California Pacific Medical Center- Van Ness Campus

1101 Van Ness Avenue, San Francisco, CA 94109 · Acute care hospital · Emergency room

These are California Pacific Medical Center- Van Ness Campus's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

196 of the services we track have a posted price here; 146 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge
Critical care, first 30 to 74 minutes CPT 99291	$9,840.00	$9,840.00
Emergency room visit, level 1 (minor) CPT 99281	$603.00	$603.00
Emergency room visit, level 2 CPT 99282	$1,527.00	$1,527.00
Emergency room visit, level 3 (moderate) CPT 99283	$3,093.00	$3,093.00
Emergency room visit, level 4 CPT 99284	$5,214.00	$5,214.00
Emergency room visit, level 5 (most severe) CPT 99285	$8,003.00	$8,003.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$1,194.00	$1,194.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$183.00	$183.00
Abdominal X-ray, 1 view CPT 74018	$666.00	$666.00
Ankle X-ray, 3 or more views CPT 73610	$1,300.00	$1,300.00
Bone density scan (DEXA), hips and spine CPT 77080	$913.00	$913.00
Breast ultrasound, one breast, complete CPT 76641	$1,637.00	$1,637.00
Breast ultrasound, one breast, limited CPT 76642	$1,298.00	$1,298.00
Chest X-ray, 1 view CPT 71045	$738.00	$738.00
Chest X-ray, 2 views CPT 71046	$804.00	$804.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$6,885.00	$6,885.00
CT angiogram of the head CPT 70496	$6,173.00	$6,173.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$8,287.00	$8,287.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$8,994.00	$8,994.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$6,374.00	$6,374.00
CT scan of the abdomen, without contrast CPT 74150	$4,058.00	$4,058.00
CT scan of the chest, with contrast CPT 71260	$5,153.00	$5,153.00
CT scan of the chest, without contrast CPT 71250	$4,097.00	$4,097.00
CT scan of the head, without contrast CPT 70450	$4,312.00	$4,312.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$5,058.00	$5,058.00
CT scan of the pelvis, with contrast CPT 72193	$5,746.00	$5,746.00
CT scan of the sinuses or face, without contrast CPT 70486	$4,272.00	$4,272.00
Diagnostic mammogram, both breasts CPT 77066	$929.00	$929.00
Diagnostic mammogram, one breast CPT 77065	$677.00	$677.00
Foot X-ray, 3 or more views CPT 73630	$1,377.00	$1,377.00
Hand X-ray, 3 or more views CPT 73130	$1,329.00	$1,329.00
Knee X-ray, 3 views CPT 73562	$1,431.00	$1,431.00
Leg or arm vein ultrasound, both sides CPT 93970	$2,871.00	$2,871.00
Leg or arm vein ultrasound, one side CPT 93971	$2,046.00	$2,046.00
Lower back X-ray, 2 or 3 views CPT 72100	$966.00	$966.00
MRI of both breasts, without and with contrast CPT 77049	not posted		$4,019.00 – $6,790.00
MRI of the abdomen, without and with contrast CPT 74183	$7,712.00	$7,712.00
MRI of the brain, without and with contrast CPT 70553	$8,334.00	$8,334.00
MRI of the brain, without contrast CPT 70551	$5,481.00	$5,481.00
MRI of the knee or other leg joint, without contrast CPT 73721	not posted		$2,170.00 – $3,689.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$5,217.00	$5,217.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$5,458.00	$5,458.00
MRI of the neck (cervical spine), without contrast CPT 72141	$5,265.00	$5,265.00
MRI of the pelvis, without and with contrast CPT 72197	$8,535.00	$8,535.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	not posted		$2,143.00 – $3,643.00
Neck X-ray, 2 or 3 views CPT 72040	$864.00	$864.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$1,596.00	$1,596.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$1,479.00	$1,479.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$1,625.00	$1,625.00
Screening mammogram, both breasts CPT 77067	$602.00	$602.00
Shoulder X-ray, 2 or more views CPT 73030	$1,335.00	$1,335.00
Transvaginal pregnancy ultrasound CPT 76817	$1,457.00	$1,457.00
Transvaginal ultrasound CPT 76830	$1,310.00	$1,310.00
Ultrasound of the abdomen, complete CPT 76700	$1,887.00	$1,887.00
Ultrasound of the neck or thyroid CPT 76536	$1,368.00	$1,368.00
Wrist X-ray, 3 or more views CPT 73110	$1,294.00	$1,294.00
X-ray of the lower back, 4 or more views CPT 72110	$1,151.00	$1,151.00

