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.
34 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE" Inpatient | 790 MS-DRG | — | — | $4,120 – $16,539 | — | |
| ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Inpatient | 290 MS-DRG | — | — | $5,126 – $20,578 | — | |
| AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE Inpatient & outpatient | 25907 CPT | $13,010 | $7,286 | $3,921 – $12,278 | — | |
| AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION Inpatient & outpatient | 25909 CPT | $14,230 | $7,969 | $8,633 – $27,033 | — | |
| APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM Inpatient & outpatient | 20690 CPT | $26,820 | $15,019 | $8,633 – $27,033 | — | |
| BONE GRAFT ANY DONOR AREA MAJOR/LARGE Inpatient & outpatient | 20902 CPT | $9,340 | $5,230 | $8,633 – $27,033 | — | |
| BONE GRAFT ANY DONOR AREA MINOR/SMALL Inpatient & outpatient | 20900 CPT | $11,620 | $6,507 | $8,633 – $27,033 | — | |
| BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID Inpatient & outpatient | 19085 CPT | $11,010 | $6,166 | $1,958 – $6,131 | — | |
| BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID Inpatient & outpatient | 19081 CPT | $7,960 | $4,458 | $1,958 – $6,131 | — | |
| BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID Inpatient & outpatient | 19083 CPT | $7,310 | $4,094 | $1,958 – $6,131 | — | |
| BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID Inpatient & outpatient | 19086 CPT | $3,980 | $2,229 | — | — | |
| BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID Inpatient & outpatient | 19082 CPT | $6,500 | $3,640 | — | — | |
| BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID Inpatient & outpatient | 19084 CPT | $4,700 | $2,632 | — | — | |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Inpatient | 190 MS-DRG | — | — | $5,286 – $21,218 | — | |
| CLOSED TX LUNATE DISLOCATION W/MANIPULATION Inpatient & outpatient | 25690 CPT | $10,440 | $5,846 | $1,934 – $6,056 | — | |
| CONCUSSION WITHOUT CC/MCC Inpatient | 90 MS-DRG | — | — | $6,186 – $24,831 | — | |
| EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM Inpatient & outpatient | 22900 CPT | $17,190 | $9,626 | $3,458 – $10,830 | — | |
| EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/> Inpatient & outpatient | 22901 CPT | $15,350 | $8,596 | $3,458 – $10,830 | — | |
| EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM Inpatient & outpatient | 22902 CPT | $12,380 | $6,933 | $1,958 – $6,131 | — | |
| EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/> Inpatient & outpatient | 22903 CPT | $15,660 | $8,770 | $3,458 – $10,830 | — | |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Inpatient | 390 MS-DRG | — | — | $3,748 – $15,045 | — | |
| HAND PROCEDURES FOR INJURIES Inpatient | 906 MS-DRG | — | — | $13,181 – $52,910 | — | |
| INJECTION INTRALESIONAL >7 LESIONS Inpatient & outpatient | 11901 CPT | $820 | $459 | $240 – $752 | — | |
| INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS Inpatient & outpatient | 11900 CPT | $840 | $470 | $240 – $752 | — | |
| INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM Inpatient & outpatient | 19030 CPT | $870 | $487 | — | — | |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Inpatient | 690 MS-DRG | — | — | $4,464 – $17,917 | — | |
| MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP Inpatient & outpatient | 19020 CPT | $12,630 | $7,073 | $1,958 – $6,131 | — | |
| OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION Inpatient & outpatient | 21490 CPT | $14,610 | $8,182 | $3,919 – $12,272 | — | |
| OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC Inpatient & outpatient | 21390 CPT | $29,210 | $16,358 | $7,148 – $22,386 | — | |
| OSTECTOMY SCAPULA PARTIAL Inpatient & outpatient | 23190 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — |