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West Covina Medical Center

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West Covina Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN050096

Procedures & prices

Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
Cash
— self-pay price (no insurance)
Gross
— chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
Negotiated range
— min–max of rates the hospital negotiated with insurers
Payers
— number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
  • Urinalysis Nonauto Withscope
    Lab testCPT 81000Hospital-published line item
    $20
    cash
    Gross $20
  • Assay Of PSA Free
    Lab testCPT 84154Hospital-published line item
    $28
    cash
    Gross $28
  • Assay Thyroid Stim Hormone
    Lab testCPT 84443Hospital-published line item
    $28
    cash
    Gross $28
  • Urinalysis Nonauto Without Scope
    Lab testCPT 81002Hospital-published line item
    $29
    cash
    Gross $29
  • Assay Of PSA Total
    Lab testCPT 84153Hospital-published line item
    $31
    cash
    Gross $31
  • Urinalysis Auto Without Scope
    Lab testCPT 81003Hospital-published line item
    $31
    cash
    Gross $31
  • Therapeutic Exercises
    ProcedureCPT 97110Hospital-published line item
    $49
    cash
    Gross $49
  • X-Ray Exam Of Wrist
    ImagingCPT 73100Hospital-published line item
    $54
    cash
    Gross $54
  • Urinalysis Auto Withscope
    Lab testCPT 81001Hospital-published line item
    $58
    cash
    Gross $58
  • X-Ray Exam Of Spine 1 View
    ImagingCPT 72020Hospital-published line item
    $69
    cash
    Gross $69
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