REHABILITATION HOSPITAL OF THE PACIFIC prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
1872105	adalimumab 40 mg/0.8 mL Subcut Kit	$4,154	$3,115	—	—	11
1872548	ARIPiprazole 400 mg IM INJ	$3,485	$2,614	—	—	11
110; 120; 158	Inpatient Rehab Per Diem	$2,734	$2,050	—	—	11
110	ROOM-BOARD/PVT	$2,734	$2,050	—	—	17
120	ROOM-BOARD/SEMI	$2,734	$2,050	—	—	17
158	ROOM-BOARD/WARD	$2,734	$2,050	—	—	17
CMG 5001	Short-stay cases, length of stay is 3 days or fewer	$2,734	$2,050	—	—	21
1874662	denosumab 60 mg/mL Subcut Soln 1 mL	$2,251	$1,688	—	—	11
1880731	teduglutide 5 mg Subcut Kit	$2,158	$1,618	—	—	11
1880781	teriparatide 620 mcg/2.48 mL Subcut Device 2.48 mL	$2,145	$1,609	—	—	11
1881200	tuberculin purified protein derivative 5 tuberculin units/0.1 mL Intradermal Soln 1 mL MDV	$2,064	$1,548	—	—	11
1873479	calcitonin 200 intl units/mL Inj Soln 2 mL	$1,879	$1,409	—	—	11
1879457	pomalidomide 4 mg Cap	$1,370	$1,027	—	—	11
1881704	epoetin alfa 40,000 units/mL preservative-free Sol	$1,283	$962	—	—	11
A4220	A4220 Refill Kit for implantable infusion pump	$1,150	$863	—	—	11
93971	US DUPLEX VEIN LEFT LOWER EXTREMITY* (HDRS)	$1,059	$794	—	—	15
93970	US DUPLEX VEIN BILATERAL LOWER EXTREMITY* (HDRS)	$970	$728	—	—	15
64605	Destruction by neurolytic agent, procedures on somatic/trigeminal nerve V2/V3 64605	$875	$656	—	—	15
64635	Neurolyt agent/lumb/sac/sng jt/bilat 64635	$854	$641	—	—	15
1880734	telavancin 750 mg IV Inj	$821	$616	—	—	11
95913	Nerve conduction study/>13 study 95913	$797	$598	—	—	15
76700	US ABDOMINAL COMPLETE* (HDRS)	$785	$589	—	—	15
64625	Destruction by neurolytic agent, procedures on somatic/sacral nerve, bilat 64625	$748	$561	—	—	15
J3490	J3490 drugs unclassified injection (Charge)	$743	$557	—	—	11
1881782	onabotulinumtoxinA 100 units Inj	$721	$541	—	—	11
95912	Nerve conduction study/11-12 study 95912	$690	$518	—	—	15
2498080	tirzepatide pen 5 mg/0.5 mL Sol	$648	$486	—	—	11
1881698	epoetin alfa 20,000 units/mL Inj Soln 1 mL	$641	$481	—	—	11
95864	Needle EMG/4 extrem 95864	$625	$469	—	—	15
87502	Influenza type A and B, RT-PCR* (DLS)	$615	$461	—	—	11
95911	Nerve conduction study/9-10 study 95911	$587	$440	—	—	15
64633	Neurolytic agent/cerv/thor sng jt 64633	$586	$439	—	—	15
72200	XR SACROILIAC JOINTS COMPLETE MIN 3V* (HDRS)	$581	$436	—	—	15
64624	Destruction by neurolytic agent, procedures on somatic/genicular nerve, bilat 64624	$568	$426	—	—	15
1874610	DAPTOmycin 500 mg IV Inj	$535	$401	—	—	11
1882287	dulaglutide 0.75 mg/0.5 mL UD	$532	$399	—	—	11
1882288	dulaglutide 1.5 mg/0.5 mL UD	$532	$399	—	—	11
1876408	glatiramer 40 mg/mL Subcut Soln 1 mL	$524	$393	—	—	11
36430	BLOOD TRANSFUSION	$513	$385	—	—	15
87426	SARS CoV-2 (COVID-19) Real-time PCR* (DLS)	$513	$385	—	—	11
87811	SARS COVID Antigen* (DLS)	$513	$385	—	—	11
99223	99223 initial hospital care/day 75 minutes (Charge)	$507	$380	—	—	15
92523	SLP Eval Lang Comprehension,Express Unit	$506	$379	—	—	15
92612	SLP Fiberoptic Swallow Eval Units	$504	$378	—	—	15
73564	XR BILATERAL KNEES COMPLETE 3V* (HDRS)	$500	$375	—	—	15
1882259	avibactam-cefTAZidime 0.5 g-2 g IV Inj	$498	$374	—	—	11
95910	Nerve conduction study/7-8 study 95910	$484	$363	—	—	15
92522	SLP Eval of Speech Sound Prod Units	$482	$361	—	—	15
73590	XR LEFT TIBIA-FIBULA 2V* (HDRS)	$477	$358	—	—	15
71046	XR CHEST PA AND LATERAL WITH OBLIQUES* (HDRS)	$464	$348	—	—	15

Showing top 50 of 2,199 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.