Pacifica Hospital of the Valley
9449 San Fernando Rd, Sun Valley, CA 91352 · Acute care hospital · Emergency room
These are Pacifica Hospital of the Valley's own posted figures from its standard-charges file dated an undated file. They are not a quote. Source: the hospital's file · its price transparency page.
140 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $5,422.00 | $5,422.00 | $846.00 – $5,422.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $549.00 | $549.00 | $86.00 – $549.00 |
| Emergency room visit, level 2 CPT 99282 | $902.00 | $902.00 | $157.00 – $902.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,431.00 | $1,431.00 | $280.00 – $1,431.00 |
| Emergency room visit, level 4 CPT 99284 | $1,822.00 | $1,822.00 | $427.00 – $1,822.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,877.00 | $3,877.00 | $610.00 – $3,877.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $312.00 | $312.00 | $156.00 – $321.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 | $395.00 | $395.00 | $103.00 – $395.00 |
| New patient office visit, about 45 minutes CPT 99204 | $604.00 | $604.00 | $155.00 – $604.00 |
| New patient office visit, about 60 minutes CPT 99205 | $763.00 | $763.00 | $206.00 – $763.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Abdominal X-ray, 1 view CPT 74018 | $236.00 | $236.00 | $89.00 – $236.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $273.00 | $273.00 | $89.00 – $273.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $675.00 | $675.00 | $107.00 – $675.00 |
| Chest X-ray, 1 view CPT 71045 | $260.00 | $260.00 | $89.00 – $260.00 |
| Chest X-ray, 2 views CPT 71046 | $336.00 | $336.00 | $89.00 – $336.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,723.00 | $2,723.00 | $180.00 – $2,723.00 |
| CT angiogram of the head CPT 70496 | $2,441.00 | $2,441.00 | $180.00 – $2,441.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $8,379.00 | $8,379.00 | $357.00 – $8,379.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,233.00 | $4,233.00 | $357.00 – $4,233.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $6,378.00 | $6,378.00 | $244.00 – $6,378.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,431.00 | $1,431.00 | $107.00 – $1,431.00 |
| CT scan of the chest, with contrast CPT 71260 | $1,750.00 | $1,750.00 | $180.00 – $1,750.00 |
| CT scan of the chest, without contrast CPT 71250 | $1,590.00 | $1,590.00 | $107.00 – $1,590.00 |
| CT scan of the head, without contrast CPT 70450 | $1,235.00 | $1,235.00 | $107.00 – $1,235.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,635.00 | $1,635.00 | $107.00 – $1,635.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,854.00 | $1,854.00 | $107.00 – $1,854.00 |
| Foot X-ray, 3 or more views CPT 73630 | $273.00 | $273.00 | $89.00 – $273.00 |
| Hand X-ray, 3 or more views CPT 73130 | $273.00 | $273.00 | $89.00 – $273.00 |
| Knee X-ray, 3 views CPT 73562 | $227.00 | $227.00 | $89.00 – $227.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $3,189.00 | $3,189.00 | $244.00 – $3,189.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $895.00 | $895.00 | $107.00 – $895.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $458.00 | $458.00 | $107.00 – $458.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,356.00 | $3,356.00 | $357.00 – $3,356.00 |
| MRI of the brain, without and with contrast CPT 70553 | $3,390.00 | $3,390.00 | $357.00 – $3,390.00 |
| MRI of the brain, without contrast CPT 70551 | $2,714.00 | $2,714.00 | $244.00 – $2,714.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,764.00 | $1,764.00 | $244.00 – $1,764.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,714.00 | $2,714.00 | $244.00 – $2,714.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,390.00 | $3,390.00 | $244.00 – $3,390.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,714.00 | $2,714.00 | $244.00 – $2,714.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,764.00 | $1,764.00 | $244.00 – $1,764.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $680.00 | $680.00 | $89.00 – $680.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $944.00 | $944.00 | $107.00 – $944.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $918.00 | $918.00 | $107.00 – $918.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $487.00 | $487.00 | $89.00 – $487.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $953.00 | $953.00 | $107.00 – $953.00 |
