Valley Presbyterian Hospital

⭐ 2/5
hospital · Van Nuys, CA
Data Grade B
📍 Van Nuys, CA
🏥 Medicare #050126

Compare real prices at Valley Presbyterian Hospital in Van Nuys, CA. Taven tracks 243 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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243
Procedures Tracked
with pricing data
2/5
Star Rating
CMS Care Compare
💰
3.4x
Markup Ratio
Avg = 3.0x
🏥
Grade B
Data Quality
Good data coverage
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: KERRY TYMICHOrg NPI: 1578529285
🔒 De-identification Notice: All pricing data shown on this page is derived from publicly available hospital machine-readable files and insurer transparency data as mandated by federal law. No individual patient data, protected health information (PHI), or personally identifiable information is collected, stored, or displayed. Aggregate statistics (such as allowed amount medians and percentiles) are calculated from de-identified claim payment data reported by hospitals per CMS requirements.
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Procedure Prices at Valley Presbyterian Hospital

243 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Van Nuys, CA metro average.

Last updated: March 26, 2026

Procedure Cash Price Avg Negotiated Van Nuys Avg vs. Avg Payers
Debridement - Subcutaneous Tissue
CPT 11042
Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.
$756 $756 avg 43
Skin Biopsy (Tangential, Single Lesion)
CPT 11102
Skin biopsy, tangential — removal of a thin layer of skin tissue for microscopic examination to diagnose skin conditions or suspicious lesions.
$450 $450 avg 43
Skin Biopsy (Punch, Single Lesion)
CPT 11104
Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions.
$662 $662 avg 43
Skin Graft Preparation
CPT 15002
Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.
$2,326 $2,326 avg 43
Split-Thickness Skin Graft
CPT 15100
Split-Thickness Skin Graft — CPT code 15100 covers split-thickness skin graft performed in a clinical or hospital setting.
$2,841 $2,841 avg 23
Skin Substitute Graft (≤25 sq cm)
CPT 15271
Skin Substitute Graft (≤25 sq cm) — CPT code 15271 covers skin substitute graft (≤25 sq cm) performed in a clinical or hospital setting.
$3,141 $3,141 avg 43
Skin Substitute Graft (≤100 sq cm)
CPT 15275
Skin Substitute Graft (≤100 sq cm) — CPT code 15275 covers skin substitute graft (≤100 sq cm) performed in a clinical or hospital setting.
$3,141 $3,141 avg 43
Destruction of Premalignant Lesion (First)
CPT 17000
Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods.
$477 $477 avg 21
Wart Removal (Up to 14 Lesions)
CPT 17110
Destruction of benign skin lesions, up to 14 — removal of warts, skin tags, or other non-cancerous growths.
$411 $411 avg 43
Breast Excision
CPT 19120
Surgical removal of a breast lump or abnormal tissue. This procedure removes a specific area of concern while preserving as much healthy breast tissue as possible.
$5,172 $5,172 avg 23
Partial Mastectomy (Lumpectomy)
CPT 19301
Surgical removal of a breast tumor along with a small margin of surrounding tissue. Also called a lumpectomy, this breast-conserving surgery removes the cancer while keeping most of the breast intact.
$5,172 $5,172 avg 23
Simple Mastectomy
CPT 19303
Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.
$8,324 $8,324 avg 23
Joint Injection (small joint)
CPT 20600
Small joint injection — injection of medication into a small joint like a finger or toe to reduce pain and inflammation.
$543 $543 avg 43
Joint Injection (medium joint)
CPT 20605
Medium joint injection — injection of medication into a medium-sized joint like the elbow, wrist, or ankle to reduce pain and inflammation.
$555 $555 avg 43
Joint Injection (Major Joint)
CPT 20610
Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation.
$607 $607 avg 43
Joint Injection with Ultrasound (Major Joint)
CPT 20611
Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$589 $589 avg 43
Le Fort I Osteotomy
CPT 21141
Le Fort I Osteotomy — CPT code 21141 covers le fort i osteotomy performed in a clinical or hospital setting.
$7,298 $7,298 avg 23
Lumbar Spinal Fusion (Posterior)
CPT 22612
Lumbar spinal fusion (lower back) — surgery to permanently join two vertebrae in the lower spine to treat conditions like degenerative disc disease or spondylolisthesis.
$21,570 $21,570 avg 23
Lumbar Spinal Fusion (Posterior Interbody)
CPT 22630
Posterior lumbar interbody fusion (PLIF) — spinal fusion through the back where a damaged disc is removed and replaced with a bone graft or cage to stabilize the spine.
$20,945 $20,945 avg 23
Rotator Cuff Repair
CPT 23412
Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.
$9,515 $9,515 avg 23
Shoulder Replacement (Arthroplasty)
CPT 23472
Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.
