Visits & medical services prices at Montclair Hospital Medical Center
Montclair, CA · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $47 | $251.64 | 1.0× |
| Airway Inhalation Treatment (94640) | $280 | $1,539.93 | 1.0× |
| Analyze Pacemaker System (93724) | $393 | $1,422.95 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $477 | $1,755.84 | 1.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $276 | $3,029.13 | 1.0× |
| Cardiopulmonary resuscitation (92950) | $276 | $2,876.39 | 1.0× |
| Cardioversion (92960) | $845 | $3,875.63 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,149 | $26,375 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,149 | $18,228.50 | 1.0× |
| Cbt 1st hour (94644) | $170 | $923.78 | 1.0× |
| Chemo IV infusion addl hr (96415) | $92 | $335.60 | 1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $422 | $1,613.40 | 1.0× |
| Chest Wall Manipulation (94668) | $170 | $839.80 | 1.0× |
| Color/duplex Doppler, complete (93975) | $305 | $2,898.75 | 1.0× |
| Color/duplex Doppler, limited (93976) | $133 | $1,934.87 | 1.0× |
| Continuous Pulse Ox (94762) | $164 | $892 | 1.0× |
| Coronary Art/Grft Angio S&I (93455) | $4,149 | $15,281.80 | 1.0× |
| Coronary Artery Angio S&I (93454) | $4,149 | $17,277 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $280 | $3,434.89 | 1.0× |
| Cpt initial (94667) | $170 | $839.80 | 1.0× |
| Critical care first hour (99291) | $1,057 | $7,580.38 | 1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $256 | $671.96 | 1.0× |
| Dialysis One Evaluation (90945) | $534 | $1,486.59 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $305 | $1,615 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $133 | $1,081 | 1.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $133 | $1,678 | 1.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $305 | $2,905.09 | 1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $133 | $1,865.88 | 1.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $305 | $3,356.38 | 1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $133 | $2,302.48 | 1.0× |
| Duplex up extrem art bilat (93930) | $305 | $2,313.75 | 1.0× |
| Duplex up extrem art unilat/ltd (93931) | $133 | $1,711.04 | 1.0× |
| Echo Congenital Complete (93303) | $699 | $2,628.15 | 1.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$305 | $1,459.19–$2,682.50 | 1.0× |
| Echo r-t 2d w/probe placement only (93313) | $699 | $3,005.22 | 1.0× |
| Echo transesophag montr cardiac pump functj (93318) | $699 | $2,628.15 | 1.0× |
| Echo transesophageal (93312) | $699 | $4,167.65 | 1.0× |
| EEG awake and asleep (95819) | $276 | $2,683.15 | 1.0× |
| EEG awake drowsy (95816) | $276 | $2,188.23 | 1.0× |
| EEG cerebral death evaluation (95824) | $477 | $2,998.30 | 1.0× |
| Eeg Sleep Only (95822) | $276 | $1,495.30 | 1.0× |
| Electrocardiogram Tracing (93005) | $75 | $699.88 | 1.0× |
| Emergency Dept Visit Level 2 (99282) | $196 | $1,290.44 | 1.0× |
| Emergency Dept Visit Level 3 (99283) | $349 | $2,284.44 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $534 | $3,409.93 | 1.0× |
| Ep & ablate ventric tachy (93654) | $33,452 | $127,852 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $9,982 | $36,215.60 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $9,982 | $33,663.80 | 1.0× |
| Er level 1 (99281) | $107 | $754.88 | 1.0× |
| Er level v (99285) | $762 | $5,058.67 | 1.0× |
| Evaluate pt use of inhaler (94664) | $280 | $1,399.94 | 1.0× |
| Evaluate Speech Production (92522) | $117 | $686.33 | 1.0× |
| Evaluate Swallowing Function (92610) range across 5 matching MRF lines |
$59 | $796.60–$869 | 0.7× |
| Exercise test for bronchospasm (94617) | $170 | $1,018.75 | 1.0× |
| Extracranial Bilat Study (93880) | $305 | $2,928.75 | 1.0× |
| Extracranial Uni/Ltd Study (93882) | $133 | $1,588.75 | 1.0× |
| Group Therapeutic Procedures (97150) | $18 | $227.73 | 1.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$878 | $4,877.91–$5,365.70 | 1.0× |
| Holter monitor recording (93225) | $170 | $611.25 | 1.0× |
| Immunization administration (90471) | $92 | $507.91 | 1.0× |
| Insert/Place Heart Catheter (93503) | $2,014 | $7,439.25 | 1.0× |
