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 |
|---|---|---|---|---|
| Hla ii typing 1 loc hr CPT 81382 | $83.25 | $250.00 | $37.50 – $549.70 | 26 |
| Hla i low res one antigen equiv ea CPT 81374 | $19.98 | $60.00 | $18.00 – $323.30 | 26 |
| Hla i typing complete hr CPT 81379 | $209.79 | $630.00 | $189.00 – $1,490.60 | 26 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $121.22 | $364.00 | $30.00 – $514.85 | 26 |
| Hla typing a b or c CPT 86813 | $133.20 | $400.00 | $49.88 – $369.70 | 26 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $9.66 | $29.00 | $0.15 – $24.65 | 17 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $22.32 | $67.00 | $0.21 – $18.70 | 17 |
| Homocysteine CPT 83090 | $33.30 | $100.00 | $3.38 – $74.95 | 26 |
| Homogenization tissue CPT 87176 | $38.63 | $116.00 | $5.06 – $37.50 | 26 |
| Homovanillic acid (hva) CPT 83150 | $4.95 | $14.85 | $3.83 – $81.75 | 26 |
| Ho post-op hip abduction HCPCS L1686 | $2,054.61 | $6,170.00 | $730.00 – $4,697.25 | 18 |
| Hpa-15 genotyping CPT 81112 | $27.96 | $83.94 | $17.59 – $543.20 | 26 |
| Hpa-1 genotyping CPT 81105 | $27.95 | $83.91 | $17.60 – $543.20 | 26 |
| Hpa-2 genotyping CPT 81106 | $27.95 | $83.91 | $17.59 – $543.20 | 26 |
| Hpa-3 genotyping CPT 81107 | $27.95 | $83.91 | $17.59 – $543.20 | 26 |
| Hpa-4 genotyping CPT 81108 | $27.95 | $83.91 | $17.59 – $543.20 | 26 |
| Hpa-5 genotyping CPT 81109 | $27.95 | $83.91 | $17.59 – $543.20 | 26 |
| Hpa-6 genotyping CPT 81110 | $27.95 | $83.91 | $17.59 – $543.20 | 26 |
| Hpa-9 genotyping CPT 81111 | $19.53 | $58.62 | $17.59 – $543.20 | 26 |
| H pylori (c-13) breath CPT 83013 | $20.52 | $61.60 | $16.02 – $429.45 | 26 |
| Htt gene detc abnor alleles CPT 81271 | $62.79 | $188.54 | $56.57 – $548.00 | 26 |
| Human epididymis protein 4 (he4) CPT 86305 | $16.65 | $50.00 | $13.00 – $92.50 | 26 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $45.63 | $137.00 | $27.40 – $112.34 | 13 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $27.64 | $83.00 | $6.73 – $64.78 | 16 |
| Hydration IV infusion each additional hour CPT 96361 | $61.94 | $186.00 | $18.13 – $114.33 | 25 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $140.53 | $422.00 | $63.71 – $522.01 | 25 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $109.56 | $329.00 | $5.54 – $125.20 | 16 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $63.61 | $191.00 | $11.00 – $46.75 | 11 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $547.46 | $1,644.00 | $3.00 – $12.75 | 13 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $18.32 | $55.00 | $11.00 – $111.10 | 16 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $14.88 | $44.66 | $11.62 – $111.75 | 26 |
| Hymenotomy CPT 56442 | not published | not published | $87.15 – $7,877.82 | 17 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $486.02 – $14,657.06 | 17 |
| Hyperbaric oxygen therapy CPT 99183 | $1,598.40 | $4,800.00 | $106.60 – $1,201.00 | 16 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $901.01 – $7,101.55 | 8 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,308.26 – $6,541.30 | 8 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,308.26 – $6,541.30 | 8 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $1,003.00 – $5,015.00 | 8 |
| Hysterosalpingography s&i CPT 74740 | $345.99 | $1,039.00 | $67.02 – $1,204.26 | 24 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $2,438.45 – $12,230.89 | 17 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $251.48 – $7,877.82 | 17 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $231.12 – $7,877.82 | 17 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $377.22 – $12,230.89 | 17 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $261.65 – $7,877.82 | 17 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $545.83 – $12,230.89 | 17 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $393.93 – $12,230.89 | 17 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,017.53 – $12,230.89 | 17 |
| I-123 iobenguane diag HCPCS A9582 | $2,220.45 | $6,668.00 | $1,733.68 – $5,667.80 | 20 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $71.93 | $216.00 | $62.64 – $446.65 | 15 |
| I131 iodide cap, rx HCPCS A9517 | $7.00 | $21.00 | $6.09 – $761.40 | 23 |
