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 |
|---|---|---|---|---|
| Surgical opening esophagus CPT 43352 | not published | not published | $677.58 – $5,340.50 | 9 |
| Surgical opening of stomach CPT 43510 | not published | not published | $627.59 – $4,946.55 | 17 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $499.42 – $3,936.35 | 9 |
| Surgical opening of throat CPT 42955 | not published | not published | $554.96 – $4,374.05 | 17 |
| Surgical pathology level 1 gross examination only CPT 88300 | $93.84 | $240.00 | $0.83 – $60.05 | 25 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $105.97 | $271.00 | $29.60 – $271.00 | 25 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $121.61 | $311.00 | $43.72 – $311.00 | 25 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $137.64 | $352.00 | $13.75 – $294.00 | 25 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $163.05 | $417.00 | $125.71 – $813.15 | 25 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $331.18 | $847.00 | $132.00 – $1,330.20 | 25 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $848.04 – $6,684.00 | 9 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $983.03 – $7,748.05 | 9 |
| Surgical revision intestine CPT 44680 | not published | not published | $854.44 – $6,734.50 | 9 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $158.93 – $6,794.74 | 17 |
| Susceptibility agar dilution per agent CPT 87181 | $24.86 | $63.58 | $1.66 – $31.00 | 25 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $27.37 | $70.00 | $1.21 – $13.64 | 25 |
| Susceptibility mic per plate CPT 87186 | $152.32 | $389.55 | $1.52 – $53.85 | 25 |
| Suscept studies macrobroth dilution ea CPT 87188 | $17.55 | $44.88 | $6.64 – $44.88 | 25 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $818.56 – $6,451.65 | 9 |
| Suspension of testis CPT 54620 | not published | not published | $193.53 – $8,545.41 | 17 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $785.24 – $6,189.00 | 9 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,012.09 – $7,977.05 | 9 |
| Svc venogram s&i CPT 75827 | $1,711.80 | $4,378.00 | $156.71 – $7,359.56 | 25 |
| Sympathectomy cervical CPT 64802 | not published | not published | $619.48 – $4,882.55 | 17 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $455.84 – $4,838.32 | 17 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $640.83 – $5,050.90 | 9 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $594.56 – $8,039.07 | 17 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $854.44 – $6,734.50 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $31.28 | $80.00 | $2.00 – $28.05 | 25 |
| System cardiomems hosp electronics HCPCS C2624 | $46,474.26 | $118,860.00 | $24,960.60 – $118,860.00 | 17 |
| System pacing micra av HCPCS C1786 | $28,857.76 | $73,805.00 | $1,685.25 – $8,025.00 | 16 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $19,710.31 | $50,410.00 | $2,191.35 – $10,435.00 | 16 |
| System sealant biosentry tract HCPCS C2613 | $842.61 | $2,155.00 | $347.55 – $1,655.00 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $61.78 | $158.00 | $1.00 – $85.55 | 25 |
| T3 (triiodothyronine) total CPT 84480 | $157.19 | $402.00 | $1.00 – $90.30 | 25 |
| T4 (thyroxine) free CPT 84439 | $256.89 | $657.00 | $4.40 – $56.75 | 25 |
| T4 (thyroxine) total CPT 84436 | $102.45 | $262.00 | $1.42 – $37.15 | 25 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $90.33 | $231.00 | $0.30 – $5.00 | 14 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $622.09 | $1,591.00 | $236.45 – $1,591.00 | 23 |
| Tacrolimus therapeutic drug level CPT 80197 | $16.04 | $41.00 | $2.40 – $87.55 | 25 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,674.14 – $8,370.70 | 9 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,540.37 – $7,701.85 | 9 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,388.21 – $6,941.05 | 9 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $247.68 – $247.68 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $97.41 – $97.41 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,016.60 | $2,600.00 | $759.53 – $2,178.65 | 21 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,606.23 | $4,108.00 | $1,045.00 – $11,678.40 | 25 |
