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 |
|---|---|---|---|---|
| Long tongue stirrup HCPCS L2265 | $224.83 | $575.00 | $75.51 – $575.00 | 19 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $414.46 | $1,060.00 | $1.16 – $30.15 | 17 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $130.99 | $335.00 | $49.00 – $335.00 | 19 |
| Low back disk surgery CPT 63030 | not published | not published | $1,281.67 – $17,699.80 | 17 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $4,609.11 | $11,788.00 | $226.19 – $11,788.00 | 26 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,089.86 | $10,460.00 | $233.92 – $10,460.00 | 26 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,076.21 | $5,310.00 | $135.12 – $5,310.00 | 26 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,779.84 | $4,552.00 | $447.95 – $4,552.00 | 26 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,545.24 | $3,952.00 | $380.88 – $3,952.00 | 26 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,065.87 | $2,726.00 | $266.80 – $2,726.00 | 26 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $405.08 | $1,036.00 | $43.45 – $995.00 | 25 |
| Lower jaw bone graft CPT 21215 | not published | not published | $854.44 – $14,657.06 | 17 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $25,795.58 | 17 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $25,795.58 | 17 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $698.74 – $25,795.58 | 17 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $865.95 – $25,795.58 | 17 |
| Lso corset front HCPCS L0972 | $172.04 | $440.00 | $92.40 – $536.70 | 19 |
| Lso flex no ri stays pre ots HCPCS L0628 | $496.57 | $1,270.00 | $52.74 – $335.00 | 19 |
| Lso full corset HCPCS L0976 | $293.25 | $750.00 | $117.62 – $588.10 | 19 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $381.23 | $975.00 | $101.81 – $575.00 | 19 |
| Lso sag-coronal panel custom HCPCS L0638 | $2,412.47 | $6,170.00 | $829.08 – $6,170.00 | 19 |
| Lso s/c shell/panel prefab HCPCS L0639 | $2,412.47 | $6,170.00 | $760.51 – $6,170.00 | 19 |
| L/s ratio fetal lung CPT 83661 | $19.55 | $50.00 | $10.00 – $140.15 | 25 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,710.49 – $45,564.48 | 17 |
| Lung function test (mbc/mvv) CPT 94200 | $375.76 | $961.00 | $18.82 – $961.00 | 23 |
| Lung Function Test (Spirometry) CPT 94010 | $119.26 | $305.00 | $28.23 – $387.66 | 23 |
| Lung perfusion imaging CPT 78580 | $785.91 | $2,010.00 | $161.37 – $2,010.00 | 25 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $24,149.90 | 9 |
| Lung transplant single CPT 32851 | not published | not published | $3,149.21 – $3,149.21 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $21,004.90 | 9 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $25,510.30 | 9 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $5,052.10 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $97.70 | 17 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $845.00 – $845.00 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $1,456.09 | $3,724.00 | $271.89 – $3,724.00 | 25 |
| Lymphocytotoxicity assay CPT 86805 | $127.08 | $325.00 | $65.00 – $543.59 | 25 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $1,261.75 | 17 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $7,877.82 | 17 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $5,075.54 | 17 |
| Macroscopic exam arthropod CPT 87168 | $25.42 | $65.00 | $3.80 – $65.00 | 25 |
| Macroscopic exam parasite CPT 87169 | $35.19 | $90.00 | $3.53 – $19.00 | 25 |
| Magnesium CPT 83735 | $157.97 | $404.00 | $1.78 – $42.75 | 25 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $96.58 | $247.00 | $0.55 – $26.00 | 17 |
| Malaria antibody CPT 86750 | $71.95 | $184.00 | $13.19 – $184.00 | 25 |
| Male sling procedure CPT 53440 | not published | not published | $854.44 – $32,190.93 | 17 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $13,229.95 | 9 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $229.34 – $3,965.29 | 17 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $298.21 – $3,965.29 | 17 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $78.20 | $200.00 | $20.84 – $8,268.00 | 24 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $134.51 | $344.00 | $35.46 – $8,268.00 | 24 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $3,965.29 | 17 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $3,965.29 | 17 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $594.34 | 17 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $15.64 | $40.00 | $3.16 – $40.00 | 17 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $111.32 – $556.60 | 9 |
