St. Mary's Medical Center — price list

← Hospital overviewVerified from St. Mary's Medical Center’s published price file

Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

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.

131 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Ab; salmonella; eia Inpatient	86768 CPT	$63.58	—	$25.47 – $61.67	—
Ab;lyme's (wb) igg confirm Inpatient	86617 CPT	$183	—	$73.29 – $177	—
Acetylcholn rcptr modlg antb Inpatient	86043 CPT	$117	—	$46.87 – $113	—
Acid hemolysis test Inpatient	85475 CPT	$95.51	—	$38.26 – $92.64	—
Activated t immune status rl Inpatient	86356 CPT	$187	—	$75.08 – $182	—
Acylcarnitines; qual Inpatient	82016 CPT	$480	—	$192 – $466	—
Aldosterone; serum Inpatient	82088 CPT	$340	—	$136 – $330	—
Amino acids plasma quant Inpatient	82139 CPT	$299	—	$120 – $290	—
Anti-neuronal cell antibody Inpatient	86255 CPT	$241	—	$96.61 – $234	—
Anti-reticulin antibody Inpatient	86255 CPT	$245	—	$97.96 – $237	—
Antibody bacterium no elsewhere specified Inpatient	86609 CPT	$211	—	$84.49 – $205	—
Anticardiolipin igm Inpatient	86147 CPT	$246	—	$98.44 – $238	—
Antidepressant tricyclic and other cyclicals; 1 or 2 Inpatient	80335 CPT	$238	—	$95.15 – $230	—
Apc gene dup/del variants Inpatient	81203 CPT	$500	—	$200 – $485	—
Apolipoprotein each Inpatient	82172 CPT	$68.48	—	$27.43 – $66.43	—
Aspergillus antibody Inpatient	86606 CPT	$161	—	$64.34 – $156	—
Assay of riboflavin Inpatient	84252 CPT	$302	—	$121 – $293	—
Bilirubin total Inpatient	82247 CPT	$24.47	—	$9.80 – $23.74	—
Blood typing, serologic; abo Inpatient	86900 CPT	$139	—	$55.52 – $134	—
Carbon monoxide Inpatient	82375 CPT	$44.95	—	$18.01 – $43.60	—
Carcinoembronic antigen (cea) Inpatient	82378 CPT	$235	—	$94.13 – $228	—
Cftr gene dup/delet variants Inpatient	81222 CPT	$1,088	—	$436 – $1,055	—
Cftr gene known fam variants Inpatient	81221 CPT	$164	—	$65.71 – $159	—
Chloride; urine Inpatient	82436 CPT	$50.56	—	$20.25 – $49.04	—
Chlorinated hc screen Inpatient	82441 CPT	$366	—	$147 – $355	—
Chromium Inpatient	82495 CPT	$166	—	$66.49 – $161	—
Citric acid 24 hr urine Inpatient	82507 CPT	$415	—	$166 – $403	—
Client only arsenic fractionation Inpatient	82175 CPT	$151	—	$60.54 – $147	—
Clotting funct activity Inpatient	85397 CPT	$130	—	$51.99 – $126	—
Clotting; factor viii related antigen Inpatient	85244 CPT	$70.53	—	$28.25 – $68.41	—