Hazel Hawkins Memorial Hospital
Hazel Hawkins Memorial Hospital in Hollister, CA publishes cash prices for 136 common procedures listed here, from its own machine-readable price file updated May 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 126 of 136 procedures and above it for 10. By typical cash price it ranks #20 of 226 California hospitals and #1 of 7 hospitals in the San Jose, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
911 Sunset Dr Hollister CA 95023 Collected Oct 30, 2026 Source price file Check a bill from this hospital (831) 637-5711
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 051337 · CMS hospital register NPI 1275578817
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Hazel Hawkins Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Hazel Hawkins Memorial Hospital in Hollister, CA:
- Feb 21, 2024 Warning notice
- May 23, 2024 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT scan of abdomen before and after contrast | $1,000.00 | $1,729.25 | $170.24–$1,729.25 | 65% below | 42% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $50.00 | $174.00 | $33.06–$174.00 | 90% below | 71% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-ray of ankle, minimum of 3 views | $50.00 | $421.00 | $36.06–$421.00 | 90% below | 88% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT scan of arm without contrast | $600.00 | $1,283.50 | $101.47–$1,283.50 | 74% below | 53% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus | $100.00 | $1,039.00 | $54.64–$1,039.00 | 83% below | 90% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $155.00 | $412.25 | $78.33–$412.25 | 71% below | 62% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $1,000.00 | $1,729.25 | $170.24–$1,729.25 | 71% below | 42% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $1,200.00 | $3,500.00 | $231.58–$3,500.00 | 63% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,750.00 | $4,525.00 | $338.61–$4,525.00 | 58% below | 61% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $1,750.00 | $5,500.00 | $338.61–$5,500.00 | 63% below | 68% |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $900.00 | $1,038.50 | $170.24–$1,038.50 | 64% below | 13% |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $600.00 | $1,038.50 | $101.47–$1,038.50 | 69% below | 42% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $600.00 | $1,038.50 | $101.47–$1,038.50 | 73% below | 42% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $600.00 | $1,038.50 | $101.47–$1,038.50 | 74% below | 42% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $600.00 | $2,750.00 | $101.47–$2,750.00 | 79% below | 78% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $600.00 | $1,038.50 | $101.47–$1,038.50 | 79% below | 42% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $900.00 | $1,038.50 | $170.24–$1,038.50 | 65% below | 13% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $405.00 | $2,392.00 | $224.68–$2,392.00 | 67% below | 83% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $170.00 | $519.75 | $98.75–$519.75 | 80% below | 67% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine | $250.00 | $606.25 | $53.59–$606.25 | 50% below | 59% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $600.00 | $1,038.50 | $101.47–$1,038.50 | 70% below | 42% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $900.00 | $1,038.50 | $170.24–$1,038.50 | 69% below | 13% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $280.00 | $599.00 | $113.81–$599.00 | 43% below | 53% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $220.00 | $398.25 | $75.67–$398.25 | 41% below | 45% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $385.00 | $2,658.25 | $231.58–$2,658.25 | 68% below | 86% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-ray of elbow, minimum of 3 views | $50.00 | $462.00 | $37.27–$462.00 | 90% below | 89% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of face bones, minimum of 3 views | $70.00 | $696.50 | $53.47–$696.50 | 86% below | 90% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-ray of forearm, 2 views | $45.00 | $406.50 | $29.81–$406.50 | 89% below | 89% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray of knee, 4 or more views | $60.00 | $217.50 | $39.73–$217.50 | 90% below | 72% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-ray of knee, 4 or more views | $60.00 | $488.00 | $39.73–$488.00 | 90% below | 88% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-ray of knee, 4 or more views | $60.00 | $488.00 | $39.73–$488.00 | 90% below | 88% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-ray of lower leg, 2 views | $45.00 | $406.50 | $29.81–$406.50 | 90% below | 89% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI scan of blood vessels of head without contrast | $1,000.00 | $1,729.25 | $231.58–$1,729.25 | 65% below | 42% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $1,000.00 | $1,729.25 | $231.58–$1,729.25 | 67% below | 42% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $1,600.00 | $6,286.00 | $338.61–$6,286.00 | 63% below | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $1,600.00 | $2,593.00 | $338.61–$2,593.00 | 63% below | 38% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $1,000.00 | $1,729.25 | $231.58–$1,729.25 | 67% below | 42% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $1,600.00 | $2,593.00 | $338.61–$2,593.00 | 65% below | 38% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $1,000.00 | $1,729.25 | $231.58–$1,729.25 | 65% below | 42% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $1,600.00 | $5,479.25 | $338.61–$5,479.25 | 64% below | 71% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $1,000.00 | $1,729.25 | $231.58–$1,729.25 | 67% below | 42% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast | $1,000.00 | $1,729.25 | $231.58–$1,729.25 | 62% below | 42% |
