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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $495.15 – $17,699.80 | 17 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $287.52 – $3,965.29 | 17 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $689.57 – $9,967.33 | 12 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,157.77 – $6,361.75 | 17 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $650.46 – $9,967.33 | 12 |
| Xcellistem, 1 mg HCPCS A2004 | $4,080.09 | $10,435.00 | $589.05 – $2,805.00 | 16 |
| Xe133 xenon 10mci HCPCS A9558 | $169.70 | $434.00 | $56.72 – $1,178.05 | 16 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $387.06 – $4,532.23 | 17 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $290.51 – $4,532.23 | 17 |
| Xm archive tissue molec anal CPT 88363 | $52.40 | $134.00 | $17.77 – $134.00 | 25 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $315.71 – $1,578.55 | 9 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $365.70 – $2,009.45 | 9 |
| X-ray abdomen 1 view CPT 74018 | $218.57 | $559.00 | $24.60 – $559.00 | 25 |
| X-ray abdomen 2 views CPT 74019 | $349.56 | $894.00 | $30.06 – $894.00 | 25 |
| X-ray abdomen >=3 views CPT 74021 | $360.51 | $922.00 | $37.40 – $922.00 | 25 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $452.39 | $1,157.00 | $56.54 – $1,112.00 | 25 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $263.93 | $675.00 | $37.15 – $649.00 | 25 |
| X-ray bone age studies CPT 77072 | $148.58 | $380.00 | $19.67 – $569.81 | 25 |
| X-ray bone length studies CPT 77073 | $357.77 | $915.00 | $32.05 – $915.00 | 25 |
| X-ray bone survey complete CPT 77075 | $457.47 | $1,170.00 | $78.50 – $1,123.00 | 25 |
| X-ray bone survey infant CPT 77076 | $461.78 | $1,181.00 | $63.60 – $1,135.00 | 25 |
| X-ray cervical spine 2-3 views CPT 72040 | $369.11 | $944.00 | $37.27 – $906.00 | 25 |
| X-ray cervical spine 4-5 views CPT 72050 | $498.14 | $1,274.00 | $57.38 – $1,227.00 | 25 |
| X-ray cervical spine >= 6 views CPT 72052 | $638.51 | $1,633.00 | $72.16 – $1,567.00 | 25 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $544.28 | $1,392.00 | $74.46 – $1,338.00 | 25 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $544.28 | $1,392.00 | $90.14 – $1,338.00 | 25 |
| Xray endovasc thor ao repr CPT 75957 | $407.43 | $1,042.00 | $50.00 – $1,397.15 | 17 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $428.93 | $1,097.00 | $54.64 – $1,053.00 | 25 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $674.87 | $1,726.00 | $61.12 – $1,660.00 | 25 |
| X-ray exam entire spi 6/> vw CPT 72084 | $844.56 | $2,160.00 | $73.11 – $2,076.00 | 25 |
| X-ray exam of eye sockets CPT 70200 | $106.36 | $272.00 | $53.57 – $569.81 | 25 |
| X-ray exam of mastoids CPT 70120 | $325.71 | $833.00 | $37.27 – $801.00 | 25 |
| X-ray exam of sinuses CPT 70210 | $268.23 | $686.00 | $31.01 – $659.00 | 25 |
| X-ray exam si joints CPT 72200 | $446.92 | $1,143.00 | $31.01 – $1,094.00 | 25 |
| X-ray exam thorac spine4/>vw CPT 72074 | $404.69 | $1,035.00 | $50.36 – $996.00 | 25 |
| X-ray facial bones complete > 3 views CPT 70150 | $304.59 | $779.00 | $52.95 – $747.00 | 25 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $348.78 | $892.00 | $34.80 – $866.00 | 25 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $436.75 | $1,117.00 | $43.85 – $1,073.00 | 25 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $545.06 | $1,394.00 | $51.04 – $1,342.00 | 25 |
| X-ray knee ap standing bilateral CPT 73565 | $248.29 | $635.00 | $27.28 – $604.00 | 25 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $441.44 | $1,129.00 | $49.64 – $1,088.00 | 25 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $555.22 | $1,420.00 | $62.90 – $1,368.00 | 25 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $725.31 | $1,855.00 | $75.89 – $1,782.00 | 25 |