| Transvaginal ultrasound CPT 76830 | $907.00 | $907.00 | $107.00 – $907.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,147.00 | $1,147.00 | $107.00 – $1,147.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $801.00 | $801.00 | $107.00 – $801.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $470.00 | $470.00 | $89.00 – $470.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $876.00 | $876.00 | $107.00 – $876.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $269.00 | $269.00 | $7.00 – $269.00 |
| Blood culture CPT 87040 | $168.00 | $168.00 | $8.00 – $168.00 |
| Blood draw (venipuncture) CPT 36415 | $23.00 | $23.00 | $7.00 – $23.00 |
| BNP test (heart failure) CPT 83880 | $273.00 | $273.00 | $31.00 – $273.00 |
| C-reactive protein (CRP) test CPT 86140 | $87.00 | $87.00 | $4.00 – $87.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $41.00 | $41.00 | $21.00 – $44.00 |
| Complete blood count (CBC) with differential CPT 85025 | $94.00 | $94.00 | $6.00 – $94.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $443.00 | $443.00 | $8.00 – $443.00 |
| COVID-19 PCR test CPT 87635 | $150.00 | $150.00 | $41.00 – $150.00 |
| Drug screen, instrument chemistry CPT 80307 | $142.00 | $142.00 | $50.00 – $142.00 |
| Ferritin (iron stores) test CPT 82728 | $87.00 | $87.00 | $11.00 – $87.00 |
| Free T4 (thyroid) test CPT 84439 | $137.00 | $137.00 | $7.00 – $137.00 |
| Glucose (blood sugar) test CPT 82947 | $329.00 | $329.00 | $3.00 – $329.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $126.00 | $126.00 | $28.00 – $126.00 |
| Hemoglobin A1c test CPT 83036 | $128.00 | $128.00 | $8.00 – $128.00 |
| Hepatitis C antibody test CPT 86803 | $76.00 | $76.00 | $11.00 – $76.00 |
| Iron test CPT 83540 | $83.00 | $83.00 | $5.00 – $83.00 |
| Kidney function panel CPT 80069 | $387.00 | $387.00 | $7.00 – $387.00 |
| Lipase test (pancreas) CPT 83690 | $137.00 | $137.00 | $6.00 – $137.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $310.00 | $310.00 | $11.00 – $310.00 |
| Liver function panel CPT 80076 | $378.00 | $378.00 | $7.00 – $378.00 |
| Magnesium test CPT 83735 | $133.00 | $133.00 | $5.00 – $133.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $89.00 | $89.00 | $5.00 – $89.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $230.00 | $230.00 | $12.00 – $230.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $89.00 | $89.00 | $3.00 – $89.00 |
| PSA (prostate specific antigen), free CPT 84154 | $103.00 | $103.00 | $15.00 – $103.00 |
| PSA (prostate specific antigen), total CPT 84153 | $37.00 | $37.00 | $15.00 – $37.00 |
| Rapid strep test CPT 87880 | $18.00 | $18.00 | $9.00 – $21.00 |
| Sed rate (ESR) test CPT 85652 | $60.00 | $60.00 | $2.00 – $60.00 |
| TB skin test CPT 86580 | $82.00 | $82.00 | $30.00 – $82.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $137.00 | $137.00 | $13.00 – $137.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $435.00 | $435.00 | $53.00 – $435.00 |
| Troponin test (heart damage) CPT 84484 | $193.00 | $193.00 | $10.00 – $193.00 |
| Urinalysis, automated, with microscope CPT 81001 | $83.00 | $83.00 | $3.00 – $83.00 |
| Urinalysis, automated, without microscope CPT 81003 | $33.00 | $33.00 | $2.00 – $33.00 |
| Urine culture, colony count CPT 87086 | $158.00 | $158.00 | $6.00 – $158.00 |
| Urine pregnancy test CPT 81025 | $24.00 | $24.00 | $7.00 – $24.00 |
| Vitamin B12 test CPT 82607 | $237.00 | $237.00 | $12.00 – $237.00 |
| Vitamin D test CPT 82306 | $181.00 | $181.00 | $24.00 – $181.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,640.00 | $1,640.00 | $244.00 – $1,640.00 |
| ECG tracing only (no interpretation) CPT 93005 | $183.00 | $183.00 | $60.00 – $183.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,275.00 | $2,275.00 | $1,138.00 – $2,275.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Colonoscopy with biopsy CPT 45380 | $61,772.00 | $61,772.00 | $1,225.00 – $61,772.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $61,772.00 | $61,772.00 | $1,225.00 – $61,772.00 |