| Neck soft tissue CT scan with contrast CPT 70491 CT scan of soft tissue of neck with contrast | $900.00 | $2,177.00 | $170.24–$2,177.00 | 67% below | 59% |
| Neck soft tissue X-ray CPT 70360 X-ray of soft tissue of neck | $40.00 | $370.50 | $24.82–$370.50 | 88% below | 89% |
| Pelvic CT scan without contrast CPT 72192 CT scan of pelvis without contrast | $600.00 | $1,038.50 | $101.47–$1,038.50 | 69% below | 42% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $130.00 | $563.00 | $97.04–$563.00 | 86% below | 77% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $175.00 | $753.00 | $101.47–$753.00 | 80% below | 77% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus | $95.00 | $433.50 | $82.37–$433.50 | 88% below | 78% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray of ribs on side of body, minimum of 3 views | $80.00 | $525.00 | $46.36–$525.00 | 87% below | 85% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $235.00 | $133.75 | $25.41–$168.89 | 25% below | -76% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $50.00 | $450.25 | $37.09–$450.25 | 91% below | 89% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-ray of shoulder, minimum of 2 views | $50.00 | $450.25 | $37.09–$450.25 | 91% below | 89% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views | $70.00 | $696.50 | $47.84–$696.50 | 85% below | 90% |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull, 1-3 views | $55.00 | $554.50 | $37.27–$554.50 | 86% below | 90% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $550.00 | $8,535.50 | $278.00–$8,535.50 | 89% below | 94% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine without contrast | $600.00 | $2,950.00 | $101.47–$2,950.00 | 79% below | 80% |
| Toe X-ray, 2 or more views CPT 73660 X-ray of toe, minimum of 2 views | $40.00 | $370.50 | $22.36–$370.50 | 88% below | 89% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $135.00 | $1,266.00 | $97.04–$1,266.00 | 81% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus | $135.00 | $519.75 | $98.75–$519.75 | 80% below | 74% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $170.00 | $778.75 | $101.47–$778.75 | 84% below | 78% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $120.00 | $1,150.00 | $85.75–$1,150.00 | 87% below | 90% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $125.00 | $1,248.25 | $85.69–$1,248.25 | 85% below | 90% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray of upper arm, minimum of 2 views | $50.00 | $1,211.73 | $29.81–$1,211.73 | 88% below | 96% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $300.00 | $1,038.50 | $101.47–$1,038.50 | 67% below | 71% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $300.00 | $1,774.50 | $101.47–$1,774.50 | 67% below | 83% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $300.00 | $1,774.50 | $101.47–$1,774.50 | 67% below | 83% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-ray of wrist, minimum of 3 views | $50.00 | $421.00 | $36.06–$421.00 | 90% below | 88% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-ray of wrist, minimum of 3 views | $50.00 | $421.00 | $36.06–$421.00 | 90% below | 88% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $40.00 | $370.50 | $22.36–$370.50 | 89% below | 89% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $45.00 | $174.00 | $33.06–$174.00 | 91% below | 74% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-ray of foot, minimum of 3 views | $45.00 | $421.00 | $34.74–$421.00 | 91% below | 89% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $45.00 | $174.00 | $33.06–$174.00 | 91% below | 74% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-ray of hand, minimum of 3 views | $45.00 | $443.75 | $36.06–$443.75 | 91% below | 90% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $80.00 | $596.50 | $43.45–$596.50 | 83% below | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $80.00 | $708.25 | $62.90–$708.25 | 88% below | 89% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $60.00 | $579.75 | $40.22–$579.75 | 87% below | 90% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $45.00 | $461.75 | $35.56–$461.75 | 90% below | 90% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $55.00 | $528.25 | $37.27–$528.25 | 88% below | 90% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $45.00 | $554.25 | $31.01–$554.25 | 88% below | 92% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $100.00 | $655.00 | $37.30–$655.00 | 46% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic | $25.00 | $278.25 | $8.19–$278.25 | 79% below | 91% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $25.00 | $554.75 | $8.04–$554.75 | 87% below | 95% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $5.00 | $57.00 | $8.87–$91.20 | 76% below | 91% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $20.00 | $278.00 | $7.14–$278.00 | 87% below | 93% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $20.00 | $237.25 | $3.41–$237.25 | 81% below | 92% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $20.00 | $455.00 | $4.92–$455.00 | 63% below | 96% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $40.00 | $936.50 | $12.72–$936.50 | 61% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $25.00 | $520.75 | $7.38–$520.75 | 77% below | 95% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $20.00 | $212.25 | $6.15–$212.25 | 77% below | 91% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $30.00 | $830.50 | $10.03–$830.50 | 88% below | 96% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $45.00 | $225.50 | $12.95–$225.50 | 58% below | 80% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $50.00 | $206.25 | $13.97–$206.25 | 54% below | 76% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $25.00 | $292.75 | $8.57–$292.75 | 63% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $30.00 | $84.50 | $8.21–$84.50 | 54% below | 64% |
