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Oak Valley Hospital District
Oakdale, CA · CMS ID: 050067
This hospital has pricing data for 32 procedures ranging from $21 to $6,655.
Procedures (32)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$637
Gross Charge
$849
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$25
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$782
Gross Charge
$1,042
Medicare Rate
$31
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$39
Cash Price
(No Insurance)
$221
Gross Charge
$294
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)
$6,655
Gross Charge
$8,873
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$404
Cash Price
(No Insurance)
$6,094
Gross Charge
$8,125
Medicare Rate
$172
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$257
CT Chest Low Dose
71271Cash Price
(No Insurance)
$2,763
Gross Charge
$3,684
Medicare Rate
$128
Insurance Negotiated Rates
Humana$134
Cash Price
(No Insurance)
$3,524
Gross Charge
$4,699
Medicare Rate
$156
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$226
ER Visit Level 3
99283Cash Price
(No Insurance)
$1,400
Gross Charge
$1,867
Medicare Rate
$69
Insurance Negotiated Rates
Blue Cross Blue Shield$64
ER Visit Level 4
99284Cash Price
(No Insurance)
$2,390
Gross Charge
$3,187
Medicare Rate
$117
Insurance Negotiated Rates
Aetna$85
ER Visit Level 5
99285Cash Price
(No Insurance)
$3,263
Gross Charge
$4,350
Medicare Rate
$170
Insurance Negotiated Rates
Aetna$85
Cash Price
(No Insurance)
$38
Gross Charge
$51
Medicare Rate
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$23
Hemoglobin A1C
83036Cash Price
(No Insurance)
$387
Gross Charge
$516
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$10
Hip Replacement
27130Cash Price
(No Insurance)
$259
Gross Charge
$345
Medicare Rate
$1,129
Insurance Negotiated Rates
Humana$19
Knee X-Ray
73560Cash Price
(No Insurance)
$637
Gross Charge
$849
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$27
Lipid Panel
80061Cash Price
(No Insurance)
$353
Gross Charge
$470
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$872
Gross Charge
$1,162
Medicare Rate
$146
Insurance Negotiated Rates
Humana$168
Mammogram Screening
77067Cash Price
(No Insurance)
$602
Gross Charge
$803
Medicare Rate
$118
Insurance Negotiated Rates
Blue Shield Epn Ip/Op Only$36
MRI Brain
70551Cash Price
(No Insurance)
$71
Gross Charge
$95
Medicare Rate
$183
Insurance Negotiated Rates
Healthnet Comm Op Only Ip/Op Only-All Other Plans$56
Cash Price
(No Insurance)
$1,962
Gross Charge
$2,616
Medicare Rate
$296
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
Medicare Rate
$179
Insurance Negotiated Rates
Humana$307
MRI Knee
73721Cash Price
(No Insurance)
$38
Gross Charge
$50
Medicare Rate
$191
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$5
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,661
Gross Charge
$2,214
Medicare Rate
$180
Insurance Negotiated Rates
Humana$307
MRI Shoulder
73221Cash Price
(No Insurance)
$1,188
Gross Charge
$1,584
Medicare Rate
$191
Insurance Negotiated Rates
Alignment Op Only Ip/Op Only-All Plans$307
Office Visit Level 3
99213Cash Price
(No Insurance)
$86
Gross Charge
$114
Medicare Rate
$91
Insurance Negotiated Rates
Kaiser Permanente$34
Office Visit Level 4
99214Cash Price
(No Insurance)
$201
Gross Charge
$268
Medicare Rate
$130
Insurance Negotiated Rates
Blue Cross Blue Shield$54
Shoulder X-Ray
73030Cash Price
(No Insurance)
$1,211
Gross Charge
$1,614
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$37
TSH (Thyroid)
84443Cash Price
(No Insurance)
$227
Gross Charge
$303
Insurance Negotiated Rates
Blue Shield Epn Ip/Op Only$9
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,656
Gross Charge
$2,208
Medicare Rate
$107
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$119
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$1,656
Gross Charge
$2,208
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$97
Cash Price
(No Insurance)
$1,258
Gross Charge
$1,677
Medicare Rate
$109
Insurance Negotiated Rates
Medi-Cal Ip/Op Only$97