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

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $9,134.40 $19,030 0.9×
Admn Sarscov2 Vacc 1 Dose (90480) $36.48 $76 0.7×
Airway Inhalation Treatment (94640) $392.64 $818 1.4×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $239.04 $498 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $154.56 $322 10.8×
Behavral qualit analys voice (92524) $635.04 $1,323 5.8×
Bis Xtracell Fluid Analysis (93702) $234.24 $488 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $307.68 $641 0.6×
Canalith repositioning proc (95992) $127.20 $265 3.1×
Car seat/bed test 60 min (94780) $57.60 $120 1.2×
Cardiac Stress Tst,Tracing Only (93017) $916.32 $1,909 3.3×
Cardiopulmonary resuscitation (92950) $899.52 $1,874 3.2×
Cardioversion (92960) $2,265.60 $4,720 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $13,758.24 $28,663 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,155.20 $23,240 2.7×
Chemo Anti-Neopl Sq/Im (96401) $54.24 $113 0.6×
Chemo Hormon Antineopl Sq/Im (96402) $54.24 $113 0.6×
Chemo Ia Push (96420) $313.92 $654 0.7×
Chemo Intralesional Over 7 (96406) $198.72 $414 0.7×
Chemo intralesional up to 7 (96405) $102.24 $213 1.1×
Chemo IV infusion addl hr (96415) $197.28 $411 2.1×
Chemo IV push addl drug (96411) $236.16 $492 2.6×
Chemother Prolong Infuse W/Pump (96416) $313.92 $654 0.7×
Chemotherapy Into Cns (96450) $282.72 $589 0.7×
Chemotherapy Unspecified (96549) $54.24 $113 0.9×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $313.92 $654 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $136.80 $285 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $859.20 $1,790 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $505.44 $1,053 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $175.20 $365 0.4×
Chest Wall Manipulation (94668) $503.52 $1,049 2.9×
Color/duplex Doppler, complete (93975) $650.40 $1,355 2.1×
Color/duplex Doppler, limited (93976) $460.80 $960 3.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $216.48 $451 6.8×
Continuous Pulse Ox (94762) $143.52 $299 0.9×
Coronary Art/Grft Angio S&I (93455) $8,315.04 $17,323 2.0×
Coronary Artery Angio S&I (93454) $8,175.36 $17,032 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,730.24 $5,688 9.7×
Cpt initial (94667) $449.28 $936 2.6×
Critical care first hour (99291) $4,626.72 $9,639 4.4×
Debridement Open Wound 20 Sq Cm< (97597) $744 $1,550 2.9×
Dialysis One Evaluation (90945) $663.84 $1,383 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $633.60 $1,320 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $164.64 $343 1.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $603.84 $1,258 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $815.52 $1,699 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,048.80 $2,185 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,133.28 $2,361 8.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $315.84 $658 1.0×
Duplex Scan Hemodialysis Access (93990) $94.08 $196 0.7×
Duplex up extrem art bilat (93930) $1,056 $2,200 3.4×
Duplex up extrem art unilat/ltd (93931) $609.60 $1,270 4.5×
Echo Congenital Complete (93303) $504.96 $1,052 0.7×
Echo Heart Xthoracic,Limited (93308) $245.28 $511 0.8×
Echo transesophag montr cardiac pump functj (93318) $474.72 $989 0.7×
Echo transesophageal (93312) $474.72 $989 0.7×
Eeg 41-60 Minutes (95812) $291.84 $608 1.1×
EEG awake and asleep (95819) $418.56 $872 1.5×
EEG awake drowsy (95816) $419.04 $873 1.5×
EEG cerebral death evaluation (95824) $523.68 $1,091 1.1×
EEG extended monitoring 61-119 minutes (95813) $386.88 $806 1.4×
Eeg Sleep Only (95822) $194.88 $406 0.7×
Electrical Stimulation Ea 15 Min (97032) $123.84 $258 8.4×
Electrocardiogram Tracing (93005) $420 $875 5.5×
Electrophysiology Evaluation (93642) $793.92 $1,654 0.5×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$833.76–$1,000.32 $1,737–$2,084 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$1,782.24–$2,245.92 $3,713–$4,679 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$2,314.08–$2,915.52 $4,821–$6,074 varies