| Iaadi respiratory synctial virus CPT 87280 | $8.22 | $24.68 | $2.23 – $63.40 | 26 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $10.83 | $32.50 | $8.45 – $223.70 | 26 |
| Ibuprofen injection HCPCS J1741 | $1,111.56 | $3,338.00 | $3.44 – $59.04 | 16 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $990.35 | $2,974.00 | $278.34 – $2,438.68 | 22 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $43,538.09 | $130,745.00 | $7,755.00 – $31,795.50 | 16 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $52,680.60 | $158,200.00 | $10,082.00 – $41,336.20 | 16 |
| Icd crtp serena MRI HCPCS C2621 | $16,786.53 | $50,410.00 | $4,588.00 – $19,499.00 | 15 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,931.73 | $29,825.00 | $949.00 – $3,890.90 | 16 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $4,150.40 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $8,035.25 | 17 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $141.41 – $4,014.43 | 17 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $8,039.07 | 17 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $6,794.74 | 17 |
| I&d lacrimal gland CPT 68400 | not published | not published | $209.34 – $2,399.73 | 17 |
| I&d lacrimal sac CPT 68420 | not published | not published | $229.42 – $5,780.31 | 17 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $7,091.21 | 17 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,636.52 – $7,091.21 | 13 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,636.52 – $7,091.21 | 13 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $127.21 | $382.00 | $34.71 – $313.24 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $58.61 | $176.00 | $52.80 – $567.91 | 23 |
| Igh@ var region somatic mutation analy CPT 81263 | $131.87 | $396.00 | $118.50 – $844.82 | 23 |
| Igk rearrangeabn clonal pop CPT 81264 | $58.61 | $176.00 | $52.80 – $495.45 | 23 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $229.77 | $690.00 | $11.17 – $303.10 | 17 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $312.69 | $939.00 | $32.77 – $524.60 | 24 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $161.18 | $484.00 | $11.60 – $385.80 | 24 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $5,529.05 | 8 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $18,021.50 | 8 |
| Iliac/fem angio cath insert HCPCS G0278 | $825.18 | $2,478.00 | $91.64 – $2,106.30 | 9 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $160.46 – $802.30 | 8 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $991.16 – $7,812.05 | 8 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $84.92 | $255.00 | $51.00 – $209.10 | 15 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $191.48 | $575.00 | $10.00 – $637.25 | 18 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,215.45 | $3,650.00 | $10.00 – $503.75 | 18 |
| Immobilizer shldr sling med HCPCS L3660 | $191.48 | $575.00 | $39.00 – $473.70 | 18 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $16,158.03 | 17 |
| Immune complex assay CPT 86332 | $43.08 | $129.36 | $4.21 – $155.35 | 26 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $1,824.84 | $5,480.00 | $60.73 – $1,458.78 | 23 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $226.11 | $679.00 | $67.40 – $556.78 | 23 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $86.92 | $261.00 | $2.86 – $92.50 | 26 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $20.79 | $62.43 | $1.82 – $92.50 | 26 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $1.88 | $5.63 | $1.46 – $42.30 | 26 |
| Immunodiffusion nes CPT 86329 | $6.95 | $20.86 | $5.43 – $89.60 | 26 |
| Immunofixation electrophoresis serum CPT 86334 | $5.00 | $15.00 | $2.17 – $142.45 | 26 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $62.44 | $187.50 | $4.06 – $323.30 | 17 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $282.06 | $847.00 | $4.06 – $402.00 | 24 |
| Immunoglobulin assay CPT 86023 | $8.44 | $25.33 | $6.59 – $79.40 | 26 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $2,054.61 | $6,170.00 | $1,234.00 – $5,059.40 | 15 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,611.91 – $12,704.60 | 8 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $8,498.95 | 8 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $10,502.45 | 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.