Bear Valley Community Hospital
Listed in its price file as “Bear Valley Community Healthcare District”.
Bear Valley Community Hospital in Big Bear Lake, CA publishes cash prices for 117 common procedures listed here, from its own machine-readable price file updated Jun 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 112 of 117 procedures and above it for 5. By typical cash price it ranks #38 of 226 California hospitals and #9 of 27 hospitals in the Riverside, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
41870 GARSTIN DR, BIG BEAR LAKE, CA 92315 Collected Nov 4, 2026 Source price file Check a bill from this hospital (909) 866-6501
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 051335 · CMS hospital register NPI 1073553756
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Bear Valley Community Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $315.81 | $451.15 | $52.10–$406.04 | 43% below | 30% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD (COW) | $3,331.17 | $4,758.81 | $170.24–$4,282.93 | 12% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM TTE COMLT W/ DOPPLER | $1,249.15 | $1,784.50 | $239.76–$1,606.05 | 54% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITCOL ULTRA SOUND/AFI | $103.25 | $147.50 | $57.53–$132.75 | 83% below | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHOCARDIOGRAM TRANSTHORACIC | $2,905.00 | $4,150.00 | $247.29–$3,735.00 | 9% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR ID NOW (IH) | $140.00 | $200.00 | $48.74–$180.00 | 48% above | 30% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $21.00 | $30.00 | $2.07–$27.00 | 48% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT | $34.30 | $49.00 | $2.92–$44.10 | 12% below | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O SCOPE | $26.25 | $37.50 | $2.15–$33.75 | 23% below | 30% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST | $21.00 | $30.00 | $2.80–$27.00 | 76% below | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULDER W/ ROTATOR CUFF REP | $5,140.10 | $7,343.00 | $321.58–$6,608.70 | 32% below | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD FX W/O MANIP DIS FIBULAR | $813.94 | $1,162.77 | $453.48–$1,046.49 | 52% above | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FRACT W/O MANIPULATION | $336.00 | $480.00 | $187.20–$432.00 | 38% below | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $680.30 | $971.85 | $122.46–$874.67 | 64% below | 30% |
| Cataract surgery with lens implant CPT 66984 CATARACT EXCAP W/ INSERT OF LENS 1 STAGE | $1,823.50 | $2,605.00 | $321.58–$2,344.50 | 64% below | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT WRIST W/O FRACTURE | $714.00 | $1,020.00 | $397.80–$918.00 | 28% above | 30% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DIAG SPECIMEN | $1,658.65 | $2,369.50 | $321.58–$2,387.70 | 20% below | 30% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $1,857.10 | $2,653.00 | $321.58–$2,387.70 | 11% below | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 BENIGN OR PM* ONE | $81.90 | $117.00 | $45.63–$321.58 | 74% below | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION B9 LESION 1-14 | $486.82 | $695.45 | $194.73–$625.91 | 52% above | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR WAX LAVAGE ONLY | $51.10 | $73.00 | $28.47–$65.70 | 71% below | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR LAVAGE | $157.22 | $224.60 | $87.59–$202.14 | 11% below | 30% |
| Earwax removal with instruments, one ear CPT 69210 EAR WAX REMOVAL W/ INTRUMENTATION | $51.10 | $73.00 | $28.47–$65.70 | 73% below | 30% |
| Earwax removal with instruments, one ear CPT 69210 IMPACTED EAR WAX REMOVAL W/ INSTRUMENTS | $169.05 | $241.50 | $94.19–$217.35 | 11% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NERVE BLOCK STERILE NEEDLE INF W US | $607.60 | $868.00 | $338.52–$781.20 | 70% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOID FLEX W/ COLLEC SPECIMEN | $1,658.65 | $2,369.50 | $152.62–$2,132.55 | 9% below | 30% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY CHOLESYSTECTOMY | $1,974.66 | $2,820.94 | $321.58–$2,538.85 | 79% below | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRIHOIDECTOMY BANDING (CLINIC) | $282.14 | $403.06 | $157.19–$403.06 | 85% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ID SIMPLE SINGLE | $375.90 | $537.00 | $194.73–$5,103.76 | 20% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION OF ABSCESS | $424.77 | $606.81 | $236.66–$546.13 | 9% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 UPR/LXTRART STDY 3+ IVLS | $486.82 | $695.45 | $194.73–$5,103.76 | 4% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 LEVEL 1 ID SKIN ABCESS | $486.82 | $695.45 | $194.73–$5,103.76 | 4% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 EXC H FNK SP B9 MARG 0.6 1 | $1,723.80 | $2,462.57 | $194.73–$5,103.76 | 268% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 EXC H F NK SP B9 MARG 1.1 2 | $3,969.59 | $5,670.84 | $194.73–$5,103.76 | 748% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST | $343.18 | $490.25 | $191.20–$441.23 | 48% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 LG JOINT INJ | $53.87 | $76.95 | $30.01–$76.95 | 94% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION OF JOINT | $319.80 | $456.86 | $178.18–$411.17 | 66% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT BURSA W/O US | $723.22 | $1,033.17 | $297.92–$929.85 | 24% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INT JOINT INJ | $548.45 | $783.50 | $305.57–$705.15 | 10% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION INJE INTER JOINT BURSA | $548.45 | $783.50 | $297.92–$929.85 | 10% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION INJECT INTERMED JOINT/BURSA | $723.22 | $1,033.17 | $297.92–$929.85 | 19% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION INJ OF SMALL JOINT BURSA | $548.45 | $783.50 | $297.92–$929.85 | 25% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SM JOINT INJ | $548.45 | $783.50 | $27.60–$705.15 | 25% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION INJEC OF SMALL JOINT BURSA | $723.22 | $1,033.17 | $297.92–$929.85 | 1% below | 30% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPROSCOPIC | $2,047.69 | $2,925.27 | $321.58–$2,925.27 | 75% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR INTERMEDIATE | $287.00 | $410.00 | $159.90–$369.00 | 67% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTM WOUND S A T E 7.6 TO 12.5CM | $978.85 | $1,398.36 | $394.55–$1,258.52 | 13% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S A T EXT 2.6 7.5 | $978.85 | $1,398.36 | $394.55–$1,258.52 | 13% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 EPIDURAL ROOM CHRG | $424.38 | $606.25 | $236.44–$545.63 | 79% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 TAL<.6CM | $238.35 | $340.50 | $100.53–$321.58 | 82% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR EXT B9 NAR 0.5 CM< | $1,723.80 | $2,462.57 | $687.30–$2,216.31 | 30% above | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 FACE<.6 CM3 | $501.38 | $716.25 | $106.19–$644.63 | 66% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL/REPAIR OF NAIL PLATE | $350.69 | $500.99 | $195.39–$450.89 | 30% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PLATE | $377.09 | $538.70 | $194.73–$625.91 | 25% below | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ - OCCIPITAL NERVE | $207.73 | $296.75 | $115.73–$267.08 | 76% below | 30% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS PERITONEAL CAVITY W/US GUID | $678.50 | $969.29 | $378.02–$872.36 | 63% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 TOE NAIL REMOVAL | $278.60 | $398.00 | $155.22–$394.55 | 78% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT NAIL REMOVAL | $726.25 | $1,037.50 | $394.55–$1,258.52 | 44% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL FOLD TOE INGROWN NAIL | $978.85 | $1,398.36 | $394.55–$1,258.52 | 24% below | 30% |
| Removal of a breast lump, open surgery CPT 19120 EXC BREAST MASS | $2,765.00 | $3,950.00 | $321.58–$3,555.00 | 45% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 ID OF FOREIGN BODY SIMPLE | $726.25 | $1,037.50 | $394.55–$2,216.31 | 26% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REM FB SUBQ SIMPLE | $820.67 | $1,172.38 | $457.23–$1,055.14 | 17% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 LEVEL 1 ID FOREIGN BODY REMOVAL | $1,723.80 | $2,462.57 | $394.55–$2,216.31 | 75% above | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $2,600.68 | $3,715.25 | $321.58–$3,343.73 | 67% below | 30% |
| Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM | $415.10 | $593.00 | $35.17–$533.70 | 17% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $62.64 | $89.48 | $34.90–$89.48 | 85% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT | $334.00 | $477.14 | $186.08–$429.43 | 20% below | 30% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $295.58 | $422.25 | $164.68–$380.03 | 41% below | 30% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG CAST APPLICATION | $298.76 | $426.80 | $157.72–$384.12 | 40% below | 30% |
