Supplies, drugs & other prices at Palomar Medical Center Poway

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

39 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) $1,483.20 $2,472 1.5×
2d tte w or w/o fol w/con,co (C8923) $1,483.20 $2,472 1.5×
Admin influenza virus vac (G0008) $165.47 $275.78 2.7×
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$56.45–$165.47 $94.09–$275.78 varies
Compre Audiom Threshold Eval & Speech Recog (0212T) $147.30 $245.50 0.9×
Direct refer hospital observ (G0379) $268 $446.66 0.3×
Drug test def 1-7 classes (G0480)
range across 13 matching MRF lines
$10.42–$364.03 $17.37–$606.72 varies
Elec stim other than wound (G0283) $135.62 $226.03 10.7×
Elec stim unattend for press (G0281) $66.83 $111.39 5.7×
Hbot, full body chamber, 30m (G0277) $1,179.70 $1,966.17 6.7×
Hospital outpt clinic visit (G0463)
range across 43 matching MRF lines
$133.67–$638.52 $222.79–$1,064.20 varies
Mra w/cont, abd (C8900) $4,250.30 $7,083.83 9.5×
Mra w/cont, lwr ext (C8912) $3,797.36 $6,328.94 8.5×
Mra w/cont, pelvis (C8918) $5,335.25 $8,892.09 11.9×
Mra w/o cont, abd (C8901) $4,250.30 $7,083.83 13.9×
Mra w/o cont, lwr ext (C8913) $3,797.36 $6,328.94 12.4×
Mra w/o cont, pelvis (C8919) $5,335.25 $8,892.09 17.4×
Mra w/o fol w/cont, abd (C8902) $4,250.30 $7,083.83 9.5×
Mra w/o fol w/cont, chest (C8911) $5,476.72 $9,127.86 12.2×
Mra w/o fol w/cont, lwr ext (C8914) $3,797.36 $6,328.94 8.5×
Mra w/o fol w/cont, pelvis (C8920) $5,335.25 $8,892.09 11.9×
Mra, w/o&w/dye, upper extr (C8936) $3,245.80 $5,409.66 7.2×
Mri w/cont, breast, bi (C8906) $2,055.71 $3,426.19 4.6×
Mri w/cont, breast, uni (C8903) $1,028.51 $1,714.18 4.6×
Mri w/o fol w/cont, breast, (C8908) $2,055.71 $3,426.19 4.6×
Mri w/o fol w/cont, brst, un (C8905) $1,028.51 $1,714.18 2.3×
Oth resp proc, group (G0239) $100.58 $167.63 2.1×
Oth resp proc, indiv (G0238) $73.33 $122.21 2.0×
Psa screening (G0103) $75.92 $126.54 3.9×
Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) $85.66 $142.76 1.8×
Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) $73.97 $123.29 1.5×
Speech audiometry threshold, automated; Non-Facility Physician Technical Component (0210T) $96.68 $161.14 2.0×
Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) $108.37 $180.61 2.3×
Therapeutic procd strg endur (G0237) $73.33 $122.21 2.0×
Tomosynthesis, mammo (G0279) $188.83 $314.72 14.9×
Trauma respons w/hosp criti (G0390)
range across 5 matching MRF lines
$5,723.30–$21,868.58 $9,538.83–$36,447.63 varies
Tte w or w/o contr, cont ecg (C8930) $1,483.20 $2,472 1.5×
Tte w or wo fol wcon,doppler (C8929) $1,483.20 $2,472 1.5×
Unsched dialysis esrd pt hos (G0257)
range across 12 matching MRF lines
$744.29–$2,051.17 $1,240.48–$3,418.62 varies

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.