Does Pacifica Hospital Of The Valley publish its standard charges and chargemaster?

Yes. Pacifica Hospital Of The Valley publishes a machine-readable file with 1,893 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Pacifica Hospital Of The Valley charge for procedures?

Pacifica Hospital Of The Valley (Sun Valley, CA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · CA · CCN 050378

Pacifica Hospital Of The Valley

Sun Valley, CA, 91352-1421

133 bedsAcute Care Hospitals4

Compliance grade

100/100

Rates published

1,893

last crawl 2026-05-22

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All CA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://secure.claraprice.net/price-transparency/ZFYY-1731000747134/machine-readable/330737312_pacifica-hospital-of-the-valley_standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	13	$477	$477	$118	$151.5	0.86×	$477
Psychiatric eval with medical services	CPT	90792	13	$545	$545	$118	$151.5	0.87×	$545
Psychotherapy 30 minutes	CPT	90832	13	$257	$257	$107	$155	1.0×	$257
Psychotherapy 45 minutes	CPT	90834	13	$342	$342	$118	$171	1.1×	$342
Psychotherapy 60 minutes	CPT	90837	13	$511	$511	$118	$206	1.1×	$511
Crisis psychotherapy 60 minutes	CPT	90839	13	$489	$489	$118	$151.5	0.95×	$489
emergency
ED visit level 1	CPT	99281	13	$549	$549	$66	$159	1.1×	$549
ED visit level 2	CPT	99282	13	$902	$902	$121	$155.5	0.66×	$902
ED visit level 3	CPT	99283	13	$1,431	$1,431	$212	$271	0.67×	$1,431
ED visit level 4	CPT	99284	13	$1,822	$1,822	$328	$420.5	0.63×	$1,822
ED visit level 5	CPT	99285	13	$3,877	$3,877	$476	$610	0.58×	$3,877
Critical care, first hour	CPT	99291	13	$5,422	$5,422	$658	$843	0.79×	$5,422
imaging
CT head without contrast	CPT	70450	13	$1,235	$1,235	$82	$104.5	0.50×	$1,235
CT head with contrast	CPT	70460	13	$1,375	$1,375	$136	$174.5	0.75×	$1,375
CT head with and without contrast	CPT	70470	13	$1,979	$1,979	$136	$174.5	0.65×	$1,979
CT neck with contrast	CPT	70491	13	$1,590	$1,590	$136	$174.5	0.64×	$1,590
MRI brain without contrast	CPT	70551	13	$2,714	$2,714	$182	$232.5	0.58×	$2,714
MRI brain with contrast	CPT	70552	13	$2,985	$2,985	$285	$365	0.76×	$2,985
MRI brain with and without contrast	CPT	70553	13	$3,390	$3,390	$285	$365	0.62×	$3,390
Chest X-ray single view	CPT	71045	13	$260	$260	$67	$86	0.91×	$260
Chest X-ray 2 views	CPT	71046	13	$336	$336	$67	$120	1.2×	$336
Chest X-ray 3 views	CPT	71047	13	$395	$395	$67	$86	0.90×	$395
CT chest without contrast	CPT	71250	13	$1,590	$1,590	$82	$104.5	0.49×	$1,590
CT chest with contrast	CPT	71260	13	$1,750	$1,750	$136	$174.5	0.62×	$1,750
CT chest with and without contrast	CPT	71270	13	$2,211	$2,211	$136	$174.5	0.60×	$2,211
MRI chest without contrast	CPT	71550	13	$2,511	$2,511	$182	$232.5	0.54×	$2,511
Lumbosacral spine X-ray	CPT	72100	13	$458	$458	$82	$104.5	1.0×	$458
CT cervical spine without contrast	CPT	72125	13	$1,635	$1,635	$82	$104.5	0.52×	$1,635
CT thoracic spine without contrast	CPT	72128	13	$2,948	$2,948	$82	$104.5	0.52×	$2,948
