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Acute Care Hospital

Woodland Memorial Hospital

Woodland, California · Yolo County · Emergency services listed

Summary

Woodland Memorial Hospital is an acute care hospital in Woodland, California. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 26 services, specialties and programs. Medicare lists 182 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
26Services listed

Quick answers

Does Woodland Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Woodland Memorial Hospital. In a medical emergency, call 911.
Where is Woodland Memorial Hospital?
1325 Cottonwood Street, Woodland, CA 95695, in Yolo County, California.
What is the phone number of Woodland Memorial Hospital?
(530) 662-3961, as listed by Medicare (CMS).
What is the Medicare star rating of Woodland Memorial Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[5]

  • Chest pain or symptoms of a heart attack
  • Broken or dislocated bones
  • High fever or fever with rash
  • Head or eye injury
  • Dizziness or loss of consciousness
  • Stroke symptoms
  • Sudden or severe pain
  • Major wounds or bleeding that won't stop
  • Coughing or vomiting blood
  • Mental health issues or suicidal thoughts

Programs and centers[4]

  • Family Birth Center
  • Inpatient behavioral health
  • Enhanced Care Management
  • Caregiver support group

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingDaily 8 a.m.-9 p.m.; rules vary by unit; behavioral health visits by appointment[4]
Interpreters and languagesInterpretive services and language services are available during your stay[4]
Patient portalMy Portal by Dignity Health

Doctors and clinicians (182)

182 doctors and other clinicians list Woodland Memorial 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 (182)

And 158 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well85%National average: 80%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night43%National average: 60%
Completed surveys302Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.242No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients14%
Deaths within 30 days: pneumonia patients16.8%
Deaths within 30 days: COPD patients8.4%
Deaths within 30 days: stroke patients9.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.03No different from the national rate
Complications after hip or knee replacement4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.7%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD18.7%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.8%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)110 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)89%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as Woodland Memorial 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT LOW 30MN NW PT $400 $101.21 $44 – $400
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $312
  • BCBS - Anthem — Commercial|Connection EPO: $248
  • BCBS - Anthem — Commercial|MCS: $372
  • BCBS - Anthem — Medicaid|< 21: $101.90
  • BCBS - Anthem — Medicaid|> 21: $101.90
  • Blue Shield CA — Commercial|ACO Trio: $125
  • Blue Shield CA — Commercial|ACO Trio CalPers: $148
  • Blue Shield CA — Commercial|All Other Plans: $196
  • Blue Shield CA — Commercial|Calpers PPO: $188
  • Blue Shield CA — Commercial|Exchange: $124
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: VISIT LOW 30MN NW PT $400 $101.21 $44 – $368
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $220
  • Cigna — Commercial|LocalPlus: $164
  • First Health — Commercial|All Plans: $360
  • Healthsmart — Commercial|All Plans: $360
  • Kaiser — Commercial|All Plans: $216
  • Kaiser — Medicaid|All Plans: $164
  • Magellan — Commercial|All Plans: $240
  • MultiPlan — Commercial|All Plans: $368
  • Sutter Health — Commercial|All Plans: $320
  • WCMG — Commercial|All Plans: $44
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT MDT 45MN NW PT $462 $116.90 $50.82 – $462
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $360.36
  • BCBS - Anthem — Commercial|Connection EPO: $286.44
  • BCBS - Anthem — Commercial|MCS: $429.66
  • BCBS - Anthem — Medicaid|< 21: $122.74
  • BCBS - Anthem — Medicaid|> 21: $122.74
  • Blue Shield CA — Commercial|ACO Trio: $125
  • Blue Shield CA — Commercial|ACO Trio CalPers: $148
  • Blue Shield CA — Commercial|All Other Plans: $196
  • Blue Shield CA — Commercial|Calpers PPO: $188
  • Blue Shield CA — Commercial|Exchange: $124
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: VISIT MDT 45MN NW PT $462 $116.90 $50.82 – $425.04
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $254.10
  • Cigna — Commercial|LocalPlus: $189.42
  • First Health — Commercial|All Plans: $415.80
  • Healthsmart — Commercial|All Plans: $415.80
  • Kaiser — Commercial|All Plans: $249.48
  • Kaiser — Medicaid|All Plans: $189.42
  • Magellan — Commercial|All Plans: $277.20
  • MultiPlan — Commercial|All Plans: $425.04
  • Sutter Health — Commercial|All Plans: $369.60
  • WCMG — Commercial|All Plans: $50.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT LOW 20MN EST PT $370 $93.62 $40.70 – $370
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $288.60
  • BCBS - Anthem — Commercial|Connection EPO: $229.40
  • BCBS - Anthem — Commercial|MCS: $344.10
  • BCBS - Anthem — Medicaid|< 21: $42.76
  • BCBS - Anthem — Medicaid|> 21: $42.76
  • Blue Shield CA — Commercial|ACO Trio: $125
  • Blue Shield CA — Commercial|ACO Trio CalPers: $148
  • Blue Shield CA — Commercial|All Other Plans: $196
  • Blue Shield CA — Commercial|Calpers PPO: $188
  • Blue Shield CA — Commercial|Exchange: $124
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT LOW 20MN EST PT $370 $93.62 $40.70 – $340.40
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $203.50
  • Cigna — Commercial|LocalPlus: $151.70
  • First Health — Commercial|All Plans: $333
  • Healthsmart — Commercial|All Plans: $333
  • Kaiser — Commercial|All Plans: $199.80
  • Kaiser — Medicaid|All Plans: $151.70
  • Magellan — Commercial|All Plans: $222
  • MultiPlan — Commercial|All Plans: $340.40
  • Sutter Health — Commercial|All Plans: $296
  • WCMG — Commercial|All Plans: $40.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT MDT 30MN EST PT $426 $107.79 $46.86 – $426
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $332.28
  • BCBS - Anthem — Commercial|Connection EPO: $264.12
  • BCBS - Anthem — Commercial|MCS: $396.18
  • BCBS - Anthem — Medicaid|< 21: $66.81
  • BCBS - Anthem — Medicaid|> 21: $66.81
  • Blue Shield CA — Commercial|ACO Trio: $125
  • Blue Shield CA — Commercial|ACO Trio CalPers: $148
  • Blue Shield CA — Commercial|All Other Plans: $196
  • Blue Shield CA — Commercial|Calpers PPO: $188
  • Blue Shield CA — Commercial|Exchange: $124
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: VISIT MDT 30MN EST PT $426 $107.79 $46.86 – $391.92
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $234.30
  • Cigna — Commercial|LocalPlus: $174.66
  • First Health — Commercial|All Plans: $383.40
  • Healthsmart — Commercial|All Plans: $383.40
  • Kaiser — Commercial|All Plans: $230.04
  • Kaiser — Medicaid|All Plans: $174.66
  • Magellan — Commercial|All Plans: $255.60
  • MultiPlan — Commercial|All Plans: $391.92
  • Sutter Health — Commercial|All Plans: $340.80
  • WCMG — Commercial|All Plans: $46.86
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3 $2,781 $703.64 $63.97 – $17,118
Emergency room visit (moderate): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,447.28
  • Aetna — Commercial|HMO: $2,447.28
  • Aetna — Commercial|PPO: $2,447.28
  • Aetna — Medicare|All Plans: $354.27
  • BCBS - Anthem — Commercial|All Other Plans: $4,982
  • BCBS - Anthem — Commercial|Connection EPO: $3,986
  • BCBS - Anthem — Commercial|MCS: $5,978
  • BCBS - Anthem — Medicaid|< 21: $63.97
  • BCBS - Anthem — Medicaid|> 21: $63.97
  • BCBS - Anthem — Medicare|All Plans: $334.08
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3 $2,781 $703.64 $305.91 – $2,558.52
Emergency room visit (moderate): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $1,529.55
  • Cigna — Commercial|LocalPlus: $1,140.21
  • First Health — Commercial|All Plans: $2,502.90
  • Healthsmart — Commercial|All Plans: $2,502.90
  • Kaiser — Commercial|All Plans: $1,501.74
  • Kaiser — Medicaid|All Plans: $1,140.21
  • Magellan — Commercial|All Plans: $1,668.60
  • MultiPlan — Commercial|All Plans: $2,558.52
  • Sutter Health — Commercial|All Plans: $2,224.80
  • WCMG — Commercial|All Plans: $305.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4 $4,569 $1,156.03 $98.04 – $17,118
Emergency room visit (moderately high): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $4,020.72
  • Aetna — Commercial|HMO: $4,020.72
  • Aetna — Commercial|PPO: $4,020.72
  • Aetna — Medicare|All Plans: $541.53
  • BCBS - Anthem — Commercial|All Other Plans: $9,968
  • BCBS - Anthem — Commercial|Connection EPO: $7,974
  • BCBS - Anthem — Commercial|MCS: $11,962
  • BCBS - Anthem — Medicaid|< 21: $98.04
  • BCBS - Anthem — Medicaid|> 21: $98.04
  • BCBS - Anthem — Medicare|All Plans: $510.66
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: TRAUMA LIMITED $21,520 $5,444.86 $98.04 – $21,520
Emergency room visit (moderately high): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $18,937.60
  • Aetna — Commercial|HMO: $18,937.60
  • Aetna — Commercial|PPO: $18,937.60
  • Aetna — Medicare|All Plans: $541.53
  • BCBS - Anthem — Commercial|All Other Plans: $9,968
  • BCBS - Anthem — Commercial|Connection EPO: $7,974
  • BCBS - Anthem — Commercial|MCS: $11,962
  • BCBS - Anthem — Medicaid|< 21: $98.04
  • BCBS - Anthem — Medicaid|> 21: $98.04
  • BCBS - Anthem — Medicare|All Plans: $510.66
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4 $4,569 $1,156.03 $502.59 – $4,203.48
Emergency room visit (moderately high): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $2,512.95
  • Cigna — Commercial|LocalPlus: $1,873.29
  • First Health — Commercial|All Plans: $4,112.10
  • Healthsmart — Commercial|All Plans: $4,112.10
  • Kaiser — Commercial|All Plans: $2,467.26
  • Kaiser — Medicaid|All Plans: $1,873.29
  • Magellan — Commercial|All Plans: $2,741.40
  • MultiPlan — Commercial|All Plans: $4,203.48
  • Sutter Health — Commercial|All Plans: $3,655.20
  • WCMG — Commercial|All Plans: $502.59
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5 $6,622 $1,675.46 $155.03 – $17,118
Emergency room visit (high): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,827.36
  • Aetna — Commercial|HMO: $5,827.36
  • Aetna — Commercial|PPO: $5,827.36
  • Aetna — Medicare|All Plans: $772.89
  • BCBS - Anthem — Commercial|All Other Plans: $12,958
  • BCBS - Anthem — Commercial|Connection EPO: $10,366
  • BCBS - Anthem — Commercial|MCS: $15,550
  • BCBS - Anthem — Medicaid|< 21: $155.03
  • BCBS - Anthem — Medicaid|> 21: $155.03
  • BCBS - Anthem — Medicare|All Plans: $728.84
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: TRAUMA ESSENTIAL $39,861 $10,085.39 $155.03 – $39,861
Emergency room visit (high): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $35,077.68
  • Aetna — Commercial|HMO: $35,077.68
  • Aetna — Commercial|PPO: $35,077.68
  • Aetna — Medicare|All Plans: $772.89
  • BCBS - Anthem — Commercial|All Other Plans: $12,958
  • BCBS - Anthem — Commercial|Connection EPO: $10,366
  • BCBS - Anthem — Commercial|MCS: $15,550
  • BCBS - Anthem — Medicaid|< 21: $155.03
  • BCBS - Anthem — Medicaid|> 21: $155.03
  • BCBS - Anthem — Medicare|All Plans: $728.84
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5 $6,622 $1,675.46 $728.42 – $6,092.24
Emergency room visit (high): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $3,642.10
  • Cigna — Commercial|LocalPlus: $2,715.02
  • First Health — Commercial|All Plans: $5,959.80
  • Healthsmart — Commercial|All Plans: $5,959.80
  • Kaiser — Commercial|All Plans: $3,575.88
  • Kaiser — Medicaid|All Plans: $2,715.02
  • Magellan — Commercial|All Plans: $3,973.20
  • MultiPlan — Commercial|All Plans: $6,092.24
  • Sutter Health — Commercial|All Plans: $5,297.60
  • WCMG — Commercial|All Plans: $728.42

