St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $9.31 | $27.94 | $4.94 – $186.60 | 26 |
| 17-ketosteroids CPT 83586 | $8.72 | $26.16 | $6.81 – $81.60 | 26 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $799.54 | $2,401.00 | $696.29 – $5,761.00 | 19 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $565.11 | $1,697.00 | $492.13 – $5,761.00 | 19 |
| 2nd order venous cath CPT 36012 | not published | not published | $130.30 – $1,027.05 | 8 |
| 3d recon without postprocess indpndt CPT 76376 | $344.99 | $1,036.00 | $226.50 – $891.00 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $4.12 | $12.35 | $3.22 – $71.05 | 26 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $92.91 | $279.00 | $23.03 – $248.40 | 17 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,326.65 – $18,338.10 | 8 |
| Abd aorta w/runoff s&i CPT 75630 | $3,037.30 | $9,121.00 | $204.00 – $14,982.05 | 24 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $577.18 – $4,549.15 | 8 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $232.83 – $1,835.15 | 8 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $279.40 – $2,202.15 | 8 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $332.38 – $2,619.70 | 8 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $52.98 – $417.55 | 8 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,047.95 | $9,153.00 | $226.19 – $7,780.05 | 25 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,612.72 | $7,846.00 | $226.19 – $6,669.10 | 25 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,674.66 | $5,029.00 | $135.12 – $4,274.65 | 25 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,999.67 | $9,008.00 | $333.52 – $7,171.72 | 25 |
| Abdominal MRI (with contrast) CPT 74182 | $2,598.40 | $7,803.00 | $299.22 – $6,227.08 | 25 |
| Abdominal MRI (without contrast) CPT 74181 | $1,796.21 | $5,394.00 | $273.91 – $4,294.34 | 25 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $103.10 – $2,322.96 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $730.94 | $2,195.00 | $119.34 – $1,865.75 | 24 |
| Abdominal Ultrasound (limited) CPT 76705 | $562.44 | $1,689.00 | $24.36 – $569.81 | 24 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $8,286.17 – $16,158.03 | 13 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $67.21 – $2,322.96 | 17 |
| Abl1 gene CPT 81170 | $217.18 | $652.19 | $195.66 – $1,200.00 | 26 |
| Ablate arrhythmia add on CPT 93655 | $7,295.70 | $21,909.00 | $378.45 – $18,622.65 | 16 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,165.67 – $5,828.35 | 8 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,674.23 – $8,371.15 | 8 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $519.73 – $2,598.65 | 8 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,592.70 – $7,963.50 | 8 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $393.47 – $17,699.80 | 17 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $4,220.73 – $31,879.73 | 17 |
| Ablate heart dysrhythm focus CPT 93650 | $15,422.23 | $46,313.00 | $821.29 – $39,366.05 | 23 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $93.99 – $3,670.11 | 17 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $65.79 – $3,670.11 | 17 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $5,758.36 – $28,791.80 | 17 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $2,589.72 – $14,455.62 | 17 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,405.26 | $7,223.00 | $54.34 – $1,277.88 | 20 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,191.26 – $2,322.96 | 13 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $7,413.14 – $14,455.62 | 13 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $304.79 – $594.34 | 13 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $416.98 – $25,795.58 | 17 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $555.48 – $1,083.19 | 13 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $304.79 – $594.34 | 13 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $144.99 – $731.39 | 13 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $837.68 – $22,911.39 | 17 |
| Abortion CPT 59850 | not published | not published | $470.57 – $2,352.85 | 8 |
| Abortion (mpr) CPT 59866 | not published | not published | $386.50 – $753.67 | 13 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $11.96 – $94.30 | 8 |
