Stanford Health Care Tri-Valley
Stanford Health Care Tri-Valley in Pleasanton, CA publishes cash prices for 39 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
5555 West Las Positas Boulevard, Pleasanton, CA 94588,1111-1133 E. Stanley BLVD, Livermore, CA 94550 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 CT Abdomen-Pelvis W Contrast | $4,113.60 | $10,284.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen-Pelvis W Contrast | $5,715.60 | $14,289.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO Contrast | $1,568.80 | $3,922.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head WO Contrast | $2,370.80 | $5,927.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Contrast | $2,057.60 | $5,144.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W Contrast | $2,996.00 | $7,490.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Digital Diag Mammography Bilat Incl Cad | $417.20 | $1,043.00 | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digital Diag Mammography Bilat Incl Cad | $417.20 | $1,043.00 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Digital Diag Mammography Unilat Incl Cad | $318.80 | $797.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Digital Diag Mammography Unilat Incl Cad | $318.80 | $797.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Ext Jnt WO Contrast | $3,484.80 | $8,712.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Ext Jnt WO Contrast | $4,042.40 | $10,106.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Jnt WO/W Contrast | $3,880.00 | $9,700.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Jnt WO/W Contrast | $4,444.40 | $11,111.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Contrast | $2,769.20 | $6,923.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Contrast | $3,734.00 | $9,335.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WO/W Contrst | $3,596.40 | $8,991.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WO/W Contrst | $4,922.40 | $12,306.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine WO Contrast | $4,407.60 | $11,019.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-Spine WO Contrast | $4,407.60 | $11,019.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus W/Eval >1tri | $657.60 | $1,644.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus W/Eval >1tri | $680.40 | $1,701.00 | 60% |
| Screening mammogram, both breasts CPT 77067 Digital Screening Mammogram | $270.80 | $677.00 | 60% |
| Screening mammogram, both breasts inpatient CPT 77067 Digital Screening Mammogram | $270.80 | $677.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $821.20 | $2,053.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $821.20 | $2,053.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen | $848.40 | $2,121.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen | $1,308.80 | $3,272.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine Min 4v | $457.60 | $1,144.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr L-Spine Min 4v | $772.00 | $1,930.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Metabolic Pnl Basic | $185.60 | $464.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Metabolic Pnl Basic | $366.40 | $916.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Calculated Ld | $126.00 | $315.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Calculated Ld | $237.20 | $593.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Auto Diff | $105.60 | $264.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/Auto Diff | $155.60 | $389.00 | 60% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Blood Count | $72.80 | $182.00 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Blood Count | $127.60 | $319.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Pnl Comp | $195.60 | $489.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Metabolic Pnl Comp | $492.80 | $1,232.00 | 60% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $142.80 | $357.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $344.80 | $862.00 | 60% |
| Liver function blood test panel CPT 80076 HC Hepatic Fxn Panel | $180.40 | $451.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Fxn Panel | $344.40 | $861.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Ultrasensitive | $227.60 | $569.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $227.60 | $569.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Ultrasensitive | $227.60 | $569.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $227.60 | $569.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Inhibitor Assay, Ptt | $4.94 | $12.35 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Inhibitor Scr-85730 | $5.01 | $12.53 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $5.82 | $14.55 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial | $14.00 | $35.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromplas Ptt | $111.20 | $278.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Inhibitor Assay, Ptt | $4.94 | $12.35 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Inhibitor Scr-85730 | $5.01 | $12.53 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $5.82 | $14.55 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial | $14.00 | $35.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromplas Ptt | $158.00 | $395.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-D | $4.69 | $11.73 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $5.82 | $14.55 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $93.20 | $233.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Labaclpt Prothrombin Time | $142.00 | $355.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-D | $4.69 | $11.73 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $5.82 | $14.55 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Labaclpt Prothrombin Time | $142.00 | $355.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $142.00 | $355.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tshft4 Tsh | $204.40 | $511.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Highly Sensitiv Tsh | $204.40 | $511.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tshft4 Tsh | $258.40 | $646.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Highly Sensitiv Tsh | $258.40 | $646.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urine Routine-Micro | $136.00 | $340.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urine Routine-Micro | $136.00 | $340.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto | $32.80 | $82.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Urn Screen POC | $34.00 | $85.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto | $32.80 | $82.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urn Screen POC | $34.00 | $85.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC Specific Gravity | $25.20 | $63.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Specific Gravity | $25.20 | $63.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq | $3,668.40 | $9,171.00 | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq | $3,668.40 | $9,171.00 | 60% |
| Colonoscopy with tissue sample CPT 45380 Scope of Colon With Biopsy | $4,170.40 | $10,426.00 | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 Scope of Colon With Biopsy | $4,170.40 | $10,426.00 | 60% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Diagnostic | $2,664.00 | $6,660.00 | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Diagnostic | $2,664.00 | $6,660.00 | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath | $4,816.80 | $12,042.00 | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Heart Cath | $4,816.80 | $12,042.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Epid/Subrach Lumb/Sacr W/Img | $2,435.60 | $6,089.00 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Epid/Subrach Lumb/Sacr W/Img | $2,435.60 | $6,089.00 | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Epidural/Subarach Lumb/Sacral | $1,400.00 | $3,500.00 | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Dx/Ther Sbst Epidural/Subarach Lumb/Sacral | $1,400.00 | $3,500.00 | 60% |
| Prostate biopsy CPT 55700 Biopsy of Prostate | $3,148.80 | $7,872.00 | 60% |
| Prostate biopsy inpatient CPT 55700 Biopsy of Prostate | $3,148.80 | $7,872.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper Stomach-Intestine Scope for Biopsy | $4,006.80 | $10,017.00 | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Stomach-Intestine Scope for Biopsy | $4,006.80 | $10,017.00 | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Upper Stomach-Intestine Scope for Diagnosis | $3,788.40 | $9,471.00 | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper Stomach-Intestine Scope for Diagnosis | $3,788.40 | $9,471.00 | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Exer/Str/Rom Ea 15 | $76.00 | $253.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Strength/Rom Tx Ea 15 | $76.00 | $253.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Exer/Str/Rom Ea 15 | $76.00 | $540.00 | 86% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Strength/Rom Tx Ea 15 | $76.00 | $540.00 | 86% |