San Rafael Medical Center — price list
← Hospital overviewVerified from San Rafael 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.
123 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC" Inpatient | 511 MS-DRG | — | — | $13,936 – $55,942 | — | |
| "THERMALIFT, COSMETIC DERMATOLOGY" Inpatient & outpatient | 17999.0011 CDM | $9,030 | $5,057 | $240 – $752 | — | |
| "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC" Inpatient | 11 MS-DRG | — | — | $16,007 – $64,252 | — | |
| 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 | — | |
| ANGINA PECTORIS Inpatient | 311 MS-DRG | — | — | $5,123 – $20,562 | — | |
| APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX Inpatient & outpatient | 21100 CPT | $21,310 | $11,934 | $7,148 – $22,386 | — | |
| APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC Inpatient & outpatient | 21110 CPT | $9,390 | $5,258 | $1,790 – $5,606 | — | |
| ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US Inpatient & outpatient | 20611 CPT | $3,010 | $1,686 | $357 – $1,117 | — | |
| ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH Inpatient & outpatient | 26110 CPT | $9,130 | $5,113 | $1,934 – $6,056 | — | |
| AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL Inpatient & outpatient | 11732 CPT | $960 | $538 | — | — | |
| AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 Inpatient & outpatient | 11730 CPT | $1,320 | $739 | $240 – $752 | — | |
| BIOPSY NAIL UNIT SEPARATE PROCEDURE Inpatient & outpatient | 11755 CPT | $4,510 | $2,526 | $850 – $2,662 | — | |
| CHOLECYSTECTOMY WITH C.D.E. WITH MCC Inpatient | 411 MS-DRG | — | — | $14,498 – $58,195 | — | |
| DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF Inpatient & outpatient | 11000 CPT | $3,690 | $2,066 | $740 – $2,316 | — | |
| DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF Inpatient & outpatient | 11001 CPT | $840 | $470 | — | — | |
| DBRDMT FX&/DISLC SUBQ T/M/F BONE Inpatient & outpatient | 11012 CPT | $5,640 | $3,158 | $3,458 – $10,830 | — | |
| DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL Inpatient & outpatient | 11005 CPT | $3,250 | $1,820 | — | — | |
| DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM Inpatient & outpatient | 11045 CPT | $1,850 | $1,036 | — | — | |
| DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS Inpatient & outpatient | 11010 CPT | $5,070 | $2,839 | $850 – $2,662 | — | |
| DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC Inpatient & outpatient | 11011 CPT | $3,970 | $2,223 | $850 – $2,662 | — | |
| DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM Inpatient & outpatient | 11047 CPT | $4,520 | $2,531 | — | — | |
| DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/< Inpatient & outpatient | 11044 CPT | $7,570 | $4,239 | $1,958 – $6,131 | — | |
| DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/< Inpatient & outpatient | 11043 CPT | $3,290 | $1,842 | $740 – $2,316 | — | |
| DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM Inpatient & outpatient | 11046 CPT | $2,600 | $1,456 | — | — | |
| DEBRIDEMENT NAIL ANY METHOD 1-5 Inpatient & outpatient | 11720 CPT | $304 | $170 | $72.00 – $225 | — | |
| DEBRIDEMENT NAIL ANY METHOD 6/> Inpatient & outpatient | 11721 CPT | $610 | $342 | $72.00 – $225 | — | |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< Inpatient & outpatient | 11042 CPT | $2,400 | $1,344 | $483 – $1,512 | — | |
| DESTRUCTION BENIGN LESIONS 15/> Inpatient & outpatient | 17111 CPT | $1,330 | $745 | $240 – $752 | — | |
| DESTRUCTION BENIGN LESIONS UP TO 14 Inpatient & outpatient | 17110 CPT | $640 | $358 | $240 – $752 | — |