Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
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 |
|---|---|---|---|---|
| Cta abdomen without & /or w/contrast CPT 74175 | $1,002.92 | $2,565.00 | $226.19 – $2,565.00 | 26 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $445.74 | $1,140.00 | $226.19 – $1,712.70 | 26 |
| Cta neck without &/or w/contrast CPT 70498 | $804.68 | $2,058.00 | $226.19 – $2,058.00 | 26 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,412.30 | $3,612.00 | $351.78 – $3,612.00 | 26 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $952.87 | $2,437.00 | $226.19 – $2,437.00 | 26 |
| CT Angiogram of the Head CPT 70496 | $804.68 | $2,058.00 | $226.19 – $2,058.00 | 26 |
| CT angio hrt w/3d image CPT 75574 | $299.51 | $766.00 | $312.13 – $1,560.65 | 24 |
| CT angio pelvis CPT 72191 | $721.79 | $1,846.00 | $226.19 – $1,846.00 | 26 |
| CT colonography dx CPT 74261 | $167.35 | $428.00 | $135.12 – $2,069.70 | 26 |
| CT colonography dx w/dye CPT 74262 | $274.88 | $703.00 | $226.19 – $2,343.55 | 26 |
| CT guidance for needle placement CPT 77012 | $1,613.66 | $4,127.00 | $111.05 – $4,127.00 | 19 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $675.65 | $1,728.00 | $149.92 – $1,371.00 | 19 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $304.79 – $594.34 | 12 |
| CT guid parench tis ablat CPT 77013 | $1,217.58 | $3,114.00 | $160.82 – $3,114.00 | 19 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $40.28 | $103.00 | $56.65 – $406.65 | 24 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $299.51 | $766.00 | $292.38 – $1,461.90 | 24 |
| CT hrt w/3d image CPT 75572 | $299.51 | $766.00 | $218.16 – $1,090.80 | 24 |
| CT limited or localized follow-up study CPT 76380 | $499.31 | $1,277.00 | $111.88 – $1,277.00 | 26 |
| CT neck soft tissue w/contrast CPT 70491 | $2,230.27 | $5,704.00 | $226.19 – $5,704.00 | 26 |
| CT neck soft tissue without contrast CPT 70490 | $1,851.00 | $4,734.00 | $135.12 – $4,734.00 | 26 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,653.72 | $6,787.00 | $226.19 – $6,787.00 | 26 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $697.94 | $1,785.00 | $226.19 – $1,785.00 | 26 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $633.03 | $1,619.00 | $226.19 – $1,619.00 | 26 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $541.15 | $1,384.00 | $135.12 – $1,384.00 | 26 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $136.28 – $1,074.15 | 17 |
| CT scan for therapy guide CPT 77014 | $332.75 | $851.00 | $105.16 – $891.00 | 19 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $917.29 | $2,346.00 | $319.24 – $2,346.00 | 26 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $783.96 | $2,005.00 | $281.80 – $2,005.00 | 26 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $525.51 | $1,344.00 | $174.31 – $1,344.00 | 26 |
| CT thoracic spine w/contrast CPT 72129 | $4,089.86 | $10,460.00 | $226.19 – $10,460.00 | 26 |
| CT thoracic spine without contrast CPT 72128 | $2,076.21 | $5,310.00 | $135.12 – $5,310.00 | 26 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $214.27 | $548.00 | $131.79 – $891.00 | 26 |
| CT t-spine w /wo contrast CPT 72130 | $4,609.11 | $11,788.00 | $226.19 – $11,788.00 | 26 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $632.72 – $9,070.68 | 17 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $633.57 – $4,532.23 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $41.45 | $106.00 | $6.65 – $41.14 | 25 |
| Culture afb any source CPT 87116 | $107.92 | $276.00 | $5.00 – $65.40 | 25 |
| Culture anaerobic additional method definitive id each CPT 87076 | $31.68 | $81.00 | $8.08 – $55.88 | 25 |
| Culture anaerobic except blood CPT 87075 | $172.04 | $440.00 | $9.47 – $440.00 | 25 |
| Culture bact stool aero addl path ea CPT 87046 | $22.68 | $58.00 | $2.61 – $58.00 | 25 |
| Culture body fluid CPT 87070 | $166.18 | $425.00 | $4.12 – $53.85 | 25 |
| Culture fungi definitive id mold CPT 87107 | $45.75 | $117.00 | $1.42 – $45.90 | 25 |
| Culture fungi definitive id yeast CPT 87106 | $60.61 | $155.00 | $10.32 – $69.08 | 25 |
| Culture fungi other (except blood) CPT 87102 | $132.16 | $338.00 | $5.00 – $53.35 | 25 |
| Culture fungi skin/hair/nail CPT 87101 | $80.94 | $207.00 | $7.71 – $207.00 | 25 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $15.39 | $39.35 | $7.87 – $83.75 | 25 |
