Hospital Santa Cruz-Watsonville, CA

Sutter Maternity & Surgery Center of Santa Cruz

Sutter Maternity & Surgery Center of Santa Cruz in Santa Cruz, CA publishes cash prices for 135 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 129 of 134 procedures and below it for 5. By typical cash price it ranks #213 of 217 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2900 Chanticleer Avenue, Santa Cruz, CA 95065 Collected Sep 29, 2026 Source price file (831) 477-2200

Acute care hospital No emergency department CCN 050714 · CMS hospital register NPI 1689035628

The price file shows no self-pay discount

For 320 of the 320 prices listed here, the cash price in Sutter Maternity & Surgery Center of Santa Cruz's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Sutter Maternity & Surgery Center of Santa Cruz in Santa Cruz, CA:

  • Aug 6, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW) $1,422.00 $1,422.00 — 133% above —
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW) $1,422.00 $1,422.00 — — —
Chest X-ray, 2 views CPT 71046 HCHG XR CHEST SPECIAL VIEWS 2 VIEW $804.00 $804.00 — 95% above —
Chest X-ray, 2 views CPT 71046 HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW $804.00 $804.00 — 95% above —
Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW $804.00 $804.00 — — —
Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST SPECIAL VIEWS 2 VIEW $804.00 $804.00 — — —
Chest X-ray, single view CPT 71045 HCHG XR CHEST FRONTAL 1 VIEW $738.00 $738.00 — 103% above —
Chest X-ray, single view inpatient CPT 71045 HCHG XR CHEST FRONTAL 1 VIEW $738.00 $738.00 — — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONEUM COMPLETE $1,666.00 $1,666.00 — 95% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONEUM COMPLETE $1,666.00 $1,666.00 — — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG NI DUPLEX EXTREMITY VEINS BILATERAL $2,871.00 $2,871.00 — — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG NI DUPLEX EXTREMITY VEINS BILATERAL $2,871.00 $2,871.00 — — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG US ABD LTD $1,656.00 $1,656.00 — 100% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG US ABD LTD $1,656.00 $1,656.00 — — —
MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN W STEM WO CONTR $5,481.00 $5,481.00 — 88% above —
MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN W STEM WO CONTR $5,481.00 $5,481.00 — — —
MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN W STEM W AND WO CONTR $8,334.00 $8,334.00 — 89% above —
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W STEM W AND WO CONTR $8,334.00 $8,334.00 — — —
MRI of the lower back, no contrast dye CPT 72148 HCHG MRI SPINE LUMB WO CONTR $5,217.00 $5,217.00 — 68% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI SPINE LUMB WO CONTR $5,217.00 $5,217.00 — — —
MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI SPINE LUMB W AND WO CONTR $8,441.00 $8,441.00 — 85% above —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI SPINE LUMB W AND WO CONTR $8,441.00 $8,441.00 — — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI SPINE THOR WO CONTR $5,458.00 $5,458.00 — 74% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI SPINE THOR WO CONTR $5,458.00 $5,458.00 — — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI SPINE CERV W AND WO CONTR $8,560.00 $8,560.00 — 92% above —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI SPINE CERV W AND WO CONTR $8,560.00 $8,560.00 — — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI SPINE CERV WO CONTR $5,265.00 $5,265.00 — 72% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI SPINE CERV WO CONTR $5,265.00 $5,265.00 — — —
MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W AND WO CONTR $8,535.00 $8,535.00 — 100% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W AND WO CONTR $8,535.00 $8,535.00 — — —
MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS WO CONTR $5,735.00 $5,735.00 — 122% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS WO CONTR $5,735.00 $5,735.00 — — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US PELVIC LTD FOLLOW-UP NON-OB $944.00 $944.00 — 57% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG US PELVIC LTD FOLLOW-UP NON-OB $944.00 $944.00 — — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELVIC COMPLETE NON-OB $1,596.00 $1,596.00 — 70% above —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELVIC COMPLETE NON-OB $1,596.00 $1,596.00 — — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US OB LTD 1 OR MORE FETUS $1,194.00 $1,194.00 — 97% above —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US OB LTD 1 OR MORE FETUS $1,194.00 $1,194.00 — — —
Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANSVAGINAL NON-OB $1,310.00 $1,310.00 — 83% above —
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANSVAGINAL NON-OB $1,310.00 $1,310.00 — — —
Ultrasound of the abdomen, complete CPT 76700 HCHG US ABD COMPLETE $1,887.00 $1,887.00 — 64% above —
Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABD COMPLETE $1,887.00 $1,887.00 — — —
Ultrasound of the scrotum and testicles CPT 76870 HCHG US TESTICULAR SCROTUM $1,538.00 $1,538.00 — 72% above —
Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US TESTICULAR SCROTUM $1,538.00 $1,538.00 — — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US HEAD AND NECK SOFT TISSUE $1,368.00 $1,368.00 — 63% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US HEAD AND NECK SOFT TISSUE $1,368.00 $1,368.00 — — —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG XR UGI TRC SINGLE CONTRAST STUDY $1,658.00 $1,658.00 — 169% above —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG XR UGI TRC SINGLE CONTRAST STUDY $1,658.00 $1,658.00 — — —
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS $768.00 $768.00 — 86% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS $768.00 $768.00 — — —
X-ray of the abdomen, 1 view CPT 74018 HCHG XR ABD AP 1 VIEW $666.00 $666.00 — 119% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG XR ABD AP 1 VIEW $666.00 $666.00 — — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG XR SPINE LUMB 2 OR 3 VIEW $966.00 $966.00 — 107% above —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG XR SPINE LUMB 2 OR 3 VIEW $966.00 $966.00 — — —
X-ray of the lower back, 4 or more views CPT 72110 HCHG XR SPINE LUMB 4 VIEW OR MORE $1,151.00 $1,151.00 — 75% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG XR SPINE LUMB 4 VIEW OR MORE $1,151.00 $1,151.00 — — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG XR SPINE THOR 2 VIEW $932.00 $932.00 — 99% above —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG XR SPINE THOR 2 VIEW $932.00 $932.00 — — —
X-ray of the nasal bones, 3 or more views CPT 70160 HCHG XR NASAL BONES 3 VIEW OR MORE $869.00 $869.00 — 91% above —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG XR NASAL BONES 3 VIEW OR MORE $869.00 $869.00 — — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS $864.00 $864.00 — 84% above —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS $864.00 $864.00 — — —
X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG XR PELVIC 1 OR 2 VIEW $770.00 $770.00 — 94% above —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG XR PELVIC 1 OR 2 VIEW $770.00 $770.00 — — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG XR SACRUM COCCYX $928.00 $928.00 — 92% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG XR SACRUM COCCYX $928.00 $928.00 — — —

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG CORE ALT (SGPT) $112.00 $112.00 — 160% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG CORE ALT (SGPT) $112.00 $112.00 — — —
AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG CORE AST (SGOT) $114.00 $114.00 — 151% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG CORE AST (SGOT) $114.00 $114.00 — — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG CORE HEPATITIS PNL ACUTE $391.00 $391.00 — 44% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG CORE HEPATITIS PNL ACUTE $391.00 $391.00 — — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG CORE ANA (ANTI NUCLEAR AB) $98.00 $98.00 — 84% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG CORE ANA (ANTI NUCLEAR AB) $98.00 $98.00 — — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG CORE NATRIURETIC PEPTIDE $601.00 $601.00 — 187% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG CORE NATRIURETIC PEPTIDE $601.00 $601.00 — — —
Basic metabolic panel (blood test) CPT 80048 HCHG CORE BASIC METBLC PNL TOTAL CA $383.00 $383.00 — 98% above —
Basic metabolic panel (blood test) inpatient CPT 80048 HCHG CORE BASIC METBLC PNL TOTAL CA $383.00 $383.00 — — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG REF SURGICAL PATHOLOGY LEVEL IV $241.37 $241.37 — 86% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG REF APMG SURGICAL PATHOLOGY LEVEL IV $280.00 $280.00 — 116% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG REF SURGICAL PATHOLOGY LEVEL IV $241.37 $241.37 — — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG REF APMG SURGICAL PATHOLOGY LEVEL IV $280.00 $280.00 — — —
