Supplies, drugs & other prices at California Pacific Medical Ctr-davies Campus Hosp
San Francisco, CA · every code in this section with a posted price and a Medicare benchmark.
90 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $5,279 | $5,279 | 4.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $3,595 | $3,595 | 3.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,243 | $2,243 | 4.4× |
| Adm tocilizu covid-19 1st (M0249) | $1,162 | $1,162 | 1.8× |
| Adm tocilizu covid-19 2nd (M0250) | $1,263 | $1,263 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $147 | $147 | 2.2× |
| Admin influenza virus vac (G0008) | $193 | $193 | 2.9× |
| Admin pneumococcal vaccine (G0009) | $181 | $181 | 2.7× |
| Catheterize for urine spec (P9612) | $134 | $134 | 14.3× |
| Chemo extend iv infus w/pump (G0498) | $1,338 | $1,338 | 2.8× |
| CT breast w/3d rendering bi with contrast (0637T) | $1,636 | $1,636 | 3.2× |
| CT breast w/3d rendering bi without contrast (0636T) | $1,025 | $1,025 | 3.0× |
| CT breast w/3d rendering uni with contrast (0634T) | $796 | $796 | 3.1× |
| CT breast w/3d rendering uni without contrast (0633T) | $486 | $486 | 3.2× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $1,636 | $1,636 | 3.2× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $796 | $796 | 3.1× |
| Diab manage trn per indiv (G0108) | $219 | $219 | 3.9× |
| Diab manage trn ind/group (G0109) | $96 | $96 | 6.0× |
| Direct refer hospital observ (G0379) | $1,099 | $1,099 | 1.3× |
| Elec stim other than wound (G0283) | $161 | $161 | 12.7× |
| Fecal blood scrn immunoassay (G0328) | $119 | $119 | 6.6× |
| Fern test (Q0114) | $210 | $210 | 21.6× |
| Group mnt 2 or more 30 mins (G0271) | $251 | $251 | 14.7× |
| Hep c screen high risk/other (G0472) | $165 | $165 | 3.6× |
| Hepb screen high risk indiv (G0499) | $176 | $176 | 6.2× |
| High-resolution gastric electrophysiology mapg (0868T) | $3,309 | $3,309 | 6.1× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) | $108,150 | $108,150 | 4.4× |
| Hospital outpt clinic visit (G0463) range across 26 matching MRF lines |
$131–$540 | $131–$540 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$5,128–$7,692 | $5,128–$7,692 | varies |
| Ire Abltj 1+Tum Organ Perq (0600T) | $18,597 | $18,597 | 1.2× |
| Mnt subs tx for change dx (G0270) | $72 | $72 | 2.3× |
| Mra w/cont, abd (C8900) | $4,415 | $4,415 | 8.8× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$5,262–$7,893 | $5,262–$7,893 | varies |
| Mra w/cont, pelvis (C8918) | $4,134 | $4,134 | 8.2× |
| Mra w/o cont, abd (C8901) | $5,017 | $5,017 | 14.5× |
| Mra w/o cont, chest (C8910) | $5,951 | $5,951 | 17.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$4,201–$6,302 | $4,201–$6,302 | varies |
| Mra w/o cont, pelvis (C8919) | $3,390 | $3,390 | 9.8× |
| Mra w/o fol w/cont, abd (C8902) | $6,953 | $6,953 | 13.8× |
| Mra w/o fol w/cont, chest (C8911) | $7,678 | $7,678 | 15.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $7,324 | $7,324 | 14.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $8,875 | $8,875 | 17.6× |
| Mra, w/o dye, upper extr (C8935) | $5,913 | $5,913 | 17.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $5,266 | $5,266 | 10.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $6,143 | $6,143 | 12.2× |
| Mri w/o fol w/cont, breast, (C8908) | $6,731 | $6,731 | 13.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $6,493 | $6,493 | 12.9× |
| Oth resp proc, group (G0239) | $313 | $313 | 5.8× |
| Oth resp proc, indiv (G0238) | $191 | $191 | 4.6× |
| Pathogen test for platelets (P9100) | $124 | $124 | 1.5× |
| Pattern erg w/i&r (0509T) | $1,087 | $1,087 | 3.5× |
| Pemivibart infusion (M0224) | $1,252 | $1,252 | 2.0× |
| Perc d-e cor revasc chro sin (C9607) | $49,767 | $49,767 | 1.9× |
| Perc d-e cor revasc t cabg s (C9604) | $42,981 | $42,981 | 2.6× |
| Perc d-e cor stent ather s (C9602) | $53,998 | $53,998 | 2.0× |
| Perc drug-el cor stent sing (C9600) | $46,398 | $46,398 | 2.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $16,044 | $16,044 | 1.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $13,547 | $13,547 | 1.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $29,951 | $29,951 | 1.8× |
| Prolonged iv inf, req pump (C8957) | $740 | $740 | 2.4× |
| Prostate biopsy, any mthd (G0416) | $722 | $722 | 1.4× |
| Psa screening (G0103) | $244 | $244 | 12.6× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $4,052 | $4,052 | 11.7× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $4,052 | $4,052 | 11.7× |
| Revasc intra lithotrip-ather (C9766) | $37,710 | $37,710 | 1.4× |
| Revasc intra lithotrip-stent (C9765) | $44,006 | $44,006 | 1.7× |
| Revasc intravasc lithotripsy (C9764) | $27,307 | $27,307 | 1.6× |
| Revasc lithotrip tibi/perone (C9772) | $31,943 | $31,943 | 1.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $70,315 | $70,315 | 2.5× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $105,447 | $105,447 | 3.8× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $77,763 | $77,763 | 2.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $95,378 | $95,378 | 3.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $11,275 | $11,275 | 2.5× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $13,529 | $13,529 | 3.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$11,275 | $11,275 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $19,949 | $19,949 | 2.4× |
| Tee w or w/o fol w/cont, mon (C8927) | $17,432 | $17,432 | 15.4× |
| Therapeutic procd strg endur (G0237) | $188 | $188 | 4.5× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$188–$282 | $188–$282 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $35,313 | $35,313 | 4.3× |
| Transcatheter renal sympath denervation unilat (0338T) | $23,542 | $23,542 | 2.9× |
| Trluml perip athrc abd aorta (0236T) | $72,387 | $72,387 | 4.3× |
| Trluml Perip Athrc Brchiocph (0237T) | $70,291 | $70,291 | 4.2× |
| Trluml Perip Athrc Iliac Art (0238T) | $40,084 | $40,084 | 1.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $68,899 | $68,899 | 4.1× |
| Tte w or w/o contr, cont ecg (C8930) | $6,498 | $6,498 | 5.7× |
| Tte w or w/o fol w/con,stres (C8928) | $4,242 | $4,242 | 3.7× |
| Tte w or w/o fol w/cont, com (C8921) | $2,559 | $2,559 | 2.3× |
| Tte w or wo fol wcon,doppler (C8929) | $5,934 | $5,934 | 5.2× |
| Unsched dialysis esrd pt hos (G0257) | $2,314 | $2,314 | 2.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.