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 |
|---|---|---|---|---|
| Pq dr cath chg w cont s&i CPT 75984 | $847.60 | $1,630.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,896.80 | $11,340.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $1,185.60 | $2,280.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $4,061.20 | $7,810.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $5,699.20 | $10,960.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $5,558.80 | $10,690.00 | not published | 0 |
| Pralatrexate injection HCPCS J9307 | $20,353.38 | $39,141.12 | $389.00 – $389.00 | 1 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $143.26 | $275.50 | $92.00 – $92.00 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,108.00 | $7,900.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $390.00 | $750.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $405.60 | $780.00 | not published | 0 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $70.72 | $136.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $722.80 | $1,390.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $5,480.80 | $10,540.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $3,406.00 | $6,550.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $75.92 | $146.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $2,308.80 | $4,440.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,308.80 | $4,440.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $5,740.80 | $11,040.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $424.32 | $816.00 | not published | 0 |
| Prealbumin CPT 84134 | $135.72 | $261.00 | $10.00 – $10.00 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1,360.92 | $2,617.15 | $0.27 – $0.27 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $211.95 | $407.60 | $0.01 – $0.01 | 1 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | not published | 0 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | not published | 0 |
| Pregabalin - sendout CPT 80366 | not published | not published | $18.00 – $18.00 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,340.00 | $4,500.00 | not published | 0 |
| Pregnancy associated plasma protein-a CPT 84163 | $121.68 | $234.00 | $10.00 – $10.00 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $728.00 | $1,400.00 | $99.00 – $99.00 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $696.80 | $1,340.00 | $96.00 – $96.00 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | not published | 0 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | not published | 0 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | not published | 0 |
| Preparation for bladder xray CPT 51605 | $1,222.00 | $2,350.00 | not published | 0 |
| Preparation palate mold CPT 42280 | $1,497.60 | $2,880.00 | not published | 0 |
| Prepare sperm duct x-ray CPT 55300 | $494.00 | $950.00 | not published | 0 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $1,721.20 | $3,310.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,343.60 | $6,430.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,346.80 | $2,590.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $193.44 | $372.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $2,267.20 | $4,360.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $193.00 – $193.00 | 1 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $67.00 – $67.00 | 1 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $193.00 – $193.00 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $67.00 – $67.00 | 1 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $193.00 – $193.00 | 1 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $318.24 | $612.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $292.24 | $562.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,496.00 | $4,800.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,761.20 | $5,310.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,445.60 | $2,780.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | $130.00 | $250.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $171.60 | $330.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $145.60 | $280.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $197.60 | $380.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $254.80 | $490.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $260.00 | $500.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,888.00 | $9,400.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,935.20 | $15,260.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,456.40 | $8,570.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,003.60 | $1,930.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $468.00 | $900.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $998.40 | $1,920.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,071.20 | $2,060.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $218.92 | $421.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $956.80 | $1,840.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,674.80 | $8,990.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $878.80 | $1,690.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $1,055.60 | $2,030.00 | not published | 0 |
| Probe nl duct w/balloon CPT 68816 | $2,927.60 | $5,630.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $976.04 | $1,877.00 | $194.00 – $194.00 | 1 |
| Procalcitonin CPT 84145 | $157.56 | $303.00 | $18.00 – $18.00 | 1 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $43.00 – $43.00 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.22 | $42.74 | $2.52 – $2.52 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.38 – $0.38 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | $5,096.00 | $9,800.00 | not published | 0 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $3,016.00 | $5,800.00 | not published | 0 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $3,016.00 | $5,800.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $2,340.00 | $4,500.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | $4,836.00 | $9,300.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45309 | $3,016.00 | $5,800.00 | not published | 0 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $3,016.00 | $5,800.00 | not published | 0 |
| Proctosigmoidoscopy volvul CPT 45321 | $5,096.00 | $9,800.00 | not published | 0 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $3,016.00 | $5,800.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $4,836.00 | $9,300.00 | not published | 0 |
| Proctosigmoidoscopy w/stent CPT 45327 | $6,240.00 | $12,000.00 | not published | 0 |
| Progesterone CPT 84144 | $132.08 | $254.00 | $15.00 – $15.00 | 1 |
| Prolactin CPT 84146 | $107.12 | $206.00 | $13.00 – $13.00 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | $785.20 | $1,510.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.75 – $0.75 | 1 |
| Promethazine hcl injection HCPCS J2550 | $6.68 | $12.85 | $2.87 – $2.87 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $878.80 | $1,690.00 | not published | 0 |
| Proph rta dtchmnt pc CPT 67145 | $1,513.20 | $2,910.00 | not published | 0 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | not published | 0 |
| Prophylactic tx radius CPT 25490 | not published | not published | not published | 0 |
| Prophylactic tx radius&ulna CPT 25492 | $4,914.00 | $9,450.00 | not published | 0 |
| Prophylactic tx ulna CPT 25491 | not published | not published | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $66.25 | $127.40 | $0.09 – $0.09 | 1 |
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.