Supplies, drugs & other prices at Emanate Health Foothill Presbyterian Hospital
Glendora, CA · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $338 | $338 | 9.4× |
| 2d tee w or w/o fol w/con,in (C8925) | $6,508 | $6,508 | 6.5× |
| Admin hepatitis b vaccine (G0010) | $281.57 | $281.57 | 4.7× |
| Admin influenza virus vac (G0008) | $389 | $389 | 6.5× |
| Admin pneumococcal vaccine (G0009) | $389 | $389 | 6.5× |
| Ca screen;flexi sigmoidscope (G0104) | $2,103 | $2,103 | 1.8× |
| Chemo extend iv infus w/pump (G0498) range across 2 matching MRF lines |
$713–$808 | $713–$808 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $3,196 | $3,196 | 2.7× |
| Colorectal scrn; hi risk ind (G0105) | $4,167 | $4,167 | 3.5× |
| Covid-19 lab test non-cdc (U0002) range across 5 matching MRF lines |
$154–$338 | $154–$338 | varies |
| Depression screen annual (G0444) | $82 | $82 | 1.7× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$95–$455.57 | $95–$455.57 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$51–$132.10 | $51–$132.10 | varies |
| Direct refer hospital observ (G0379) range across 3 matching MRF lines |
$185–$339 | $185–$339 | varies |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$301–$395 | $301–$395 | varies |
| Eia hiv-1/hiv-2 screen (G0432) | $148 | $148 | 7.6× |
| Elec stim other than wound (G0283) | $225 | $225 | 17.7× |
| Elec stim unattend for press (G0281) | $225 | $225 | 19.2× |
| Elisa hiv-1/hiv-2 screen (G0433) | $148 | $148 | 8.1× |
| Fecal microbiota prep instil (G0455) | $5,385 | $5,385 | 4.5× |
| Group mnt 2 or more 30 mins (G0271) | $37 | $37 | 2.2× |
| Hbot, full body chamber, 30m (G0277) | $1,734 | $1,734 | 9.8× |
| Hospital outpt clinic visit (G0463) range across 68 matching MRF lines |
$67.08–$1,513 | $67.08–$1,513 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$348–$554 | $348–$554 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 5 matching MRF lines |
$123.92–$269 | $123.92–$269 | varies |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) range across 2 matching MRF lines |
$2,556.54–$2,646 | $2,556.54–$2,646 | varies |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $121,693 | $121,693 | 3.0× |
| Mnt subs tx for change dx (G0270) | $67 | $67 | 2.1× |
| Mra w/cont, lwr ext (C8912) | $6,531 | $6,531 | 14.6× |
| Mra w/o cont, abd (C8901) | $6,531 | $6,531 | 21.3× |
| Mra w/o cont, chest (C8910) | $6,531 | $6,531 | 21.3× |
| Mra w/o cont, lwr ext (C8913) | $6,531 | $6,531 | 21.3× |
| Mra w/o cont, pelvis (C8919) | $7,837 | $7,837 | 25.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $9,994 | $9,994 | 22.3× |
| Mra, w/dye, spinal canal (C8931) | $6,531 | $6,531 | 14.6× |
| Mra, w/dye, upper extremity (C8934) | $6,531 | $6,531 | 14.6× |
| Mri w/o fol w/cont, breast, (C8908) | $6,749 | $6,749 | 15.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $5,104 | $5,104 | 11.4× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) range across 2 matching MRF lines |
$2,556.54–$2,646 | $2,556.54–$2,646 | varies |
| Njx platelet plasma (0232T) | $1,138.89 | $1,138.89 | 2.0× |
| Non-ophthalmic fva (C9733) | $1,146.15 | $1,146.15 | 2.6× |
| Obtaining screen pap smear (Q0091) | $69 | $69 | 1.9× |
| Opps service,sched team conf (G0175) | $1,571 | $1,571 | 2.9× |
| Oral hiv-1/hiv-2 screen (G0435) | $148 | $148 | 12.4× |
| Oth resp proc, group (G0239) | $991 | $991 | 20.6× |
| Oth resp proc, indiv (G0238) | $761 | $761 | 20.5× |
| Perc d-e cor revasc chro sin (C9607) | $37,226 | $37,226 | 1.6× |
| Perc d-e cor revasc t cabg s (C9604) | $37,226 | $37,226 | 2.5× |
| Perc d-e cor stent ather s (C9602) | $37,226 | $37,226 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $37,226 | $37,226 | 2.5× |
| Place device/marker, non pro (C9728) | $4,967 | $4,967 | 2.8× |
| Place endorectal app (C9725) | $3,078 | $3,078 | 2.6× |
| Ppps, initial visit (G0438) | $629 | $629 | 3.6× |
| Ppps, subseq visit (G0439) | $425 | $425 | 3.1× |
| Prolonged iv inf, req pump (C8957) | $1,534 | $1,534 | 5.6× |
| Prostate biopsy, any mthd (G0416) | $1,183 | $1,183 | 2.6× |
| Psa screening (G0103) | $227 | $227 | 11.8× |
| Revasc intra lithotrip-ather (C9766) | $59,438 | $59,438 | 2.5× |
| Revasc intra lithotrip-stent (C9765) | $59,438 | $59,438 | 2.5× |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$22,406–$29,128 | $22,406–$29,128 | varies |
| Revasc lithotrip tibi/perone (C9772) | $26,070 | $26,070 | 1.8× |
| Revasc lithotrip-stent-ather (C9767) | $78,640 | $78,640 | 3.3× |
| Therapeutic procd strg endur (G0237) | $241 | $241 | 6.5× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$208–$245 | $208–$245 | varies |
| Trluml perip athrc abd aorta (0236T) | $24,959 | $24,959 | 1.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $24,959 | $24,959 | 1.7× |
| Trluml Perip Athrc Iliac Art (0238T) | $22,259 | $22,259 | 0.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $20,079 | $20,079 | 1.4× |
| Unsched dialysis esrd pt hos (G0257) | $2,293 | $2,293 | 2.6× |
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.