Visits & medical services prices at Foothill Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $169.22 $169.22 3.2×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$652.73–$824.72 $652.73–$824.72 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $174.98 $174.98 12.2×
Assessment of aphasia per hr (96105) $401.77 $401.77 4.1×
Behavral qualit analys voice (92524) $665.39 $665.39 6.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $598.63 $598.63 1.2×
Cardiac Stress Tst,Tracing Only (93017) $1,777.46 $1,777.46 6.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,266.32–$1,354.40 $1,266.32–$1,354.40 varies
Cardioversion (92960) $2,410.62 $2,410.62 2.8×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$493.94–$610.14 $493.94–$610.14 varies
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$250.96–$287.80 $250.96–$287.80 varies
Color/duplex Doppler, complete (93975) $3,739.10 $3,739.10 12.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $430.55 $430.55 13.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$55.26–$5,761.77 $55.26–$5,761.77 varies
Cpt initial (94667)
range across 2 matching MRF lines
$250.96–$535.31 $250.96–$535.31 varies
Critical care first hour (99291) $9,679.31 $9,679.31 9.1×
Dialysis One Evaluation (90945) $1,809.03 $1,809.03 3.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,941.33 $2,941.33 9.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,875.70 $2,875.70 9.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,051.05 $1,051.05 7.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,162.35 $3,162.35 10.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,943.23 $1,943.23 14.5×
Duplex up extrem art bilat (93930) $1,128.18 $1,128.18 3.7×
Duplex up extrem art unilat/ltd (93931) $1,051.05 $1,051.05 7.8×
Echo transesophageal (93312) $2,103.24 $2,103.24 3.0×
EEG awake and asleep (95819) $1,422.88 $1,422.88 5.1×
EEG awake drowsy (95816) $511.14 $511.14 1.8×
EEG cerebral death evaluation (95824) $323.49 $323.49 0.7×
Eeg Sleep Only (95822) $1,006.16 $1,006.16 3.6×
Electrocardiogram Tracing (93005) $428.25 $428.25 5.6×
Emergency Dept Visit Level 2 (99282) $2,044.53 $2,044.53 10.4×
Emergency Dept Visit Level 3 (99283) $3,149.69 $3,149.69 9.0×
Emergency Dept Visit Level 4 (99284) $5,304.74 $5,304.74 9.9×
Er level 1 (99281) $1,260.57 $1,260.57 11.6×
Er level v (99285) $7,568.01 $7,568.01 9.9×
Evaluate pt use of inhaler (94664) $639.15 $639.15 2.3×
Evaluate Speech Production (92522) $475.45 $475.45 4.2×
Evaluate Swallowing Function (92610) $460.48 $460.48 5.4×
Evaluation of speech fluency (92521) $475.45 $475.45 3.6×
Extracranial Bilat Study (93880) $1,868.40 $1,868.40 6.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,270.98 $2,270.98 2.6×
Holter monitor recording (93225) $1,642.76 $1,642.76 9.6×
Immunization administration (90471)
range across 2 matching MRF lines
$177.29–$214.12 $177.29–$214.12 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$222.19–$460.48 $222.19–$460.48 varies
IV infusion hydration initial 31 min-1 hour (96360) $918.66 $918.66 3.4×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$253.26–$524.94 $253.26–$524.94 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$253.26–$524.94 $253.26–$524.94 varies
IV push initial (96374) $724.11 $724.11 2.6×
Lwr Xtr Vasc Stdy Bilat (93924) $1,480.44 $1,480.44 5.3×
Mechanical chest wall oscillation per session (94669) $313.13 $313.13 1.1×
Motion Fluoroscopy/Swallow (92611) $400.62 $400.62 4.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,097.10 $1,097.10 4.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,178.84 $1,178.84 2.3×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$163.47–$168.07 $163.47–$168.07 varies
Oral Function Therapy (92526) $630.86 $630.86 7.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $164.63 $164.63 3.6×
Ot eval high complexity (97167) $471.99 $471.99 4.7×
Ot Eval Low Complex (97165) $427.10 $427.10 4.2×
Ot Eval Moderate Complexity (97166) $450.12 $450.12 4.5×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$163.47–$230.24 $163.47–$230.24 varies
Ot Re-Eval Est Plan Care (97168) $261.32 $261.32 3.8×
Pt Eval High Complex (97163) $471.99 $471.99 4.8×
Pt eval low complex 20 min (97161) $427.10 $427.10 4.4×
Pt Eval Mod Complex (97162) $450.12 $450.12 4.6×
Pt gait training 15 min (97116) $168.07 $168.07 5.8×
Pt Re-Eval Est Plan Care (97164) $261.32 $261.32 3.9×
Pulm function test by gas (94727) $3,147.39 $3,147.39 11.3×
Pulmonary service/procedure (94799) $566.39 $566.39 3.4×
Respiratory flow volume loop (94375) $512.29 $512.29 1.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $209.52 $209.52 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $168.07 $168.07 0.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $400.62 $400.62 3.3×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$168.07–$359.18 $168.07–$359.18 varies
Speech sound lang comprehen (92523) $949.75 $949.75 4.2×
Spirometry (94010) $600.93 $600.93 2.2×
Stress Tte Only (93350) $2,513.08 $2,513.08 3.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $349.97 $349.97 11.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $400.62 $400.62 3.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$101.30–$209.52 $101.30–$209.52 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$443.22–$918.66 $443.22–$918.66 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$358.03–$359.18 $358.03–$359.18 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $172.68 $172.68 3.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $172.68 $172.68 3.6×
Tte w/doppler, complete (93306) $2,424.43 $2,424.43 3.4×
Tte W/O Doppler Complete (93307) $3,189.98 $3,189.98 10.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $630.86 $630.86 8.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$222.19–$460.48 $222.19–$460.48 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$690.72–$1,859.20 $690.72–$1,859.20 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$863.40–$1,480.44 $863.40–$1,480.44 varies
Vent Mgmt Inpat Init Day (94002) $5,825.08 $5,825.08 7.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $5,334.68 $5,334.68 6.7×
Wheelchair Mgmt Ea 15 Min (97542) $163.47 $163.47 5.3×

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.