$21,296 $21,296 avg 23
Trigger Finger Release
CPT 26055
Trigger finger release — a procedure to free a finger tendon that has become stuck, causing the finger to catch or lock when bending.
$2,595 $2,595 avg 23
Open Fracture Treatment - Metacarpal
CPT 26615
Open Fracture Treatment - Metacarpal — CPT code 26615 covers open fracture treatment - metacarpal performed in a clinical or hospital setting.
$4,839 $4,839 avg 23
Total Hip Replacement
CPT 27130
Total hip replacement surgery where the damaged hip joint is replaced with an artificial implant to relieve pain and improve mobility.
$15,287 $15,287 avg 23
Open Treatment Hip Fracture
CPT 27236
Surgical repair of a broken hip using metal pins, screws, or plates to hold the bone fragments together while they heal.
$3,286 $3,286 avg 8
Total Knee Replacement - Unicompartmental
CPT 27446
Partial knee replacement surgery that replaces only the damaged compartment of the knee joint with an artificial implant, preserving healthy bone and tissue.
$16,178 $16,178 avg 23
Total Knee Replacement
CPT 27447
Full knee replacement surgery where the damaged knee joint is replaced with artificial metal and plastic components to relieve pain and restore function.
$15,448 $15,448 avg 23
Knee Realignment Osteotomy
CPT 27477
Surgical reshaping of the leg bones around the knee to redistribute weight and relieve pain, typically used for patients with arthritis affecting one side of the knee.
$8,624 $8,624 avg 23
Closed Treatment Tibial Fracture
CPT 27750
Treatment of a broken shinbone (tibia) without surgery, using a cast or brace to hold the bone in place while it heals.
$824 $824 avg 23
Hammertoe Correction
CPT 28285
Surgical correction of a hammertoe — a toe that has become bent or curled. The procedure straightens the toe by removing bone or releasing tight tendons.
$4,860 $4,860 avg 43
Bunionectomy with Metatarsal Osteotomy
CPT 28296
Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain.
$4,620 $4,620 avg 23
Shoulder Arthroscopy - Debridement
CPT 29823
Minimally invasive shoulder surgery using a small camera (arthroscope) to clean out damaged tissue, bone spurs, or loose fragments from the shoulder joint.
$4,781 $4,781 avg 23
Arthroscopic Rotator Cuff Repair
CPT 29827
Arthroscopic repair of a torn rotator cuff — the group of tendons that stabilize the shoulder. The surgeon reattaches the torn tendon to the bone using small anchors.
$9,257 $9,257 avg 23
Knee Arthroscopy Medial & Lateral
CPT 29880
Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage.
$4,816 $4,816 avg 23
Knee Arthroscopy (Meniscus Surgery)
CPT 29881
Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions.
$4,795 $4,795 avg 23
Septoplasty (Deviated Septum Repair)
CPT 30520
Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting.
$4,798 $4,798 avg 23
Nasal Endoscopy (diagnostic)
CPT 31231
Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.
$552 $552 avg 23
Nasal Endoscopy - Surgical Debridement
CPT 31237
Nasal Endoscopy - Surgical Debridement — CPT code 31237 covers nasal endoscopy - surgical debridement performed in a clinical or hospital setting.
$2,692 $2,692 avg 23
Ethmoidectomy - Partial
CPT 31254
Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.
$8,508 $8,508 avg 23
Sinus Surgery - Ethmoidectomy
CPT 31255
Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.
$8,796 $8,796 avg 23
Sinus Surgery - Frontal
CPT 31276
Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.
$8,579 $8,579 avg 23
TAVR - Transcatheter Aortic Valve Replacement
CPT 33361
Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery.
$4,686 $4,686 avg 7
Mitral Valve Repair
CPT 33430
Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow.
$4,117 $4,117 avg 7
Coronary Artery Bypass (CABG) - Single
CPT 33533
Coronary artery bypass surgery (CABG) using a single graft. A healthy blood vessel from another part of the body is used to reroute blood around a blocked heart artery.
$3,616 $3,616 avg 2
Venipuncture (blood draw)
CPT 36415
A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing.
$13 $13 avg 43
Central Venous Catheter
CPT 36556
Insertion of a central venous catheter (a thin, flexible tube) into a large vein to deliver medications, fluids, or nutrition directly into the bloodstream.
$4,159 $4,159 avg 43
Central Venous Access Device
CPT 36571
Central Venous Access Device — CPT code 36571 covers central venous access device performed in a clinical or hospital setting.
$5,406 $5,406 avg 43
Central Venous Access - Jugular
CPT 36573
Insertion of a central venous catheter into the jugular vein (in the neck) for direct access to the central bloodstream for medications or monitoring.
$2,491 $2,491 avg 43
Arterial Line Placement
CPT 36620
Placement of a thin tube (catheter) into an artery, usually in the wrist, to continuously monitor blood pressure during surgery or critical care.
