Visits & medical services prices at St. Mary Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $5,488.09 $12,763 0.5×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$66.22–$73.10 $154–$170 varies
Aep neurodiagnostic i&r (92653) $401.19 $933 1.4×
Aep threshold estimation mlt frequencies i&r (92652) $401.19 $933 1.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$155.23–$181.46 $361–$422 varies
Analyze neurostim complex (95972) $169.85 $395 1.4×
Analyze Neurostim Simple (95971) $153.51 $357 1.3×
Arrhythmia Induction (93618) $1,140.79 $2,653 0.7×
Brief Emotional/Behav Assmt (96127) $58.91 $137 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $532.34 $1,238 1.1×
Bundle of his recording (93600) $6,588.89 $15,323 0.7×
C motor evoked upr&lwr limbs (95939) $1,141.22 $2,654 1.0×
Canalith repositioning proc (95992) $80.84 $188 2.0×
Cardiac Stress Tst,Tracing Only (93017) $961.48 $2,236 3.5×
Cardiopulmonary exercise testing (94621) $421.40 $980 0.9×
Cardiopulmonary resuscitation (92950) $602 $1,400 2.2×
Cardioversion (92960) $1,028.99 $2,393 1.2×
Cardioversion elective internal (92961) $633.39 $1,473 0.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $14,132.81 $32,867 3.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,976.79 $27,853 2.9×
Cbt 1st hour (94644) $148.35 $345 0.9×
Chemo Anti-Neopl Sq/Im (96401) $145.77 $339 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $145.77 $339 1.6×
Chemo Ia Push (96420) $344.86 $802 0.8×
Chemo IV infusion addl hr (96415) $184.90 $430 2.0×
Chemo IV push addl drug (96411) $188.34 $438 2.0×
Chemotherapy Into Cns (96450) $455.37 $1,059 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $184.90 $430 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $595.12 $1,384 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $287.67 $669 0.7×
Chest Wall Manipulation (94668) $104.92 $244 0.6×
Color/duplex Doppler, complete (93975) $802.81 $1,867 2.6×
Color/duplex Doppler, limited (93976) $452.79 $1,053 3.4×
Computerized dynamic posturography (92548) $189.20 $440 1.1×
Continuous Pulse Ox (94762) $329.38 $766 2.0×
Coronary Art/Grft Angio S&I (93455) $6,262.09 $14,563 1.5×
Coronary Artery Angio S&I (93454) $5,398.22 $12,554 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $488.48 $1,136 1.7×
Cpt initial (94667) $95.89 $223 0.6×
Critical care first hour (99291)
range across 2 matching MRF lines
$3,015.16–$3,157.49 $7,012–$7,343 varies
Debridement Open Wound 20 Sq Cm< (97597) $307.45 $715 1.2×
Dialysis One Evaluation (90945) $490.63 $1,141 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $886.23 $2,061 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $329.81 $767 2.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $329.81 $767 2.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$296.70–$471.28 $690–$1,096 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,316.23 $3,061 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $802.81 $1,867 6.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $886.23 $2,061 2.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $329.81 $767 2.5×
Duplex Scan Hemodialysis Access (93990) $329.81 $767 2.5×
Duplex up extrem art bilat (93930) $368.08 $856 1.2×
Echo Congenital Complete (93303) $1,376.86 $3,202 2.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$790.77–$813.99 $1,839–$1,893 varies
Echo r-t 2d w/probe placement only (93313) $494.07 $1,149 0.7×
Echo transesophag montr cardiac pump functj (93318) $1,404.81 $3,267 2.0×
Echo transesophageal (93312) $2,352.10 $5,470 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $643.71 $1,497 0.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,855.02 $4,314 2.6×
Eeg 41-60 Minutes (95812) $447.20 $1,040 1.6×
EEG awake and asleep (95819) $632.96 $1,472 2.3×
EEG awake drowsy (95816) $546.96 $1,272 2.0×
EEG cerebral death evaluation (95824) $632.96 $1,472 1.3×
EEG cont rec w/video by tech min 8 channels (95700) $285.95 $665 1.0×
EEG extended monitoring 61-119 minutes (95813) $546.96 $1,272 2.0×
Eeg Sleep Only (95822) $632.96 $1,472 2.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705)
range across 2 matching MRF lines
$285.95–$510.41 $665–$1,187 varies
EEG w/o vid 2-12hr cont mntr (95707) $285.95 $665 1.0×
EEG w/o vid ea 12-26hr intmt (95709) $543.09 $1,263 1.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $543.09 $1,263 1.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $285.95 $665 1.0×
EEG wo vid ea 12-26hr unmntr (95708)
