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 |
|---|---|---|---|---|
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,761.20 | $5,310.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $2,761.20 | $5,310.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,320.80 | $2,540.00 | not published | 0 |
| Drain chest lesion CPT 21502 | $4,680.00 | $9,000.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $405.60 | $780.00 | not published | 0 |
| Drain lower leg bursa CPT 27604 | $4,914.00 | $9,450.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $4,529.20 | $8,710.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $4,529.20 | $8,710.00 | not published | 0 |
| Drain ovarn cyst abd CPT 58805 | $4,711.20 | $9,060.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | not published | not published | not published | 0 |
| Drain penis lesion CPT 54015 | $3,322.80 | $6,390.00 | not published | 0 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | not published | 0 |
| Drain shoulder bursa 23031 CPT 23031 | $3,322.80 | $6,390.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $4,529.20 | $8,710.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,529.20 | $8,710.00 | not published | 0 |
| Drain thyroid/tongue cyst CPT 60000 | $1,851.20 | $3,560.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $405.60 | $780.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $369.20 | $710.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $722.80 | $1,390.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $904.80 | $1,740.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $8,131.20 | $15,636.92 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,686.80 | $7,090.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $748.80 | $1,440.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,173.60 | $4,180.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $1,518.40 | $2,920.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $1,497.60 | $2,880.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | not published | 0 |
| Drng of palm multi bursas 26030 CPT 26030 | $4,108.00 | $7,900.00 | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | $4,108.00 | $7,900.00 | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $2,860.00 | $5,500.00 | not published | 0 |
| Drng of salivary cyst 42409 CPT 42409 | $4,560.40 | $8,770.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,272.40 | $4,370.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | $3,062.80 | $5,890.00 | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $1,497.60 | $2,880.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.67 – $1.67 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $5.42 | $10.42 | $5.36 – $5.36 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $4,170.27 | $8,019.75 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $486.68 | $935.92 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $3,154.34 | $6,066.03 | not published | 0 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $572.00 | $1,100.00 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $135.72 | $261.00 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,465.97 | $14,357.63 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $696.80 | $1,340.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $145.08 | $279.00 | $27.00 – $27.00 | 1 |
| Drug assay posaconazole CPT 80187 | $110.76 | $213.00 | $18.00 – $18.00 | 1 |
| Drug assay rufinamide CPT 80210 | $141.44 | $272.00 | $18.00 – $18.00 | 1 |
| Drug assay vedolizumab CPT 80280 | $110.76 | $213.00 | $27.00 – $27.00 | 1 |
| Drug assay voriconazole CPT 80285 | $110.76 | $213.00 | $18.00 – $18.00 | 1 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $13.00 – $13.00 | 1 |
| Drug of abuse screen urine CPT 80305 | $84.76 | $163.00 | $8.00 – $8.00 | 1 |
| Drug screening tapentadol CPT 80372 | $48.88 | $94.00 | $18.00 – $18.00 | 1 |
| Drug screen quant tiagabine CPT 80199 | $160.68 | $309.00 | $18.00 – $18.00 | 1 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $18.00 – $18.00 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $136.00 – $136.00 | 1 |
| Drug test def 1-7 classes HCPCS G0480 | $210.08 | $404.00 | $79.00 – $79.00 | 1 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $170.00 – $170.00 | 1 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $108.00 – $108.00 | 1 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $42.00 – $42.00 | 1 |
| Drug test prsmv instrmnt CPT 80306 | $112.84 | $217.00 | $12.00 – $12.00 | 1 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $433.16 | $833.00 | $42.00 – $42.00 | 1 |
| Drvvt confirm - quest CPT 85597 | $145.08 | $279.00 | $12.00 – $12.00 | 1 |
| Dry needling (97799) CPT 97799 | $163.28 | $314.00 | not published | 0 |
| Dstrj extensive retinopathy CPT 67227 | $5,101.20 | $9,810.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,054.00 | $3,950.00 | not published | 0 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | not published | 0 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | not published | 0 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | not published | 0 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | not published | 0 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | not published | 0 |
| Ductogram sgl duct CPT 77053 | $691.60 | $1,330.00 | $220.00 – $220.00 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | $949.00 | $1,825.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $949.00 | $1,825.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $633.88 | $1,219.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $573.04 | $1,102.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,032.72 | $1,986.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $4,264.65 | $8,201.25 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $1,695.64 | $3,260.85 | $85.00 – $85.00 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $96.00 – $96.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,766.40 | $5,320.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,329.60 | $4,480.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,218.80 | $6,190.00 | not published | 0 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $2,340.00 | $4,500.00 | not published | 0 |
| Dx duod intub w/asp specs CPT 43757 | $2,340.00 | $4,500.00 | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $587.60 | $1,130.00 | not published | 0 |
| Dx gastr intub w/asp specs CPT 43755 | $728.00 | $1,400.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $1,014.00 | $1,950.00 | not published | 0 |
| Dx laryngoscopy w/oper scope CPT 31526 | $3,437.20 | $6,610.00 | not published | 0 |
| Dynamic cavernosometry CPT 54231 | $3,442.40 | $6,620.00 | not published | 0 |
| Dynamic surface emg CPT 96002 | $574.08 | $1,104.00 | not published | 0 |
| Ear and throat examination CPT 92502 | $2,251.60 | $4,330.00 | not published | 0 |
| Ear canal biopsy 69105 CPT 69105 | $3,062.80 | $5,890.00 | not published | 0 |
| Ear cartilage graft CPT 21235 | $2,652.00 | $5,100.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $187.20 | $360.00 | not published | 0 |
| Ear protector evaluation CPT 92596 | $144.56 | $278.00 | not published | 0 |
| Ecallantide injection HCPCS J1290 | $9,260.95 | $17,809.52 | $580.00 – $580.00 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $338.00 | $650.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $140.40 | $270.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $629.20 | $1,210.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $509.60 | $980.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $618.80 | $1,190.00 | 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.