Hospital Riverside-San Bernardino-Ontario, CA

San Gorgonio Memorial Hospital

San Gorgonio Memorial Hospital in Banning, CA publishes cash prices for 144 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the California median for 132 of 142 procedures and above it for 9. By typical cash price it ranks #3 of 168 California hospitals and #1 of 20 hospitals in the Riverside, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

600 N Highland Springs Ave,Banning,CA,92220 Collected Sep 27, 2026 Source price file (951) 769-2101

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050054 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY $549.88 $2,749.42 $255.14–$1,534.95 74% below 80%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED $190.00 $950.00 $105.81–$334.14 53% below 80%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST $1,162.96 $5,814.82 $213.26–$931.00 63% below 80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR $2,397.55 $11,987.74 $225.00–$1,339.53 46% below 80%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW $121.53 $607.65 $26.99–$334.14 64% below 80%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST $684.87 $3,424.36 $127.11–$931.00 62% below 80%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- $708.84 $3,544.22 $127.11–$931.00 61% below 80%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI $136.95 $684.74 $45.45–$210.21 — 80%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $126.75 $633.76 $45.45–$210.21 69% below 80%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI $83.83 $419.15 $36.96–$164.20 76% below 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $263.41 $1,317.06 $125.45–$401.40 64% below 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS $272.63 $1,363.16 $125.45–$401.40 63% below 80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS $263.41 $1,317.06 $67.15–$401.40 62% below 80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS $272.63 $1,363.16 $83.23–$401.40 46% below 80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE $272.63 $1,363.16 $87.08–$401.40 67% below 80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT $268.38 $1,341.88 $89.70–$673.44 56% below 80%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) $5.73 $28.66 $5.04–$28.66 87% below 80%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) $5.73 $28.66 $4.92–$28.66 87% below 80%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $27.27 $136.35 $45.25–$142.89 89% below 80%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $23.00 $115.00 $4.96–$115.00 176% above 80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL $26.16 $130.82 $37.30–$130.82 85% below 80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE $27.08 $135.40 $37.30–$135.40 85% below 80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $46.88 $234.41 $28.86–$234.41 69% below 80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY $58.96 $294.78 $28.86–$294.78 61% below 80%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA $21.83 $109.14 $9.80–$109.14 91% below 80%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE $42.18 $210.88 $9.80–$210.88 82% below 80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE $3.49 $17.47 $4.58–$28.02 86% below 80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE $3.62 $18.09 $4.58–$28.02 85% below 80%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT $9.26 $46.29 $3.73–$46.29 75% below 80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS $13.31 $66.55 $7.14–$66.55 91% below 80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY $13.78 $68.88 $7.14–$68.88 91% below 80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO $22.92 $114.60 $6.38–$510.84 70% below 80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) $45.84 $229.20 $6.38–$510.84 40% below 80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION $15.56 $77.82 $4.92–$77.82 67% below 80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $16.11 $80.55 $4.92–$80.55 66% below 80%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE $18.96 $94.81 $35.41–$111.81 88% below 80%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 $30.00 $150.00 $19.77–$150.00 68% below 80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN $20.00 $100.00 $48.74–$153.93 71% below 80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB $122.81 $614.05 $48.74–$614.05 75% above 80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE $33.20 $166.00 $33.34–$166.00 39% below 80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE $34.36 $171.81 $33.34–$171.81 37% below 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $38.67 $193.34 $12.72–$193.34 62% below 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $40.02 $200.11 $12.72–$200.11 61% below 80%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $11.71 $58.57 $7.38–$58.57 89% below 80%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC $12.12 $60.62 $7.38–$60.62 89% below 80%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $6.26 $31.31 $6.15–$31.31 92% below 80%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $6.48 $32.41 $6.15–$32.41 91% below 80%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL $27.08 $135.40 $10.03–$135.40 89% below 80%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $52.33 $261.64 $10.03–$261.64 80% below 80%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE $14.81 $74.06 $9.67–$74.06 88% below 80%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT $15.33 $76.66 $9.67–$76.66 87% below 80%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL $39.20 $196.00 $18.65–$196.00 46% below 80%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL $21.09 $105.44 $12.95–$105.44 75% below 80%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN $21.83 $109.14 $12.95–$109.14 74% below 80%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM $15.20 $76.00 $13.96–$76.00 82% below 80%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM $15.73 $78.66 $13.96–$78.66 82% below 80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE $16.10 $80.50 $8.57–$80.50 76% below 80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST $11.89 $59.47 $4.51–$59.47 73% below 80%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) $14.25 $71.24 $12.23–$71.24 88% below 80%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY $16.72 $83.61 $16.01–$83.61 85% below 80%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY $8.17 $40.84 $13.02–$41.13 80% below 80%
HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS $20.57 $102.84 $13.02–$102.84 51% below 80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES $14.77 $73.83 $22.88–$73.83 76% below 80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA $22.00 $110.00 $22.88–$110.00 64% below 80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL $15.56 $77.82 $9.22–$77.82 76% below 80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C $16.11 $80.55 $9.22–$80.55 75% below 80%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT $9.53 $47.63 $10.20–$47.63 75% below 80%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $9.86 $49.30 $10.20–$49.30 74% below 80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN $9.53 $47.63 $9.81–$47.63 85% below 80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $9.86 $49.30 $9.81–$49.30 84% below 80%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST $9.17 $45.86 $13.56–$45.86 82% below 80%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 $12.53 $62.65 $12.53–$62.65 33% below 80%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON $16.78 $83.92 $6.15–$83.92 62% below 80%
Iron blood test (serum iron) CPT 83540 IRON LEVEL $48.65 $243.24 $6.15–$243.24 10% above 80%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST $8.82 $44.08 $8.30–$44.08 84% below 80%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL $15.49 $77.46 $6.55–$77.46 79% below 80%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE $16.04 $80.18 $6.55–$80.18 79% below 80%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL $16.22 $81.08 $7.76–$81.08 88% below 80%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $16.78 $83.92 $7.76–$83.92 87% below 80%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $15.99 $79.96 $6.36–$79.96 72% below 80%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $16.55 $82.76 $6.36–$82.76 71% below 80%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $22.00 $110.00 $12.24–$110.00 5% above 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $18.45 $92.24 $17.47–$92.24 61% below 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $13.31 $66.55 $5.71–$66.55 65% below 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $13.78 $68.88 $5.71–$68.88 63% below 80%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY $553.00 $2,765.00 $668.43–$2,765.00 68% below 80%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME $10.76 $53.79 $4.08–$53.79 77% below 80%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $11.14 $55.68 $4.08–$55.68 77% below 80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS $10.62 $53.11 $11.97–$53.11 87% below 80%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) $12.00 $60.00 $13.67–$60.00 70% below 80%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES $29.00 $145.00 $8.46–$145.00 62% above 80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS $8.14 $40.71 $4.16–$40.71 79% below 80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $8.43 $42.14 $4.16–$42.14 78% below 80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL $20.25 $101.26 $5.37–$101.26 44% below 80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL $14.90 $74.52 $4.06–$74.52 at median 80%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON $55.00 $275.00 $58.88–$275.00 22% below 80%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $30.80 $154.00 $13.82–$154.00 35% above 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $16.95 $84.74 $15.96–$84.74 80% below 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $17.54 $87.71 $15.96–$87.71 79% below 80%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD $8.94 $44.72 $4.29–$44.72 85% below 80%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID $9.26 $46.29 $4.29–$46.29 85% below 80%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $14.76 $73.80 $3.01–$73.80 82% below 80%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE $15.28 $76.39 $3.01–$76.39 82% below 80%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE $2.23 $11.13 $3.82–$12.06 95% below 80%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT $11.67 $58.34 $7.67–$58.34 92% below 80%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $13.78 $68.88 $8.18–$68.88 84% below 80%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL $15.20 $76.00 $14.33–$76.00 75% below 80%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $15.73 $78.66 $14.33–$78.66 75% below 80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL $21.89 $109.46 $14.30–$109.46 84% below 80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST $22.66 $113.30 $14.30–$113.30 84% below 80%

