St Mary Medical Center — price list
← Hospital overviewVerified from St Mary Medical Center’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Access kit screen snap lid scs 355531 Inpatient & outpatient | PX0000367889L CDM | $1,608 | $772 | — | — | |
| Accudrain without anti reflux val ins8400 Inpatient & outpatient | C1729 HCPCS | $1,183 | $568 | — | — | |
| Acura hookwire 10cm bln2010 Inpatient & outpatient | C1819 HCPCS | $168 | $80.40 | — | — | |
| Acura hookwire 5cm bln2005 Inpatient & outpatient | C1819 HCPCS | $168 | $80.40 | — | — | |
| Acure hookwire 20gx7.5cm bln20075 Inpatient & outpatient | C1819 HCPCS | $168 | $80.40 | — | — | |
| Adaptor temp pacer medtr 5101 Inpatient & outpatient | C1883 HCPCS | $329 | $158 | — | — | |
| Algrft mtrx plvcol 4x7cm 482047 Inpatient & outpatient | C1763 HCPCS | $3,092 | $1,484 | — | — | |
| Allograft duragen 1x1 bx5 id1105 Inpatient & outpatient | C1763 HCPCS | $1,171 | $562 | — | — | |
| Amplatz ss 180cm .038 st m001465191 Inpatient & outpatient | C1769 HCPCS | $219 | $105 | — | — | |
| Amplatz ss 260cm .035 3mmj m001465021 Inpatient & outpatient | C1769 HCPCS | $195 | $93.57 | — | — | |
| Anchr sut cope GI g04474 Inpatient & outpatient | C1769 HCPCS | $558 | $268 | — | — | |
| Angioseal evolution 6fr c610134 Inpatient & outpatient | C1760 HCPCS | $1,176 | $564 | — | — | |
| Angioseal evolution 8fr c610135 Inpatient & outpatient | C1760 HCPCS | $1,176 | $564 | — | — | |
| Angioseal vip 6f 610130 Inpatient & outpatient | C1760 HCPCS | $1,176 | $564 | — | — | |
| Angioseal vip 8f 610131 Inpatient & outpatient | C1760 HCPCS | $1,176 | $564 | — | — | |
| Apligraf 44 sq cm apligrafcom Inpatient & outpatient | Q4101 HCPCS | $165 | $79.28 | — | — | |
| Arctic sun cooling pad med 3170702 Inpatient & outpatient | PX0000334295L CDM | $5,823 | $2,795 | — | — | |
| Arctic sun cooling pad univ 3170004 Inpatient & outpatient | PX0000334293L CDM | $1,996 | $958 | — | — | |
| Artic sun cooling pad lg 3170902 Inpatient & outpatient | PX0000334296L CDM | $5,823 | $2,795 | — | — | |
| Avitene 1010020 Inpatient & outpatient | PX0000126583L CDM | $772 | $371 | — | — | |
| Balloon trilobe bcl2645 bcl2645 Inpatient & outpatient | C1725 HCPCS | $3,418 | $1,640 | — | — | |
| Basket escape nitinl1.9fr120cm m0063902010 Inpatient & outpatient | PX0000258110L CDM | $1,488 | $714 | — | — | |
| Basket stn zero tip 4-w 1.9fr m0063901050 Inpatient & outpatient | PX0000217022L CDM | $1,255 | $602 | — | — | |
| Basket zero tip 2.4fr m0063901010 Inpatient & outpatient | PX0000150960L CDM | $1,157 | $555 | — | — | |
| Bln 16mm/4cm 75cm xxl m001145520 Inpatient & outpatient | C1725 HCPCS | $1,350 | $648 | — | — | |
| Bln advance 18lp pta 8x4x80 g50267 Inpatient & outpatient | C1725 HCPCS | $1,318 | $633 | — | — | |
| Bln all terrain 80cm 12mm-8cm g44144 Inpatient & outpatient | C1725 HCPCS | $591 | $284 | — | — | |
| Bln apex rx 2.0 x 12 h7493895912200 Inpatient & outpatient | C1725 HCPCS | $526 | $252 | — | — | |
| Bln apex rx 2.0 x 15 h7493895915200 Inpatient & outpatient | C1725 HCPCS | $526 | $252 | — | — | |
| Bln apex rx 2.25 x 12 h7493895912220 Inpatient & outpatient | C1725 HCPCS | $526 | $252 | — | — |