Visits & medical services prices at Stanford Health Care Tri-valley
Pleasanton, CA · every code in this section with a posted price and a Medicare benchmark.
190 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $13,005.20 | $32,513 | 1.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $70 | $175 | 1.2× |
| Aep neurodiagnostic i&r (92653) | $488.40 | $1,221 | 1.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $508 | $1,270 | 1.6× |
| Airway Inhalation Treatment (94640) | $594 | $1,485 | 1.9× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $132.80 | $332 | 3.1× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $426.40 | $1,066 | 7.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $83.60 | $209 | 5.8× |
| Application on-body injector (96377) | $265.60 | $664 | 3.9× |
| Behavral qualit analys voice (92524) | $908.40 | $2,271 | 8.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $996 | $2,490 | 1.8× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$5,699.20 | $14,248 | 0.5× |
| Canalith repositioning proc (95992) | $329.60 | $824 | 8.1× |
| Car seat/bed test 60 min (94780) | $137.20 | $343 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,710 | $4,275 | 5.4× |
| Cardiopulmonary resuscitation (92950) | $1,456 | $3,640 | 4.6× |
| Cardioversion (92960) | $4,974 | $12,435 | 5.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $12 | $30 | 0.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $24,712 | $61,780 | 5.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $21,282.40 | $53,206 | 4.5× |
| Cbt 1st hour (94644) | $450.40 | $1,126 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $482.40 | $1,206 | 4.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $508 | $1,270 | 4.8× |
| Chemo IV infusion addl hr (96415) | $616.40 | $1,541 | 5.9× |
| Chemo IV push addl drug (96411) | $584.80 | $1,462 | 5.6× |
| Chemother Prolong Infuse W/Pump (96416) | $1,039.20 | $2,598 | 2.2× |
| Chemotherapy Into Cns (96450) | $797.60 | $1,994 | 1.7× |
| Chemotherapy Unspecified (96549) | $522 | $1,305 | 7.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $642 | $1,605 | 6.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $661.20 | $1,653 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $629.20 | $1,573 | 1.3× |
| Chest Wall Manipulation (94668) | $270.80 | $677 | 1.4× |
| Color/duplex Doppler, complete (93975) | $1,306 | $3,265 | 3.7× |
| Color/duplex Doppler, limited (93976) | $794 | $1,985 | 5.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $1,242.40 | $3,106 | 14.4× |
| Coronary Art/Grft Angio S&I (93455) | $14,361.20 | $35,903 | 3.0× |
| Coronary Artery Angio S&I (93454) | $13,106.40 | $32,766 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,765.60 | $4,414 | 5.5× |
| Cpt initial (94667) | $398 | $995 | 2.0× |
| Critical care first hour (99291) | $4,738.40 | $11,846 | 3.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $499.60 | $1,249 | 1.7× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$1,556–$2,866.80 | $3,890–$7,167 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $867.20 | $2,168 | 2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $447.60 | $1,119 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,039.20 | $5,098 | 5.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,161.60 | $2,904 | 7.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,453.20 | $3,633 | 4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $732 | $1,830 | 4.8× |
| Duplex Scan Hemodialysis Access (93990) | $1,033.60 | $2,584 | 6.8× |
| Duplex up extrem art bilat (93930) | $1,052.40 | $2,631 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $1,047.60 | $2,619 | 6.9× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $658.40 | $1,646 | 3.5× |
| Echo Congenital Complete (93303) | $959.60 | $2,399 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $813.20 | $2,033 | 2.3× |
| Echo transesophageal (93312) | $3,425.60 | $8,564 | 4.3× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,616.98 | $4,042.46 | 2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,682.80 | $4,207 | 2.1× |
| Eeg 41-60 Minutes (95812) | $2,326.80 | $5,817 | 7.4× |
| EEG awake and asleep (95819) | $2,256.40 | $5,641 | 7.1× |
| EEG awake drowsy (95816) | $472 | $1,180 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) | $2,501.60 | $6,254 | 7.9× |
| Eeg Sleep Only (95822) | $559.40 | $1,398.49 | 1.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,010.40 | $2,526 | 3.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,085.20 | $5,213 | 3.8× |
