Presbyterian Santa Fe Medical Center — price list
← Hospital overviewVerified from Presbyterian Santa Fe Medical Center’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,479 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acute hepatitis panel Inpatient & outpatient | 30100005 CDM | $186 | $130 | — | — | |
| Alanine amino (alt) (sgpt) Inpatient & outpatient | 30100289 CDM | $91.00 | $63.70 | — | — | |
| Alpha-fetoprotein serum Inpatient & outpatient | 30100055 CDM | $147 | $103 | — | — | |
| Alteplase 2 mg inj solr Inpatient & outpatient | 12619 CDM | $800 | $560 | — | — | |
| Antithrombin iii test Inpatient & outpatient | 30000044 CDM | $252 | $176 | — | — | |
| Assay glucose blood quant Inpatient & outpatient | 30100148 CDM | $61.00 | $42.70 | — | — | |
| Assay of blood chloride Inpatient & outpatient | 30100092 CDM | $67.00 | $46.90 | — | — | |
| Assay of lactic acid Inpatient & outpatient | 30100179 CDM | $86.00 | $60.20 | — | — | |
| Assay of phenytoin total Inpatient & outpatient | 30100028 CDM | $133 | $93.10 | — | — | |
| Assay of vitamin b-1 Inpatient & outpatient | 30100278 CDM | $99.00 | $69.30 | — | — | |
| Assay thyroid stim hormone Inpatient & outpatient | 30100284 CDM | $183 | $128 | — | — | |
| Assay vitamin nos Inpatient & outpatient | 30100306 CDM | $69.00 | $48.30 | — | — | |
| Atezolizumab 1,200 mg/20 ml (60 mg/ml) IV soln Inpatient & outpatient | 31766 CDM | $23,792 | $16,654 | — | — | |
| Atezolizumab 840 mg/14 ml (60 mg/ml) IV soln Inpatient & outpatient | 31766 CDM | $35,526 | $24,868 | — | — | |
| Avelumab 20 mg/ml IV soln Inpatient & outpatient | 34738 CDM | $14,907 | $10,435 | — | — | |
| Benralizumab 30 mg/ml subq atin Inpatient & outpatient | 35333 CDM | $14,769 | $10,338 | — | — | |
| Bevacizumab 25 mg/ml IV soln Inpatient & outpatient | 22666 CDM | $4,005 | $2,804 | — | — | |
| Bevacizumab-awwb 25 mg/ml IV soln Inpatient & outpatient | 31881 CDM | $23,109 | $16,176 | — | — | |
| Blood clot inhibitor c activity Inpatient & outpatient | 30000046 CDM | $242 | $169 | — | — | |
| Blood clot inhibitor s free Inpatient & outpatient | 30000047 CDM | $113 | $79.10 | — | — | |
| Blood gases any combination Inpatient & outpatient | 30100142 CDM | $192 | $134 | — | — | |
| Blood gases w/ o2 saturation Inpatient & outpatient | 30100143 CDM | $221 | $155 | — | — | |
| Body fluid not bld cell count Inpatient & outpatient | 30000304 CDM | $38.00 | $26.60 | — | — | |
| Body fluid not bld w/ diff count Inpatient & outpatient | 30000305 CDM | $107 | $74.90 | — | — | |
| Bordetella antibody Inpatient & outpatient | 30000130 CDM | $155 | $109 | — | — | |
| Bupivacaine (pf) 0.25 % (2.5 mg/ml) inj soln Inpatient & outpatient | 35402 CDM | $16.00 | $11.20 | — | — | |
| Bupivacaine 0.5 % (5 mg/ml) inj soln Inpatient & outpatient | 35402 CDM | $65.00 | $45.50 | — | — | |
| Cardiolipin antibody each ig class Inpatient & outpatient | 30000085 CDM | $593 | $415 | — | — | |
| Cath PICC dual lumen 1.9frx30cm Inpatient & outpatient | 27200091 CDM | $327 | $229 | — | — | |
| Cefdinir 250 mg/5 ml oral susr Inpatient & outpatient | 35402 CDM | $53.00 | $37.10 | — | — |