CT lumbar spine without contrast	CPT	72131	13	$3,010	$3,010	$82	$104.5	0.51×	$3,010
MRI cervical spine without contrast	CPT	72141	13	$2,714	$2,714	$182	$232.5	0.59×	$2,714
MRI thoracic spine without contrast	CPT	72146	13	$3,390	$3,390	$182	$232.5	0.62×	$3,390
MRI lumbar spine without contrast	CPT	72148	13	$2,714	$2,714	$182	$232.5	0.62×	$2,714
MRI lumbar spine with and without contrast	CPT	72149	13	$2,969	$2,969	$285	$365	0.80×	$2,969
MRI cervical spine with and without contrast	CPT	72156	13	$3,446	$3,446	$285	$365	0.68×	$3,446
MRI lumbar spine with contrast	CPT	72158	13	$3,390	$3,390	$285	$365	0.67×	$3,390
CT pelvis without contrast	CPT	72192	13	$1,413	$1,413	$82	$104.5	0.52×	$1,413
Shoulder X-ray	CPT	73030	13	$487	$487	$67	$86	0.93×	$487
Humerus X-ray	CPT	73060	13	$299	$299	$67	$86	0.96×	$299
Hand X-ray 3 views	CPT	73130	13	$273	$273	$11	$84	0.90×	$273
MRI upper extremity joint without contrast	CPT	73221	13	$1,764	$1,764	$182	$232.5	0.56×	$1,764
Knee X-ray 1-2 views	CPT	73560	13	$247	$247	$67	$86	0.92×	$247
Ankle X-ray 3 views	CPT	73610	13	$273	$273	$67	$105	1.1×	$273
MRI lower extremity joint without contrast	CPT	73721	13	$1,764	$1,764	$182	$232.5	0.50×	$1,764
CT abdomen without contrast	CPT	74150	13	$1,431	$1,431	$82	$104.5	0.56×	$1,431
CT abdomen with contrast	CPT	74160	13	$2,441	$2,441	$136	$174.5	0.61×	$2,441
CT abdomen with and without contrast	CPT	74170	13	$3,196	$3,196	$136	$174.5	0.52×	$3,196
CT abdomen and pelvis without contrast	CPT	74176	13	$6,378	$6,378	$182	$232.5	0.64×	$6,378
CT abdomen and pelvis with contrast	CPT	74177	13	$8,379	$8,379	$285	$365	0.67×	$8,379
CT abdomen and pelvis with and without contrast	CPT	74178	13	$4,233	$4,233	$285	$365	0.63×	$4,233
MRI abdomen without contrast	CPT	74181	13	$3,356	$3,356	$182	$232.5	0.60×	$3,356
MRI abdomen with and without contrast	CPT	74183	13	$3,356	$3,356	$285	$365	0.64×	$3,356
Abdominal ultrasound complete	CPT	76700	13	$1,147	$1,147	$82	$104.5	0.70×	$1,147
Abdominal ultrasound limited	CPT	76705	13	$1,033	$1,033	$82	$559.5	3.8×	$1,033
Retroperitoneal ultrasound complete	CPT	76770	13	$964	$964	$82	$104.5	0.73×	$964
Obstetric ultrasound first trimester	CPT	76801	13	$918	$918	$82	$104.5	0.74×	$918
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$1,099	$1,099	$182	$232.5	0.99×	$1,099
Transvaginal ultrasound	CPT	76830	13	$907	$907	$82	$104.5	0.71×	$907
Pelvic ultrasound complete	CPT	76856	13	$944	$944	$82	$104.5	0.73×	$944
Scrotal ultrasound	CPT	76870	13	$716	$716	$82	$104.5	0.80×	$716
EKG tracing only	CPT	93005	13	$183	$183	$45	$58.5	0.50×	$183
Transthoracic echocardiogram	CPT	93307	13	$937	$937	$182	$232.5	0.94×	$937
Stress echocardiogram	CPT	93350	13	$1,866	$1,866	$409	$524	1.0×	$1,866
inpatient
Initial hospital care, high complexity	CPT	99223	5	$460	$460	$230	$460	2.0×	$460
Hospital discharge, <30 min	CPT	99238	5	$460	$460	$230	$460	5.4×	$460
lab
Basic metabolic panel (BMP)	CPT	80048	5	$269	$269	$48	$115.5	3.6×	$269
Electrolyte panel	CPT	80051	5	$249	$249	$125	$249	10.5×	$249
Comprehensive metabolic panel	CPT	80053	5	$443	$443	$80	$190.5	4.3×	$443
