Lucile Salter Packard Children's Hospital at Stanford
Lucile Salter Packard Children's Hospital at Stanford in Palo Alto, CA publishes cash prices for 38 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Click a procedure to compare it with other hospitals nearby.
725 WELCH RD, PALO ALTO, CA 94304 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W Cont | $8,456.00 | $16,912.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head WO Contrast | $4,324.00 | $8,648.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast | $6,341.00 | $12,682.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Ankle WO Cont Limited | $2,049.50 | $4,099.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Foot WO Cont Limited | $2,049.50 | $4,099.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Knee WO Cont Limited | $2,049.50 | $4,099.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Multi Jts Lmtd WO Cont | $3,106.00 | $6,212.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR Limited Stress Scan Jt | $3,898.00 | $7,796.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jt WO Cont | $6,147.00 | $12,294.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jt W&WO Cont | $7,683.00 | $15,366.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Con Lmtd | $1,604.50 | $3,209.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Fast Scan | $3,073.50 | $6,147.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast | $6,147.00 | $12,294.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W & WO Con Lmtd | $2,004.50 | $4,009.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W&WO Contrast | $7,817.50 | $15,635.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Spine Lumbar WO Cont Limited | $4,119.00 | $8,238.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI L Spine WO Contrast | $6,147.00 | $12,294.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Comp > 1st Tri 1st Gest | $1,332.50 | $2,665.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography 4+ 6+ Yrs | $7,239.00 | $14,478.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non OB | $1,368.00 | $2,736.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC Abdomen Complete W Cont | $1,996.50 | $3,993.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $2,136.50 | $4,273.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Spine Lumbar 4v+ | $1,127.50 | $2,255.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $284.00 | $568.00 | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC Metabolic Pnl Basic | $517.50 | $1,035.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Calculated Ld | $331.00 | $662.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC 402 Chla Immuno Cyto | $5.03 | $10.06 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Auto Diff | $222.50 | $445.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Auto W Diff | $410.50 | $821.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $180.00 | $360.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Blood Count | $222.00 | $444.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Auto WO Diff | $358.50 | $717.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $394.50 | $789.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Pnl Comp | $621.50 | $1,243.00 | 50% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $503.00 | $1,006.00 | 50% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $205.00 | $410.00 | 50% |
| Liver function blood test panel CPT 80076 HC Hepatic Fxn Panel | $430.50 | $861.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Frpsa Psa Free | $205.50 | $411.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa, Free | $240.00 | $480.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Tfpsa Psa Free | $240.00 | $480.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Ultrasensitive | $292.00 | $584.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa | $292.00 | $584.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Tfpsa Psa Total | $292.00 | $584.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lupus Anticoag Ptt | $231.50 | $463.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Inh 1 Hr Pt | $231.50 | $463.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Pttinh 1 Hr Normal Plasma | $231.50 | $463.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Inh 5 Min Pt | $231.50 | $463.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt | $240.00 | $480.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromplas Ptt | $282.00 | $564.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Pttinh 5 Min Normal Plasma | $282.00 | $564.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Labaclptt Thromboplastin Ptt | $282.00 | $564.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Ptt Plasma | $310.00 | $620.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Patient Pt Inh Scrn | $165.50 | $331.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Control Pt Inh Scrn | $165.50 | $331.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POC-Prothrombin Time | $171.50 | $343.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Labacltp Prothrombin Time | $205.00 | $410.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $205.00 | $410.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time (Pt) | $228.00 | $456.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 102 Nbs/Tsh | $10.08 | $20.17 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 443 12580r Tsh | $13.53 | $27.07 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Lab12580r Chronic Urticaria | $40.62 | $81.25 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tshft4 Tsh | $330.50 | $661.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Highly Sensitive Tsh | $330.50 | $661.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urine Routine-Micro | $213.00 | $426.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Ua Auto W Micro | $334.50 | $669.00 | 50% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urine Routine - Micro | $6.00 | $12.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto Without Micro | $183.00 | $366.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urn Screen POC | $183.00 | $366.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Specific Gravity | $37.00 | $74.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Myoglobin Scrn Urin | $42.50 | $85.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Dipstick WO Micro | $93.00 | $186.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC Cath Lt Hrt W Lt Ventrclogrphy | $18,321.00 | $36,642.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC Therapy Family Conjoint 26-50 Min | $381.00 | $762.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Therapy Family WO Patient 26-50 Min | $320.50 | $641.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Clinic Use Lvl 3 New Pt | $77.50 | $155.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Clinic Use Lvl 4 New Pt | $95.00 | $190.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Clinic Use Lvl 5 New Pt | $107.50 | $215.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Tx Strgth Rom Flex Ea 15 Min | $321.00 | $642.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Lactation Consult 30-45 Min | $124.00 | $248.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consult Lvl 3 | $141.00 | $282.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Level 3 Midlevel Consult | $442.50 | $885.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Lactation Consult 45-60 Min | $166.00 | $332.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consult Lvl 4 | $199.50 | $399.00 | 50% |