| Short leg splint (calf to foot) CPT 29515 SPLINT LOWER LEG APPLICATION | $337.60 | $482.28 | $188.09–$434.05 | 32% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SUPERFICIAL WOUND 2.5CM OR LESS | $377.09 | $538.70 | $194.73–$625.91 | 32% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR SIMPLE | $426.11 | $608.73 | $237.40–$547.86 | 23% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR SIMPLE - SECOND PROCED | $426.11 | $608.73 | $237.40–$547.86 | 23% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S N AX GEN TMK 2.5CM | $486.82 | $695.45 | $194.73–$625.91 | 12% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY PUNCH 1ST | $68.42 | $97.74 | $38.12–$97.74 | 91% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN 1 LESION | $726.25 | $1,037.50 | $394.55–$1,258.52 | at median | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $978.85 | $1,398.36 | $394.55–$1,258.52 | 35% above | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 TAL<.6CM | $207.73 | $296.75 | $115.73–$321.58 | 89% below | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR EXT MAL MARG 0.5CM/< | $1,723.80 | $2,462.57 | $687.30–$2,216.31 | 12% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS | $63.25 | $90.36 | $35.24–$90.36 | 84% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 TAGS UP TO/INCL 15 LESIONS | $108.15 | $154.50 | $60.26–$321.58 | 73% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG UP TO 15 LESION | $439.78 | $628.25 | $245.02–$565.43 | 11% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $696.08 | $994.40 | $387.82–$894.96 | 47% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND 2.6 7.5 | $377.09 | $538.70 | $194.73–$625.91 | 50% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND | $426.11 | $608.73 | $237.40–$547.86 | 43% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S N AX GEN TMK 2 6.7 5CM | $486.82 | $695.45 | $194.73–$625.91 | 35% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 SHAVE BIOPSY 1ST | $68.42 | $97.74 | $38.12–$97.74 | 88% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN LESION | $68.42 | $97.74 | $38.12–$97.74 | 88% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN 1 LESION | $377.09 | $538.70 | $210.09–$625.91 | 32% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 SKIN - 1 LESION | $377.09 | $538.70 | $210.09–$484.83 | 32% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN SQ TISSUE 1 LESION | $486.82 | $695.45 | $210.09–$625.91 | 12% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING | $665.23 | $950.33 | $370.63–$1,285.20 | 67% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE OR CATH ASPIRATION | $999.60 | $1,428.00 | $370.63–$1,285.20 | 51% below | 30% |
| Total hip replacement CPT 27130 HIP TANDEMBIPOLAR POROUSFEM OXIHEAD | $18,249.00 | $26,070.00 | $321.58–$25,917.30 | 99% above | 30% |
| Total hip replacement CPT 27130 HIP REPLACEMENT POROUS OR30 OXINIUM HEAD | $20,157.90 | $28,797.00 | $321.58–$25,917.30 | 120% above | 30% |
| Total hip replacement one side CPT 27130 HIP RIGHT REPLACEMENT W/ SYNTHETIC | $12,145.00 | $17,350.00 | $321.58–$25,917.30 | 33% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION 1-2 SITES | $319.15 | $455.93 | $177.81–$410.34 | 50% below | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ESOPHAGOGASTRO W/ BIOSPY | $525.00 | $750.00 | $292.50–$675.00 | 70% below | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $665.00 | $950.00 | $321.58–$855.00 | 64% below | 30% |
| Wart removal, up to 14 warts CPT 17110 CRYOTHERAPY | $70.95 | $101.35 | $39.53–$101.35 | 80% below | 30% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $486.82 | $695.45 | $194.73–$625.91 | 36% above | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION INPATIENT | $816.20 | $1,166.00 | $428.19–$1,185.82 | 7% below | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION O/P | $922.31 | $1,317.58 | $428.19–$1,185.82 | 6% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM COLLECTION | $37.58 | $53.68 | $11.70–$53.68 | 88% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IS DAILY INPT | $87.59 | $125.13 | $11.70–$274.50 | 73% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL ADMIN | $109.20 | $156.00 | $11.70–$274.50 | 66% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL FFN | $166.33 | $237.62 | $11.70–$274.50 | 48% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MIST TENT S/U INPT | $175.18 | $250.25 | $11.70–$274.50 | 46% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION AIRWAY TREATMENT MEDICATED | $213.50 | $305.00 | $11.70–$274.50 | 34% below | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $2,327.72 | $3,325.31 | $121.60–$2,992.78 | 58% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER MANAGEMENT LEVEL 1 | $114.74 | $163.91 | $15.18–$147.52 | 73% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER MANAGEMENT LEVEL 2 | $394.67 | $563.81 | $24.38–$507.43 | 55% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER MANAGEMENT LEVEL 3 | $694.79 | $992.56 | $44.60–$893.30 | 54% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER MANAGEMENT LEVEL 4 | $860.95 | $1,229.93 | $68.35–$1,106.94 | 68% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER MANAGEMENT LEVEL 5 | $1,569.15 | $2,241.64 | $108.08–$2,017.48 | 56% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY 1ST HOUR | $516.19 | $737.42 | $62.60–$663.68 | 12% below | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY 1ST HOUR | $516.19 | $737.42 | $62.60–$663.68 | — | 30% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL | $115.68 | $165.25 | $49.82–$165.25 | 67% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPUTIC INJECTION IM/SC | $43.23 | $61.75 | $18.75–$61.75 | 76% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION PROPOFOL | $87.50 | $125.00 | $48.75–$321.58 | 51% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $174.37 | $249.10 | $18.75–$224.19 | 3% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $174.37 | $249.10 | $18.75–$224.19 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INITIAL PSYCHIATRIC EVALUATION | $192.50 | $275.00 | $107.25–$247.50 | 50% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 TELEHEALTH INITIAL PSYCH | $192.50 | $275.00 | $107.25–$247.50 | 50% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-ED BALANCE 97112 | $65.65 | $93.79 | $12.22–$93.79 | 48% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED BALANCE 97112 | $65.65 | $93.79 | $12.22–$93.79 | 48% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 | $147.00 | $210.00 | $57.20–$189.00 | 31% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT | $219.42 | $313.46 | $57.20–$405.95 | 2% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT | $315.74 | $451.05 | $57.20–$405.95 | 47% above | 30% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 | $171.50 | $245.00 | $68.90–$220.50 | 30% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL 4 INITIAL VISIT | $300.96 | $429.94 | $68.90–$405.95 | 23% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 | $182.00 | $260.00 | $82.70–$234.00 | 47% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 LEVEL 5 INITIAL VISIT | $315.74 | $451.05 | $82.70–$519.53 | 8% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 1 INITIAL VISIT | $63.34 | $90.49 | $34.30–$405.95 | 55% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 | $119.00 | $170.00 | $34.30–$153.00 | 15% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 INITIAL VISIT | $315.74 | $451.05 | $34.30–$405.95 | 126% above | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $133.29 | $190.41 | $74.26–$171.37 | 49% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 97163 HIGH COMPLEXITY | $170.45 | $243.50 | $94.97–$323.92 | 57% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $251.94 | $359.91 | $94.97–$323.92 | 36% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 OT EVAL HIGH COMPLEXITY 97163 | $251.94 | $359.91 | $94.97–$323.92 | 36% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $133.29 | $190.41 | $74.26–$171.37 | 44% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 ST COGNITIVE TREATMENT 15 MIN | $86.28 | $123.25 | $48.07–$110.93 | 76% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 OT EVAL MODERATE COMPLEXITY 97162 | $192.61 | $275.16 | $106.00–$247.64 | 46% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY | $192.61 | $275.16 | $106.00–$247.64 | 46% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 97140 | $55.77 | $79.67 | $22.21–$79.67 | 53% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 97140 | $55.77 | $79.67 | $22.21–$79.67 | 53% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 97110 | $65.65 | $93.79 | $10.96–$93.79 | 49% below | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 NEW PT WELL EXAM | $99.40 | $142.00 | $55.38–$127.80 | 34% below | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 NEW PT WELL EXAM 40-64 YO | $84.90 | $121.29 | $47.30–$132.20 | 49% below | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 ANNUAL PHYSICAL EXAM NEW PATIENT | $112.35 | $160.50 | $62.60–$144.45 | 28% below | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 EST PT WELL EXAM 18-39 YR OLD | $83.30 | $119.00 | $46.41–$107.10 | 46% below | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 EST PT WELL EXAM 40-64YO | $76.00 | $108.57 | $42.34–$109.90 | 51% below | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 EST PAT PREVENTATIVE MED SERVICES | $79.25 | $113.21 | $44.15–$118.40 | 48% below | 30% |
| Psychiatric evaluation with medical services CPT 90792 INITIAL PSYCHIATRIC W MED SERV | $192.50 | $275.00 | $103.25–$247.50 | 40% below | 30% |
| Psychiatric evaluation with medical services CPT 90792 TELEHEALTH EVAL 90792 | $192.50 | $275.00 | $103.25–$247.50 | 40% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 TELE HEALTH PSYCHIACTRIC 20-30W/ MED E/M | $87.50 | $125.00 | $18.98–$125.00 | 73% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 TELEHEALTH PSYCH | $87.50 | $125.00 | $18.98–$125.00 | 73% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MINS | $87.50 | $125.00 | $18.98–$125.00 | 73% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY | $93.80 | $134.00 | $52.26–$134.00 | 71% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 TELEHEALTH PSYCH | $93.80 | $134.00 | $52.26–$134.00 | 71% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 TELEHEALTH EVALUATION | $112.35 | $160.50 | $38.01–$160.50 | 69% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN | $112.35 | $160.50 | $38.01–$160.50 | 69% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTB PT LEVEL 5 (40 MIN ONE ON ONE) | $157.50 | $225.00 | $57.20–$202.50 | 37% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 TELEHEALTH VISIT 99215 | $157.50 | $225.00 | $57.20–$202.50 | 37% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 FOLLOW UP VISIT | $268.08 | $382.97 | $57.20–$405.95 | 6% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SPECIALY PROVIDER | $87.50 | $125.00 | $24.00–$157.50 | 39% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTB PT LEVEL 3 | $122.50 | $175.00 | $24.00–$157.50 | 14% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELEHEALTH 99213 MEDICAL VISIT | $122.50 | $175.00 | $24.00–$157.50 | 14% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 FOLLOW UP VISIT | $315.74 | $451.05 | $24.00–$405.95 | 121% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TELEHEALTH VISIT 99214 | $147.00 | $210.00 | $37.50–$189.00 | 27% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTB PT LEVEL 4 | $147.00 | $210.00 | $37.50–$189.00 | 27% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 FOLLOW UP VISIT | $315.74 | $451.05 | $37.50–$405.95 | 57% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 FOLLOW UP VISIT | $61.33 | $87.61 | $18.10–$405.95 | 47% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTB PT LEVEL 2 | $94.50 | $135.00 | $18.10–$129.22 | 18% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELEHEALTH EVAL 99212 | $94.50 | $135.00 | $18.10–$129.22 | 18% below | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT - MODERATE | $112.35 | $160.50 | $59.50–$144.45 | 35% below | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT - HIGH | $131.25 | $187.50 | $73.13–$168.75 | 35% below | 30% |
| Speech and language evaluation CPT 92523 ST EVAL SPEECH | $157.14 | $224.48 | $87.55–$224.48 | 66% below | 30% |
