Supplies, drugs & other prices at Bear Valley Community Hospital
Big Bear Lake, CA · every code in this section with a posted price and a Medicare benchmark.
64 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Amalgam 4 or > surfaces perm (D2161) | $134.75 | $192.50 | 0.2× |
| Amalgam one surface permanen (D2140) | $87.50 | $125 | 0.1× |
| Amalgam three surfaces perma (D2160) | $128.10 | $183 | 0.2× |
| Amalgam two surfaces permane (D2150) | $107.80 | $154 | 0.1× |
| Ant resin-based cmpst crown (D2390) | $168.70 | $241 | 0.2× |
| Bitewings four images (D0274) | $42.70 | $61 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $83.30 | $119 | 0.6× |
| Comprehensve oral evaluation (D0150) | $56.35 | $80.50 | 0.3× |
| Crown full cast base metal (D2791) | $714 | $1,020 | 0.9× |
| Dental bitewing single image (D0270) | $11.90 | $17 | 0.1× |
| Dental bitewings two images (D0272) | $23.80 | $34 | 0.2× |
| Dental prophylaxis adult (D1110) | $89.95 | $128.50 | 0.5× |
| Dental unspec restorative pr (D2999) | $105 | $150 | 0.1× |
| Direct refer hospital observ (G0379) | $630 | $900 | 0.8× |
| Drug test def 1-7 classes (G0480) | $14.58 | $20.83 | 0.1× |
| Elec stim unattend for press (G0281) | $31.68 | $45.25 | 2.7× |
| Electromagntic tx for ulcers (G0329) | $23.10 | $33 | 2.2× |
| End thxpy, anterior tooth (D3310) | $453.60 | $648 | 0.5× |
| End thxpy, molar tooth (D3330) | $695.10 | $993 | 0.8× |
| End thxpy, premolar tooth (D3320) | $548.10 | $783 | 0.7× |
| Extensv oral eval prob focus (D0160) | $224.70 | $321 | 1.3× |
| Extraction coronal remnants (D7111) | $86.10 | $123 | 0.1× |
| Extraction erupted tooth/exr (D7140) | $96.60 | $138 | 0.1× |
| Extraoral 2d project image (D0250) | $46.20 | $66 | 0.4× |
| Gross pulpal debridement (D3221) | $94.50 | $135 | 0.1× |
| I&d absc intraoral soft tiss (D7510) | $112.35 | $160.50 | 0.1× |
| I&d abscess extraoral (D7520) | $168.70 | $241 | 0.2× |
| Impact tooth rem bony w/comp (D7241) | $528.15 | $754.50 | 0.6× |
| Impact tooth remov comp bony (D7240) | $370.65 | $529.50 | 0.4× |
| Impact tooth remov part bony (D7230) | $303.45 | $433.50 | 0.4× |
| Impact tooth remov soft tiss (D7220) | $224.70 | $321 | 0.3× |
| Intraor comprehensive series (D0210) | $89.95 | $128.50 | 0.3× |
| Intraoral occlusal film (D0240) | $22.40 | $32 | 0.2× |
| Intraoral periapical first (D0220) | $22.40 | $32 | 0.2× |
| Limit oral eval problm focus (D0140) | $78.75 | $112.50 | 0.5× |
| Periodic oral evaluation (D0120) | $33.60 | $48 | 0.2× |
| Periodontal maint procedures (D4910) | $273 | $390 | 0.3× |
| Periodontal scaling & root (D4341) | $105 | $150 | 0.1× |
| Periodontal scaling 1-3teeth (D4342) | $105 | $150 | 0.1× |
| Place direct restoration (D2940) | $94.50 | $135 | 0.1× |
| Post 1 srfc resinbased cmpst (D2391) | $87.50 | $125 | 0.1× |
| Post 2 srfc resinbased cmpst (D2392) | $107.80 | $154 | 0.1× |
| Post 3 srfc resinbased cmpst (D2393) | $128.10 | $183 | 0.2× |
| Post >=4srfc resinbase cmpst (D2394) | $134.75 | $192.50 | 0.2× |
| Ppps, initial visit (G0438) | $112.35 | $160.50 | 0.6× |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$79.25–$112.35 | $113.21–$160.50 | varies |
| Prefab porc/ceram crown pri (D2929) | $157.50 | $225 | 0.2× |
| Prefab post/core + crown (D2954) | $157.50 | $225 | 0.2× |
| Prefab stnlss steel crown pe (D2931) | $212.80 | $304 | 0.3× |
| Prefab stnlss steel crwn pri (D2930) | $157.50 | $225 | 0.2× |
| Re-cement or re-bond crown (D2920) | $67.55 | $96.50 | 0.1× |
| Re-eval,est pt,problem focus (D0170) | $168.70 | $241 | 1.0× |
| Recement inlay onlay or part (D2910) | $67.55 | $96.50 | 0.1× |
| Rem imp tooth w mucoper flp (D7210) | $191.10 | $273 | 0.1× |
| Remove unilat space maintain (D1520) | $483 | $690 | 0.6× |
| Resin 4/> surf or w incis an (D2335) | $191.10 | $273 | 0.2× |
| Resin one surface-anterior (D2330) | $123.55 | $176.50 | 0.1× |
| Resin three surfaces-anterio (D2332) | $145.95 | $208.50 | 0.2× |
| Resin two surfaces-anterior (D2331) | $134.75 | $192.50 | 0.2× |
| Space maintainer fxd unilat (D1510) | $252 | $360 | 0.3× |
| Therapeutic pulpotomy (D3220) | $167.65 | $239.50 | 0.2× |
| Tooth root removal (D7250) | $210 | $300 | 0.3× |
| Trim nail(s) (G0127) | $116.90 | $167 | 1.5× |
| Unscheduled dressing change (D4920) | $94.50 | $135 | 0.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.