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Sonoma Valley Hospital
Sonoma, CA · CMS ID: 050090
This hospital has pricing data for 28 procedures ranging from $88 to $7,335.
Procedures (28)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$767
Gross Charge
$1,096
Medicare Rate
$24
Insurance Negotiated Rates
Aetna$12
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$88
Gross Charge
$125
Medicare Rate
$31
Insurance Negotiated Rates
Hill Physicans Profee Only Mcare$11
Cash Price
(No Insurance)
$175
Gross Charge
$250
Insurance Negotiated Rates
Tricare-All Plnas$8
Cash Price
(No Insurance)
$340
Gross Charge
$485
Insurance Negotiated Rates
Tricare-All Plnas$10
Cash Price
(No Insurance)
$7,335
Gross Charge
$10,478
Medicare Rate
$280
Insurance Negotiated Rates
Aetna$288
Cash Price
(No Insurance)
$6,486
Gross Charge
$9,266
Medicare Rate
$172
Insurance Negotiated Rates
Aetna$151
CT Chest Low Dose
71271Cash Price
(No Insurance)
$3,455
Gross Charge
$4,935
Medicare Rate
$128
Insurance Negotiated Rates
First Health(Coventry)-All Plans$110
Cash Price
(No Insurance)
$4,365
Gross Charge
$6,236
Medicare Rate
$156
Insurance Negotiated Rates
Tricare-All Plnas$236
ER Visit Level 3
99283Cash Price
(No Insurance)
$2,375
Gross Charge
$3,393
Medicare Rate
$69
Insurance Negotiated Rates
Medi-Cal$64
ER Visit Level 4
99284Cash Price
(No Insurance)
$4,105
Gross Charge
$5,864
Medicare Rate
$117
Insurance Negotiated Rates
Medi-Cal$98
ER Visit Level 5
99285Cash Price
(No Insurance)
$6,235
Gross Charge
$8,907
Medicare Rate
$170
Insurance Negotiated Rates
Medi-Cal$155
Hemoglobin A1C
83036Cash Price
(No Insurance)
$189
Gross Charge
$270
Insurance Negotiated Rates
Tricare-All Plnas$10
Knee X-Ray
73560Cash Price
(No Insurance)
$610
Gross Charge
$871
Medicare Rate
$32
Insurance Negotiated Rates
Aetna$24
Lipid Panel
80061Cash Price
(No Insurance)
$230
Gross Charge
$329
Insurance Negotiated Rates
Tricare-All Plnas$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$657
Gross Charge
$939
Medicare Rate
$146
Insurance Negotiated Rates
Meritage Medical Network Op Only Mcare$49
Mammogram Screening
77067Cash Price
(No Insurance)
$463
Gross Charge
$661
Medicare Rate
$118
Insurance Negotiated Rates
Meritage Medical Network Op Only Mcare$37
MRI Brain
70551Cash Price
(No Insurance)
$3,784
Gross Charge
$5,406
Medicare Rate
$183
Insurance Negotiated Rates
Tricare-All Plnas$322
Cash Price
(No Insurance)
$6,308
Gross Charge
$9,012
Medicare Rate
$296
Insurance Negotiated Rates
Aetna$419
MRI Cervical Spine
72141Cash Price
(No Insurance)
$4,005
Gross Charge
$5,722
Medicare Rate
$179
Insurance Negotiated Rates
Tricare-All Plnas$322
MRI Knee
73721Cash Price
(No Insurance)
$3,573
Gross Charge
$5,104
Medicare Rate
$191
Insurance Negotiated Rates
Tricare-All Plnas$322
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,511
Gross Charge
$3,587
Medicare Rate
$180
Insurance Negotiated Rates
Tricare-All Plnas$322
MRI Shoulder
73221Cash Price
(No Insurance)
$3,611
Gross Charge
$5,159
Medicare Rate
$191
Insurance Negotiated Rates
Tricare-All Plnas$322
Shoulder X-Ray
73030Cash Price
(No Insurance)
$764
Gross Charge
$1,091
Medicare Rate
$33
Insurance Negotiated Rates
Aetna$24
TSH (Thyroid)
84443Cash Price
(No Insurance)
$280
Gross Charge
$400
Insurance Negotiated Rates
Tricare-All Plnas$16
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,310
Gross Charge
$1,872
Medicare Rate
$107
Insurance Negotiated Rates
Aetna$110
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$1,159
Gross Charge
$1,656
Medicare Rate
$98
Insurance Negotiated Rates
Medi-Cal$97
Cash Price
(No Insurance)
$855
Gross Charge
$1,222
Medicare Rate
$109
Insurance Negotiated Rates
Medi-Cal$97
Urinalysis
81001Cash Price
(No Insurance)
$142
Gross Charge
$203
Insurance Negotiated Rates
Tricare-All Plnas$3