St Mary's General Hospital

350 Boulevard, Passaic, NJ 07055 · (973) 365-4300

Acute Care HospitalsProprietaryCMS rating 3/5New York, NY-NJ metro Website ↗

Price file

Prices published

File dated 2026-09-01

2,014 price rows for 63 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $25

cash

$5 to $49

27 negotiated rates

$70

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $920

$412

cash

$330 to $874

27 negotiated rates

$5,307

list

CT scan of the head, no contrast

CPT 70450 · metro median $272

$123

cash

$99 to $356

27 negotiated rates

$2,219

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $686

$207

cash

$166 to $501

27 negotiated rates

$1,541

list

Cataract surgery with lens implant

CPT 66984 · metro median $4,501

$2,728

cash

$1,715 to $5,784

28 negotiated rates

$16,673

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,715 to $1,978

2 negotiated rates

$4,863

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $32,507

$12,637

cash

$4,407 to $22,873

29 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $86

$35

cash

$21 to $102

27 negotiated rates

$144

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $3,000

$1,099

cash

$880 to $3,752

78 negotiated rates

$3,752

list

Colonoscopy with biopsy

CPT 45380 · metro median $2,598

$1,414

cash

$1,132 to $4,153

26 negotiated rates

$4,899

list

Colonoscopy with polyp removal

CPT 45385 · metro median $2,598

$1,414

cash

$1,132 to $4,153

26 negotiated rates

$4,899

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $23

cash

$5 to $19

27 negotiated rates

$28

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $32

$10

cash

$6 to $131

27 negotiated rates

$185

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $327

$128

cash

$103 to $2,347

27 negotiated rates

$3,325

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$149 to $149

2 negotiated rates

$695

list

Family psychotherapy with the patient

CPT 90847 · metro median $263

$209

cash

$114 to $445

24 negotiated rates

$704

list

Family psychotherapy without the patient

CPT 90846 · metro median $264

$209

cash

$114 to $445

24 negotiated rates

$704

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $7,010

$7,147

cash

$1,715 to $15,152

56 negotiated rates

$24,166

list

Gonorrhea test (DNA)

CPT 87591 · metro median $86

$35

cash

$21 to $88

27 negotiated rates

$125

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $165

$120

cash

$28 to $255

52 negotiated rates

$366

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $75,894

$23,847

cash

$12,425 to $43,165

25 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $24,044

$10,566

cash

$4,717 to $19,125

25 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $27,369

$15,894

cash

$6,966 to $28,770

25 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,595

$4,232

cash

$1,715 to $8,973

28 negotiated rates

$28,702

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $4,595

$3,868

cash

$1,715 to $8,201

28 negotiated rates

$28,240

list

Left heart catheterization

CPT 93452 · metro median $4,595

$3,832

cash

$2,472 to $8,125

28 negotiated rates

$14,052

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $40

$13

cash

$8 to $186

27 negotiated rates

$263

list

Liver function panel

CPT 80076 · metro median $25

cash

$5 to $61

27 negotiated rates

$87

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $888

$412

cash

$330 to $1,241

27 negotiated rates

$5,117

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $575

$282

cash

$226 to $766

27 negotiated rates

$5,166

list

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

CPT 72148 · metro median $510

$282

cash

$226 to $766

27 negotiated rates

$3,572

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $509

$282

cash

$226 to $766

27 negotiated rates

$3,604

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $71,734

$29,769

cash

$11,890 to $53,883

32 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $2,610

$1,045

cash

$837 to $3,341

54 negotiated rates

$3,824

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$85 to $85

2 negotiated rates

$831

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$138 to $138

2 negotiated rates

$1,081

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$187 to $187

2 negotiated rates

$1,331

list

PSA test (prostate)

CPT 84153 · metro median $45

$18

cash

$11 to $120

27 negotiated rates

$170

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $15

cash

$4 to $28

27 negotiated rates

$40

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $92

$32

cash

$26 to $151

52 negotiated rates

$151

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $346

$123

cash

$99 to $262

27 negotiated rates

$940

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $2,370

$2,370

cash

$1,715 to $5,025

52 negotiated rates

$9,703

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $11

cash

$3 to $52

27 negotiated rates

$74

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $198

$209

cash

$70 to $445

26 negotiated rates

$655

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $216

$209

cash

$79 to $445

26 negotiated rates

$655

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $242

$209

cash

$79 to $445

26 negotiated rates

$670

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $4,595

$4,628

cash

$1,715 to $9,813

28 negotiated rates

$22,976

list

Screening mammogram (both breasts)

CPT 77067 · metro median $356

$105

cash

$85 to $897

27 negotiated rates

$1,270

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,715 to $3,245

6 negotiated rates

$9,564

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,343

$1,015

cash

$812 to $4,778

26 negotiated rates

$4,778

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$25,212 to $25,212

1 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $2,700

$1,045

cash

$837 to $3,341

28 negotiated rates

$3,742

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $2,110

$834

cash

$668 to $3,341

56 negotiated rates

$3,173

list

TSH test (thyroid)

CPT 84443 · metro median $50

$16

cash

$10 to $162

27 negotiated rates

$229

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $7,894

$6,998

cash

$1,715 to $5,950

28 negotiated rates

$5,950

list

Transvaginal ultrasound

CPT 76830 · metro median $343

$123

cash

$99 to $262

27 negotiated rates

$1,012

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $312

$123

cash

$99 to $262

27 negotiated rates

$830

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,981

$1,072

cash

$858 to $3,808

26 negotiated rates

$3,808

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $2,187

$1,072

cash

$858 to $4,153

54 negotiated rates

$3,808

list

Urinalysis with microscope

CPT 81001 · metro median $10

cash

$2 to $42

27 negotiated rates

$59

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $23,529

$9,348

cash

$4,407 to $16,920

29 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,715 to $1,978

2 negotiated rates

$3,641

list

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

CPT 72110 · metro median $152

$123

cash

$81 to $262

27 negotiated rates

$814

list

Source files

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

https://smh-nj.com/wp-content/uploads/2026/09/11606_StMarysGeneralHospital_standardcharges.json
St. Mary's General Hospital · parsed · json v3.0 · file dated 2026-09-01 · 26.7 MB · 2014 price rows read · read Sep 2026