Supplies, drugs & other prices at Uci Health-orange
Orange, CA · every code in this section with a posted price and a Medicare benchmark.
93 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $856 | $2,140 | 0.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,527.20 | $3,818 | 0.6× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) unusually low: confirm this is the full procedure |
$4,471.20 | $11,178 | 0.4× |
| Adm of soc dtr assess 5-15 m (G0136) | $16 | $40 | 0.3× |
| Amalgam 4 or > surfaces perm (D2161) | $26.40 | $66 | 0.0× |
| Amalgam one surface permanen (D2140) | $31.20 | $78 | 0.0× |
| Amalgam three surfaces perma (D2160) | $45.60 | $114 | 0.1× |
| Amalgam two surfaces permane (D2150) | $38.40 | $96 | 0.0× |
| Annual alcohol screen 15 min (G0442) | $9.60 | $24 | 0.2× |
| Ant resin-based cmpst crown (D2390) | $33.20 | $83 | 0.0× |
| Assessment of a patient (D0191) | $12.80 | $32 | 0.1× |
| Behavior counsel obesity 15m (G0447) | $58.80 | $147 | 0.5× |
| Bitewings - three images (D0273) | $6.40 | $16 | 0.0× |
| Bitewings four images (D0274) | $16 | $40 | 0.1× |
| Brief alcohol misuse counsel (G0443) | $12.40 | $31 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $19.20 | $48 | 0.1× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $1,314.80 | $3,287 | 0.4× |
| Comprehensve oral evaluation (D0150) | $20 | $50 | 0.1× |
| Crown porcelain fused base m (D2751) | $149.60 | $374 | 0.2× |
| Cyp1a2 gene analysis common variants (0031U) | $165 | $412.50 | 0.9× |
| Cysto impl 4 or more (C9740) | $7,408.80 | $18,522 | 0.6× |
| Cystoscopy prostatic imp 1-3 (C9739) | $3,810.40 | $9,526 | 0.6× |
| Dental bitewing single image (D0270) | $2.80 | $7 | 0.0× |
| Dental bitewings two images (D0272) | $8 | $20 | 0.1× |
| Dental prophylaxis adult (D1110) | $44 | $110 | 0.3× |
| Dermal filler injection(s) (G0429) | $1,548.80 | $3,872 | 0.6× |
| Diab manage trn per indiv (G0108) | $26.40 | $66 | 0.5× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$12.75–$51.20 | $31.88–$128 | varies |
| Elec stim other than wound (G0283) | $24.40 | $61 | 1.9× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) | $282.40 | $706 | 1.7× |
| Evacuation meibomian glands using heat bilateral (0563T) | $299.20 | $748 | 3.9× |
| Extraction erupted tooth/exr (D7140) | $36 | $90 | 0.0× |
| Full mouth debridement (D4355) | $52 | $130 | 0.1× |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis 13,999 or fewer… (0094U) likely a partial charge, not the full procedure |
$1,800 | $4,500 | 0.2× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $641.20 | $1,603 | 0.7× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) unusually low: confirm this is the full procedure |
$10,098 | $25,245 | 0.5× |
| Histotripsy malignant renal tissue w/img gdn (0888T) | $11,740.80 | $29,352 | 0.5× |
| Initial preventive exam (G0402) | $87.20 | $218 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $573.20 | $1,433 | 0.6× |
| Intraor comprehensive series (D0210) | $36 | $90 | 0.1× |
| Intraoral periapical first (D0220) | $8 | $20 | 0.1× |
| Ire Abltj 1+Tum Organ Perq (0600T) likely a partial charge, not the full procedure |
$3,639.20 | $9,098 | 0.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $142.72 | $356.79 | 1.2× |
