Supplies, drugs & other prices at Contra Costa Regional Medical Center
Martinez, CA · every code in this section with a posted price and a Medicare benchmark.
136 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$1,929–$2,334 | $1,929–$2,334 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $31.24 | $31.24 | 0.6× |
| Alcohol/subs interv >30 min (G0397) | $60.61 | $60.61 | 0.2× |
| Alveolus clsd reduc stblz te (D7771) | $735 | $735 | 0.2× |
| Alveoplasty w/ extraction (D7310) | $164 | $164 | 0.1× |
| Alveoplasty w/o extraction (D7320) | $326 | $326 | 0.1× |
| Amalgam 4 or > surfaces perm (D2161) | $195 | $195 | 0.2× |
| Amalgam one surface permanen (D2140) | $99 | $99 | 0.1× |
| Amalgam three surfaces perma (D2160) | $164 | $164 | 0.2× |
| Amalgam two surfaces permane (D2150) | $130 | $130 | 0.1× |
| Ant resin-based cmpst crown (D2390) | $232 | $232 | 0.3× |
| Apexification/recalc initial (D3351) | $74 | $74 | 0.1× |
| Apicoectomy - anterior (D3410) | $326 | $326 | 0.4× |
| Assessment of a patient (D0191) | $58 | $58 | 0.3× |
| Bitewings four images (D0274) | $65 | $65 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$308–$668 | $308–$668 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$49–$78 | $49–$78 | varies |
| Catheterize for urine spec (P9612) | $14 | $14 | 1.5× |
| Chemo extend iv infus w/pump (G0498) | $158 | $158 | 0.3× |
| Closd rductn splint alveolus (D7670) | $350 | $350 | 0.1× |
| Colon ca scrn not hi rsk ind (G0121) | $487 | $487 | 0.4× |
| Colorectal scrn; hi risk ind (G0105) | $487 | $487 | 0.4× |
| Comp periodontal evaluation (D0180) | $64 | $64 | 0.3× |
| Comprehensve oral evaluation (D0150) | $53 | $53 | 0.3× |
| Core build-up incl any pins (D2950) | $130 | $130 | 0.1× |
| Crown 3/4 cast noble metal (D2782) | $799 | $799 | 0.9× |
| Crown full cast high noble m (D2790) | $847 | $847 | 0.9× |
| Crown porcelain w/ h noble m (D2750) | $927 | $927 | 1.0× |
| Crown repair (D2980) | $126 | $126 | 0.1× |
| Dental bitewing single image (D0270) | $36 | $36 | 0.3× |
| Dental bitewings two images (D0272) | $49 | $49 | 0.4× |
| Dental prophylaxis adult (D1110) | $99 | $99 | 0.5× |
| Dental unspec restorative pr (D2999) | $228 | $228 | 0.2× |
| Devlopment test interpt&rep (G0451) range across 2 matching MRF lines |
$118–$274 | $118–$274 | varies |
| Ekg tracing for initial prev (G0404) | $507 | $507 | 12.4× |
| End thxpy, anterior tooth (D3310) | $570 | $570 | 0.6× |
| End thxpy, molar tooth (D3330) | $1,059 | $1,059 | 1.2× |
| End thxpy, premolar tooth (D3320) | $815 | $815 | 0.9× |
| Excision benign lesion compl (D7412) | $489 | $489 | 0.2× |
| Excision benign lesion>1.25c (D7411) | $384 | $384 | 0.2× |
| Exposure of unerupted tooth (D7280) | $489 | $489 | 0.5× |
| Extensv oral eval prob focus (D0160) | $47 | $47 | 0.3× |
| Extraction coronal remnants (D7111) | $124 | $124 | 0.1× |
| Extraction erupted tooth/exr (D7140) | $148 | $148 | 0.2× |
| Extraoral 2d project image (D0250) | $49 | $49 | 0.4× |
| Extraoral posterior image (D0251) | $123 | $123 | 1.0× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$30–$36 | $30–$36 | varies |
| Full mouth debridement (D4355) | $105 | $105 | 0.1× |
| Gingivectomy/plasty 1 to 3 (D4211) | $124 | $124 | 0.0× |
| Gingivectomy/plasty 4 or mor (D4210) | $407 | $407 | 0.1× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$935–$1,131 | $935–$1,131 | varies |
| I&d absc intraoral soft tiss (D7510) | $113 | $113 | 0.1× |
| I&d abscess extraoral (D7520) | $181 | $181 | 0.2× |
| Impact tooth remov comp bony (D7240) | $539 | $539 | 0.6× |
| Impact tooth remov part bony (D7230) | $407 | $407 | 0.4× |
| Impact tooth remov soft tiss (D7220) | $288 | $288 | 0.3× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$47–$152 | $47–$152 | varies |
| Intraor comprehensive series (D0210) | $113 | $113 | 0.3× |
| Intraoral occlusal film (D0240) | $33 | $33 | 0.3× |
| Intraoral periapical first (D0220) | $30 | $30 | 0.2× |
| Limit oral eval problm focus (D0140) | $29 | $29 | 0.2× |
| Limited occlusal adjustment (D9951) | $195 | $195 | 0.2× |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$684–$1,535 | $684–$1,535 | varies |
| Mra w/cont, chest (C8909) range across 2 matching MRF lines |
$691–$1,551 | $691–$1,551 | varies |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$603–$1,356 | $603–$1,356 | varies |
| Mra w/cont, pelvis (C8918) range across 2 matching MRF lines |
$683–$1,536 | $683–$1,536 | varies |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$644–$1,444 | $644–$1,444 | varies |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$650–$1,462 | $650–$1,462 | varies |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$603–$1,356 | $603–$1,356 | varies |
