San Bernardino, CA
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 28, 2026 | Aug 15, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Dignity Health’s price for it.
The codes Dignity Health has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Complete blood count with automated differentialCPT 85025 | $14 | $35 | $55 | 159% | 1,745–1,817 | $7 | $266 |
| Comprehensive metabolic blood panelCPT 80053 | $19 | $89 | $179 | 201% | 1,547–1,646 | $9 | $844 |
| Ondansetron injection 4 mgHCPCS J2405 | $12 | $15 | $14 | 90% | 1,246–1,273 | $0 | $47 |
| Dexamethasone sodium phosphate injection, 4 mg per mLHCPCS J1100 | $12 | $14 | $14 | 100% | 1,173–1,218 | $0 | $47 |
| Propofol intravenous emulsionHCPCS J2704 | $12 | $26 | $37 | 144% | 1,029–1,164 | $0 | $159 |
| Electrocardiogram (ECG) heart rhythm tracingCPT 93005 | $75 | $448 | $1.2k | 257% | 971–1,106 | $19 | $6.0k |
| Chest X-ray, single viewCPT 71045 | $112 | $140 | $111 | 79% | 995–1,049 | $18 | $437 |
| Therapeutic or preventive subcutaneous or intramuscular injectionCPT 96372 | $90 | $224 | $346 | 155% | 746–1,052 | $22 | $2.7k |
| Automated urinalysis with microscopic examinationCPT 81001 | $6 | $24 | $42 | 174% | 850–940 | $3 | $198 |
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $268 | $440 | $711 | 162% | 825–933 | $57 | $6.4k |
EIN: 941196203
Last updated: Feb 28, 2026
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Hospital ID: 927dcf13885c92da287f0d8abf85bdcf0ddba5fa84fc163aa5888e25b04a66d8