| Target gsa panel organ neop CPT 81445 | $1,178.52 | $3,014.10 | $597.91 – $3,014.10 | 25 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $3,136.65 | 9 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $223.88 – $1,516.65 | 12 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,078.93 – $5,394.65 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $141.94 | $363.00 | $69.78 – $363.00 | 25 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $72.73 | $186.00 | $6.00 – $216.95 | 25 |
| Tc-99m bicisate HCPCS A9557 | $606.84 | $1,552.00 | $339.34 – $1,696.70 | 23 |
| Tc-99m diag per dose HCPCS A4641 | $3,910.00 | $10,000.00 | $2,700.00 – $10,000.00 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $771.06 | $1,972.00 | $454.09 – $2,270.45 | 23 |
| Tc-99m labeled rbc HCPCS A9560 | $562.65 | $1,439.00 | $51.80 – $1,439.00 | 16 |
| Tc-99m maa HCPCS A9540 | $41.45 | $106.00 | $30.00 – $150.00 | 16 |
| Tc-99m mebrofenin HCPCS A9537 | $103.62 | $265.00 | $45.36 – $265.00 | 16 |
| Tc-99m medronate HCPCS A9503 | $277.22 | $709.00 | $18.87 – $709.00 | 16 |
| Tc-99m mertiatide HCPCS A9562 | $285.43 | $730.00 | $306.98 – $1,534.90 | 16 |
| Tc-99m oxidronate HCPCS A9561 | $77.42 | $198.00 | $22.43 – $198.00 | 16 |
| Tc-99m pentetate dtpa HCPCS A9539 | $94.63 | $242.00 | $13.00 – $242.00 | 16 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $80.94 | $207.00 | $33.63 – $308.70 | 16 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $25.03 | $64.00 | $3.43 – $64.00 | 11 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $28.94 | $74.00 | $40.70 – $320.25 | 16 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $455.13 | $1,164.00 | $97.36 – $1,164.00 | 16 |
| Tc-99m sulfur colloid HCPCS A9541 | $429.71 | $1,099.00 | $42.56 – $212.80 | 16 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $205.67 | $526.00 | $96.84 – $526.00 | 16 |
| Tc-99m tilmanocept diag HCPCS A9520 | $733.52 | $1,876.00 | $485.29 – $1,876.00 | 11 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $209.77 – $1,653.30 | 17 |
| Tcd emboli detect without inj CPT 93892 | $132.94 | $340.00 | $135.12 – $7,832.00 | 23 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $34.02 – $1,083.19 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $8.80 | $22.50 | $3.09 – $299.50 | 25 |
| T cells absolute cd 4 count CPT 86361 | $11.73 | $30.00 | $5.60 – $170.70 | 25 |
| T cells total count CPT 86359 | $11.44 | $29.24 | $3.09 – $240.50 | 25 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $338.78 – $2,670.20 | 9 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,367.11 – $10,775.20 | 9 |
| Telavancin injection HCPCS J3095 | $2,301.43 | $5,886.00 | $4.45 – $5,886.00 | 24 |
| Telehealth original site facility fee HCPCS Q3014 | $43.01 | $110.00 | $22.94 – $114.70 | 19 |
| Tendon lengthening CPT 26476 | not published | not published | $387.06 – $8,039.07 | 17 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $319.56 – $8,039.07 | 17 |
| Tendon shortening CPT 26477 | not published | not published | $387.06 – $8,039.07 | 17 |
| Tendon transfer with graft CPT 26492 | not published | not published | $532.32 – $8,039.07 | 17 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $5,192.88 | $13,281.00 | $107.39 – $13,281.00 | 23 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $598.11 – $17,699.80 | 17 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $371.68 – $8,039.07 | 17 |
| Tenolysis triceps CPT 24332 | not published | not published | $411.02 – $8,039.07 | 17 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $768.57 – $17,699.80 | 17 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $484.05 – $3,965.29 | 17 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $378.95 – $2,986.80 | 9 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $206.35 – $8,039.07 | 17 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $192.68 – $3,965.29 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $74.69 | $191.00 | $1.97 – $191.00 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | $1,569.87 | $4,015.00 | $124.10 – $4,015.00 | 25 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $40.28 | $103.00 | $27.81 – $163.06 | 21 |
| Test socket above knee HCPCS L5624 | $647.11 | $1,655.00 | $214.89 – $1,655.00 | 19 |
| Test socket below knee HCPCS L5620 | $381.23 | $975.00 | $155.30 – $975.00 | 19 |
| Test stress cardiovascular tracing only CPT 93017 | $1,974.95 | $5,051.00 | $60.24 – $7,832.00 | 23 |
| Tetanus immune globulin inj HCPCS J1670 | $1,564.79 | $4,002.00 | $214.36 – $4,002.00 | 24 |
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.