Visits & medical services prices at Casa Colina Hospital
Pomona, CA · every code in this section with a posted price and a Medicare benchmark.
152 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $215.14 | $109.35 | 1.3× |
| Acoustic Reflex Testing (92568) | $62.45 | $91 | 1.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $361.03 | $418.65 | 1.3× |
| Aep neurodiagnostic i&r (92653) | $361.03 | $793.35 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $361.03 | $793.35 | 1.3× |
| Airway Inhalation Treatment (94640) | $366.13 | $574.50 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $20.57 | $110 | 1.4× |
| Assessment of aphasia per hr (96105) | $137.57 | $319.77 | 1.4× |
| Audiometry Air & Bone (92553) | $215.14 | $100 | 1.3× |
| Auditory Function, 60 Min (92620) | $215.14 | $326 | 1.3× |
| Basic vestibular evaluation (92540) | $361.03 | $405 | 1.3× |
| Behavral qualit analys voice (92524) | $160 | $363.33 | 1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $50.86 | $274.44 | 0.6× |
| Bfb training ea addl 15 min (90913) | $28.60 | $110 | 0.9× |
| Biofeedback training any modality (90901) | $22.41 | $140.67 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $623.93 | $840.18 | 1.3× |
| Caloric vestibular test w/rec bi monothermal (92538) | $361.03 | $469 | 1.3× |
| Caloric Vstblr Test W/Rec (92537) | $215.14 | $665 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $361.03 | $1,005 | 1.3× |
| Cardiopulmonary resuscitation (92950) | $361.03 | $1,610 | 1.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $29.03 | $110 | 1.1× |
| Chest Wall Manipulation (94668) | $222.46 | $348.33 | 1.3× |
| Color/duplex Doppler, complete (93975) | $398.95 | $700.56 | 1.3× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$174.80 | $320.64–$379.89 | 1.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $46.12 | $110 | 1.4× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$215.14 | $436.29–$1,816 | 1.3× |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$222.46 | $144–$227 | 1.3× |
| Conditioning Play Audiometry (92582) | $215.14 | $111 | 1.3× |
| Continuous Pulse Ox (94762) | $215.14 | $436.29 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$366.13 | $574.50–$1,400 | 1.3× |
| Cpt initial (94667) | $222.46 | $348.33 | 1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$335.46 | $309.42–$541.74 | 1.3× |
| Developmental tst admin phys/qhp 1st hour (96112) | $215.14 | $231 | 1.3× |
| Dialysis One Evaluation (90945) | $697.67 | $1,144.83 | 1.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $623.93 | $96 | 1.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $398.95 | $700.56 | 1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$174.80 | $320.64–$393 | 1.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $398.95 | $700.56 | 1.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$174.80 | $320.64–$394.50 | 1.3× |
| Duplex up extrem art bilat (93930) | $398.95 | $700.56 | 1.3× |
| Duplex up extrem art unilat/ltd (93931) | $174.80 | $323.22 | 1.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $215.14 | $313.14 | 1.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $215.14 | $516.60 | 1.3× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$398.95 | $285.33–$700.56 | 1.3× |
| Echo transesophageal (93312) | $913.62 | $1,953 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) | $20.84 | $110 | 1.4× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$98.64 | $26.90–$172.44 | 1.3× |
| Emg 3 Extremities (95863) | $215.14 | $436.29 | 1.3× |
| Emg 4 Extremities (95864) | $215.14 | $450.57 | 1.3× |
| Evaluate Speech Production (92522) | $160 | $368.16 | 1.4× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$225 | $284.40–$290 | 2.7× |
| Evaluation of speech fluency (92521) | $160 | $442.35 | 1.2× |
| Evoked Auditory Test,Limited (92587) | $361.03 | $111 | 1.3× |
| Extracranial Bilat Study (93880) | $398.95 | $700.56 | 1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $225 | $687.48 | 1.1× |
| Group Therapeutic Procedures (97150) range across 10 matching MRF lines |
$60 | $65–$173 | 3.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,147.53 | $1,891.56 | 1.3× |
| Holter monitor recording (93225) | $222.46 | $348.33 | 1.3× |
| Iontophoresis 15 min (97033) | $27.46 | $110 | 1.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $98.64 | $172.44 | 1.3× |
| Mechanical chest wall oscillation per session (94669) | $366.13 | $574.50 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) | $131.55 | $306.06 | 1.4× |
| Muscle Test 2 Limbs (95861) | $222.46 | $348.33 | 1.3× |
| Muscle Test Hemidiaphragm (95866) | $215.14 | $211.80 | 1.3× |
| Muscle Test Nonparaspinal (95870) | $222.46 | $223.53 | 1.3× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$222.46 | $79–$220.02 | 1.3× |
| Nasopharyngoscopy (92511) | $333.75 | $536.25 | 1.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $361.03 | $271.62 | 1.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $361.03 | $230.58 | 1.3× |
| Needle electromyography larynx (95865) | $222.46 | $238.77 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $361.03 | $265.74 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $679.70 | $1,119.21 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$335.46 | $132.50–$541.74 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$679.70 | $224.75–$1,119.21 | 1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $361.03 | $446.94 | 1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $623.93 | $1,533.60 | 1.3× |
