ALTA BATES SUMMIT MEDICAL CENTER-HERRICK CAMPUS
Legal name: SUTTER BAY HOSPITALS
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| Adm sarscov2 30mcg/0.3ml 1st | 0001A | N/A | N/A |
| HEART FAILURE ASSESSED | 0001F | N/A | N/A |
| RBC DNA HEA 35 AG 11 BLD GRP | 0001U | N/A | N/A |
| Adm sarscov2 30mcg/0.3ml 2nd | 0002A | N/A | N/A |
| LIVER DIS 10 ASSAYS W/ASH | 0002M | N/A | N/A |
| ONC CLRCT 3 UR METAB ALG PLP | 0002U | N/A | N/A |
| Adm sarscov2 30mcg/0.3ml 3rd | 0003A | N/A | N/A |
| LIVER DISEASE, TEN BIOCHEMIC | 0003M | N/A | N/A |
| ONC OVAR 5 PRTN SER ALG SCOR | 0003U | N/A | N/A |
| Adm sarscov2 30mcg/0.3ml bst | 0004A | N/A | N/A |
| SCOLIOSIS, DNA ANALYSIS OF 53 SINGLE NUCLEOTIDE | 0004M | N/A | N/A |
| OSTEOARTHRITIS ASSESSED | 0005F | N/A | N/A |
| ONCO PRST8 3 GENE UR ALG | 0005U | N/A | N/A |
| ONCOLOGY HEP MRNA 161 GENES RISK CLASSIFIER | 0006M | N/A | N/A |
| ONC GASTRO 51 GENE NOMOGRAM | 0007M | N/A | N/A |
| RX TEST PRSMV UR W/DEF CONF | 0007U | N/A | N/A |
| HPYLORI DETCJ ABX RSTNC DNA | 0008U | N/A | N/A |
| ONC BRST CA ERBB2 AMP/NONAMP | 0009U | N/A | N/A |
| NFCT DS STRN TYP WHL GEN SEQ | 0010U | N/A | N/A |
| Adm sarscov2 100mcg/0.5ml1st | 0011A | N/A | N/A |
| ONC PRST8 CA MRNA 12 GEN ALG | 0011M | N/A | N/A |
| RX MNTR LC-MS/MS ORAL FLUID | 0011U | N/A | N/A |
| Adm sarscov2 100mcg/0.5ml2nd | 0012A | N/A | N/A |
| CAP BACTERIAL ASSESS | 0012F | N/A | N/A |
| ONC MRNA 5 GEN RSK URTHL CA | 0012M | N/A | N/A |
| Adm sarscov2 100mcg/0.5ml3rd | 0013A | N/A | N/A |
| ONC MRNA 5 GEN RECR URTHL CA | 0013M | N/A | N/A |
| COMP PREOP ASSESS CAT SURG | 0014F | N/A | N/A |
| Fee Schedule | 0014M | N/A | N/A |
| MELAN FOLLOW-UP COMPLETE | 0015F | N/A | N/A |
Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.