Visits & medical services prices at Ucsf Health Stanyan Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $22,555 $22,555 2.0×
Admn Sarscov2 Vacc 1 Dose (90480) $188 $188 3.2×
Airway Inhalation Treatment (94640) $885 $885 2.8×
Application on-body injector (96377) $131 $131 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,471 $1,471 2.7×
Cardiac Stress Tst,Tracing Only (93017) $3,293 $3,293 10.5×
Cardiopulmonary exercise testing (94621) $3,595 $3,595 6.7×
Cardiopulmonary resuscitation (92950) $3,095 $3,095 9.9×
Cardioversion (92960) $4,063 $4,063 4.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $41,509 $41,509 8.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $35,177 $35,177 7.5×
Cbt 1st hour (94644) $588 $588 3.1×
Chemo Admin Peritoneal Cavity (96446) $801 $801 1.7×
Chemo Anti-Neopl Sq/Im (96401) $999 $999 9.6×
Chemo Hormon Antineopl Sq/Im (96402) $999 $999 9.6×
Chemo IV infusion addl hr (96415) $854 $854 8.2×
Chemo IV push addl drug (96411) $854 $854 8.2×
Chemother Prolong Infuse W/Pump (96416) $1,405 $1,405 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,273 $1,273 12.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,273 $1,273 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,273 $1,273 2.7×
Chest Wall Manipulation (94668) $721 $721 3.7×
Color/duplex Doppler, complete (93975) $3,373 $3,373 9.8×
Color/duplex Doppler, limited (93976) $2,019 $2,019 13.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $451 $451 2.3×
Coronary Art/Grft Angio S&I (93455) $27,399 $27,399 5.8×
Coronary Artery Angio S&I (93454) $23,619 $23,619 5.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines		 $7,418–$15,783 $7,418–$15,783 varies
Cpt initial (94667) $721 $721 3.7×
Critical care first hour (99291) $14,560 $14,560 12.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $412–$3,097 $412–$3,097 varies
Dialysis One Evaluation (90945)
range across 2 matching MRF lines		 $1,381–$2,093 $1,381–$2,093 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,294 $2,294 6.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,803 $2,803 8.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,564 $3,564 10.3×
Duplex Scan Hemodialysis Access (93990) $748 $748 4.9×
Echo Heart Xthoracic,Limited (93308) $3,126 $3,126 9.1×
Echo transesophageal (93312) $5,085 $5,085 6.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $5,728 $5,728 7.3×
Eeg 41-60 Minutes (95812) $1,643 $1,643 5.3×
EEG awake drowsy (95816) $1,835 $1,835 5.9×
EEG extended monitoring 61-119 minutes (95813) $1,805 $1,805 5.8×
Eeg Sleep Only (95822) $1,800 $1,800 5.8×
Electrocardiogram Tracing (93005) $754 $754 8.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $9,534 $9,534 0.8×
Electrophysiology Evaluation (93642) $25,028 $25,028 14.2×
Emergency Dept Visit Level 2 (99282) $2,242 $2,242 10.1×
Emergency Dept Visit Level 3 (99283) $3,416 $3,416 8.7×
Emergency Dept Visit Level 4 (99284) $5,017 $5,017 8.3×
Ep & ablate supravent arrhyt (93653) $50,748 $50,748 1.3×
Ep & ablate ventric tachy (93654) $56,387 $56,387 1.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $16,714 $16,714 1.5×
Er level 1 (99281) $1,388 $1,388 11.4×
Er level v (99285) $10,675 $10,675 12.4×
Evaluate pt use of inhaler (94664) $307 $307 1.0×
External ECG rec>48hr<7d recording (93242) $537 $537 9.9×
External ECG rec>7d<15d recording (93246) $591 $591 10.9×
External Ecg Scanning Analysis Report (93226) $2,390 $2,390 28.0×
Extracranial Bilat Study (93880) $3,337 $3,337 9.7×
Gonioscopy (92020) $159 $159 0.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $47,489 $47,489 10.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $9,092 $9,092 9.2×
Holter monitor recording (93225) $1,601 $1,601 8.3×
Icm Device Eval (93290) $149 $149 2.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $227 $227 2.2×
Immunization administration (90471) $183 $183 1.8×
Insert/Place Heart Catheter (93503) $4,173 $4,173 1.8×
Interrogate Subq Defib (93261) $149 $149 2.8×
Intra-atrial pacing (93610) $14,722 $14,722 1.3×
Irrig Drug Delivery Device (96523) $434 $434 5.1×
IV infusion hydration each additional hour (96361) $685 $685 10.1×
IV infusion hydration initial 31 min-1 hour (96360) $1,282 $1,282 4.2×
IV infusion ther proph addl sequential to 1 hr (96367) $1,051 $1,051 10.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $843 $843 12.5×
IV push initial (96374) $476 $476 1.5×
L Hrt Art/Grft Angio (93459) $38,695 $38,695 8.3×
Lung Function Test (Mbc/Mvv) (94200) $271 $271 3.2×
Lwr Xtr Vasc Stdy Bilat (93924) $2,813 $2,813 9.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $127 $127 4.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $127 $127 3.5×
Methacholine challenge (94070) $1,427 $1,427 2.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,512 $1,512 2.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,512 $1,512 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $732 $732 2.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,512 $1,512 2.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $94 $94 3.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $469 $469 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $295 $295 1.6×
Phlebotomy therapeutic (99195) $833 $833 4.3×
Plethysmography (94726) $1,402 $1,402 2.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $675 $675 3.5×
Pulmonary Stress Testing (94618) $1,640 $1,640 8.5×
R Hrt Art/Grft Angio (93457) $37,288 $37,288 8.0×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $14,369 $14,369 3.1×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $14,369 $14,369 3.1×
R hrt coronary artery angio (93456) $36,584 $36,584 7.8×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $14,369 $14,369 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $14,369 $14,369 3.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $32,507 $32,507 6.9×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $164 $164 3.0×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $568 $568 3.0×
Right Heart Cath (93451) $16,253 $16,253 3.5×
Spirometry (94010) $964 $964 3.1×
Temp transcutaneous pacing (92953) $1,841 $1,841 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $357–$376 $357–$376 varies
Ther/Proph/Diag Iv Inf Init (96365) $1,282 $1,282 4.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,913 $1,913 3.5×
Tte w/doppler, complete (93306) $5,772 $5,772 7.3×
Tx atrial fib pulm vein isol (93656) $44,232 $44,232 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $476 $476 7.0×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines		 $6,232–$18,698 $6,232–$18,698 varies
Upr/L Xtremity Art 2 Levels (93922) $1,328 $1,328 6.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $2,250 $2,250 7.2×
Vent Mgmt Inpat Init Day (94002) $19,212 $19,212 21.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $16,010 $16,010 17.9×
Visual Field Exam Extended (92083) $200 $200 1.0×
Vital capacity, total (94150) $228 $228 1.2×

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.