Visits & medical services prices at Los Robles Hospital & Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $37,246.31 $37,246.31 3.7×
Aep neurodiagnostic i&r (92653) $541.50 $541.50 1.9×
Aep threshold estimation mlt frequencies i&r (92652) $541.50 $541.50 1.9×
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$334.03–$2,773.48 $334.03–$2,773.48 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $292.47 $292.47 20.4×
Arrhythmia Induction (93618) $7,487.58 $7,487.58 4.8×
Assessment of aphasia per hr (96105) $1,137.53 $1,137.53 11.7×
Behavral qualit analys voice (92524) $1,027.02 $1,027.02 9.4×
Bioimpedance Cv Analysis (93701) $2,870.90 $2,870.90 16.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,583.87 $2,583.87 5.4×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,762.33 $3,762.33 0.4×
Cardiac Stress Tst,Tracing Only (93017) $6,288.60 $6,288.60 22.6×
Cardiopulmonary exercise testing (94621) $9,040.18 $9,040.18 18.8×
Cardioversion (92960)
range across 2 matching MRF lines
$5,412.47–$5,783.29 $5,412.47–$5,783.29 varies
Cbt 1st hour (94644) $349.33 $349.33 2.0×
Chemo Admin Peritoneal Cavity (96446) $2,315.30 $2,315.30 5.4×
Chemo Anti-Neopl Sq/Im (96401) $348.17 $348.17 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $348.17 $348.17 3.8×
Chemo Ia Push (96420) $835.14 $835.14 2.0×
Chemo IV infusion addl hr (96415) $718.21 $718.21 7.8×
Chemo IV push addl drug (96411) $348.17 $348.17 3.8×
Chemother Prolong Infuse W/Pump (96416) $1,829.50 $1,829.50 4.3×
Chemotherapy Into Cns (96450) $3,627.50 $3,627.50 8.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $858.18 $858.18 9.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $858.18 $858.18 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $348.17 $348.17 0.8×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$419.67–$1,190.15 $419.67–$1,190.15 varies
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $10,262.28 $10,262.28 21.4×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$1,792.76–$3,771.55 $1,792.76–$3,771.55 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$1,763.89–$1,922.81 $1,763.89–$1,922.81 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $309.39 $309.39 9.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $12,535.12 $12,535.12 44.5×
Cpt initial (94667)
range across 2 matching MRF lines
$419.67–$1,190.15 $419.67–$1,190.15 varies
Critical care first hour (99291) $23,773.55 $23,773.55 22.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$805.40–$874.80 $805.40–$874.80 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 3 matching MRF lines
$901.63–$964.32 $901.63–$964.32 varies
Dialysis One Evaluation (90945) $3,760.83 $3,760.83 7.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,794.51 $1,794.51 5.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$1,792.76–$9,334.99 $1,792.76–$9,334.99 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 6 matching MRF lines
$1,128.78–$4,395.29 $1,128.78–$4,395.29 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$1,794.51–$9,334.99 $1,794.51–$9,334.99 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 11 matching MRF lines
$1,128.78–$4,395.29 $1,128.78–$4,395.29 varies
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$1,124.99–$9,334.99 $1,124.99–$9,334.99 varies
Duplex up extrem art bilat (93930) $9,334.99 $9,334.99 30.4×
Duplex up extrem art unilat/ltd (93931)
range across 6 matching MRF lines
$1,128.78–$4,395.29 $1,128.78–$4,395.29 varies
ECG/monitoring and analysis (93271) $4,897.13 $4,897.13 40.0×
Echo Congenital Complete (93303) $11,545.39 $11,545.39 16.4×
Echo Heart Xthoracic,Limited (93308) $3,563.68 $3,563.68 11.6×
Echo r-t 2d w/probe placement only (93313) $1,760.80 $1,760.80 2.5×
Echo transesophag montr cardiac pump functj (93318) $13,603.72 $13,603.72 19.4×
Echo transesophageal (93312) $13,603.72 $13,603.72 19.4×
Echo Transesophageal - Congenital Tee Complete (93315) $13,603.72 $13,603.72 19.4×
EEG awake and asleep (95819) $6,162.38 $6,162.38 22.2×
EEG awake drowsy (95816) $6,162.38 $6,162.38 22.2×
EEG cont rec w/video by tech min 8 channels (95700) $1,340.78 $1,340.78 4.8×
Eeg Sleep Only (95822) $6,162.38 $6,162.38 22.2×
EKG signal averaged (93278) $5,603.97 $5,603.97 73.9×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$292.47–$309.39 $292.47–$309.39 varies
Electrocardiogram Tracing (93005) $2,023.12 $2,023.12 26.7×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,762.33 $3,762.33 0.4×
Electrophysiology Evaluation (93642) $9,953.23 $9,953.23 6.4×
