Visits & medical services prices at Coast Plaza Hospital

Norwalk, CA · every code in this section with a posted price and a Medicare benchmark.

156 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Actigraphy Testing Recording Analysis I&R (95803) $314 $314 4.1×
Admn Sarscov2 Vacc 1 Dose (90480) $99.75 $99.75 1.9×
Airway Inhalation Treatment (94640) $339.15 $339.15 1.2×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $386.40 $386.40 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$136.50–$258.48 $136.50–$258.48 varies
Application Modality 1/> Areas Diathermy (97024) $37.80 $37.80 5.1×
Application Modality 1/> Areas Infrared (97026) $133.35 $133.35 20.0×
Biofeedback training any modality (90901) $78.75 $78.75 1.9×
Breath hydrogen/methane test (91065) $483 $483 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $817.95 $817.95 1.7×
Cardiac Stress Tst,Tracing Only (93017) $1,517.25 $1,517.25 5.5×
Cardiopulmonary resuscitation (92950) $2,033.85 $2,033.85 7.3×
Cardioversion (92960) $3,288.60 $3,288.60 3.9×
Cbt 1st hour (94644) $675.15 $675.15 3.9×
Chest Wall Manipulation (94668) $184.80 $184.80 1.1×
Colon Motility 6 Hr Study (91117) $891.45 $891.45 3.2×
Color/duplex Doppler, complete (93975) $1,150.80 $1,150.80 3.8×
Color/duplex Doppler, limited (93976) $958.65 $958.65 7.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $260.40 $260.40 8.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $439.95 $439.95 1.6×
Cpt initial (94667) $205.80 $205.80 1.2×
Critical care first hour (99291) $5,045.25 $5,045.25 4.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$579–$607.95 $579–$607.95 varies
Dialysis One Evaluation (90945) $2,415 $2,415 4.5×
Duodenal motility study (91022) $1,224.30 $1,224.30 2.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,316.70 $1,316.70 4.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $854.70 $854.70 6.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $615.30 $615.30 4.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,932 $1,932 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,093.05 $1,093.05 8.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$2,714–$2,849.70 $2,714–$2,849.70 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$998–$1,047.90 $998–$1,047.90 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $784.35 $784.35 2.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $588 $588 4.4×
Duplex Scan Hemodialysis Access (93990) $915.60 $915.60 6.8×
Duplex up extrem art bilat (93930) $1,198.05 $1,198.05 3.9×
Duplex up extrem art unilat/ltd (93931) $947.10 $947.10 7.0×
Echo r-t 2d w/probe placement only (93313) $1,621.20 $1,621.20 2.3×
Echo transesophageal (93312) $3,549 $3,549 5.0×
EEG awake and asleep (95819) $1,858.50 $1,858.50 6.7×
EEG awake drowsy (95816) $1,033.20 $1,033.20 3.7×
EEG cerebral death evaluation (95824) $894.60 $894.60 1.9×
Eeg Sleep Only (95822) $1,140.30 $1,140.30 4.1×
Electrical Stimulation Ea 15 Min (97032) $234.15 $234.15 15.9×
Electrocardiogram Tracing (93005) $460.95 $460.95 6.1×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $483 $483 1.7×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $531.30 $531.30 3.1×
Emergency Dept Visit Level 2 (99282) $1,230 $1,230 6.2×
Emergency Dept Visit Level 3 (99283) $1,780 $1,780 5.1×
Emergency Dept Visit Level 4 (99284) $2,930 $2,930 5.5×
Er level 1 (99281)
range across 2 matching MRF lines
$383.25–$420 $383.25–$420 varies
Er level v (99285) $4,420 $4,420 5.8×
Ergonovine provocation test (93024) $719.25 $719.25 1.3×
Esophageal Capsule Endoscopy (91111) $2,712.15 $2,712.15 2.3×
Esophagus acid perfusion test esophagitis (91030) $1,224.30 $1,224.30 2.6×
Esophgl Balo Distension Dx Std W/Provocation (91040) $531.30 $531.30 1.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,224.30 $1,224.30 2.6×
Evaluate pt use of inhaler (94664) $411.60 $411.60 1.5×
Evaluate Swallowing Function (92610) $867.30 $867.30 10.2×
Evaluation of speech fluency (92521) $468.30 $468.30 3.5×
External Ecg Scanning Analysis Report (93226) $1,043.70 $1,043.70 13.8×
Extracranial Bilat Study (93880) $2,704.80 $2,704.80 8.8×
Extracranial Uni/Ltd Study (93882) $1,103.55 $1,103.55 8.2×
Gastric motility studies (91020) $1,224.30 $1,224.30 2.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,251.60 $1,251.60 2.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $531.30 $531.30 1.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,629.60 $1,629.60 1.5×
Gi tract capsule endoscopy (91110) $3,465 $3,465 3.0×
Gi wireless capsule measure (91112) $4,445.70 $4,445.70 3.8×
Group Therapeutic Procedures (97150) $97.65 $97.65 5.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$2,460–$6,825 $2,460–$6,825 varies
Holter monitor recording (93225) $903 $903 5.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $187.95 $187.95 2.0×
Immunization administration (90471) $187.95 $187.95 2.0×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$275.42–$374.85 $275.42–$374.85 varies
Irrig Drug Delivery Device (96523) $306.60 $306.60 4.0×
IV infusion hydration each additional hour (96361) $152.25 $152.25 2.5×
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$763.35–$973.35 $763.35–$973.35 varies