| Electrical Stimulation Ea 15 Min (97032) | $108.40 | $271 | 7.4× |
| Electrocardiogram Tracing (93005) | $472.40 | $1,181 | 5.5× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$661.60–$755.60 | $1,654–$1,889 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$1,244.40–$1,403.60 | $3,111–$3,509 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$2,480.40–$2,704.40 | $6,201–$6,761 | varies |
| Ep & ablate supravent arrhyt (93653) | $47,308.80 | $118,272 | 1.2× |
| Ep & ablate ventric tachy (93654) | $37,306.40 | $93,266 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $15,239.60 | $38,099 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,064.80 | $17,662 | 0.6× |
| Er level 1 (99281) range across 4 matching MRF lines |
$442.80–$451.60 | $1,107–$1,129 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$3,891.60–$4,370.80 | $9,729–$10,927 | varies |
| Evaluate pt use of inhaler (94664) | $449.20 | $1,123 | 1.4× |
| Evaluate Speech Production (92522) | $120 | $2,250 | 1.1× |
| Evaluate Swallowing Function (92610) | $448.40 | $1,121 | 5.3× |
| Evaluation of speech fluency (92521) | $237.20 | $593 | 1.8× |
| External ECG rec>48hr<7d recording (93242) | $354 | $885 | 6.5× |
| External ECG rec>7d<15d recording (93246) | $525.20 | $1,313 | 9.6× |
| Extracranial Bilat Study (93880) | $1,345.60 | $3,364 | 3.9× |
| Extracranial Uni/Ltd Study (93882) | $412 | $1,030 | 2.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $575.20 | $1,438 | 2.9× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $328.40 | $821 | 1.4× |
| Gi tract capsule endoscopy (91110) | $3,549.20 | $8,873 | 2.7× |
| Gi wireless capsule measure (91112) | $2,026.40 | $5,066 | 1.5× |
| Group Therapeutic Procedures (97150) | $164.40 | $411 | 9.1× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $136 | $340 | 2.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $21,020.80 | $52,552 | 4.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,654.40 | $6,636 | 2.6× |
| Icd device progr eval dual (93283) | $266 | $665 | 4.9× |
| Icd Device Progr Eval Mult (93284) | $237.20 | $593 | 4.3× |
| Immunization administration (90471) | $105.20 | $263 | 1.0× |
| Insert/Place Heart Catheter (93503) | $2,076 | $5,190 | 0.9× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $401.60 | $1,004 | 2.9× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $401.60 | $1,004 | 0.9× |
| Interrogation without programming ipnss (93153) | $693.20 | $1,733 | 5.0× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$5,699.20 | $14,248 | 0.5× |
| Iontophoresis 15 min (97033) | $146 | $365 | 7.7× |
| Irrig Drug Delivery Device (96523) | $213.60 | $534 | 2.5× |
| IV infusion hydration each additional hour (96361) | $549.60 | $1,374 | 8.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $575.60 | $1,439 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $593.20 | $1,483 | 5.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $560 | $1,400 | 8.2× |
| IV push initial (96374) | $279.60 | $699 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $26,248.40 | $65,621 | 5.5× |
| Liver Elastography W/O Imag W/I&R (91200) | $319.60 | $799 | 1.7× |
| Low frequency non-thermal us (97610) | $435.60 | $1,089 | 1.5× |
| Mechanical chest wall oscillation per session (94669) | $417.60 | $1,044 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $122.40 | $306 | 3.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $118.40 | $296 | 3.2× |
| Motion Fluoroscopy/Swallow (92611) | $644 | $1,610 | 7.0× |
| Nasal function studies (92512) | $752 | $1,880 | 2.4× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$76–$106 | $265 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$80–$526.40 | $1,075–$1,316 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $117.20 | $293 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$130–$185.20 | $325–$463 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$398.40–$453.60 | $996–$1,134 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$84–$233.20 | $583–$750 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$337.60–$391.20 | $844–$978 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$76–$131.20 | $328 | varies |
| Ot paraffin bath (97018) | $99.60 | $249 | 16.6× |
| Ot Re-Eval Est Plan Care (97168) | $194 | $485 | 2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $78 | $826 | 0.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $60 | $587 | 0.3× |
