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 |
|---|---|---|---|---|
| Prq card stent w/angio addl CPT 92929 | $7,642.49 | $19,546.00 | $1,515.50 – $19,546.00 | 11 |
| Prq revasc byp graft addl CPT 92938 | $7,642.49 | $19,546.00 | $1,515.50 – $19,546.00 | 11 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $521.64 – $17,699.80 | 17 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $366.13 – $3,965.29 | 17 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $484.05 – $17,699.80 | 17 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $453.28 – $17,699.80 | 17 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $154.23 – $17,699.80 | 17 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $89.94 – $988.69 | 17 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $39.73 – $319.37 | 17 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $55.82 – $753.67 | 17 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $105.10 – $989.90 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $83.73 – $659.95 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $91.00 – $717.20 | 17 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $80.31 – $633.05 | 17 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $85.44 – $673.45 | 17 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $304.61 – $4,532.23 | 17 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $341.78 – $8,039.07 | 17 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $349.04 – $17,699.80 | 17 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $91.96 – $1,083.19 | 17 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $445.59 – $17,699.80 | 17 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $473.79 – $17,699.80 | 17 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $150.81 – $3,848.91 | 17 |
| PSA (Prostate) Test CPT 84153 | $69.60 | $178.00 | $1.00 – $117.25 | 25 |
| Psychotherapy group therapy CPT 90853 | $264.32 | $676.00 | $3.98 – $229.18 | 24 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $71.56 | $183.00 | $60.67 – $356.85 | 24 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $94.63 | $242.00 | $77.07 – $425.90 | 24 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $140.37 | $359.00 | $112.48 – $621.60 | 24 |
| Psytx complex interactive CPT 90785 | $44.19 | $113.00 | $4.45 – $8,268.00 | 16 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $582.73 – $14,657.06 | 17 |
| Pt prgrm for implt neurostim HCPCS L8681 | $3,137.78 | $8,025.00 | $1,685.25 – $8,025.00 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $84.85 | $217.00 | $55.46 – $217.00 | 14 |
| Pul art balloon repr percut CPT 92997 | $4,304.91 | $11,010.00 | $544.81 – $21,469.50 | 23 |
| Pul art balloon repr percut CPT 92998 | $4,304.91 | $11,010.00 | $283.71 – $11,010.00 | 16 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,645.23 – $12,967.25 | 9 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $677.58 – $5,340.50 | 9 |
| Pulmonary vent imaging CPT 78579 | $431.67 | $1,104.00 | $157.92 – $1,972.88 | 25 |
| Pulse ox continuous overnight monitoring CPT 94762 | $213.10 | $545.00 | $198.80 – $545.00 | 19 |
| Pulse ox multiple CPT 94761 | $42.62 | $109.00 | $51.48 – $99.00 | 9 |
| Pulse ox single CPT 94760 | $19.16 | $49.00 | $6.41 – $50.85 | 16 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $842.61 | $2,155.00 | $390.00 – $750.00 | 9 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $149.96 – $1,715.84 | 17 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $223.66 | $572.00 | $14.53 – $8,268.00 | 26 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $53.83 – $989.90 | 17 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $85.44 – $8,035.25 | 17 |
| Puncture spinal lumbar diagnostic CPT 62270 | not published | not published | $93.99 – $1,715.84 | 17 |
| Puraply 1 sq cm HCPCS Q4195 | $11,661.58 | $29,825.00 | $71.23 – $8,025.00 | 19 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $74.09 – $370.45 | 9 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $143.71 – $1,715.84 | 17 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $131.42 – $1,715.84 | 17 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,048.83 – $1,966.56 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $927.07 – $7,307.00 | 9 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $885.21 – $6,976.90 | 9 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $954.84 – $7,525.80 | 9 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $604.51 – $4,764.65 | 9 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $39.10 | $100.00 | $5.97 – $100.00 | 14 |
| Pyruvate CPT 84210 | $9.65 | $24.68 | $4.94 – $83.05 | 25 |
| Pyruvate kinase CPT 84220 | $13.69 | $35.00 | $7.00 – $60.15 | 25 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $488.36 | $1,249.00 | $271.30 – $2,561.08 | 25 |
| Quant diff pulm perf w/imaging CPT 78597 | $402.34 | $1,029.00 | $177.59 – $1,972.88 | 25 |
| Quest t3 uptake CPT 84479 | $71.56 | $183.00 | $1.20 – $40.75 | 25 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,452.53 | $8,830.00 | $157.00 – $5,972.00 | 23 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,180.43 – $10,902.15 | 9 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $956.13 – $7,535.90 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,088.56 – $8,579.80 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $949.29 – $7,482.05 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $933.91 – $17,699.80 | 17 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,390.17 – $10,957.00 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $968.51 – $7,091.21 | 17 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,138.87 – $7,091.21 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,717.67 | $4,393.00 | $222.19 – $6,839.22 | 25 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,514.74 | $3,874.00 | $189.70 – $6,839.22 | 25 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,331.75 | $3,406.00 | $631.33 – $6,839.22 | 25 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $899.70 | $2,301.00 | $524.48 – $6,839.22 | 21 |
| Radphm lcl tumor plr sgl day CPT 78800 | $480.54 | $1,229.00 | $127.83 – $1,972.88 | 25 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,045.41 – $17,699.80 | 17 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,074.89 – $8,472.00 | 17 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,051.38 – $7,091.21 | 17 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,071.51 – $7,091.21 | 12 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $757.04 – $7,091.21 | 17 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,094.93 – $7,091.21 | 17 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $788.22 – $7,091.21 | 17 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $878.26 – $7,091.21 | 17 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $723.72 – $17,699.80 | 17 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $767.71 – $7,091.21 | 17 |
| Rbc count only automated CPT 85041 | $2.35 | $6.00 | $1.20 – $19.15 | 25 |
| Rbc deglycerolized each unit HCPCS P9039 | $267.06 | $683.00 | $347.23 – $8,268.00 | 23 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $46.62 – $1,083.19 | 12 |
| Rbc irradiated each unit HCPCS P9038 | $29.72 | $76.00 | $41.80 – $8,268.00 | 23 |
| Rbc osmotic fragility CPT 85555 | $25.03 | $64.00 | $7.47 – $64.00 | 25 |
| Rbc serum pretx incubj drugs CPT 86975 | $78.99 | $202.00 | $23.88 – $292.50 | 25 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,693.51 – $14,657.06 | 17 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,451.70 – $11,441.90 | 9 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,442.73 – $11,371.20 | 9 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,064.63 – $8,391.15 | 9 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,166.74 – $9,195.95 | 9 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,258.16 – $9,916.60 | 9 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,258.16 – $9,916.60 | 9 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,161.19 – $9,152.20 | 9 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $1,548.26 – $12,202.95 | 9 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $1,548.26 – $12,202.95 | 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.