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 |
|---|---|---|---|---|
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $42.57 | $99.00 | $2.06 – $117.50 | 25 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $8,178.32 | 20 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,450.75 | $8,025.00 | $27.32 – $8,025.00 | 20 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $6,596.16 | 20 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $12,824.75 | $29,825.00 | $23.20 – $750.00 | 20 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $5,835.10 | $13,570.00 | $280.22 – $10,435.00 | 20 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $51,109.80 | $118,860.00 | $51.00 – $255.00 | 15 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $23,843.50 | $55,450.00 | $67.00 – $335.00 | 15 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $7,587.35 | $17,645.00 | $35.15 – $17,645.00 | 20 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $16,673.25 | $38,775.00 | $93.39 – $4,745.00 | 20 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $7,610.00 | 13 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $7,587.35 | $17,645.00 | $120.65 – $2,155.00 | 20 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2,653.10 | $6,170.00 | $1,234.00 – $6,170.00 | 16 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $21,676.30 | $50,410.00 | $37.56 – $4,745.00 | 16 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,835.10 | $13,570.00 | $118.28 – $2,805.00 | 20 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $38,401.15 | $89,305.00 | $23.00 – $115.00 | 15 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,653.10 | $6,170.00 | $67.00 – $335.00 | 15 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,817.54 | $8,878.00 | $1,248.80 – $8,878.00 | 18 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $22,284.50 | 13 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $596.00 | 20 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $466.75 – $3,718.75 | 20 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $462.39 – $7,442.61 | 20 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $143.75 – $798.60 | 13 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $381.64 – $7,442.61 | 20 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $8,623.55 | 13 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $7,152.05 | 13 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $9,438.40 | 13 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $9,202.70 | 13 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,046.32 – $5,812.90 | 13 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $555.39 – $4,377.45 | 20 |
| G-tube reposition CPT 43761 | not published | not published | $91.00 – $717.20 | 20 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,422.62 | $5,634.00 | $107.16 – $5,634.00 | 25 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $133.28 – $1,430.37 | 20 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,487.05 | $10,435.00 | $10.00 – $50.00 | 15 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $926.65 | $2,155.00 | $30.00 – $150.00 | 15 |
| Guid loc target vol rad tx CPT 77387 | $292.83 | $681.00 | $82.58 – $681.00 | 11 |
| Gum graft CPT 41870 | not published | not published | $1,882.11 – $3,011.38 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $9,864.20 | $22,940.00 | $10.00 – $50.00 | 15 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $411.80 – $7,784.77 | 20 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $777.77 – $1,244.43 | 14 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $507.64 – $812.22 | 14 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $507.64 – $812.22 | 14 |
| Halo cervical into jckt vest HCPCS L0810 | $12,824.75 | $29,825.00 | $2,402.62 – $13,570.00 | 20 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $201.67 | $469.00 | $0.01 – $71.00 | 17 |
| Halo repl liner/interface HCPCS L0861 | $546.10 | $1,270.00 | $121.94 – $750.00 | 20 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $9,864.20 | $22,940.00 | $4,411.25 – $17,645.00 | 7 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $580.60 – $6,596.16 | 20 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $354.60 – $14,522.91 | 20 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $387.06 – $6,596.16 | 20 |
