Sacramento Medical Center — price list
← Hospital overviewVerified from Sacramento 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.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
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.
62 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "INJECTION OF AUTOLOGOUS WHOLE BLOOD, MUSCULOSKELETAL, INCLUDING IMAGING GUIDANCE WHEN PERFORMED" Inpatient & outpatient | 20999.0012 CDM | $1,270 | $711 | $290 – $908 | — | |
| "LASER, ABLATIVE RESURFACING, PARTIAL FACE" Inpatient & outpatient | 17999.0012 CDM | $9,030 | $5,057 | $240 – $752 | — | |
| "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC" Inpatient | 512 MS-DRG | — | — | $14,404 – $57,818 | — | |
| "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC" Inpatient | 12 MS-DRG | — | — | $16,336 – $65,575 | — | |
| ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Inpatient | 121 MS-DRG | — | — | $4,442 – $17,832 | — | |
| ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Inpatient | 122 MS-DRG | — | — | $3,901 – $15,659 | — | |
| AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL Inpatient & outpatient | 21127 CPT | $25,570 | $14,319 | $7,148 – $22,386 | — | |
| AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL Inpatient & outpatient | 21125 CPT | $16,620 | $9,307 | $7,148 – $22,386 | — | |
| ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR Inpatient & outpatient | 22612 CPT | $31,510 | $17,646 | $22,222 – $69,590 | — | |
| ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT Inpatient & outpatient | 21242 CPT | $21,310 | $11,934 | $7,148 – $22,386 | — | |
| ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT Inpatient & outpatient | 21240 CPT | $21,310 | $11,934 | $7,148 – $22,386 | — | |
| ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT Inpatient & outpatient | 21243 CPT | $27,450 | $15,372 | $22,222 – $69,590 | — | |
| ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ Inpatient & outpatient | 20612 CPT | $1,820 | $1,019 | $357 – $1,117 | — | |
| CARTILAGE GRAFT NASAL SEPTUM Inpatient & outpatient | 20912 CPT | $16,910 | $9,470 | $4,424 – $13,854 | — | |
| CHOLECYSTECTOMY WITH C.D.E. WITH CC Inpatient | 412 MS-DRG | — | — | $13,903 – $55,807 | — | |
| CLAVICULECTOMY PARTIAL Inpatient & outpatient | 23120 CPT | $23,050 | $12,908 | $3,921 – $12,278 | — | |
| CLAVICULECTOMY TOTAL Inpatient & outpatient | 23125 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Inpatient | 212 MS-DRG | — | — | $29,170 – $117,090 | — | |
| DBRDMT FX&/DISLC SUBQ T/M/F BONE Inpatient & outpatient | 11012 CPT | $5,640 | $3,158 | $3,458 – $10,830 | — | |
| EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES Inpatient & outpatient | 19125 CPT | $16,400 | $9,184 | $4,627 – $14,491 | — | |
| EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL Inpatient & outpatient | 19126 CPT | $6,870 | $3,847 | — | — | |
| EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION Inpatient & outpatient | 19120 CPT | $14,360 | $8,042 | $4,627 – $14,491 | — | |
| EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT Inpatient & outpatient | 24125 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT Inpatient & outpatient | 24126 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — | |
| EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN Inpatient & outpatient | 24120 CPT | $4,060 | $2,274 | $3,921 – $12,278 | — | |
| EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT Inpatient & outpatient | 25126 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT Inpatient & outpatient | 25125 CPT | $16,260 | $9,106 | $1,934 – $6,056 | — | |
| EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT Inpatient & outpatient | 25112 CPT | $4,740 | $2,654 | $1,934 – $6,056 | — | |
| EXCISION LACTIFEROUS DUCT FISTULA Inpatient & outpatient | 19112 CPT | $14,490 | $8,114 | $4,627 – $14,491 | — | |
| EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/> Inpatient & outpatient | 21012 CPT | $10,640 | $5,958 | $1,958 – $6,131 | — |