — vhsacramento.com
COPD | Vibra Hospital of Sacramento — vhsacramento.com
Sepsis & Infectious Disease | Vibra Hospital of Sacramento — vhsacramento.com
Wound Care Services | Vibra Hospital of Sacramento — vhsacramento.com
Our Location | Vibra Hospital of Sacramento — vhsacramento.com

Vibra Hospital of Sacramento

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][9]

Conditions treated^{[6][7][8][11][12][13][14][15]}

Treatments^{[7][8][9][11][12][13][14][15]}

Procedures^{[6][12][13][15]}

Programs and centers^{[4][6][8][11][12][14][15]}

Visiting and practical information

Recognition^[4]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Vibra Hospital of Sacramento

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][9]

Conditions treated[6][7][8][11][12][13][14][15]

Treatments[7][8][9][11][12][13][14][15]

Procedures[6][12][13][15]

Programs and centers[4][6][8][11][12][14][15]

Visiting and practical information

Recognition[4]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][9]

Conditions treated^{[6][7][8][11][12][13][14][15]}

Treatments^{[7][8][9][11][12][13][14][15]}

Procedures^{[6][12][13][15]}

Programs and centers^{[4][6][8][11][12][14][15]}

Recognition^[4]