| Map tachycard site(s) CPT 93609 | $1,474.07 | $3,770.00 | $337.32 – $8,268.00 | 16 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,096.76 | $2,805.00 | $10.50 – $50.00 | 17 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $4,882.55 | 9 |
| Mastectomy partial CPT 19301 | not published | not published | $333.58 – $9,487.69 | 17 |
| Mast mod rad CPT 19307 | not published | not published | $919.21 – $16,158.03 | 17 |
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $14,657.06 | 17 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $14,657.06 | 17 |
| Mastoids complete CPT 70130 | $354.25 | $906.00 | $65.75 – $871.00 | 25 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $14,657.06 | 17 |
| Mastopexy CPT 19316 | not published | not published | $474.31 – $16,158.03 | 17 |
| Mast radical CPT 19305 | not published | not published | $870.44 – $4,352.20 | 9 |
| Mast rad urban type CPT 19306 | not published | not published | $909.53 – $4,547.65 | 9 |
| Mast simple complete CPT 19303 | not published | not published | $762.84 – $16,158.03 | 17 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $8,969.54 | $22,940.00 | $18.55 – $1,270.00 | 19 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $14,657.06 | 17 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $4.31 | $11.00 | $2.20 – $92.25 | 25 |
| Mayo aathr protein s free CPT 85306 | $11.73 | $30.00 | $4.80 – $97.70 | 25 |
| Mayo activated protein c resistance assay CPT 85307 | $8.22 | $21.00 | $4.20 – $68.10 | 25 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $11.73 | $30.00 | $1.00 – $94.25 | 25 |
| Mayo alpha 1 antitrypsin CPT 82103 | $38.32 | $98.00 | $1.80 – $85.65 | 25 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $57.09 | $146.00 | $7.00 – $96.10 | 25 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $78.20 | $200.00 | $108.11 – $540.55 | 25 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $76.25 | $195.00 | $38.50 – $331.50 | 25 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $78.20 | $200.00 | $109.60 – $548.00 | 25 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $821.10 | $2,100.00 | $115.39 – $3,327.40 | 21 |
| Mayo androstenedione CPT 82157 | $9.39 | $24.00 | $3.80 – $186.60 | 25 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $7.82 | $20.00 | $1.00 – $93.10 | 25 |
| Mayo antithrombin iii antigen CPT 85301 | $6.19 | $15.82 | $3.17 – $68.90 | 25 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $3.89 | $9.93 | $1.08 – $95.95 | 25 |
| Mayo avwpr vw factor activity CPT 85397 | $16.82 | $43.00 | $8.60 – $123.40 | 25 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $15.64 | $40.00 | $8.00 – $40.00 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $3.91 | $9.99 | $2.00 – $45.25 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $100.10 | $256.00 | $22.92 – $415.48 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $16.30 | $41.68 | $22.93 – $615.61 | 25 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $4.26 | $10.87 | $1.96 – $82.25 | 25 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $9.78 | $25.00 | $2.40 – $84.05 | 25 |
| Mayo brcmg brucella antibody igm CPT 86622 | $5.00 | $12.78 | $2.48 – $56.95 | 25 |
| Mayo c1 esterase inhibitor CPT 83883 | $12.65 | $32.34 | $2.94 – $86.70 | 25 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $10.63 | $27.17 | $5.44 – $107.50 | 25 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $19.72 | $50.41 | $2.04 – $119.00 | 25 |
| Mayo ceruloplasmin CPT 82390 | $2.74 | $7.00 | $1.40 – $68.50 | 25 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $91.89 | $235.00 | $3.24 – $90.00 | 25 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $17.01 | $43.50 | $2.18 – $82.10 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $3.31 | $8.45 | $1.49 – $75.40 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $3.31 | $8.45 | $1.49 – $80.90 | 25 |
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.