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $352 $89.07 $7.27 – $352
Basic metabolic panel (blood test): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $38.87
  • Aetna — Commercial|HMO: $38.87
  • Aetna — Commercial|PPO: $38.87
  • Aetna — Medicare|All Plans: $8.46
  • BCBS - Anthem — Commercial|All Other Plans: $300.17
  • BCBS - Anthem — Commercial|Connection EPO: $240.09
  • BCBS - Anthem — Commercial|MCS: $345.68
  • BCBS - Anthem — Medicaid|< 21: $10.43
  • BCBS - Anthem — Medicaid|> 21: $10.43
  • BCBS - Anthem — Medicare|All Plans: $7.98
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL $352 $89.07 $38.72 – $323.84
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $193.60
  • Cigna — Commercial|LocalPlus: $144.32
  • First Health — Commercial|All Plans: $316.80
  • Healthsmart — Commercial|All Plans: $316.80
  • Kaiser — Commercial|All Plans: $190.08
  • Kaiser — Medicaid|All Plans: $144.32
  • Magellan — Commercial|All Plans: $211.20
  • MultiPlan — Commercial|All Plans: $323.84
  • Sutter Health — Commercial|All Plans: $281.60
  • WCMG — Commercial|All Plans: $38.72
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $796 $201.40 $9.19 – $796
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $48.50
  • Aetna — Commercial|HMO: $48.50
  • Aetna — Commercial|PPO: $48.50
  • Aetna — Medicare|All Plans: $10.56
  • BCBS - Anthem — Commercial|All Other Plans: $375.39
  • BCBS - Anthem — Commercial|Connection EPO: $300.25
  • BCBS - Anthem — Commercial|MCS: $432.30
  • BCBS - Anthem — Medicaid|< 21: $13.18
  • BCBS - Anthem — Medicaid|> 21: $13.18
  • BCBS - Anthem — Medicare|All Plans: $9.96
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL $796 $201.40 $87.56 – $732.32
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $437.80
  • Cigna — Commercial|LocalPlus: $326.36
  • First Health — Commercial|All Plans: $716.40
  • Healthsmart — Commercial|All Plans: $716.40
  • Kaiser — Commercial|All Plans: $429.84
  • Kaiser — Medicaid|All Plans: $326.36
  • Magellan — Commercial|All Plans: $477.60
  • MultiPlan — Commercial|All Plans: $732.32
  • Sutter Health — Commercial|All Plans: $636.80
  • WCMG — Commercial|All Plans: $87.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $341 $86.28 $11.54 – $341
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $61.50
  • Aetna — Commercial|HMO: $61.50
  • Aetna — Commercial|PPO: $61.50
  • Aetna — Medicare|All Plans: $13.39
  • BCBS - Anthem — Commercial|All Other Plans: $337.59
  • BCBS - Anthem — Commercial|Connection EPO: $269.39
  • BCBS - Anthem — Commercial|MCS: $341
  • BCBS - Anthem — Medicaid|< 21: $16.55
  • BCBS - Anthem — Medicaid|> 21: $16.55
  • BCBS - Anthem — Medicare|All Plans: $12.63
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPID PANEL /LIPOSCI $11.63 $2.95 $1.28 – $11.63
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $11.63
  • Aetna — Commercial|HMO: $11.63
  • Aetna — Commercial|PPO: $11.63
  • Aetna — Medicare|All Plans: $11.63
  • BCBS - Anthem — Commercial|All Other Plans: $11.52
  • BCBS - Anthem — Commercial|Connection EPO: $9.19
  • BCBS - Anthem — Commercial|MCS: $11.63
  • BCBS - Anthem — Medicaid|< 21: $11.63
  • BCBS - Anthem — Medicaid|> 21: $11.63
  • BCBS - Anthem — Medicare|All Plans: $10.97
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPOELECT 80503B $20.34 $5.15 $2.24 – $20.34
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $20.34
  • Aetna — Commercial|HMO: $20.34
  • Aetna — Commercial|PPO: $20.34
  • Aetna — Medicare|All Plans: $13.39
  • BCBS - Anthem — Commercial|All Other Plans: $20.14
  • BCBS - Anthem — Commercial|Connection EPO: $16.07
  • BCBS - Anthem — Commercial|MCS: $20.34
  • BCBS - Anthem — Medicaid|< 21: $16.55
  • BCBS - Anthem — Medicaid|> 21: $16.55
  • BCBS - Anthem — Medicare|All Plans: $12.63
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $242 $61.23 $7.60 – $242
Kidney function panel: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $39.85
  • Aetna — Commercial|HMO: $39.85
  • Aetna — Commercial|PPO: $39.85
  • Aetna — Medicare|All Plans: $8.68
  • BCBS - Anthem — Commercial|All Other Plans: $239.58
  • BCBS - Anthem — Commercial|Connection EPO: $191.18
  • BCBS - Anthem — Commercial|MCS: $242
  • BCBS - Anthem — Medicaid|< 21: $10.90
  • BCBS - Anthem — Medicaid|> 21: $10.90
  • BCBS - Anthem — Medicare|All Plans: $8.19
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL $242 $61.23 $26.62 – $222.64
Kidney function panel: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $133.10
  • Cigna — Commercial|LocalPlus: $99.22
  • First Health — Commercial|All Plans: $217.80
  • Healthsmart — Commercial|All Plans: $217.80
  • Kaiser — Commercial|All Plans: $130.68
  • Kaiser — Medicaid|All Plans: $99.22
  • Magellan — Commercial|All Plans: $145.20
  • MultiPlan — Commercial|All Plans: $222.64
  • Sutter Health — Commercial|All Plans: $193.60
  • WCMG — Commercial|All Plans: $26.62
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $315 $79.70 $6.38 – $315
Liver function panel: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $37.49
  • Aetna — Commercial|HMO: $37.49
  • Aetna — Commercial|PPO: $37.49
  • Aetna — Medicare|All Plans: $8.17
  • BCBS - Anthem — Commercial|All Other Plans: $289.90
  • BCBS - Anthem — Commercial|Connection EPO: $231.87
  • BCBS - Anthem — Commercial|MCS: $315
  • BCBS - Anthem — Medicaid|< 21: $9.15
  • BCBS - Anthem — Medicaid|> 21: $9.15
  • BCBS - Anthem — Medicare|All Plans: $7.70
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL $315 $79.70 $34.65 – $289.80
Liver function panel: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $173.25
  • Cigna — Commercial|LocalPlus: $129.15
  • First Health — Commercial|All Plans: $283.50
  • Healthsmart — Commercial|All Plans: $283.50
  • Kaiser — Commercial|All Plans: $170.10
  • Kaiser — Medicaid|All Plans: $129.15
  • Magellan — Commercial|All Plans: $189
  • MultiPlan — Commercial|All Plans: $289.80
  • Sutter Health — Commercial|All Plans: $252
  • WCMG — Commercial|All Plans: $34.65
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO $123 $31.13 $2.77 – $123
Urine test (automated, with microscope): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $14.50
  • Aetna — Commercial|HMO: $14.50
  • Aetna — Commercial|PPO: $14.50
  • Aetna — Medicare|All Plans: $3.17
  • BCBS - Anthem — Commercial|All Other Plans: $108.42
  • BCBS - Anthem — Commercial|Connection EPO: $86.71
  • BCBS - Anthem — Commercial|MCS: $123
  • BCBS - Anthem — Medicaid|< 21: $3.97
  • BCBS - Anthem — Medicaid|> 21: $3.97
  • BCBS - Anthem — Medicare|All Plans: $2.99
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA AUTO W MICRO $123 $31.13 $13.53 – $113.16
Urine test (automated, with microscope): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $67.65
  • Cigna — Commercial|LocalPlus: $50.43
  • First Health — Commercial|All Plans: $110.70
  • Healthsmart — Commercial|All Plans: $110.70
  • Kaiser — Commercial|All Plans: $66.42
  • Kaiser — Medicaid|All Plans: $50.43
  • Magellan — Commercial|All Plans: $73.80
  • MultiPlan — Commercial|All Plans: $113.16
  • Sutter Health — Commercial|All Plans: $98.40
  • WCMG — Commercial|All Plans: $13.53
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPECIFIC GRAVITY UR $45 $11.39 $2.15 – $45
Urine test (manual, without microscope): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $11.75
  • Aetna — Commercial|HMO: $11.75
  • Aetna — Commercial|PPO: $11.75
  • Aetna — Medicare|All Plans: $3.48
  • BCBS - Anthem — Commercial|All Other Plans: $44.55
  • BCBS - Anthem — Commercial|Connection EPO: $35.55
  • BCBS - Anthem — Commercial|MCS: $45
  • BCBS - Anthem — Medicaid|< 21: $3.08
  • BCBS - Anthem — Medicaid|> 21: $3.08
  • BCBS - Anthem — Medicare|All Plans: $3.28
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: SPECIFIC GRAVITY UR $45 $11.39 $4.95 – $41.40
Urine test (manual, without microscope): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $24.75
  • Cigna — Commercial|LocalPlus: $18.45
  • First Health — Commercial|All Plans: $40.50
  • Healthsmart — Commercial|All Plans: $40.50
  • Kaiser — Commercial|All Plans: $24.30
  • Kaiser — Medicaid|All Plans: $18.45
  • Magellan — Commercial|All Plans: $27
  • MultiPlan — Commercial|All Plans: $41.40
  • Sutter Health — Commercial|All Plans: $36
  • WCMG — Commercial|All Plans: $4.95
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO $108 $27.33 $1.96 – $108
Urine test (automated, without microscope): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $10.30
  • Aetna — Commercial|HMO: $10.30
  • Aetna — Commercial|PPO: $10.30
  • Aetna — Medicare|All Plans: $2.25
  • BCBS - Anthem — Commercial|All Other Plans: $79.76
  • BCBS - Anthem — Commercial|Connection EPO: $63.79
  • BCBS - Anthem — Commercial|MCS: $91.85
  • BCBS - Anthem — Medicaid|< 21: $2.81
  • BCBS - Anthem — Medicaid|> 21: $2.81
  • BCBS - Anthem — Medicare|All Plans: $2.12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO LAB $107 $27.08 $1.96 – $107
Urine test (automated, without microscope): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $10.30
  • Aetna — Commercial|HMO: $10.30
  • Aetna — Commercial|PPO: $10.30
  • Aetna — Medicare|All Plans: $2.25
  • BCBS - Anthem — Commercial|All Other Plans: $79.76
  • BCBS - Anthem — Commercial|Connection EPO: $63.79
  • BCBS - Anthem — Commercial|MCS: $91.85
  • BCBS - Anthem — Medicaid|< 21: $2.81
  • BCBS - Anthem — Medicaid|> 21: $2.81
  • BCBS - Anthem — Medicare|All Plans: $2.12
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO WO MICRO $108 $27.33 $11.88 – $99.36
Urine test (automated, without microscope): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $59.40
  • Cigna — Commercial|LocalPlus: $44.28
  • First Health — Commercial|All Plans: $97.20
  • Healthsmart — Commercial|All Plans: $97.20
  • Kaiser — Commercial|All Plans: $58.32
  • Kaiser — Medicaid|All Plans: $44.28
  • Magellan — Commercial|All Plans: $64.80
  • MultiPlan — Commercial|All Plans: $99.36
  • Sutter Health — Commercial|All Plans: $86.40
  • WCMG — Commercial|All Plans: $11.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL $222 $56.17 $16.35 – $222
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $84.46
  • Aetna — Commercial|HMO: $84.46
  • Aetna — Commercial|PPO: $84.46
  • Aetna — Medicare|All Plans: $18.39
  • BCBS - Anthem — Commercial|All Other Plans: $219.78
  • BCBS - Anthem — Commercial|Connection EPO: $175.38
  • BCBS - Anthem — Commercial|MCS: $222
  • BCBS - Anthem — Medicaid|< 21: $23.45
  • BCBS - Anthem — Medicaid|> 21: $23.45
  • BCBS - Anthem — Medicare|All Plans: $17.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA ULTRA $16.51 $4.18 $1.82 – $16.51
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $16.51
  • Aetna — Commercial|HMO: $16.51
  • Aetna — Commercial|PPO: $16.51
  • Aetna — Medicare|All Plans: $16.51
  • BCBS - Anthem — Commercial|All Other Plans: $16.35
  • BCBS - Anthem — Commercial|Connection EPO: $13.05
  • BCBS - Anthem — Commercial|MCS: $16.51
  • BCBS - Anthem — Medicaid|< 21: $16.51
  • BCBS - Anthem — Medicaid|> 21: $16.51
  • BCBS - Anthem — Medicare|All Plans: $15.57
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA TOTAL $222 $56.17 $24.42 – $204.24
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $122.10
  • Cigna — Commercial|LocalPlus: $91.02
  • First Health — Commercial|All Plans: $199.80
  • Healthsmart — Commercial|All Plans: $199.80
  • Kaiser — Commercial|All Plans: $119.88
  • Kaiser — Medicaid|All Plans: $91.02
  • Magellan — Commercial|All Plans: $133.20
  • MultiPlan — Commercial|All Plans: $204.24
  • Sutter Health — Commercial|All Plans: $177.60
  • WCMG — Commercial|All Plans: $24.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 3 70225 $8 $2.03 $0.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $8
  • Aetna — Commercial|HMO: $8
  • Aetna — Commercial|PPO: $8
  • Aetna — Medicare|All Plans: $8
  • BCBS - Anthem — Commercial|All Other Plans: $7.92
  • BCBS - Anthem — Commercial|Connection EPO: $6.32
  • BCBS - Anthem — Commercial|MCS: $8
  • BCBS - Anthem — Medicaid|< 21: $8
  • BCBS - Anthem — Medicaid|> 21: $8
  • BCBS - Anthem — Medicare|All Plans: $7.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 70145 $9.11 $2.31 $1.01 – $9.11
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9.11
  • Aetna — Commercial|HMO: $9.11
  • Aetna — Commercial|PPO: $9.11
  • Aetna — Medicare|All Plans: $9.11
  • BCBS - Anthem — Commercial|All Other Plans: $9.02
  • BCBS - Anthem — Commercial|Connection EPO: $7.20
  • BCBS - Anthem — Commercial|MCS: $9.11
  • BCBS - Anthem — Medicaid|< 21: $9.11
  • BCBS - Anthem — Medicaid|> 21: $9.11
  • BCBS - Anthem — Medicare|All Plans: $8.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE $252 $63.76 $14.76 – $252
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $77.11
  • Aetna — Commercial|HMO: $77.11
  • Aetna — Commercial|PPO: $77.11
  • Aetna — Medicare|All Plans: $16.80
  • BCBS - Anthem — Commercial|All Other Plans: $249.48
  • BCBS - Anthem — Commercial|Connection EPO: $199.08
  • BCBS - Anthem — Commercial|MCS: $252
  • BCBS - Anthem — Medicaid|< 21: $21.17
  • BCBS - Anthem — Medicaid|> 21: $21.17
  • BCBS - Anthem — Medicare|All Plans: $15.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF $193 $48.84 $6.75 – $193
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $35.68
  • Aetna — Commercial|HMO: $35.68
  • Aetna — Commercial|PPO: $35.68
  • Aetna — Medicare|All Plans: $7.77
  • BCBS - Anthem — Commercial|All Other Plans: $191.07
  • BCBS - Anthem — Commercial|Connection EPO: $152.47
  • BCBS - Anthem — Commercial|MCS: $193
  • BCBS - Anthem — Medicaid|< 21: $9.68
  • BCBS - Anthem — Medicaid|> 21: $9.68
  • BCBS - Anthem — Medicare|All Plans: $7.33
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF $193 $48.84 $21.23 – $177.56
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $106.15
  • Cigna — Commercial|LocalPlus: $79.13
  • First Health — Commercial|All Plans: $173.70
  • Healthsmart — Commercial|All Plans: $173.70
  • Kaiser — Commercial|All Plans: $104.22
  • Kaiser — Medicaid|All Plans: $79.13
  • Magellan — Commercial|All Plans: $115.80
  • MultiPlan — Commercial|All Plans: $177.56
  • Sutter Health — Commercial|All Plans: $154.40
  • WCMG — Commercial|All Plans: $21.23
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF $223 $56.43 $5.71 – $223
Complete blood count (CBC), automated: 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $29.71
  • Aetna — Commercial|HMO: $29.71
  • Aetna — Commercial|PPO: $29.71
  • Aetna — Medicare|All Plans: $6.47
  • BCBS - Anthem — Commercial|All Other Plans: $220.77
  • BCBS - Anthem — Commercial|Connection EPO: $176.17
  • BCBS - Anthem — Commercial|MCS: $223
  • BCBS - Anthem — Medicaid|< 21: $8.19
  • BCBS - Anthem — Medicaid|> 21: $8.19
  • BCBS - Anthem — Medicare|All Plans: $6.10
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF $223 $56.43 $24.53 – $205.16
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $122.65
  • Cigna — Commercial|LocalPlus: $91.43
  • First Health — Commercial|All Plans: $200.70
  • Healthsmart — Commercial|All Plans: $200.70
  • Kaiser — Commercial|All Plans: $120.42
  • Kaiser — Medicaid|All Plans: $91.43
  • Magellan — Commercial|All Plans: $133.80
  • MultiPlan — Commercial|All Plans: $205.16
  • Sutter Health — Commercial|All Plans: $178.40
  • WCMG — Commercial|All Plans: $24.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME $147 $37.20 $3.49 – $147
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $18.04
  • Aetna — Commercial|HMO: $18.04
  • Aetna — Commercial|PPO: $18.04
  • Aetna — Medicare|All Plans: $4.29
  • BCBS - Anthem — Commercial|All Other Plans: $139.70
  • BCBS - Anthem — Commercial|Connection EPO: $111.74
  • BCBS - Anthem — Commercial|MCS: $147
  • BCBS - Anthem — Medicaid|< 21: $5.01
  • BCBS - Anthem — Medicaid|> 21: $5.01
  • BCBS - Anthem — Medicare|All Plans: $4.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009A $6.66 $1.69 $0.74 – $6.66
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $6.66
  • Aetna — Commercial|HMO: $6.66
  • Aetna — Commercial|PPO: $6.66
  • Aetna — Medicare|All Plans: $4.29
  • BCBS - Anthem — Commercial|All Other Plans: $6.60
  • BCBS - Anthem — Commercial|Connection EPO: $5.27
  • BCBS - Anthem — Commercial|MCS: $6.66
  • BCBS - Anthem — Medicaid|< 21: $5.01
  • BCBS - Anthem — Medicaid|> 21: $5.01
  • BCBS - Anthem — Medicare|All Plans: $4.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-PT-D $3.53 $0.90 $0.39 – $3.53
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3.53
  • Aetna — Commercial|HMO: $3.53
  • Aetna — Commercial|PPO: $3.53
  • Aetna — Medicare|All Plans: $3.53
  • BCBS - Anthem — Commercial|All Other Plans: $3.50
  • BCBS - Anthem — Commercial|Connection EPO: $2.79
  • BCBS - Anthem — Commercial|MCS: $3.53
  • BCBS - Anthem — Medicaid|< 21: $3.53
  • BCBS - Anthem — Medicaid|> 21: $3.53
  • BCBS - Anthem — Medicare|All Plans: $3.33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME $240 $60.73 $5.34 – $240
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $27.55
  • Aetna — Commercial|HMO: $27.55
  • Aetna — Commercial|PPO: $27.55
  • Aetna — Medicare|All Plans: $6.01
  • BCBS - Anthem — Commercial|All Other Plans: $213.01
  • BCBS - Anthem — Commercial|Connection EPO: $170.37
  • BCBS - Anthem — Commercial|MCS: $240
  • BCBS - Anthem — Medicaid|< 21: $7.66
  • BCBS - Anthem — Medicaid|> 21: $7.66
  • BCBS - Anthem — Medicare|All Plans: $5.67
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009C $6.68 $1.70 $0.74 – $6.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $6.68
  • Aetna — Commercial|HMO: $6.68
  • Aetna — Commercial|PPO: $6.68
  • Aetna — Medicare|All Plans: $6.01
  • BCBS - Anthem — Commercial|All Other Plans: $6.62
  • BCBS - Anthem — Commercial|Connection EPO: $5.28
  • BCBS - Anthem — Commercial|MCS: $6.68
  • BCBS - Anthem — Medicaid|< 21: $6.68
  • BCBS - Anthem — Medicaid|> 21: $6.68
  • BCBS - Anthem — Medicare|All Plans: $5.67
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-PTT $5.43 $1.38 $0.60 – $5.43
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5.43
  • Aetna — Commercial|HMO: $5.43
  • Aetna — Commercial|PPO: $5.43
  • Aetna — Medicare|All Plans: $5.43
  • BCBS - Anthem — Commercial|All Other Plans: $5.38
  • BCBS - Anthem — Commercial|Connection EPO: $4.29
  • BCBS - Anthem — Commercial|MCS: $5.43
  • BCBS - Anthem — Medicaid|< 21: $5.43
  • BCBS - Anthem — Medicaid|> 21: $5.43
  • BCBS - Anthem — Medicare|All Plans: $5.13