Surgery and procedures

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH $2,042.54 $10,212.70 $1,208.00–$6,341.46 52% below 80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC $2,114.03 $10,570.15 $1,208.00–$6,341.46 50% below 80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT $1,314.49 $6,572.43 $803.61–$2,537.73 27% below 80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT $1,360.49 $6,802.47 $803.61–$2,537.73 24% below 80%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE $344.89 $1,724.45 $390.37–$3,653.00 — 80%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $768.66 $3,843.30 $873.00–$3,570.66 63% below 80%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE $835.27 $4,176.36 $1,208.00–$13,534.47 85% below 80%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX $243.52 $1,217.61 $71.72–$873.00 39% above 80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE $618.69 $3,093.46 $858.26–$2,710.29 68% below 80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC $1,027.95 $5,139.73 $858.26–$2,710.29 46% below 80%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE $2,091.00 $10,454.99 $1,611.00–$24,856.83 72% below 80%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE $4,239.20 $21,195.99 $1,611.00–$13,747.29 7% below 80%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $2,662.41 $13,312.03 $4,294.00–$23,212.38 80% below 80%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE $5,027.36 $25,136.79 $4,294.00–$23,212.38 40% below 80%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER $2,700.80 $13,504.02 $976.30–$3,083.04 27% above 80%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP $1,312.83 $6,564.17 $1,611.00–$10,657.41 71% below 80%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE $1,423.23 $7,116.15 $2,080.00–$19,207.38 78% below 80%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $1,085.64 $5,428.19 $1,208.00–$12,429.24 85% below 80%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION $861.21 $4,306.04 — 47% above 80%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS $243.52 $1,217.61 $111.01–$1,208.00 48% below 80%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $1,568.24 $7,841.18 $2,080.00–$13,747.29 78% below 80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT $392.54 $1,962.71 $373.22–$1,178.58 41% below 80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $168.14 $840.72 $373.22–$1,611.00 77% below 80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT $252.05 $1,260.23 $373.22–$1,611.00 65% below 80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $167.09 $835.47 $373.22–$1,208.00 71% below 80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT $392.00 $1,960.01 $373.22–$1,208.00 31% below 80%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE $2,613.76 $13,068.80 $1,611.00–$23,212.38 67% below 80%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY $1,304.10 $6,520.50 $12,924.51–$40,814.25 89% below 80%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS $6,946.71 $34,733.55 $2,818.00–$40,814.25 37% below 80%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE $3,747.79 $18,738.95 $2,080.00–$23,212.38 76% below 80%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE $5,836.46 $29,182.28 $2,415.00–$23,212.38 34% below 80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS $252.05 $1,260.23 $494.28–$1,560.87 71% below 80%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $835.27 $4,176.36 $858.26–$2,710.29 50% below 80%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC $1,027.95 $5,139.73 $858.26–$2,710.29 38% below 80%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER $835.27 $4,176.36 $1,611.00–$12,429.24 81% below 80%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $358.46 $1,792.31 $1,102.77–$3,482.43 80% below 80%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE $1,957.72 $9,788.61 $1,102.77–$3,482.43 10% above 80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL $252.05 $1,260.23 $494.28–$1,560.87 80% below 80%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE $252.05 $1,260.23 $215.60–$1,560.87 67% below 80%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT $252.05 $1,260.23 $161.77–$873.00 38% below 80%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $243.52 $1,217.61 $197.58–$873.00 51% below 80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS $243.52 $1,217.61 $243.95–$1,208.00 45% below 80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR $237.79 $1,188.96 $858.26–$2,710.29 81% below 80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST $258.25 $1,291.26 $858.26–$2,710.29 79% below 80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM $243.52 $1,217.61 $243.95–$1,208.00 64% below 80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS $243.52 $1,217.61 $243.95–$1,208.00 63% below 80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES $141.12 $705.60 $494.28–$1,560.87 74% below 80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG $847.93 $4,239.63 $1,208.00–$6,341.46 73% below 80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH $3,404.23 $17,021.16 $1,208.00–$6,341.46 10% above 80%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,139.61 $5,698.07 $1,102.77–$3,482.43 36% below 80%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $422.87 $2,114.33 $1,102.77–$3,482.43 77% below 80%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS $211.19 $1,055.96 $536.41–$1,693.92 76% below 80%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT $715.68 $3,578.42 $536.41–$1,693.92 18% below 80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT $65.32 $326.60 $390.37–$3,653.00 — 80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION $724.74 $3,623.68 $390.37–$3,653.00 — 80%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR $2,018.61 $10,093.04 $649.00–$3,171.60 59% below 80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING $191.90 $959.50 $33.72–$226.50 43% below 80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $556.23 $2,781.15 $33.72–$226.50 65% above 80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY $59.80 $299.00 $97.00–$649.00 85% below 80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP $61.89 $309.47 $97.00–$649.00 84% below 80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY $144.20 $721.00 $97.00–$649.00 81% below 80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM $149.25 $746.24 $97.00–$649.00 80% below 80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $228.62 $1,143.08 $229.00–$1,048.11 81% below 80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM $236.62 $1,183.09 $229.00–$1,048.11 80% below 80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $638.50 $3,192.52 $507.34–$2,095.00 67% below 80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM $660.85 $3,304.26 $507.34–$2,095.00 66% below 80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $1,003.41 $5,017.06 $649.00–$3,108.00 69% below 80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM $1,038.53 $5,192.66 $649.00–$3,108.00 68% below 80%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) $611.21 $3,056.04 $110.84–$829.05 49% below 80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES $82.01 $410.07 $258.62–$816.69 82% below 80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT $84.89 $424.43 $258.62–$816.69 81% below 80%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT $93.97 $469.85 $258.62–$816.69 80% below 80%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS $163.25 $816.24 $258.62–$816.69 66% below 80%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS $168.96 $844.81 $390.37–$3,653.00 — 80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE $42.97 $214.85 $87.54–$276.45 73% below 80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $44.47 $222.37 $87.54–$276.45 72% below 80%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION $80.86 $404.32 $32.77–$165.00 37% below 80%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN $34.12 $170.62 $26.09–$82.38 66% below 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES $80.86 $404.32 $29.07–$165.00 37% below 80%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN $59.84 $299.20 $123.00–$714.33 87% below 80%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST $32.48 $162.38 $32.08–$829.05 90% below 80%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING $137.11 $685.54 $70.95–$1,432.77 82% below 80%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES $46.28 $231.38 $35.35–$165.00 66% below 80%

