Visits & medical services prices at Palomar Medical Center Poway

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $90.85 $151.41 1.7×
Airway Inhalation Treatment (94640)
range across 17 matching MRF lines
$415.94–$465.91 $693.24–$776.52 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $89.55 $149.25 6.2×
Behavral qualit analys voice (92524) $412.05 $686.75 3.8×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $219.33 $365.55 2.7×
Bfb training ea addl 15 min (90913) $104.47 $174.12 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,291.31 $2,152.19 2.7×
Canalith repositioning proc (95992) $147.95 $246.58 3.6×
Car seat/bed test 60 min (94780) $304.99 $508.31 6.3×
Cardiac Stress Tst,Tracing Only (93017) $637.22 $1,062.03 2.3×
Cardiopulmonary resuscitation (92950) $563.89 $939.82 2.0×
Cardioversion (92960) $2,117.36 $3,528.93 2.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 7 matching MRF lines
$27.25–$54.51 $45.42–$90.85 varies
Cbt 1st hour (94644) $595.04 $991.74 3.5×
Chemo Anti-Neopl Sq/Im (96401) $275.14 $458.56 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $167.42 $279.03 1.8×
Chemo Ia Push (96420) $550.27 $917.11 1.3×
Chemo IV infusion addl hr (96415) $123.29 $205.49 1.3×
Chemo IV push addl drug (96411) $128.48 $214.14 1.4×
Chemother Prolong Infuse W/Pump (96416) $736.50 $1,227.50 1.7×
Chemotherapy Unspecified (96549) $201.16 $335.27 3.3×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $862.39 $1,437.31 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $141.46 $235.77 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $669.67 $1,116.11 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $487.97 $813.29 1.1×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$145.36–$153.79 $242.26–$256.32 varies
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $919.49 $1,532.49 1.9×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$562.80–$1,605.38 $938–$2,675.63 varies
Color/duplex Doppler, limited (93976) $1,391.89 $2,319.82 10.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $78.52 $130.86 2.4×
Comprehensive Hearing Test (92557) $347.81 $579.68 2.1×
Computerized dynamic posturography (92548) $413.35 $688.92 2.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$109.01–$295.90 $181.69–$493.16 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,628.74 $2,714.57 5.8×
Cpt initial (94667)
range across 4 matching MRF lines
$173.90–$194.67 $289.84–$324.45 varies
Critical care first hour (99291)
range across 4 matching MRF lines
$9,236.44–$35,271.61 $15,394.07–$58,786.01 varies
Debridement Open Wound 20 Sq Cm< (97597) $633.98 $1,056.63 2.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $803.34 $1,338.90 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $512.63 $854.39 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 14 matching MRF lines
$1,970.64–$2,029.76 $3,284.40–$3,382.93 varies
Dup-scan xtr veins unilateral/limited study (93971) $432.17 $720.28 3.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,723.48 $2,872.46 5.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986)
range across 11 matching MRF lines
$1,482.09–$1,723.48 $2,470.15–$2,872.46 varies
Duplex Scan Hemodialysis Access (93990) $508.09 $846.81 3.8×
Duplex up extrem art bilat (93930) $574.93 $958.21 1.9×
Duplex up extrem art unilat/ltd (93931) $389.34 $648.90 2.9×
ECG/monitoring and analysis (93271) $347.81 $579.68 2.8×
Echo transesophag montr cardiac pump functj (93318) $2,535.25 $4,225.42 3.6×
Echo transesophageal (93312) $1,388.65 $2,314.41 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,151.71 $5,252.85 4.5×
Eeg 41-60 Minutes (95812) $1,623.55 $2,705.91 5.8×
EEG awake and asleep (95819) $907.81 $1,513.02 3.3×
EEG awake drowsy (95816) $829.94 $1,383.24 3.0×
EEG cerebral death evaluation (95824) $690.43 $1,150.72 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $469.81 $783.01 1.7×
EEG extended monitoring 61-119 minutes (95813) $2,354.21 $3,923.68 8.5×
Eeg Sleep Only (95822) $779.33 $1,298.88 2.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,084.96 $1,808.27 3.9×
EEG w/o vid 2-12hr cont mntr (95707) $1,197.22 $1,995.37 4.3×