$946 $946 avg 43
Tonsillectomy & Adenoidectomy (Under 12)
CPT 42820
Surgical removal of the tonsils and adenoids. This procedure treats chronic infections, breathing problems, or sleep apnea caused by enlarged tonsils and adenoids.
$7,246 $7,246 avg 24
Tonsillectomy (Age 12+)
CPT 42826
Surgical removal of the tonsils for patients age 12 and older. This procedure treats chronic tonsillitis, recurrent infections, or breathing problems caused by enlarged tonsils.
$4,717 $4,717 avg 23
Upper Endoscopy (EGD) Diagnostic
CPT 43235
Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine.
$1,741 $1,741 avg 23
Upper Endoscopy (EGD) with Biopsy
CPT 43239
Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis.
$1,510 $1,510 avg 43
Upper Endoscopy with Dilation
CPT 43249
Upper endoscopy with dilation — a flexible scope is used to stretch a narrowed area of the esophagus or stomach to improve swallowing.
$2,478 $2,478 avg 43
Upper GI Endoscopy with Polypectomy
CPT 43251
Upper GI Endoscopy with Polypectomy — CPT code 43251 covers upper gi endoscopy with polypectomy performed in a clinical or hospital setting.
$2,422 $2,422 avg 43
Upper GI Endoscopy with Band Ligation
CPT 43270
Upper GI Endoscopy with Band Ligation — CPT code 43270 covers upper gi endoscopy with band ligation performed in a clinical or hospital setting.
$2,959 $2,959 avg 23
Laparoscopic Hiatal Hernia Repair
CPT 43282
Laparoscopic Hiatal Hernia Repair — CPT code 43282 covers laparoscopic hiatal hernia repair performed in a clinical or hospital setting.
$13,004 $13,004 avg 23
Gastric Bypass (Laparoscopic Roux-en-Y)
CPT 43644
Gastric Bypass (Laparoscopic Roux-en-Y) — CPT code 43644 covers gastric bypass (laparoscopic roux-en-y) performed in a clinical or hospital setting.
$6,580 $6,580 avg 2
Gastric Sleeve (Laparoscopic Sleeve Gastrectomy)
CPT 43775
Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) — CPT code 43775 covers gastric sleeve (laparoscopic sleeve gastrectomy) performed in a clinical or hospital setting.
$6,041 $6,041 avg 7
Gastric Bypass - Open
CPT 43846
Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting.
$3,343 $3,343 avg 7
Gastric Bypass with Small Intestine
CPT 43847
Gastric Bypass with Small Intestine — CPT code 43847 covers gastric bypass with small intestine performed in a clinical or hospital setting.
$3,546 $3,546 avg 7
Small Bowel Resection
CPT 44120
Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury.
$2,984 $2,984 avg 7
Laparoscopic Small Bowel Enterostomy
CPT 44180
Laparoscopic Small Bowel Enterostomy — CPT code 44180 covers laparoscopic small bowel enterostomy performed in a clinical or hospital setting.
$7,591 $7,591 avg 23
Laparoscopic Appendectomy
CPT 44970
Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.
$7,795 $7,795 avg 23
Colonoscopy (diagnostic)
CPT 45378
Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities.
$1,817 $1,817 avg 23
Colonoscopy with Biopsy
CPT 45380
Colonoscopy with biopsy — examination of the large intestine with a camera, during which tissue samples are taken from suspicious areas for laboratory analysis.
$2,105 $2,105 avg 23
Colonoscopy with Polyp Removal
CPT 45385
Colonoscopy with polyp removal — examination of the large intestine during which precancerous growths (polyps) are found and removed to prevent colon cancer.
$2,105 $2,105 avg 23
Gallbladder Removal (Laparoscopic)
CPT 47562
Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation.
$7,905 $7,905 avg 29
Gallbladder Removal with Cholangiography
CPT 47563
Laparoscopic gallbladder removal with X-ray imaging of the bile ducts (cholangiography) to check for gallstones in the ducts during surgery.
$7,916 $7,916 avg 27
Cholecystectomy - Open
CPT 47600
Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen.
$3,147 $3,147 avg 8
Inguinal Hernia Repair
CPT 49505
Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles.
$5,102 $5,102 avg 23
Inguinal Hernia Repair (Incarcerated)
CPT 49507
Inguinal Hernia Repair (Incarcerated) — CPT code 49507 covers inguinal hernia repair (incarcerated) performed in a clinical or hospital setting.
$5,814 $5,814 avg 23
Ventral Hernia Repair
CPT 49585
Ventral Hernia Repair — CPT code 49585 covers ventral hernia repair performed in a clinical or hospital setting.
$4,307 $4,307 avg 7
Laparoscopic Inguinal Hernia Repair
CPT 49650
Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.
$7,676 $7,676 avg 23
Lithotripsy (Kidney Stone Treatment)
CPT 50590
Lithotripsy — shock waves are used to break kidney stones into small pieces that can pass naturally through the urinary tract.
$5,976 $5,976 avg 24
Bladder Aspiration/Drainage
CPT 51102
Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.
$3,544 $3,544 avg 43
Cystoscopy (Bladder Exam)
CPT 52000
Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract.
$1,416 $1,416 avg 23
TURP (Prostate Resection)
CPT 52601
Transurethral resection of the prostate (TURP) — surgical removal of prostate tissue through the urethra to treat enlarged prostate and improve urinary flow.
$6,782 $6,782 avg 23
Prostate Biopsy
CPT 55700
Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting.
$3,077 $3,077 avg 23
Robotic Prostatectomy
CPT 55866
Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.
$12,509 $12,509 avg 23
Colposcopy with Biopsy (Cervical)
CPT 57454
Colposcopy with Biopsy (Cervical) — CPT code 57454 covers colposcopy with biopsy (cervical) performed in a clinical or hospital setting.
$954 $954 avg 23
Endometrial Biopsy
CPT 58100
Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.
$536 $536 avg 23
Total Hysterectomy - Abdominal
CPT 58150
Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting.
$3,340 $3,340 avg 8
IUD Insertion
CPT 58300
IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting.
$982 $982 avg 6
IUD Removal
CPT 58301
IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.
$643 $643 avg 21
Laparoscopic Hysterectomy (250g or Less)
CPT 58571
Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix.
$12,895 $12,895 avg 23
Laparoscopic Ovarian Cyst/Adnexal Removal
CPT 58661
Laparoscopic removal of the uterus (hysterectomy) — minimally invasive surgery using small incisions and a camera to remove the uterus.
$7,808 $7,808 avg 23
Fetal Non-Stress Test
CPT 59025
Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing.
$331 $331 avg 43
Vaginal Delivery (routine, global)
CPT 59400
Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package.
$2,904 $2,904 avg 5
Vaginal Delivery Only
CPT 59409
Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.
$4,398 $4,398 avg 23
C-Section Delivery (global)
CPT 59510
Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section.
$3,183 $3,183 avg 5
VBAC Delivery
CPT 59610
VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting.
$2,904 $2,904 avg 5
Lumbar Epidural Injection
CPT 62322
Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief.
$1,240 $1,240 avg 43
Lumbar Epidural - Fluoroscopic
CPT 62323
Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement.
$1,321 $1,321 avg 21
Lumbar Laminotomy
CPT 63030
Lumbar laminotomy — surgical removal of a small portion of the vertebral bone (lamina) in the lower back to relieve pressure on spinal nerves, typically for a herniated disc.
$9,492 $9,492 avg 23
Lumbar Laminectomy (Single Level)
CPT 63047
Lumbar laminectomy — surgical removal of the bony arch (lamina) of a vertebra in the lower back to create more space for the spinal cord and nerves.
$9,512 $9,512 avg 23
Transforaminal Epidural Injection
CPT 64483
Lumbar epidural steroid injection — injection of anti-inflammatory medication into the space around spinal nerves in the lower back to relieve pain.
$1,619 $1,619 avg 23
Facet Joint Injection - Lumbar
CPT 64493
Lumbar facet joint injection — injection of medication into the small joints of the lower spine to diagnose and treat back pain.
$1,619 $1,619 avg 23
Facet Joint Destruction - Lumbar
CPT 64635
Facet Joint Destruction - Lumbar — CPT code 64635 covers facet joint destruction - lumbar performed in a clinical or hospital setting.
$3,054 $3,054 avg 23
Carpal Tunnel Release
CPT 64721
Carpal tunnel release — surgery to relieve pressure on the median nerve in the wrist, treating numbness, tingling, and weakness in the hand.
$3,027 $3,027 avg 23
Glaucoma Laser Surgery
CPT 65855
Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.
$1,275 $1,275 avg 23
Glaucoma Filter Surgery
CPT 66170
Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.
$3,681 $3,681 avg 23
YAG Laser Capsulotomy
CPT 66821
YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.
$1,366 $1,366 avg 43
Complex Cataract Surgery
CPT 66982
CT scan — complex cataract surgery. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$4,132 $4,132 avg 23
Cataract Surgery
CPT 66984
Cataract surgery with lens implant — removal of the clouded natural lens of the eye and replacement with a clear artificial lens to restore vision.
$4,132 $4,132 avg 23
Strabismus Surgery
CPT 67311
Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.
$3,561 $3,561 avg 23
Eyelid Repair - Blepharoplasty
CPT 67904
Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.
$3,737 $3,737 avg 23
Eyelid Repair - Lower Lid
CPT 67917
Eyelid Repair - Lower Lid — CPT code 67917 covers eyelid repair - lower lid performed in a clinical or hospital setting.
$3,737 $3,737 avg 23
Tear Duct Probing
CPT 68810
CT scan — tear duct probing. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$888 $888 avg 23
Ear Wax Removal
CPT 69210
Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.
$136 $136 avg 43