Emergency Dept Visit Level 2 (99282) $3,416.23 $3,416.23 17.3×
Emergency Dept Visit Level 3 (99283) $5,472.80 $5,472.80 15.6×
Emergency Dept Visit Level 4 (99284) $9,270.45 $9,270.45 17.3×
Emg 3 Extremities (95863) $1,957.80 $1,957.80 11.8×
Emg 4 Extremities (95864) $2,231.61 $2,231.61 13.5×
Ep & ablate supravent arrhyt (93653)
range across 2 matching MRF lines
$89,462.20–$162,274.37 $89,462.20–$162,274.37 varies
Ep & ablate ventric tachy (93654)
range across 2 matching MRF lines
$162,326.17–$235,138.05 $162,326.17–$235,138.05 varies
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $32,274.41 $32,274.41 3.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $29,315.81 $29,315.81 2.9×
Er level 1 (99281) $1,870.57 $1,870.57 17.2×
Er level v (99285) $15,162.34 $15,162.34 19.8×
Esoph Atrial Electrogram (93615) $7,487.58 $7,487.58 4.8×
Evaluate Speech Production (92522) $1,027.02 $1,027.02 9.2×
Evaluate Swallowing Function (92610) $1,027.02 $1,027.02 12.1×
Evaluation of speech fluency (92521) $1,027.02 $1,027.02 7.7×
Exercise test for bronchospasm (94617) $3,401.22 $3,401.22 19.9×
External ECG rec>48hr<7d recording (93242) $939.54 $939.54 19.6×
External ECG rec>7d<15d recording (93246) $939.54 $939.54 19.6×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,794.51–$10,574.58 $1,794.51–$10,574.58 varies
Eye exam w anesth; complete (92018) $11,981.32 $11,981.32 3.9×
F-up/limited tthrc echo congenital car anomaly (93304) $5,351.85 $5,351.85 7.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $4,642.27 $4,642.27 9.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,260 $1,260 4.5×
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$309.39–$731.92 $309.39–$731.92 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,760.83 $3,760.83 4.3×
Hubbard tank 15 min (97036) $309.39 $309.39 8.9×
Icd device progr eval dual (93283) $3,058.66 $3,058.66 63.7×
Immunization administration (90471)
range across 2 matching MRF lines
$135.59–$158.63 $135.59–$158.63 varies
Interrogate Subq Defib (93261) $9,953.23 $9,953.23 207.4×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$2,494.19 $2,494.19 0.2×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$2,494.19 $2,494.19 0.2×
Intracranial Complete Study (93886) $7,670.83 $7,670.83 25.0×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$2,494.19 $2,494.19 0.2×
Iontophoresis 15 min (97033) $370.04 $370.04 19.4×
Irrig Drug Delivery Device (96523) $359.83 $359.83 4.7×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$756.70–$821.69 $756.70–$821.69 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$947.70–$1,030.34 $947.70–$1,030.34 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$947.70–$1,030.34 $947.70–$1,030.34 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$756.70–$821.69 $756.70–$821.69 varies
IV push initial (96374)
range across 8 matching MRF lines
$122.18–$158.63 $122.18–$158.63 varies
Low frequency non-thermal us (97610) $1,020.02 $1,020.02 4.0×
Lung Function Test (Mbc/Mvv) (94200) $862.26 $862.26 11.4×
Lwr Xtr Vasc Stdy Bilat (93924) $2,201.87 $2,201.87 7.9×
Mechanical chest wall oscillation per session (94669) $1,190.15 $1,190.15 4.2×
Motility study esophagus (91010) $4,876.43 $4,876.43 10.2×
Motion Fluoroscopy/Swallow (92611) $1,133.74 $1,133.74 12.4×
Muscle Test 2 Limbs (95861) $1,586.01 $1,586.01 9.3×
Muscle Test One Limb (95860) $1,132.57 $1,132.57 6.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,335.82 $1,335.82 2.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,335.82 $1,335.82 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $697.22 $697.22 2.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $697.22 $697.22 1.3×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$292.47–$309.39 $292.47–$309.39 varies
Newborn resuscitation (99465) $1,014.45 $1,014.45 1.2×
Oral Function Therapy (92526) $622.86 $622.86 7.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $292.47 $292.47 5.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $292.47 $292.47 6.3×
Ot Contrast Bath Ea 15 Min (97034) $292.47 $292.47 20.8×
Ot eval high complexity (97167) $769.24 $769.24 7.7×
Ot Eval Low Complex (97165) $769.24 $769.24 7.7×
Ot Eval Moderate Complexity (97166) $769.24 $769.24 7.7×
Ot manual therapy 15 min (97140) $328.63 $328.63 11.9×
Ot paraffin bath (97018) $309.39 $309.39 51.5×
Ot Prosthetic Training, Each 15 Min (97761) $292.47 $292.47 7.2×
Ot Re-Eval Est Plan Care (97168) $512.34 $512.34 7.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $886.17 $886.17 5.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $1,369.06 $1,369.06 8.3×