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CON $5,064 $1,281.27 $127.95 – $7,739
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $672.09
  • Aetna — Commercial|HMO: $672.09
  • Aetna — Commercial|PPO: $672.09
  • Aetna — Medicare|All Plans: $135.68
  • BCBS - Anthem — Commercial|All Other Plans: $6,719
  • BCBS - Anthem — Commercial|Connection EPO: $5,375
  • BCBS - Anthem — Commercial|MCS: $7,739
  • BCBS - Anthem — Medicaid|< 21: $145.26
  • BCBS - Anthem — Medicaid|> 21: $145.26
  • BCBS - Anthem — Medicare|All Plans: $127.95
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON $5,064 $1,281.27 $557.04 – $4,658.88
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $2,785.20
  • Cigna — Commercial|LocalPlus: $2,076.24
  • First Health — Commercial|All Plans: $4,557.60
  • Healthsmart — Commercial|All Plans: $4,557.60
  • Kaiser — Commercial|All Plans: $2,734.56
  • Kaiser — Medicaid|All Plans: $2,076.24
  • Magellan — Commercial|All Plans: $3,038.40
  • MultiPlan — Commercial|All Plans: $4,658.88
  • Sutter Health — Commercial|All Plans: $4,051.20
  • WCMG — Commercial|All Plans: $557.04
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON $9,199 $2,327.48 $426.96 – $10,686
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,584.22
  • Aetna — Commercial|HMO: $1,584.22
  • Aetna — Commercial|PPO: $1,584.22
  • Aetna — Medicare|All Plans: $452.77
  • BCBS - Anthem — Commercial|All Other Plans: $9,278
  • BCBS - Anthem — Commercial|Connection EPO: $7,422
  • BCBS - Anthem — Commercial|MCS: $10,686
  • BCBS - Anthem — Medicaid|< 21: $446.18
  • BCBS - Anthem — Medicaid|> 21: $446.18
  • BCBS - Anthem — Medicare|All Plans: $426.96
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON $9,199 $2,327.48 $1,011.89 – $8,463.08
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $5,059.45
  • Cigna — Commercial|LocalPlus: $3,771.59
  • First Health — Commercial|All Plans: $8,279.10
  • Healthsmart — Commercial|All Plans: $8,279.10
  • Kaiser — Commercial|All Plans: $4,967.46
  • Kaiser — Medicaid|All Plans: $3,771.59
  • Magellan — Commercial|All Plans: $5,519.40
  • MultiPlan — Commercial|All Plans: $8,463.08
  • Sutter Health — Commercial|All Plans: $7,359.20
  • WCMG — Commercial|All Plans: $1,011.89
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS $1,075 $271.99 $27.47 – $1,075
Chest X-ray, 2 views: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $84.74
  • Aetna — Commercial|HMO: $84.74
  • Aetna — Commercial|PPO: $84.74
  • Aetna — Medicare|All Plans: $112.94
  • BCBS - Anthem — Commercial|All Other Plans: $786.61
  • BCBS - Anthem — Commercial|Connection EPO: $629.15
  • BCBS - Anthem — Commercial|MCS: $905.85
  • BCBS - Anthem — Medicaid|< 21: $27.47
  • BCBS - Anthem — Medicaid|> 21: $27.47
  • BCBS - Anthem — Medicare|All Plans: $106.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS $1,075 $271.99 $118.25 – $989
Chest X-ray, 2 views: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $591.25
  • Cigna — Commercial|LocalPlus: $440.75
  • First Health — Commercial|All Plans: $967.50
  • Healthsmart — Commercial|All Plans: $967.50
  • Kaiser — Commercial|All Plans: $580.50
  • Kaiser — Medicaid|All Plans: $440.75
  • Magellan — Commercial|All Plans: $645
  • MultiPlan — Commercial|All Plans: $989
  • Sutter Health — Commercial|All Plans: $860
  • WCMG — Commercial|All Plans: $118.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS $1,175 $297.30 $62.90 – $1,175
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $172.99
  • Aetna — Commercial|HMO: $172.99
  • Aetna — Commercial|PPO: $172.99
  • Aetna — Medicare|All Plans: $135.68
  • BCBS - Anthem — Commercial|All Other Plans: $928.93
  • BCBS - Anthem — Commercial|Connection EPO: $742.99
  • BCBS - Anthem — Commercial|MCS: $1,069.75
  • BCBS - Anthem — Medicaid|< 21: $62.90
  • BCBS - Anthem — Medicaid|> 21: $62.90
  • BCBS - Anthem — Medicare|All Plans: $127.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS $1,175 $297.30 $129.25 – $1,081
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $646.25
  • Cigna — Commercial|LocalPlus: $481.75
  • First Health — Commercial|All Plans: $1,057.50
  • Healthsmart — Commercial|All Plans: $1,057.50
  • Kaiser — Commercial|All Plans: $634.50
  • Kaiser — Medicaid|All Plans: $481.75
  • Magellan — Commercial|All Plans: $705
  • MultiPlan — Commercial|All Plans: $1,081
  • Sutter Health — Commercial|All Plans: $940
  • WCMG — Commercial|All Plans: $129.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON $5,206 $1,317.19 $266.80 – $10,686
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,584.22
  • Aetna — Commercial|HMO: $1,584.22
  • Aetna — Commercial|PPO: $1,584.22
  • Aetna — Medicare|All Plans: $309.66
  • BCBS - Anthem — Commercial|All Other Plans: $9,278
  • BCBS - Anthem — Commercial|Connection EPO: $7,422
  • BCBS - Anthem — Commercial|MCS: $10,686
  • BCBS - Anthem — Medicaid|< 21: $266.80
  • BCBS - Anthem — Medicaid|> 21: $266.80
  • BCBS - Anthem — Medicare|All Plans: $292.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON $5,206 $1,317.19 $572.66 – $4,789.52
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $2,863.30
  • Cigna — Commercial|LocalPlus: $2,134.46
  • First Health — Commercial|All Plans: $4,685.40
  • Healthsmart — Commercial|All Plans: $4,685.40
  • Kaiser — Commercial|All Plans: $2,811.24
  • Kaiser — Medicaid|All Plans: $2,134.46
  • Magellan — Commercial|All Plans: $3,123.60
  • MultiPlan — Commercial|All Plans: $4,789.52
  • Sutter Health — Commercial|All Plans: $4,164.80
  • WCMG — Commercial|All Plans: $572.66
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON $7,596 $1,921.90 $214.66 – $7,739
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,028.37
  • Aetna — Commercial|HMO: $1,028.37
  • Aetna — Commercial|PPO: $1,028.37
  • Aetna — Medicare|All Plans: $227.64
  • BCBS - Anthem — Commercial|All Other Plans: $6,719
  • BCBS - Anthem — Commercial|Connection EPO: $5,375
  • BCBS - Anthem — Commercial|MCS: $7,739
  • BCBS - Anthem — Medicaid|< 21: $293.26
  • BCBS - Anthem — Medicaid|> 21: $293.26
  • BCBS - Anthem — Medicare|All Plans: $214.66
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON $7,596 $1,921.90 $835.56 – $6,988.32
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $4,177.80
  • Cigna — Commercial|LocalPlus: $3,114.36
  • First Health — Commercial|All Plans: $6,836.40
  • Healthsmart — Commercial|All Plans: $6,836.40
  • Kaiser — Commercial|All Plans: $4,101.84
  • Kaiser — Medicaid|All Plans: $3,114.36
  • Magellan — Commercial|All Plans: $4,557.60
  • MultiPlan — Commercial|All Plans: $6,988.32
  • Sutter Health — Commercial|All Plans: $6,076.80
  • WCMG — Commercial|All Plans: $835.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON $10,023 $2,535.96 $281.80 – $10,023
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,088.76
  • Aetna — Commercial|HMO: $1,088.76
  • Aetna — Commercial|PPO: $1,088.76
  • Aetna — Medicare|All Plans: $452.77
  • BCBS - Anthem — Commercial|All Other Plans: $6,719
  • BCBS - Anthem — Commercial|Connection EPO: $5,375
  • BCBS - Anthem — Commercial|MCS: $7,739
  • BCBS - Anthem — Medicaid|< 21: $281.80
  • BCBS - Anthem — Medicaid|> 21: $281.80
  • BCBS - Anthem — Medicare|All Plans: $426.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON $10,023 $2,535.96 $1,102.53 – $9,221.16
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $5,512.65
  • Cigna — Commercial|LocalPlus: $4,109.43
  • First Health — Commercial|All Plans: $9,020.70
  • Healthsmart — Commercial|All Plans: $9,020.70
  • Kaiser — Commercial|All Plans: $5,412.42
  • Kaiser — Medicaid|All Plans: $4,109.43
  • Magellan — Commercial|All Plans: $6,013.80
  • MultiPlan — Commercial|All Plans: $9,221.16
  • Sutter Health — Commercial|All Plans: $8,018.40
  • WCMG — Commercial|All Plans: $1,102.53
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON $1,874 $474.15 $119.34 – $1,874
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $415.92
  • Aetna — Commercial|HMO: $415.92
  • Aetna — Commercial|PPO: $415.92
  • Aetna — Medicare|All Plans: $135.68
  • BCBS - Anthem — Commercial|All Other Plans: $1,855.26
  • BCBS - Anthem — Commercial|Connection EPO: $1,480.46
  • BCBS - Anthem — Commercial|MCS: $1,874
  • BCBS - Anthem — Medicaid|< 21: $119.34
  • BCBS - Anthem — Medicaid|> 21: $119.34
  • BCBS - Anthem — Medicare|All Plans: $127.95
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON $1,874 $474.15 $206.14 – $1,724.08
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $1,030.70
  • Cigna — Commercial|LocalPlus: $768.34
  • First Health — Commercial|All Plans: $1,686.60
  • Healthsmart — Commercial|All Plans: $1,686.60
  • Kaiser — Commercial|All Plans: $1,011.96
  • Kaiser — Medicaid|All Plans: $768.34
  • Magellan — Commercial|All Plans: $1,124.40
  • MultiPlan — Commercial|All Plans: $1,724.08
  • Sutter Health — Commercial|All Plans: $1,499.20
  • WCMG — Commercial|All Plans: $206.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES $1,301 $329.18 $127.95 – $1,301
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $415.92
  • Aetna — Commercial|HMO: $415.92
  • Aetna — Commercial|PPO: $415.92
  • Aetna — Medicare|All Plans: $135.68
  • BCBS - Anthem — Commercial|All Other Plans: $1,287.99
  • BCBS - Anthem — Commercial|Connection EPO: $1,027.79
  • BCBS - Anthem — Commercial|MCS: $1,301
  • BCBS - Anthem — Medicaid|< 21: $135.29
  • BCBS - Anthem — Medicaid|> 21: $135.29
  • BCBS - Anthem — Medicare|All Plans: $127.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES $1,301 $329.18 $143.11 – $1,196.92
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $715.55
  • Cigna — Commercial|LocalPlus: $533.41
  • First Health — Commercial|All Plans: $1,170.90
  • Healthsmart — Commercial|All Plans: $1,170.90
  • Kaiser — Commercial|All Plans: $702.54
  • Kaiser — Medicaid|All Plans: $533.41
  • Magellan — Commercial|All Plans: $780.60
  • MultiPlan — Commercial|All Plans: $1,196.92
  • Sutter Health — Commercial|All Plans: $1,040.80
  • WCMG — Commercial|All Plans: $143.11
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $1,874 $474.15 $97.04 – $1,874
Transvaginal ultrasound: 10 of 39 insurance plan rates
  • Aetna — Commercial|All Other Plans: $395.30
  • Aetna — Commercial|HMO: $395.30
  • Aetna — Commercial|PPO: $395.30
  • Aetna — Medicare|All Plans: $135.68
  • BCBS - Anthem — Commercial|All Other Plans: $1,556.74
  • BCBS - Anthem — Commercial|Connection EPO: $1,245.13
  • BCBS - Anthem — Commercial|MCS: $1,792.73
  • BCBS - Anthem — Medicaid|< 21: $97.04
  • BCBS - Anthem — Medicaid|> 21: $97.04
  • BCBS - Anthem — Medicare|All Plans: $127.95
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL $1,874 $474.15 $206.14 – $1,724.08
Transvaginal ultrasound: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $1,030.70
  • Cigna — Commercial|LocalPlus: $768.34
  • First Health — Commercial|All Plans: $1,686.60
  • Healthsmart — Commercial|All Plans: $1,686.60
  • Kaiser — Commercial|All Plans: $1,011.96
  • Kaiser — Medicaid|All Plans: $768.34
  • Magellan — Commercial|All Plans: $1,124.40
  • MultiPlan — Commercial|All Plans: $1,724.08
  • Sutter Health — Commercial|All Plans: $1,499.20
  • WCMG — Commercial|All Plans: $206.14