| Abrasion lesion single CPT 15786 | not published | not published | $73.91 – $582.50 | 17 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $184.29 – $4,014.43 | 17 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $107.59 – $537.95 | 8 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $193.53 – $1,525.35 | 8 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $20.98 | $63.00 | $0.07 – $51.66 | 16 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $47.96 | $144.00 | $28.80 – $118.08 | 16 |
| Acetone qualitative CPT 82009 | $14.32 | $43.00 | $3.89 – $26.95 | 26 |
| Acetylcholine receptor modulating antibody CPT 86043 | $7.66 | $23.00 | $5.98 – $18.86 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $411.93 | $1,237.00 | $0.50 – $1,014.34 | 16 |
| Acne surgery 10040 CPT 10040 | not published | not published | $55.12 – $492.32 | 17 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $411.41 – $8,039.07 | 17 |
| Acute hepatitis panel CPT 80074 | $286.05 | $859.00 | $24.44 – $250.00 | 26 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $146.19 | $439.00 | $0.06 – $101.68 | 16 |
| #acylcarnitineprfl CPT 82017 | $24.98 | $75.00 | $14.51 – $107.50 | 26 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,054.61 | $6,170.00 | $150.00 – $615.00 | 15 |
| Adding walker to prev cast CPT 29440 | not published | not published | $58.10 – $457.95 | 17 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $372.63 | $1,119.00 | $0.53 – $59.86 | 16 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,017.53 – $5,087.65 | 8 |
| Adh-sendout CPT 84588 | $14.99 | $45.00 | $11.70 – $216.40 | 26 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $1,191.26 – $2,322.96 | 13 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $322.98 – $17,699.80 | 17 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $484.05 – $4,532.23 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $486.52 | $1,461.00 | $0.24 – $24.30 | 16 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $80.26 | $241.00 | $21.49 – $10,876.00 | 24 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $373.96 | $1,123.00 | $32.81 – $10,876.00 | 24 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $384.95 | $1,156.00 | $32.81 – $10,876.00 | 24 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $129.87 | $390.00 | $20.61 – $10,876.00 | 24 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $66.60 | $200.00 | $12.23 – $176.34 | 25 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $211.79 | $636.00 | $12.23 – $636.00 | 25 |
| Administration immunization 1 vaccine CPT 90471 | $91.25 | $274.00 | $6.29 – $232.90 | 20 |
| Administration immunization each additional vaccine CPT 90472 | $91.25 | $274.00 | $6.69 – $232.90 | 9 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $1,824.84 | $5,480.00 | $47.88 – $4,493.60 | 23 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,064.63 – $8,391.15 | 8 |
| Aep neurodiagnostic i&r CPT 92653 | $218.12 | $655.00 | $76.92 – $5,761.00 | 22 |
| Aep thrshld est mlt freq i&r CPT 92652 | $218.12 | $655.00 | $104.64 – $5,761.00 | 22 |
| _afb id by dna probe rflx ast CPT 87149 | $28.31 | $85.00 | $4.23 – $81.20 | 26 |
| #afb mycobacteria suscep. #1 CPT 87190 | $22.65 | $68.00 | $6.29 – $34.85 | 26 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $53.12 | $159.50 | $27.11 – $512.70 | 26 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $1,580.09 | $4,745.00 | $622.53 – $3,890.90 | 18 |
| After cataract laser surgery CPT 66821 | not published | not published | $213.61 – $1,683.65 | 17 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $48.28 – $380.45 | 8 |
| Albumin body fluid quantitative each specimen CPT 82042 | $67.60 | $203.00 | $1.82 – $22.33 | 26 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $235.44 | $707.00 | $53.08 – $419.90 | 18 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $50.95 | $153.00 | $21.23 – $130.05 | 25 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $392.61 | $1,179.00 | $53.08 – $265.40 | 25 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $54.28 | $163.00 | $10.62 – $138.55 | 18 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $4.33 | $13.00 | $1.17 – $36.45 | 26 |
| Albumin serum plasma or whole blood CPT 82040 | $81.92 | $246.00 | $1.84 – $28.85 | 26 |
| Alcohol/subs interv >30 min HCPCS G0397 | $165.17 | $496.00 | $90.92 – $406.72 | 21 |
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.