San Bernardino - Fontana Medical Center
9961 SIERRA AVENUE, FONTANA, CA · Kaiserpermanente · · NPI 1356496772
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Implant neuroelectrodes CPT 64553 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 64555 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $3,203.20 | $6,160.00 | not published | 0 |
| Implant neurostim arrays CPT 61886 | not published | not published | not published | 0 |
| Implant spinal canal cath CPT 62351 | $8,184.80 | $15,740.00 | not published | 0 |
| Implant spine infusion pump CPT 62361 | $11,512.80 | $22,140.00 | not published | 0 |
| Implant spine infusion pump CPT 62362 | $11,512.80 | $22,140.00 | not published | 0 |
| Implant tcat pulm vlv perq CPT 33477 | $9,812.40 | $18,870.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $2,366.00 | $4,550.00 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,690.96 | $7,098.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $5,590.00 | $10,750.00 | not published | 0 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $405.60 | $780.00 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | $7,378.80 | $14,190.00 | not published | 0 |
| Impl oi implt sk tc esp<100 CPT 69716 | $22,958.00 | $44,150.00 | not published | 0 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | not published | 0 |
| Impl oi implt skull perq esp CPT 69714 | $6,411.60 | $12,330.00 | not published | 0 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | not published | 0 |
| Implt neurostim elctr each HCPCS L8680 | $4,252.85 | $8,178.55 | not published | 0 |
| Imp neurosti pls gn any type HCPCS L8679 | $2,056.60 | $3,955.00 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $529.00 – $529.00 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | not published | 0 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | not published | 0 |
| Impres&prep facial prosth CPT 21088 | not published | not published | not published | 0 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | not published | 0 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | not published | 0 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | not published | 0 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | not published | 0 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | not published | 0 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | not published | 0 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | not published | 0 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | not published | 0 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | not published | 0 |
| Imuglucerase injection HCPCS J1786 | $2,816.05 | $5,415.49 | $43.00 – $43.00 | 1 |
| In-111 autologous plt stdy dx HCPCS A9571 | $6,139.64 | $11,807.00 | $5,406.00 – $5,406.00 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,139.64 | $11,807.00 | $5,406.00 – $5,406.00 | 1 |
| In-111 capromab pendet HCPCS A9507 | $1,735.76 | $3,338.00 | $1,529.00 – $1,529.00 | 1 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $5,260.84 | $10,117.00 | $4,632.00 – $4,632.00 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $6,853.64 | $13,180.08 | $344.00 – $344.00 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $4,333.32 | $8,333.31 | $207.00 – $207.00 | 1 |
| In-111 pentetreotide HCPCS A9572 | $7,836.92 | $15,071.00 | $6,901.00 – $6,901.00 | 1 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,889.00 – $1,889.00 | 1 |
| Inactivated je vacc im CPT 90738 | $481.34 | $925.65 | not published | 0 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $6,650.80 | $12,790.00 | not published | 0 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | not published | 0 |
| Incise diaphragm nerve CPT 64746 | not published | not published | not published | 0 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | not published | 0 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | not published | 0 |
| Incise hand/finger tendon CPT 26460 | not published | not published | not published | 0 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | not published | 0 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | not published | 0 |
| Incise inner ear CPT 69801 | not published | not published | not published | 0 |
| Incise inner ear nerve CPT 69915 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65860 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65865 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65870 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65875 | $1,081.60 | $2,080.00 | not published | 0 |
| Incise inner eye adhesions CPT 65880 | not published | not published | not published | 0 |
| Incise inner eye strands CPT 67030 | $3,905.20 | $7,510.00 | not published | 0 |
| Incise nerve back of head CPT 64744 | not published | not published | not published | 0 |
| Incise perq finger tendon 26060 CPT 26060 | $3,073.20 | $5,910.00 | not published | 0 |
| Incise skull/brain surgery CPT 61720 | $7,181.20 | $13,810.00 | not published | 0 |
| Incise skull for treatment CPT 61770 | $7,181.20 | $13,810.00 | not published | 0 |
| Incise sperm duct pouch CPT 55600 | not published | not published | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | $1,170.00 | $2,250.00 | not published | 0 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | not published | 0 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | not published | 0 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | not published | 0 |
| Incision anal septum infant CPT 46070 | not published | not published | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,355.60 | $4,530.00 | not published | 0 |
| Incision of achilles tendon CPT 27605 | not published | not published | not published | 0 |
| Incision of achilles tendon CPT 27606 | not published | not published | not published | 0 |
| Incision of anal sphincter CPT 46080 | $4,056.00 | $7,800.00 | not published | 0 |
| Incision of ankle bone CPT 28302 | not published | not published | not published | 0 |
| Incision of breast lesion CPT 19020 | $3,385.20 | $6,510.00 | not published | 0 |
| Incision of brow nerve CPT 64732 | not published | not published | not published | 0 |
| Incision of burn scab initi CPT 16035 | not published | not published | not published | 0 |
| Incision of cheek nerve CPT 64734 | not published | not published | not published | 0 |
| Incision of chin nerve CPT 64736 | not published | not published | not published | 0 |
| Incision of eardrum CPT 69420 | $618.80 | $1,190.00 | not published | 0 |
| Incision of eardrum CPT 69421 | not published | not published | not published | 0 |
| Incision of esophagus CPT 43020 | $1,851.20 | $3,560.00 | not published | 0 |
| Incision of eye CPT 65850 | not published | not published | not published | 0 |
| Incision of eye CPT 66172 | $1,877.20 | $3,610.00 | not published | 0 |
| Incision of eyelid CPT 67710 | $1,835.60 | $3,530.00 | not published | 0 |
| Incision of facial nerve CPT 64742 | not published | not published | not published | 0 |
| Incision of fibula CPT 27707 | not published | not published | not published | 0 |
| Incision of finger tendon CPT 26455 | $754.00 | $1,450.00 | not published | 0 |
| Incision of foot fascia CPT 28008 | $4,914.00 | $9,450.00 | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | not published | 0 |
| Incision of heel bone CPT 28300 | $3,255.20 | $6,260.00 | not published | 0 |
| Incision of hip tendon CPT 27000 | not published | not published | not published | 0 |
| Incision of hip tendon CPT 27001 | not published | not published | not published | 0 |
| Incision of hip tendon CPT 27003 | not published | not published | not published | 0 |
| Incision of hip tendons CPT 27006 | not published | not published | not published | 0 |
| Incision of iris CPT 66500 | $1,081.60 | $2,080.00 | not published | 0 |
| Incision of iris CPT 66505 | $1,081.60 | $2,080.00 | not published | 0 |
| Incision of jaw joint CPT 21010 | not published | not published | not published | 0 |
| Incision of jaw nerve CPT 64738 | not published | not published | not published | 0 |
| Incision of knee joint CPT 27435 | not published | not published | not published | 0 |
| Incision of lymph channels CPT 38308 | $4,992.00 | $9,600.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.