San Rafael Medical Center
99 MONTECILLO RD, SAN RAFAEL, CA · Kaiserpermanente · · NPI 1194895227
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 |
|---|---|---|---|---|
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $142.24 | $254.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $56.38 | $100.68 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | $935.20 | $1,670.00 | not published | 0 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $6,837.60 | $12,210.00 | not published | 0 |
| Transab esoph hiat hern rpr CPT 43333 | $6,837.60 | $12,210.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $6,087.20 | $10,870.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $34,540.80 | $61,680.00 | not published | 0 |
| Transcath closure of vsd CPT 93581 | $34,540.80 | $61,680.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $3,606.40 | $6,440.00 | not published | 0 |
| Transcath mv repair addl prosthesis CPT 33419 | $2,951.20 | $5,270.00 | not published | 0 |
| Transcath mv repair init prosthesis CPT 33418 | $7,341.60 | $13,110.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $2,284.80 | $4,080.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $34,395.20 | $61,420.00 | not published | 0 |
| Trans cath replace aortic valve 33366 CPT 33366 | $6,025.60 | $10,760.00 | not published | 0 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $7,649.60 | $13,660.00 | not published | 0 |
| Transcrv abltj utrn fibrd rf CPT 58580 | $13,356.00 | $23,850.00 | not published | 0 |
| Transcutaneous carboxyhb CPT 88740 | $51.52 | $92.00 | $8.00 – $8.00 | 1 |
| Transcutaneous hgb 88738 CPT 88738 | $31.92 | $57.00 | $5.00 – $5.00 | 1 |
| Transcutaneous methb CPT 88741 | $51.52 | $92.00 | $8.00 – $8.00 | 1 |
| Transfer of abdominal muscle CPT 27100 | $14,162.40 | $25,290.00 | not published | 0 |
| Transfer of embryo CPT 58976 | $1,624.00 | $2,900.00 | not published | 0 |
| Transfer of iliopsoas muscle CPT 27110 | $10,035.20 | $17,920.00 | not published | 0 |
| Transfer of iliopsoas muscle CPT 27111 | $7,968.80 | $14,230.00 | not published | 0 |
| Transfer of spinal muscle CPT 27105 | $7,968.80 | $14,230.00 | not published | 0 |
| Transferrin CPT 84466 | $62.72 | $112.00 | $11.00 – $11.00 | 1 |
| Transfer skin pedicle flap CPT 15650 | $5,504.80 | $9,830.00 | not published | 0 |
| Transfer tendon to pelvis CPT 27098 | $7,285.60 | $13,010.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,450.40 | $2,590.00 | not published | 0 |
| Transorl lwr esophgl myotomy CPT 43497 | $6,921.60 | $12,360.00 | not published | 0 |
| Transperi needle place pros CPT 55875 | $13,092.80 | $23,380.00 | not published | 0 |
| Transplant forearm tendon CPT 25310 | $3,701.60 | $6,610.00 | not published | 0 |
| Transplant forearm tendon CPT 25312 | $9,307.20 | $16,620.00 | not published | 0 |
| Transplant/graft hand tendon CPT 26483 | $9,564.80 | $17,080.00 | not published | 0 |
| Transplant/graft palm tendon CPT 26489 | $7,968.80 | $14,230.00 | not published | 0 |
| Transplant hand tendon CPT 26480 | $4,020.80 | $7,180.00 | not published | 0 |
| Transplant of thigh tendon CPT 27396 | $10,035.20 | $17,920.00 | not published | 0 |
| Transplant palm tendon CPT 26485 | $8,741.60 | $15,610.00 | not published | 0 |
| Transplants of thigh tendons CPT 27397 | $10,035.20 | $17,920.00 | not published | 0 |
| Transplj hematopoietic boost CPT 38243 | $5,801.60 | $10,360.00 | not published | 0 |
| Transplt allo hct/donor CPT 38240 | $59,393.60 | $106,060.00 | not published | 0 |
| Transplt allo lymphocytes CPT 38242 | $4,373.60 | $7,810.00 | not published | 0 |
| Transplt autol hct/donor CPT 38241 | $11,754.40 | $20,990.00 | not published | 0 |
| Transposition of vein valve CPT 34510 | $10,332.00 | $18,450.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $112.00 | $200.00 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $86.80 | $155.00 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $86.80 | $155.00 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $112.00 | $200.00 | not published | 0 |
| Transthor cath for stent CPT 33621 | $3,612.00 | $6,450.00 | not published | 0 |
| Transthor diaphrag hern repair 43334 CPT 43334 | $6,837.60 | $12,210.00 | not published | 0 |
