Lucile Salter Packard Children's Hsp at Stanford

725 Welch Road, Palo Alto, CA 94304 · (650) 497-8000

ChildrensVoluntary non-profit - PrivateSan Jose, CA metro Website ↗

Price file

Prices published

File dated 2026-03-31

1,482 price rows for 43 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $284

$284

cash

$219 to $8,000

22 negotiated rates

$568

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $4,754

$8,456

cash

$7,137 to $28,538

17 negotiated rates

$16,912

list

CT scan of the head, no contrast

CPT 70450 · metro median $2,682

$4,324

cash

$3,649 to $28,538

16 negotiated rates

$8,648

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $4,760

$6,341

cash

$5,352 to $28,538

17 negotiated rates

$12,682

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$4,429 to $9,101

14 negotiated rates

$9,101

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $74,200

$74,200

cash

$17,000 to $17,000

2 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $129

$26

cash

$20 to $266

40 negotiated rates

$51

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $62

cash

$5 to $8,000

23 negotiated rates

$10

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $345

$395

cash

$305 to $8,000

19 negotiated rates

$789

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $143

$89

cash

$75 to $28,538

32 negotiated rates

$178

list

Family psychotherapy with the patient

CPT 90847 · metro median $381

$381

cash

$258 to $28,538

29 negotiated rates

$515

list

Family psychotherapy without the patient

CPT 90846 · metro median $321

$321

cash

$161 to $28,538

31 negotiated rates

$515

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 7 lines · metro median $155

$26

cash

$20 to $8,000

51 negotiated rates

$51

list

Group psychotherapy

CPT 90853

—

cash

$82 to $159

15 negotiated rates

$163

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $371,367

$371,367

cash

$12,677 to $38,730

13 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $50,357

$50,357

cash

$3,100 to $12,858

13 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $55,895

$55,895

cash

$3,100 to $12,858

13 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $15,613

$18,321

cash

$8,000 to $63,035

11 negotiated rates

$36,642

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $156

$331

cash

$256 to $8,000

9 negotiated rates

$662

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $134

$205

cash

$158 to $8,000

15 negotiated rates

$410

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $5,499

$2,005

cash

$1,692 to $28,538

22 negotiated rates

$4,009

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $3,438

$2,050

cash

$1,730 to $28,538

73 negotiated rates

$4,099

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $3,282

$4,119

cash

$3,476 to $28,538

30 negotiated rates

$8,238

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $3,735

$4,119

cash

$3,476 to $28,538

31 negotiated rates

$8,238

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $109

$78

cash

$65 to $28,538

32 negotiated rates

$155

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $170

$95

cash

$80 to $28,538

32 negotiated rates

$190

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $199

$108

cash

$91 to $28,538

29 negotiated rates

$215

list

PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $130

$292

cash

$225 to $8,000

27 negotiated rates

$584

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 11 lines · metro median $142

$135

cash

$104 to $8,000

68 negotiated rates

$269

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $129

$321

cash

$65 to $28,538

27 negotiated rates

$129

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $946

$1,333

cash

$1,125 to $28,538

17 negotiated rates

$2,665

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $90

$113

cash

$87 to $8,000

59 negotiated rates

$226

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$101 to $311

17 negotiated rates

$318

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$161 to $428

12 negotiated rates

$436

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$171 to $632

14 negotiated rates

$632

list

Sleep study (overnight, attended)

CPT 95810 · metro median $4,889

$7,239

cash

$6,110 to $28,538

17 negotiated rates

$14,478

list

TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $73

$10

cash

$8 to $8,000

24 negotiated rates

$20

list

Transvaginal ultrasound

CPT 76830 · metro median $717

$1,368

cash

$1,155 to $28,538

17 negotiated rates

$2,736

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $1,036

$1,997

cash

$1,685 to $28,538

34 negotiated rates

$3,993

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $167

$213

cash

$164 to $8,000

17 negotiated rates

$426

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $49,271

$49,271

cash

$2,350 to $2,350

2 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$4,068 to $8,136

14 negotiated rates

$8,136

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $588

$1,128

cash

$952 to $28,538

17 negotiated rates

$2,255

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.stanfordchildrens.org/content/dam/sch/config-public/charges/770003859-lucile-salter-packard-childrens-hospital-at-stanford-standardcharges.json
Lucile Salter Packard Children's Hospital at Stanford · parsed · json v3.0.0 · file dated 2026-03-31 · 144.1 MB · 1482 price rows read · read Nov 2026