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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66740 | not published | not published | $512.67 – $4,742.82 | 20 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $102.11 – $804.75 | 20 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $123.46 – $5,575.17 | 20 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $162.34 – $4,742.82 | 20 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $91.85 – $812.22 | 20 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $115.35 – $909.20 | 20 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $86.29 – $812.22 | 20 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $103.82 – $818.25 | 20 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $69.63 – $812.22 | 20 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $237.13 – $3,718.75 | 20 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $165.76 – $1,306.50 | 20 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $506.26 – $5,575.17 | 20 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $120.36 – $6,463.86 | 20 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $75.88 – $6,463.86 | 20 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $145.68 – $3,718.75 | 20 |
| Detect agent nos dna dir CPT 87797 | $14.65 | $34.05 | $8.52 – $156.55 | 25 |
| Device ablt adv novasure HCPCS C1886 | $5,835.10 | $13,570.00 | $1,234.00 – $6,170.00 | 16 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,835.10 | $13,570.00 | $1,234.00 – $6,170.00 | 16 |
| Device intraute mirena HCPCS J7298 | $4,123.70 | $9,590.00 | $860.65 – $9,590.00 | 19 |
| Device sut capio slim opn HCPCS C2631 | $3,450.75 | $8,025.00 | $431.00 – $2,155.00 | 15 |
| Device tiss remov myosure reach HCPCS C1782 | $3,450.75 | $8,025.00 | $110.00 – $440.00 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $202.10 | $470.00 | $22.59 – $461.00 | 25 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.16 | $12.00 | $0.04 – $4.00 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $35.26 | $82.00 | $0.16 – $22.75 | 17 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,333.18 | $5,426.00 | $40.77 – $5,426.00 | 19 |
| Dextran 40 infusion HCPCS J7100 | $148.78 | $346.00 | $29.05 – $346.00 | 12 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $42.57 | $99.00 | $1.13 – $54.00 | 17 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $39.99 | $93.00 | $1.64 – $54.00 | 17 |
| Dextrose 5 % IV bolus HCPCS J7070 | $23.65 | $55.00 | $3.28 – $54.00 | 17 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $2.58 | $6.00 | $1.50 – $140.70 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $85.57 | $199.00 | $5.50 – $61.25 | 25 |
| Diab manage trn ind/group HCPCS G0109 | $44.29 | $103.00 | $11.03 – $103.00 | 24 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $206.35 – $3,505.78 | 20 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $268.73 – $11,861.02 | 20 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $105.06 – $811.23 | 14 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $139.39 – $2,397.02 | 14 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $262.05 | 20 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $67.93 – $535.40 | 20 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $88.44 – $697.05 | 20 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $313.04 | $728.00 | $116.89 – $740.15 | 21 |
| Diagnostic radio unlisted proc CPT 76499 | $236.93 | $551.00 | $111.88 – $541.00 | 20 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,625.43 – $9,030.15 | 13 |
| Dialysis one evaluation CPT 90945 | $490.63 | $1,141.00 | $82.81 – $1,141.00 | 23 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $267.89 | $623.00 | $0.07 – $93.00 | 18 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $56.33 | $131.00 | $7.11 – $131.00 | 17 |
| Diffusing capacity CPT 94729 | $283.80 | $660.00 | $48.20 – $660.00 | 18 |
| Digital analysis of eeg CPT 95957 | $135.45 | $315.00 | $78.75 – $1,058.35 | 17 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $668.65 | $1,555.00 | $4.36 – $46.70 | 17 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,250.55 | $9,885.00 | $1,977.00 – $24,842.90 | 22 |
| Digoxin total therapeutic drug level CPT 80162 | $129.00 | $300.00 | $9.00 – $84.65 | 25 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $396.89 | $923.00 | $46.80 – $923.00 | 17 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $422.52 – $2,347.35 | 13 |
| Dilate esophagus CPT 43453 | not published | not published | $115.35 – $3,856.51 | 20 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $53.41 – $1,906.02 | 20 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $449.63 – $449.63 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.79 – $1,235.80 | 20 |
| Dilate urethra stricture CPT 53600 | not published | not published | $99.97 – $787.90 | 20 |
| Dilate urethra stricture CPT 53601 | not published | not published | $94.42 – $744.15 | 20 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $7,011.62 | 20 |
| Dilate urethra stricture CPT 53621 | not published | not published | $140.12 – $1,104.50 | 20 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $85.87 – $676.80 | 20 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $173.02 – $2,397.02 | 20 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $35.59 – $6,463.86 | 20 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $121.33 – $2,397.02 | 20 |
| Dilation of salivary duct CPT 42660 | not published | not published | $44.86 – $1,035.28 | 20 |
| Dilation of urethra CPT 53661 | not published | not published | $87.15 – $686.95 | 20 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $4,164.54 | 20 |
| Dilation of vagina CPT 57400 | not published | not published | $77.84 – $6,463.86 | 20 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $34.61 – $3,011.38 | 20 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $145.68 – $1,356.94 | 20 |
| Dilator fascial 10fx20cm HCPCS C2627 | $247.25 | $575.00 | $51.00 – $255.00 | 15 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $118.28 – $7,011.62 | 20 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $197.02 – $7,011.62 | 20 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $68.37 | $159.00 | $9.40 – $47.00 | 11 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $14.19 | $33.00 | $1.09 – $33.00 | 17 |
| Disability dlco CPT 94727 | $294.55 | $685.00 | $33.86 – $685.00 | 23 |
| Disaccharidases CPT 82657 | $105.35 | $245.00 | $15.46 – $127.25 | 25 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $387.06 – $3,718.75 | 20 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,379.50 – $10,872.90 | 13 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $223.87 – $1,764.45 | 13 |
| Dissolve clot heart vessel CPT 92975 | $595.98 | $1,386.00 | $346.50 – $3,063.50 | 19 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $685.72 – $10,989.57 | 20 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $677.58 – $12,026.30 | 20 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $559.67 – $3,170.15 | 13 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $222.49 – $1,236.05 | 13 |
| Dna antibody native/double stranded CPT 86225 | $5.33 | $12.39 | $2.50 – $87.55 | 25 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $132.87 | $309.00 | $5.16 – $68.00 | 17 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,662.56 | $6,192.00 | $0.55 – $38.00 | 17 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $74.39 | $173.00 | $0.43 – $35.00 | 17 |
| Doppler echo complete CPT 93320 | $858.71 | $1,997.00 | $87.87 – $1,997.00 | 18 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,736.95 | $6,365.00 | $278.63 – $6,365.00 | 19 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $216.72 | $504.00 | $111.72 – $885.60 | 24 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $304.44 | $708.00 | $59.79 – $473.95 | 24 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $169.85 | $395.00 | $2.83 – $218.00 | 17 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,250.55 | $9,885.00 | $89.94 – $9,885.00 | 22 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $122.98 | $286.00 | $41.40 – $207.00 | 11 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $56.83 – $1,430.37 | 20 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $67.50 – $1,430.37 | 20 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $118.57 – $3,293.89 | 20 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $64.94 – $1,430.37 | 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.