Top 40 services provided by LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL
Services CPT Price Est. Cash Price
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $5,754.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $5,960.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $7,191.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $7,191.00 $0.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $7,191.00 $0.00
Injection of substance into the lower back or lumbar spine 62322 $2,336.00 $0.00
Epidural steroid injections for lower back pain 64483 $2,336.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $4,184.00 $0.00
MRI scan of the brain with and without contrast 70553 $6,711.00 $0.00
X-ray of the chest, 2 views 71046 $806.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $1,137.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $4,350.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $5,119.00 $0.00
Ultrasound of the abdomen 76700 $2,502.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,832.00 $0.00
Mammogram of both breasts 77067 $833.00 $0.00
Basic Metabolic Panel 80048 $373.00 $0.00
Comprehensive Metabolic Panel 80053 $660.00 $0.00
Lipid Panel 80061 $76.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $119.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $107.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $176.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $202.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $712.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $133.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $99.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $547.00 $0.00
Ultrasound of chest to examine the heart 93307 $4,600.00 $0.00
Insertion of catheter into left heart for diagnosis 93452 $10,310.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $389.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $275.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $826.00 $0.00