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG 12 LEAD INTRP/RPRT $606 $153.33 $32.93 – $18,884 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 29 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $599.94
  • BCBS - Anthem — Commercial|Connection EPO: $478.74
  • BCBS - Anthem — Commercial|MCS: $606
  • BCBS - Anthem — Medicaid|< 21: $32.93
  • BCBS - Anthem — Medicaid|> 21: $32.93
  • California Health & Wellness — Medicaid|All Plans: $131.57
  • Cigna — Commercial|All Other Plans: $333.30
  • Cigna — Commercial|LocalPlus: $248.46
  • First Health — Commercial|All Plans: $545.40
  • Health Net — Medicaid|All Plans: $131.57
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: ECG 12 LEAD INTRP/RPRT $606 $153.33 $66.66 – $557.52
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $333.30
  • Cigna — Commercial|LocalPlus: $248.46
  • First Health — Commercial|All Plans: $545.40
  • Healthsmart — Commercial|All Plans: $545.40
  • Kaiser — Commercial|All Plans: $327.24
  • Kaiser — Medicaid|All Plans: $248.46
  • Magellan — Commercial|All Plans: $363.60
  • MultiPlan — Commercial|All Plans: $557.52
  • Sutter Health — Commercial|All Plans: $484.80
  • WCMG — Commercial|All Plans: $66.66
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LT HRT CTH VENTRICULGRPHY $38,358 $9,705.11 $875.40 – $38,358
Left heart catheterization (diagnostic): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $18,112
  • Aetna — Commercial|HMO: $18,112
  • Aetna — Commercial|PPO: $18,112
  • Aetna — Medicare|All Plans: $4,207.42
  • BCBS - Anthem — Commercial|All Other Plans: $16,622
  • BCBS - Anthem — Commercial|Connection EPO: $13,298
  • BCBS - Anthem — Commercial|MCS: $19,946
  • BCBS - Anthem — Medicaid|< 21: $875.40
  • BCBS - Anthem — Medicaid|> 21: $875.40
  • BCBS - Anthem — Medicare|All Plans: $3,967.60
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LT HRT CTH VENTRICULGRPHY $38,358 $9,705.11 $4,219.38 – $35,289.36
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $21,096.90
  • Cigna — Commercial|LocalPlus: $15,726.78
  • First Health — Commercial|All Plans: $34,522.20
  • Healthsmart — Commercial|All Plans: $34,522.20
  • Kaiser — Commercial|All Plans: $20,713.32
  • Kaiser — Medicaid|All Plans: $15,726.78
  • Magellan — Commercial|All Plans: $23,014.80
  • MultiPlan — Commercial|All Plans: $35,289.36
  • Sutter Health — Commercial|All Plans: $30,686.40
  • WCMG — Commercial|All Plans: $4,219.38
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EP AFIB ABL PV ISOL 3DMAP $62,750 $15,876.62 $1,010.36 – $62,750
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $18,112
  • Aetna — Commercial|HMO: $18,112
  • Aetna — Commercial|PPO: $18,112
  • Aetna — Medicare|All Plans: $33,922.08
  • BCBS - Anthem — Commercial|All Other Plans: $23,147
  • BCBS - Anthem — Commercial|Connection EPO: $18,518
  • BCBS - Anthem — Commercial|MCS: $27,776
  • BCBS - Anthem — Medicaid|< 21: $1,010.36
  • BCBS - Anthem — Medicaid|> 21: $1,010.36
  • BCBS - Anthem — Medicare|All Plans: $31,988.52
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EP AFIB ABL PV ISOL 3DMAP $62,750 $15,876.62 $6,902.50 – $57,730
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $34,512.50
  • Cigna — Commercial|LocalPlus: $25,727.50
  • First Health — Commercial|All Plans: $56,475
  • Healthsmart — Commercial|All Plans: $56,475
  • Kaiser — Commercial|All Plans: $33,885
  • Kaiser — Medicaid|All Plans: $25,727.50
  • Magellan — Commercial|All Plans: $37,650
  • MultiPlan — Commercial|All Plans: $57,730
  • Sutter Health — Commercial|All Plans: $50,200
  • WCMG — Commercial|All Plans: $6,902.50