| Peripheral arterial disease rehab per session (93668) | $103.60 | $259 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $10,769.20 | $26,923 | 1.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $11,671.20 | $29,178 | 0.7× |
| Phlebotomy therapeutic (99195) | $174.40 | $436 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $123.20 | $308 | 1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $141.60 | $354 | 1.6× |
| Physical Performance Test (97750) | $102.40 | $256 | 3.0× |
| Plethysmography (94726) | $634.40 | $1,586 | 1.2× |
| Pm device progr eval dual (93280) | $347.60 | $869 | 6.4× |
| Pm Device Progr Eval Sngl (93279) | $232.80 | $582 | 4.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $121.60 | $304 | 1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,644 | $41,610 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $9,980.80 | $24,952 | 0.6× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$387.60–$449.60 | $969–$1,124 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$84–$108 | $583–$750 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$300–$387.60 | $750–$969 | varies |
| Pt gait training 15 min (97116) | $76 | $253 | 2.6× |
| Pt group caregiver training (97552) | $6.80 | $17 | 0.3× |
| Pt mechanical traction (97012) | $182.40 | $456 | 12.7× |
| Pt Re-Eval Est Plan Care (97164) | $112.80 | $282 | 1.7× |
| Pulmonary Stress Testing (94618) | $434.80 | $1,087 | 2.2× |
| Quan puplmtry phy/qhp uni/bi (95919) | $186.80 | $467 | 1.0× |
| R Hrt Art/Grft Angio (93457) | $12,566.80 | $31,417 | 2.6× |
| R hrt coronary artery angio (93456) | $16,314.80 | $40,787 | 3.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,978 | $12,445 | 1.0× |
| Refill/Maint Portable Pump (96521) | $398.80 | $997 | 1.3× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $150.40 | $376 | 2.8× |
| Respiratory flow volume loop (94375) | $328.80 | $822 | 1.0× |
| Right Heart Cath (93451) | $8,582 | $21,455 | 1.8× |
| Right ventricular recording (93603) | $5,699.20 | $14,248 | 3.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $252 | $630 | 0.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $186.80 | $467 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $73.60 | $184 | 1.5× |
| Self Care Mngment Training (97535) | $86.80 | $217 | 2.7× |
| Slp caregiver training 1st 30 min (97550) | $27.20 | $68 | 0.5× |
| Speech sound lang comprehen (92523) | $496.80 | $1,242 | 2.2× |
| Spirometry (94010) | $523.20 | $1,308 | 1.7× |
| Stress Tte Only (93350) | $2,239.60 | $5,599 | 2.8× |
| Surfactant Admin Thru Tube (94610) | $346.80 | $867 | 1.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $1,438 | $3,595 | 9.4× |
| Temp transcutaneous pacing (92953) | $1,261.60 | $3,154 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $145.60 | $364 | 6.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $120 | $300 | 5.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $215.20 | $538 | 5.8× |
| Ther/Proph/Diag Inj Ia (96373) | $538 | $1,345 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $325.20 | $813 | 3.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $602 | $1,505 | 1.9× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$76–$86.80 | $217 | varies |
| Transcath Closure of Asd (93580) | $18,959.20 | $47,398 | 0.7× |
| Tte w/doppler, complete (93306) | $2,834 | $7,085 | 3.5× |
| Tte W/O Doppler Complete (93307) | $1,189.20 | $2,973 | 3.4× |
| Tx atrial fib pulm vein isol (93656) | $44,570 | $111,425 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $92 | $1,253 | 1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $259.60 | $649 | 3.8× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$858.80–$36,209.20 | $2,147–$90,523 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $464.80 | $1,162 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $611.20 | $1,528 | 1.9× |
| Vasopneumatic device (97016) | $112.80 | $282 | 9.4× |
| Veeg 2-12 hr unmonitored (95711) | $2,054.40 | $5,136 | 6.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,100 | $5,250 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) | $3,757.60 | $9,394 | 4.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,684 | $4,210 | 1.9× |
| Vital capacity, total (94150) | $131.60 | $329 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $114.40 | $286 | 3.7× |
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.