EEG w/o vid ea 12-26hr intmt (95709) $1,768.90 $2,948.17 3.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,859.75 $3,099.58 3.9×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,139.47 $1,899.11 4.1×
EEG wo vid ea 12-26hr unmntr (95708) $1,685.20 $2,808.66 3.5×
EKG signal averaged (93278)
range across 2 matching MRF lines
$136.92–$141.46 $228.20–$235.77 varies
Electrical Stimulation Ea 15 Min (97032) $157.68 $262.80 10.7×
Electrocardiogram Tracing (93005) $240.74 $401.24 3.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,538.97 $10,898.28 0.7×
Emergency Dept Visit Level 2 (99282) $1,221.88 $2,036.46 6.2×
Emergency Dept Visit Level 3 (99283) $1,842.88 $3,071.46 5.2×
Emergency Dept Visit Level 4 (99284) $3,511.85 $5,853.08 6.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,873.80 $11,456.33 0.7×
Er level 1 (99281)
range across 10 matching MRF lines
$72.68–$636.57 $121.13–$1,060.95 varies
Er level v (99285) $4,294.42 $7,157.37 5.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $301.74 $502.90 1.8×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$289.41–$324.45 $482.35–$540.75 varies
Evaluate Speech Production (92522) $353 $588.34 3.2×
Evaluate Swallowing Function (92610) $201.81 $336.35 2.4×
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$315.37–$526.26 $525.61–$877.10 varies
External Ecg Scanning Analysis Report (93226) $444.50 $740.83 5.9×
Extracranial Bilat Study (93880) $592.45 $987.41 1.9×
Extracranial Uni/Ltd Study (93882) $471.75 $786.25 3.5×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $410.75 $684.59 2.7×
Flexible endoscopic eval swallow c/v rec (92612) $660.58 $1,100.97 3.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $497.06 $828.43 2.2×
Group Therapeutic Procedures (97150) $70.08 $116.80 3.9×
Holter monitor recording (93225) $279.68 $466.13 1.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $165.47 $275.78 1.8×
Immunization administration (90471) $165.47 $275.78 1.8×
Intracranial Complete Study (93886) $871.47 $1,452.45 2.8×
Iontophoresis 15 min (97033) $97.99 $163.31 5.1×
Irrig Drug Delivery Device (96523) $129.78 $216.30 1.7×
IV infusion hydration each additional hour (96361) $99.28 $165.47 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $369.88 $616.46 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $140.81 $234.69 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $105.12 $175.20 1.7×
IV push initial (96374) $583.36 $972.27 2.1×
Laryngeal Function Studies (92520) $214.14 $356.90 1.3×
Mechanical chest wall oscillation per session (94669) $440.60 $734.34 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $70.73 $117.88 2.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $79.81 $133.02 2.2×
Motion Fluoroscopy/Swallow (92611) $462.02 $770.03 5.0×
Multiple Family Group Psychotherapy (90849) $231.01 $385.01 1.0×
Multiple Sleep Latency Test (95805) $1,241.99 $2,069.99 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $595.69 $992.82 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $595.69 $992.82 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $317.31 $528.85 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $595.69 $992.82 1.1×
Neuromuscular Reeducation (97112) $219.33 $365.55 6.7×
Newborn resuscitation (99465) $1,052.51 $1,754.19 1.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $638.52 $1,064.20 1.3×
Oral Function Therapy (92526) $441.90 $736.50 5.3×
Oral Speech Device Eval (92597) $336.78 $561.30 4.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $245.93 $409.89 4.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $141.46 $235.77 3.1×
Ot Contrast Bath Ea 15 Min (97034) $65.54 $109.23 4.7×
Ot eval high complexity (97167) $473.70 $789.50 4.7×
Ot Eval Low Complex (97165) $279.03 $465.05 2.8×
Ot Eval Moderate Complexity (97166) $353 $588.34 3.5×
Ot manual therapy 15 min (97140) $212.84 $354.73 7.7×
Ot paraffin bath (97018) $68.14 $113.56 11.3×
Ot Prosthetic Training, Each 15 Min (97761) $92.79 $154.65 2.3×
Ot Re-Eval Est Plan Care (97168) $158.98 $264.97 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $410.11 $683.51 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $204.40 $340.67 1.2×
Phlebotomy therapeutic (99195) $554.81 $924.68 3.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $138.86 $231.44 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $96.68 $161.14 1.3×
