Stanford Health Care Tri-Valley

5555 West Las Positas Boulevard, Pleasanton, CA 94588 · (925) 847-3000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 5/5San Francisco, CA metro Website ↗

Price file

Prices published

File dated 2026-04-01

510 price rows for 61 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $193

$186

cash

$37 to $84

3 negotiated rates

$464

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,754

$4,114

cash

$2,436 to $2,643

3 negotiated rates

$10,284

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $2,682

$1,569

cash

$805 to $1,742

3 negotiated rates

$3,922

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $4,760

$2,058

cash

$1,261 to $2,525

3 negotiated rates

$5,144

list

Cataract surgery with lens implant

CPT 66984

—

cash

$3,998 to $16,120

7 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$8,476 to $8,476

2 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $129

$167

cash

$153 to $349

3 negotiated rates

$417

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $3,679

$2,664

cash

$2,424 to $7,416

7 negotiated rates

$6,660

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $3,550

$4,170

cash

$2,424 to $7,416

7 negotiated rates

$10,426

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $3,466

$3,668

cash

$2,424 to $7,416

7 negotiated rates

$9,171

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $123

$106

cash

$34 to $77

3 negotiated rates

$264

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $255

$196

cash

$46 to $105

3 negotiated rates

$489

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $504

$417

cash

$1,036 to $1,036

2 negotiated rates

$1,043

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$188 to $188

2 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$185 to $534

3 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$161 to $534

3 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$8,217 to $16,544

6 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $155

$127

cash

$153 to $349

3 negotiated rates

$318

list

Group psychotherapy

CPT 90853

—

cash

$73 to $237

3 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$57,240 to $57,240

1 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$19,864 to $19,864

1 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$25,528 to $25,528

1 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$6,448 to $13,310

7 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$6,448 to $13,310

7 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$1,588 to $7,416

7 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $15,613

$4,817

cash

$10,765 to $20,751

6 negotiated rates

$12,042

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $156

$126

cash

$58 to $133

3 negotiated rates

$315

list

Liver function panel

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

$180

cash

$36 to $81

3 negotiated rates

$451

list

MRI of the brain, with and without contrast

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

$3,596

cash

$2,241 to $9,180

3 negotiated rates

$8,991

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $3,438

$3,485

cash

$1,420 to $4,092

3 negotiated rates

$8,712

list

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

CPT 72148 · metro median $3,282

$4,408

cash

$1,420 to $4,584

3 negotiated rates

$11,019

list

MRI of the neck (cervical spine), no contrast

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

$2,815

cash

$1,420 to $4,131

3 negotiated rates

$7,038

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$57,091 to $57,091

1 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$1,690 to $5,542

7 negotiated rates

—

list

PSA test (prostate)

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

cash

$80 to $183

3 negotiated rates

$14

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 7 lines · metro median $142

cash

$26 to $60

3 negotiated rates

$12

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $129

$76

cash

$113 to $118

3 negotiated rates

$253

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $946

$658

cash

$404 to $774

3 negotiated rates

$1,644

list

Prostate biopsy

CPT 55700 · metro median $1,256

$3,149

cash

$2,424 to $7,416

7 negotiated rates

$7,872

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$5,542 to $13,784

6 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $90

cash

$17 to $39

3 negotiated rates

$12

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$375 to $375

1 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$485 to $485

1 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$485 to $485

1 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,610 to $10,929

7 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $375

$271

cash

$1,050 to $1,050

2 negotiated rates

$677

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$2,952 to $10,929

7 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$3,334 to $5,742

3 negotiated rates

—

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$105,833 to $105,833

1 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $2,402

$1,400

cash

$2,128 to $5,542

6 negotiated rates

$3,500

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $3,662

$2,436

cash

$2,128 to $5,542

6 negotiated rates

$6,089

list

TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $155

cash

$73 to $167

3 negotiated rates

$14

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,610 to $10,929

7 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $717

$821

cash

$404 to $563

3 negotiated rates

$2,053

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $991

$848

cash

$404 to $729

3 negotiated rates

$2,121

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $3,707

$3,788

cash

$1,690 to $5,694

7 negotiated rates

$9,471

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $3,354

$4,007

cash

$2,424 to $7,416

7 negotiated rates

$10,017

list

Urinalysis with microscope

CPT 81001 · metro median $83

$136

cash

$14 to $32

3 negotiated rates

$340

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$7,416 to $7,416

2 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$7,416 to $7,416

2 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $588

$458

cash

$317 to $337

3 negotiated rates

$1,144

list

Source files

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

https://stanfordhealthcare.org/content/dam/valleycare/patients-visitors/941429628_stanford-health-care---tri-valley_standardcharges.json
Stanford Health Care Tri-Valley · parsed · json v3.0.0 · file dated 2026-04-01 · 41.1 MB · 510 price rows read · read Nov 2026