| Speech therapy session, individual CPT 92507 ST SPEECH THERAPY TREATMENT | $58.37 | $83.38 | $29.72–$76.00 | 79% below | 30% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $120.76 | $172.52 | $24.60–$172.52 | 68% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY BRONCHODILATOR BA | $256.82 | $366.89 | $45.03–$362.18 | 68% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT FUNCTIONAL ACTIVITIES 97530 | $45.90 | $65.57 | $11.14–$65.57 | 67% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITIES 97530 | $45.90 | $65.57 | $11.14–$65.57 | 67% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBATOMY-THERAPEUTIC | $92.58 | $132.25 | $16.40–$119.03 | 71% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THEURAPEUTIC PHLEBOTOMY | $104.61 | $149.44 | $16.40–$134.50 | 68% below | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA LIVE(VARIVAX) 0.5ML | $139.97 | $199.95 | $77.98–$195.83 | 55% below | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA | $140.70 | $201.00 | $77.98–$195.83 | 55% below | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA LIVE(VARIVAX) 0.5ML | $139.97 | $199.95 | $77.98–$195.83 | — | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA | $140.70 | $201.00 | $77.98–$195.83 | — | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP (DAPTACEL) 0.5ML SDV | $66.50 | $95.00 | $33.36–$85.50 | 7% below | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP (DAPTACEL) 0.5ML SDV | $66.50 | $95.00 | $33.36–$85.50 | — | 30% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP IMMUNIZATION | $61.25 | $87.50 | $32.96–$167.32 | 65% below | 30% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP IMMUNIZATION | $61.25 | $87.50 | $32.96–$167.32 | — | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VIRUS IMMUN. | $50.05 | $71.50 | $27.89–$151.65 | 64% below | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MUMP-MEASLES-RUB (MMR II) VACCINE | $117.95 | $168.50 | $27.89–$151.65 | 16% below | 30% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VIRUS IMMUN. | $50.05 | $71.50 | $27.89–$151.65 | — | 30% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MUMP-MEASLES-RUB (MMR II) VACCINE | $117.95 | $168.50 | $27.89–$151.65 | — | 30% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL CONG(PREVNAR 13) VACC 0.5ML | $202.30 | $289.00 | $109.82–$260.10 | 35% below | 30% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL CONG(PREVNAR 13) VACC 0.5ML | $202.30 | $289.00 | $109.82–$260.10 | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONG(PREVNAR-20) VACC 0.5ML | $241.50 | $345.00 | $131.10–$317.36 | 54% below | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONG(PREVNAR-20) VACC 0.5ML | $241.50 | $345.00 | $131.10–$317.36 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO IMMUNIZATION | $116.20 | $166.00 | $63.08–$149.40 | 28% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO IMMUNIZATION | $116.20 | $166.00 | $63.08–$149.40 | — | 30% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIO INJECTION | $40.60 | $58.00 | $22.62–$52.20 | 55% below | 30% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO INJECTION | $40.60 | $58.00 | $22.62–$52.20 | — | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DT IMMUNIZATION | $61.25 | $87.50 | $34.13–$78.75 | 25% below | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DT IMMUNIZATION | $61.25 | $87.50 | $34.13–$78.75 | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (ADACEL) VACCINE 0.5ML | $111.83 | $159.75 | $44.15–$143.78 | 3% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (BOOSTRIX) VACCINE 0.5ML | $111.83 | $159.75 | $44.15–$143.78 | 3% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (BOOSTRIX) VACCINE 0.5ML | $111.83 | $159.75 | $44.15–$143.78 | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (ADACEL) VACCINE 0.5ML | $111.83 | $159.75 | $44.15–$143.78 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUN > 8YR | $13.65 | $19.50 | $4.46–$128.90 | 87% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE UNDER 65 | $19.43 | $27.75 | $4.46–$27.75 | 81% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACC PNEUMOCCOCCAL 65+ | $19.43 | $27.75 | $4.46–$27.75 | 81% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE 65+ | $19.43 | $27.75 | $4.46–$128.90 | 81% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE UNDER 65 | $19.43 | $27.75 | $4.46–$27.75 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACC PNEUMOCCOCCAL 65+ | $19.43 | $27.75 | $4.46–$27.75 | — | 30% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 IMPACTED TOOTH REMOVAL - BONY | $370.65 | $529.50 | $206.51–$529.50 | 91% below | 30% |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 ENDODONIC THERAPY MOLAR TEETH | $695.10 | $993.00 | $387.27–$893.70 | 16% below | 30% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 PROPHYLAXIS-ADULT | $89.95 | $128.50 | $50.12–$128.50 | 7% below | 30% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://bvchd.com/330294751_bear-valley-community-hospital-district_standardcharges.csv