Vaccines

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax $196.58 $982.90 $34.88 37% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone 2014-2015 Formula $30.62 $153.08 $14.89 76% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone Quadrivalent 2022-2023 Formula $44.65 $223.26 $14.89 64% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone Quadrivalent 2021-2022 Formula $44.66 $223.28 $14.89 64% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone 2024-2025 Formula PFS $48.72 $243.59 $14.89 61% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2021-2022 Formula $65.27 $326.33 $14.89 48% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2019-2020 Formula $102.21 $511.04 $14.89 19% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2022-2023 Formula $118.56 $592.80 $14.89 5% below 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula $150.76 $753.78 $14.89 20% above 80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula $176.67 $883.33 $14.89 41% above 80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 PFS $488.76 $2,443.80 $128.27 3% below 80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 $239.04 $1,195.19 $9.39 48% above 80%
Rabies vaccine, one dose CPT 90675 RabAvert $674.06 $3,370.32 $78.76–$945.66 5% below 80%
Rabies vaccine, one dose CPT 90675 Imovax Rabies $801.11 $4,005.54 $78.76–$945.66 13% above 80%
Rabies vaccine, one dose CPT 90675 Acetaminophen $826.23 $4,131.17 $78.76–$945.66 17% above 80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS $101.44 $507.19 $22.21 21% above 80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix $101.44 $507.19 $22.21 21% above 80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE $22.21 $111.05 $87.54–$276.45 78% below 80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN $22.99 $114.94 $87.54–$276.45 77% below 80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE $4.63 $23.16 — 93% below 80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD $4.80 $23.98 — 93% below 80%

Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/8488f242c158e777c19a25c23da04087/charges/mrf