Top 40 services provided by UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER
Services CPT Price Est. Cash Price
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $6,564.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $4,687.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $5,439.00 $0.00
Epidural steroid injections for lower back pain 64483 $2,714.00 $0.00
Removal of one cataracts from an eye 66984 $15,000.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $488.00 $0.00
MRI scan of the brain with and without contrast 70553 $1,117.00 $0.00
X-ray of the chest, 2 views 71046 $359.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $290.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $503.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $579.00 $0.00
Ultrasound of the abdomen 76700 $657.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $629.00 $0.00
Mammogram of both breasts 77067 $195.00 $0.00
Basic Metabolic Panel 80048 $38.00 $0.00
Comprehensive Metabolic Panel 80053 $48.00 $0.00
Lipid Panel 80061 $64.00 $0.00
Lipid Panel 80061 $21.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $31.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $44.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $12.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $9.66 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $34.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $38.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $18.25 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $37.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $29.31 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $49.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $39.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $60.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $94.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $255.00 $0.00
Ultrasound of chest to examine the heart 93307 $2,449.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $159.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $117.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $80.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $169.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $140.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $90.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $139.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $1,139.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $2,145.00 $0.00