| Haptoglobin quantitative CPT 83010 | $44.29 | $103.00 | $2.00 – $78.80 | 25 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $67.76 – $427.25 | 13 |
| Harvest auto stem cells CPT 38206 | not published | not published | $68.88 – $3,332.59 | 20 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $215.56 – $3,718.75 | 20 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $150.61 – $4,742.82 | 20 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $219.37 – $1,382.70 | 13 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $26.88 – $888.77 | 14 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $342.37 – $342.37 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | $201.03 | $467.50 | $116.88 – $2,400.00 | 25 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $150.50 | $350.00 | $87.50 – $809.60 | 25 |
| Hbb full gene sequence CPT 81364 | $387.00 | $900.00 | $225.00 – $1,298.30 | 25 |
| Hbb gene dup/del variants CPT 81363 | $198.14 | $460.79 | $115.20 – $809.60 | 25 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,314.08 | $3,056.00 | $226.19 – $2,993.00 | 25 |
| Hcg qualitative CPT 84703 | $106.21 | $247.00 | $4.25 – $46.35 | 25 |
| Hcg quantitative CPT 84702 | $130.72 | $304.00 | $3.50 – $94.95 | 25 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $132.44 | $308.00 | $27.41 – $308.00 | 18 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $96.98 – $3,253.57 | 20 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $519.36 – $2,885.35 | 20 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $313.62 – $1,742.35 | 13 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $474.46 – $2,635.90 | 20 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $61.32 – $340.65 | 13 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $290.50 – $1,613.90 | 13 |
| Hc nm kidney imaging with flow CPT 78701 | $741.75 | $1,725.00 | $154.69 – $1,725.00 | 25 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $465.69 | $1,083.00 | $270.75 – $1,094.29 | 19 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,409.11 | $3,277.00 | $261.80 – $3,277.00 | 24 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,612.50 | $3,750.00 | $486.68 – $3,750.00 | 24 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,759.13 | $4,091.00 | $729.58 – $4,091.00 | 24 |
| Hdr rdncl skn surf brachytx CPT 77767 | $1,465.87 | $3,409.00 | $184.45 – $3,409.00 | 24 |
| Hdr rdncl skn surf brachytx CPT 77768 | $1,612.50 | $3,750.00 | $289.85 – $3,750.00 | 24 |
| Head CT scan (with and without contrast) CPT 70470 | $2,597.20 | $6,040.00 | $216.94 – $6,040.00 | 25 |
| Head CT scan (with contrast) CPT 70460 | $2,169.35 | $5,045.00 | $184.39 – $5,045.00 | 25 |
| Head CT scan (without contrast) CPT 70450 | $1,583.69 | $3,683.00 | $92.00 – $3,683.00 | 25 |
| Heart infarct image CPT 78466 | $570.61 | $1,327.00 | $112.99 – $1,327.00 | 25 |
| Hematocrit CPT 85014 | $71.38 | $166.00 | $1.75 – $15.15 | 25 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $501.26 – $2,784.80 | 13 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $338.78 – $6,596.16 | 20 |
| Hemodialysis one evaluation CPT 90935 | $1,210.02 | $2,814.00 | $64.95 – $2,814.00 | 23 |
| Hemoglobin CPT 85018 | $59.77 | $139.00 | $1.75 – $14.85 | 25 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $146.63 | $341.00 | $4.25 – $45.45 | 25 |
| Hemoglobin plasma CPT 83051 | $6.02 | $14.00 | $3.50 – $46.60 | 25 |
| Hemoglobin urine CPT 83069 | $6.59 | $15.31 | $3.83 – $25.15 | 25 |
| Hemolysins/agglutinins auto CPT 86940 | $204.25 | $475.00 | $8.77 – $72.00 | 25 |
| Hemolysins and agglutinins incubated CPT 86941 | $118.53 | $275.63 | $12.11 – $190.00 | 25 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $351.15 – $5,575.17 | 20 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $88.44 – $1,853.47 | 20 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $181.32 – $5,575.17 | 20 |
| Hepagam b intravenous, inj HCPCS J1573 | $3,438.28 | $7,996.00 | $58.64 – $7,996.00 | 22 |
| Heparin assay CPT 85520 | $62.78 | $146.00 | $11.25 – $82.25 | 25 |
| Heparin bolus from bag HCPCS J1644 | $89.01 | $207.00 | $0.31 – $26.00 | 18 |
| Heparin neutralization CPT 85525 | $13.25 | $30.80 | $7.70 – $72.45 | 25 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $15.91 | $37.00 | $0.03 – $26.00 | 17 |
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.