Blood culture for bacteria CPT 87040 HCHG CORE CULT BLD BACTERIA $469.00 $469.00 — 72% above —
Blood culture for bacteria inpatient CPT 87040 HCHG CORE CULT BLD BACTERIA $469.00 $469.00 — — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE CDPH PRENATAL $6.00 $6.00 — 70% below —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE $50.00 $50.00 — 148% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE CDPH PRENATAL $6.00 $6.00 — — —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE $50.00 $50.00 — — —
Blood glucose (sugar) test CPT 82947 HCHG CORE GLUCOSE $114.00 $114.00 — 204% above —
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE $114.00 $114.00 — 204% above —
Blood glucose (sugar) test CPT 82947 HCHG POCT GLUCOSE $114.00 $114.00 — 204% above —
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE $114.00 $114.00 — — —
Blood glucose (sugar) test inpatient CPT 82947 HCHG CORE GLUCOSE $114.00 $114.00 — — —
Blood glucose (sugar) test inpatient CPT 82947 HCHG POCT GLUCOSE $114.00 $114.00 — — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG CORE PREGNANCY TEST SER QL $296.00 $296.00 — 70% above —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG CORE PREGNANCY TEST SER QL $296.00 $296.00 — — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO TYPE SEROLOGIC $205.00 $205.00 — 87% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG CORE ABO TYP SEROLOGIC $205.00 $205.00 — 87% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO TYPE SEROLOGIC $205.00 $205.00 — — —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG CORE ABO TYP SEROLOGIC $205.00 $205.00 — — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG CORE C REACTIVE PROTEIN $177.00 $177.00 — 155% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG CORE C REACTIVE PROTEIN $177.00 $177.00 — — —
C. difficile toxin gene test (stool PCR) CPT 87493 HCHG CORE C DIFF AMPLIFIED PROBE $421.00 $421.00 — 175% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG CORE C DIFF AMPLIFIED PROBE $421.00 $421.00 — — —
CA 19-9 blood test (tumor marker) CPT 86301 HCHG CORE CA 19 9 $224.00 $224.00 — 293% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG CORE CA 19 9 $224.00 $224.00 — — —
CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CORE CA 125 $273.00 $273.00 — 98% above —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CORE CA 125 $273.00 $273.00 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ $382.00 $382.00 — 315% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ $382.00 $382.00 — 315% above —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ $382.00 $382.00 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ $382.00 $382.00 — — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG CORE CHLAMYDIA TRACH AMP PRB $275.00 $275.00 — 404% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG CORE CHLAMYDIA TRACH AMP PRB $275.00 $275.00 — — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG CORE LIPID PNL $343.00 $343.00 — 200% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG CORE LIPID PNL $343.00 $343.00 — — —
Complete blood count (CBC) with differential CPT 85025 HCHG CORE CBC AUTO W AUTO DIFF WBC $217.00 $217.00 — 96% above —
Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CORE CBC AUTO W AUTO DIFF WBC $217.00 $217.00 — — —
Complete blood count (CBC), no differential CPT 85027 HCHG CORE CBC AUTO $189.00 $189.00 — 115% above —
Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CORE CBC AUTO $189.00 $189.00 — — —
Comprehensive metabolic panel (blood test) CPT 80053 HCHG CORE COMPR MET PNL $471.00 $471.00 — 84% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG CORE COMPR MET PNL $471.00 $471.00 — — —
D-dimer blood test (blood clot marker) CPT 85379 HCHG CORE D DIMER QN $370.00 $370.00 — 158% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG CORE D DIMER QN $370.00 $370.00 — — —
FSH (follicle-stimulating hormone) test CPT 83001 HCHG CORE FSH $248.00 $248.00 — 140% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG CORE FSH $248.00 $248.00 — — —
Ferritin blood test (iron stores) CPT 82728 HCHG CORE FERRITIN $256.00 $256.00 — 137% above —
Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN $256.00 $256.00 — 137% above —
Ferritin blood test (iron stores) inpatient CPT 82728 HCHG CORE FERRITIN $256.00 $256.00 — — —
Ferritin blood test (iron stores) inpatient CPT 82728 HCHG FERRITIN $256.00 $256.00 — — —
Folate (folic acid) blood test CPT 82746 HCHG FOLATE $231.00 $231.00 — 112% above —
Folate (folic acid) blood test CPT 82746 HCHG CORE FOLATE $231.00 $231.00 — 112% above —
