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Shriners Hospitals for Children Northern Calif

2425 Stockton Boulevard, Sacramento, CA 95817 · (916) 453-2000

ChildrensVoluntary non-profit - PrivateSacramento, CA metroWebsite ↗

Price file

Prices published

File dated 2026-03-19

19,208 price rows for 36 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 20 lines · metro median $85

$71
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 20 lines · metro median $3,234

$3,238
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 20 lines · metro median $1,243

$1,126
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 20 lines · metro median $1,922

$1,714
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 20 lines · metro median $8

$165
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 11 lines · metro median $3,679

$5,334
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 11 lines · metro median $3,550

$4,329
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 20 lines · metro median $49

$65
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 20 lines · metro median $193

$89
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 40 lines · metro median $123

$379
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 20 lines · metro median $8

$165
cash
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cash
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cash
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cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 20 lines · metro median $3

$113
cash
Liver function panel

CPT 80076 · lowest of 20 lines · metro median $76

$69
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 20 lines · metro median $3,090

$3,090
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 20 lines · metro median $3,438

$2,017
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 20 lines · metro median $1,942

$5,624
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 20 lines · metro median $2,174

$5,764
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 20 lines · metro median $1,098

$4,018
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 40 lines · metro median $101

$306
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 40 lines · metro median $117

$389
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 31 lines · metro median $188

$731
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 20 lines · metro median $2

$50
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 9 lines · metro median $129

$159
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 20 lines · metro median $2

$33
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 31 lines · metro median $2,402

$4,198
cash
TSH test (thyroid)

CPT 84443 · lowest of 20 lines · metro median $3

$141
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 20 lines · metro median $674

$674
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 11 lines · metro median $3,707

$5,334
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 11 lines · metro median $3,354

$3,813
cash
Urinalysis with microscope

CPT 81001 · lowest of 20 lines · metro median $30

$27
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 20 lines · metro median $352

$434
cash

Source files

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