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHER PAT 16-37 MIN $434 $109.81 $47.74 – $434
Psychotherapy, 30 minutes: 10 of 30 insurance plan rates
  • Aetna — Medicare|All Plans: $230.36
  • BCBS - Anthem — Commercial|All Other Plans: $434
  • BCBS - Anthem — Commercial|Connection EPO: $434
  • BCBS - Anthem — Commercial|MCS: $434
  • BCBS - Anthem — Medicaid|< 21: $60.67
  • BCBS - Anthem — Medicaid|> 21: $60.67
  • BCBS - Anthem — Medicare|All Plans: $217.23
  • Blue Shield CA — Medicare|All Plans: $230.36
  • California Health & Wellness — Medicaid|All Plans: $168.97
  • Cigna — Commercial|All Other Plans: $238.70
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYCHOTHER PAT 16-37 MIN $434 $109.81 $47.74 – $399.28
Psychotherapy, 30 minutes: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $238.70
  • Cigna — Commercial|LocalPlus: $177.94
  • First Health — Commercial|All Plans: $390.60
  • Healthsmart — Commercial|All Plans: $390.60
  • Kaiser — Commercial|All Plans: $234.36
  • Kaiser — Medicaid|All Plans: $177.94
  • Magellan — Commercial|All Plans: $260.40
  • MultiPlan — Commercial|All Plans: $399.28
  • Sutter Health — Commercial|All Plans: $347.20
  • WCMG — Commercial|All Plans: $47.74
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHER PAT 38-52 MIN $540 $136.63 $59.40 – $540
Psychotherapy, 45 minutes: 10 of 30 insurance plan rates
  • Aetna — Medicare|All Plans: $230.36
  • BCBS - Anthem — Commercial|All Other Plans: $540
  • BCBS - Anthem — Commercial|Connection EPO: $540
  • BCBS - Anthem — Commercial|MCS: $540
  • BCBS - Anthem — Medicaid|< 21: $77.07
  • BCBS - Anthem — Medicaid|> 21: $77.07
  • BCBS - Anthem — Medicare|All Plans: $217.23
  • Blue Shield CA — Medicare|All Plans: $230.36
  • California Health & Wellness — Medicaid|All Plans: $214.65
  • Cigna — Commercial|All Other Plans: $297
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHER PAT 38-52 MIN $540 $136.63 $59.40 – $496.80
Psychotherapy, 45 minutes: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $297
  • Cigna — Commercial|LocalPlus: $221.40
  • First Health — Commercial|All Plans: $486
  • Healthsmart — Commercial|All Plans: $486
  • Kaiser — Commercial|All Plans: $291.60
  • Kaiser — Medicaid|All Plans: $221.40
  • Magellan — Commercial|All Plans: $324
  • MultiPlan — Commercial|All Plans: $496.80
  • Sutter Health — Commercial|All Plans: $432
  • WCMG — Commercial|All Plans: $59.40
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY PAT >53 MIN $709 $179.39 $77.99 – $709
Psychotherapy, 60 minutes: 10 of 30 insurance plan rates
  • Aetna — Medicare|All Plans: $230.36
  • BCBS - Anthem — Commercial|All Other Plans: $709
  • BCBS - Anthem — Commercial|Connection EPO: $709
  • BCBS - Anthem — Commercial|MCS: $709
  • BCBS - Anthem — Medicaid|< 21: $112.48
  • BCBS - Anthem — Medicaid|> 21: $112.48
  • BCBS - Anthem — Medicare|All Plans: $217.23
  • Blue Shield CA — Medicare|All Plans: $230.36
  • California Health & Wellness — Medicaid|All Plans: $313.29
  • Cigna — Commercial|All Other Plans: $389.95
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY PAT >53 MIN $709 $179.39 $77.99 – $652.28
Psychotherapy, 60 minutes: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $389.95
  • Cigna — Commercial|LocalPlus: $290.69
  • First Health — Commercial|All Plans: $638.10
  • Healthsmart — Commercial|All Plans: $638.10
  • Kaiser — Commercial|All Plans: $382.86
  • Kaiser — Medicaid|All Plans: $290.69
  • Magellan — Commercial|All Plans: $425.40
  • MultiPlan — Commercial|All Plans: $652.28
  • Sutter Health — Commercial|All Plans: $567.20
  • WCMG — Commercial|All Plans: $77.99
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 30MIN $237 $59.97 $3.98 – $237
Group psychotherapy: 10 of 30 insurance plan rates
  • Aetna — Medicare|All Plans: $131.84
  • BCBS - Anthem — Commercial|All Other Plans: $237
  • BCBS - Anthem — Commercial|Connection EPO: $237
  • BCBS - Anthem — Commercial|MCS: $237
  • BCBS - Anthem — Medicaid|< 21: $3.98
  • BCBS - Anthem — Medicaid|> 21: $3.98
  • BCBS - Anthem — Medicare|All Plans: $124.33
  • Blue Shield CA — Medicare|All Plans: $131.84
  • California Health & Wellness — Medicaid|All Plans: $15.90
  • Cigna — Commercial|All Other Plans: $130.35
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY 60MIN $296 $74.90 $3.98 – $296
Group psychotherapy: 10 of 30 insurance plan rates
  • Aetna — Medicare|All Plans: $131.84
  • BCBS - Anthem — Commercial|All Other Plans: $296
  • BCBS - Anthem — Commercial|Connection EPO: $296
  • BCBS - Anthem — Commercial|MCS: $296
  • BCBS - Anthem — Medicaid|< 21: $3.98
  • BCBS - Anthem — Medicaid|> 21: $3.98
  • BCBS - Anthem — Medicare|All Plans: $124.33
  • Blue Shield CA — Medicare|All Plans: $131.84
  • California Health & Wellness — Medicaid|All Plans: $15.90
  • Cigna — Commercial|All Other Plans: $162.80
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY 30MIN $237 $59.97 $26.07 – $218.04
Group psychotherapy: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $130.35
  • Cigna — Commercial|LocalPlus: $97.17
  • First Health — Commercial|All Plans: $213.30
  • Healthsmart — Commercial|All Plans: $213.30
  • Kaiser — Commercial|All Plans: $127.98
  • Kaiser — Medicaid|All Plans: $97.17
  • Magellan — Commercial|All Plans: $142.20
  • MultiPlan — Commercial|All Plans: $218.04
  • Sutter Health — Commercial|All Plans: $189.60
  • WCMG — Commercial|All Plans: $26.07

