Saint Marys Hospital
Saint Marys Hospital in Passaic, NJ publishes cash prices for 54 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Click a procedure to compare it with other hospitals nearby.
350 Boulevard Passaic, NJ 07055 Collected Sep 22, 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 Scan Abdomen/Pelvis W Contrast | $412.00 | $5,307.25 | 92% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Scan,Head/Brain,W/O Contrast Matl | $123.00 | $2,219.00 | 94% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Scan Of Pelvis Contrast | $207.00 | $1,541.00 | 87% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammography; Bilateral | $128.00 | $3,325.00 | 96% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Mammography; Unilateral | $99.00 | $1,469.90 | 93% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Extrem Jt, W/O Contrast | $282.00 | $5,166.38 | 95% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Joint Of Leg. Combo | $412.00 | $5,730.00 | 93% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain | $282.00 | $3,241.69 | 91% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Combo | $412.00 | $5,116.57 | 92% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine | $282.00 | $3,572.26 | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us, Ob >/= 14 Wks, Sngl Fetus | $123.00 | $940.00 | 87% |
| Screening mammogram, both breasts CPT 77067 Hc Mammogram, Screening | $105.00 | $1,270.00 | 92% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,015.00 | $4,778.00 | 79% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Ultrasound,Transvaginal | $123.00 | $1,012.00 | 88% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us, Abdom,B-Scan &/Or Real Time,Complete | $123.00 | $830.00 | 85% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc X-Ray Lumbar Spine 4 Vw | $123.00 | $814.00 | 85% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel Calcium Total | $8.00 | $70.00 | 89% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $13.00 | $263.00 | 95% |
| Complete blood count (CBC) with differential CPT 85025 Hc Complete Cbc & Auto Diff Wbc | $7.00 | $27.58 | 75% |
| Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc | $6.00 | $32.35 | 81% |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $8.00 | $125.00 | 94% |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $8.00 | $87.00 | 91% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Prostate Specific Antigen,Free | $18.00 | $67.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312 | $18.00 | $170.00 | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial | $6.00 | $40.00 | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $4.00 | $74.00 | 95% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Thyroid Stim Hormone | $16.00 | $229.00 | 93% |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis, Nonauto, W/Scope | $4.00 | $23.00 | 83% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Nonauto W/O Scope | $3.00 | $13.00 | 77% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl W/O Ecp | $2,728.00 | $16,673.20 | 84% |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy,Remv Lesn,Snare | $1,414.00 | $4,898.95 | 71% |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy,Biopsy | $1,414.00 | $4,898.95 | 71% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068 | $1,099.00 | $3,752.03 | 71% |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy,Diagnostic | $1,099.00 | $3,752.03 | 71% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071 | $1,099.00 | $3,752.03 | 71% |
| Gallbladder removal, laparoscopic CPT 47562 Hc Lap,Cholecystectomy | $7,147.00 | $24,165.80 | 70% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy | $7,147.00 | $29,447.80 | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp I/Hern Init Reduc >5 Yr | $4,232.00 | $28,702.20 | 85% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee Arthroscopy/Surgery - 29881 - OR36029881 | $3,868.00 | $28,240.20 | 86% |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath Inj Vetriculography, Rs/I | $3,832.00 | $14,052.00 | 73% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img | $834.00 | $3,172.95 | 74% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac | $834.00 | $15,363.90 | 95% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac Wo Img - 62322 - 36100353 | $1,045.00 | $3,741.88 | 72% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $1,045.00 | $3,824.20 | 73% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrm Epi L/S 1 | $1,045.00 | $15,144.90 | 93% |
| Prostate biopsy CPT 55700 Hc Biopsy Of Prostate,Needle/Punch | $2,370.00 | $9,703.30 | 76% |
| Prostate biopsy CPT 55700 Biopsy Of Prostate | $2,370.00 | $15,664.30 | 85% |
| Removal of a breast lump, open surgery CPT 19120 Removal Of Breast Lesion | $4,628.00 | $22,975.70 | 80% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $6,998.00 | $5,950.31 | -18% |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $15,177.00 | $63,739.50 | 76% |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $15,177.00 | $63,297.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Transoral Biopsy Single/Multiple | $1,072.00 | $3,807.75 | 72% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple | $1,072.00 | $15,390.00 | 93% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd Transoral Diagnostic | $1,072.00 | $3,807.75 | 72% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psytx W/Patient | $209.00 | $704.00 | 70% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psytx W/O Patient | $209.00 | $704.00 | 70% |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy | $120.00 | $504.32 | 76% |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy Iop | $120.00 | $365.93 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises, Ea 15 Min | $32.00 | $150.97 | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises Complex, Ea 15 Min | $32.00 | $150.97 | 79% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psytx Pt&/Family 30 Minutes | $209.00 | $654.51 | 68% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psychotherapy Patient &/ Family 45 Minutes | $209.00 | $654.51 | 68% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy W/Patient 60 Minutes | $209.00 | $670.00 | 69% |
Source file: https://smh-nj.com/wp-content/uploads/2026/09/11606_StMarysGeneralHospital_standardcharges.json