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.

46 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC" Inpatient	441 MS-DRG	—	—	$6,096 – $24,471	—
"FACILITY USE-EMERGENCY ROOM, LEVEL 6" Inpatient & outpatient	6541 CDM	$10,553	$5,910	—	—
"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC" Inpatient	641 MS-DRG	—	—	$4,492 – $18,031	—
"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR" Inpatient	41 MS-DRG	—	—	$13,980 – $56,118	—
ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM Inpatient & outpatient	14041 CPT	$13,220	$7,403	$2,210 – $6,922	—
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC Inpatient	241 MS-DRG	—	—	$8,808 – $35,356	—
ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS Inpatient & outpatient	25441 CPT	$44,000	$24,640	$15,548 – $48,690	—
ARTHROTOMY ELBOW W/SYNOVECTOMY Inpatient & outpatient	24102 CPT	$12,920	$7,235	$3,921 – $12,278	—
ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY Inpatient & outpatient	24100 CPT	$15,920	$8,915	$3,921 – $12,278	—
ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB Inpatient & outpatient	24101 CPT	$17,420	$9,755	$3,921 – $12,278	—
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC Inpatient	410 MS-DRG	—	—	$12,114 – $48,626	—
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Inpatient	415 MS-DRG	—	—	$11,918 – $47,840	—
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Inpatient	414 MS-DRG	—	—	$14,249 – $57,195	—
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Inpatient	416 MS-DRG	—	—	$10,732 – $43,079	—
CHOLECYSTECTOMY WITH C.D.E. WITH CC Inpatient	412 MS-DRG	—	—	$13,903 – $55,807	—
CHOLECYSTECTOMY WITH C.D.E. WITH MCC Inpatient	411 MS-DRG	—	—	$14,498 – $58,195	—
CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Inpatient	413 MS-DRG	—	—	$13,071 – $52,470	—
CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY Inpatient & outpatient	23415 CPT	$21,510	$12,046	$8,633 – $27,033	—
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM Inpatient & outpatient	11441 CPT	$3,960	$2,218	$850 – $2,662	—
EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT Inpatient & outpatient	15941 CPT	$12,790	$7,162	$3,458 – $10,830	—
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 TUM HUMERUS W/ALGRFT Inpatient & outpatient	24116 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 BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT Inpatient & outpatient	24115 CPT	$17,920	$10,035	$8,633 – $27,033	—
EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM Inpatient & outpatient	11641 CPT	$5,740	$3,214	$850 – $2,662	—
EXCISION OLECRANON BURSA Inpatient & outpatient	24105 CPT	$11,620	$6,507	$3,921 – $12,278	—
EXCISION RADIAL HEAD Inpatient & outpatient	24130 CPT	$16,570	$9,279	$3,921 – $12,278	—
EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS Inpatient & outpatient	24110 CPT	$13,550	$7,588	$3,921 – $12,278	—
FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/< Inpatient & outpatient	15241 CPT	$2,050	$1,148	—	—