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $302.26 – $18,163
Removal of breast growth (open surgery): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9,058
  • Aetna — Commercial|HMO: $9,058
  • Aetna — Commercial|PPO: $9,058
  • Aetna — Medicare|All Plans: $5,081.50
  • BCBS - Anthem — Commercial|All Other Plans: $9,063
  • BCBS - Anthem — Commercial|Connection EPO: $7,250
  • BCBS - Anthem — Commercial|MCS: $10,876
  • BCBS - Anthem — Medicaid|< 21: $302.26
  • BCBS - Anthem — Medicaid|> 21: $302.26
  • BCBS - Anthem — Medicare|All Plans: $4,791.85
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $1,708.89 – $38,248
Total hip replacement: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $15,850
  • Aetna — Commercial|HMO: $15,850
  • Aetna — Commercial|PPO: $15,850
  • Aetna — Medicare|All Plans: $16,662.22
  • BCBS - Anthem — Commercial|All Other Plans: $13,574
  • BCBS - Anthem — Commercial|Connection EPO: $10,859
  • BCBS - Anthem — Commercial|MCS: $16,289
  • BCBS - Anthem — Medicaid|< 21: $1,708.89
  • BCBS - Anthem — Medicaid|> 21: $1,708.89
  • BCBS - Anthem — Medicare|All Plans: $15,712.47
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $1,708.89 – $38,248
Total knee replacement: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $15,850
  • Aetna — Commercial|HMO: $15,850
  • Aetna — Commercial|PPO: $15,850
  • Aetna — Medicare|All Plans: $16,662.22
  • BCBS - Anthem — Commercial|All Other Plans: $23,147
  • BCBS - Anthem — Commercial|Connection EPO: $18,518
  • BCBS - Anthem — Commercial|MCS: $27,776
  • BCBS - Anthem — Medicaid|< 21: $1,708.89
  • BCBS - Anthem — Medicaid|> 21: $1,708.89
  • BCBS - Anthem — Medicare|All Plans: $15,712.47
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $605.06 – $15,719
Shoulder arthroscopy: shaving of shoulder bone: 10 of 38 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9,058
  • Aetna — Commercial|HMO: $9,058
  • Aetna — Commercial|PPO: $9,058
  • BCBS - Anthem — Commercial|All Other Plans: $13,099
  • BCBS - Anthem — Commercial|Connection EPO: $10,479
  • BCBS - Anthem — Commercial|MCS: $15,719
  • BCBS - Anthem — Medicaid|< 21: $605.06
  • BCBS - Anthem — Medicaid|> 21: $605.06
  • Blue Shield CA — Commercial|ACO Trio: $4,857
  • Blue Shield CA — Commercial|ACO Trio CalPers: $5,792
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $790.35 – $22,948
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $11,320
  • Aetna — Commercial|HMO: $11,320
  • Aetna — Commercial|PPO: $11,320
  • Aetna — Medicare|All Plans: $4,246.45
  • BCBS - Anthem — Commercial|All Other Plans: $12,094
  • BCBS - Anthem — Commercial|Connection EPO: $9,675
  • BCBS - Anthem — Commercial|MCS: $14,513
  • BCBS - Anthem — Medicaid|< 21: $790.35
  • BCBS - Anthem — Medicaid|> 21: $790.35
  • BCBS - Anthem — Medicare|All Plans: $4,004.40
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $193.53 – $18,163
Removal of tonsils and adenoids (under age 12): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9,058
  • Aetna — Commercial|HMO: $9,058
  • Aetna — Commercial|PPO: $9,058
  • Aetna — Medicare|All Plans: $7,682.84
  • BCBS - Anthem — Commercial|All Other Plans: $12,094
  • BCBS - Anthem — Commercial|Connection EPO: $9,675
  • BCBS - Anthem — Commercial|MCS: $14,513
  • BCBS - Anthem — Medicaid|< 21: $193.53
  • BCBS - Anthem — Medicaid|> 21: $193.53
  • BCBS - Anthem — Medicare|All Plans: $7,244.92
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $257.18 – $13,385
Upper GI endoscopy (diagnostic): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,665
  • Aetna — Commercial|HMO: $5,665
  • Aetna — Commercial|PPO: $5,665
  • Aetna — Medicare|All Plans: $1,177.10
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $257.18
  • BCBS - Anthem — Medicaid|> 21: $257.18
  • BCBS - Anthem — Medicare|All Plans: $1,110.01
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $268.73 – $13,385
Upper GI endoscopy with biopsy: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $1,177.10
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $268.73
  • BCBS - Anthem — Medicaid|> 21: $268.73
  • BCBS - Anthem — Medicare|All Plans: $1,110.01
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $338.78 – $13,385
Colonoscopy (diagnostic): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $1,206.91
  • BCBS - Anthem — Commercial|All Other Plans: $5,043
  • BCBS - Anthem — Commercial|Connection EPO: $4,034
  • BCBS - Anthem — Commercial|MCS: $6,052
  • BCBS - Anthem — Medicaid|< 21: $338.78
  • BCBS - Anthem — Medicaid|> 21: $338.78
  • BCBS - Anthem — Medicare|All Plans: $1,138.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $378.95 – $13,385
Colonoscopy with biopsy: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $1,553.02
  • BCBS - Anthem — Commercial|All Other Plans: $5,043
  • BCBS - Anthem — Commercial|Connection EPO: $4,034
  • BCBS - Anthem — Commercial|MCS: $6,052
  • BCBS - Anthem — Medicaid|< 21: $378.95
  • BCBS - Anthem — Medicaid|> 21: $378.95
  • BCBS - Anthem — Medicare|All Plans: $1,464.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $459.26 – $13,385
Colonoscopy with removal of polyps (snare): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $1,553.02
  • BCBS - Anthem — Commercial|All Other Plans: $5,043
  • BCBS - Anthem — Commercial|Connection EPO: $4,034
  • BCBS - Anthem — Commercial|MCS: $6,052
  • BCBS - Anthem — Medicaid|< 21: $459.26
  • BCBS - Anthem — Medicaid|> 21: $459.26
  • BCBS - Anthem — Medicare|All Plans: $1,464.50
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $194.68 – $13,385
Ultrasound of the lower bowel by endoscope: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $1,553.02
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $194.68
  • BCBS - Anthem — Medicaid|> 21: $194.68
  • BCBS - Anthem — Medicare|All Plans: $1,464.50
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $534.88 – $33,465
Gallbladder removal by laparoscope: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $12,453
  • Aetna — Commercial|HMO: $12,453
  • Aetna — Commercial|PPO: $12,453
  • Aetna — Medicare|All Plans: $7,845.97
  • BCBS - Anthem — Commercial|All Other Plans: $23,147
  • BCBS - Anthem — Commercial|Connection EPO: $18,518
  • BCBS - Anthem — Commercial|MCS: $27,776
  • BCBS - Anthem — Medicaid|< 21: $534.88
  • BCBS - Anthem — Medicaid|> 21: $534.88
  • BCBS - Anthem — Medicare|All Plans: $7,398.75
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $394.76 – $22,948
Groin (inguinal) hernia repair, age 5 or older: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $11,320
  • Aetna — Commercial|HMO: $11,320
  • Aetna — Commercial|PPO: $11,320
  • Aetna — Medicare|All Plans: $4,646.69
  • BCBS - Anthem — Commercial|All Other Plans: $12,094
  • BCBS - Anthem — Commercial|Connection EPO: $9,675
  • BCBS - Anthem — Commercial|MCS: $14,513
  • BCBS - Anthem — Medicaid|< 21: $394.76
  • BCBS - Anthem — Medicaid|> 21: $394.76
  • BCBS - Anthem — Medicare|All Plans: $4,381.83
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $100.40 – $11,555
Prostate biopsy: 10 of 23 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $100.40
  • BCBS - Anthem — Medicaid|> 21: $100.40
  • Health Net — Commercial|FFS: $11,555
  • United — Commercial|Navigate Select: $8,748
  • United — Commercial|Non-Options PPO: $8,748
  • United — Medicaid|< 21: $100.40
  • United — Medicaid|> 21: $100.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $1,093.88 – $38,248
Prostate removal by laparoscope (radical prostatectomy): 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $12,453
  • Aetna — Commercial|HMO: $12,453
  • Aetna — Commercial|PPO: $12,453
  • Aetna — Medicare|All Plans: $13,795.55
  • BCBS - Anthem — Commercial|All Other Plans: $15,615
  • BCBS - Anthem — Commercial|Connection EPO: $12,492
  • BCBS - Anthem — Commercial|MCS: $18,738
  • BCBS - Anthem — Medicaid|< 21: $1,093.88
  • BCBS - Anthem — Medicaid|> 21: $1,093.88
  • BCBS - Anthem — Medicare|All Plans: $13,009.20
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $251.48 – $18,163
Hysteroscopy with biopsy of the uterus lining: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $9,058
  • Aetna — Commercial|HMO: $9,058
  • Aetna — Commercial|PPO: $9,058
  • Aetna — Medicare|All Plans: $4,201.19
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $251.48
  • BCBS - Anthem — Medicaid|> 21: $251.48
  • BCBS - Anthem — Medicare|All Plans: $3,961.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG $2,505 $633.80 $220.03 – $11,949
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,665
  • Aetna — Commercial|HMO: $5,665
  • Aetna — Commercial|PPO: $5,665
  • Aetna — Medicare|All Plans: $916.10
  • BCBS - Anthem — Commercial|All Other Plans: $5,043
  • BCBS - Anthem — Commercial|Connection EPO: $4,034
  • BCBS - Anthem — Commercial|MCS: $6,052
  • BCBS - Anthem — Medicaid|< 21: $220.03
  • BCBS - Anthem — Medicaid|> 21: $220.03
  • BCBS - Anthem — Medicare|All Plans: $863.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG $2,505 $633.80 $275.55 – $2,304.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $1,377.75
  • Cigna — Commercial|LocalPlus: $1,027.05
  • First Health — Commercial|All Plans: $2,254.50
  • Healthsmart — Commercial|All Plans: $2,254.50
  • Kaiser — Commercial|All Plans: $1,352.70
  • Kaiser — Medicaid|All Plans: $1,027.05
  • Magellan — Commercial|All Plans: $1,503
  • MultiPlan — Commercial|All Plans: $2,304.60
  • Sutter Health — Commercial|All Plans: $2,004
  • WCMG — Commercial|All Plans: $275.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EP L/S SNG IN BI $4,570 $1,156.28 $164.49 – $11,949
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,665
  • Aetna — Commercial|HMO: $5,665
  • Aetna — Commercial|PPO: $5,665
  • Aetna — Medicare|All Plans: $1,147.88
  • BCBS - Anthem — Commercial|All Other Plans: $5,043
  • BCBS - Anthem — Commercial|Connection EPO: $4,034
  • BCBS - Anthem — Commercial|MCS: $6,052
  • BCBS - Anthem — Medicaid|< 21: $164.49
  • BCBS - Anthem — Medicaid|> 21: $164.49
  • BCBS - Anthem — Medicare|All Plans: $1,082.45
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EPI L/S SNGL INJ $3,047 $770.94 $164.49 – $11,949
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,665
  • Aetna — Commercial|HMO: $5,665
  • Aetna — Commercial|PPO: $5,665
  • Aetna — Medicare|All Plans: $1,147.88
  • BCBS - Anthem — Commercial|All Other Plans: $5,043
  • BCBS - Anthem — Commercial|Connection EPO: $4,034
  • BCBS - Anthem — Commercial|MCS: $6,052
  • BCBS - Anthem — Medicaid|< 21: $164.49
  • BCBS - Anthem — Medicaid|> 21: $164.49
  • BCBS - Anthem — Medicare|All Plans: $1,082.45
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EP L/S SNG IN BI $4,570 $1,156.28 $502.70 – $4,204.40
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Cigna — Commercial|All Other Plans: $2,513.50
  • Cigna — Commercial|LocalPlus: $1,873.70
  • First Health — Commercial|All Plans: $4,113
  • Healthsmart — Commercial|All Plans: $4,113
  • Kaiser — Commercial|All Plans: $2,467.80
  • Kaiser — Medicaid|All Plans: $1,873.70
  • Magellan — Commercial|All Plans: $2,742
  • MultiPlan — Commercial|All Plans: $4,204.40
  • Sutter Health — Commercial|All Plans: $3,656
  • WCMG — Commercial|All Plans: $502.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $363.57 – $18,163
Carpal tunnel release: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $2,534.27
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $363.57
  • BCBS - Anthem — Medicaid|> 21: $363.57
  • BCBS - Anthem — Medicare|All Plans: $2,389.82
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $213.61 – $11,949
Laser treatment of clouding after cataract surgery: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $7,928
  • Aetna — Commercial|HMO: $7,928
  • Aetna — Commercial|PPO: $7,928
  • Aetna — Medicare|All Plans: $713.79
  • BCBS - Anthem — Commercial|All Other Plans: $7,060
  • BCBS - Anthem — Commercial|Connection EPO: $5,648
  • BCBS - Anthem — Commercial|MCS: $8,472
  • BCBS - Anthem — Medicaid|< 21: $213.61
  • BCBS - Anthem — Medicaid|> 21: $213.61
  • BCBS - Anthem — Medicare|All Plans: $673.10
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,153.50 – $18,738
Cataract removal with lens implant: 10 of 46 insurance plan rates
  • Aetna — Commercial|All Other Plans: $12,453
  • Aetna — Commercial|HMO: $12,453
  • Aetna — Commercial|PPO: $12,453
  • Aetna — Medicare|All Plans: $2,995.13
  • BCBS - Anthem — Commercial|All Other Plans: $15,615
  • BCBS - Anthem — Commercial|Connection EPO: $12,492
  • BCBS - Anthem — Commercial|MCS: $18,738
  • BCBS - Anthem — Medicaid|< 21: $1,153.50
  • BCBS - Anthem — Medicaid|> 21: $1,153.50
  • BCBS - Anthem — Medicare|All Plans: $2,824.41

