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 |
|---|---|---|---|---|
| Hysteroscopy remove fb CPT 58562 | not published | not published | $261.65 – $7,877.82 | 17 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $545.83 – $12,230.89 | 17 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $393.93 – $12,230.89 | 17 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,017.53 – $12,230.89 | 17 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $580.25 | $1,484.00 | $216.10 – $1,484.00 | 16 |
| I-123 iobenguane diag HCPCS A9582 | $2,607.19 | $6,668.00 | $1,800.36 – $6,668.00 | 20 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $161.49 | $413.00 | $89.33 – $446.65 | 16 |
| I131 iodide cap, rx HCPCS A9517 | $16.82 | $43.00 | $23.65 – $761.40 | 24 |
| Iaadi respiratory synctial virus CPT 87280 | $9.65 | $24.68 | $1.71 – $63.40 | 25 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $12.71 | $32.50 | $6.50 – $223.70 | 25 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,874.07 | $4,793.00 | $278.34 – $4,793.00 | 23 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $51,121.30 | $130,745.00 | $8,142.75 – $38,775.00 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $61,856.20 | $158,200.00 | $10,586.10 – $50,410.00 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $19,710.31 | $50,410.00 | $4,817.40 – $22,940.00 | 16 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $11,661.58 | $29,825.00 | $996.45 – $4,745.00 | 17 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $4,150.40 | 9 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $8,035.25 | 17 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $141.41 – $4,014.43 | 17 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $8,039.07 | 17 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $6,794.74 | 17 |
| I&d lacrimal gland CPT 68400 | not published | not published | $209.34 – $2,399.73 | 17 |
| I&d lacrimal sac CPT 68420 | not published | not published | $229.42 – $5,780.31 | 17 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $7,091.21 | 17 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,636.52 – $7,091.21 | 12 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,636.52 – $7,091.21 | 12 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $240.86 | $616.00 | $34.47 – $616.00 | 17 |
| Igh gene rearrange amp meth CPT 81261 | $68.82 | $176.00 | $96.80 – $567.91 | 21 |
| Igh@ var region somatic mutation analy CPT 81263 | $154.84 | $396.00 | $98.02 – $844.82 | 21 |
| Igk rearrangeabn clonal pop CPT 81264 | $68.82 | $176.00 | $96.80 – $495.45 | 21 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $269.79 | $690.00 | $21.18 – $303.10 | 18 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $155.23 | $397.00 | $62.15 – $524.60 | 25 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $155.23 | $397.00 | $22.00 – $385.80 | 25 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $5,529.05 | 9 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $18,021.50 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $871.93 | $2,230.00 | $92.06 – $2,230.00 | 10 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $160.46 – $802.30 | 9 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $991.16 – $7,812.05 | 9 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $99.71 | $255.00 | $53.55 – $255.00 | 16 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $224.83 | $575.00 | $10.50 – $637.25 | 19 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,427.15 | $3,650.00 | $10.50 – $503.75 | 19 |
| Immobilizer shldr sling med HCPCS L3660 | $224.83 | $575.00 | $40.95 – $473.70 | 19 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $16,158.03 | 17 |
| Immune complex assay CPT 86332 | $50.58 | $129.36 | $3.24 – $155.35 | 25 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,452.53 | $8,830.00 | $60.73 – $1,147.00 | 24 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,452.53 | $8,830.00 | $79.46 – $8,830.00 | 24 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $3,452.53 | $8,830.00 | $61.47 – $8,830.00 | 24 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $93.06 | $238.00 | $2.20 – $92.50 | 25 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $24.42 | $62.43 | $1.40 – $92.50 | 25 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $2.21 | $5.63 | $1.12 – $42.30 | 25 |
| Immunodiffusion nes CPT 86329 | $8.16 | $20.86 | $4.18 – $89.60 | 25 |
| Immunofixation electrophoresis serum CPT 86334 | $5.87 | $15.00 | $1.67 – $142.45 | 25 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $73.32 | $187.50 | $7.70 – $323.30 | 18 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $96.97 | $248.00 | $7.70 – $402.00 | 25 |
| Immunoglobulin assay CPT 86023 | $9.91 | $25.33 | $5.07 – $79.40 | 25 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $2,412.47 | $6,170.00 | $1,295.70 – $6,170.00 | 16 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,611.91 – $12,704.60 | 9 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $8,498.95 | 9 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $10,502.45 | 9 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,137.69 – $8,967.00 | 9 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $82,328.96 | $210,560.00 | $13.65 – $65.00 | 17 |
| Implant cochlear device CPT 69930 | not published | not published | $1,293.62 – $78,809.29 | 17 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,899.20 | $17,645.00 | $3,705.45 – $17,645.00 | 17 |
| Implant eye drug system CPT 67027 | not published | not published | $675.01 – $38,068.97 | 17 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $88.44 – $988.69 | 17 |
| Implant nerve end CPT 64787 | not published | not published | $264.45 – $2,084.35 | 9 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $303.76 – $1,669.05 | 9 |
| Implant neuroelectrode CPT 61867 | not published | not published | $916.39 – $5,035.40 | 9 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $891.19 – $53,132.12 | 17 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $163.20 – $30,897.32 | 17 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $8,338.82 – $16,260.70 | 12 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $675.35 – $16,260.70 | 17 |
| Implant neurostim arrays CPT 61886 | not published | not published | $434.49 – $75,503.49 | 17 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,192.80 – $9,401.35 | 9 |
| Implant spinal canal cath CPT 62351 | not published | not published | $442.60 – $17,699.80 | 17 |
| Implant spine infusion pump CPT 62361 | not published | not published | $229.85 – $43,790.64 | 17 |
| Implant spine infusion pump CPT 62362 | not published | not published | $300.76 – $43,790.64 | 17 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,116.16 – $5,580.80 | 9 |
| Implant ureter in bowel CPT 50800 | not published | not published | $939.89 – $7,407.95 | 9 |
| Implant ureth bulk agent HCPCS L8606 | $2,412.47 | $6,170.00 | $146.09 – $975.00 | 19 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $500.71 – $16,260.70 | 17 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $173.49 – $867.45 | 9 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $299.48 – $15,867.17 | 17 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $503.77 – $31,879.73 | 17 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $43.19 – $215.95 | 9 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,946.38 – $9,967.33 | 17 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $7,516.44 – $14,657.06 | 12 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $7,516.44 – $14,657.06 | 12 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $295.06 – $575.37 | 12 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $7,516.44 – $14,657.06 | 12 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $4,120.64 – $8,035.25 | 12 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,882.11 – $3,670.11 | 12 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,757.55 | $4,495.00 | $1,213.65 – $4,495.00 | 20 |
| In-111 capromab pendet HCPCS A9507 | $5,260.52 | $13,454.00 | $2,167.42 – $13,454.00 | 16 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $99.32 | $254.00 | $139.70 – $1,166.45 | 23 |
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.