St Jude Hospital Inc
St Jude Hospital Inc in Fullerton, CA publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
101 E Valencia Mesa Dr, Fullerton, CA 92835 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,250.24 | $4,688.00 | 52% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,250.24 | $4,688.00 | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $1,317.12 | $2,744.00 | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $1,434.72 | $2,989.00 | 52% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $1,317.12 | $2,744.00 | 52% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,062.72 | $2,214.00 | 52% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,062.72 | $2,214.00 | 52% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $633.60 | $1,320.00 | 52% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $633.60 | $1,320.00 | 52% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $494.88 | $1,031.00 | 52% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $494.88 | $1,031.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $2,249.28 | $4,686.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $2,249.28 | $4,686.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $4,974.72 | $10,364.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $4,974.72 | $10,364.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $4,974.72 | $10,364.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $4,974.72 | $10,364.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $4,576.32 | $9,534.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $9,370.56 | $19,522.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $9,370.56 | $19,522.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $2,904.96 | $6,052.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $3,195.84 | $6,658.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $5,948.64 | $12,393.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $5,948.64 | $12,393.00 | 52% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $5,948.64 | $12,393.00 | 52% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $5,948.64 | $12,393.00 | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $3,659.52 | $7,624.00 | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $7,491.84 | $15,608.00 | 52% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $7,491.84 | $15,608.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $2,602.56 | $5,422.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $2,602.56 | $5,422.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $5,753.76 | $11,987.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $5,753.76 | $11,987.00 | 52% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $5,753.76 | $11,987.00 | 52% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $5,753.76 | $11,987.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $550.08 | $1,146.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $559.68 | $1,166.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $559.68 | $1,166.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $576.00 | $1,200.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $576.00 | $1,200.00 | 52% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $576.00 | $1,200.00 | 52% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $576.00 | $1,200.00 | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $1,543.20 | $3,215.00 | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $1,543.20 | $3,215.00 | 52% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $1,543.20 | $3,215.00 | 52% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $1,543.20 | $3,215.00 | 52% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $195.84 | $408.00 | 52% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $723.36 | $1,507.00 | 52% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $723.36 | $1,507.00 | 52% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $544.80 | $1,135.00 | 52% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $2,002.08 | $4,171.00 | 52% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $2,002.08 | $4,171.00 | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $219.84 | $458.00 | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $794.88 | $1,656.00 | 52% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $794.88 | $1,656.00 | 52% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $58.08 | $121.00 | 52% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $58.08 | $121.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS LAB | $11.04 | $23.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $29.28 | $61.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS LAB | $11.04 | $23.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $29.28 | $61.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $87.84 | $183.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $10.20 | $21.25 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $10.20 | $21.25 | 52% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $41.28 | $86.00 | 52% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $41.28 | $86.00 | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $41.28 | $86.00 | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $41.28 | $86.00 | 52% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $14.40 | $30.00 | 52% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $14.40 | $30.00 | 52% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $73.92 | $154.00 | 52% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $73.92 | $154.00 | 52% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $58.08 | $121.00 | 52% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $58.08 | $121.00 | 52% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $32.64 | $68.00 | 52% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $32.64 | $68.00 | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $32.64 | $68.00 | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $81.12 | $169.00 | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $32.64 | $68.00 | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $81.12 | $169.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM | $21.60 | $45.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $33.45 | $69.68 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $71.85 | $149.69 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM | $21.60 | $45.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $33.45 | $69.68 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $71.85 | $149.69 | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $33.44 | $69.67 | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $41.76 | $87.00 | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $33.44 | $69.67 | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $41.76 | $87.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $49.42 | $102.95 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $49.42 | $102.95 | 52% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $143.04 | $298.00 | 52% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $143.04 | $298.00 | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $143.04 | $298.00 | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $143.04 | $298.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $96.96 | $202.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $96.96 | $202.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $96.96 | $202.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $96.96 | $202.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $96.96 | $202.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $96.96 | $202.00 | 52% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $52.32 | $109.00 | 52% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $52.32 | $109.00 | 52% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $52.32 | $109.00 | 52% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $52.32 | $109.00 | 52% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 HC CATARACT REMOVE W/IOL ETRACAPSULAR | $4,018.56 | $8,372.00 | 52% |
| Cataract surgery with lens implant inpatient CPT 66984 HC CATARACT REMOVE W/IOL ETRACAPSULAR | $4,018.56 | $8,372.00 | 52% |
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,044.96 | $2,177.00 | 52% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,044.96 | $2,177.00 | 52% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $2,166.24 | $4,513.00 | 52% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $2,166.24 | $4,513.00 | 52% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $6,203.52 | $12,924.00 | 52% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $6,203.52 | $12,924.00 | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,555.20 | $3,240.00 | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,555.20 | $3,240.00 | 52% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,555.20 | $3,240.00 | 52% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,555.20 | $3,240.00 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,399.20 | $2,915.00 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,399.20 | $2,915.00 | 52% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,399.20 | $2,915.00 | 52% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,399.20 | $2,915.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $1,046.40 | $2,180.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $1,046.40 | $2,180.00 | 52% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $2,824.80 | $5,885.00 | 52% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE | $2,824.80 | $5,885.00 | 52% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,075.68 | $2,241.00 | 52% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,075.68 | $2,241.00 | 52% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,075.68 | $2,241.00 | 52% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,075.68 | $2,241.00 | 52% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $199.68 | $416.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT IOP CD/SA | $199.68 | $416.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESENT 50 MIN CDM | $199.68 | $416.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $199.68 | $416.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESENT 50 MIN CDM | $199.68 | $416.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT IOP CD/SA | $199.68 | $416.00 | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $219.36 | $457.00 | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSYTX FAMILY WO PT 50 MIN IOP CDM | $219.36 | $457.00 | 52% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $219.36 | $457.00 | 52% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYTX FAMILY WO PT 50 MIN IOP CDM | $219.36 | $457.00 | 52% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY IOP | $69.12 | $144.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY,GROUP 1 HR | $69.12 | $144.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $69.12 | $144.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY IOP | $69.12 | $144.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY,GROUP 1 HR | $69.12 | $144.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $69.12 | $144.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $109.92 | $229.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $109.92 | $229.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $129.60 | $270.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $129.60 | $270.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $136.32 | $284.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $129.60 | $270.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $129.60 | $270.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $136.32 | $284.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC CD PHP TX IND PT 30MIN | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CDM | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTH IND 30 MIN IOP CD/SA | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTH IND 30 MIN IOP CD/SA | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CDM | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $164.64 | $343.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC CD PHP TX IND PT 30MIN | $164.64 | $343.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CDM | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTH IND 45 MIN IOP CD/SA | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC CD PHP TX IND PT 45MIN | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CDM | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTH IND 45 MIN IOP CD/SA | $213.12 | $444.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC CD PHP TX IND PT 45MIN | $213.12 | $444.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC CD PHP TX IND PT 60MIN | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CDM | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTH IND 60 MIN IOP CD/SA | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC CD PHP TX IND PT 60MIN | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CDM | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTH IND 60 MIN IOP CD/SA | $254.88 | $531.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $254.88 | $531.00 | 52% |
Source file: https://pricetransparency.providence.org/socal/live/951643325_providence-st-jude-medical-center_standardcharges.json