Endomyocardial Biopsy (93505) $2,937.60 $6,120 0.7×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$14,411.52 $30,024 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$11,125.92 $23,179 0.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,585.60 $19,970 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $10,545.60 $21,970 1.1×
Er level 1 (99281)
range across 2 matching MRF lines
$312.48–$374.88 $651–$781 varies
Er level v (99285)
range across 2 matching MRF lines
$3,238.56–$3,886.08 $6,747–$8,096 varies
Evaluate pt use of inhaler (94664) $351.36 $732 1.2×
Evaluate Speech Production (92522) $635.04 $1,323 5.7×
Evaluate Swallowing Function (92610) $557.28 $1,161 6.6×
Evaluation of speech fluency (92521) $535.68 $1,116 4.0×
Exhaled Air Analysis O2 (94680) $238.56 $497 1.4×
Extracranial Bilat Study (93880) $385.44 $803 1.3×
Extracranial Uni/Ltd Study (93882) $246.72 $514 1.8×
F-up/limited tthrc echo congenital car anomaly (93304) $382.08 $796 0.5×
Flexible endoscopic eval swallow c/v rec (92612) $407.04 $848 2.0×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $778.56 $1,622 2.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,636.80 $3,410 1.5×
Gi tract capsule endoscopy (91110) $762.24 $1,588 0.7×
Group Therapeutic Procedures (97150) $233.76 $487 13.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $15,686.88 $32,681 3.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $565.92 $1,179 0.6×
Holter monitor recording (93225) $683.04 $1,423 4.0×
Icd device progr eval dual (93283) $139.20 $290 2.9×
Immunization administration (90471) $77.28 $161 0.8×
Insert/Place Heart Catheter (93503) $1,443.36 $3,007 0.7×
Interrogate Subq Defib (93261) $32.16 $67 0.7×
Intra-atrial pacing (93610) $11,304.96 $23,552 1.1×
Iontophoresis 15 min (97033) $178.08 $371 9.4×
Irrig Drug Delivery Device (96523) $156.48 $326 2.1×
IV infusion hydration each additional hour (96361) $168.96 $352 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $492.48 $1,026 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $243.36 $507 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $168.96 $352 2.8×
IV push initial (96374) $241.92 $504 0.9×
L Hrt Art/Grft Angio (93459) $13,353.60 $27,820 3.2×
Lung Function Test (Mbc/Mvv) (94200) $57.12 $119 0.8×
Lwr Xtr Vasc Stdy Bilat (93924) $443.52 $924 1.6×
Mechanical chest wall oscillation per session (94669) $335.52 $699 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $202.56 $422 6.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $120 $250 3.3×
Motion Fluoroscopy/Swallow (92611) $506.88 $1,056 5.5×
Nasopharyngoscopy (92511) $177.12 $369 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $298.08 $621 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $336 $700 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $327.36 $682 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $443.52 $924 0.8×
Neurobehavioral Status Exam (96116) $187.68 $391 0.7×
Neuromuscular Reeducation (97112) $341.76 $712 10.4×
Newborn resuscitation (99465) $731.04 $1,523 0.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $443.52 $924 0.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $67.68 $141 0.4×
Oral Function Therapy (92526) $343.20 $715 4.1×
Oral Speech Device Eval (92597) $320.16 $667 4.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $230.40 $480 4.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $253.44 $528 5.5×
Ot eval high complexity (97167) $382.08 $796 3.8×
Ot Eval Low Complex (97165) $191.04 $398 1.9×
Ot Eval Moderate Complexity (97166) $286.08 $596 2.8×
Ot manual therapy 15 min (97140) $192.96 $402 7.0×
Ot paraffin bath (97018) $94.08 $196 15.7×
Ot Prosthetic Training, Each 15 Min (97761) $282.72 $589 7.0×
Ot Re-Eval Est Plan Care (97168) $583.68 $1,216 8.5×
Oxygen Uptake Rest Indirect (94690) $90.72 $189 1.2×
Perq transcath closure pda (93582) $16,677.12 $34,744 0.7×
Perq Transcath Cls Aortic (93591) $26,953.44 $56,153 1.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,117.60 $12,745 0.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $9,291.84 $19,358 0.6×
Phlebotomy therapeutic (99195) $128.16 $267 0.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $347.52 $724 4.6×
Physical Performance Test (97750) $269.28 $561 8.0×
Plethysmography (94726) $443.52 $924 0.9×
Pm device eval in person (93288) $49.44 $103 1.0×
Pm device progr eval dual (93280) $58.08 $121 1.2×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $32.16 $67 0.7×
Prq Card Angio/Athrect 1 Art (92924) $9,919.20 $20,665 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $9,291.84 $19,358 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$10,037.76 $20,912 0.4×
Prq Revasc Byp Graft 1 Vsl (92937) $9,291.84 $19,358 0.6×
Pt Eval High Complex (97163) $742.08 $1,546 7.6×
Pt eval low complex 20 min (97161) $329.76 $687 3.4×
Pt Eval Mod Complex (97162) $494.40 $1,030 5.1×
Pt gait training 15 min (97116) $86.40 $180 3.0×
Pt mechanical traction (97012) $245.76 $512 17.1×
Pt Re-Eval Est Plan Care (97164) $146.88 $306 2.2×
Pulm function test by gas (94727) $149.28 $311 0.5×
Pulmonary service/procedure (94799) $117.12 $244 0.7×
Pulmonary Stress Testing (94618) $115.68 $241 0.7×
Pure Tone Audiometry Air (92552) $196.32 $409 1.1×
R Hrt Art/Grft Angio (93457) $12,659.52 $26,374 3.0×
R hrt coronary artery angio (93456) $10,332.48 $21,526 2.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $4,082.88 $8,506 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $11,271.84 $23,483 2.7×
Refill/Maint Portable Pump (96521) $199.68 $416 0.7×
Refill/Maint Pump/Resvr Syst (96522) $211.20 $440 0.8×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $56.64 $118 1.2×
Rem ther mntr dev sply resp (98976) $201.60 $420 4.2×
Remote 30 Day Ecg Rev/Report (93270) $58.08 $121 1.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $196.32 $409 1.1×
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) $271.68 $566 1.0×
Right Heart Cath (93451) $4,901.76 $10,212 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $406.08 $846 1.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $320.16 $667 2.6×
Self Care Mngment Training (97535) $216.96 $452 6.7×
Sensory Integration Ea 15 Min (97533) $273.12 $569 4.5×
Speech sound lang comprehen (92523) $635.04 $1,323 2.8×
Spirometry (94010) $234.24 $488 0.8×
Standardized Cognitive Performance Testing (96125) $312.48 $651 3.0×
Stress Tte Only (93350) $525.60 $1,095 0.7×
Subcutaneous Infusion Each Additional Hour (96370) $147.36 $307 2.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $661.92 $1,379 2.4×
Subq Infusion Additional Pump Infusion Site (96371) $225.12 $469 2.4×
Surfactant Admin Thru Tube (94610) $117.12 $244 0.4×
Temp transcutaneous pacing (92953) $1,160.64 $2,418 1.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $177.12 $369 7.9×
Ther Ivntj Ea Addl 15 Min (97130) $177.12 $369 8.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $81.12 $169 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $262.56 $547 2.6×
Ther/Prop/Diag Inj/Inf Proc (96379) $147.36 $307 2.4×
Ther/Proph/Diag Inj Ia (96373) $319.68 $666 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $168.96 $352 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $859.20 $1,790 3.1×
Therapeutic Activities (97530) $216.96 $452 6.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $780.96 $1,627 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $49.44 $103 1.0×
Tte w/doppler, complete (93306) $509.76 $1,062 0.7×
Tte W/O Doppler Complete (93307) $249.12 $519 0.8×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$11,125.92 $23,179 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $374.40 $780 4.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $78.72 $164 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $243.36 $507 4.0×
Unlisted cardiovascular service/procedure (93799) $328.80 $685 2.0×
Upr/L Xtremity Art 2 Levels (93922) $192.48 $401 1.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $211.20 $440 0.8×
Vasopneumatic device (97016) $73.44 $153 6.1×
Vent Mgmt Inpat Init Day (94002) $4,083.36 $8,507 5.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,730.24 $5,688 3.4×
Vital capacity, total (94150) $143.52 $299 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $69.60 $145 2.2×

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.