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 |
|---|---|---|---|---|
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $224.16 – $4,838.32 | 17 |
| Destruction ciliary body CPT 66700 | not published | not published | $387.06 – $5,650.90 | 17 |
| Destruction ciliary body CPT 66720 | not published | not published | $290.51 – $5,780.31 | 17 |
| Destruction ciliary body CPT 66740 | not published | not published | $512.67 – $5,780.31 | 17 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $102.11 – $804.75 | 17 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $123.46 – $6,794.74 | 17 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $162.34 – $5,780.31 | 17 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $91.85 – $989.90 | 17 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $115.35 – $989.90 | 17 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $86.29 – $989.90 | 17 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $103.82 – $989.90 | 17 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $69.63 – $989.90 | 17 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $263.48 – $4,532.23 | 17 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $165.76 – $1,306.50 | 17 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $506.26 – $6,794.74 | 17 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $133.73 – $7,877.82 | 17 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $84.31 – $7,877.82 | 17 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $145.68 – $4,532.23 | 17 |
| Detect agent nos dna dir CPT 87797 | $11.34 | $34.05 | $8.86 – $156.55 | 26 |
| Device ablt adv novasure HCPCS C1886 | $4,518.81 | $13,570.00 | $1,234.00 – $5,059.40 | 16 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,518.81 | $13,570.00 | $1,234.00 – $5,059.40 | 16 |
| Device sut capio slim opn HCPCS C2631 | $2,672.33 | $8,025.00 | $431.00 – $1,767.10 | 15 |
| Device tiss remov myosure reach HCPCS C1782 | $2,672.33 | $8,025.00 | $127.60 – $374.00 | 8 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,097.96 – $8,653.90 | 8 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.00 | $15.00 | $0.07 – $9.84 | 13 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $18.32 | $55.00 | $0.18 – $45.10 | 16 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $32.31 | $97.00 | $1.76 – $79.54 | 16 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $32.31 | $97.00 | $2.57 – $45.10 | 16 |
| Dextrose 5 % IV bolus HCPCS J7070 | $35.64 | $107.00 | $5.13 – $79.54 | 16 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $2.00 | $6.00 | $1.56 – $140.70 | 26 |
| Diabetes (HbA1c) Test CPT 83036 | $173.83 | $522.00 | $8.06 – $61.25 | 26 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $206.35 – $4,272.66 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $268.73 – $14,455.62 | 17 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $157.59 – $988.69 | 13 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $209.09 – $2,921.37 | 13 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $319.37 | 17 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $67.93 – $535.40 | 17 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $88.44 – $697.05 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $181.49 | $545.00 | $116.89 – $740.15 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,806.03 – $9,030.15 | 8 |
| Dialysis one evaluation CPT 90945 | $730.27 | $2,193.00 | $82.81 – $1,078.65 | 22 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $67.60 | $203.00 | $0.08 – $79.05 | 17 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $41.63 | $125.00 | $6.01 – $59.86 | 16 |
| Dicyclomine injection HCPCS J0500 | $100.90 | $303.00 | $24.42 – $248.46 | 16 |
| Diffusing capacity CPT 94729 | $307.03 | $922.00 | $55.31 – $783.70 | 15 |
| Digital analysis of eeg CPT 95957 | $133.20 | $400.00 | $116.00 – $5,761.00 | 15 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $92.28 – $727.30 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $288.05 | $865.00 | $3.18 – $46.70 | 16 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $1,824.84 | $5,480.00 | $1,096.00 – $24,842.90 | 23 |
| Digoxin total therapeutic drug level CPT 80162 | $192.81 | $579.00 | $11.42 – $84.65 | 26 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $469.47 – $2,347.35 | 8 |
| Dilate esophagus CPT 43453 | not published | not published | $115.35 – $4,700.12 | 17 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $53.41 – $2,322.96 | 17 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $674.45 – $674.45 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.79 – $1,235.80 | 17 |
| Dilate urethra stricture CPT 53600 | not published | not published | $99.97 – $787.90 | 17 |
| Dilate urethra stricture CPT 53601 | not published | not published | $94.42 – $744.15 | 17 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $8,545.41 | 17 |
| Dilate urethra stricture CPT 53621 | not published | not published | $140.12 – $1,104.50 | 17 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $85.87 – $676.80 | 17 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $173.02 – $2,921.37 | 17 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $7,877.82 | 17 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $121.33 – $2,921.37 | 17 |
| Dilation of salivary duct CPT 42660 | not published | not published | $44.86 – $1,261.75 | 17 |
| Dilation of urethra CPT 53661 | not published | not published | $87.15 – $686.95 | 17 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $5,075.54 | 17 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $7,877.82 | 17 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $34.61 – $3,670.11 | 17 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $145.68 – $1,653.78 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $191.48 | $575.00 | $51.00 – $209.10 | 15 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $131.42 – $8,545.41 | 17 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $218.91 – $8,545.41 | 17 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $18.32 | $55.00 | $11.00 – $46.75 | 11 |
| Dimenhydrinate injection HCPCS J1240 | $18.32 | $55.00 | $4.60 – $45.10 | 13 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $18.32 | $55.00 | $1.20 – $45.10 | 16 |
| Dipyridamole injection HCPCS J1245 | $18.32 | $55.00 | $4.75 – $45.10 | 13 |
| Disability dlco CPT 94727 | $262.08 | $787.00 | $37.62 – $668.95 | 22 |
| Disaccharidases CPT 82657 | $81.59 | $245.00 | $16.08 – $127.25 | 26 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $387.06 – $4,532.23 | 17 |
| Disarticulation shoulder CPT 23920 | not published | not published | $871.11 – $6,865.85 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,379.50 – $10,872.90 | 8 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $223.87 – $1,764.45 | 8 |
| Dissect brain w/scope CPT 62161 | not published | not published | $789.51 – $4,338.20 | 8 |
| Dissolve clot heart vessel CPT 92975 | $377.96 | $1,135.00 | $329.15 – $3,063.50 | 15 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $786.88 – $13,393.54 | 17 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,202.62 – $9,478.80 | 8 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $677.58 – $14,657.06 | 17 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $634.03 – $3,170.15 | 8 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $247.21 – $1,236.05 | 8 |
| Dna antibody native/double stranded CPT 86225 | $4.13 | $12.39 | $2.60 – $87.55 | 26 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $57.28 | $172.00 | $8.32 – $45.10 | 16 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $666.67 | $2,002.00 | $0.86 – $376.38 | 16 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $36.63 | $110.00 | $0.59 – $45.10 | 16 |
| Doppler echo complete CPT 93320 | $586.75 | $1,762.00 | $87.87 – $5,761.00 | 15 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,017.65 | $3,056.00 | $278.63 – $2,597.60 | 15 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $145.19 | $436.00 | $111.72 – $5,761.00 | 23 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $93.58 | $281.00 | $59.79 – $5,761.00 | 23 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $551.12 | $1,655.00 | $72.51 – $362.55 | 18 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,266.54 – $25,746.05 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $73.26 | $220.00 | $4.44 – $69.70 | 16 |
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.