St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $338.78 – $3,011.38 | 20 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $233.27 – $1,838.55 | 20 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $300.34 – $3,011.38 | 20 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $529.33 – $4,172.00 | 20 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $149.96 – $6,593.02 | 20 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $189.69 – $1,495.10 | 20 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $304.79 – $2,596.10 | 20 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $456.70 – $6,596.16 | 20 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $78.61 – $619.60 | 20 |
| Close mastoid fistula CPT 69700 | not published | not published | $338.78 – $3,011.38 | 20 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $930.91 – $7,337.25 | 13 |
| Close tear duct opening CPT 68760 | not published | not published | $157.65 – $1,242.55 | 20 |
| Close tear duct opening CPT 68761 | not published | not published | $143.98 – $1,134.75 | 20 |
| Close tear system fistula CPT 68770 | not published | not published | $411.41 – $4,742.82 | 20 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $91.00 – $3,011.38 | 20 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $484.05 – $3,815.05 | 13 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,188.96 – $9,371.10 | 13 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $677.58 – $5,340.50 | 13 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $688.68 – $5,428.00 | 13 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $175.59 – $1,383.90 | 20 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $241.81 – $1,969.01 | 20 |
| Closure of salivary fistula CPT 42600 | not published | not published | $392.61 – $6,593.02 | 20 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $237.96 – $6,593.02 | 20 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $785.56 – $1,256.90 | 14 |
| Clot factor fletcher fact CPT 85292 | $43.57 | $101.31 | $18.93 – $120.70 | 25 |
| Clot factor wght kininogen CPT 85293 | $54.08 | $125.75 | $18.93 – $125.75 | 25 |
| Clot factor xii hageman CPT 85280 | $17.08 | $39.71 | $9.93 – $123.35 | 25 |
| Clot factor xiii fibrin scrn CPT 85291 | $12.68 | $29.48 | $7.37 – $56.75 | 25 |
| Clot factor xiii fibrin stab CPT 85290 | $56.76 | $132.00 | $16.34 – $130.12 | 25 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $144.86 – $804.80 | 20 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $304.79 – $3,182.05 | 20 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $231.12 – $1,821.70 | 20 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $205.06 – $3,253.57 | 20 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $220.45 – $1,737.50 | 20 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $173.45 – $3,253.57 | 20 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $95.98 – $533.20 | 20 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $166.62 – $1,313.25 | 20 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $84.53 – $487.66 | 20 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $253.34 – $1,996.75 | 20 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $217.88 – $1,717.35 | 20 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $130.30 – $1,027.05 | 20 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $410.56 – $3,253.57 | 20 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $287.52 – $3,253.57 | 20 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $152.91 – $849.50 | 20 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $58.93 – $487.66 | 20 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $70.92 – $559.00 | 20 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $162.54 – $903.00 | 20 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $311.45 – $3,253.57 | 20 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $153.85 – $854.75 | 20 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $305.03 – $3,253.57 | 20 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $263.17 – $2,074.20 | 20 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $304.79 – $3,148.35 | 20 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $205.50 – $1,141.65 | 20 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $182.70 – $1,015.00 | 20 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $221.30 – $1,744.25 | 20 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $185.34 – $1,035.28 | 14 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $101.68 – $801.40 | 20 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $143.38 – $796.55 | 20 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $210.19 – $1,656.65 | 20 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $466.52 – $6,596.16 | 20 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $177.73 – $1,400.75 | 20 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $143.21 – $795.60 | 20 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $145.25 – $6,593.02 | 20 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $58.96 – $242.92 | 6 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $207.63 – $3,253.57 | 20 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $231.56 – $1,825.05 | 20 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $227.88 – $1,266.00 | 20 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $92.47 – $513.75 | 20 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $230.53 – $1,280.70 | 20 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $481.48 – $3,794.90 | 20 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $76.09 – $487.66 | 20 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $154.21 – $856.70 | 20 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $265.31 – $3,253.57 | 20 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $98.93 – $549.60 | 20 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $223.43 – $3,253.57 | 20 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $273.00 – $3,253.57 | 20 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $168.33 – $3,253.57 | 20 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $142.69 – $6,596.16 | 20 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $81.18 – $639.80 | 20 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $102.96 – $811.50 | 20 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $188.96 – $1,049.80 | 20 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $299.06 – $3,253.57 | 20 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $147.17 – $817.60 | 20 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $157.22 – $1,239.20 | 20 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $169.01 – $938.95 | 20 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $179.44 – $1,414.25 | 20 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $290.51 – $2,289.75 | 20 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $304.79 – $2,811.65 | 20 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $159.61 – $886.70 | 20 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $304.79 – $3,784.80 | 20 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $270.86 – $3,253.57 | 20 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $241.81 – $3,253.57 | 20 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $171.43 – $952.40 | 20 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $308.88 – $3,253.57 | 20 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $304.79 – $2,740.90 | 20 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $266.16 – $3,253.57 | 20 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $387.06 – $12,026.30 | 20 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $434.91 – $3,427.85 | 20 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $152.52 – $6,593.02 | 20 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $338.78 – $6,593.02 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.