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,994.02 – $14,600
Vaginal delivery, with care before and after: 10 of 29 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $12,167
  • BCBS - Anthem — Commercial|Connection EPO: $9,734
  • BCBS - Anthem — Commercial|MCS: $14,600
  • BCBS - Anthem — Medicaid|< 21: $1,994.02
  • BCBS - Anthem — Medicaid|> 21: $1,994.02
  • Blue Shield CA — Commercial|ACO Trio: $4,250
  • Blue Shield CA — Commercial|ACO Trio CalPers: $5,068
  • Blue Shield CA — Commercial|All Other Plans: $7,986
  • Blue Shield CA — Commercial|Calpers PPO: $7,218
  • Blue Shield CA — Commercial|Exchange: $4,223
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,995.21 – $14,600
Cesarean delivery (C-section), with care before and after: 10 of 29 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $12,167
  • BCBS - Anthem — Commercial|Connection EPO: $9,734
  • BCBS - Anthem — Commercial|MCS: $14,600
  • BCBS - Anthem — Medicaid|< 21: $1,995.21
  • BCBS - Anthem — Medicaid|> 21: $1,995.21
  • Blue Shield CA — Commercial|ACO Trio: $4,857
  • Blue Shield CA — Commercial|ACO Trio CalPers: $5,792
  • Blue Shield CA — Commercial|All Other Plans: $9,127
  • Blue Shield CA — Commercial|Calpers PPO: $8,249
  • Blue Shield CA — Commercial|Exchange: $4,826
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,994.02 – $14,600
Vaginal delivery after a previous C-section, with care before and after: 10 of 29 insurance plan rates
  • BCBS - Anthem — Commercial|All Other Plans: $12,167
  • BCBS - Anthem — Commercial|Connection EPO: $9,734
  • BCBS - Anthem — Commercial|MCS: $14,600
  • BCBS - Anthem — Medicaid|< 21: $1,994.02
  • BCBS - Anthem — Medicaid|> 21: $1,994.02
  • Blue Shield CA — Commercial|ACO Trio: $4,250
  • Blue Shield CA — Commercial|ACO Trio CalPers: $5,068
  • Blue Shield CA — Commercial|All Other Plans: $7,986
  • Blue Shield CA — Commercial|Calpers PPO: $7,218
  • Blue Shield CA — Commercial|Exchange: $4,223

