Visits & medical services prices at Providence St. Jude Medical Center

Fullerton, CA · every code in this section with a posted price and a Medicare benchmark.

254 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$4,824 $10,050 0.5×
Admn Sarscov2 Vacc 1 Dose (90480) $36.48 $76 0.7×
Airway Inhalation Treatment (94640) $154.08 $321 0.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $365.28 $761 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $110.88 $231 7.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $128.64 $268 1.6×
Bfb training ea addl 15 min (90913) $128.64 $268 3.9×
Biofeedback training any modality (90901) $253.92 $529 6.2×
Bis Xtracell Fluid Analysis (93702) $266.88 $556 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $200.64 $418 0.4×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,610.08 $7,521 0.4×
C motor evoked uppr limbs (95928) $342.24 $713 0.3×
Canalith repositioning proc (95992) $84.48 $176 2.1×
Car seat/bed test 60 min (94780) $45.60 $95 0.9×
Cardiac Stress Tst,Tracing Only (93017) $432.48 $901 1.6×
Cardiopulmonary resuscitation (92950) $343.68 $716 1.2×
Cardioversion (92960) $1,622.88 $3,381 1.9×
Cardioversion elective internal (92961) $2,499.84 $5,208 2.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $38.88 $81 1.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,373.12 $17,444 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,428.96 $15,477 1.8×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $153.12 $319 0.9×
Chemo Anti-Neopl Sq/Im (96401) $72.96 $152 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $48.48 $101 0.5×
Chemo Ia Push (96420) $181.44 $378 0.4×
Chemo Intralesional Over 7 (96406) $133.92 $279 0.5×
Chemo intralesional up to 7 (96405) $42.72 $89 0.5×
Chemo IV infusion addl hr (96415) $62.88 $131 0.7×
Chemo IV push addl drug (96411) $95.52 $199 1.0×
Chemother Prolong Infuse W/Pump (96416) $250.08 $521 0.6×
Chemotherapy Into Cns (96450) $181.44 $378 0.4×
Chemotherapy Unspecified (96549) $140.64 $293 2.3×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $224.16 $467 0.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $113.28 $236 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $325.92 $679 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $164.16 $342 0.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $317.28 $661 0.7×
Chest Wall Manipulation (94668) $141.12 $294 0.8×
Color/duplex Doppler, complete (93975) $2,076.48 $4,326 6.8×
Color/duplex Doppler, limited (93976) $1,474.56 $3,072 11.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $104.16 $217 3.2×
Computerized dynamic posturography (92548) $153.12 $319 0.9×
Continuous Pulse Ox (94762) $156.96 $327 0.9×
Coronary Art/Grft Angio S&I (93455) $7,878.72 $16,414 1.9×
Coronary Artery Angio S&I (93454) $6,678.24 $13,913 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,371.84 $2,858 4.9×
Cpt initial (94667) $177.60 $370 1.0×
Critical care first hour (99291) $5,189.76 $10,812 4.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $570.24 $1,188 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $260.16 $542 1.0×
Dialysis One Evaluation (90945) $840.96 $1,752 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,114.88 $4,406 6.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $142.08 $296 1.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,337.92 $6,954 10.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,753.92 $3,654 13.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,001.60 $4,170 6.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,315.20 $2,740 9.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $277.92 $579 0.9×
Duplex Scan Hemodialysis Access (93990) $244.32 $509 1.8×
Duplex up extrem art bilat (93930) $2,237.76 $4,662 7.3×
Duplex up extrem art unilat/ltd (93931) $1,486.56 $3,097 11.1×
Echo Congenital Complete (93303) $865.92 $1,804 1.2×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$569.28–$599.04 $1,186–$1,248 varies
Echo transesophageal (93312) $1,175.04 $2,448 1.7×
Echo Transesophageal - Congenital Tee Complete (93315) $1,321.92 $2,754 1.9×
Eeg 41-60 Minutes (95812) $219.84 $458 0.8×
EEG awake and asleep (95819) $316.80 $660 1.1×
EEG awake drowsy (95816) $163.20 $340 0.6×
EEG cerebral death evaluation (95824) $377.28 $786 0.8×
EEG extended monitoring 61-119 minutes (95813) $291.84 $608 1.1×
Eeg Sleep Only (95822) $354.72 $739 1.3×
Electrical Stimulation Ea 15 Min (97032) $120.48 $251 8.2×
Electrocardiogram Tracing (93005) $170.88 $356 2.3×
Electrophysiology Evaluation (93642) $769.92 $1,604 0.5×
Emergency Dept Visit Level 2 (99282) $1,057.92 $2,204 5.4×
Emergency Dept Visit Level 3 (99283) $1,704.96 $3,552 4.9×
Emergency Dept Visit Level 4 (99284) $2,534.40 $5,280 4.7×
Ep & ablate supravent arrhyt (93653) $17,403.36 $36,257 0.5×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$15,519.84 $32,333 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$4,813.92 $10,029 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$4,365.60 $9,095 0.4×
Er level 1 (99281) $636.48 $1,326 5.9×
Er level v (99285) $3,520.32 $7,334 4.6×
Evaluate pt use of inhaler (94664) $202.08 $421 0.7×
Evaluate Speech Production (92522) $315.36 $657 2.8×