Phlebotomy therapeutic (99195) $1,506.99 $1,506.99 8.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $363.33 $363.33 4.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $363.33 $363.33 4.8×
Physical Performance Test (97750) $272.94 $272.94 8.1×
Plethysmography (94726) $2,022.54 $2,022.54 4.2×
Pm device eval in person (93288)
range across 2 matching MRF lines
$1,142.49–$1,940.31 $1,142.49–$1,940.31 varies
Pm device progr eval dual (93280) $1,940.31 $1,940.31 40.4×
Pm Device Progr Eval Sngl (93279) $1,940.31 $1,940.31 40.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $2,403.25 $2,403.25 50.1×
Pt Eval High Complex (97163) $769.24 $769.24 7.9×
Pt eval low complex 20 min (97161) $769.24 $769.24 7.9×
Pt Eval Mod Complex (97162) $769.24 $769.24 7.9×
Pt gait training 15 min (97116) $309.39 $309.39 10.6×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$292.47–$1,344.57 $292.47–$1,344.57 varies
Pt Re-Eval Est Plan Care (97164) $512.34 $512.34 7.6×
Pulm function test by gas (94727) $2,022.54 $2,022.54 7.3×
Pulmonary service/procedure (94799) $907.75 $907.75 5.5×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$3,149.28–$3,401.22 $3,149.28–$3,401.22 varies
Remote 30 Day Ecg Rev/Report (93270) $1,160.86 $1,160.86 24.2×
Remote 30 Day Ecg Tech Supp (93229) $1,384.81 $1,384.81 2.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $1,271.38 $1,271.38 16.8×
Right ventricular recording (93603) $2,494.19 $2,494.19 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$631.90–$688.47 $631.90–$688.47 varies
Self Care Mngment Training (97535) $292.47 $292.47 9.0×
Sensory Integration Ea 15 Min (97533)
range across 4 matching MRF lines
$132.09–$292.47 $132.09–$292.47 varies
Somatosensory Testing (95938) $1,840 $1,840 1.7×
Speech sound lang comprehen (92523) $1,027.02 $1,027.02 4.5×
Spirometry (94010) $1,706.73 $1,706.73 6.1×
Stress Tte Only (93350) $7,696.24 $7,696.24 11.0×
Surfactant Admin Thru Tube (94610) $158.63 $158.63 0.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $10,574.58 $10,574.58 78.6×
Temp transcutaneous pacing (92953) $5,462.50 $5,462.50 6.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $292.47 $292.47 13.1×
Ther Ivntj Ea Addl 15 Min (97130) $292.47 $292.47 13.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $309.39 $309.39 8.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $316.39 $316.39 10.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$135.59–$158.63 $135.59–$158.63 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$947.70–$1,030.34 $947.70–$1,030.34 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$292.47–$309.39 $292.47–$309.39 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $7,045.54 $7,045.54 14.7×
Transcranial Doppler Intracran Art Emboli Detect (93892) $9,334.99 $9,334.99 69.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $3,842.41 $3,842.41 28.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293)
range across 2 matching MRF lines
$993.48–$1,101.37 $993.48–$1,101.37 varies
Tte w/doppler, complete (93306) $14,572.26 $14,572.26 20.7×
Tte W/O Doppler Complete (93307) $7,696.24 $7,696.24 25.1×
Tx atrial fib pulm vein isol (93656)
range across 2 matching MRF lines
$133,571.29–$186,239.51 $133,571.29–$186,239.51 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $546.46 $546.46 7.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $309.39 $309.39 12.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 8 matching MRF lines
$122.18–$158.63 $122.18–$158.63 varies
Unlisted cardiovascular service/procedure (93799) $1,543.01 $1,543.01 9.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$1,147.74–$2,168.63 $1,147.74–$2,168.63 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$1,733.85–$10,574.58 $1,733.85–$10,574.58 varies
Vasopneumatic device (97016) $455.19 $455.19 37.9×
Veeg 2-12 hr unmonitored (95711) $5,613.88 $5,613.88 20.2×
Veeg Ea 12-26 Hr Unmntr (95714) $11,228.35 $11,228.35 23.4×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$24,075.80–$24,964.88 $24,075.80–$24,964.88 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $22,357.97 $22,357.97 28.1×
Vital capacity, total (94150)
range across 2 matching MRF lines
$332.72–$440.90 $332.72–$440.90 varies
Wheelchair Mgmt Ea 15 Min (97542) $291.31 $291.31 9.4×
Whirlpool Therapy (97022) $474.43 $474.43 30.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $1,574.64 $1,574.64 20.8×

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.