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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 $1,518 – $62,023
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 28 insurance plan rates
  • Aetna — Commercial|All Other Plans: $17,828
  • Aetna — Commercial|HMO: $17,828
  • Aetna — Commercial|PPO: $17,828
  • Aetna — Medicare|All Plans: $10,635.92
  • BCBS - Anthem — Medicare|All Plans: $10,635.92
  • Blue Shield CA — Medicare|All Plans: $10,635.92
  • Connected Care — Commercial|Intel: $10,635.92
  • Kaiser — Medicare|All Plans: $10,635.92
  • Molina — Medicare|All Plans: $10,635.92
  • United — Commercial|All Other Plans: $37,618
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION Not listed in the file Not listed in the file $1,518 – $38,994
Spinal fusion (not neck), without major complications: 10 of 13 insurance plan rates
  • United — Commercial|Navigate Select: $38,994
  • United — Commercial|Non-Options PPO: $38,994
  • YoloCountyPsych — Medicaid|All Plans: $1,518
  • Cigna — Commercial|All Other Plans: 55% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|LocalPlus: 41% (a percentage in the contract, not a dollar amount)
  • First Health — Commercial|All Plans: 90% (a percentage in the contract, not a dollar amount)
  • Healthsmart — Commercial|All Plans: 90% (a percentage in the contract, not a dollar amount)
  • Kaiser — Commercial|All Plans: 54% (a percentage in the contract, not a dollar amount)
  • Kaiser — Medicaid|All Plans: 41% (a percentage in the contract, not a dollar amount)
  • Magellan — Commercial|All Plans: 60% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $1,518 – $59,667
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates
  • Aetna — Medicare|All Plans: $3,543.52
  • BCBS - Anthem — Medicare|All Plans: $3,543.52
  • Blue Shield CA — Medicare|All Plans: $3,543.52
  • Connected Care — Commercial|Intel: $3,543.52
  • Kaiser — Medicare|All Plans: $3,543.52
  • Molina — Medicare|All Plans: $3,543.52
  • United — Commercial|All Other Plans: $59,667
  • United — Commercial|HMO: $48,392
  • United — Commercial|Navigate Select: $38,994
  • United — Commercial|Non-Options PPO: $38,994
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $1,518 – $59,667
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates
  • Aetna — Medicare|All Plans: $4,006.24
  • BCBS - Anthem — Medicare|All Plans: $4,006.24
  • Blue Shield CA — Medicare|All Plans: $4,006.24
  • Connected Care — Commercial|Intel: $4,006.24
  • Kaiser — Medicare|All Plans: $4,006.24
  • Molina — Medicare|All Plans: $4,006.24
  • United — Commercial|All Other Plans: $59,667
  • United — Commercial|HMO: $48,392
  • United — Commercial|Navigate Select: $38,994
  • United — Commercial|Non-Options PPO: $38,994
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,518 – $37,618
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates
  • Aetna — Medicare|All Plans: $2,922.05
  • BCBS - Anthem — Medicare|All Plans: $2,922.05
  • Blue Shield CA — Medicare|All Plans: $2,922.05
  • Connected Care — Commercial|Intel: $2,922.05
  • Kaiser — Medicare|All Plans: $2,922.05
  • Molina — Medicare|All Plans: $2,922.05
  • United — Commercial|All Other Plans: $37,618
  • United — Commercial|HMO: $30,509
  • United — Commercial|Navigate Select: $24,584
  • United — Commercial|Non-Options PPO: $24,584

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

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

Hospital information

Hospital typeAcute Care Hospital
Address1325 Cottonwood Street, Woodland, CA 95695
CountyYolo County
StateCalifornia
Phone(530) 662‑3961
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050127
Name in Medicare recordsWOODLAND MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteDignity Health - Woodland Memorial Hospital
Official websitecommonspirit.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Dignity Health - Woodland Memorial Hospital — commonspirit.org
  2. Emergency Room - Dignity Health - Woodland Memorial Hospital — commonspirit.org