range across 2 matching MRF lines
$543.09–$869.89 $1,263–$2,023 varies
Electrocardiogram Tracing (93005) $197.37 $459 2.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,588.89 $15,323 0.7×
Electrophysiology Evaluation (93642) $1,155.84 $2,688 0.7×
Emergency Dept Visit Level 2 (99282) $602 $1,400 3.0×
Emergency Dept Visit Level 3 (99283) $1,142.51 $2,657 3.3×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$1,733.33–$1,815.46 $4,031–$4,222 varies
Emg 3 Extremities (95863) $716.38 $1,666 4.3×
Emg 4 Extremities (95864) $814.85 $1,895 4.9×
Endomyocardial Biopsy (93505) $1,976.28 $4,596 0.5×
Ep & ablate supravent arrhyt (93653) $17,003.92 $39,544 0.5×
Ep & ablate ventric tachy (93654) $17,003.92 $39,544 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,488.09 $12,763 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,588.89 $15,323 0.7×
Er level 1 (99281) $245.53 $571 2.3×
Er level v (99285)
range across 2 matching MRF lines
$2,511.20–$2,629.88 $5,840–$6,116 varies
Esoph Atrial Electrogram (93615) $1,140.79 $2,653 0.7×
Evaluate pt use of inhaler (94664) $97.18 $226 0.3×
External Ecg Scanning Analysis Report (93226) $525.46 $1,222 6.9×
Extracranial Bilat Study (93880) $1,282.69 $2,983 4.2×
F-up/limited tthrc echo congenital car anomaly (93304) $798.51 $1,857 1.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $642.85 $1,495 0.6×
Gi tract capsule endoscopy (91110) $993.30 $2,310 0.9×
Health Behavior Assessment/Re-Assessment (96156) $131.58 $306 1.0×
Health behavior ivntj indiv f2f 1st 30 min (96158) $112.23 $261 0.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $16,168.86 $37,602 3.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,210.02 $2,814 1.4×
Holter monitor recording (93225) $357.33 $831 2.1×
Icd Device Interrogate (93289) $155.23 $361 3.2×
Icd device progr eval dual (93283) $122.55 $285 2.6×
Ilr Device Eval Progr (93285) $45.15 $105 0.9×
Ilr Device Interrogate (93291) $155.23 $361 4.2×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$73.10–$90.73 $170–$211 varies
Immunization administration (90471)
range across 3 matching MRF lines
$90.73–$109.65 $211–$255 varies
Insert/Place Heart Catheter (93503) $1,976.28 $4,596 1.0×
Intra-atrial pacing (93610) $6,588.89 $15,323 0.7×
Intra-atrial recording (93602) $6,588.89 $15,323 0.7×
Intracranial Complete Study (93886)
range across 2 matching MRF lines
$426.99–$431.29 $993–$1,003 varies
Intraventricular pacing (93612) $6,588.89 $15,323 0.7×
Irrig Drug Delivery Device (96523) $108.36 $252 1.4×
IV infusion hydration each additional hour (96361) $92.45 $215 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $290.68 $676 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $188.34 $438 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $92.45 $215 1.5×
IV push initial (96374) $145.77 $339 0.5×
L Hrt Art/Grft Angio (93459) $13,174.34 $30,638 3.2×
Lung Function Test (Mbc/Mvv) (94200) $112.23 $261 1.5×
Lwr Xtr Vasc Stdy Bilat (93924) $624.36 $1,452 2.2×
Mechanical chest wall oscillation per session (94669) $175.01 $407 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $53.32 $124 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $89.44 $208 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $36.12 $84 2.1×
Multiple Family Group Psychotherapy (90849) $172 $400 0.8×
Muscle Test 2 Limbs (95861) $577.92 $1,344 3.4×
Muscle Test Nonparaspinal (95870) $410.22 $954 2.4×
Muscle Test One Limb (95860) $410.22 $954 2.4×
Nasopharyngoscopy (92511) $273.91 $637 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $350.02 $814 1.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $350.02 $814 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $595.55 $1,385 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $595.55 $1,385 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $307.45 $715 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $595.55 $1,385 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $331.10 $770 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $884.08 $2,056 1.8×
Nerve conduction studies 13 or more studies (95913) $1,003.62 $2,334 2.1×
Nerve Conduction Studies 3-4 Studies (95908) $365.50 $850 1.3×
Nerve conduction studies 5-6 studies (95909) $516 $1,200 1.9×
Nerve conduction studies 7-8 studies (95910) $664.78 $1,546 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $797.65 $1,855 1.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $184.47 $429 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $206.83 $481 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 2 matching MRF lines
