Sutter Health · Los Banos, CA
27
In-network payers
231
Disclosed rate categories
38
Beds
2
Care quality
Memorial Hospital - Los Banos is a 38-bed voluntary non-profit - private hospital in Los Banos, CA, affiliated with Sutter Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 231 disclosed rate categories.
CCN (Medicare provider number)
050528
NPI
1366896300
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
38
Care Quality
2
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.
The 24 services Memorial Hospital - Los Banos most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$16,220 - $21,962
from 4 insurers · median $19,194
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$27,717 - $32,624
from 4 insurers · median $30,653
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$2,350 - $6,117
from 4 insurers · median $3,629
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$16,220 - $21,962
from 4 insurers · median $19,194
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$6,206 - $12,889
from 3 insurers · median $6,479
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$1,911 - $2,403
from 2 insurers · median $2,157
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,206 - $12,889
from 3 insurers · median $7,928
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$615 - $1,085
from 4 insurers · median $829
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,970 - $2,543
from 3 insurers · median $2,532
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$19,488 - $34,173
from 3 insurers · median $19,930
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$255 - $3,590
from 4 insurers · median $1,245
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$6,206 - $12,889
from 3 insurers · median $6,561
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$2,272 - $4,923
from 4 insurers · median $2,662
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$13,392 - $25,215
from 4 insurers · median $24,359
Hospital reports inpatient surgical services to CMS
Medicine & Surgery
CPT 55866
$32,325 - $62,147
from 3 insurers · median $60,400
Typical for a hospital with this service line
Mammography
CPT 77067
$262 - $426
from 4 insurers · median $343
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,871 - $7,964
from 3 insurers · median $4,115
13 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,273 - $2,834
from 3 insurers · median $1,349
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,410 - $3,146
from 3 insurers · median $1,489
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,168 - $2,909
from 4 insurers · median $1,932
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$1,176 - $2,824
from 4 insurers · median $2,203
Common here, based on CMS Medicare volume
MRI imaging
CPT 72197
$2,180 - $4,972
from 4 insurers · median $3,770
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$12,003 - $23,825
from 3 insurers · median $23,058
Typical for a hospital with this service line
Gynecology
CPT 58661
$11,671 - $22,998
from 3 insurers · median $11,772
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 946% | 5 | 3 |
| Insurer B* | 22 | 358% | 15 | 1 |
| Insurer C* | 23 | 300% | 7 | 11 |
| Insurer D* | 24 | 222% | 8 | 10 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Memorial Hospital - Los Banos.
520 West 'i' Street, Los Banos, CA 93635
(209) 826-0591
The nearest hospitals of similar type and size. Their rates are compared with Memorial Hospital - Los Banos for the same insurers and services above.
Hazel Hawkins Memorial Hospital
Too few shared services to compare rates
St. Louise Regional Hospital
▲ Rates typically 78% higher than Memorial Hospital - Los Banos (10 services)
Oak Valley District Hospital
▼ Rates typically 29% lower than Memorial Hospital - Los Banos (15 services)
Doctors Hospital - Manteca
Rates about the same as Memorial Hospital - Los Banos (21 services)
Adventist Health Sonora
▲ Rates typically 43% higher than Memorial Hospital - Los Banos (21 services)
Adventist Health Reedley
▼ Rates typically 27% lower than Memorial Hospital - Los Banos (21 services)
Sutter Delta Medical Center
California Pacific Medical Center - Mission Bernal Campus
Sutter Solano Medical Center
Sutter Tracy Community Memorial Hospital
About Memorial Hospital - Los Banos's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Memorial Hospital - Los Banos range from $2,272 to $4,923 across 4 insurers. Cigna's rate is $2,712. The median at nearby comparable hospitals is $1,989. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Memorial Hospital - Los Banos range from $2,350 to $6,117 across 4 insurers. Aetna's rate is $2,350. The median at nearby comparable hospitals is $3,269. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Memorial Hospital - Los Banos range from $1,410 to $3,146 across 3 insurers. UnitedHealthcare's rate is $3,146. The median at nearby comparable hospitals is $4,837. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Hospital - Los Banos range from $16,220 to $21,962 across 4 insurers. Aetna's rate is $20,274. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital - Los Banos range from $262 to $426 across 4 insurers. Aetna's rate is $314. The median at nearby comparable hospitals is $208. What a patient pays depends on their plan's deductible, coinsurance and network status.
Memorial Hospital - Los Banos has 38 beds. Facility type: Short Term Acute Care Hospital.
Memorial Hospital - Los Banos is located at 520 West 'i' Street, Los Banos, CA 93635. Its main phone number is (209) 826-0591.
Memorial Hospital - Los Banos's CMS Certification Number (CCN), also called its Medicare provider number, is 050528.
The National Provider Identifier (NPI) on file for Memorial Hospital - Los Banos is 1366896300.
Memorial Hospital - Los Banos is affiliated with Sutter Health.
Memorial Hospital - Los Banos lists 27 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
231 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers