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 |
|---|---|---|---|---|
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $712.40 | $1,370.00 | not published | 0 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $858.00 | $1,650.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,530.80 | $6,790.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $3,286.40 | $6,320.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $577.20 | $1,110.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27197 | $660.40 | $1,270.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27198 | $660.40 | $1,270.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,007.20 | $3,860.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $452.40 | $870.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $946.40 | $1,820.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $452.40 | $870.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,783.60 | $3,430.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $946.40 | $1,820.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,880.80 | $5,540.00 | not published | 0 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $3,047.20 | $5,860.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $520.00 | $1,000.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $452.40 | $870.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,258.40 | $2,420.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $452.40 | $870.00 | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $488.80 | $940.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $535.60 | $1,030.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $852.80 | $1,640.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $535.60 | $1,030.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $452.40 | $870.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $1,164.80 | $2,240.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,064.40 | $3,970.00 | not published | 0 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $3,286.40 | $6,320.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $535.60 | $1,030.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $946.40 | $1,820.00 | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $535.60 | $1,030.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,626.00 | $5,050.00 | not published | 0 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,034.80 | $1,990.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | not published | 0 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | not published | 0 |
| Cltx post ankle fx CPT 27767 | $483.60 | $930.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $946.40 | $1,820.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $946.40 | $1,820.00 | not published | 0 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $598.00 | $1,150.00 | not published | 0 |
| Cltx thigh fx CPT 27267 | not published | not published | not published | 0 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | not published | 0 |
| Cmbn ant pst colprhy CPT 57260 | $2,293.20 | $4,410.00 | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | $1,202.24 | $2,312.00 | not published | 0 |
| C motor evoked uppr limbs CPT 95928 | $2,016.56 | $3,878.00 | not published | 0 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,016.56 | $3,878.00 | not published | 0 |
| Cmptr ophth dx img ant segmt CPT 92132 | $187.20 | $360.00 | not published | 0 |
| Cmptr ophth img optic nerve CPT 92133 | $187.20 | $360.00 | not published | 0 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $79.56 | $153.00 | $10.00 – $10.00 | 1 |
| #cms hgb-sulfhemoglobin CPT 83060 | $66.56 | $128.00 | $7.00 – $7.00 | 1 |
| #cmvcul-virus inoculation shell CPT 87254 | $110.76 | $213.00 | $13.00 – $13.00 | 1 |
| Cmv pcr-sendout CPT 87496 | $229.84 | $442.00 | $24.00 – $24.00 | 1 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $57.00 – $57.00 | 1 |
| Co2 monitor per day CPT 94681 | $477.36 | $918.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $8.56 | $16.46 | $2.65 – $2.65 | 1 |
| Coagulation time activated teg CPT 85347 | $52.00 | $100.00 | $3.00 – $3.00 | 1 |
| Coagulation time lee & white CPT 85345 | $37.96 | $73.00 | $3.00 – $3.00 | 1 |
| Coagulation time otr method CPT 85348 | $34.32 | $66.00 | $3.00 – $3.00 | 1 |
| Cocaine 4 % nasal solution HCPCS C9046 | $585.04 | $1,125.08 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $8,798.40 | $16,920.00 | not published | 0 |
| Coch implant headset replace HCPCS L8615 | $988.00 | $1,900.00 | not published | 0 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.13 – $1.13 | 1 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $249.60 | $480.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $69.16 | $133.00 | $5.00 – $5.00 | 1 |
| Cold agglutinin titer CPT 86157 | $67.60 | $130.00 | $5.00 – $5.00 | 1 |
| Colistimethate sodium inj HCPCS J0770 | $62.00 | $119.24 | $11.00 – $11.00 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | $11,984.40 | $23,046.92 | $73.00 – $73.00 | 1 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $2,293.20 | $4,410.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $52.00 | $100.00 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $93.60 | $180.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $232.96 | $448.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $187.20 | $360.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $140.40 | $270.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $26.52 | $51.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $2,080.00 | $4,000.00 | not published | 0 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy for bleeding 44391 CPT 44391 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy for foreign body CPT 44390 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $3,016.00 | $5,800.00 | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | $2,080.00 | $4,000.00 | not published | 0 |
| Colonoscopy thru stoma spx CPT 44388 | $2,184.00 | $4,200.00 | not published | 0 |
| Colonoscopy w/ablation CPT 45388 | $3,120.00 | $6,000.00 | not published | 0 |
| Colonoscopy w/balloon dilat CPT 45386 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy w/decompression CPT 44408 | $2,184.00 | $4,200.00 | not published | 0 |
| Colonoscopy w/dilation CPT 44405 | $2,704.00 | $5,200.00 | not published | 0 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $3,536.00 | $6,800.00 | not published | 0 |
| Colonoscopy w/fb removal CPT 45379 | $2,288.00 | $4,400.00 | not published | 0 |
| Colonoscopy w/injection CPT 44404 | $3,016.00 | $5,800.00 | 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.