$196.51 $14–$457 1.2×
Peripheral arterial disease rehab per session (93668) $63.21 $147 0.8×
Perq Transcath Cls Aortic (93591) $19,454.49 $45,243 0.8×
Phlebotomy therapeutic (99195) $148.35 $345 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $82.13 $191 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $82.13 $191 1.1×
Plethysmography (94726) $368.08 $856 0.8×
Pm device eval in person (93288) $155.23 $361 3.2×
Pm device progr eval dual (93280) $188.34 $438 3.9×
Pm device progr eval multi (93281) $195.65 $455 4.1×
Pm Device Progr Eval Sngl (93279) $163.83 $381 3.4×
Pm/Icd Remote Tech Serv (93296) $201.67 $469 4.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $113.52 $264 2.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $12,746.06 $29,642 0.9×
Psychiatric diagnostic evaluation (90791)
range across 5 matching MRF lines
$86–$203.39 $200–$473 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $263.59 $613 0.5×
Pulm function test by gas (94727) $294.55 $685 1.1×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$217.58–$224.03 $506–$521 varies
Pulmonary Stress Testing (94618) $411.08 $956 2.4×
Pure Tone Audiometry Air (92552) $94.17 $219 0.6×
R Hrt Art/Grft Angio (93457) $14,132.81 $32,867 3.4×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,410.76 $7,932 0.8×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,410.76 $7,932 0.8×
R hrt coronary artery angio (93456) $12,455.81 $28,967 3.0×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,410.76 $7,932 0.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,410.76 $7,932 0.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,466.41 $10,387 1.1×
Respiratory flow volume loop (94375) $196.51 $457 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $74.39 $173 1.0×
Right Heart Cath (93451) $3,952.56 $9,192 0.9×
Right ventricular recording (93603) $1,140.79 $2,653 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $307.45 $715 1.2×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $337.12 $784 1.2×
Short-latency somatosens ep std upr limbs (95925) $337.12 $784 1.2×
Somatosensory Testing (95938) $509.12 $1,184 0.5×
Spin/Brain Pump Refil & Main (95991) $361.63 $841 0.9×
Spirometry (94010) $212.85 $495 0.8×
Ssep lower limbs (95926) $337.12 $784 1.2×
Stress Tte Only (93350) $2,506.90 $5,830 3.6×
Subcutaneous Infusion Each Additional Hour (96370) $73.10 $170 1.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $147.92 $344 1.1×
Temp transcutaneous pacing (92953) $415.81 $967 0.5×
Ther/Proph/Diag Inj Ia (96373) $306.16 $712 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $145.77 $339 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $330.67 $769 1.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $890.10 $2,070 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $39.13 $91 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39.13 $91 0.8×
Transcath Closure of Asd (93580) $19,453.63 $45,241 0.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $149.21 $347 1.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $207.26 $482 1.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $201.67 $469 4.2×
Tte w/doppler, complete (93306) $2,266.53 $5,271 3.2×
Tte W/O Doppler Complete (93307) $1,164.01 $2,707 3.8×
Tx atrial fib pulm vein isol (93656) $17,003.92 $39,544 0.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $145.77 $339 2.4×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$578.78–$7,116.07 $1,346–$16,549 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$154.37–$304.44 $359–$708 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$193.07–$216.72 $449–$504 varies
Valvuloplasty aortic valve (92986) $6,009.68 $13,976 0.8×
Valvuloplasty mitral valve (92987) $10,851.48 $25,236 0.7×
Veeg 2-12 Hr Cont Mntr (95713) $543.09 $1,263 1.1×
Veeg 2-12 hr intmt mntr (95712) $285.95 $665 0.6×
Veeg 2-12 hr unmonitored (95711) $285.95 $665 1.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $543.09 $1,263 1.1×
Veeg Ea 12-26 Hr Unmntr (95714) $543.09 $1,263 1.1×
Veeg ea 12-26hr cont mntr (95716) $1,429.75 $3,325 1.3×
Vent Mgmt Inpat Init Day (94002) $1,256.89 $2,923 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,093.06 $2,542 1.4×
Vital capacity, total (94150) $74.39 $173 0.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,200.13 $2,791 1.1×

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.