| Colonoscopy, diagnostic CPT 45378 | $5,873.00 | $5,873.00 | $952.00 – $5,873.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,166.00 | $1,166.00 | $583.00 – $1,488.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $25,236.00 | $25,236.00 | $6,190.00 – $25,236.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $18,765.00 | $18,765.00 | $3,666.00 – $18,765.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $18,342.00 | $18,342.00 | $3,350.00 – $18,342.00 |
| Prostate biopsy CPT 55700 | $13,033.00 | $13,033.00 | $6,517.00 – $13,033.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $69,592.00 | $69,592.00 | $10,884.00 – $69,592.00 |
| Removal of a breast lump, open surgery CPT 19120 | $15,293.00 | $15,293.00 | $4,009.00 – $15,293.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $18,342.00 | $18,342.00 | $9,171.00 – $18,342.00 |
| Total hip replacement CPT 27130 | $5,646.00 | $5,646.00 | $2,823.00 – $20,540.00 |
| Total knee replacement CPT 27447 | $7,087.00 | $7,087.00 | $3,544.00 – $20,540.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $8,190.00 | $8,190.00 | $929.00 – $8,190.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $61,772.00 | $61,772.00 | $929.00 – $61,772.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $106.00 | $106.00 | $53.00 – $323.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $25,272.00 | $25,272.00 | $1,200.00 – $25,272.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,550.00 | $1,550.00 | $775.00 – $1,550.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,550.00 | $1,550.00 | $723.00 – $1,550.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,550.00 | $1,550.00 | $775.00 – $1,550.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $27,945.00 | $27,945.00 | $2,363.00 – $27,945.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $168.00 | $168.00 | $24.00 – $168.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $419.00 | $419.00 | $87.00 – $419.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $396.00 | $396.00 | $87.00 – $396.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $140.00 | $140.00 | $26.00 – $140.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $132.00 | $132.00 | $31.00 – $132.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $388.00 | $388.00 | $182.00 – $388.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $374.00 | $374.00 | $182.00 – $374.00 |
| Group psychotherapy CPT 90853 | $278.00 | $278.00 | $104.00 – $278.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $526.00 | $526.00 | $115.00 – $526.00 |
| Psychotherapy, 30 minutes CPT 90832 | $257.00 | $257.00 | $129.00 – $284.00 |
| Psychotherapy, 45 minutes CPT 90834 | $342.00 | $342.00 | $171.00 – $342.00 |
| Psychotherapy, 60 minutes CPT 90837 | $511.00 | $511.00 | $182.00 – $511.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $128.00 | $128.00 | $64.00 – $128.00 |
| IV hydration, each additional hour CPT 96361 | $455.00 | $455.00 | $48.00 – $455.00 |
| IV hydration, first hour CPT 96360 | $588.00 | $588.00 | $218.00 – $588.00 |
| IV push injection of a drug, first CPT 96374 | $264.00 | $264.00 | $132.00 – $340.00 |
| IV push injection, each additional drug CPT 96375 | $260.00 | $260.00 | $48.00 – $260.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $312.00 | $312.00 | $156.00 – $312.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $13.00 | $13.00 | $7.00 – $13.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $41.00 | $41.00 | $21.00 – $41.00 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $13.00 | $13.00 | $7.00 – $13.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $34.00 | $34.00 | ? – $34.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $41.00 | $41.00 | $21.00 – $41.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $74.00 | $74.00 | $37.00 – $74.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $63.00 | $63.00 | $32.00 – $63.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $197.00 | $197.00 | $99.00 – $197.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $46.00 | $46.00 | $23.00 – $46.00 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.