Ronald Reagan UCLA Medical Center — price list
← Hospital overviewVerified from Ronald Reagan UCLA Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
129 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 0.9% SODIUM CHLORIDE--CONTROL FOR ATG Outpatient | 63323018610 NDC | $40.00 | $22.00 | $10.00 – $200 | — | |
| 1 em core session Outpatient | G9873 HCPCS | — | — | $20.00 – $20.00 | — | |
| 12-24hr sealed lead acid Outpatient | K0733 HCPCS | — | — | $6.09 – $28.90 | — | |
| 1ST HOSP IP/OBS HIGH 75 Outpatient | 99223 HCPCS | — | — | $80.10 – $80.10 | — | |
| 1ST HOSP IP/OBS MODERATE 55 Outpatient | 99222 HCPCS | — | — | $73.20 – $73.20 | — | |
| 1ST HOSP IP/OBS SF/LOW 40 Outpatient | 99221 HCPCS | — | — | $34.30 – $34.30 | — | |
| 1ST NF CARE HIGH MDM 50 Outpatient | 99306 HCPCS | — | — | $72.10 – $72.10 | — | |
| 1ST NF CARE MODERATE MDM 35 Outpatient | 99305 HCPCS | — | — | $46.90 – $46.90 | — | |
| 1ST NF CARE SF/LOW MDM 25 Outpatient | 99304 HCPCS | — | — | $37.80 – $37.80 | — | |
| 1ST OPN IMPLT BAT MODULJ SYS Outpatient | 64654 HCPCS | — | — | $56,651 – $162,589 | — | |
| 1ST PSYC COLLAB CARE MGMT Outpatient | 99492 HCPCS | — | — | $111 – $375 | — | |
| 1ST/SBSQ PSYC COLLAB CARE Outpatient | 99494 HCPCS | — | — | $57.88 – $57.88 | — | |
| 2 em core ms mo 10-12 no wl Outpatient | G9877 HCPCS | — | — | $12.00 – $12.00 | — | |
| 2 em core ms mo 10-12 wl Outpatient | G9879 HCPCS | — | — | $48.00 – $48.00 | — | |
| 2 em core ms mo 7-9 no wl Outpatient | G9876 HCPCS | — | — | $12.00 – $12.00 | — | |
| 2 em core ms mo 7-9 wl Outpatient | G9878 HCPCS | — | — | $48.00 – $48.00 | — | |
| 2 em ongoing ms mo 13-15 wl Outpatient | G9882 HCPCS | — | — | $40.00 – $40.00 | — | |
| 2 em ongoing ms mo 16-18 wl Outpatient | G9883 HCPCS | — | — | $40.00 – $40.00 | — | |
| 2 em ongoing ms mo 19-21 wl Outpatient | G9884 HCPCS | — | — | $40.00 – $40.00 | — | |
| 2 em ongoing ms mo 22-24 wl Outpatient | G9885 HCPCS | — | — | $40.00 – $40.00 | — | |
| 22nf nonsealed leadacid Outpatient | E2360 HCPCS | — | — | $24.73 – $107 | — | |
| 22nf sealed leadacid battery Outpatient | E2361 HCPCS | — | — | $26.15 – $128 | — | |
| 2d cephal radio image Outpatient | D0702 HCPCS | — | — | $112 – $321 | — | |
| 2d cephalometric image Outpatient | D0340 HCPCS | — | — | $112 – $321 | — | |
| 2d oral/facial photo image Outpatient | D0703 HCPCS | — | — | $112 – $321 | — | |
| 2d tee w or w/o fol w/con,in Outpatient | C8925 HCPCS | — | — | $1,000 – $2,894 | — | |
| 2d tte w or w/o fol w/con,co Outpatient | C8923 HCPCS | — | — | $1,000 – $2,894 | — | |
| 2VHPV VACCINE 3 DOSE IM Outpatient | 90650 HCPCS | — | — | $133 – $135 | — | |
| 3-D RADIOTHERAPY PLAN Outpatient | 77295 HCPCS | — | — | $430 – $5,109 | — | |
| 361 hct/p skin subs, nos Outpatient | Q4433 HCPCS | — | — | $160 – $459 | — |