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 |
|---|---|---|---|---|
| Path clin consltj mod 21-40 CPT 80504 | $135.45 | $315.00 | $78.75 – $315.00 | 6 |
| Path clin consltj prolng svc CPT 80506 | $135.45 | $315.00 | $78.75 – $315.00 | 6 |
| Path clin consltj sf 5-20 CPT 80503 | $123.41 | $287.00 | $71.75 – $287.00 | 6 |
| Pdgfra gene CPT 81314 | $173.83 | $404.25 | $101.07 – $1,318.00 | 25 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $49.45 | $115.00 | $8.48 – $85.00 | 20 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $666.04 – $5,249.55 | 20 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $362.71 – $3,718.75 | 20 |
| Pegaspargase injection HCPCS J9266 | $11,998.29 | $27,903.00 | $5,580.60 – $135,375.00 | 22 |
| Pelvic control hip heavy dut HCPCS L2620 | $1,206.15 | $2,805.00 | $245.38 – $1,655.00 | 20 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,350.56 | $7,792.00 | $184.25 – $7,792.00 | 25 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,931.99 | $4,493.00 | $184.25 – $4,493.00 | 25 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,509.30 | $3,510.00 | $79.00 – $3,510.00 | 25 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,003.67 – $15,792.45 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,749.17 | $8,719.00 | $299.62 – $8,719.00 | 25 |
| Pelvic MRI (with contrast) CPT 72196 | $3,336.80 | $7,760.00 | $342.14 – $7,760.00 | 25 |
| Pelvic MRI (without contrast) CPT 72195 | $2,249.33 | $5,231.00 | $203.71 – $5,231.00 | 25 |
| Pelvic Ultrasound (complete) CPT 76856 | $499.66 | $1,162.00 | $87.34 – $1,162.00 | 25 |
| Pelvic Ultrasound (limited) CPT 76857 | $334.54 | $778.00 | $54.44 – $778.00 | 25 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $4,475.44 | $10,408.00 | $42.17 – $10,408.00 | 22 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $4,250.55 | $9,885.00 | $3.39 – $8,746.00 | 22 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $99.33 | $231.00 | $18.91 – $231.00 | 22 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $254.56 | $592.00 | $0.44 – $26.20 | 17 |
| Penile injection CPT 54235 | not published | not published | $309.02 – $494.43 | 14 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $26,227.85 | $60,995.00 | $3,529.00 – $17,645.00 | 15 |
| Penile vascular study CPT 93980 | $329.81 | $767.00 | $135.12 – $1,506.50 | 23 |
| Penile venous occlusion CPT 37790 | not published | not published | $4,382.26 – $7,011.62 | 14 |
| Penis plastic surgery CPT 54360 | not published | not published | $532.39 – $7,011.62 | 20 |
| Penis study CPT 54240 | not published | not published | $90.57 – $713.85 | 20 |
| Pentobarbital sodium inj HCPCS J2515 | $4,250.55 | $9,885.00 | $13.53 – $9,885.00 | 17 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $3,505.83 – $21,165.60 | 20 |
| Perc d-e cor revasc chro add HCPCS C9608 | $19,315.17 | $44,919.00 | $11,229.75 – $44,919.00 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $19,315.17 | $44,919.00 | $11,229.75 – $44,919.00 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | $19,315.17 | $44,919.00 | $11,229.75 – $44,919.00 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | $19,315.17 | $44,919.00 | $11,229.75 – $44,919.00 | 8 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $47.60 – $11,861.02 | 14 |
| Percut ablate liver rf CPT 47382 | not published | not published | $498.58 – $11,861.02 | 20 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $888.38 | $2,066.00 | $43.44 – $354.00 | 19 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $173.90 – $966.10 | 13 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,549.53 – $12,213.05 | 13 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $180.60 – $3,158.08 | 20 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $887.77 – $6,997.15 | 13 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $484.05 – $7,784.77 | 20 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $320.52 – $6,463.86 | 20 |