| Nerve conduction studies 13 or more studies (95913) | $623.93 | $1,533.60 | 1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $361.03 | $898.11 | 1.3× |
| Nerve conduction studies 5-6 studies (95909) | $361.03 | $898.11 | 1.3× |
| Nerve conduction studies 7-8 studies (95910) | $623.93 | $898.11 | 1.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $623.93 | $1,533.60 | 1.3× |
| Neurobehavioral Status Exam (96116) | $361.03 | $301.08 | 1.3× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$47.03 | $114.09–$114.90 | 1.4× |
| Optokinetic Nystagmus Test (92544) | $215.14 | $105 | 1.3× |
| Oral Function Therapy (92526) | $120.95 | $283.83 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $73.87 | $184.26 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$67.57 | $42–$167.10 | 1.5× |
| Oscillating Tracking Test (92545) | $361.03 | $168 | 1.3× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$20.06 | $35–$110 | 1.4× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$160 | $337.62–$2,399 | 1.6× |
| Ot Eval Low Complex (97165) | $160 | $337.62 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $160 | $337.62 | 1.6× |
| Ot manual therapy 15 min (97140) | $39.75 | $110 | 1.4× |
| Ot paraffin bath (97018) | $8.65 | $110 | 1.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $58.85 | $143.01 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $99.16 | $233.82 | 1.4× |
| Ot rom hand (95852) range across 2 matching MRF lines |
$6.80 | $110–$116 | 0.3× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$48.88 | $114.81–$2,500 | 1.4× |
| Positional nystagmus test (92542) | $222.46 | $168 | 1.3× |
| Psychiatric diagnostic evaluation (90791) | $150 | $437.10 | 0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$54 | $95–$128.79 | 1.4× |
| Pt Eval High Complex (97163) range across 6 matching MRF lines |
$160 | $337.62–$2,199 | 1.6× |
| Pt eval low complex 20 min (97161) | $160 | $337.62 | 1.6× |
| Pt Eval Mod Complex (97162) | $160 | $337.62 | 1.6× |
| Pt gait training 15 min (97116) | $41.69 | $110 | 1.4× |
| Pt group caregiver training (97552) | $12.74 | $110 | 0.6× |
| Pt mechanical traction (97012) | $20.38 | $110 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) | $97.62 | $235.05 | 1.4× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$215.14 | $436.29–$3,485 | 1.3× |
| Pure Tone Audiometry Air (92552) | $222.46 | $28 | 1.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $62.40 | $105 | 1.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $222.61 | $362.58 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $335.46 | $541.74 | 1.3× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $9.06 | $110 | 0.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $400 | $416.34 | 3.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $400 | $220 | 8.4× |
| Select picture audiometry (92583) | $98.64 | $178 | 1.3× |
| Self Care Mngment Training (97535) | $46.83 | $111.18 | 1.4× |
| Sensory Integration Ea 15 Min (97533) | $90.30 | $221.58 | 1.5× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $215.14 | $168 | 1.3× |
| Sleep study unattended (95806) | $361.03 | $436.29 | 1.3× |
| Slp caregiver training 1st 30 min (97550) | $54.73 | $220 | 1.0× |
| Speech Audiometry Complete (92556) | $98.64 | $178 | 1.3× |
| Speech audiometry threshold (92555) | $98.64 | $178 | 1.3× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$160 | $758.64–$1,518 | 0.7× |
| Spirometry (94010) | $361.03 | $436.29 | 1.3× |
| Spontaneous Nystagmus Test (92541) | $222.46 | $174 | 1.3× |
| Stress Tte Only (93350) | $913.62 | $1,509.39 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $27 | $110 | 1.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $25.30 | $110 | 1.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $53.83 | $125.22 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$43.33 | $102.96–$110 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$148.23 | $347.82–$518 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $120.39 | $24 | 1.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$135 | $110–$126.99 | 3.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $174.80 | $320.64 | 1.3× |
| Tte W/O Doppler Complete (93307) | $398.95 | $700.56 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$135 | $110–$254.28 | 1.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$34.72 | $80.37–$125 | 1.4× |
| Tympanometry (92567) range across 4 matching MRF lines |
$62.45 | $67–$117 | 1.3× |
| Tympanometry and reflex threshold measurements (92550) | $361.03 | $100 | 1.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$222.46 | $111–$348.33 | 1.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$361.03 | $113.59–$436.29 | 1.3× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$17.16 | $25–$110 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,032.95 | $1,670.16 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,032.95 | $1,670.16 | 1.3× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$222.46 | $225–$348.33 | 1.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$98.64 | $165–$172.44 | 1.3× |
| Visual reinforcement audiometry (vra) (92579) | $361.03 | $91 | 1.3× |
| Vital capacity, total (94150) | $215.14 | $436.29 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $225 | $110 | 7.2× |
| Whirlpool Therapy (97022) | $22.87 | $110 | 1.5× |
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.