Lab tests

Service	Cash price	Gross charge
Basic metabolic panel (blood test) CPT 80048	$310.00	$310.00
Blood culture CPT 87040	$469.00	$469.00
Blood draw (venipuncture) CPT 36415	$50.00	$50.00
BNP test (heart failure) CPT 83880	$601.00	$601.00
C-reactive protein (CRP) test CPT 86140	$177.00	$177.00
Chlamydia test (DNA/NAAT) CPT 87491	$275.00	$275.00
Complete blood count (CBC) with differential CPT 85025	$217.00	$217.00
Complete blood count (CBC), automated CPT 85027	$189.00	$189.00
Comprehensive metabolic panel (blood test) CPT 80053	$386.00	$386.00
COVID-19 PCR test CPT 87635	$382.00	$382.00
D-dimer test (blood clots) CPT 85379	$370.00	$370.00
Drug screen, instrument chemistry CPT 80307	$781.00	$781.00
Ferritin (iron stores) test CPT 82728	$256.00	$256.00
Free T4 (thyroid) test CPT 84439	$231.00	$231.00
General health panel (blood tests) CPT 80050	$595.00	$595.00
Glucose (blood sugar) test CPT 82947	$114.00	$114.00
Gonorrhea test (DNA/NAAT) CPT 87591	$285.00	$285.00
Hemoglobin A1c test CPT 83036	$203.00	$203.00
Hepatitis C antibody test CPT 86803	$182.00	$182.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$316.00	$316.00
Iron test CPT 83540	$140.00	$140.00
Kidney function panel CPT 80069	$275.00	$275.00
Lipase test (pancreas) CPT 83690	$257.00	$257.00
Lipid panel, cholesterol and triglycerides CPT 80061	$343.00	$343.00
Liver function panel CPT 80076	$309.00	$309.00
Magnesium test CPT 83735	$219.00	$219.00
Obstetric blood test panel CPT 80055	$148.00	$148.00
Partial thromboplastin time (PTT), clotting test CPT 85730	$236.00	$236.00
Pregnancy blood test (hCG), quantitative CPT 84702	$395.00	$395.00
Prothrombin time (PT/INR), clotting test CPT 85610	$158.00	$158.00
PSA (prostate specific antigen), free CPT 84154	$252.00	$252.00
PSA (prostate specific antigen), total CPT 84153	$242.00	$242.00
Sed rate (ESR) test CPT 85652	$101.00	$101.00
TB skin test CPT 86580	$71.00	$71.00
Thyroid stimulating hormone (TSH) CPT 84443	$313.00	$313.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$337.00	$337.00
Troponin test (heart damage) CPT 84484	$492.00	$492.00
Urinalysis, automated, with microscope CPT 81001	$125.00	$125.00
Urinalysis, automated, without microscope CPT 81003	$102.00	$102.00
Urinalysis, manual, without microscope CPT 81002	$49.00	$49.00
Urine culture, colony count CPT 87086	$237.00	$237.00
Urine pregnancy test CPT 81025	$190.00	$190.00
Vitamin B12 test CPT 82607	$228.00	$228.00
Vitamin D test CPT 82306	$277.00	$277.00

