Supplies, drugs & other prices at Ucsf Benioff Children's Hospital Oakland

Oakland, CA · every code in this section with a posted price and a Medicare benchmark.

44 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,981.70 $9,939 2.7×
2d tte w or w/o fol w/con,co (C8923) $1,640.70 $5,469 1.5×
2d tte w or w/o fol w/con,fu (C8924) $1,072.20 $3,574 2.2×
Admin hepatitis b vaccine (G0010) $35.40 $118 0.5×
Admin influenza virus vac (G0008) $41.70 $139 0.6×
Admin pneumococcal vaccine (G0009) $35.40 $118 0.5×
Chemo extend iv infus w/pump (G0498) $365.10 $1,217 0.8×
Covid-19 lab test non-cdc (U0002)
range across 4 matching MRF lines
$16.50–$42.60 $55–$142 varies
Devlopment test interpt&rep (G0451) $63.30 $211 0.4×
Diab manage trn per indiv (G0108) $78.60 $262 1.4×
Diab manage trn ind/group (G0109) $60.30 $201 3.8×
Drug test def 1-7 classes (G0480)
range across 13 matching MRF lines
$5.71–$23.70 $19.04–$79 varies
Drug test def 15-21 classes (G0482) $30 $100 0.2×
Drug test def 22+ classes (G0483)
range across 5 matching MRF lines
$42.75–$51.98 $142.50–$173.25 varies
Evacuation meibomian glands using heat bilateral (0563T) $60.90 $203 0.7×
Home sleep test/type 4 porta (G0400) $342.60 $1,142 1.1×
Hospital outpt clinic visit (G0463)
range across 14 matching MRF lines
$54.90–$169.80 $183–$566 varies
Inj for sacroiliac jt anesth (G0260) $517.20 $1,724 0.5×
Mra w/cont, abd (C8900) $1,790.40 $5,968 3.6×
Mra w/cont, chest (C8909) $1,483.50 $4,945 3.0×
Mra w/cont, lwr ext (C8912) $915.90 $3,053 1.9×
Mra w/cont, pelvis (C8918) $1,238.10 $4,127 2.5×
Mra w/o cont, abd (C8901) $1,790.40 $5,968 5.3×
Mra w/o cont, chest (C8910) $1,483.50 $4,945 4.4×
Mra w/o cont, pelvis (C8919) $1,238.10 $4,127 3.7×
Mra w/o fol w/cont, abd (C8902) $1,790.40 $5,968 3.6×
Mra w/o fol w/cont, chest (C8911) $1,483.50 $4,945 3.0×
Mra w/o fol w/cont, lwr ext (C8914) $888.30 $2,961 1.8×
Mra, w/o&w/dye, upper extr (C8936) $2,274.90 $7,583 4.6×
Njx platelet plasma (0232T) $348.60 $1,162 0.6×
Obtaining screen pap smear (Q0091) $11.40 $38 0.3×
Pathogen test for platelets (P9100) $10.50 $35 0.1×
Pemivibart infusion (M0224) $507.60 $1,692 0.8×
Periodic oral evaluation (D0120) $10.80 $36 0.1×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $40.80 $136 0.8×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $1,249.80 $4,166 1.0×
Tee w or w/o fol w/cont, mon (C8927) $1,247.70 $4,159 1.1×
Tee w or w/o fol w/cont,cong (C8926) $1,622.70 $5,409 1.5×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$3,053.70–$11,483.40 $10,179–$38,278 varies
Tte w or w/o contr, cont ecg (C8930) $1,932.60 $6,442 1.7×
Tte w or w/o fol w/con,stres (C8928) $1,406.40 $4,688 1.3×
Tte w or w/o fol w/cont, com (C8921) $1,500.90 $5,003 1.4×
Tte w or w/o fol w/cont, f/u (C8922) $505.80 $1,686 0.5×
Tte w or wo fol wcon,doppler (C8929) $2,219.70 $7,399 2.0×

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.