Supplies, drugs & other prices at Stanford Health Care Tri-valley
Pleasanton, CA · every code in this section with a posted price and a Medicare benchmark.
82 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,146.80 | $2,867 | 2.2× |
| Adm of soc dtr assess 5-15 m (G0136) | $96.40 | $241 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $86.80 | $217 | 1.3× |
| Admin influenza virus vac (G0008) | $105.60 | $264 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $86.80 | $217 | 1.3× |
| Behavior counsel obesity 15m (G0447) | $96 | $240 | 0.6× |
| Chemo extend iv infus w/pump (G0498) | $742 | $1,855 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) | $2,862.40 | $7,156 | 2.1× |
| Colorectal scrn; hi risk ind (G0105) | $3,492 | $8,730 | 2.6× |
| Complex simulation w/pet-ct (G0562) | $2,953.60 | $7,384 | 1.1× |
| Covid-19 lab test non-cdc (U0002) | $196.80 | $492 | 3.8× |
| Diab manage trn per indiv (G0108) | $172.80 | $432 | 3.1× |
| Diab manage trn ind/group (G0109) | $108 | $270 | 6.7× |
| Drug test def 1-7 classes (G0480) | $200.80 | $502 | 1.8× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) | $4,006.80 | $10,017 | 1.4× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $4,753.20 | $11,883 | 0.8× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $1,762.40 | $4,406 | 1.3× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) | $408.40 | $1,021 | 2.9× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) | $469.60 | $1,174 | 3.4× |
| Elec stim other than wound (G0283) | $96.80 | $242 | 7.6× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$22,422.80 | $56,057 | 0.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $15,242.40 | $38,106 | 0.9× |
| Facility svs dental rehab (G0330) | $2,206 | $5,515 | 0.5× |
| Fecal blood scrn immunoassay (G0328) | $64 | $160 | 3.5× |
| Group behave couns 2-10 (G0473) | $72.40 | $181 | 1.3× |
| High-resolution gastric electrophysiology mapg (0868T) | $884.80 | $2,212 | 1.6× |
| Hiv prep counsel, clin staff (G0013) | $96.80 | $242 | 1.8× |
| Hopd mntl hlt, grp (C7903) | $265.60 | $664 | 4.8× |
| Hospital outpt clinic visit (G0463) range across 13 matching MRF lines |
$116–$361.20 | $290–$903 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,406.40 | $3,516 | 1.4× |
| Injection of hiv prep drug (G0012) | $330.40 | $826 | 3.1× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $24,473.20 | $61,183 | 0.8× |
| Ire Abltj 1+Tum Organ Perq (0600T) unusually low: confirm this is the full procedure |
$6,849.20 | $17,123 | 0.4× |
| Mra w/o fol w/cont, abd (C8902) | $3,951.20 | $9,878 | 7.7× |
| Mra w/o fol w/cont, chest (C8911) | $2,712.40 | $6,781 | 5.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,802.80 | $9,507 | 7.5× |
| Mri w/o fol w/cont, breast, (C8908) | $4,803.60 | $12,009 | 9.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,512.40 | $3,781 | 3.0× |
| Nav srv peer sup 60 min pr m (G0140) | $244.80 | $612 | 1.6× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) unusually low: confirm this is the full procedure |
$12,751.60 | $31,879 | 0.4× |
| Oth resp proc, group (G0239) | $407.60 | $1,019 | 7.5× |
| Oth resp proc, indiv (G0238) | $108.80 | $272 | 2.6× |
| Pemivibart infusion (M0224) | $719.60 | $1,799 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) | $19,437.60 | $48,594 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $14,395.60 | $35,989 | 0.9× |
| Perc d-e cor stent ather s (C9602) | $23,352 | $58,380 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $27,664.40 | $69,161 | 1.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $17,234.80 | $43,087 | 1.0× |
| Pin service 60m per month (G0023) | $244.80 | $612 | 1.6× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $402.80 | $1,007 | 7.4× |
| Prolonged iv inf, req pump (C8957) | $528.80 | $1,322 | 1.7× |
| Psa screening (G0103) | $244.80 | $612 | 12.7× |
| Relocation pg wcs lv pacg battery component only (0862T) | $9,617.60 | $24,044 | 3.2× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $9,617.60 | $24,044 | 3.2× |
| Removal pg wcs lv pacing both components (0861T) | $6,142 | $15,355 | 1.1× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$13,012 | $32,530 | 0.5× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$11,806.40 | $29,516 | 0.4× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$7,454 | $18,635 | 0.4× |
| Revasc lith-sten-ath tib/per (C9775) | $13,452.40 | $33,631 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$11,806.40 | $29,516 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$8,080 | $20,200 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) | $13,452.40 | $33,631 | 0.5× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $4,009.60 | $10,024 | 0.7× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $6,609.20 | $16,523 | 1.2× |
| Sbrt w/positron emission del (G0563) | $12,252 | $30,630 | 2.6× |
| Screen cerv/vag thin layer (G0123) | $87.60 | $219 | 4.3× |
| Screen pap by tech w md supv (P3000) | $46 | $115 | 2.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $20,377.60 | $50,944 | 0.7× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $5,482.40 | $13,706 | 1.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $20,377.60 | $50,944 | 0.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $10,473.16 | $26,182.90 | 1.3× |
| Therapeutic procd strg endur (G0237) | $116.80 | $292 | 2.8× |
| Tomosynthesis, mammo (G0279) | $69.60 | $174 | 5.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $4,676 | $11,690 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) likely a partial charge, not the full procedure |
$2,338 | $5,845 | 0.3× |
| Trluml perip athrc abd aorta (0236T) | $11,868.40 | $29,671 | 0.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $12,029.20 | $30,073 | 0.7× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$11,830 | $29,575 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $2,654.80 | $6,637 | 2.3× |
| Tte w or w/o fol w/con,stres (C8928) | $2,178 | $5,445 | 1.9× |
| Tte w or wo fol wcon,doppler (C8929) | $3,053.20 | $7,633 | 2.7× |
| Unsched dialysis esrd pt hos (G0257) | $2,741.60 | $6,854 | 2.7× |
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.