Folate (folic acid) blood test inpatient CPT 82746 HCHG CORE FOLATE $231.00 $231.00 — — —
Folate (folic acid) blood test inpatient CPT 82746 HCHG FOLATE $231.00 $231.00 — — —
Free T3 thyroid hormone test CPT 84481 HCHG CORE T3 FREE $226.00 $226.00 — 120% above —
Free T3 thyroid hormone test inpatient CPT 84481 HCHG CORE T3 FREE $226.00 $226.00 — — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG CORE FREE T4 $231.00 $231.00 — 239% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG CORE FREE T4 $231.00 $231.00 — — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG CORE GC AMP PRB $285.00 $285.00 — 333% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG CORE GC AMP PRB $285.00 $285.00 — — —
H. pylori antibody blood test CPT 86677 HCHG POCT H PYLORI HB TOTAL $147.00 $147.00 — 29% above —
H. pylori antibody blood test CPT 86677 HCHG CORE H PYLORI AB TOTAL $147.00 $147.00 — 29% above —
H. pylori antibody blood test inpatient CPT 86677 HCHG CORE H PYLORI AB TOTAL $147.00 $147.00 — — —
H. pylori antibody blood test inpatient CPT 86677 HCHG POCT H PYLORI HB TOTAL $147.00 $147.00 — — —
H. pylori stool antigen test CPT 87338 HCHG CORE H PYLORI STL EIA $225.00 $225.00 — 168% above —
H. pylori stool antigen test inpatient CPT 87338 HCHG CORE H PYLORI STL EIA $225.00 $225.00 — — —
HIV-1 and HIV-2 antibody test CPT 86703 HCHG CORE HIV 1/HIV 2 AB $172.00 $172.00 — 188% above —
HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV 1/HIV 2 AB $172.00 $172.00 — 188% above —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG CORE HIV 1/HIV 2 AB $172.00 $172.00 — — —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG HIV 1/HIV 2 AB $172.00 $172.00 — — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB $316.00 $316.00 — 262% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB $316.00 $316.00 — — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG HEMOGLOBIN GLYCOSYLATED A1C $203.00 $203.00 — 211% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C $203.00 $203.00 — 211% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG HEMOGLOBIN GLYCOSYLATED A1C $203.00 $203.00 — — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C $203.00 $203.00 — — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG CORE HBS AB $139.00 $139.00 — 214% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG CORE HBS AB $139.00 $139.00 — — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HEPATITIS B SURFACE AG $147.00 $147.00 — 105% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG CORE HBS AG $147.00 $147.00 — 105% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG HEPATITIS B SURFACE AG $147.00 $147.00 — — —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG CORE HBS AG $147.00 $147.00 — — —
Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C AB $182.00 $182.00 — 201% above —
Hepatitis C antibody blood test (screening) CPT 86803 HCHG CORE HCV AB $182.00 $182.00 — 201% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG CORE HCV AB $182.00 $182.00 — — —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG HEPATITIS C AB $182.00 $182.00 — — —
Herpes blood test, HSV-1 antibody CPT 86695 HCHG CORE HSV 1 AB IGG TYPE SPECIFIC $25.00 $25.00 — 14% above —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG CORE HSV 1 AB IGG TYPE SPECIFIC $25.00 $25.00 — — —
Herpes blood test, HSV-2 antibody CPT 86696 HCHG CORE HSV 2 AB IGG TYPE SPECIFIC $21.00 $21.00 — 12% below —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG CORE HSV 2 AB IGG TYPE SPECIFIC $21.00 $21.00 — — —
High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG CORE C REACTIVE PROTEIN HS $227.00 $227.00 — 230% above —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG CORE C REACTIVE PROTEIN HS $227.00 $227.00 — — —
Homocysteine blood test CPT 83090 HCHG CORE HOMOCYSTINE $318.00 $318.00 — 346% above —
Homocysteine blood test inpatient CPT 83090 HCHG CORE HOMOCYSTINE $318.00 $318.00 — — —
Insulin blood test CPT 83525 HCHG CORE INSULIN $210.00 $210.00 — 362% above —
Insulin blood test inpatient CPT 83525 HCHG CORE INSULIN $210.00 $210.00 — — —
Iron blood test (serum iron) CPT 83540 HCHG CORE IRON $140.00 $140.00 — 139% above —
Iron blood test (serum iron) inpatient CPT 83540 HCHG CORE IRON $140.00 $140.00 — — —
Iron-binding capacity (TIBC) test CPT 83550 HCHG CORE IRON BINDING CAPACITY $143.00 $143.00 — 93% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG CORE IRON BINDING CAPACITY $143.00 $143.00 — — —
Kidney function blood test panel CPT 80069 HCHG CORE RENAL FUNCTION PNL $275.00 $275.00 — 93% above —
Kidney function blood test panel inpatient CPT 80069 HCHG CORE RENAL FUNCTION PNL $275.00 $275.00 — — —
LH (luteinizing hormone) test CPT 83002 HCHG CORE LH $327.00 $327.00 — 195% above —
LH (luteinizing hormone) test inpatient CPT 83002 HCHG CORE LH $327.00 $327.00 — — —
Lipase blood test (pancreas enzyme) CPT 83690 HCHG CORE LIPASE $275.00 $275.00 — 132% above —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG CORE LIPASE $275.00 $275.00 — — —
Liver function blood test panel CPT 80076 HCHG CORE HEPATIC FUNCTION PNL $309.00 $309.00 — 104% above —
Liver function blood test panel inpatient CPT 80076 HCHG CORE HEPATIC FUNCTION PNL $309.00 $309.00 — — —
Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM $219.00 $219.00 — 176% above —
Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM UR RAN $219.00 $219.00 — 176% above —
Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM $219.00 $219.00 — — —
Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM UR RAN $219.00 $219.00 — — —
Mono test (heterophile antibody, Monospot) CPT 86308 HCHG CORE MONO TEST SCRN $217.00 $217.00 — 107% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG CORE MONO TEST SCRN $217.00 $217.00 — — —
Obstetric blood test panel CPT 80055 HCHG CORE PRENATAL PNL $148.00 $148.00 — 36% below —
Obstetric blood test panel inpatient CPT 80055 HCHG CORE PRENATAL PNL $148.00 $148.00 — — —
PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG CORE PSA FREE $252.00 $252.00 — 339% above —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG CORE PSA FREE $252.00 $252.00 — — —
PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG CORE PSA TOTAL DIAGNOSTIC $242.00 $242.00 — 305% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG CORE PSA TOTAL DIAGNOSTIC $242.00 $242.00 — — —
Pap test (liquid-based, automated screening with review) CPT 88175 HCHG CYTOPATH CERVICAL VAGINAL COLLECTED IN FLUID AUTO REVIEW MANUAL RESCREEN $55.00 $55.00 — 33% below —
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG CYTOPATH CERVICAL VAGINAL COLLECTED IN FLUID AUTO REVIEW MANUAL RESCREEN $55.00 $55.00 — — —
Parathyroid hormone (PTH) blood test CPT 83970 HCHG CORE PTH INTACT $400.00 $400.00 — 264% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG CORE PTH INTACT $400.00 $400.00 — — —
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG CORE PTT PLAS OR WB $236.00 $236.00 — 224% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG CORE PTT PLAS OR WB $236.00 $236.00 — — —
Progesterone blood test CPT 84144 HCHG CORE PROGESTERONE $292.00 $292.00 — 215% above —
Progesterone blood test inpatient CPT 84144 HCHG CORE PROGESTERONE $292.00 $292.00 — — —
Prolactin blood test CPT 84146 HCHG CORE PROLACTIN $262.00 $262.00 — 145% above —
Prolactin blood test inpatient CPT 84146 HCHG CORE PROLACTIN $262.00 $262.00 — — —
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG CORE PROTHROMBIN TIME $158.00 $158.00 — 140% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG CORE PROTHROMBIN TIME $158.00 $158.00 — — —
Rheumatoid factor (RF) test CPT 86431 HCHG CORE RHEUMATOID FCTR QN $79.00 $79.00 — 498% above —
Rheumatoid factor (RF) test inpatient CPT 86431 HCHG CORE RHEUMATOID FCTR QN $79.00 $79.00 — — —
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB $123.00 $123.00 — 102% above —
Rubella antibody test (immunity check) CPT 86762 HCHG CORE RUBELLA AB $123.00 $123.00 — 102% above —
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG CORE RUBELLA AB $123.00 $123.00 — — —
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB $123.00 $123.00 — — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG CORE OCCLT BLD STL QL MULT SPC $96.00 $96.00 — 146% above —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG CORE OCCLT BLD STL QL MULT SPC $96.00 $96.00 — — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG CORE ASSY TST BLD FCL $121.00 $121.00 — 209% above —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG CORE ASSY TST BLD FCL $121.00 $121.00 — — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG CORE RPR NON-TREPNML AB QL $101.00 $101.00 — 337% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG CORE RPR NON-TREPNML AB QL $101.00 $101.00 — — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG CORE TB TST CELL IMM MS $832.00 $832.00 — 760% above —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HCHG CORE TB TST CELL IMM MS $832.00 $832.00 — — —
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG CORE TESTOSTERONE TOTAL $141.00 $141.00 — 186% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG CORE TESTOSTERONE TOTAL $141.00 $141.00 — — —
Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG CORE MICROSOMAL AB $110.00 $110.00 — 381% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG CORE MICROSOMAL AB $110.00 $110.00 — — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG CORE TSH $313.00 $313.00 — 188% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG CORE TSH $313.00 $313.00 — — —
Trichomonas test (NAAT) CPT 87661 HCHG CORE TRICHOMONAS VAGINALIS AMPLIFIED PROBE $123.00 $123.00 — 23% above —
Trichomonas test (NAAT) inpatient CPT 87661 HCHG CORE TRICHOMONAS VAGINALIS AMPLIFIED PROBE $123.00 $123.00 — — —
Uric acid blood test CPT 84550 HCHG CORE URIC ACID $125.00 $125.00 — 89% above —
Uric acid blood test inpatient CPT 84550 HCHG CORE URIC ACID $125.00 $125.00 — — —
Urinalysis with microscope exam, automated CPT 81001 HCHG CORE URNALYSIS AUTO W/ MICRO $141.00 $141.00 — 70% above —
Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG CORE URNALYSIS AUTO W/ MICRO $141.00 $141.00 — — —
Urinalysis without microscope exam, automated CPT 81003 HCHG POCT URINALYSIS AUTO W/O MICRO $102.00 $102.00 — 82% above —
Urinalysis without microscope exam, automated CPT 81003 HCHG CORE URNALYSIS AUTO W/O MICRO $102.00 $102.00 — 82% above —
Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG POCT URINALYSIS AUTO W/O MICRO $102.00 $102.00 — — —
Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG CORE URNALYSIS AUTO W/O MICRO $102.00 $102.00 — — —
Urinalysis without microscope exam, manual CPT 81002 HCHG POCT URNALYSIS MAN W/O MICRO $47.00 $47.00 — 32% above —
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG POCT URNALYSIS MAN W/O MICRO $47.00 $47.00 — — —
Urine culture for bacteria, with colony count CPT 87086 HCHG CORE CULT UR COLONY CT ONLY $237.00 $237.00 — 70% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CORE CULT UR COLONY CT ONLY $237.00 $237.00 — — —
Urine pregnancy test, read by color change CPT 81025 HCHG CORE PREGNANCY SCRN UR $190.00 $190.00 — 116% above —
Urine pregnancy test, read by color change CPT 81025 HCHG POCT PREGNANCY SCREEN URINE $190.00 $190.00 — 116% above —
Urine pregnancy test, read by color change inpatient CPT 81025 HCHG CORE PREGNANCY SCRN UR $190.00 $190.00 — — —
Urine pregnancy test, read by color change inpatient CPT 81025 HCHG POCT PREGNANCY SCREEN URINE $190.00 $190.00 — — —
Vitamin B12 (cobalamin) blood test CPT 82607 HCHG CORE VITAMIN B12 $228.00 $228.00 — 145% above —
Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B12 $228.00 $228.00 — 145% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG VITAMIN B12 $228.00 $228.00 — — —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG CORE VITAMIN B12 $228.00 $228.00 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG CORE VITAMIN D 25HYDROXY $277.00 $277.00 — 333% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG CORE VITAMIN D 25HYDROXY $277.00 $277.00 — — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG CORE BETA HCG QUAN $395.00 $395.00 — 120% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG CORE BETA HCG QUAN $395.00 $395.00 — — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Cystoscopy with ureteral stent placement CPT 52332 HCHG CYSTO W/ INS URETERAL STENT $15,748.00 $15,748.00 — 168% above —
Cystoscopy with ureteral stent placement inpatient CPT 52332 HCHG CYSTO W/ INS URETERAL STENT $15,748.00 $15,748.00 — — —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE $4,966.00 $4,966.00 — 154% above —
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE $4,966.00 $4,966.00 — — —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJECTION FACET L/S 1 LVL $5,005.00 $5,005.00 — 143% above —
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJECTION FACET L/S 1 LVL $5,005.00 $5,005.00 — — —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJECTION TENDON SHEATH OR LIGAMENT SINGLE $1,600.00 $1,600.00 — 142% above —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG INJECTION TENDON SHEATH OR LIGAMENT SINGLE $1,727.00 $1,727.00 — — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US $1,808.00 $1,808.00 — 197% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US $1,808.00 $1,808.00 — — —
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE $5,452.00 $5,452.00 — 146% above —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE $5,452.00 $5,452.00 — — —
Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE $7,034.00 $7,034.00 — 317% above —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE $7,034.00 $7,034.00 — — —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $4,901.00 $4,901.00 — 153% above —