IV infusion ther proph addl sequential to 1 hr (96367) $350.70 $350.70 3.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $325.50 $325.50 5.4×
IV push initial (96374)
range across 4 matching MRF lines
$493.50–$924 $493.50–$924 varies
Lung Function Test (Mbc/Mvv) (94200) $243.60 $243.60 3.2×
Lwr Xtr Vasc Stdy Bilat (93924) $643.65 $643.65 2.3×
Methacholine challenge (94070) $591.15 $591.15 1.2×
Motility study esophagus (91010) $4,236.75 $4,236.75 8.8×
Motion Fluoroscopy/Swallow (92611) $1,148.70 $1,148.70 12.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $827 $827 1.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,327 $1,327 2.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$1,004–$1,054.20 $1,004–$1,054.20 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$1,071–$1,124.55 $1,071–$1,124.55 varies
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$240.65–$254.10 $240.65–$254.10 varies
Newborn resuscitation (99465) $1,411.20 $1,411.20 1.7×
Oral Function Therapy (92526) $347.55 $347.55 4.1×
Oral Speech Device Eval (92597) $657.30 $657.30 9.2×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$268.74–$282.45 $268.74–$282.45 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $248.85 $248.85 5.4×
Ot Contrast Bath Ea 15 Min (97034)
range across 3 matching MRF lines
$243.10–$255.15 $243.10–$255.15 varies
Ot eval high complexity (97167) $843.15 $843.15 8.4×
Ot Eval Low Complex (97165) $511.35 $511.35 5.1×
Ot Eval Moderate Complexity (97166) $715.05 $715.05 7.1×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$150.15–$261.43 $150.15–$261.43 varies
Ot paraffin bath (97018)
range across 4 matching MRF lines
$165.90–$258.48 $165.90–$258.48 varies
Ot Prosthetic Training, Each 15 Min (97761) $212.10 $212.10 5.2×
Ot Re-Eval Est Plan Care (97168) $442.05 $442.05 6.5×
Ot rom hand (95852) $21 $21 1.0×
Penile Vascular Study,Ltd or F/U (93981) $528.15 $528.15 3.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $354.90 $354.90 1.3×
Phlebotomy therapeutic (99195) $606.90 $606.90 3.5×
Physical Performance Test (97750) $236.25 $236.25 7.0×
Psych diag eval w/med srvcs (90792) $577.50 $577.50 2.5×
Psychiatric diagnostic evaluation (90791) $473.55 $473.55 2.1×
Pt Eval High Complex (97163) $791.70 $791.70 8.1×
Pt eval low complex 20 min (97161) $495.60 $495.60 5.1×
Pt Eval Mod Complex (97162) $668.85 $668.85 6.8×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$250.95–$314.97 $250.95–$314.97 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$280.35–$311.99 $280.35–$311.99 varies
Pt Re-Eval Est Plan Care (97164) $379.05 $379.05 5.6×
Pt ultraviolet (97028) $43.05 $43.05 5.2×
Pulm function test by gas (94727) $416.85 $416.85 1.5×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$164.85–$259.35 $164.85–$259.35 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $145.95 $145.95 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $430 $430 1.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $127.05 $127.05 4.9×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$172.20–$267.36 $172.20–$267.36 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$182.85–$198.45 $182.85–$198.45 varies
Spirometry (94010) $430.50 $430.50 1.6×
Stress Tte Only (93350) $2,698.50 $2,698.50 3.8×
Subcutaneous Infusion Each Additional Hour (96370) $150.15 $150.15 2.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $514.50 $514.50 1.9×
Subq Infusion Additional Pump Infusion Site (96371) $160.65 $160.65 1.7×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $579.60 $579.60 4.3×
Temp transcutaneous pacing (92953) $1,411.20 $1,411.20 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $183.75 $183.75 8.2×
Ther Ivntj Ea Addl 15 Min (97130) $157.50 $157.50 7.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$215.25–$306.03 $215.25–$306.03 varies
Ther/Prop/Diag Inj/Inf Proc (96379) $54.60 $54.60 0.9×
Ther/Proph/Diag Inj Ia (96373) $514.50 $514.50 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$156.45–$238.35 $156.45–$238.35 varies
Ther/Proph/Diag Iv Inf Init (96365) $810.60 $810.60 3.0×
Therapeutic Activities (97530)
range across 4 matching MRF lines
$279.29–$292.95 $279.29–$292.95 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $136 $136 2.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $91.35 $91.35 1.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $550.20 $550.20 4.1×
Tte w/doppler, complete (93306) $4,700.85 $4,700.85 6.7×
Tte W/O Doppler Complete (93307) $3,641.40 $3,641.40 11.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $306.60 $306.60 4.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $278.25 $278.25 4.6×
Unlisted Diagnostic Gastroenterology Procedure (91299) $483 $483 2.9×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$762–$800.10 $762–$800.10 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$855–$897.75 $855–$897.75 varies
Vasopneumatic device (97016) $233.10 $233.10 19.4×
Vent Mgmt Inpat Init Day (94002) $4,826.85 $4,826.85 6.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,457.65 $3,457.65 4.4×
Vital capacity, total (94150) $323.40 $323.40 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $154.35 $154.35 5.0×
Whirlpool Therapy (97022) $340.20 $340.20 21.7×

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.