Evaluate Swallowing Function (92610) $335.52 $699 4.0×
Evaluation of speech fluency (92521) $315.36 $657 2.4×
Exhaled Air Analysis O2 (94680) $296.64 $618 1.8×
External Ecg Scanning Analysis Report (93226) $222.72 $464 2.9×
Extracranial Bilat Study (93880) $630.72 $1,314 2.1×
Extracranial Uni/Ltd Study (93882) $161.76 $337 1.2×
F-up/limited tthrc echo congenital car anomaly (93304) $1,175.04 $2,448 1.7×
Flexible endoscopic eval swallow c/v rec (92612) $444.48 $926 2.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $334.08 $696 1.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,030.56 $2,147 0.9×
Gi tract capsule endoscopy (91110) $1,266.72 $2,639 1.1×
Group Therapeutic Procedures (97150) $110.40 $230 6.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,733.44 $20,278 2.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $869.76 $1,812 1.0×
Holter monitor recording (93225) $443.52 $924 2.6×
Icd Device Interrogate (93289) $69.12 $144 1.4×
Icd device progr eval dual (93283) $53.28 $111 1.1×
Immunization administration (90471) $24.48 $51 0.3×
Insert/Place Heart Catheter (93503) $1,825.92 $3,804 0.9×
Interrogate Subq Defib (93261) $61.44 $128 1.3×
Intracranial Complete Study (93886) $447.36 $932 1.5×
Iontophoresis 15 min (97033) $140.64 $293 7.4×
Irrig Drug Delivery Device (96523) $96.96 $202 1.3×
IV infusion hydration each additional hour (96361) $39.36 $82 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $195.36 $407 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $83.52 $174 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $62.40 $130 1.0×
IV push initial (96374) $162.24 $338 0.6×
L Hrt Art/Grft Angio (93459) $8,745.12 $18,219 2.1×
Liver Elastography W/O Imag W/I&R (91200) $379.20 $790 2.3×
Lung Function Test (Mbc/Mvv) (94200) $86.88 $181 1.1×
Lwr Xtr Vasc Stdy Bilat (93924) $337.92 $704 1.2×
Mechanical chest wall oscillation per session (94669) $380.64 $793 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $45.60 $95 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $55.68 $116 1.5×
Methacholine challenge (94070) $555.36 $1,157 1.2×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $42.24 $88 2.1×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $24.96 $52 4.7×
Motility study esophagus (91010) $576.96 $1,202 1.2×
Motion Fluoroscopy/Swallow (92611) $596.64 $1,243 6.5×
Multiple Family Group Psychotherapy (90849) $100.32 $209 0.4×
Multiple Sleep Latency Test (95805) $1,024.80 $2,135 0.9×
Muscle Test 2 Limbs (95861) $427.68 $891 2.5×
Nasopharyngoscopy (92511) $341.76 $712 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $567.84 $1,183 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $368.16 $767 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $306.72 $639 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $361.92 $754 0.7×
Neurobehavioral Status Exam (96116) $214.08 $446 0.8×
Neuromuscular Reeducation (97112) $89.28 $186 2.7×
Newborn resuscitation (99465) $456.48 $951 0.5×
Nrpsyc tst eval phys/qhp 1st (96132) $241.44 $503 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $504.96 $1,052 1.1×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $64.32 $134 0.4×
Oral Function Therapy (92526) $230.40 $480 2.7×
Oral Speech Device Eval (92597) $379.68 $791 5.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $120.48 $251 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $120.48 $251 2.6×
Ot eval high complexity (97167)
range across 3 matching MRF lines
$516–$543.36 $1,075–$1,132 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$317.76–$334.56 $662–$697 varies
Ot Eval Moderate Complexity (97166)
range across 3 matching MRF lines
$469.44–$494.40 $978–$1,030 varies
Ot manual therapy 15 min (97140) $120.48 $251 4.3×
Ot paraffin bath (97018) $91.20 $190 15.2×
Ot Prosthetic Training, Each 15 Min (97761) $120.96 $252 3.0×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$317.76–$334.56 $662–$697 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $171.36 $357 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $170.88 $356 1.0×
Oxygen Uptake Rest Indirect (94690) $87.36 $182 1.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $303.84 $633 1.1×
Peripheral arterial disease rehab per session (93668) $93.60 $195 1.2×
Perq transcath closure pda (93582) $18,377.76 $38,287 0.8×
Perq Transcath Cls Aortic (93591) $34,102.56 $71,047 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,414.56 $15,447 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,154.72 $16,989 0.5×
Phlebotomy therapeutic (99195) $96 $200 0.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $332.16 $692 4.4×
Physical Performance Test (97750) $109.92 $229 3.3×
Plethysmography (94726) $309.12 $644 0.6×
Pm device eval in person (93288) $50.88 $106 1.1×
Pm device progr eval dual (93280) $48.48 $101 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,810.56 $3,772 1.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $61.44 $128 1.3×
Prq Card Angio/Athrect 1 Art (92924) $8,154.72 $16,989 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $8,154.72 $16,989 0.5×
Prq Card Stent/Ath/Angio (92933) $11,941.92 $24,879 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $8,154.72 $16,989 0.5×