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $4,901.00 $4,901.00 — — —
Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ NRV AA/STRD GREATER OCCIPITAL $1,644.00 $1,644.00 — 87% above —
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ NRV AA/STRD GREATER OCCIPITAL $1,644.00 $1,644.00 — — —
Prostate biopsy CPT 55700 HCHG BIOPSY PROSTATE $9,221.00 $9,221.00 — 130% above —
Prostate biopsy inpatient CPT 55700 HCHG BIOPSY PROSTATE $9,221.00 $9,221.00 — — —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG DESTROY LUMB/SAC FACET JNT $5,967.00 $5,967.00 — 74% above —
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG DESTROY LUMB/SAC FACET JNT $5,967.00 $5,967.00 — — —
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DX $3,056.00 $3,056.00 — 131% above —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DX $3,056.00 $3,056.00 — — —
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES $1,556.00 $1,556.00 — 149% above —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES $1,556.00 $1,556.00 — — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION <=2 HRS $857.00 $857.00 — 2% below —
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 2-4 HRS $1,713.00 $1,713.00 — 96% above —
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 4-6 HRS $2,570.00 $2,570.00 — 194% above —
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION > 6 HRS $3,426.00 $3,426.00 — 292% above —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION <=2 HRS $857.00 $857.00 — — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION 2-4 HRS $1,713.00 $1,713.00 — — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION 4-6 HRS $2,570.00 $2,570.00 — — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION > 6 HRS $3,426.00 $3,426.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB TREATMENT SUBSEQUENT $685.00 $685.00 — 110% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AIRWAY INHALATION TREATMENT $685.00 $685.00 — 110% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL TX INITIAL $685.00 $685.00 — 110% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI/NEB INITIAL $685.00 $685.00 — 110% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT $685.00 $685.00 — 110% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL TX INITIAL $685.00 $685.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT $685.00 $685.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AIRWAY INHALATION TREATMENT $685.00 $685.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB TREATMENT SUBSEQUENT $685.00 $685.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI/NEB INITIAL $685.00 $685.00 — — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG 12 LEAD TRACING ONLY $614.00 $614.00 — 82% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG 12 LEAD TRACING ONLY $614.00 $614.00 — — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INFUSION HYDRATION INITIAL UP TO 1 HR $1,160.00 $1,160.00 — 130% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INFUSION HYDRATION INITIAL UP TO 1 HR $1,160.00 $1,160.00 — — —
IV infusion of a medicine, first hour CPT 96365 HCHG INFUSION INITIAL W/MED UP TO 1 HR $1,214.00 $1,214.00 — 106% above —
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INFUSION INITIAL W/MED UP TO 1 HR $1,214.00 $1,214.00 — — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJECTION IM/SQ EA $345.00 $345.00 — 93% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJECTION IM/SQ EA $345.00 $345.00 — — —
Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY $653.00 $653.00 — 83% above —
Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY $653.00 $653.00 — — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY $646.00 $646.00 — 99% above —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY $646.00 $646.00 — — —

Vaccines

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $671.62 $671.62 — 375% above —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $571.25 $571.25 — — —
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY $975.00 $975.00 — 303% above —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $164.68 $164.68 — 319% above —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $164.68 $164.68 — — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $1,617.80 $1,617.80 — 222% above —

Source file: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/940562680-1689035628_sutter-maternity-surgery-center-of-santa-cruz_standardcharges.csv