Lipid panel	CPT	80061	5	$310	$310	$7	$84.5	2.2×	$310
Renal function panel	CPT	80069	5	$387	$387	$194	$387	14.2×	$387
Hepatic function panel	CPT	80076	5	$378	$378	$59	$153.5	5.8×	$378
Urinalysis automated	CPT	81003	5	$33	$33	$14	$27	1.9×	$33
Glucose quantitative	CPT	82947	5	$329	$329	$34	$75	4.3×	$329
Hemoglobin A1c	CPT	83036	5	$128	$128	$37	$73	2.7×	$128
Thyroid stimulating hormone (TSH)	CPT	84443	5	$137	$137	$26	$60	1.3×	$137
Complete blood count with automated differential	CPT	85025	5	$94	$94	$36	$72	2.7×	$94
Urine culture bacterial	CPT	87086	5	$158	$158	$79	$158	6.8×	$158
Urine culture identification	CPT	87088	5	$117	$117	$59	$117	5.3×	$117
Tissue exam by pathologist level IV	CPT	88305	5	$435	$435	$96	$205	2.0×	$435
maternity
Fetal non-stress test	CPT	59025	13	$106	$106	$53	$185	0.98×	$231
office
Office visit, new patient, 30-44 minutes	CPT	99203	5	$395	$395	$131	$262	2.1×	$395
Office visit, new patient, 45-59 min	CPT	99204	5	$604	$604	$212	$424	2.4×	$604
Office visit, new patient, 60-74 min	CPT	99205	5	$763	$763	$288	$575	2.6×	$763
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$61,772	$61,772	$672	$861	0.94×	$61,772
Upper GI endoscopy with biopsy	CPT	43239	13	$8,190	$8,190	$672	$861	0.89×	$8,190
Sigmoidoscopy diagnostic	CPT	45330	13	$1,166	$1,166	$583	$847	1.0×	$1,166
Colonoscopy diagnostic	CPT	45378	13	$5,873	$5,873	$678	$868	0.99×	$5,873
Colonoscopy with biopsy	CPT	45380	13	$61,772	$61,772	$875	$1,121	0.92×	$61,772
Colonoscopy with polyp removal	CPT	45385	13	$61,772	$61,772	$875	$1,121	0.93×	$61,772
surgery
Total hip replacement	CPT	27130	13	$5,646	$5,646	$2,823	$12,198	2.8×	$15,247
Total knee replacement	CPT	27447	13	$7,087	$7,087	$3,544	$12,198	2.9×	$15,247
Shoulder arthroscopy with decompression	CPT	29826	5	$18,342	$18,342	$9,171	$18,342	56.1×	$18,342
Knee arthroscopy with meniscectomy	CPT	29881	13	$18,342	$18,342	$2,400	$3,075	1.5×	$18,342
Laparoscopic cholecystectomy	CPT	47562	13	$25,236	$25,236	$4,278	$5,481.5	3.1×	$25,236
Cataract surgery with lens implant	CPT	66984	13	$27,945	$27,945	$1,728	$2,214	1.0×	$27,945
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	8	$25,272	$25,272	$1,200	$15,163	1.2×	$25,272

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 16)

Payer	Codes covered	Median rate
Aetna	96	$330
altamed	96	$660
Blue Cross Blue Shield	96	$660
heritage provider network	96	$660
Molina	96	$660
Health Net	75	$213
Anthem BCBS	75	$170
Bright Health	75	$179
Self-Pay (Cash)	75	$170
Humana	75	$170
care 1st health plan	75	$170
la health care	75	$170
alignment health	75	$136
scan health plan	1	$17,690
Kaiser Permanente	1	$1,200
UnitedHealthcare	1	$2,336

Related data on other Healthparse brands

Explore this hospital across cost reports, quality ratings, and non-profit filings.

HCRIS.io

Medicare cost reports, margins, utilization

Stetho.io

SNF, HHA, hospice, dialysis cost reports + ownership

990Health

IRS Form 990 financials, executive compensation

CareLens

CMS quality ratings, inspections, staffing