| Iron blood test (serum iron) CPT 83540 Iron level | $20.00 | $320.25 | $6.15–$320.25 | 66% below | 94% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $25.00 | $320.25 | $8.30–$320.25 | 66% below | 92% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $25.00 | $114.25 | $8.25–$114.25 | 82% below | 78% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $30.00 | $495.50 | $7.76–$495.50 | 80% below | 94% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $20.00 | $229.75 | $4.92–$229.75 | 81% below | 91% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $50.00 | $325.00 | $45.42–$325.00 | 78% below | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $55.00 | $706.25 | $17.47–$706.25 | 8% below | 92% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $20.00 | $395.00 | $5.71–$395.00 | 68% below | 95% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $20.00 | $320.25 | $4.08–$320.25 | 64% below | 94% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $30.00 | $210.00 | $10.03–$210.00 | 72% below | 86% |
| Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) | $45.00 | $285.25 | $13.67–$285.25 | 11% below | 84% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis | $45.00 | $738.75 | $11.69–$1,182.00 | 68% below | 94% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $20.00 | $174.50 | $3.56–$174.50 | 49% below | 89% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $25.00 | $167.75 | $4.06–$167.75 | 86% above | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $50.00 | $495.50 | $15.96–$495.50 | 46% below | 90% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total | $30.00 | $252.50 | $6.53–$252.50 | 23% below | 88% |
| Troponin test, quantitative CPT 84484 Troponin (protein) analysis, quantitative | $60.00 | $931.50 | $11.85–$931.50 | 67% below | 94% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $20.00 | $345.00 | $3.01–$345.00 | 76% below | 94% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $7.00 | $30.75 | $1.07–$30.75 | 80% below | 77% |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $25.00 | $299.00 | $7.67–$299.00 | 82% below | 92% |
| Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level | $25.00 | $339.50 | $5.49–$339.50 | 32% below | 93% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $50.00 | $211.50 | $14.33–$211.50 | 47% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $90.00 | $360.00 | $28.12–$360.00 | 41% above | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $40.00 | $495.50 | $14.30–$495.50 | 78% below | 92% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $1,500.00 | $6,867.50 | $299.39–$6,867.50 | 34% below | 78% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $1,500.00 | $5,330.75 | $299.39–$5,330.75 | 36% below | 72% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $1,500.00 | $4,844.25 | $295.23–$4,844.25 | 28% below | 69% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $19,806.00 | $11,713.25 | $299.39–$19,350.00 | 50% above | -69% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $10,346.00 | $6,408.75 | $299.39–$10,500.00 | 40% above | -61% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $10,346.00 | $12,105.50 | $299.39–$12,105.50 | 101% above | 15% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal | $4,310.00 | $2,310.50 | $138.50–$4,200.00 | 141% above | -87% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope | $11,200.00 | $13,240.50 | $299.39–$13,240.50 | 114% above | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,500.00 | $4,178.00 | $234.18–$5,900.00 | 15% below | 64% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,500.00 | $3,602.00 | $224.12–$5,900.00 | 20% below | 58% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $75.00 | $320.75 | $21.77–$4,543.00 | 82% below | 77% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $75.00 | $495.25 | $34.97–$4,543.00 | 91% below | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $75.00 | $623.00 | $63.97–$4,543.00 | 95% below | 88% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $180.00 | $594.50 | $82.05–$594.50 | 16% below | 70% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $180.00 | $847.00 | $96.38–$847.00 | 26% below | 79% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $180.00 | $1,140.25 | $96.38–$1,140.25 | 47% below | 84% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $75.00 | $120.25 | $22.85–$120.25 | 25% below | 38% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) | $180.00 | $661.50 | $96.38–$1,058.40 | 19% above | 73% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) | $180.00 | $661.50 | $96.38–$1,058.40 | 7% above | 73% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $180.00 | $337.00 | $75.84–$337.00 | 43% below | 47% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $180.00 | $397.50 | $96.33–$397.50 | 43% below | 55% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $75.00 | $606.50 | $96.38–$606.50 | 80% below | 88% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $75.00 | $397.50 | $34.43–$397.50 | 48% below | 81% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $75.00 | $534.75 | $53.79–$534.75 | 63% below | 86% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $75.00 | $386.00 | $25.96–$386.00 | 35% below | 81% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $180.00 | $224.00 | $58.24–$358.40 | 4% above | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $75.00 | $853.75 | $96.38–$1,366.00 | 63% below | 91% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHHMHHOLLISTERCA&type=CDMWithoutLabel&fileType=CSV