Providence St Mary Medical Center

18300 Highway 18, Apple Valley, CA 92307 · (760) 242-2311

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Riverside, CA metro Website ↗

Price file

Prices published

File dated 2026-04-01

22,554 price rows for 69 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 23 lines · metro median $185

$83

cash

$8 to $120

209 negotiated rates

$118

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 24 lines · metro median $3,180

$2,810

cash

$341 to $2,852

212 negotiated rates

$4,083

list

CT scan of the head, no contrast

CPT 70450 · lowest of 24 lines · metro median $2,288

$968

cash

$97 to $1,905

212 negotiated rates

$1,383

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 24 lines · metro median $2,331

$1,452

cash

$163 to $2,754

212 negotiated rates

$2,074

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,065 to $22,417

278 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$6,489 to $19,696

88 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$8,413 to $25,128

589 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 277 lines · metro median $33

cash

$35 to $483

209 negotiated rates

$13

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 23 lines · metro median $2,080

$1,300

cash

$810 to $15,176

279 negotiated rates

$2,708

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,046 to $15,176

279 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,046 to $15,176

279 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 139 lines · metro median $65

cash

$8 to $111

209 negotiated rates

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 67 lines · metro median $73

$11

cash

$11 to $150

209 negotiated rates

$23

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 23 lines · metro median $298

$545

cash

$114 to $1,397

113 negotiated rates

$779

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $84

$84

cash

$102 to $388

67 negotiated rates

$120

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$141 to $882

13 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$141 to $882

13 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$5,113 to $25,971

278 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 211 lines · metro median $26

cash

$35 to $483

209 negotiated rates

$13

list

Group psychotherapy

CPT 90853

—

cash

$79 to $493

13 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$16,380 to $52,353

611 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,942 to $21,666

589 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,898 to $33,280

655 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 23 lines · metro median $4,582

$2,153

cash

$3,066 to $19,696

278 negotiated rates

$4,486

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$2,868 to $19,696

278 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$515 to $15,176

279 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 23 lines · metro median $6,226

$8,421

cash

$2,887 to $24,827

280 negotiated rates

$14,050

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 410 lines · metro median $39

cash

$13 to $190

209 negotiated rates

$13

list

Liver function panel

CPT 80076 · lowest of 24 lines · metro median $151

$20

cash

$8 to $116

209 negotiated rates

$28

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 23 lines · metro median $3,068

$1,303

cash

$341 to $8,865

212 negotiated rates

$2,714

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 46 lines · metro median $2,392

$778

cash

$217 to $4,485

212 negotiated rates

$1,620

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 46 lines · metro median $2,496

$996

cash

$217 to $4,991

212 negotiated rates

$2,076

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 24 lines · metro median $2,444

$946

cash

$217 to $4,504

212 negotiated rates

$1,971

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$11,158 to $65,728

655 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,790

$3,542

cash

$808 to $15,176

279 negotiated rates

$5,060

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

—

list

PSA test (prostate)

CPT 84153 · lowest of 161 lines · metro median $14

cash

$18 to $261

209 negotiated rates

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 255 lines · metro median $6

cash

$6 to $85

209 negotiated rates

$12

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 67 lines · metro median $108

$53

cash

$29 to $88

101 negotiated rates

$76

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 24 lines · metro median $728

$672

cash

$97 to $834

214 negotiated rates

$960

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

—

list

Prostate biopsy

CPT 55700 · metro median $2,566

$3,922

cash

$1,805 to $15,176

180 negotiated rates

$5,603

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$4,243 to $46,333

278 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 127 lines · metro median $29

cash

$4 to $56

209 negotiated rates

$12

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$141 to $882

13 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$141 to $882

13 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$141 to $882

13 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,378 to $17,692

278 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 46 lines · metro median $187

$337

cash

$94 to $1,154

113 negotiated rates

$481

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,192 to $19,696

155 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $1,705

$1,705

cash

$926 to $5,784

170 negotiated rates

$2,436

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$11,158 to $88,966

156 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 24 lines · metro median $1,323

$518

cash

$808 to $15,176

279 negotiated rates

$1,079

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 46 lines · metro median $1,376

$1,376

cash

$613 to $15,176

279 negotiated rates

$2,542

list

TSH test (thyroid)

CPT 84443 · lowest of 229 lines · metro median $24

cash

$17 to $239

209 negotiated rates

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,632 to $26,359

278 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 24 lines · metro median $515

$423

cash

$97 to $688

214 negotiated rates

$604

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 24 lines · metro median $1,191

$654

cash

$97 to $804

212 negotiated rates

$934

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 23 lines · metro median $1,872

$1,438

cash

$803 to $15,176

279 negotiated rates

$2,834

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 23 lines · metro median $1,768

$1,438

cash

$803 to $15,176

279 negotiated rates

$2,923

list

Urinalysis with microscope

CPT 81001 · lowest of 70 lines · metro median $61

$46

cash

$3 to $43

209 negotiated rates

$66

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$5,678 to $19,696

88 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,076 to $17,693

589 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$5,678 to $19,696

88 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 24 lines · metro median $455

$408

cash

$97 to $688

212 negotiated rates

$732

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://pricetransparency.providence.org/wamt/live/300502262_providence-st-mary-medical-center_standardcharges.json
Providence St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 189.5 MB · 1170 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · discovered · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Oct 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/socal/live/951914489_providence-st-mary-medical-center_standardcharges.json
St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 184.2 MB · 972 price rows read · read Nov 2026
https://pricetransparency.providence.org/alaska/live/260115489_st-elias-specialty-hospital_standardcharges.json
St Elias Specialty Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 155.8 MB · read Oct 2026
https://pricetransparency.providence.org/txnm/live/822913146_covenant-medical-center_standardcharges.json
Covenant Medical Center · unmatched · json v3.0.0 · file dated 2026-04-01 · 195.6 MB · read Oct 2026
https://pricetransparency.providence.org/txnm/live/205033419_covenant-specialty-hospital_standardcharges.json
Covenant Specialty Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 141.5 MB · read Oct 2026
https://pricetransparency.providence.org/wamt/live/364640211_providence-sacred-hrt-med-center-and-childs-hosp_standardcharges.json
Providence Sacred Heart Medical Center and Children's Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 209.2 MB · read Oct 2026
https://pricetransparency.providence.org/wamt/live/352347032_providence-st-lukes-rehabilitation-medical-center_standardcharges.json
Providence St Luke's Rehabilitation Medical Center · unmatched · json v3.0.0 · file dated 2026-04-01 · 23.3 MB · read Oct 2026
https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center_standardcharges.json
Swedish Medical Center - First Hill Campus · failed · read Oct 2026
https://pricetransparency.providence.org/norcal/live/852390012_healdsburg-hospital_standardcharges.json
Healdsburg Hospital · discovered
https://pricetransparency.providence.org/wamt/live/810231793_st-patrick-hospital_standardcharges.json
St Patrick Hospital - Broadway Campus · discovered
https://pricetransparency.providence.org/wamt/live/910655392_kadlec-regional-medical-center_standardcharges.json
Kadlec Regional Medical Center · discovered
https://pricetransparency.providence.org/wamt/live/352346161_providence-regional-medical-center-everett_standardcharges.json
Providence Regional Medical Center Everett - Colby Campus · discovered