Heart

Service	Cash price	Gross charge
Carotid artery ultrasound, both sides CPT 93880	$2,747.00	$2,747.00
ECG tracing only (no interpretation) CPT 93005	$614.00	$614.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$4,223.00	$4,223.00
Left heart catheterization CPT 93452	$28,551.00	$28,551.00
Left heart catheterization with coronary angiogram CPT 93458	$39,399.00	$39,399.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$9,698.00	$9,698.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$17,274.00 – $25,331.00
Breast biopsy with ultrasound guidance CPT 19083	$5,467.00	$5,467.00
Carpal tunnel release CPT 64721	not posted		$3,779.00 – $5,389.00
Colonoscopy with biopsy CPT 45380	not posted		$2,357.00 – $3,783.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$2,357.00 – $3,783.00
Colonoscopy, diagnostic CPT 45378	not posted		$2,357.00 – $3,783.00
Colposcopy with biopsy CPT 57454	$3,655.00	$3,655.00
Cystoscopy (bladder scope) CPT 52000	not posted		$1,756.00 – $2,006.00
Ear tubes, under general anesthesia CPT 69436	not posted		$3,462.00 – $4,822.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$1,474.00 – $3,306.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$10,324.00 – $13,708.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$36,502.00 – $44,246.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$5,045.00 – $7,160.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$10,324.00 – $17,251.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$7,308.00 – $11,808.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$8,506.00 – $14,870.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$5,877.00 – $8,468.00
Nasal endoscopy, diagnostic CPT 31231	$929.00	$929.00
Prostate biopsy CPT 55700	$9,221.00	$9,221.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$57,619.00 – $69,572.00
Removal of a breast lump, open surgery CPT 19120	not posted		$5,921.00 – $8,707.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$11,874.00 – $16,750.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$1,901.00 – $3,353.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$1,949.00 – $3,353.00
Septoplasty (nasal septum repair) CPT 30520	not posted		$5,315.00 – $7,113.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$2,842.00 – $8,468.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$6,462.00 – $14,099.00
Total hip replacement CPT 27130	not posted		$63,249.00 – $63,249.00
Total knee replacement CPT 27447	not posted		$64,740.00 – $64,740.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$2,230.00 – $3,410.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$2,230.00 – $3,410.00
Vasectomy CPT 55250	not posted		$4,951.00 – $6,737.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
Fetal non-stress test CPT 59025	$993.00	$993.00
IUD insertion CPT 58300	$6,169.00	$6,169.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Chest pain MS-DRG 313	not posted	$14,188.00 – $20,737.00
COPD flare-up, with major complications MS-DRG 190	not posted	$32,790.00 – $50,245.00
COPD flare-up, without complications MS-DRG 192	not posted	$20,520.00 – $30,013.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$45,836.00 – $59,523.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$270,594.00 – $418,096.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$61,555.00 – $95,390.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$13,806.00 – $20,192.00
Kidney failure, with complications MS-DRG 683	not posted	$44,469.00 – $57,749.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$18,917.00 – $27,649.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$53,237.00 – $84,129.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$38,574.00 – $50,093.00
Pneumonia, with complications MS-DRG 194	not posted	$33,976.00 – $44,122.00
Pneumonia, with major complications MS-DRG 193	not posted	$52,947.00 – $68,758.00
Pneumonia, without complications MS-DRG 195	not posted	$18,611.00 – $27,284.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$17,011.00 – $24,919.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$144,893.00 – $144,893.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$50,175.00 – $65,159.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$14,952.00 – $29,809.00

Pain and spine

Service	Cash price	Gross charge
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,865.00	$1,865.00
Lower back nerve root injection with imaging guidance CPT 64483	$4,901.00	$4,901.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$5,452.00	$5,452.00
Lower back spinal injection (epidural), without imaging CPT 62322	$7,034.00	$7,034.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted		$4,788.00 – $6,820.00
Eye exam, new patient, comprehensive CPT 92004	$339.00	$339.00
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$3,867.00	$3,867.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$731.00	$731.00

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$875.00	$875.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$653.00	$653.00

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	$246.00	$246.00
Physical therapy evaluation, low complexity CPT 97161	$495.00	$495.00
Physical therapy evaluation, moderate complexity CPT 97162	$558.00	$558.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$236.00	$236.00
Therapeutic activities, 15 minutes CPT 97530	$253.00	$253.00

Mental health

Service	Cash price	Gross charge
Family psychotherapy, with the patient, 50 minutes CPT 90847	$708.00	$708.00
Family psychotherapy, without the patient, 50 minutes CPT 90846	$542.00	$542.00
Group psychotherapy CPT 90853	$286.00	$286.00
Psychiatric diagnostic evaluation CPT 90791	$597.00	$597.00
Psychotherapy, 30 minutes CPT 90832	$438.00	$438.00
Psychotherapy, 45 minutes CPT 90834	$592.00	$592.00
Psychotherapy, 60 minutes CPT 90837	$675.00	$675.00

Infusions and injections

Service	Cash price	Gross charge
Injection under the skin or into a muscle CPT 96372	$345.00	$345.00
IV hydration, each additional hour CPT 96361	$490.00	$490.00
IV hydration, first hour CPT 96360	$1,160.00	$1,160.00
IV push injection of a drug, first CPT 96374	$647.00	$647.00
IV push injection, each additional drug CPT 96375	$484.00	$484.00

Drugs

Service	Cash price	Gross charge
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$74.75	$74.75
Dexamethasone injection, per 1 mg HCPCS J1100	$18.75	$18.75
Fentanyl injection, per 0.1 mg HCPCS J3010	$90.00	$90.00
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	$90.00	$90.00
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$75.00	$75.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$60.00	$60.00
Morphine injection, up to 10 mg HCPCS J2270	$114.26	$114.26
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$16.33	$16.33
Propofol injection, per 10 mg HCPCS J2704	$25.00	$25.00
Saline IV solution, 1000 ml HCPCS J7030	$75.00	$75.00

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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