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 |
|---|---|---|---|---|
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $144.40 – $1,138.10 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $122.19 – $3,670.11 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $146.96 – $1,158.35 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $859.30 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $10.17 | $26.00 | $4.80 – $93.80 | 25 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $780.72 – $7,877.82 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $455.52 | $1,165.00 | $640.75 – $7,832.00 | 23 |
| Ghs windowing of cast CPT 29730 | not published | not published | $32.46 – $390.96 | 17 |
| Giardia ag if CPT 87269 | $35.59 | $91.00 | $10.10 – $91.00 | 25 |
| Gi inhouse confirmation CPT 87045 | $215.45 | $551.00 | $9.44 – $551.00 | 25 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $197.37 – $8,035.25 | 17 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $832.83 | $2,130.00 | $922.94 – $5,100.35 | 23 |
| Glaucoma surgery CPT 66150 | not published | not published | $580.60 – $9,967.33 | 17 |
| Glaucoma surgery CPT 66155 | not published | not published | $580.60 – $9,967.33 | 17 |
| Glaucoma surgery CPT 66160 | not published | not published | $580.60 – $5,650.90 | 17 |
| Glaucoma surgery CPT 66170 | not published | not published | $774.13 – $6,101.45 | 17 |
| Glove finger flexion right lg xl HCPCS L3912 | $224.83 | $575.00 | $89.98 – $449.90 | 19 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $711.23 | $1,819.00 | $86.13 – $1,819.00 | 24 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $536.85 | $1,373.00 | $288.33 – $1,373.00 | 12 |
| Glucagon plasma - sendout CPT 82943 | $7.82 | $19.98 | $4.00 – $91.10 | 25 |
| Glucose 1 hr post dose CPT 82950 | $107.92 | $276.00 | $4.75 – $131.00 | 25 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $7.04 | $18.00 | $3.60 – $38.60 | 25 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $23.86 | $61.00 | $2.87 – $61.00 | 25 |
| Glucose blood quantitative CPT 82947 | $75.47 | $193.00 | $3.93 – $30.80 | 25 |
| Glucose body fluid CPT 82945 | $80.55 | $206.00 | $1.30 – $16.45 | 25 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $184.56 | $472.00 | $12.87 – $472.00 | 25 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $44.58 | $114.00 | $3.92 – $114.00 | 25 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $552.10 | $1,412.00 | $30.24 – $144.00 | 12 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $36.76 | $94.00 | $1.83 – $117.70 | 25 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $38.32 | $98.00 | $1.65 – $117.50 | 25 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $9,967.33 | 17 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,137.78 | $8,025.00 | $30.36 – $8,025.00 | 19 |
| Graft axiofill 1000mg HCPCS J3590 | $3,452.53 | $8,830.00 | $1,605.24 – $7,644.00 | 13 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $8,039.07 | 17 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $11,661.58 | $29,825.00 | $25.78 – $750.00 | 19 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $5,305.87 | $13,570.00 | $311.36 – $10,435.00 | 19 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $46,474.26 | $118,860.00 | $53.55 – $255.00 | 16 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $21,680.95 | $55,450.00 | $70.35 – $335.00 | 16 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $6,899.20 | $17,645.00 | $39.06 – $17,645.00 | 19 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $15,161.03 | $38,775.00 | $103.77 – $4,745.00 | 19 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $7,610.00 | 9 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,899.20 | $17,645.00 | $134.06 – $2,155.00 | 19 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2,412.47 | $6,170.00 | $1,295.70 – $6,170.00 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $19,710.31 | $50,410.00 | $56.34 – $4,745.00 | 17 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,305.87 | $13,570.00 | $131.42 – $2,805.00 | 19 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $34,918.26 | $89,305.00 | $24.15 – $115.00 | 16 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,412.47 | $6,170.00 | $70.35 – $335.00 | 16 |
| Granisetron hcl injection HCPCS J1626 | $41.45 | $106.00 | $0.36 – $106.00 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,501.84 | $3,841.00 | $1,387.55 – $8,268.00 | 16 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $22,284.50 | 9 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $596.00 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $4,532.23 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $9,070.68 | 17 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $159.72 – $798.60 | 9 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $9,070.68 | 17 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $8,623.55 | 9 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $7,152.05 | 9 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $9,438.40 | 9 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $9,202.70 | 9 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,162.58 – $5,812.90 | 9 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $555.39 – $4,700.12 | 17 |
| G-tube reposition CPT 43761 | not published | not published | $91.00 – $717.20 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,600.37 | $4,093.00 | $119.07 – $9,370.83 | 25 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $152.94 – $1,743.26 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,080.09 | $10,435.00 | $10.50 – $50.00 | 16 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $842.61 | $2,155.00 | $31.50 – $150.00 | 16 |
| Gum graft CPT 41870 | not published | not published | $1,882.11 – $3,670.11 | 12 |
| Gw stiffened micro access kit HCPCS C1894 | $8,969.54 | $22,940.00 | $10.50 – $50.00 | 16 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $457.56 – $9,487.69 | 17 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $777.77 – $1,516.65 | 12 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $507.64 – $989.90 | 12 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $507.64 – $989.90 | 12 |
| Halo cervical into jckt vest HCPCS L0810 | $11,661.58 | $29,825.00 | $2,669.58 – $13,570.00 | 19 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $164.22 | $420.00 | $0.02 – $64.00 | 17 |
| Halo repl liner/interface HCPCS L0861 | $496.57 | $1,270.00 | $135.49 – $750.00 | 19 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $8,969.54 | $22,940.00 | $4,764.15 – $17,645.00 | 10 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $580.60 – $8,039.07 | 17 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $354.60 – $17,699.80 | 17 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $387.06 – $8,039.07 | 17 |
| Haptoglobin quantitative CPT 83010 | $39.10 | $100.00 | $1.60 – $78.80 | 25 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $77.76 – $427.25 | 9 |
| Harvest auto stem cells CPT 38206 | not published | not published | $79.04 – $4,061.60 | 17 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $247.36 – $4,532.23 | 17 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $172.83 – $5,780.31 | 17 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $251.73 – $1,382.70 | 9 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $40.32 – $1,083.19 | 12 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $513.56 – $513.56 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | $182.80 | $467.50 | $257.13 – $2,400.00 | 25 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $136.85 | $350.00 | $161.92 – $809.60 | 25 |
| Hbb full gene sequence CPT 81364 | $351.90 | $900.00 | $259.66 – $1,298.30 | 25 |
| Hbb gene dup/del variants CPT 81363 | $180.17 | $460.79 | $161.92 – $809.60 | 25 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $633.03 | $1,619.00 | $226.19 – $2,610.70 | 25 |
| Hcg qualitative CPT 84703 | $109.09 | $279.00 | $7.52 – $279.00 | 25 |
| Hcg quantitative CPT 84702 | $344.08 | $880.00 | $2.80 – $94.95 | 25 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $19.95 | $51.00 | $28.05 – $152.30 | 16 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $96.98 – $3,965.29 | 17 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $577.07 – $2,885.35 | 17 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $348.47 – $1,742.35 | 9 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $527.18 – $2,635.90 | 17 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $68.13 – $340.65 | 9 |
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.