| Culture mycoplasma any source CPT 87109 | $14.08 | $36.00 | $7.20 – $98.10 | 25 |
| Culture screening strep group a CPT 87081 | $100.49 | $257.00 | $3.98 – $40.75 | 25 |
| Culture typing immunologic CPT 87147 | $78.60 | $201.00 | $3.40 – $26.05 | 25 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $256.11 | $655.00 | $131.00 – $655.00 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $66.58 | $170.28 | $16.02 – $115.25 | 25 |
| Culture urine each isolate CPT 87088 | $9.39 | $24.00 | $4.80 – $43.60 | 25 |
| Curette/treat cornea CPT 65435 | not published | not published | $48.28 – $2,399.73 | 17 |
| Curette/treat cornea CPT 65436 | not published | not published | $187.55 – $5,780.31 | 17 |
| Cutter lead HCPCS C1773 | $6,899.20 | $17,645.00 | $157.50 – $750.00 | 16 |
| Cv line/pic reposition CPT 36597 | not published | not published | $51.27 – $3,848.91 | 17 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $16.43 | $42.00 | $1.45 – $42.00 | 17 |
| Cyclic citrullinated peptide antibody CPT 86200 | $9.78 | $25.00 | $1.20 – $37.16 | 25 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,048.28 | $2,681.00 | $262.71 – $1,251.00 | 12 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $17.60 | $45.00 | $1.39 – $32.00 | 14 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $171.65 | $439.00 | $57.93 – $439.00 | 14 |
| Cyclosporine 2 hour CPT 80158 | $21.51 | $55.00 | $3.00 – $115.05 | 25 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $11.34 | $29.00 | $1.20 – $17.00 | 14 |
| Cyclosporine oral 100 mg HCPCS J7502 | $2,118.44 | $5,418.00 | $3.63 – $75.00 | 14 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $31,743.34 | $81,185.00 | $589.05 – $2,805.00 | 16 |
| Cyp2c19 gene com variants CPT 81225 | $50.83 | $130.00 | $71.50 – $1,276.50 | 25 |
| Cystatin c CPT 82610 | $3.91 | $10.00 | $2.00 – $74.00 | 25 |
| Cystine urine quantitative CPT 82131 | $23.42 | $59.88 | $8.23 – $131.70 | 25 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $578.45 – $8,545.41 | 17 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $421.50 | $1,078.00 | $47.56 – $1,927.25 | 25 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $209.68 – $1,653.78 | 17 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $862.13 – $6,795.10 | 9 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $701.50 – $22,911.39 | 17 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $567.35 – $8,545.41 | 17 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $256.33 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $190.55 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $176.44 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $290.51 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $512.67 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $769.00 – $12,595.54 | 17 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $145.25 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $126.03 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $437.48 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $280.68 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $196.10 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $197.80 – $1,653.78 | 17 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $193.53 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $261.04 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $269.15 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $260.60 – $12,595.54 | 17 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $338.36 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $526.96 – $5,075.54 | 17 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $299.06 – $8,545.41 | 17 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $481.48 – $8,545.41 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $99.55 – $1,653.78 | 17 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $137.38 – $5,075.54 | 17 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $174.31 – $1,653.78 | 17 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $377.24 – $8,545.41 | 17 |
| Cystoscopy inject material CPT 52327 | not published | not published | $220.77 – $12,595.54 | 17 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $110.57 – $8,545.41 | 17 |
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.