Ear Tube Placement (Tympanostomy)
CPT 69436
Ear Tube Placement (Tympanostomy) — CPT code 69436 covers ear tube placement (tympanostomy) performed in a clinical or hospital setting.
$2,547 $2,547 avg 23
CT Head without Contrast
CPT 70450
CT scan — ct head without contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$751 $751 avg 43
CT Head with Contrast
CPT 70460
CT scan — ct head with contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$916 $916 avg 43
Brain MRI without Contrast
CPT 70551
MRI of the brain without contrast — detailed magnetic resonance imaging of the brain to evaluate for abnormalities without using contrast dye.
$1,026 $1,026 avg 43
MRI Brain with/without Contrast
CPT 70553
MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions.
$1,336 $1,336 avg 43
Chest X-Ray (single view)
CPT 71045
X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$160 $160 avg 43
Chest X-Ray (2 views)
CPT 71046
Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions.
$186 $186 avg 43
CT Chest without Contrast
CPT 71250
CT scan of the chest without contrast — detailed cross-sectional imaging of the lungs, heart, and chest structures without contrast dye.
$846 $846 avg 43
CT Chest with Contrast
CPT 71260
CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues.
$978 $978 avg 43
Lumbar Spine X-Ray
CPT 72100
X-ray imaging — lumbar spine x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$170 $170 avg 43
MRI Cervical Spine without Contrast
CPT 72141
MRI of the cervical spine (neck) without contrast — detailed imaging of the neck spine to evaluate for herniated discs, spinal cord problems, or nerve issues.
$1,058 $1,058 avg 43
MRI Lumbar Spine without Contrast
CPT 72148
MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression.
$1,067 $1,067 avg 43
Shoulder X-Ray
CPT 73030
X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$161 $161 avg 43
Hand X-Ray
CPT 73130
X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$173 $173 avg 43
MRI Shoulder without Contrast
CPT 73221
MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint.
$919 $919 avg 43
Knee X-Ray
CPT 73560
X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$155 $155 avg 43
Ankle X-Ray
CPT 73610
X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$170 $170 avg 43
MRI Knee without Contrast
CPT 73721
MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance.
$944 $944 avg 43
CT Abdomen/Pelvis without Contrast
CPT 74176
CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis.
$978 $978 avg 43
CT Abdomen/Pelvis with Contrast
CPT 74177
CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection.
$1,211 $1,211 avg 43
Breast Ultrasound
CPT 76642
Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$207 $207 avg 43
Abdominal Ultrasound
CPT 76700
Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.
$409 $409 avg 43
OB Ultrasound (first trimester)
CPT 76801
Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$232 $232 avg 43
OB Ultrasound (complete)
CPT 76805
Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$249 $249 avg 43
Transvaginal Ultrasound
CPT 76830
Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.
$282 $282 avg 43
Pelvic Ultrasound
CPT 76856
Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.
$278 $278 avg 43
3D Mammography (Tomosynthesis)
CPT 77063
3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.
$54 $54 +1% 23
Diagnostic Mammogram (unilateral)
CPT 77065
Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.
$159 $159 avg 20
Diagnostic Mammogram (bilateral)
CPT 77066
Screening mammogram of both breasts — routine X-ray imaging of both breasts to detect early breast cancer in women without symptoms.
$210 $210 avg 20
Screening Mammogram (bilateral)
CPT 77067
Screening mammogram of both breasts including computer-aided detection — enhanced breast X-ray with software assistance for improved cancer detection.
$182 $182 avg 20
Nuclear Stress Test (SPECT MPI)
CPT 78452
Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries.
$2,168 $2,168 avg 43
BMP (Basic Metabolic Panel)
CPT 80048
Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance.
$136 $136 avg 43
CMP (Comprehensive Metabolic Panel)
CPT 80053
Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels.
$149 $149 avg 43
Lipid Panel
CPT 80061
Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk.
$87 $87 avg 43
Hepatic Function Panel
CPT 80076
Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.
$139 $139 avg 43
Urinalysis with Microscopy
CPT 81001
Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions.
$30 $30 -1% 43
Urinalysis (automated)
CPT 81003
Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.
$18 $18 avg 43
Vitamin D Level
CPT 82306
Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.
$39 $39 avg 43
Urine Creatinine
CPT 82570
Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.
$32 $32 +1% 43
Ferritin Level
CPT 82728
Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.
$40 $40 -1% 43
Glucose (blood sugar)
CPT 82947
Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.
$33 $33 -1% 43
Hemoglobin A1C
CPT 83036
Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes.
$12 $12 +2% 43
Potassium Level
CPT 84132
Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.
$35 $35 avg 43
PSA (Prostate)
CPT 84153
PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.
$34 $34 avg 43
Sodium Level
CPT 84295
Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.
$35 $35 avg 43
TSH (Thyroid)
CPT 84443
Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.
$35 $35 avg 43
CBC (Complete Blood Count)
CPT 85025
Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health.
$45 $45 avg 43
PT/INR (Prothrombin Time)
CPT 85610
PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting.
$29 $29 +1% 43
TB Skin Test
CPT 86580
TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.
$51 $51 avg 43
Blood Type (ABO)
CPT 86900
Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.
$141 $141 avg 43
COVID-19 Test (rapid antigen)
CPT 87426
COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting.
$56 $56 -1% 43
Chlamydia Test
CPT 87491
Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.
$40 $40 +1% 43
Gonorrhea Test
CPT 87591
Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.
$44 $44 avg 43
COVID-19 Test (PCR)
CPT 87635
COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting.
$69 $69 avg 43
Flu Test (rapid)
CPT 87804
Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.
$23 $23 +1% 20
Pap Smear (ThinPrep)
CPT 88175
Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.
$43 $43 -1% 20
Immunization Administration
CPT 90471
Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.
$116 $116 avg 43
Flu Vaccine (high dose)
CPT 90662
Flu Vaccine (high dose) — CPT code 90662 covers flu vaccine (high dose) performed in a clinical or hospital setting.
$89 $89 avg 43
Tdap Vaccine
CPT 90715
Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.
$138 $138 avg 43
Psychiatric Diagnostic Evaluation
CPT 90791
Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.
$249 $249 avg 15
Psychiatric Eval with Medical Services
CPT 90792
Psychiatric Eval with Medical Services — CPT code 90792 covers psychiatric eval with medical services performed in a clinical or hospital setting.
$249 $249 avg 15
Psychotherapy (16-37 min)
CPT 90832
Psychotherapy (16-37 min) — CPT code 90832 covers psychotherapy (16-37 min) performed in a clinical or hospital setting.
$249 $249 avg 15
Psychotherapy (38-52 min)
CPT 90834
Psychotherapy (38-52 min) — CPT code 90834 covers psychotherapy (38-52 min) performed in a clinical or hospital setting.
$249 $249 avg 15
Psychotherapy (53+ min)
CPT 90837
Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.
$249 $249 avg 15
Family Psychotherapy (with patient)
CPT 90847
Family Psychotherapy (with patient) — CPT code 90847 covers family psychotherapy (with patient) performed in a clinical or hospital setting.
$223 $223 avg 18
Group Psychotherapy
CPT 90853
Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.
$126 $126 avg 18
Coronary Stent Placement
CPT 92928
Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting.
$16,090 $16,090 avg 43
EKG (12-lead)
CPT 93000
EKG (12-lead) — CPT code 93000 covers ekg (12-lead) performed in a clinical or hospital setting.
$84 $84 avg 5
EKG Interpretation
CPT 93010
EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting.
$21 $21 -2% 5
Cardiovascular Stress Test
CPT 93015
Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting.
$335 $335 avg 5
Echocardiogram Complete
CPT 93306
Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.
$1,084 $1,084 avg 43
Stress Echocardiogram
CPT 93350
Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting.
$952 $952 avg 43
Stress Echocardiogram
CPT 93351
Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting.
$833 $833 avg 17
Left Heart Catheterization
CPT 93458
Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting.
$5,609 $5,609 avg 43
Carotid Ultrasound
CPT 93880
Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$567 $567 avg 43
Venous Duplex Scan (legs)
CPT 93971
Venous Duplex Scan (legs) — CPT code 93971 covers venous duplex scan (legs) performed in a clinical or hospital setting.
$342 $342 avg 43
Psychological Testing Evaluation
CPT 96130
Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting.
$685 $685 avg 17
Psychological Testing - Additional Hour
CPT 96131
Psychological Testing - Additional Hour — CPT code 96131 covers psychological testing - additional hour performed in a clinical or hospital setting.
$773 $773 avg 2
Therapeutic Injection (IM/SubQ)
CPT 96372
Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.
$118 $118 avg 43
IV Push (single drug)
CPT 96374
IV push medication — rapid injection of medication directly into a vein or existing IV line.
$289 $289 avg 43
Chemotherapy Infusion (first hour)
CPT 96413
Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.
$588 $588 avg 43
PT - Ultrasound Therapy
CPT 97035
Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$56 $56 avg 43
PT - Therapeutic Exercise
CPT 97110
Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.
$78 $78 avg 43
PT - Gait Training
CPT 97116
PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.
$73 $73 avg 43
PT - Manual Therapy
CPT 97140
Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.
$69 $69 avg 43
PT Evaluation - Low Complexity
CPT 97161
Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.
$169 $169 avg 43
PT Evaluation - Moderate Complexity
CPT 97162
Physical therapy evaluation, moderate complexity — initial assessment by a physical therapist for a condition requiring moderate clinical decision-making.
$175 $175 avg 43
PT Evaluation - High Complexity
CPT 97163
Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.
$185 $185 avg 43
PT - Therapeutic Activities
CPT 97530
Therapeutic activities — functional movement training to improve your ability to perform daily activities.
$85 $85 avg 43
New Patient Visit - Straightforward
CPT 99201
New Patient Visit - Straightforward — CPT code 99201 covers new patient visit - straightforward performed in a clinical or hospital setting.
$271 $271 avg 43
New Patient Visit - Low Complexity
CPT 99202
New Patient Visit - Low Complexity — CPT code 99202 covers new patient visit - low complexity performed in a clinical or hospital setting.
$308 $308 avg 43
New Patient Visit - Moderate Complexity
CPT 99203
Office visit for a new patient with a low complexity medical problem. Typically 30-44 minutes for initial evaluation, history, and treatment planning.
$374 $374 avg 43
New Patient Visit - High Complexity
CPT 99204
Office visit for a new patient with a moderate to high complexity medical problem. Typically 45-59 minutes for comprehensive evaluation.
$422 $422 avg 43
New Patient Visit - Comprehensive
CPT 99205
Office visit for a new patient with a high complexity medical problem. Typically 60-74 minutes for comprehensive evaluation and management.
$480 $480 avg 43
Office Visit - Minimal (Level 1)
CPT 99211
Office Visit - Minimal (Level 1) — CPT code 99211 covers office visit - minimal (level 1) performed in a clinical or hospital setting.
$272 $272 avg 43
Office Visit - Straightforward (Level 2)
CPT 99212
Office Visit - Straightforward (Level 2) — CPT code 99212 covers office visit - straightforward (level 2) performed in a clinical or hospital setting.
$308 $308 avg 43
Office Visit - Low Complexity (Level 3)
CPT 99213
Office visit for an established patient with a low to moderate complexity medical problem. Typically 20-29 minutes with your doctor for evaluation and management.
$361 $361 avg 43
Office Visit - Moderate Complexity (Level 4)
CPT 99214
Office visit for an established patient with a moderate to high complexity medical problem. Typically 30-39 minutes with your doctor for evaluation and management.
$412 $412 avg 43
Office Visit - High Complexity (Level 5)
CPT 99215
Office visit for an established patient with a high complexity medical problem. Typically 40-54 minutes with your doctor for detailed evaluation and management.
$367 $367 avg 43
ER Visit - Minor Problem
CPT 99281
Emergency department visit for a minor, self-limited problem requiring minimal evaluation.
$194 $194 avg 43
ER Visit - Low Complexity
CPT 99282
Emergency department visit for a low to moderate severity problem requiring a brief evaluation.
$353 $353 avg 43
ER Visit - Moderate Complexity
CPT 99283
Emergency department visit for a moderate severity problem requiring an expanded evaluation.
$693 $693 avg 43
ER Visit - High Complexity
CPT 99284
Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.
$999 $999 avg 43
ER Visit - Immediate Threat to Life
CPT 99285
Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.
$1,355 $1,355 avg 43
Critical Care - First Hour
CPT 99291
Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician.
$1,825 $1,825 avg 43
Critical Care - Additional 30 Min
CPT 99292
Critical care, each additional 30 minutes — continued intensive care beyond the first 74 minutes for a critically ill patient.
$1,077 $1,077 avg 43
Ceftriaxone Injection 250mg
CPT J0696
HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.
$401 $401 avg 43
Triamcinolone Injection
CPT J3301
HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.
$10 $10 +2% 2
Dexamethasone Injection
CPT J1100
HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.
$58 $58 +1% 43