Physical Performance Test (97750) $105.12 $175.20 3.1×
Plethysmography (94726) $845.51 $1,409.19 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,230.27 $3,717.12 2.0×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,916.85 $3,194.75 1.7×
Psychiatric diagnostic evaluation (90791) $397.78 $662.96 1.7×
Psychological tst eval svc phys/qhp first hour (96130) $468.50 $780.84 1.7×
Psytx Crisis Initial 60 Min (90839) $517.18 $861.96 2.3×
Pt Eval High Complex (97163) $467.86 $779.76 4.8×
Pt eval low complex 20 min (97161) $268 $446.66 2.7×
Pt Eval Mod Complex (97162) $377.66 $629.43 3.9×
Pt gait training 15 min (97116) $131.08 $218.46 4.5×
Pt group caregiver training (97552) $54.51 $90.85 2.5×
Pt mechanical traction (97012) $156.38 $260.64 10.9×
Pt Re-Eval Est Plan Care (97164) $171.31 $285.52 2.5×
Pulm function test by gas (94727) $526.91 $878.18 1.9×
Pulmonary Stress Testing (94618) $531.45 $885.75 3.1×
Refill/Maint Portable Pump (96521) $382.20 $637 1.4×
Refill/Maint Pump/Resvr Syst (96522) $382.85 $638.09 1.4×
Remote 30 Day Ecg Rev/Report (93270) $131.72 $219.54 2.7×
Respiratory flow volume loop (94375) $408.16 $680.26 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 3 matching MRF lines
$118.75–$133.03 $197.91–$221.71 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $310.18 $516.96 1.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $384.15 $640.25 3.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $190.13 $316.88 4.0×
Self Care Mngment Training (97535) $145.36 $242.26 4.5×
Sensory Integration Ea 15 Min (97533) $135.62 $226.03 2.2×
Sleep study attended (95807) $1,325.70 $2,209.50 2.8×
Sleep study unattended (95806) $347.16 $578.60 1.3×
Slp caregiver training 1st 30 min (97550) $54.51 $90.85 1.0×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$341.32–$640.46 $568.87–$1,067.44 varies
Spirometry (94010) $565.19 $941.99 2.0×
Surfactant Admin Thru Tube (94610) $465.91 $776.52 1.7×
Temp transcutaneous pacing (92953) $968.81 $1,614.68 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 5 matching MRF lines
$90.85–$212.84 $151.41–$354.73 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 5 matching MRF lines
$86.30–$212.84 $143.84–$354.73 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $73.97 $123.29 2.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $240.74 $401.24 2.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 10 matching MRF lines
$161.30–$169.36 $268.83–$282.27 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 10 matching MRF lines
$406.86–$407.05 $678.10–$678.41 varies
Therapeutic Activities (97530) $207.65 $346.08 5.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,005.14 $1,675.24 2.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $411.40 $685.67 3.1×
Tte w/doppler, complete (93306) $3,360.65 $5,601.09 4.8×
Tte W/O Doppler Complete (93307) $1,005.14 $1,675.24 3.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$228.41–$479.54 $380.69–$799.23 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 3 matching MRF lines
$78.52–$109.66 $130.86–$182.77 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $512.63 $854.39 8.5×
Tympanometry (92567) $106.42 $177.37 2.2×
Unlisted cardiovascular service/procedure (93799) $116.80 $194.67 0.7×
Upr/L Xtremity Art 2 Levels (93922) $412.70 $687.83 2.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $626.19 $1,043.65 2.3×
Vasopneumatic device (97016) $118.75 $197.91 9.9×
Veeg 2-12 Hr Cont Mntr (95713) $2,725.38 $4,542.30 5.7×
Veeg 2-12 hr intmt mntr (95712) $2,587.81 $4,313.02 5.4×
Veeg 2-12 hr unmonitored (95711) $2,459.98 $4,099.97 8.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,559.26 $4,265.44 5.3×
Veeg Ea 12-26 Hr Unmntr (95714) $2,329.55 $3,882.59 4.9×
Veeg ea 12-26hr cont mntr (95716) $3,597.50 $5,995.84 3.3×
Vent Mgmt Inpat Init Day (94002) $5,039.36 $8,398.93 6.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,547.54 $5,912.56 4.5×
Visual Evoked Potential Test (95930) $513.93 $856.55 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $144.70 $241.17 4.7×
Whirlpool Therapy (97022) $160.93 $268.21 10.3×

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.