| Mra w/o cont, pelvis (C8919) range across 2 matching MRF lines |
$643–$1,445 | $643–$1,445 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$764–$2,634 | $764–$2,634 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$731–$1,642 | $731–$1,642 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$986–$2,216 | $986–$2,216 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$763–$1,718 | $763–$1,718 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) range across 2 matching MRF lines |
$1,134–$2,552 | $1,134–$2,552 | varies |
| Mri w/cont, breast, uni (C8903) range across 2 matching MRF lines |
$621–$2,136 | $621–$2,136 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$798–$1,793 | $798–$1,793 | varies |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$23–$56 | $23–$56 | varies |
| Oral antral fistula closure (D7260) | $947 | $947 | 1.0× |
| Osseous surgery 4 or more (D4260) likely a partial charge, not the full procedure |
$735 | $735 | 0.1× |
| Panoramic image (D0330) | $89 | $89 | 0.3× |
| Periodic oral evaluation (D0120) | $29 | $29 | 0.2× |
| Periodontal maint procedures (D4910) | $99 | $99 | 0.1× |
| Periodontal scaling & root (D4341) | $290 | $290 | 0.3× |
| Periodontal scaling 1-3teeth (D4342) | $105 | $105 | 0.1× |
| Place direct restoration (D2940) | $140 | $140 | 0.2× |
| Post 1 srfc resinbased cmpst (D2391) | $148 | $148 | 0.2× |
| Post 2 srfc resinbased cmpst (D2392) | $205 | $205 | 0.2× |
| Post 3 srfc resinbased cmpst (D2393) | $218 | $218 | 0.2× |
| Post >=4srfc resinbase cmpst (D2394) | $232 | $232 | 0.3× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$33–$39 | $33–$39 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$22–$26 | $22–$26 | varies |
| Prefab post/core + crown (D2954) | $263 | $263 | 0.3× |
| Prefab stnlss steel crown pe (D2931) | $245 | $245 | 0.3× |
| Prefab stnlss steel crwn pri (D2930) | $205 | $205 | 0.2× |
| Primary closure sinus perf (D7261) | $175 | $175 | 0.2× |
| Psa screening (G0103) | $176 | $176 | 9.1× |
| Pulp cap direct (D3110) | $39 | $39 | 0.0× |
| Pulp cap indirect (D3120) | $47 | $47 | 0.1× |
| Rad exc lesion up to 1.25 cm (D7410) | $175 | $175 | 0.1× |
| Re-cement or re-bond crown (D2920) | $89 | $89 | 0.1× |
| Re-eval post-op visit (D0171) | $37 | $37 | 0.2× |
| Re-eval,est pt,problem focus (D0170) | $37 | $37 | 0.2× |
| Recement inlay onlay or part (D2910) | $85 | $85 | 0.1× |
| Rem exostosis any site (D7471) | $175 | $175 | 0.0× |
| Rem imp tooth w mucoper flp (D7210) | $212 | $212 | 0.1× |
| Rem nonodonto cyst > 1.25 cm (D7461) | $384 | $384 | 0.4× |
| Rem nonodonto cyst to 1.25cm (D7460) | $175 | $175 | 0.2× |
| Rem odontogen cyst > 1.25 cm (D7451) | $489 | $489 | 0.1× |
| Rem odontogen cyst to 1.25cm (D7450) | $402 | $402 | 0.1× |
| Removal fb skin/areolar tiss (D7530) | $164 | $164 | 0.2× |
| Removal of fb reaction (D7540) | $277 | $277 | 0.3× |
| Removal of sloughed off bone (D7550) | $175 | $175 | 0.2× |
| Removal of torus palatinus (D7472) | $315 | $315 | 0.3× |
| Remove torus mandibularis (D7473) | $175 | $175 | 0.2× |
| Remove unilat space maintain (D1520) | $326 | $326 | 0.4× |
| Resin 4/> surf or w incis an (D2335) | $232 | $232 | 0.3× |
| Resin one surface-anterior (D2330) | $148 | $148 | 0.2× |
| Resin three surfaces-anterio (D2332) | $218 | $218 | 0.2× |
| Resin two surfaces-anterior (D2331) | $205 | $205 | 0.2× |
| Root surgery premolar (D3421) | $651 | $651 | 0.7× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$25–$150 | $25–$150 | varies |
| Space maintainer fxd unilat (D1510) | $326 | $326 | 0.4× |
| Surg reduct osseoustuberosit (D7485) likely a partial charge, not the full procedure |
$140 | $140 | 0.0× |
| Therapeutic pulpotomy (D3220) | $99 | $99 | 0.1× |
| Tooth pin retention (D2951) | $78 | $78 | 0.1× |
| Tooth reimplantation (D7270) | $489 | $489 | 0.5× |
| Tooth root removal (D7250) | $205 | $205 | 0.2× |
| Tooth transplantation (D7272) | $489 | $489 | 0.5× |
| Treatment of complications (D9930) | $59 | $59 | 0.1× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$19–$45 | $19–$45 | varies |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$1,929–$2,334 | $1,929–$2,334 | varies |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$1,929–$2,334 | $1,929–$2,334 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,929–$2,334 | $1,929–$2,334 | varies |
| Vestibuloplasty ridge extens (D7340) likely a partial charge, not the full procedure |
$358 | $358 | 0.0× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$63–$105 | $63–$105 | varies |
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.