| IV infusion hydration each additional hour (96361) | $59 | $830.50 | 1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $272 | $1,675.92 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $92 | $755 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $59 | $830.50 | 1.0× |
| IV push initial (96374) | $272 | $1,675.92 | 1.0× |
| L Hrt Art/Grft Angio (93459) | $4,149 | $25,263.40 | 1.0× |
| Methacholine challenge (94070) | $477 | $1,722 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$96 | $882.35–$1,032.18 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $256 | $671.96 | 1.0× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$34 | $269.50–$405 | 1.0× |
| Newborn resuscitation (99465) | — | $3,347.02 | — |
| Oral Function Therapy (92526) | $88 | $562 | 1.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $53 | $259.21 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $49 | $245 | 1.1× |
| Ot eval high complexity (97167) | $106 | $576.44 | 1.1× |
| Ot Eval Low Complex (97165) | $106 | $499.95 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $106 | $499.95 | 1.1× |
| Ot manual therapy 15 min (97140) | $29 | $201 | 1.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $42 | $396.90 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) | $72 | $663.12 | 1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,284 | $29,530.30 | 1.0× |
| Physical Performance Test (97750) | $35 | $322.75 | 1.0× |
| Plethysmography (94726) | $477 | $1,495.30 | 1.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $14,775 | $36,924.50 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $14,775 | $59,846.40 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $14,775 | $36,924.50 | 1.0× |
| Pt Eval High Complex (97163) | $103 | $943.69 | 1.1× |
| Pt eval low complex 20 min (97161) | $103 | $624.18 | 1.1× |
| Pt Eval Mod Complex (97162) | $103 | $858.25 | 1.1× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$30 | $318.31–$351.25 | 1.0× |
| Pt mechanical traction (97012) | $15 | $123.84 | 1.0× |
| Pt Re-Eval Est Plan Care (97164) | $71 | $753.75 | 1.1× |
| Pulmonary service/procedure (94799) | $164 | $873.81 | 1.0× |
| Pulmonary Stress Testing (94618) | $170 | $608.55 | 1.0× |
| R Hrt Art/Grft Angio (93457) | $4,149 | $15,523.70 | 1.0× |
| R hrt coronary artery angio (93456) | $4,149 | $15,281.80 | 1.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,149 | $20,548.90 | 1.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $6 | $269.59 | 0.2× |
| Self Care Mngment Training (97535) | $34 | $229.60 | 1.0× |
| Speech sound lang comprehen (92523) | $238 | $1,127.70 | 1.1× |
| Spirometry (94010) | $276 | $1,039.79 | 1.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $92 | $462 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $20 | $205 | 0.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $18 | $158 | 0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $31 | $191 | 1.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $59 | $240 | 1.0× |
| Ther/Proph/Diag Inj Ia (96373) | $272 | $2,338 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $92 | $507.91 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $272 | $1,675.92 | 1.0× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$37 | $351.25–$480.15 | 1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $47 | $148.95 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$47 | $170.88–$195.75 | 1.0× |
| Tte w/doppler, complete (93306) | $699 | $4,329.67 | 1.0× |
| Tte W/O Doppler Complete (93307) | $305 | $2,600.03 | 1.0× |
| Tx atrial fib pulm vein isol (93656) | $33,452 | $127,852 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $80 | $222.49 | 1.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $25 | $321.65 | 1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $59 | $545.96 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $170 | $1,395.75 | 1.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $276 | $1,923.75 | 1.0× |
| Vasopneumatic device (97016) | $12 | $181 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) | $790 | $9,840.88 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $790 | $8,575.88 | 1.0× |
| Vital capacity, total (94150) | $164 | $1,039.79 | 1.0× |
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.