Memorial Hospital - Los Banos
Sutter Health
Hospital Overview
Facility Details
CCN
050528
NPI
1366896300
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
38
Contact Information
Address
520 West 'i' Street
Los Banos, CA 93635
Phone
(209) 826-0591
Insurance Accepted
💡
Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | HCPCS National Codes Established for State Medicaid Agencies Range: T1000 - T5999 | Percentage of Bill Charged | |
Aetna | Facility | RC Radiology Diagnostic Range: 0320 - 0329 | Percentage of Bill Charged | |
Aetna | Facility | RC Other Room and Board Range: 0160 - 0169 | Per Diem | Very High |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Hepatobiliary System & Pancreas Range: 402 - 446 | Negotiated | Very High |
Aetna | Outpatient | HCPCS Diagnostic Radiology Services Range: R0070 - R0076 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Hearing Services Range: V5008 - V5364 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037 | Percentage of Bill Charged | |
Aetna | Facility | RC Room and Board Ward Range: 0150 - 0159 | Per Diem | Very High |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Musculoskeletal System & Connective Tissue Range: 447 - 566 | Negotiated | Very High |
Showing 1 - 10 of 231
