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 |
|---|---|---|---|---|
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $748.80 | $1,440.00 | $403.00 – $403.00 | 1 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,703.52 | $3,276.00 | $918.00 – $918.00 | 1 |
| Surgical trays HCPCS A4550 | $1,204.32 | $2,316.00 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $54.60 | $105.00 | $3.00 – $3.00 | 1 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $34.84 | $67.00 | $3.00 – $3.00 | 1 |
| Susceptibility mic per plate CPT 87186 | $117.00 | $225.00 | $7.00 – $7.00 | 1 |
| Suscept studies macrobroth dilution ea CPT 87188 | $59.28 | $114.00 | $5.00 – $5.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | not published | 0 |
| Svc venogram s&i CPT 75827 | $3,546.40 | $6,820.00 | $1,410.00 – $1,410.00 | 1 |
| Sweat collection by iontophoresis CPT 89230 | $187.72 | $361.00 | $61.00 – $61.00 | 1 |
| Sympathectomy cervical CPT 64802 | not published | not published | not published | 0 |
| Sympathectomy digital artery CPT 64820 | not published | not published | not published | 0 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.61 – $5.61 | 1 |
| Synthetic sentence id test CPT 92576 | $99.32 | $191.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $2,224.67 | $4,278.21 | $8.93 – $8.93 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $55.64 | $107.00 | $3.00 – $3.00 | 1 |
| System cardiomems hosp electronics HCPCS C2624 | $19,110.00 | $36,750.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $18,954.00 | $36,450.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $17,957.94 | $34,534.50 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $5,850.00 | $11,250.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $52.52 | $101.00 | $12.00 – $12.00 | 1 |
| T3 (triiodothyronine) total CPT 84480 | $53.04 | $102.00 | $10.00 – $10.00 | 1 |
| T4 (thyroxine) free CPT 84439 | $68.12 | $131.00 | $7.00 – $7.00 | 1 |
| T4 (thyroxine) total CPT 84436 | $24.96 | $48.00 | $5.00 – $5.00 | 1 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $62.32 | $119.85 | $0.58 – $0.58 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $61.07 | $117.44 | $1.83 – $1.83 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4,787.39 | $9,206.52 | $0.15 – $0.15 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $416.36 | $800.69 | $263.00 – $263.00 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $21.32 | $41.00 | $10.00 – $10.00 | 1 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,288.06 | $4,400.11 | $14.00 – $14.00 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $1,135.98 | $2,184.57 | $74.00 – $74.00 | 1 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $17,325.22 | $33,317.73 | $73.00 – $73.00 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.88 – $1.88 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,216.80 | $2,340.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $868.40 | $1,670.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $319.00 – $319.00 | 1 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,785.04 | $9,202.00 | $1,227.00 – $1,227.00 | 1 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $250.00 – $250.00 | 1 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $22,487.40 | $43,245.00 | $1,567.00 – $1,567.00 | 1 |
| Tas congenital car anomal CPT 33741 | $3,260.40 | $6,270.00 | not published | 0 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | not published | 0 |
| Tavr perq femoral CPT 33361 | $15,454.40 | $29,720.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $651.37 | $1,252.64 | $0.14 – $0.14 | 1 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $57.00 – $57.00 | 1 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $35.00 – $35.00 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.00 – $8.00 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $81.00 – $81.00 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $81.00 – $81.00 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $69.00 – $69.00 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $96.72 | $186.00 | $42.00 – $42.00 | 1 |
| Tc-99m apcitide diag HCPCS A9504 | $672.88 | $1,294.00 | $592.00 – $592.00 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | $1,658.28 | $3,189.00 | $1,460.00 – $1,460.00 | 1 |
| Tc-99m bicisate HCPCS A9557 | $3,632.20 | $6,985.00 | $3,198.00 – $3,198.00 | 1 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $902.00 – $902.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | $91.08 | $175.15 | $70.00 – $70.00 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,428.92 | $4,671.00 | $2,139.00 – $2,139.00 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $2,922.38 | $5,619.96 | $1,806.00 – $1,806.00 | 1 |
| Tc-99m fanolesomab diag HCPCS A9566 | $514.80 | $990.00 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $31.20 | $60.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $1,284.41 | $2,470.02 | $123.00 – $123.00 | 1 |
| Tc-99m maa HCPCS A9540 | $1,240.20 | $2,385.00 | $35.00 – $35.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $631.80 | $1,215.00 | $58.00 – $58.00 | 1 |
| Tc-99m medronate HCPCS A9503 | $550.68 | $1,059.00 | $69.00 – $69.00 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $1,015.56 | $1,953.00 | $894.00 – $894.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $607.38 | $1,168.04 | $59.00 – $59.00 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $209.41 | $402.71 | $32.00 – $32.00 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $27.04 | $52.00 | $24.00 – $24.00 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $9,983.10 | $19,198.27 | $13.00 – $13.00 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $510.02 | $980.81 | $48.00 – $48.00 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,010.45 | $1,943.18 | $151.00 – $151.00 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $995.90 | $1,915.19 | $570.00 – $570.00 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $3,471.00 | $6,675.00 | $234.00 – $234.00 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $3,976.38 | $7,646.88 | $132.00 – $132.00 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,527.01 | $2,936.55 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | not published | 0 |
| Tcd emboli detect without inj CPT 93892 | $475.28 | $914.00 | not published | 0 |
| T-cell depletion of harvest CPT 38210 | $1,315.60 | $2,530.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $157.56 | $303.00 | $32.00 – $32.00 | 1 |
| T cells absolute cd 4 count CPT 86361 | $215.28 | $414.00 | $18.00 – $18.00 | 1 |
| T cells total count CPT 86359 | $110.24 | $212.00 | $25.00 – $25.00 | 1 |
| Tcranial magn stim tx deli CPT 90868 | $617.24 | $1,187.00 | not published | 0 |
| Team conf without pat by phys CPT 99367 | $180.96 | $348.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $31,458.02 | $60,496.20 | $217.00 – $217.00 | 1 |
| Telavancin injection HCPCS J3095 | $1,112.38 | $2,139.20 | $7.74 – $7.74 | 1 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $333.00 – $333.00 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $333.00 – $333.00 | 1 |
| Temozolomide HCPCS J8700 | $3,534.16 | $6,796.46 | $0.36 – $0.36 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $1,650.84 | $3,174.70 | $10.00 – $10.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,174.20 | $6,104.23 | $32.00 – $32.00 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | not published | 0 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | not published | 0 |
| Tendon shortening CPT 26477 | $3,073.20 | $5,910.00 | not published | 0 |
| Tendon transfer with graft CPT 26492 | $1,476.80 | $2,840.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $13,464.07 | $25,892.45 | $172.00 – $172.00 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,471.60 | $2,830.00 | not published | 0 |
| Tenolysis triceps CPT 24332 | not published | not published | not published | 0 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | 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.