| Transthor diaphrag hern rpr CPT 43335 | $6,837.60 | $12,210.00 | not published | 0 |
| Transurethral rf treatment CPT 53860 | $6,115.20 | $10,920.00 | not published | 0 |
| Transvrs a-arch grf hypthrm CPT 33871 | $6,120.80 | $10,930.00 | not published | 0 |
| Trapezius sling HCPCS L1070 | $128.80 | $230.00 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,748.07 | $4,907.27 | $104.00 – $104.00 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $6,678.85 | $11,926.52 | $90.00 – $90.00 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $5,950.10 | $10,625.17 | $81.00 – $81.00 | 1 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $12,658.80 | $22,605.00 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $940.80 | $1,680.00 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $588.00 | $1,050.00 | $22.00 – $22.00 | 1 |
| Treat ankle dislocation CPT 27842 | $5,812.80 | $10,380.00 | not published | 0 |
| Treat ankle dislocation CPT 27846 | $12,045.60 | $21,510.00 | not published | 0 |
| Treat ankle dislocation CPT 27848 | $12,045.60 | $21,510.00 | not published | 0 |
| Treat ankle fracture CPT 28445 | $5,488.00 | $9,800.00 | not published | 0 |
| Treat big toe fracture CPT 28505 | $4,485.60 | $8,010.00 | not published | 0 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | $14,319.20 | $25,570.00 | not published | 0 |
| Treat clavicle dislocation 23545 CPT 23545 | $1,120.00 | $2,000.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59150 | $15,192.80 | $27,130.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $15,192.80 | $27,130.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $6,512.80 | $11,630.00 | not published | 0 |
| Treat elbow dislocation CPT 24615 | $14,481.60 | $25,860.00 | not published | 0 |
| Treat elbow fracture CPT 24586 | $24,768.80 | $44,230.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $5,812.80 | $10,380.00 | not published | 0 |
| Treat elbow fracture CPT 24635 | $6,316.80 | $11,280.00 | not published | 0 |
| Treat eyelid by injection CPT 68200 | $683.20 | $1,220.00 | not published | 0 |
| Treat eyelid lesion 67850 CPT 67850 | $4,575.20 | $8,170.00 | not published | 0 |
| Treat finger fracture each CPT 26727 | $8,915.20 | $15,920.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $1,243.20 | $2,220.00 | not published | 0 |
| Treat foot bone lesion CPT 28005 | $9,245.60 | $16,510.00 | not published | 0 |
| Treat foot dislocation CPT 28540 | $935.20 | $1,670.00 | not published | 0 |
| Treat foot dislocation CPT 28545 | $8,573.60 | $15,310.00 | not published | 0 |
| Treat foot dislocation CPT 28546 | $5,112.80 | $9,130.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $935.20 | $1,670.00 | not published | 0 |
| Treat foot dislocation CPT 28576 | $5,112.80 | $9,130.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $935.20 | $1,670.00 | not published | 0 |
| Treat foot dislocation CPT 28605 | $1,125.60 | $2,010.00 | not published | 0 |
| Treat foot dislocation CPT 28606 | $9,564.80 | $17,080.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $3,332.00 | $5,950.00 | not published | 0 |
| Treat fracture of radius CPT 25520 | $1,164.80 | $2,080.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $1,125.60 | $2,010.00 | not published | 0 |
| Treat/graft heel fracture CPT 28420 | $17,998.40 | $32,140.00 | not published | 0 |
| Treat hand bone lesion CPT 26034 | $5,112.80 | $9,130.00 | not published | 0 |
| Treat hand dislocation CPT 26675 | $1,114.40 | $1,990.00 | not published | 0 |
| Treat hand dislocation CPT 26685 | $9,564.80 | $17,080.00 | not published | 0 |
| Treat hand dislocation CPT 26686 | $7,968.80 | $14,230.00 | not published | 0 |
| Treat heel fracture CPT 28415 | $17,729.60 | $31,660.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $5,359.20 | $9,570.00 | not published | 0 |
| Treat hip dislocation CPT 27257 | $5,359.20 | $9,570.00 | not published | 0 |
| Treat humerus fracture CPT 24515 | $22,120.00 | $39,500.00 | not published | 0 |
| Treat humerus fracture CPT 24516 | $12,896.80 | $23,030.00 | not published | 0 |
| Treat humerus fracture CPT 24535 | $1,271.20 | $2,270.00 | 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.