Providence St. Mary Medical Center
Apple Valley, CA
Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,437.60 | $2,995 | 1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,437.60 | $2,995 | 1.2× |
| Diagnostic colonoscopy (45378) | $1,299.84 | $2,708 | 1.1× |
| Inguinal hernia repair (age 5+) (49505) | $2,153.28 | $4,486 | 0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $517.92 | $1,079 | 0.5× |
| CT head/brain without contrast (70450) | $1,708.80 | $3,560 | 12.7× |
| MRI brain without contrast (70551) | $732.48 | $1,526 | 2.4× |
| MRI brain with contrast (70552) | $937.44 | $1,953 | 2.1× |
| MRI brain without and with contrast (70553) | $1,302.72 | $2,714 | 2.9× |
| X-ray lower spine, 4+ views (72110) | $408 | $850 | 3.0× |
| MRI lumbar spine without contrast (72148) | $996.48 | $2,076 | 3.2× |
| CT pelvis with contrast (72193) | $1,535.04 | $3,198 | 6.8× |
| MRI lower-extremity joint without contrast (73721) | $777.60 | $1,620 | 2.5× |
| CT abdomen and pelvis with contrast (74177) | $2,810.40 | $5,855 | 6.3× |
| Ultrasound, abdomen complete (76700) | $913.92 | $1,904 | 6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,034.88 | $2,156 | 7.7× |
| Ultrasound, transvaginal (76830) | $567.84 | $1,183 | 4.2× |
| Mammography, one breast (diagnostic) (77065) | $499.20 | $1,040 | 5.8× |
| Mammography, both breasts (diagnostic) (77066) | $616.80 | $1,285 | 5.6× |
| Mammography, screening (bilateral) (77067) | $499.20 | $1,040 | 5.5× |
| Basic metabolic panel (80048) | $229.44 | $478 | 27.1× |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$11.04–$142.08 | $23–$296 | varies |
| Lipid panel (80061) range across 9 matching MRF lines |
$6.14–$260.16 | $12.79–$542 | varies |
| Hepatic function panel (80076) | $111.36 | $232 | 13.6× |
| Urinalysis, non-automated, without microscopy (81002) | $24.96 | $52 | 7.2× |
| PSA, total (84153) range across 7 matching MRF lines |
$3.36–$53.76 | $7–$112 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 6 matching MRF lines |
$4.08–$220.32 | $8.50–$459 | varies |
| CBC with automated differential (85025) range across 5 matching MRF lines |
$1.81–$126.72 | $3.78–$264 | varies |
| CBC, automated (85027) | $111.84 | $233 | 17.3× |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$5.76–$33.44 | $12–$69.67 | varies |
| Partial thromboplastin time (PTT) (85730) range across 9 matching MRF lines |
$5.76–$71.85 | $12–$149.69 | varies |
| Left heart catheterization (93452) | $8,421.12 | $17,544 | 2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $265.92 | $554 | 9.2× |
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.
More prices at this hospital
- Imaging: 342 codes with posted prices and Medicare benchmarks
- Lab & pathology: 652 codes with posted prices and Medicare benchmarks
- Visits & medical services: 209 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 1033 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 58 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 193.1 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.