Septicemia/Severe Sepsis w/o MV >96hrs w MCC
MS-DRG 871
Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc.
$20,506 $20,506 avg 1
Heart Failure and Shock w MCC
MS-DRG 291
Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc.
$12,625 $12,625 avg 1
Respiratory Infections/Inflammations w MCC
MS-DRG 177
Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc.
$17,672 $17,672 avg 1
Simple Pneumonia and Pleurisy w MCC
MS-DRG 193
Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc.
$12,711 $12,711 avg 1
Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC
MS-DRG 872
Medicare Severity Diagnosis Related Group DRG-872 — Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w/o mcc.
$10,053 $10,053 avg 1
Esophagitis/Gastroenteritis/Misc Digestive w/o MCC
MS-DRG 392
Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc.
$8,288 $8,288 avg 1
Kidney/Urinary Tract Infections w/o MCC
MS-DRG 690
CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$7,972 $7,972 avg 1
Acute Myocardial Infarction, Discharged Alive w MCC
MS-DRG 280
Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc.
$15,956 $15,956 avg 1
GI Hemorrhage w CC
MS-DRG 378
Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc.
$9,919 $9,919 avg 1
Infectious/Parasitic Diseases w OR Procedures w MCC
MS-DRG 853
Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc.
$45,803 $45,803 avg 1
Renal Failure w CC
MS-DRG 683
Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc.
$8,942 $8,942 avg 1
Renal Failure w MCC
MS-DRG 682
Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc.
$16,005 $16,005 avg 1
Kidney/Urinary Tract Infections w MCC
MS-DRG 689
CT scan — kidney/urinary tract infections w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$11,766 $11,766 avg 1
Major Hip/Knee Joint Replacement
MS-DRG 470
Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement.
$18,727 $18,727 avg 1
Intracranial Hemorrhage/Cerebral Infarction w CC
MS-DRG 065
Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc.
$9,740 $9,740 avg 1
Misc Disorders of Nutrition/Metabolism/Fluids w MCC
MS-DRG 640
Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc.
$12,472 $12,472 avg 1
Intracranial Hemorrhage/Cerebral Infarction w MCC
MS-DRG 064
Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc.
$18,877 $18,877 avg 1
Hip/Femur Procedures Except Major Joint w CC
MS-DRG 481
Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc.
$21,209 $21,209 avg 1
Cardiac Arrhythmia/Conduction Disorders w CC
MS-DRG 309
Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc.
$7,693 $7,693 avg 1
Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC
MS-DRG 641
Medicare Severity Diagnosis Related Group DRG-641 — Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w/o mcc.
$7,687 $7,687 avg 1
Cellulitis w/o MCC
MS-DRG 603
Medicare Severity Diagnosis Related Group DRG-603 — Cellulitis w/o MCC. Inpatient hospital payment classification for cases involving cellulitis w/o mcc.
$8,821 $8,821 avg 1
COPD w MCC
MS-DRG 190
Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc.
$11,179 $11,179 avg 1
Simple Pneumonia and Pleurisy w CC
MS-DRG 194
Medicare Severity Diagnosis Related Group DRG-194 — Simple Pneumonia and Pleurisy w CC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w cc.
$8,562 $8,562 avg 1
Syncope and Collapse
MS-DRG 312
Medicare Severity Diagnosis Related Group DRG-312 — Syncope and Collapse. Inpatient hospital payment classification for cases involving syncope and collapse.
$8,469 $8,469 avg 1

Prices are typical ranges based on Valley Presbyterian Hospital's published transparency data. Your actual cost depends on your specific plan, deductible status, and clinical details.

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Insurance Plans with Negotiated Rates

Taven has payer-specific negotiated rate data from 6 insurers at Valley Presbyterian Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

Aetna (CVS Health) BCBS (Various Licensees) Cigna Healthcare Medicare (CMS) Other UnitedHealthcare (UHC)

Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.

Financial Assistance at Valley Presbyterian Hospital

As a nonprofit hospital, Valley Presbyterian Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").

Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.

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Your Billing Rights

Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.

Full guide to your medical billing rights in California →

Nearby Hospitals in Van Nuys, CA

Compare prices at other hospitals in the same area.

Southern California Hospital at Van Nuys
3641 ft
San Francisco, CA
Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare Provider #
050126
Emergency Services
Yes
Metro Area
Van Nuys, CA
Procedures Tracked
243

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