|
Oak Valley Hospital District
Oakdale, CA · CMS ID: 050067
This hospital has pricing data for 29 procedures ranging from $12 to $5,787.
Procedures (29)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$554
Gross Charge
$738
Insurance Negotiated Rates
Blue Cross Blue Shield$25
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$770
Gross Charge
$1,026
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$39
Cash Price
(No Insurance)
$293
Gross Charge
$390
Insurance Negotiated Rates
Humana$8
Cash Price
(No Insurance)
$819
Gross Charge
$1,092
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$11
Cash Price
(No Insurance)
$5,787
Gross Charge
$7,716
Insurance Negotiated Rates
Blue Cross Blue Shield$404
Cash Price
(No Insurance)
$5,319
Gross Charge
$7,092
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$257
CT Chest Low Dose
71271Cash Price
(No Insurance)
$2,763
Gross Charge
$3,684
Insurance Negotiated Rates
Humana$134
Cash Price
(No Insurance)
$3,065
Gross Charge
$4,086
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$226
ER Visit Level 3
99283Cash Price
(No Insurance)
$1,229
Gross Charge
$1,638
Insurance Negotiated Rates
Blue Cross Blue Shield$64
ER Visit Level 4
99284Cash Price
(No Insurance)
$2,097
Gross Charge
$2,796
Insurance Negotiated Rates
Aetna$85
ER Visit Level 5
99285Cash Price
(No Insurance)
$2,862
Gross Charge
$3,816
Insurance Negotiated Rates
Aetna$85
Hemoglobin A1C
83036Cash Price
(No Insurance)
$387
Gross Charge
$516
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$10
Knee X-Ray
73560Cash Price
(No Insurance)
$1,107
Gross Charge
$1,476
Insurance Negotiated Rates
Blue Cross Blue Shield$27
Lipid Panel
80061Cash Price
(No Insurance)
$468
Gross Charge
$624
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$872
Gross Charge
$1,162
Insurance Negotiated Rates
Humana$168
Mammogram Screening
77067Cash Price
(No Insurance)
$602
Gross Charge
$803
Insurance Negotiated Rates
Blue Shield Epn Ip/Op Only$36
MRI Brain
70551Cash Price
(No Insurance)
$71
Gross Charge
$95
Insurance Negotiated Rates
Healthnet Comm Op Only Ip/Op Only-All Other Plans$56
Cash Price
(No Insurance)
$1,962
Gross Charge
$2,616
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$449
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,661
Gross Charge
$2,214
Insurance Negotiated Rates
Humana$307
MRI Knee
73721Cash Price
(No Insurance)
$38
Gross Charge
$50
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$5
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,661
Gross Charge
$2,214
Insurance Negotiated Rates
Humana$307
MRI Shoulder
73221Cash Price
(No Insurance)
$1,580
Gross Charge
$2,106
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$307
Shoulder X-Ray
73030Cash Price
(No Insurance)
$1,400
Gross Charge
$1,866
Insurance Negotiated Rates
Blue Cross Blue Shield$37
TSH (Thyroid)
84443Cash Price
(No Insurance)
$12
Gross Charge
$16
Insurance Negotiated Rates
Blue Shield Epn Ip/Op Only$9
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,440
Gross Charge
$1,920
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$119
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$1,440
Gross Charge
$1,920
Insurance Negotiated Rates
Blue Cross Blue Shield$97
Cash Price
(No Insurance)
$1,094
Gross Charge
$1,458
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$97