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 |
|---|---|---|---|---|
| Ghs nerve block interscaline CPT 64510 | not published | not published | $69.63 – $2,205.84 | 17 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $96.13 – $2,205.84 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $90.15 – $1,715.84 | 17 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $69.63 – $1,715.84 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $149.10 – $988.69 | 17 |
| Ghs o2 saturation CPT 82810 | $78.26 | $235.00 | $8.40 – $143.50 | 26 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $52.37 – $1,531.84 | 17 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $131.83 – $3,848.91 | 17 |
| Ghs pacing - transcutaneous CPT 92953 | $487.52 | $1,464.00 | $23.41 – $6,210.00 | 22 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $92.71 – $509.40 | 8 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $85.02 – $467.15 | 8 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $94.58 | $284.00 | $9.28 – $75.50 | 17 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $83.73 – $659.95 | 17 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $78.67 – $3,848.91 | 17 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $155.51 – $1,225.70 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $15.99 | $48.00 | $4.82 – $60.68 | 24 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $3.92 | $11.75 | $3.06 – $61.60 | 26 |
| Ghs protoporphyrins fract CPT 84202 | $17.62 | $52.91 | $4.16 – $91.45 | 26 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $4.02 | $12.07 | $3.14 – $78.10 | 26 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $64.51 – $508.40 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $170.46 – $1,343.55 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $342.63 – $3,965.29 | 17 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $373.39 – $8,039.07 | 17 |
| Ghs reticulocyte count CPT 85044 | $39.63 | $119.00 | $3.71 – $97.58 | 26 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $196.81 | $591.00 | $4.19 – $106.60 | 26 |
| Ghs sedimentation rate CPT 85651 | $96.57 | $290.00 | $3.40 – $40.18 | 26 |
| Ghs sensitivity (per antimicro) CPT 87184 | $103.57 | $311.00 | $6.07 – $30.35 | 26 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $117.06 – $989.90 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $179.00 – $1,410.90 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $158.07 – $1,245.90 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $373.82 – $2,946.35 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $106.38 – $838.50 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $96.55 – $761.00 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $129.45 – $1,020.30 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $252.47 – $2,545.65 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $252.47 – $3,437.95 | 17 |
| Ghs somatosensory testing lower extremit CPT 95926 | $109.56 | $329.00 | $95.41 – $5,761.00 | 22 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $462.87 | $1,390.00 | $307.16 – $5,761.00 | 22 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $69.63 – $731.39 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $41.01 – $323.25 | 17 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $112.23 | $337.00 | $15.53 – $276.34 | 24 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $196.52 – $1,548.95 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $144.40 – $1,138.10 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $122.19 – $3,670.11 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $146.96 – $1,158.35 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $859.30 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $8.66 | $26.00 | $6.24 – $93.80 | 26 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $780.72 – $7,877.82 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $497.51 | $1,494.00 | $433.26 – $5,761.00 | 22 |
| Ghs windowing of cast CPT 29730 | not published | not published | $32.46 – $390.96 | 17 |
| Giardia ag if CPT 87269 | $30.97 | $93.00 | $10.10 – $76.26 | 26 |
| Gi inhouse confirmation CPT 87045 | $209.46 | $629.00 | $8.12 – $82.82 | 26 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $197.37 – $8,035.25 | 17 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $767.24 | $2,304.00 | $691.20 – $5,100.35 | 22 |
| Glaucoma surgery CPT 66150 | not published | not published | $580.60 – $9,967.33 | 17 |
| Glaucoma surgery CPT 66155 | not published | not published | $580.60 – $9,967.33 | 17 |
| Glaucoma surgery CPT 66160 | not published | not published | $580.60 – $5,650.90 | 17 |
| Glaucoma surgery CPT 66170 | not published | not published | $774.13 – $6,101.45 | 17 |
| Glove finger flexion right lg xl HCPCS L3912 | $191.48 | $575.00 | $88.00 – $449.90 | 18 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $375.96 | $1,129.00 | $73.05 – $976.10 | 23 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $283.72 | $852.00 | $170.40 – $724.20 | 11 |
| Glucagon plasma - sendout CPT 82943 | $6.66 | $19.98 | $5.20 – $91.10 | 26 |
| Glucose 1 hr post dose CPT 82950 | $92.25 | $277.00 | $4.08 – $45.92 | 26 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $6.00 | $18.00 | $4.68 – $38.60 | 26 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $21.32 | $64.00 | $2.82 – $50.84 | 26 |
| Glucose blood quantitative CPT 82947 | $105.57 | $317.00 | $3.38 – $25.26 | 26 |
| Glucose body fluid CPT 82945 | $95.91 | $288.00 | $1.69 – $16.45 | 26 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $342.66 | $1,029.00 | $11.07 – $106.60 | 26 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $8.66 | $26.00 | $3.37 – $24.80 | 26 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $125.55 | $377.00 | $36.80 – $156.40 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $34.97 | $105.00 | $2.38 – $117.70 | 26 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $39.96 | $120.00 | $2.15 – $117.50 | 26 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $9,967.33 | 17 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,672.33 | $8,025.00 | $30.36 – $6,580.50 | 18 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $8,039.07 | 17 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $9,931.73 | $29,825.00 | $25.78 – $615.00 | 18 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $4,518.81 | $13,570.00 | $311.36 – $8,556.70 | 18 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $39,580.38 | $118,860.00 | $51.00 – $209.10 | 15 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $18,464.85 | $55,450.00 | $67.00 – $274.70 | 15 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $5,875.79 | $17,645.00 | $39.06 – $14,468.90 | 18 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $12,912.08 | $38,775.00 | $103.77 – $2,993.00 | 18 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $7,610.00 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,875.79 | $17,645.00 | $134.06 – $1,767.10 | 18 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2,054.61 | $6,170.00 | $1,234.00 – $5,059.40 | 16 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $16,786.53 | $50,410.00 | $56.34 – $3,890.90 | 16 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,518.81 | $13,570.00 | $131.42 – $2,300.10 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $29,738.57 | $89,305.00 | $23.00 – $94.30 | 15 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,054.61 | $6,170.00 | $67.00 – $274.70 | 15 |
| Granisetron hcl injection HCPCS J1626 | $21.98 | $66.00 | $0.37 – $54.12 | 16 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,877.79 | $5,639.00 | $1,387.55 – $6,937.75 | 15 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $22,284.50 | 8 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $596.00 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $4,532.23 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $9,070.68 | 17 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $159.72 – $798.60 | 8 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $9,070.68 | 17 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $8,623.55 | 8 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $7,152.05 | 8 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $9,438.40 | 8 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $9,202.70 | 8 |
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.