Report for Ronald Reagan UCLA Medical Center

The table of average charges for outpatient cases shows the average charges for the most common outpatient services, procedures and surgeries. As is the case for all data on this site, these are averages to provide a general idea of expected charges. Actual charges will vary.

In all cases except where noted, this does not include the prices for physician services — this is for hospital services only.

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Evaluation & Management Services

Service Title	CPT Code	Avg. Charge
Emergency Room Visit, Level 2 (low to moderate severity)	99282	$804
Emergency Room Visit, Level 3 (moderate severity)	99283	$1,550
Emergency Room Visit, Level 4 (high severity)	99284	$4,065
Outpatient Visit	G0463	$1,732

Laboratory & Pathology Services

Service Title	CPT Code	Avg. Charge
Basic Metabolic Panel	80048	$260
Blood Gas Analysis	82803	$243
Complete Blood Count, automated	85027	$39
Complete Blood Count, with differential WBC, automated	85025	$52
Comprehensive Metabolic Panel	80053	$455
Creatine Kinase (CK), (CPK), Total	82550	$52
Lipid Panel	80061	$115
Partial Thromboplastin Time	85730	$117
Prothrombin Time	85610	$73
Thyroid Stimulating Hormone	84443	$104
Troponin, Quantitative	84484	$130
Urinalysis, with microscopy	81000 or 81001	$78
Urinalysis, without microscopy	81002 or 81003	$45

Medicine Services

Service Title	CPT Code	Avg. Charge
Cardiac Catheterization, Heart, percutaneous (Angiogram)	93458 - 93461	$27,966
Echocardiography, complete	93306	$1,920
Electrocardiogram, routine, with interpretation and report	93005	$423
Inhalation Treatment, pressurized or nonpressurized	94640	$399
Physical Therapy, Evaluation	97161	$387
Physical Therapy, Gait Training	97116	$289
Physical Therapy, Therapeutic Exercise	97110	$331

Other Common Outpatient Procedures

Service Title	CPT Code	Avg. Charge
After Cataract Laser Surgery	66821	$1,762
Cataract Surg W/Iol 1 Stage	66984	$10,273
Colonoscopy And Biopsy	45380	$5,289
Colonoscopy W/Lesion Removal	45385	$5,770
Create Eardrum Opening	69436	$5,413
Diagnostic Colonoscopy	45378	$3,995
Egd Biopsy Single/Multiple	43239	$5,907
Egd Diagnostic Brush Wash	43235	$4,474
Inj Foramen Epidural L/S	64483	$2,132
Remove Tonsils And Adenoids	42820	$10,438

Radiology Services

Service Title	CPT Code	Avg. Charge
CT Scan, Abdomen, with contrast	74160	$2,691
CT Scan, Head or Brain, without contrast	70450	$2,600
CT Scan, Pelvis, with contrast	72193	$2,249
Mammography, Screening, Bilateral	77067	$465
MRI, Head or Brain, without contrast, followed by contrast	70553	$8,151
Ultrasound, Abdomen, Complete	76700	$845
Ultrasound, OB, 14 weeks or more, transabdominal	76805	$1,347
X-Ray, Chest, two views	71020	$299
X-Ray, Lower Back, four views	72110	$507

Surgery Services

Service Title	CPT Code	Avg. Charge
Arthroscopy, Knee, with meniscectomy (medial or lateral)	29881	$14,866
Arthroscopy, Shoulder, with partial acromioplasty	29826	$18,868
Carpal Tunnel Surgery	64721	$12,385
Cataract Removal with Insertion of Intraocular Lens, 1 Stage	66984	$10,937
Colonoscopy, diagnostic	45378	$4,157
Colonoscopy, with biopsy	45380	$5,634
Colonoscopy, with lesion removal, by snare technique	45385	$5,987
Discission, secondary membranous cataract, laser surgery	66821	$1,769
Endoscopy, Upper GI, diagnostic	43235	$4,696
Endoscopy, Upper GI, with biopsy	43239	$6,155
Excision, Breast Lesion	19120	$10,810
Hernia Repair, Inguinal, 5 years and older	49505	$14,801
Injection, Anesthetic or Steroid, transforaminal epidural, lumbar	64483	$2,241
Injection, Diagnostic or Therapeutic substance, epidural, lumbar	62322	N/A
Laparoscopic Cholecystectomy	47562	$21,230
Tonsillectomy with Adenoidectomy, less than 12 years old	42820	$10,381
Tympanostomy (insert ventilating tube, general anesthesia)	69436	$6,419