Supplies, drugs & other prices at Martin Luther King, Jr. Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010) $39.52 $208 0.7×
Admin influenza virus vac (G0008) $37.62 $198 0.6×
Admin pneumococcal vaccine (G0009) $53.58 $282 0.9×
Autolog prp not diab ulcer (G0460) $1,717.60 $9,040 0.6×
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$33.44–$42.94 $176–$226 varies
Drug test def 1-7 classes (G0480)
range across 4 matching MRF lines
$28.50–$269.61 $150–$1,419 varies
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$11,826.93 $62,247 0.2×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $9,862.71 $51,909 0.7×
Hbot, full body chamber, 30m (G0277) $127.11 $669 0.7×
Hospital outpt clinic visit (G0463)
range across 5 matching MRF lines
$52.63–$161.31 $277–$849 varies
Inj for sacroiliac jt anesth (G0260) $623.58 $3,282 0.7×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $808.45 $4,255 0.7×
Njx bone sub matrl into subchondral bone defect (0707T) $2,780.84 $14,636 0.7×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $808.45 $4,255 0.7×
Perq Sacral Augmt Bilat Inj (0201T) $6,150.30 $32,370 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $6,150.30 $32,370 0.7×
Revasc intra lithotrip-ather (C9766) $11,826.93 $62,247 0.5×
Revasc intra lithotrip-stent (C9765) $11,826.93 $62,247 0.5×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,010.11 $26,369 0.3×
Revasc lith-sten-ath tib/per (C9775) $11,826.93 $62,247 0.5×
Revasc lithotr-ather tib/per (C9774) $11,826.93 $62,247 0.5×
Revasc lithotr-stent tib/per (C9773) $11,826.93 $62,247 0.5×
Revasc lithotrip tibi/perone (C9772) $7,619 $40,100 0.5×
Revasc lithotrip-stent-ather (C9767) $11,826.93 $62,247 0.5×
Trim nail(s) (G0127) $62.32 $328 0.8×
Trluml Perip Athrc Iliac Art (0238T) $11,826.93 $62,247 0.5×
Unsched dialysis esrd pt hos (G0257) $379.62 $1,998 0.4×

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.