Santa Clara Medical Center — price list

← Hospital overviewVerified from Santa Clara 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.

80 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FACILITY USE-O.R., EMERGENT - SUBSEQUENT ADD'L 30 MIN" Inpatient & outpatient	6592 CDM	$2,400	$1,344	—	—
"FACILITY USE-O.R., KIDNEY TRANSPLANT - FIRST 30 MIN" Inpatient & outpatient	6581 CDM	$4,100	$2,296	—	—
"FACILITY USE-O.R., OTHER THAN KIDNEY TRANSPLANT - FIRST 30 MIN" Inpatient & outpatient	6583 CDM	$4,100	$2,296	—	—
"FACILITY USE-O.R., URGENT - SUBSEQUENT ADD'L 30 MIN" Inpatient & outpatient	6593 CDM	$2,130	$1,193	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 1" Inpatient & outpatient	6626 CDM	$6,763	$3,787	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 2" Inpatient & outpatient	6613 CDM	$9,156	$5,127	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 3" Inpatient & outpatient	6614 CDM	$11,890	$6,658	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 4" Inpatient & outpatient	6615 CDM	$18,100	$10,136	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 5" Inpatient & outpatient	6616 CDM	$18,600	$10,416	—	—
"FACILITY USE-OPERATING ROOM, SUBSEQUENT ADD'L 30 MIN" Inpatient & outpatient	6591 CDM	$2,000	$1,120	—	—
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC" Inpatient	630 MS-DRG	—	—	$12,938 – $51,934	—
"ROOM & BOARD-SEMIPRIVATE, OBSTETRICS" Inpatient	6030 CDM	$7,697	$4,310	—	—
ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM Inpatient & outpatient	14001 CPT	$9,830	$5,505	$2,210 – $6,922	—
ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM Inpatient & outpatient	14301 CPT	$19,880	$11,133	$4,424 – $13,854	—
ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM Inpatient & outpatient	14061 CPT	$12,000	$6,720	$2,210 – $6,922	—
ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM/< Inpatient & outpatient	14302 CPT	$7,890	$4,418	—	—
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	—
ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM Inpatient & outpatient	14021 CPT	$12,010	$6,726	$2,210 – $6,922	—
ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED Inpatient & outpatient	20930 CPT	$13,400	$7,504	—	—
ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE Inpatient & outpatient	25830 CPT	$17,120	$9,587	$8,633 – $27,033	—
Arthrd pst tq 1ntrspc lum Inpatient & outpatient	22630 CPT	—	—	$22,222 – $69,590	—
ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB Inpatient & outpatient	23040 CPT	$14,230	$7,969	$3,921 – $12,278	—
ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB Inpatient & outpatient	23044 CPT	$14,340	$8,030	$3,921 – $12,278	—
ATHEROSCLEROSIS WITH MCC Inpatient	302 MS-DRG	—	—	$5,938 – $23,837	—
ATHEROSCLEROSIS WITHOUT MCC Inpatient	303 MS-DRG	—	—	$5,062 – $20,319	—
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 Inpatient & outpatient	11730 CPT	$1,320	$739	$240 – $752	—
BIOPSY SOFT TISSUE SHOULDER DEEP Inpatient & outpatient	23066 CPT	$17,540	$9,822	$3,458 – $10,830	—
BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL Inpatient & outpatient	23065 CPT	$5,840	$3,270	$1,958 – $6,131	—
CAPSULAR CONTRACTURE RELEASE Inpatient & outpatient	23020 CPT	$12,320	$6,899	$3,921 – $12,278	—
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Inpatient	309 MS-DRG	—	—	$4,804 – $19,284	—