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 |
|---|---|---|---|---|
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $195.83 – $979.15 | 8 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $1,062.08 – $5,835.90 | 8 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $13,228.50 – $25,795.58 | 13 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $335.07 – $14,455.62 | 17 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $812.15 – $9,426.38 | 17 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $809.16 – $9,426.38 | 17 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $698.81 – $25,795.58 | 17 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $554.35 – $25,795.58 | 17 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,073.34 – $5,366.70 | 8 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $994.04 – $25,795.58 | 17 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,093.88 – $25,795.58 | 17 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,593.06 – $7,965.30 | 8 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,018.63 – $5,596.45 | 8 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,040.07 – $5,200.35 | 8 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $152.27 – $761.35 | 8 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $451.23 – $9,135.05 | 17 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $949.37 – $4,746.85 | 17 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $296.21 – $9,135.05 | 13 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $174.31 – $1,373.85 | 17 |
| Largsc w/ther injection CPT 31573 | not published | not published | $235.67 – $4,272.66 | 17 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,115.48 – $14,657.06 | 17 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,382.06 – $14,657.06 | 17 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,236.04 – $14,657.06 | 17 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,255.77 – $14,657.06 | 17 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,370.81 – $14,657.06 | 17 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,449.36 – $14,657.06 | 17 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $980.90 – $14,657.06 | 17 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $916.23 – $14,657.06 | 17 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $288.37 – $9,135.05 | 17 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $640.83 – $17,151.60 | 17 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $253.77 – $9,135.05 | 17 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $256.33 – $9,135.05 | 17 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $213.61 – $9,135.05 | 17 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $193.53 – $4,272.66 | 17 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $299.06 – $9,135.05 | 17 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $180.29 – $1,421.00 | 17 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $256.33 – $9,135.05 | 17 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $307.60 – $9,135.05 | 17 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $256.33 – $9,135.05 | 17 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $212.76 – $9,135.05 | 17 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $256.33 – $4,272.66 | 17 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $205.61 – $4,272.66 | 13 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $86.29 – $9,135.05 | 17 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $80.74 – $962.11 | 17 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $930.49 – $17,151.60 | 17 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $307.60 – $9,135.05 | 17 |
| Laser surgery eye strands CPT 67031 | not published | not published | $278.55 – $2,195.40 | 17 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $315.44 – $7,877.82 | 17 |
| Laser surgery of prostate CPT 52647 | not published | not published | $567.78 – $12,595.54 | 17 |
| Laser surgery of prostate CPT 52648 | not published | not published | $671.16 – $12,595.54 | 17 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $75.62 – $4,532.23 | 17 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,452.55 – $11,448.65 | 17 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,054.81 – $9,967.33 | 17 |
| Lateral canthopexy CPT 21282 | not published | not published | $442.60 – $8,035.25 | 17 |
| Lat retinacular release open CPT 27425 | not published | not published | $387.06 – $8,039.07 | 17 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $63.23 – $575.37 | 17 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $710.39 – $25,795.58 | 17 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,636.52 – $7,091.21 | 13 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,639.02 | $22,940.00 | $949.00 – $4,033.25 | 14 |
| Lead capillary CPT 83655 | $3.84 | $11.52 | $1.30 – $76.25 | 26 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $3,474.86 | $10,435.00 | $39.00 – $165.75 | 14 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $9,931.73 | $29,825.00 | $2,087.00 – $8,556.70 | 16 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,192.80 – $14,657.06 | 17 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,236.81 – $14,657.06 | 17 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,281.67 – $10,101.75 | 8 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,285.93 – $14,657.06 | 17 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,412.39 – $14,657.06 | 17 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $725.85 – $7,798.46 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $993.01 | $2,982.00 | $193.06 – $5,761.00 | 23 |
| Leishmania antibody CPT 86717 | $12.84 | $38.53 | $10.02 – $78.10 | 26 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $387.06 – $8,039.07 | 17 |
| Lengthening of palate CPT 42227 | not published | not published | $726.28 – $14,657.06 | 17 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $726.28 – $14,657.06 | 17 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,180.41 – $9,303.75 | 8 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $290.51 – $17,699.80 | 17 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $387.06 – $17,699.80 | 17 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $580.60 – $8,039.07 | 17 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,034.31 – $8,152.15 | 8 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $967.23 – $17,699.80 | 17 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $667.74 – $31,879.73 | 17 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $842.05 – $17,699.80 | 17 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,054.61 | $6,170.00 | $150.00 – $615.00 | 14 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,580.09 | $4,745.00 | $67.00 – $274.70 | 15 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $249.75 | $750.00 | $88.00 – $360.80 | 15 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $38.30 | $115.00 | $6.86 – $79.54 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,993.01 | $8,988.00 | $197.48 – $4,493.60 | 23 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,511.49 | $7,542.00 | $816.64 – $8,373.80 | 23 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,626.04 | $4,883.00 | $14.70 – $4,004.06 | 13 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $21.98 | $66.00 | $0.07 – $45.10 | 16 |
| Levetiracetam therapeutic drug level CPT 80177 | $13.24 | $39.75 | $2.08 – $58.90 | 26 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $108.56 | $326.00 | $2.23 – $79.54 | 13 |
| Liberta rc ipg HCPCS C1820 | $39,580.38 | $118,860.00 | $1,605.00 – $6,580.50 | 16 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $18.32 | $55.00 | $11.00 – $46.75 | 11 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $41.63 | $125.00 | $25.00 – $106.25 | 11 |
| Lidocaine therapeutic drug level CPT 80176 | $32.97 | $99.00 | $9.88 – $93.65 | 26 |
| Lift heel adj small gl60404sm HCPCS L3332 | $146.52 | $440.00 | $51.00 – $280.85 | 18 |
| Ligate esophagus veins CPT 43400 | not published | not published | $959.11 – $7,559.50 | 8 |
| Ligate leg veins open CPT 37761 | not published | not published | $478.78 – $7,798.46 | 17 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $484.05 – $7,798.46 | 17 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.16 – $355.80 | 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.