Santa Clara Medical Center — price list

← Hospital overviewVerified from Santa Clara Medical Center’s published price file

Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

33 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FACILITY USE-CLINIC, LEVEL 5 - EST PT" Inpatient & outpatient	6573 CDM	$630	$353	—	—
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC" Inpatient	734 MS-DRG	—	—	$13,717 – $55,063	—
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC" Inpatient	735 MS-DRG	—	—	$13,617 – $54,658	—
APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM Inpatient & outpatient	15273 CPT	$16,910	$9,470	$4,424 – $13,854	—
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL Inpatient & outpatient	11732 CPT	$960	$538	—	—
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 Inpatient & outpatient	11730 CPT	$1,320	$739	$240 – $752	—
CERVICAL SPINAL FUSION WITHOUT CC/MCC Inpatient	473 MS-DRG	—	—	$24,216 – $97,204	—
CHEMICAL EXFOLIATION ACNE Inpatient & outpatient	17360 CPT	$1,660	$930	$240 – $752	—
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Inpatient	73 MS-DRG	—	—	$5,850 – $23,484	—
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE Inpatient & outpatient	17340 CPT	$510	$286	$72.00 – $225	—
DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM Inpatient & outpatient	17273 CPT	$1,950	$1,092	$483 – $1,512	—
ELECTROLYSIS EPILATION EACH 30 MINUTES Inpatient & outpatient	17380 CPT	$2,960	$1,658	$740 – $2,316	—
EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/> Inpatient & outpatient	25073 CPT	$11,090	$6,210	$3,458 – $10,830	—
EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/> Inpatient & outpatient	24073 CPT	$14,940	$8,366	$3,458 – $10,830	—
EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/> Inpatient & outpatient	23073 CPT	$10,920	$6,115	$3,458 – $10,830	—
FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE Inpatient & outpatient	15731 CPT	$20,180	$11,301	$4,424 – $13,854	—
FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE Inpatient & outpatient	20973 CPT	$25,860	$14,482	$8,633 – $27,033	—
GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS Inpatient & outpatient	15773 CPT	$15,950	$8,932	$2,210 – $6,922	—
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Inpatient	373 MS-DRG	—	—	$4,196 – $16,843	—
MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA Inpatient & outpatient	21073 CPT	$11,490	$6,434	$1,790 – $5,606	—
MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES Inpatient & outpatient	15730 CPT	$19,880	$11,133	$4,424 – $13,854	—
MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS Inpatient & outpatient	17311 CPT	$2,960	$1,658	$740 – $2,316	—
MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE Inpatient & outpatient	17312 CPT	$1,870	$1,047	—	—
MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS Inpatient & outpatient	17313 CPT	$2,960	$1,658	$740 – $2,316	—
MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE Inpatient & outpatient	17315 CPT	$2,260	$1,266	—	—
MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE Inpatient & outpatient	17314 CPT	$1,510	$846	—	—
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR Inpatient & outpatient	15738 CPT	$16,910	$9,470	$4,424 – $13,854	—
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK Inpatient & outpatient	15734 CPT	$20,180	$11,301	$4,424 – $13,854	—
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR Inpatient & outpatient	15736 CPT	$9,670	$5,415	$2,210 – $6,922	—
MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL Inpatient & outpatient	15733 CPT	$20,180	$11,301	$4,424 – $13,854	—