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 |
|---|---|---|---|---|
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $295.06 – $575.37 | 13 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $295.06 – $575.37 | 13 |
| Unlisted surgical path px CPT 88399 | $117.55 | $353.00 | $5.59 – $145.58 | 22 |
| Unlisted transfusion med px CPT 86999 | $88.12 | $264.60 | $13.00 – $72.37 | 22 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $785.56 – $1,531.84 | 13 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $7,413.14 – $14,455.62 | 13 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $7,413.14 – $14,455.62 | 13 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $825.51 | $2,479.00 | $552.00 – $1,799.08 | 22 |
| Upgrade pm system CPT 33214 | not published | not published | $455.42 – $25,929.64 | 17 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,078.26 | $12,247.00 | $449.80 – $10,042.54 | 25 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,548.12 | $10,655.00 | $384.05 – $8,737.10 | 25 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,446.89 | $7,348.00 | $265.87 – $6,025.36 | 25 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $257.18 – $2,322.96 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $268.73 – $2,322.96 | 17 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $146.52 | $440.00 | $88.00 – $2,103.70 | 18 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $273.42 – $1,502.40 | 8 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $279.05 – $2,322.96 | 17 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $598.11 – $14,455.62 | 17 |
| Urea nitrogen CPT 84520 | $84.59 | $254.00 | $1.84 – $22.60 | 26 |
| Urea nitrogen 24 hour urine CPT 84540 | $95.24 | $286.00 | $1.84 – $23.75 | 26 |
| Urea nitrogen clearance CPT 84545 | $174.50 | $524.00 | $6.19 – $55.76 | 26 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,577.81 – $7,889.05 | 8 |
| Ureteral reflux study CPT 78740 | $443.23 | $1,331.00 | $96.82 – $1,972.88 | 24 |
| Ureter endoscopy CPT 50970 | not published | not published | $189.26 – $8,545.41 | 17 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $387.06 – $12,595.54 | 17 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $241.81 – $12,595.54 | 17 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $181.57 – $8,545.41 | 17 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $389.20 – $12,595.54 | 17 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $572.90 – $12,595.54 | 17 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $239.25 – $12,595.54 | 17 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $179.44 – $12,595.54 | 17 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,019.35 – $8,034.30 | 8 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,024.91 – $8,078.05 | 8 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $459.54 | $1,380.00 | $59.56 – $1,204.26 | 24 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $441.68 – $8,545.41 | 17 |
| Urethrocystography void s&i CPT 74455 | $459.54 | $1,380.00 | $86.91 – $1,204.26 | 24 |
| Uric acid blood CPT 84550 | $110.23 | $331.00 | $3.89 – $38.54 | 26 |
| Uric acid urine CPT 84560 | $110.23 | $331.00 | $1.69 – $30.25 | 26 |
| Urinalysis microscopic only CPT 81015 | $47.29 | $142.00 | $2.62 – $45.92 | 26 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $1.67 | $5.00 | $1.30 – $12.70 | 26 |
| Urinalysis (with microscopy) CPT 81001 | $80.26 | $241.00 | $2.73 – $49.20 | 26 |
| Urinalysis (without microscopy) CPT 81003 | $71.93 | $216.00 | $1.94 – $38.54 | 26 |
| Urinary reflex study CPT 51792 | not published | not published | $75.47 – $959.70 | 17 |
| Urine Culture Test CPT 87086 | $170.83 | $513.00 | $6.94 – $88.56 | 26 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $33.75 – $319.37 | 17 |
| Urine pregnancy test CPT 81025 | $87.92 | $264.00 | $4.02 – $41.00 | 26 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,281.67 – $10,101.75 | 8 |
| Use 1st target lesion CPT 76982 | $149.85 | $450.00 | $87.55 – $569.81 | 24 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $310.69 | $933.00 | $186.60 – $793.05 | 11 |
| Vaccine dtap < 7 years im CPT 90700 | $71.27 | $214.00 | $35.06 – $175.48 | 15 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $196.14 | $589.00 | $117.80 – $521.65 | 15 |
| Vaccine dtap-ipv/hib im CPT 90698 | $263.07 | $790.00 | $88.33 – $647.80 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $49.62 | $149.00 | $29.80 – $171.45 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $25.31 | $76.00 | $15.20 – $85.15 | 15 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $161.51 | $485.00 | $97.00 – $397.70 | 15 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $76.26 | $229.00 | $45.80 – $213.70 | 15 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $150.85 | $453.00 | $19.35 – $374.20 | 24 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $42.96 | $129.00 | $14.43 – $134.05 | 24 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $519.48 | $1,560.00 | $284.40 – $1,279.20 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $171.50 | $515.00 | $75.24 – $487.05 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $494.51 | $1,485.00 | $166.03 – $1,312.25 | 24 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $545.13 | $1,637.00 | $327.40 – $1,391.45 | 11 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $80.59 | $242.00 | $48.40 – $242.20 | 15 |
| Vaccine rabies im CPT 90675 | $830.17 | $2,493.00 | $265.12 – $2,044.26 | 22 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,084.25 | $3,256.00 | $651.20 – $2,767.60 | 11 |
| Vaccine tdap >=7 years im CPT 90715 | $97.57 | $293.00 | $56.44 – $240.26 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $59.61 | $179.00 | $33.59 – $192.10 | 15 |
| Vaccine varicella live subcutaneous CPT 90716 | $381.96 | $1,147.00 | $117.42 – $940.54 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,237.03 – $12,230.89 | 17 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $656.68 – $12,230.89 | 17 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,158.54 – $12,230.89 | 17 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $698.23 – $18,321.91 | 17 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $639.96 – $12,230.89 | 17 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,264.65 – $12,230.89 | 17 |
| Vaginal bx CPT 58999 | not published | not published | $255.61 – $498.44 | 13 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $780.72 – $7,877.82 | 17 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,994.02 – $9,970.10 | 8 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,162.90 – $12,230.89 | 17 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,793.77 – $8,968.85 | 17 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,797.40 – $8,987.00 | 8 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,017.53 – $5,087.65 | 8 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $897.17 – $7,071.25 | 8 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $912.12 – $7,189.05 | 8 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $822.40 – $6,482.00 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | $170.83 | $513.00 | $5.20 – $86.35 | 26 |
| Valvuloplasty aortic CPT 92986 | $1,998.34 | $6,001.00 | $1,108.37 – $11,701.95 | 22 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,614.29 – $8,071.45 | 8 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,912.88 – $9,564.40 | 8 |
| Valvuloplasty mitral CPT 92987 | $8,490.84 | $25,498.00 | $1,197.84 – $28,098.19 | 22 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,477.33 – $11,643.95 | 8 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,582.43 – $12,472.30 | 8 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $34.97 | $105.00 | $11.00 – $46.75 | 11 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $52.95 | $159.00 | $11.00 – $46.75 | 11 |
| Vancomycin peak therapeutic drug level CPT 80202 | $196.14 | $589.00 | $10.66 – $86.35 | 26 |
| Varicella zoster antibody igg CPT 86787 | $60.61 | $182.00 | $1.30 – $81.60 | 26 |
| Varus/valgus strap padded/li HCPCS L2270 | $191.48 | $575.00 | $51.00 – $309.25 | 18 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $22,792.19 | $68,445.00 | $20,533.50 – $58,178.25 | 9 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $543.93 – $8,039.07 | 17 |
| Vasectomy CPT 55250 | not published | not published | $299.06 – $5,075.54 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $465.21 | $1,397.00 | $279.40 – $1,187.45 | 11 |
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.