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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Diph,pertus(acel),tet,polio(pf)(kinrix) 25 lf-58 mcg-10 lf/0.5 ml IM syringe Inpatient & outpatient | 19537 CDM | $318 | $223 | — | — | |
| Diphth,pertus(acell),tetanus syrg (infanrix) 25 lf unit-58mcg-10 lf/0.5ml IM syringe Inpatient & outpatient | 19537 CDM | $343 | $240 | — | — | |
| Diphth,pertus(acell),tetanus syrg(boostrix) 2.5-8-5 lf-mcg-lf/0.5ml IM syrg Inpatient & outpatient | 19537 CDM | $240 | $168 | — | — | |
| Diphth,pertus(acell),tetanus vial (adacel) 2 lf-(5-3-5mcg)-5 lf/0.5 ml IM susp Inpatient & outpatient | 19537 CDM | $249 | $174 | — | — | |
| Diphth,pertus(acell),tetanus vial (boostrix*) 2.5-8-5 lf-mcg-lf/0.5ml IM susp Inpatient & outpatient | 19537 CDM | $240 | $168 | — | — |