Visits & medical services prices at Ucsf Health Hyde Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $188 $188 3.2×
Aep neurodiagnostic i&r (92653) $852 $852 2.7×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines		 $588–$1,164 $588–$1,164 varies
Biofeedback training any modality (90901) $425 $425 10.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,471 $1,471 2.7×
Cardiac Stress Tst,Tracing Only (93017) $3,360 $3,360 10.8×
Cardiopulmonary exercise testing (94621) $2,161 $2,161 4.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $2,706–$4,465 $2,706–$4,465 varies
Cardioversion (92960) $3,118 $3,118 3.3×
Cbt 1st hour (94644) $403 $403 2.1×
Chemo Anti-Neopl Sq/Im (96401) $590 $590 5.7×
Chemo Hormon Antineopl Sq/Im (96402) $254 $254 2.4×
Chemo IV infusion addl hr (96415) $183 $183 1.8×
Chemo IV push addl drug (96411) $675 $675 6.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $429 $429 4.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $851 $851 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,146 $1,146 2.4×
Chest Wall Manipulation (94668) $510 $510 2.7×
Color/duplex Doppler, complete (93975) $3,876 $3,876 11.2×
Color/duplex Doppler, limited (93976) $2,946 $2,946 19.5×
Continuous Pulse Ox (94762) $1,127 $1,127 6.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines		 $5,658–$6,985 $5,658–$6,985 varies
Cpt initial (94667) $1,087 $1,087 5.7×
Critical care first hour (99291) $15,375 $15,375 12.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $256–$8,641 $256–$8,641 varies
Dialysis One Evaluation (90945) $1,767 $1,767 2.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $3,760 $3,760 10.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,977 $1,977 13.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,564 $3,564 10.3×
Echo transesophageal (93312) $3,834 $3,834 4.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $5,728 $5,728 7.3×
EEG awake and asleep (95819) $2,411 $2,411 7.7×
EEG cerebral death evaluation (95824) $1,811 $1,811 3.4×
EEG extended monitoring 61-119 minutes (95813) $2,048 $2,048 6.6×
Eeg Sleep Only (95822) $1,800 $1,800 5.8×
Electrocardiogram Tracing (93005) $882 $882 10.3×
Emergency Dept Visit Level 2 (99282) $2,301 $2,301 10.4×
Emergency Dept Visit Level 3 (99283) $3,854 $3,854 9.8×
Emergency Dept Visit Level 4 (99284) $5,752 $5,752 9.5×
Er level 1 (99281) $1,438 $1,438 11.8×
Er level v (99285) $11,963 $11,963 13.9×
Evaluate pt use of inhaler (94664) $417 $417 1.3×
External ECG rec>48hr<7d recording (93242) $416 $416 7.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $493 $493 2.6×
External ECG rec>7d<15d recording (93246) $520 $520 9.6×
External ECG rec>7d<15d scanning alys w/report (93247) $456 $456 2.4×
External Ecg Scanning Analysis Report (93226) $2,800 $2,800 32.8×
Extracranial Bilat Study (93880) $3,334 $3,334 9.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $5,453 $5,453 5.5×
High altitude simulation test (94452) $692 $692 3.6×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $922 $922 4.8×
Holter monitor recording (93225) $1,904 $1,904 9.9×
Icm Device Eval (93290) $94 $94 1.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $166 $166 1.6×
Immunization administration (90471) $183 $183 1.8×
Insert/Place Heart Catheter (93503) $3,999 $3,999 1.8×
Irrig Drug Delivery Device (96523) $283 $283 3.3×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines		 $670–$704 $670–$704 varies
IV infusion hydration initial 31 min-1 hour (96360) $1,048 $1,048 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $998 $998 9.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $670 $670 9.9×
IV push initial (96374)
range across 3 matching MRF lines		 $532–$564 $532–$564 varies
Methacholine challenge (94070) $1,427 $1,427 2.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,003 $1,003 1.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,003 $1,003 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $485 $485 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,003 $1,003 1.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,518 $1,518 2.8×
Nerve conduction studies 13 or more studies (95913) $1,735 $1,735 3.2×
Nerve Conduction Studies 3-4 Studies (95908) $729 $729 2.3×
Nerve conduction studies 5-6 studies (95909) $868 $868 2.8×
Nerve conduction studies 7-8 studies (95910) $1,145 $1,145 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,371 $1,371 2.5×
Neurobehavioral Status Exam (96116) $802 $802 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $278 $278 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $188 $188 1.0×
Oxygen Uptake Rest Indirect (94690) $1,203 $1,203 14.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $901 $901 2.8×
Phlebotomy therapeutic (99195) $670 $670 3.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $647 $647 7.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $440 $440 5.2×
Plethysmography (94726) $1,489 $1,489 2.8×
Psychiatric diagnostic evaluation (90791) $407 $407 1.6×
Psychological tst eval svc phys/qhp first hour (96130) $662 $662 2.1×
Pulm function test by gas (94727) $1,192 $1,192 3.8×
Pulmonary Stress Testing (94618) $942 $942 4.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $3,083 $3,083 10.6×
Spirometry (94010) $866 $866 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $420 $420 4.0×
Ther/Proph/Diag Iv Inf Init (96365) $1,048 $1,048 3.4×
Tte w/doppler, complete (93306) $5,772 $5,772 7.3×
Tte W/O Doppler Complete (93307) $2,754 $2,754 8.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $532 $532 7.9×
Upr/L Xtremity Art 2 Levels (93922) $811 $811 4.2×
Vent Mgmt Inpat Init Day (94002) $8,382 $8,382 9.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $6,209 $6,209 7.0×
Visual Evoked Potential Test (95930) $1,129 $1,129 3.6×

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.