San Diego Clairemont Mesa Medical Center
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA · Kaiserpermanente · · NPI 1013062769
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 |
|---|---|---|---|---|
| Chromosome count additional CPT 88285 | $101.92 | $196.00 | $18.00 – $18.00 | 1 |
| Chromosome karyotype study CPT 88280 | $158.08 | $304.00 | $24.00 – $24.00 | 1 |
| Chromosome study additional CPT 88289 | $178.36 | $343.00 | $24.00 – $24.00 | 1 |
| Chronic urticaria - sendout CPT 86343 | $134.16 | $258.00 | $8.00 – $8.00 | 1 |
| Chylomicron screen, bf - sendout CPT 82664 | $231.40 | $445.00 | $42.00 – $42.00 | 1 |
| Cid ext speech process repl HCPCS L8627 | $14,320.80 | $27,540.00 | not published | 0 |
| Cidofovir injection HCPCS J0740 | $1,203.18 | $2,313.80 | $529.00 – $529.00 | 1 |
| Cilastatin sodium injection HCPCS J0743 | $71.87 | $138.22 | $7.14 – $7.14 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | not published | 0 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $605,288.00 – $605,288.00 | 1 |
| Cine/video x-rays CPT 76120 | $239.20 | $460.00 | $96.00 – $96.00 | 1 |
| Cine/video x-rays add-on CPT 76125 | $182.00 | $350.00 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $17.45 | $33.56 | $2.32 – $2.32 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $43.89 | $84.41 | not published | 0 |
| Circum 28 days or older CPT 54161 | $3,676.40 | $7,070.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $286.00 | $550.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $873.60 | $1,680.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $834.60 | $1,605.00 | $1.95 – $1.95 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $138.00 – $138.00 | 1 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $729.14 | $1,402.20 | $9.52 – $9.52 | 1 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $6,591.00 | $12,675.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | $1,471.60 | $2,830.00 | not published | 0 |
| Claviculectomy total CPT 23125 | not published | not published | not published | 0 |
| Clean out mastoid cavity CPT 69222 | not published | not published | not published | 0 |
| Clearance of airways CPT 31720 | $176.80 | $340.00 | not published | 0 |
| Clearance of tear duct CPT 68530 | not published | not published | not published | 0 |
| C-lens fitg tech aphakia 1 CPT 92315 | $286.00 | $550.00 | not published | 0 |
| C-lens fitg tech aphakia ou CPT 92316 | $197.60 | $380.00 | not published | 0 |
| C-lens fitg tech corneosclrl CPT 92317 | $122.20 | $235.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $38.06 | $73.20 | $1.67 – $1.67 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | $14,898.00 | $28,650.00 | not published | 0 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $312.00 | $600.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $536.64 | $1,032.00 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $4,784.71 | $9,201.37 | $15.00 – $15.00 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $286.52 | $551.00 | $18.00 – $18.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $624.00 | $1,200.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $946.40 | $1,820.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $842.40 | $1,620.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,329.60 | $4,480.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $535.60 | $1,030.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $946.40 | $1,820.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $535.60 | $1,030.00 | not published | 0 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $998.40 | $1,920.00 | not published | 0 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,407.60 | $4,630.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $3,624.40 | $6,970.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $452.40 | $870.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $452.40 | $870.00 | not published | 0 |
| Closed tx vert fx w/manj CPT 22315 | $3,296.80 | $6,340.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $728.00 | $1,400.00 | not published | 0 |
| Close mastoid fistula CPT 69700 | $1,050.40 | $2,020.00 | not published | 0 |
| Close tear duct opening CPT 68760 | not published | not published | not published | 0 |
| Close tear duct opening CPT 68761 | not published | not published | not published | 0 |
| Close tear system fistula CPT 68770 | not published | not published | not published | 0 |
| Clostridium toxin a w/optic CPT 87803 | $82.68 | $159.00 | $12.00 – $12.00 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,062.80 | $5,890.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,294.80 | $2,490.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | $1,924.00 | $3,700.00 | not published | 0 |
| Closure of salivary fistula CPT 42600 | not published | not published | not published | 0 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $16,638.96 | $31,998.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $167.96 | $323.00 | $13.00 – $13.00 | 1 |
| Clot factor viii reltd antgn CPT 85244 | $196.56 | $378.00 | $13.00 – $13.00 | 1 |
| Clot factor wght kininogen CPT 85293 | $167.96 | $323.00 | $13.00 – $13.00 | 1 |
| Clot factor xii hageman CPT 85280 | $197.60 | $380.00 | $13.00 – $13.00 | 1 |
| Clot factor xiii fibrin scrn CPT 85291 | $118.04 | $227.00 | $7.00 – $7.00 | 1 |
| Clot factor xiii fibrin stab CPT 85290 | $188.76 | $363.00 | $12.00 – $12.00 | 1 |
| Clotting assay whole blood CPT 85396 | $78.00 | $150.00 | not published | 0 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.13 – $1.13 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $712.40 | $1,370.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $509.60 | $980.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $3,296.80 | $6,340.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,430.00 | $2,750.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $452.40 | $870.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $452.40 | $870.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $452.40 | $870.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $691.60 | $1,330.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $462.80 | $890.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,116.40 | $4,070.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $3,073.20 | $5,910.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $452.40 | $870.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $452.40 | $870.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $546.00 | $1,050.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,092.00 | $2,100.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $452.40 | $870.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $946.40 | $1,820.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $665.60 | $1,280.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $577.20 | $1,110.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $551.20 | $1,060.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $582.40 | $1,120.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,456.00 | $2,800.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $535.60 | $1,030.00 | not published | 0 |
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.