Visits & medical services prices at Pacifica Hospital of the Valley

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $232 $232 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $113 $113 7.9×
Arrhythmia Induction (93618) $5 $5 0.0×
Assessment of aphasia per hr (96105) $351 $351 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $396 $396 0.8×
Cardiopulmonary resuscitation (92950) $327 $327 1.2×
Chemo Anti-Neopl Sq/Im (96401) $437 $437 4.7×
Chemo IV infusion addl hr (96415) $508 $508 5.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,019 $1,019 2.4×
Color/duplex Doppler, limited (93976) $895 $895 6.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $54 $54 1.7×
Cpt initial (94667) $139 $139 0.8×
Critical care first hour (99291) $5,422 $5,422 5.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,262 $1,262 4.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $668 $668 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,189 $3,189 10.4×
Dup-scan xtr veins unilateral/limited study (93971) $895 $895 6.7×
Duplex Scan Hemodialysis Access (93990) $1,160 $1,160 8.6×
Echo Congenital Complete (93303) $1,168 $1,168 1.7×
Echo Heart Xthoracic,Limited (93308) $693 $693 2.3×
Echo transesophag congen probe plcmt only (93316) $2 $2 0.0×
Echo transesophageal (93312) $2,342 $2,342 3.3×
EEG awake and asleep (95819) $544 $544 2.0×
EEG cerebral death evaluation (95824) $80 $80 0.2×
Electrical Stimulation Ea 15 Min (97032) $145 $145 9.9×
Electrocardiogram Tracing (93005) $183 $183 2.4×
Emergency Dept Visit Level 2 (99282) $902 $902 4.6×
Emergency Dept Visit Level 3 (99283) $1,431 $1,431 4.1×
Emergency Dept Visit Level 4 (99284) $1,822 $1,822 3.4×
Endomyocardial Biopsy (93505) $3,336 $3,336 0.8×
Er level 1 (99281)
range across 2 matching MRF lines
$318–$549 $318–$549 varies
Er level v (99285) $3,877 $3,877 5.1×
Esoph Atrial Electrogram (93615) $44 $44 0.0×
Evaluate pt use of inhaler (94664)
range across 7 matching MRF lines
$124–$307 $124–$307 varies
Evaluate Speech Production (92522) $455 $455 4.1×
Evaluate Swallowing Function (92610) $645 $645 7.6×
Evaluation of speech fluency (92521) $415 $415 3.1×
Extracranial Bilat Study (93880) $1,640 $1,640 5.3×
F-up/limited tthrc echo congenital car anomaly (93304) $454 $454 0.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $12 $12 0.1×
Immunization administration (90471)
range across 8 matching MRF lines
$6–$221 $6–$221 varies
Insert/Place Heart Catheter (93503) $788 $788 0.4×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$691 $691 0.1×
Iontophoresis 15 min (97033) $94 $94 4.9×
IV infusion hydration each additional hour (96361) $455 $455 7.6×
IV infusion hydration initial 31 min-1 hour (96360) $588 $588 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $401 $401 4.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $728 $728 12.1×
IV push initial (96374) $264 $264 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $36 $36 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $40 $40 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $65 $65 3.8×
Methacholine challenge (94070) $432 $432 0.9×
Motion Fluoroscopy/Swallow (92611) $645 $645 7.0×
Multiple Family Group Psychotherapy (90849) $144 $144 0.6×
Neuromuscular Reeducation (97112) $168 $168 5.1×
Oral Function Therapy (92526) $108 $108 1.3×
Oral Speech Device Eval (92597) $129 $129 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $86 $86 1.9×
Ot Contrast Bath Ea 15 Min (97034) $131 $131 9.3×
Ot eval high complexity (97167) $237 $237 2.4×
Ot Eval Low Complex (97165) $253 $253 2.5×
Ot Eval Moderate Complexity (97166) $237 $237 2.4×
Ot manual therapy 15 min (97140) $168 $168 6.1×
Ot paraffin bath (97018) $99 $99 16.5×
Ot Re-Eval Est Plan Care (97168) $139 $139 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $307 $307 1.1×
Psych diag eval w/med srvcs (90792) $545 $545 2.4×
Psychiatric diagnostic evaluation (90791) $477 $477 2.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $75 $75 0.4×
Psytx Crisis Initial 60 Min (90839) $489 $489 2.1×
Pt Eval High Complex (97163) $396 $396 4.0×
Pt eval low complex 20 min (97161) $419 $419 4.3×
Pt Eval Mod Complex (97162) $396 $396 4.0×
Pt gait training 15 min (97116) $140 $140 4.8×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$45–$126 $45–$126 varies
Pt Re-Eval Est Plan Care (97164) $157 $157 2.3×
Pulmonary service/procedure (94799) $108 $108 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $100 $100 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $490 $490 4.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $163 $163 3.4×
Self Care Mngment Training (97535) $76 $76 2.3×
Sensory Integration Ea 15 Min (97533) $140 $140 2.3×
Speech sound lang comprehen (92523) $575 $575 2.5×
Standardized Cognitive Performance Testing (96125) $276 $276 2.7×
Stress Tte Only (93350) $1,866 $1,866 2.7×
Subcutaneous Infusion Each Additional Hour (96370) $399 $399 6.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $492 $492 1.8×
Surfactant Admin Thru Tube (94610) $232 $232 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $118 $118 5.3×
Ther Ivntj Ea Addl 15 Min (97130) $65 $65 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $126 $126 4.2×
Ther/Proph/Diag Inj Ia (96373) $272 $272 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $128 $128 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $588 $588 2.1×
Therapeutic Activities (97530) $132 $132 3.8×
Tte W/O Doppler Complete (93307) $937 $937 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $107 $107 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $260 $260 4.3×
Upr/L Xtremity Art 2 Levels (93922) $1,149 $1,149 6.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,247 $1,247 4.5×
Vasopneumatic device (97016) $121 $121 10.1×
Vent Mgmt Inpat Init Day (94002) $1,929 $1,929 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,929 $1,929 2.4×
Vital capacity, total (94150) $39 $39 0.2×
Whirlpool Therapy (97022) $126 $126 8.0×

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.