Moreno Valley Medical Center
27300 IRIS AVENUE, MORENO VALLEY, CA · Kaiserpermanente · · NPI 1174793459
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $39.00 | $75.00 | $3.00 – $3.00 | 1 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $40.04 | $77.00 | $3.00 – $3.00 | 1 |
| Blood smear interpretation CPT 85060 | $71.76 | $138.00 | $17.00 – $17.00 | 1 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $63.96 | $123.00 | $3.00 – $3.00 | 1 |
| Blood split unit HCPCS P9011 | $282.88 | $544.00 | not published | 0 |
| Blood typing abo CPT 86900 | $268.32 | $516.00 | $145.00 – $145.00 | 1 |
| Blood typing ag donor ea ag CPT 86902 | $748.80 | $1,440.00 | $403.00 – $403.00 | 1 |
| Blood typing antigen system CPT 86911 | $49.40 | $95.00 | $12.00 – $12.00 | 1 |
| Blood typing paternity test CPT 86910 | $133.12 | $256.00 | $15.00 – $15.00 | 1 |
| Blood typing patient serum CPT 86904 | $121.16 | $233.00 | $67.00 – $67.00 | 1 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $704.08 | $1,354.00 | $403.00 – $403.00 | 1 |
| Blood typing rh (d) CPT 86901 | $71.24 | $137.00 | $44.00 – $44.00 | 1 |
| Blood typing rh phenotype complete reference CPT 86906 | $99.84 | $192.00 | $44.00 – $44.00 | 1 |
| Blood volume CPT 78122 | not published | not published | $489.00 – $489.00 | 1 |
| Blue light cysto imag agent HCPCS C9738 | $2,381.60 | $4,580.00 | not published | 0 |
| Bone biopsy open superficial CPT 20240 | $4,529.20 | $8,710.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $473.20 | $910.00 | $96.00 – $96.00 | 1 |
| Bone imaging multiple areas CPT 78305 | $1,248.00 | $2,400.00 | $365.00 – $365.00 | 1 |
| Bone/joint imaging ltd area CPT 78300 | $1,154.40 | $2,220.00 | $365.00 – $365.00 | 1 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,684.80 | $3,240.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,445.60 | $2,780.00 | not published | 0 |
| Bone marrow harvest allogen CPT 38230 | $2,990.00 | $5,750.00 | not published | 0 |
| Bone marrow harvest autolog CPT 38232 | $8,408.40 | $16,170.00 | not published | 0 |
| Bone marrow imaging body CPT 78104 | $1,866.80 | $3,590.00 | $365.00 – $365.00 | 1 |
| Bone marrow imaging ltd CPT 78102 | $1,216.80 | $2,340.00 | $365.00 – $365.00 | 1 |
| Bone marrow imaging mult CPT 78103 | $1,305.20 | $2,510.00 | $365.00 – $365.00 | 1 |
| Bone marrow interpretation CPT 85097 | $1,682.20 | $3,235.00 | $918.00 – $918.00 | 1 |
| Bone mineral dual photon CPT 78351 | not published | not published | $8.00 – $8.00 | 1 |
| Bone mineral single photon CPT 78350 | not published | not published | $18.00 – $18.00 | 1 |
| Bone/skin graft great toe CPT 20973 | not published | not published | not published | 0 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $566.80 | $1,090.00 | $96.00 – $96.00 | 1 |
| Bone tendon board add on HCPCS C9356 | $4,651.92 | $8,946.00 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $5,193.50 | $9,987.50 | not published | 0 |
| Boot j walker l HCPCS L4386 | $242.32 | $466.00 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $75.42 | $145.04 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $473.20 | $910.00 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $69.35 | $133.36 | not published | 0 |
| Borrelia antibody CPT 86619 | $103.48 | $199.00 | $8.00 – $8.00 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $124.28 | $239.00 | $12.00 – $12.00 | 1 |
| Borrelia miyamotoi amp prb CPT 87478 | $183.56 | $353.00 | $24.00 – $24.00 | 1 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,624.11 | $5,046.36 | $1.59 – $1.59 | 1 |
| (both sides) donor search management CPT 38204 | $2,438.80 | $4,690.00 | not published | 0 |
| (both sides) smear without diff wbc count CPT 85008 | $30.68 | $59.00 | $2.00 – $2.00 | 1 |
| Botulism ig IV CPT 90288 | $71,513.00 | $137,525.00 | not published | 0 |
| Bowel imaging CPT 78290 | $1,216.80 | $2,340.00 | $365.00 – $365.00 | 1 |
| Brace afo lg left 6607 HCPCS L1930 | $461.76 | $888.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $235.04 | $452.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $174.72 | $336.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $134.16 | $258.00 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $1,943.51 | $3,737.52 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $266.97 | $513.40 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $437.84 | $842.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,063.40 | $2,045.00 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $231.92 | $446.00 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $154.15 | $296.44 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $873.60 | $1,680.00 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $267.16 | $513.76 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $266.97 | $513.40 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,702.94 | $3,274.88 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $347.88 | $669.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $114.40 | $220.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $2,563.60 | $4,930.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,636.40 | $5,070.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $3,026.40 | $5,820.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $1,731.60 | $3,330.00 | not published | 0 |
| Brachy linear, non-str,p-103 HCPCS C2636 | $35.88 | $69.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $197.60 | $380.00 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $64.48 | $124.00 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $114.40 | $220.00 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $116.48 | $224.00 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $15,050.10 | $28,942.50 | not published | 0 |
| Brachytx isodose complex CPT 77318 | not published | not published | $333.00 – $333.00 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $333.00 – $333.00 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $333.00 – $333.00 | 1 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | $110.24 | $212.00 | not published | 0 |
| Braf gene CPT 81210 | not published | not published | $74.00 – $74.00 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $489.00 – $489.00 | 1 |
| Brain image < 4 views CPT 78600 | $915.20 | $1,760.00 | $365.00 – $365.00 | 1 |
| Brain image 4+ views CPT 78605 | not published | not published | $489.00 – $489.00 | 1 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $365.00 – $365.00 | 1 |
| Brain image w/flow 4 + views CPT 78606 | $2,600.00 | $5,000.00 | $489.00 – $489.00 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,328.00 | $6,400.00 | $372.00 – $372.00 | 1 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,964.00 | $5,700.00 | $324.00 – $324.00 | 1 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,132.00 | $4,100.00 | $229.00 – $229.00 | 1 |
| Brain MRI (with and without contrast) CPT 70553 | $3,068.00 | $5,900.00 | $324.00 – $324.00 | 1 |
| Brain MRI (with contrast) CPT 70552 | $2,912.00 | $5,600.00 | $324.00 – $324.00 | 1 |
| Brain MRI (without contrast) CPT 70551 | $2,600.00 | $5,000.00 | $220.00 – $220.00 | 1 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $197.00 – $197.00 | 1 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $245.00 – $245.00 | 1 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $158.00 – $158.00 | 1 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $126.00 – $126.00 | 1 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $119.00 – $119.00 | 1 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $77.00 – $77.00 | 1 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $158.00 – $158.00 | 1 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $119.00 – $119.00 | 1 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $185.00 – $185.00 | 1 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $767.00 – $767.00 | 1 |
| Breast augmentation 19325 CPT 19325 | $4,633.20 | $8,910.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.