Supplies, drugs & other prices at Loma Linda University Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,138.50 $2,530 1.1×
2d tte w or w/o fol w/con,co (C8923) $865.80 $1,924 0.9×
2d tte w or w/o fol w/con,fu (C8924) $1,325.25 $2,945 3.0×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $19,792.80 $43,984 1.4×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,121.20 $6,936 1.2×
Admin hepatitis b vaccine (G0010) $39.60 $88 0.7×
Admin influenza virus vac (G0008) $54.45 $121 0.9×
Admin pneumococcal vaccine (G0009) $66.60 $148 1.1×
Ca screen;pelvic/breast exam (G0101) $126.90 $282 1.0×
Care manage beh svs 20mins (G0323) $39.15 $87 0.8×
Catheterize for urine spec (P9612) $75.15 $167 8.0×
Chemo extend iv infus w/pump (G0498) $365.85 $813 0.9×
Colon ca scrn not hi rsk ind (G0121) $990.45 $2,201 0.8×
Colorectal scrn; hi risk ind (G0105) $990.45 $2,201 0.8×
Diab manage trn per indiv (G0108) $139.95 $311 2.5×
Diab manage trn ind/group (G0109) $61.20 $136 3.8×
Direct refer hospital observ (G0379) $372.15 $827 0.5×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines		 $40.50–$98.89 $40.50–$98.89 varies
Drug test def 15-21 classes (G0482) $64.75 $64.75 0.3×
Elec stim other than wound (G0283)
range across 7 matching MRF lines		 $121.95–$169.65 $271–$377 varies
Elec stim unattend for press (G0281) $70.20 $156 6.0×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $1,491.75 $3,315 1.0×
Electrophysiologic eval ccm-d leads separate (0931T) $1,491.75 $3,315 1.0×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $2,218.05 $4,929 1.4×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure		 $18,003.60 $40,008 0.3×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $11,104.65 $24,677 0.7×
Group mnt 2 or more 30 mins (G0271) $21.60 $48 1.3×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $24,785.10 $55,078 1.1×
Hiv combination assay (G0475) $13.05 $29 0.5×
Hopd mntl hlt, 15-29 min (C7900) $47.25 $105 1.0×
Hopd mntl hlt, 30-60 min (C7901) $120.15 $267 0.9×
Hospital outpt clinic visit (G0463)
range across 12 matching MRF lines		 $156.15–$483.75 $347–$1,075 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $50 $50 1.2×
Insertion of substernal implantable defibrillator electrode (0572T) $28,945.80 $64,324 2.7×
Insertion perm ccm-d system pulse generator only (0916T) $27,584.10 $61,298 1.0×
Insj perm ccm-d sys 1 transvns lead only (0917T) $10,170.45 $22,601 1.0×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $10,170.45 $22,601 1.0×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $39,400.20 $87,556 1.0×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $28,945.80 $64,324 0.7×
Instill pharm renal pelvis (C9789) $3,217.05 $7,149 2.0×
Ire Abltj 1+Tum Organ Perq (0600T) $19,792.80 $43,984 1.4×
Mnt subs tx for change dx (G0270) $37.80 $84 1.2×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $499.05 $1,109 1.3×
Njx platelet plasma (0232T) $347.40 $772 0.6×
Opps service,sched team conf (G0175) $438.75 $975 0.8×
Oth resp proc, group (G0239) $369 $820 7.7×
Oth resp proc, indiv (G0238) $246.15 $547 6.6×
Pathogen test for platelets (P9100) $61 $61 0.8×
Perc d-e cor revasc chro sin (C9607) $14,108.40 $31,352 0.6×
Perc d-e cor revasc t cabg s (C9604) $12,765.15 $28,367 0.9×
Perc d-e cor stent ather s (C9602) $12,765.15 $28,367 0.5×
Perc drug-el cor stent sing (C9600) $16,795.80 $37,324 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $18,755.55 $41,679 2.0×
Perq Sacral Augmt Unilat Inj (0200T) $10,102.50 $22,450 1.1×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure		 $7,006.50 $15,570 0.5×
Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) $28,985.85 $64,413 1.2×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0220T)
likely a partial charge, not the full procedure		 $3,150 $7,000 0.2×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $62.55 $139 1.3×
Prostate biopsy, any mthd (G0416) $425.25 $945 0.9×
Relocation skin pocket implanted ccm-d pg (0925T) $2,247.75 $4,995 0.8×
Rem auton alg nsln cal setup (0740T) $90 $200 1.2×
Rem auton alg nsln data coll (0741T) $54.90 $122 1.1×
Removal perm ccm-d system pulse generator only (0919T) $4,472.10 $9,938 0.9×
Removal Ss Dfb Electrode (0573T) $28,945.80 $64,324 6.0×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $28,945.80 $64,324 6.0×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $759.60 $1,688 0.9×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure		 $11,105.10 $24,678 0.5×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure		 $11,105.10 $24,678 0.5×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure		 $5,552.10 $12,338 0.4×
Revasc lith-sten-ath tib/per (C9775) $21,817.80 $48,484 0.9×
Revasc lithotr-ather tib/per (C9774) $26,524.80 $58,944 1.1×
Revasc lithotr-stent tib/per (C9773) $26,524.80 $58,944 1.1×
Revasc lithotrip tibi/perone (C9772) $16,703.55 $37,119 1.1×
Revasc lithotrip-stent-ather (C9767) $17,864.10 $39,698 0.8×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $4,472.10 $9,938 0.9×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $4,472.10 $9,938 0.9×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $4,472.10 $9,938 0.9×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,164.50 $4,810 0.5×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $27,584.10 $61,298 1.0×
Screen pap by tech w md supv (P3000)
range across 2 matching MRF lines		 $17.55–$43.20 $39–$96 varies
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $3,952.35 $8,783 0.9×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $19,666.80 $43,704 0.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $19,666.80 $43,704 0.8×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $19,666.80 $43,704 0.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $19,666.80 $43,704 0.8×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $3,217.05 $7,149 0.8×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $3,217.05 $7,149 0.8×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $3,217.05 $7,149 0.8×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $3,217.05 $7,149 0.8×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $19,666.80 $43,704 0.8×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $19,666.80 $43,704 0.8×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $19,666.80 $43,704 0.8×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $19,666.80 $43,704 0.8×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,113.35 $11,363 0.7×
Tee w or w/o fol w/cont, mon (C8927) $911.25 $2,025 0.9×
Tee w or w/o fol w/cont,cong (C8926) $911.25 $2,025 0.9×
Therapeutic procd strg endur (G0237) $147.60 $328 4.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $11,010.15 $24,467 1.5×
Transcatheter renal sympath denervation unilat (0338T) $7,340.40 $16,312 1.0×
Trluml perip athrc abd aorta (0236T) $19,261.80 $42,804 1.3×
Trluml Perip Athrc Brchiocph (0237T) $19,261.80 $42,804 1.3×
Trluml Perip Athrc Iliac Art (0238T) $19,261.80 $42,804 0.8×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $19,261.80 $42,804 1.3×
Tte w or w/o contr, cont ecg (C8930) $877.05 $1,949 0.9×
Tte w or w/o fol w/con,stres (C8928) $911.25 $2,025 0.9×
Tte w or w/o fol w/cont, com (C8921) $911.25 $2,025 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $911.25 $2,025 0.9×
Tte w or wo fol wcon,doppler (C8929) $766.35 $1,703 0.8×
Unsched dialysis esrd pt hos (G0257) $1,670.85 $3,713 1.9×
Vasc emb/occ w/prs cath (C9797) $21,638.25 $48,085 0.9×

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.