| Peripheral vascular rehab CPT 93668 | $63.21 | $147.00 | $36.75 – $147.00 | 18 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $212.35 – $10,989.57 | 20 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $596.09 – $3,311.60 | 13 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $610.83 – $3,393.50 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $106.88 – $1,430.37 | 20 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $220.14 – $1,430.37 | 20 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $725.85 – $18,799.09 | 20 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $648.52 – $18,799.09 | 20 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $3,770.54 – $20,947.45 | 20 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,113.66 – $22,853.65 | 20 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,271.81 – $23,732.25 | 20 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $272.75 – $1,515.25 | 20 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $353.50 – $6,596.16 | 20 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $288.16 – $6,596.16 | 20 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $83.31 – $343.24 | 6 |
| Perq transcath cls aortic CPT 93591 | $19,454.49 | $45,243.00 | $751.61 – $45,243.00 | 24 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $182.42 – $6,596.16 | 20 |
| Perq tx malar fracture CPT 21355 | not published | not published | $147.82 – $6,593.02 | 20 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $381.94 – $12,026.30 | 20 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $850.60 – $6,704.15 | 20 |
| Pertussis ag if CPT 87265 | $13.91 | $32.34 | $8.09 – $72.45 | 25 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $4,250.55 | $9,885.00 | $11.56 – $9,885.00 | 22 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $74,828.60 | $174,020.00 | $23.00 – $115.00 | 15 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $214.90 – $6,596.16 | 20 |
| Ph body fluid CPT 83986 | $110.08 | $256.00 | $1.03 – $22.80 | 25 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $288.53 | $671.00 | $5.20 – $169.50 | 17 |
| Phenobarbital therapeutic drug level CPT 80184 | $135.45 | $315.00 | $1.84 – $60.25 | 25 |
| Phentolaine mesylate inj HCPCS J2760 | $2,162.47 | $5,029.00 | $190.23 – $5,029.00 | 22 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $1,216.90 | $2,830.00 | $7.60 – $38.00 | 11 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $11.18 | $26.00 | $0.47 – $26.00 | 17 |
| Phenytoin total therapeutic drug level CPT 80185 | $141.90 | $330.00 | $3.61 – $84.50 | 25 |
| Phlebotomy therapeutic CPT 99195 | $148.35 | $345.00 | $18.82 – $345.00 | 23 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $207.41 – $6,398.74 | 20 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $259.68 – $6,398.74 | 20 |
| Phosphorus CPT 84100 | $55.47 | $129.00 | $3.00 – $30.20 | 25 |
| Phosphorus 24 hour urine CPT 84105 | $58.91 | $137.00 | $1.62 – $33.15 | 25 |
| Photopheresis CPT 36522 | not published | not published | $2,663.81 – $14,798.95 | 20 |
| Phys blood bank serv authrj CPT 86079 | $42.57 | $99.00 | $12.75 – $312.40 | 24 |
| Phys blood bank serv reactj CPT 86078 | $373.24 | $868.00 | $17.25 – $314.50 | 24 |
| Phys blood bank serv xmatch CPT 86077 | $42.57 | $99.00 | $12.50 – $247.60 | 24 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $27.52 | $64.00 | $3.65 – $47.00 | 17 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $83.85 | $195.00 | $39.00 – $2,815.15 | 20 |
| Pin caspar distraction 12mm HCPCS C1821 | $12,824.75 | $29,825.00 | $4,588.00 – $22,940.00 | 15 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $182.00 – $1,434.45 | 20 |
| Pin finger dislocation CPT 26776 | not published | not published | $237.54 – $6,596.16 | 20 |
| Pin finger fracture each CPT 26756 | not published | not published | $419.11 – $6,596.16 | 20 |
| Pin hand dislocation CPT 26676 | not published | not published | $265.31 – $6,596.16 | 20 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $204.64 – $6,596.16 | 20 |
| Pinworm exam CPT 87172 | $45.15 | $105.00 | $2.50 – $19.00 | 25 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $135.45 | $315.00 | $1.30 – $82.00 | 12 |
| Place breast cath for rad CPT 19297 | not published | not published | $58.03 – $366.20 | 13 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,650.17 – $13,257.87 | 20 |
| Place cath intracranial art CPT 36228 | not published | not published | $163.18 – $906.55 | 13 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $79.75 – $443.05 | 13 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $802.16 – $4,456.45 | 20 |
| Place device/marker, non pro HCPCS C9728 | $1,868.78 | $4,346.00 | $114.58 – $4,346.00 | 25 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $984.44 – $5,469.10 | 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.