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 |
|---|---|---|---|---|
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $954.84 – $7,525.80 | 8 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $604.51 – $4,764.65 | 8 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $20.65 | $62.00 | $5.07 – $50.84 | 13 |
| Pyruvate CPT 84210 | $8.22 | $24.68 | $6.42 – $83.05 | 26 |
| Pyruvate kinase CPT 84220 | $11.66 | $35.00 | $8.12 – $60.15 | 26 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $389.28 | $1,169.00 | $271.30 – $2,561.08 | 24 |
| Quant diff pulm perf w/imaging CPT 78597 | $332.67 | $999.00 | $177.59 – $1,972.88 | 24 |
| Quest t3 uptake CPT 84479 | $178.49 | $536.00 | $1.56 – $40.75 | 26 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,943.06 | $5,835.00 | $133.16 – $3,038.92 | 22 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,180.43 – $10,902.15 | 8 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $956.13 – $7,535.90 | 8 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,088.56 – $8,579.80 | 8 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $949.29 – $7,482.05 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $933.91 – $17,699.80 | 17 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,390.17 – $10,957.00 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $968.51 – $7,091.21 | 17 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,138.87 – $7,091.21 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,352.98 | $4,063.00 | $222.19 – $6,839.22 | 24 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,352.98 | $4,063.00 | $189.70 – $6,839.22 | 24 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,156.85 | $3,474.00 | $631.33 – $6,839.22 | 24 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,352.98 | $4,063.00 | $929.70 – $6,839.22 | 21 |
| Radphm lcl tumor plr sgl day CPT 78800 | $421.58 | $1,266.00 | $127.83 – $1,972.88 | 24 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,045.41 – $17,699.80 | 17 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,074.89 – $8,472.00 | 17 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,051.38 – $7,091.21 | 17 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,071.51 – $7,091.21 | 13 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $757.04 – $7,091.21 | 17 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,094.93 – $7,091.21 | 17 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $788.22 – $7,091.21 | 17 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $878.26 – $7,091.21 | 17 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $723.72 – $17,699.80 | 17 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $767.71 – $7,091.21 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,871.13 | $5,619.00 | $188.16 – $4,493.60 | 22 |
| Rbc count only automated CPT 85041 | $78.59 | $236.00 | $2.60 – $193.52 | 26 |
| Rbc deglycerolized each unit HCPCS P9039 | $176.49 | $530.00 | $153.70 – $6,210.00 | 22 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $46.62 – $1,083.19 | 13 |
| Rbc irradiated each unit HCPCS P9038 | $205.13 | $616.00 | $178.64 – $6,210.00 | 22 |
| Rbc osmotic fragility CPT 85555 | $21.32 | $64.00 | $6.42 – $52.48 | 26 |
| Rbc serum pretx incubj drugs CPT 86975 | $67.27 | $202.00 | $23.88 – $292.50 | 24 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,693.51 – $14,657.06 | 17 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,451.70 – $11,441.90 | 8 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,442.73 – $11,371.20 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,064.63 – $8,391.15 | 8 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,166.74 – $9,195.95 | 8 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,258.16 – $9,916.60 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,258.16 – $9,916.60 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,161.19 – $9,152.20 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $1,548.26 – $12,202.95 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $1,548.26 – $12,202.95 | 8 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $769.00 – $8,035.25 | 17 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $939.89 – $14,657.06 | 17 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $939.89 – $14,657.06 | 17 |
| Realignment of knee CPT 27457 | not published | not published | $677.58 – $5,340.50 | 8 |
| Realignment of knee CPT 27455 | not published | not published | $580.60 – $4,576.10 | 8 |
| Realignment of tendons CPT 26437 | not published | not published | $636.13 – $8,039.07 | 17 |
| Realignment of thigh bone CPT 27454 | not published | not published | $967.66 – $7,626.85 | 8 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $939.89 – $14,657.06 | 17 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $939.89 – $14,657.06 | 17 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,025.33 – $14,657.06 | 17 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $725.85 – $14,657.06 | 17 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $774.13 – $14,657.06 | 17 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,367.11 – $10,775.20 | 8 |
| Rechanneling of artery CPT 35306 | not published | not published | $404.69 – $2,023.45 | 8 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,404.28 – $11,068.20 | 8 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,369.67 – $10,795.45 | 8 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,084.14 – $5,420.70 | 8 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,708.89 – $13,469.00 | 8 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,127.70 – $5,638.50 | 8 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,708.89 – $13,469.00 | 8 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,196.22 – $9,428.30 | 8 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,084.14 – $5,420.70 | 8 |
| Recipient nephrectomy CPT 50340 | not published | not published | $854.44 – $6,734.50 | 8 |
| Recon, cta for surg plan HCPCS G0288 | $303.70 | $912.00 | $264.48 – $891.00 | 11 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,196.22 – $14,657.06 | 17 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,281.67 – $14,657.06 | 17 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,064.63 – $14,657.06 | 17 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,025.33 – $14,657.06 | 17 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,573.88 – $12,405.00 | 8 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,237.23 – $9,751.55 | 8 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $508.40 – $14,657.06 | 17 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,025.76 – $14,657.06 | 17 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,064.63 – $45,564.48 | 17 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,690.94 – $13,327.60 | 8 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,024.05 – $17,699.80 | 17 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $774.13 – $14,657.06 | 17 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $854.44 – $8,035.25 | 17 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $939.89 – $14,657.06 | 17 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $683.55 – $14,657.06 | 17 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $726.28 – $14,657.06 | 17 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $726.28 – $14,657.06 | 17 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,693.51 – $13,347.80 | 8 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $1,693.51 – $13,347.80 | 8 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $1,693.51 – $13,347.80 | 8 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $811.72 – $17,699.80 | 17 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $982.19 – $45,564.48 | 17 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,321.77 – $31,879.73 | 13 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $818.69 – $17,699.80 | 17 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $818.69 – $31,879.73 | 17 |
| Reconstruct extra finger CPT 26587 | not published | not published | $395.16 – $8,039.07 | 13 |
| Reconstruct finger joint CPT 26545 | not published | not published | $387.06 – $8,039.07 | 17 |
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.