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 |
|---|---|---|---|---|
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $592.80 | $1,140.00 | $96.00 – $96.00 | 1 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $494.00 | $950.00 | $96.00 – $96.00 | 1 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $426.40 | $820.00 | $81.00 – $81.00 | 1 |
| X-ray scapula complete (both sides) CPT 73010 | $369.20 | $710.00 | $96.00 – $96.00 | 1 |
| X-ray sella turcica CPT 70240 | $265.20 | $510.00 | $81.00 – $81.00 | 1 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $343.20 | $660.00 | $81.00 – $81.00 | 1 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $468.00 | $900.00 | $81.00 – $81.00 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,435.20 | $2,760.00 | $498.00 – $498.00 | 1 |
| X-ray skull < 4 views CPT 70250 | $353.60 | $680.00 | $96.00 – $96.00 | 1 |
| X-ray skull > 4 views complete CPT 70260 | $520.00 | $1,000.00 | $96.00 – $96.00 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $587.60 | $1,130.00 | $96.00 – $96.00 | 1 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $613.60 | $1,180.00 | $161.00 – $161.00 | 1 |
| X-ray small intestine follow-through study CPT 74248 | $977.60 | $1,880.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $405.60 | $780.00 | $81.00 – $81.00 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $317.20 | $610.00 | $81.00 – $81.00 | 1 |
| X-ray sternum > 2 views CPT 71120 | $286.00 | $550.00 | $81.00 – $81.00 | 1 |
| X-ray surgical specimen CPT 76098 | $1,222.00 | $2,350.00 | $498.00 – $498.00 | 1 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $546.00 | $1,050.00 | $161.00 – $161.00 | 1 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $410.80 | $790.00 | $81.00 – $81.00 | 1 |
| X-ray thoracic spine 2 views CPT 72070 | $317.20 | $610.00 | $96.00 – $96.00 | 1 |
| X-ray thoracic spine 3 views CPT 72072 | $452.40 | $870.00 | $96.00 – $96.00 | 1 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $327.60 | $630.00 | $81.00 – $81.00 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $286.00 | $550.00 | $81.00 – $81.00 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $390.00 | $750.00 | $96.00 – $96.00 | 1 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $369.20 | $710.00 | $81.00 – $81.00 | 1 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $260.00 | $500.00 | $81.00 – $81.00 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $660.40 | $1,270.00 | $161.00 – $161.00 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $603.20 | $1,160.00 | $161.00 – $161.00 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $291.20 | $560.00 | $81.00 – $81.00 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $452.40 | $870.00 | $161.00 – $161.00 | 1 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $1,107.60 | $2,130.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $96.20 | $185.00 | $8.00 – $8.00 | 1 |
| Xyntha inj HCPCS J7185 | $6.65 | $12.79 | $1.54 – $1.54 | 1 |
| Yersinia antibody CPT 86793 | $117.52 | $226.00 | $8.00 – $8.00 | 1 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $101,570.73 | $195,328.32 | $83,439.00 – $83,439.00 | 1 |
| Ziconotide injection HCPCS J2278 | $9,670.56 | $18,597.24 | $10.00 – $10.00 | 1 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $64.52 | $124.07 | $1.51 – $1.51 | 1 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.51 – $1.51 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $217.36 | $418.00 | $35.00 – $35.00 | 1 |
| Zika virus igm antibody CPT 86794 | $123.24 | $237.00 | $12.00 – $12.00 | 1 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $1.04 | $2.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $123.21 | $236.95 | $3.14 – $3.14 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $5,215.08 | $10,029.00 | $7.74 – $7.74 | 1 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $7,810.92 | $15,021.00 | $33.00 – $33.00 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,126.46 | $4,089.34 | $5.20 – $5.20 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $81.00 – $81.00 | 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.