| X-ray mandible complete > 4 views CPT 70110 | $341.74 | $874.00 | $48.17 – $845.00 | 25 |
| X-ray mandible ltd <4 views CPT 70100 | $284.65 | $728.00 | $36.00 – $728.00 | 25 |
| X-ray nasal bones complete > 3 views CPT 70160 | $262.37 | $671.00 | $35.56 – $644.00 | 25 |
| X-ray neck soft tissue CPT 70360 | $259.24 | $663.00 | $24.82 – $637.00 | 25 |
| X-ray nose to rectum for foreign body child CPT 76010 | $126.30 | $323.00 | $32.62 – $423.34 | 25 |
| X-ray pelvis 1-2 views CPT 72170 | $279.96 | $716.00 | $31.01 – $687.00 | 25 |
| X-ray pelvis complete > 3 views CPT 72190 | $417.20 | $1,067.00 | $45.26 – $1,024.00 | 25 |
| Xray place prox ext thor ao CPT 75958 | $278.79 | $713.00 | $50.00 – $931.70 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $374.19 | $957.00 | $80.93 – $1,927.25 | 25 |
| X-ray ribs 3 views bilateral CPT 71110 | $506.74 | $1,296.00 | $47.78 – $1,244.00 | 25 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $694.03 | $1,775.00 | $60.82 – $1,710.00 | 25 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $462.17 | $1,182.00 | $42.42 – $1,143.00 | 25 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $385.14 | $985.00 | $35.89 – $946.00 | 25 |
| X-ray sella turcica CPT 70240 | $102.06 | $261.00 | $31.01 – $423.34 | 25 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $339.00 | $867.00 | $46.97 – $834.00 | 25 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $365.98 | $936.00 | $59.94 – $2,528.83 | 25 |
| X-ray skull < 4 views CPT 70250 | $280.74 | $718.00 | $37.27 – $682.00 | 25 |
| X-ray skull > 4 views complete CPT 70260 | $355.42 | $909.00 | $54.16 – $873.00 | 25 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $633.03 | $1,619.00 | $135.72 – $1,554.00 | 25 |
| X-ray small intestine follow-through study CPT 74248 | $936.84 | $2,396.00 | $74.76 – $2,396.00 | 17 |
| X-ray spine single view CPT 72020 | $144.67 | $370.00 | $24.82 – $423.34 | 25 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $183.38 | $469.00 | $37.27 – $452.00 | 25 |
| X-ray sternum > 2 views CPT 71120 | $165.01 | $422.00 | $37.27 – $423.34 | 25 |
| X-ray surgical specimen CPT 76098 | $504.00 | $1,289.00 | $19.45 – $2,528.83 | 25 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $605.27 | $1,548.00 | $74.46 – $1,486.00 | 25 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $268.23 | $686.00 | $54.64 – $423.34 | 25 |
| X-ray thoracic spine 2 views CPT 72070 | $267.45 | $684.00 | $40.22 – $664.00 | 25 |
| X-ray thoracic spine 3 views CPT 72072 | $382.01 | $977.00 | $44.22 – $938.00 | 25 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $305.77 | $782.00 | $39.29 – $752.00 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $432.06 | $1,105.00 | $34.72 – $1,063.00 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $540.37 | $1,382.00 | $56.31 – $1,329.00 | 25 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $726.48 | $1,858.00 | $152.28 – $1,787.00 | 25 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $634.60 | $1,623.00 | $136.73 – $1,559.00 | 25 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $121.21 | $310.00 | $0.02 – $310.00 | 14 |
| Zika virus dna/rna amp probe CPT 87662 | $51.62 | $132.00 | $26.40 – $228.05 | 25 |
| Zika virus igm antibody CPT 86794 | $29.25 | $74.80 | $14.96 – $74.85 | 25 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $42.62 | $109.00 | $11.23 – $109.00 | 17 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,028.90 | $5,189.00 | $9.24 – $5,189.00 | 17 |
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.