Monrovia Memorial Hospital

Cash prices

1. 0 Vicryl 18 Suture

   Code 90008882

   Facility fee only
   $31.50
   US typical $31.50

   Doctor fees are billed separately.
2. 0.45%nacl + Kcl 20meq IV Soln 1000ml

   Code 3002295

   Facility fee only
   $287
   US typical $287

   Doctor fees are billed separately.
3. 0.9% Sodium Chloride Irr 3000ml

   Code 80007278

   Facility fee only
   $158
   US typical $158

   Doctor fees are billed separately.
4. 0.9%nacl + Kcl 20 Meq IV Soln 1000ml

   Code 3002830

   Facility fee only
   $328
   US typical $328

   Doctor fees are billed separately.
5. 0.9%nacl + Kcl 40 Meq IV Soln 1000ml

   Code 3003223

   Facility fee only
   $332
   US typical $332

   Doctor fees are billed separately.
6. 1.6mm Guidewire

   Code 90001006

   Facility fee only
   $6.06
   US typical $6.06

   Doctor fees are billed separately.
7. 10.5 X 60mm Screw

   Code 90001060

   Facility fee only
   $316
   US typical $316

   Doctor fees are billed separately.
8. 14mm Screw 4.0

   Code 2400953

   Facility fee only
   $1,895
   US typical $1,895

   Doctor fees are billed separately.
9. 2-0 12 Stratafix Pds 36mm

   Code 90001410

   Facility fee only
   $22.68
   US typical $22.68

   Doctor fees are billed separately.
10. 2-0 6 Stratafix CT-2 26mm

    Code 90001413

    Scan only
    $22.68
    US typical $22.68

    The radiologist read is billed separately.
11. 20mm Cross Connector

    Code 90000028

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
12. 22mm Adapter

    Code 2500009

    Facility fee only
    $189
    US typical $189

    Doctor fees are billed separately.
13. 24hr Container

    Code 2501962

    Facility fee only
    $23.94
    US typical $23.94

    Doctor fees are billed separately.
14. 2d Echo Complete

    Code 5093307

    Facility fee only
    $1,060
    US typical $1,060

    Doctor fees are billed separately.
15. 2mm Tiger Tape

    Code 2401117

    Facility fee only
    $22.50
    US typical $22.50

    Doctor fees are billed separately.
16. 3 Univesal Collar

    Code 90001900

    Facility fee only
    $100
    US typical $100

    Doctor fees are billed separately.
17. 3-0 15cm Stratafix Spiral Pds 26mm

    Code 90001420

    Facility fee only
    $22.68
    US typical $22.68

    Doctor fees are billed separately.
18. 3-0 Monocryl 27 Suture

    Code 90008884

    Facility fee only
    $8.01
    US typical $8.01

    Doctor fees are billed separately.
19. 3-0 Vicryl 18

    Code 90008879

    Facility fee only
    $28.50
    US typical $28.50

    Doctor fees are billed separately.
20. 3-0 Vicryl 36 Suture

    Code 90008880

    Facility fee only
    $9.57
    US typical $9.57

    Doctor fees are billed separately.
21. 35mm Connector

    Code 90000035

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
22. 3m Bair Hugger Hose

    Code 90006752

    Facility fee only
    $44.18
    US typical $44.18

    Doctor fees are billed separately.
23. 3m Durapore 3 Tape

    Code 80005383

    Facility fee only
    $1.86
    US typical $1.86

    Doctor fees are billed separately.
24. 3m Transpore Tape 1

    Code 80000213

    Facility fee only
    $1.86
    US typical $1.86

    Doctor fees are billed separately.
25. 3m Transpore Tape 1

    Code 80000210

    Facility fee only
    $7.91
    US typical $7.91

    Doctor fees are billed separately.
26. 3n1 Barrier Wipe

    Code 2508322

    Facility fee only
    $6.71
    US typical $6.71

    Doctor fees are billed separately.
27. 4-0 Monocryl

    Code 90008855

    Facility fee only
    $16.59
    US typical $16.59

    Doctor fees are billed separately.
28. 4-0 Neurolon

    Code 90005544

    Facility fee only
    $96
    US typical $96

    Doctor fees are billed separately.
29. 4.0 Mm Resector Cutter 0375-542-000

    Code 2400892

    Facility fee only
    $274
    US typical $274

    Doctor fees are billed separately.
30. 4.0 X 14mm Variable Screw

    Code 90004014

    Facility fee only
    $51.87
    US typical $51.87

    Doctor fees are billed separately.
31. 4.0 X 16mm Fixed Screw Self Tapping

    Code 90094016

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
32. 4.35 X 16mm Fixed Screw

    Code 90004314

    Facility fee only
    $51.87
    US typical $51.87

    Doctor fees are billed separately.
33. 4.35 X 16mm Fixed Tapping Screw

    Code 90004316

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
34. 400mm Rod

    Code 90005400

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
35. 40mm Connector

    Code 90000040

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
36. 40mm Rod

    Code 90005040

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
37. 48mm Cross Connector

    Code 90000048

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
38. 5 Lead Wire Grabber 36

    Code 90004786

    Facility fee only
    $51.87
    US typical $51.87

    Doctor fees are billed separately.
39. 5 Lead Wire Grabber 36 Disposable

    Code 90004787

    Facility fee only
    $51.87
    US typical $51.87

    Doctor fees are billed separately.
40. 5.0 Mm Agressive Plus Cutter

    Code 2400891

    Facility fee only
    $267
    US typical $267

    Doctor fees are billed separately.
41. 5.0 Mm Angled Agressive Plus

    Code 2401191

    Facility fee only
    $274
    US typical $274

    Doctor fees are billed separately.
42. 5.0 Mm Angled Tomcat

    Code 2401192

    Facility fee only
    $274
    US typical $274

    Doctor fees are billed separately.
43. 5.0mm Round Fluted Bur

    Code 90005820

    Facility fee only
    $22.68
    US typical $22.68

    Doctor fees are billed separately.
44. 5.5 X 40m Screw

    Code 90005540

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
45. 5cc Syringe

    Code 80000189

    Facility fee only
    $5
    US typical $5

    Doctor fees are billed separately.
46. 6 in 1 Y Connector

    Code 2505051

    Facility fee only
    $10.03
    US typical $10.03

    Doctor fees are billed separately.
47. 6.5 Mm Cannula

    Code 2401063

    Facility fee only
    $50
    US typical $50

    Doctor fees are billed separately.
48. 6.5 X 30mm Screw

    Code 90006530

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
49. 6.5 X 35mm Screw

    Code 90006532

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.
50. 6.5 X 40mm Screw

    Code 90006531

    Facility fee only
    $316
    US typical $316

    Doctor fees are billed separately.

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.