| Limit oral eval problm focus (D0140) | $15.60 | $39 | 0.1× |
| Mra w/cont, lwr ext (C8912) | $632.80 | $1,582 | 1.4× |
| Mra w/o cont, abd (C8901) | $967.60 | $2,419 | 3.2× |
| Mra w/o cont, chest (C8910) | $1,636.40 | $4,091 | 5.3× |
| Mra w/o cont, pelvis (C8919) | $1,008 | $2,520 | 3.3× |
| Mra w/o fol w/cont, abd (C8902) | $1,128.80 | $2,822 | 2.5× |
| Mra w/o fol w/cont, chest (C8911) | $2,141.60 | $5,354 | 4.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,346.80 | $3,367 | 3.0× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,128.80 | $2,822 | 2.5× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,827.20 | $4,568 | 4.1× |
| Neuro csf prion prtn qual (0035U) | $216.40 | $540.99 | 0.4× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $2,046.40 | $5,116 | 0.5× |
| Njx platelet plasma (0232T) | $576 | $1,440 | 1.0× |
| Opps service,sched team conf (G0175) | $217.60 | $544 | 0.4× |
| Pelvic ring fracture uni/bil (G0413) | $5,057.60 | $12,644 | 0.5× |
| Periodic oral evaluation (D0120) | $12 | $30 | 0.1× |
| Periodontal maint procedures (D4910) | $52 | $130 | 0.1× |
| Periodontal scaling & root (D4341) | $60 | $150 | 0.1× |
| Periodontal scaling 1-3teeth (D4342) | $22 | $55 | 0.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,836.80 | $12,092 | 0.5× |
| Place device/marker, non pro (C9728) | $1,924.80 | $4,812 | 1.1× |
| Place direct restoration (D2940) | $48 | $120 | 0.1× |
| Post 1 srfc resinbased cmpst (D2391) | $48 | $120 | 0.1× |
| Post 2 srfc resinbased cmpst (D2392) | $68 | $170 | 0.1× |
| Post 3 srfc resinbased cmpst (D2393) | $68 | $170 | 0.1× |
| Post >=4srfc resinbase cmpst (D2394) | $68 | $170 | 0.1× |
| Post and core cast + crown (D2952) | $33.20 | $83 | 0.0× |
| Ppps, initial visit (G0438) | $80 | $200 | 0.5× |
| Ppps, subseq visit (G0439) | $63.20 | $158 | 0.5× |
| Prefab post/core + crown (D2954) | $33.20 | $83 | 0.0× |
| Prefab stainless steel crown (D2933) | $33.20 | $83 | 0.0× |
| Prefab stnlss steel crown pe (D2931) | $39.60 | $99 | 0.0× |
| Prefab stnlss steel crwn pri (D2930) | $33.20 | $83 | 0.0× |
| Prefabricated resin crown (D2932) | $33.20 | $83 | 0.0× |
| Prolonged iv inf, req pump (C8957) | $280.40 | $701 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $273.60 | $684 | 0.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $81.60 | $204 | 0.1× |
| Re-cement or re-bond crown (D2920) | $32 | $80 | 0.0× |
| Rem imp tooth w mucoper flp (D7210) | $37.60 | $94 | 0.0× |
| Resin 4/> surf or w incis an (D2335) | $68 | $170 | 0.1× |
| Resin one surface-anterior (D2330) | $48 | $120 | 0.1× |
| Resin three surfaces-anterio (D2332) | $68 | $170 | 0.1× |
| Resin two surfaces-anterior (D2331) | $68 | $170 | 0.1× |
| Tear film imaging unilateral or bilateral w/i&r (0330T) | $53.60 | $134 | 1.1× |
| Therapeutic pulpotomy (D3220) | $61.60 | $154 | 0.1× |
| Tomosynthesis, mammo (G0279) | $188 | $470 | 14.8× |
| Tooth pin retention (D2951) | $35.20 | $88 | 0.0× |
| Tooth root removal (D7250) | $143.20 | $358 | 0.2× |
| Tpmt and Nudt15 Genotype (0034U) | $158.74 | $396.84 | 0.3× |
| Trim nail(s) (G0127) | $65.60 | $164 | 0.9× |
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.