Psych diag eval w/med srvcs (90792) $214.08 $446 0.9×
Psychiatric diagnostic evaluation (90791) $214.08 $446 0.9×
Psychological tst eval svc phys/qhp first hour (96130) $309.12 $644 1.1×
Psytx Crisis Initial 60 Min (90839) $215.04 $448 0.9×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$469.44–$494.40 $978–$1,030 varies
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$211.20–$222.24 $440–$463 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$317.76–$334.56 $662–$697 varies
Pt gait training 15 min (97116) $77.28 $161 2.7×
Pt group caregiver training (97552) $29.76 $62 1.4×
Pt mechanical traction (97012) $100.80 $210 7.0×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$317.76–$334.56 $662–$697 varies
Pulm function test by gas (94727) $163.68 $341 0.6×
Pulmonary service/procedure (94799) $152.64 $318 0.9×
Pulmonary Stress Testing (94618) $329.76 $687 1.9×
R Hrt Art/Grft Angio (93457) $10,466.88 $21,806 2.5×
R hrt coronary artery angio (93456) $8,828.64 $18,393 2.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,020 $14,625 1.7×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $177.12 $369 0.4×
Refill/Maint Portable Pump (96521) $182.88 $381 0.7×
Refill/Maint Pump/Resvr Syst (96522) $270.24 $563 1.0×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $72.96 $152 1.5×
Rem ther mntr dev sply resp (98976) $72.96 $152 1.5×
Remote 30 Day Ecg Rev/Report (93270) $51.84 $108 1.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $231.84 $483 1.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $39.36 $82 1.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $40.32 $84 0.7×
Respiratory flow volume loop (94375) $309.12 $644 1.1×
Right Heart Cath (93451) $3,570.24 $7,438 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $225.12 $469 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $349.92 $729 2.9×
Self Care Mngment Training (97535) $109.92 $229 3.4×
Sensory Integration Ea 15 Min (97533) $131.52 $274 2.2×
Short-latency somatosens ep std upr limbs (95925) $282.24 $588 1.0×
Sleep study unattended (95806) $925.44 $1,928 3.3×
Slp caregiver training 1st 30 min (97550) $48 $100 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $764.64 $1,593 2.8×
Speech sound lang comprehen (92523) $315.36 $657 1.4×
Spirometry (94010) $266.88 $556 1.0×
Ssep lower limbs (95926) $308.16 $642 1.1×
Stress Tte Only (93350) $1,251.84 $2,608 1.8×
Subcutaneous Infusion Each Additional Hour (96370) $62.40 $130 1.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $254.88 $531 0.9×
Subq Infusion Additional Pump Infusion Site (96371) $76.32 $159 0.8×
Surfactant Admin Thru Tube (94610) $152.64 $318 0.5×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,277.28 $2,661 9.5×
Temp transcutaneous pacing (92953) $755.52 $1,574 0.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$116.64–$122.88 $243–$256 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$116.64–$122.88 $243–$256 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $144 $300 3.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $109.92 $229 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $287.04 $598 2.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $62.40 $130 1.0×
Ther/Proph/Diag Inj Ia (96373) $270.24 $563 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $84 $175 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $254.88 $531 0.9×
Therapeutic Activities (97530) $115.68 $241 3.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,309.28 $4,811 4.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $31.68 $66 0.7×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$11,062.08 $23,046 0.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $154.08 $321 1.1×
Tte w/doppler, complete (93306) $1,576.80 $3,285 2.2×
Tte W/O Doppler Complete (93307) $787.20 $1,640 2.6×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$9,712.80 $20,235 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $237.60 $495 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $89.76 $187 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.96 $152 1.2×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$603.36–$833.76 $1,257–$1,737 varies
Upr/L Xtremity Art 2 Levels (93922) $341.28 $711 2.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $163.20 $340 0.6×
Valvuloplasty aortic valve (92986) $5,722.56 $11,922 0.8×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$6,358.08 $13,246 0.4×
Vasopneumatic device (97016) $100.80 $210 8.4×
Veeg 2-12 Hr Cont Mntr (95713) $551.52 $1,149 1.1×
Veeg 2-12 hr intmt mntr (95712) $551.52 $1,149 1.1×
Veeg 2-12 hr unmonitored (95711) $551.52 $1,149 2.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $865.92 $1,804 1.8×
Veeg Ea 12-26 Hr Unmntr (95714) $647.52 $1,349 1.3×
Veeg ea 12-26hr cont mntr (95716) $779.52 $1,624 0.7×
Vent Mgmt Inpat Init Day (94002) $4,043.52 $8,424 5.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,761.76 $7,837 4.7×
Visual Evoked Potential Test (95930) $247.68 $516 0.9×
Vital capacity, total (94150) $163.20 $340 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $84.48 $176 2.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.