▸ Hospital · CA · CCN 050457

St Mary's Medical Center

450 STANYAN STREET, SAN FRANCISCO, CA, 94117

113 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

7,676

last crawl 2026-05-22

Procedures tracked

192

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All CA hospitals JSON

Source MRF: https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/price-transparency-4-30-2022/bayarea/721561126_St-Marys-Medical-Center_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	9	—	—	$15,668	$15,668	$47,474
Psychotherapy 30 minutes	CPT	90832	15	$279	$195.3	$67.05	$201.91	$585.54
Psychotherapy 45 minutes	CPT	90834	15	$406	$284.2	$85.18	$201.91	$585.54
emergency
ED visit level 1	CPT	99281	18	$1,189	$832.3	$21.77	$713.4	$20,014
ED visit level 2	CPT	99282	18	$1,874	$1,311.8	$34.97	$1,124.4	$20,014
ED visit level 3	CPT	99283	18	$2,803	$1,962.1	$63.97	$1,681.8	$22,854
ED visit level 4	CPT	99284	18	$4,211	$2,947.7	$98.04	$2,526.6	$22,854
ED visit level 5	CPT	99285	18	$8,885	$6,219.5	$155.03	$5,331	$22,854
Critical care, first hour	CPT	99291	17	$14,020	$9,814	$324.06	$9,968.22	$22,854
imaging
CT head without contrast	CPT	70450	16	$3,571	$2,499.7	$145.43	$183.31	$5,539
CT head with contrast	CPT	70460	16	$4,999	$3,499.3	$205.27	$272.74	$5,539
CT head with and without contrast	CPT	70470	16	$5,893	$4,125.1	$242.06	$304.09	$5,893
CT neck with contrast	CPT	70491	16	$5,240	$3,668	$257.32	$323.37	$5,539
MRI brain without contrast	CPT	70551	16	$4,841	$3,388.7	$277.63	$351.34	$8,732
MRI brain with contrast	CPT	70552	16	$7,018	$4,912.6	$389.09	$562.28	$8,732
MRI brain with and without contrast	CPT	70553	16	$8,069	$5,648.3	$457.73	$568.49	$8,732
Chest X-ray single view	CPT	71045	16	$781	$546.7	$17.67	$123.51	$781
Chest X-ray 2 views	CPT	71046	16	$964	$674.8	$27.48	$123.51	$964
Chest X-ray 3 views	CPT	71047	16	$1,175	$822.5	$35.27	$123.51	$1,175
CT chest without contrast	CPT	71250	16	$5,051	$3,535.7	$164.29	$230.16	$5,539
CT chest with contrast	CPT	71260	16	$5,250	$3,675	$233.29	$292.76	$5,539
CT chest with and without contrast	CPT	71270	16	$6,056	$4,239.2	$269.56	$347.91	$6,056
MRI chest without contrast	CPT	71550	16	$5,171	$3,619.7	$347.24	$568.01	$8,732
MRI chest with contrast	CPT	71551	16	$5,606	$3,924.2	$395.33	$1,092.4	$8,732
MRI chest with and without contrast	CPT	71552	16	$6,205	$4,343.5	$501.11	$658.96	$8,732
Lumbosacral spine X-ray	CPT	72100	17	$906	$634.2	$43.45	$245.18	$906
CT cervical spine without contrast	CPT	72125	16	$4,036	$2,825.2	$164.29	$226.05	$5,539
CT thoracic spine without contrast	CPT	72128	16	$4,036	$2,825.2	$164.29	$225.45	$5,539
CT lumbar spine without contrast	CPT	72131	16	$5,387	$3,770.9	$164.29	$224.89	$5,539
MRI cervical spine without contrast	CPT	72141	16	$5,376	$3,763.2	$271.44	$351.34	$8,732
MRI thoracic spine without contrast	CPT	72146	16	$5,376	$3,763.2	$271.44	$351.34	$8,732
MRI lumbar spine without contrast	CPT	72148	16	$5,376	$3,763.2	$271.91	$351.34	$8,732
MRI lumbar spine with and without contrast	CPT	72149	16	$7,795	$5,456.5	$392.33	$562.28	$8,732
MRI cervical spine with and without contrast	CPT	72156	16	$8,977	$6,283.9	$462.36	$573.28	$8,977
MRI lumbar spine with contrast	CPT	72158	16	$8,977	$6,283.9	$461.44	$572.15	$8,977
CT pelvis without contrast	CPT	72192	16	$5,051	$3,535.7	$164.29	$230.63	$5,539
CT pelvis with contrast	CPT	72193	16	$5,051	$3,535.7	$269.56	$360.71	$5,539
Shoulder X-ray	CPT	73030	17	$931	$651.7	$37.09	$182.03	$931
Humerus X-ray	CPT	73060	17	$706	$494.2	$29.81	$182.03	$706
Hand X-ray 3 views	CPT	73130	17	$735	$514.5	$36.06	$182.03	$735
MRI upper extremity joint without contrast	CPT	73221	16	$3,634	$2,543.8	$289.9	$358.96	$8,732
MRI upper extremity joint with and without contrast	CPT	73223	16	$6,068	$4,247.6	$408.36	$566.99	$8,732
Knee X-ray 1-2 views	CPT	73560	17	$608	$425.6	$27.28	$182.03	$637.31
Ankle X-ray 3 views	CPT	73610	17	$777	$543.9	$36.06	$182.03	$777
MRI lower extremity joint without contrast	CPT	73721	16	$3,634	$2,543.8	$288.98	$357.86	$8,732
MRI lower extremity joint with and without contrast	CPT	73723	16	$6,068	$4,247.6	$407.06	$566.08	$8,732
CT abdomen without contrast	CPT	74150	16	$5,063	$3,544.1	$164.29	$236.37	$5,539
CT abdomen with contrast	CPT	74160	16	$5,063	$3,544.1	$269.56	$368.32	$5,539
CT abdomen with and without contrast	CPT	74170	16	$6,056	$4,239.2	$269.56	$409.04	$6,056
CT abdomen and pelvis without contrast	CPT	74176	16	$10,122	$7,085.4	$178.43	$351.34	$10,122
CT abdomen and pelvis with contrast	CPT	74177	16	$10,122	$7,085.4	$281.8	$562.28	$10,122
CT abdomen and pelvis with and without contrast	CPT	74178	16	$12,122	$8,485.4	$319.24	$562.28	$12,122
MRI abdomen without contrast	CPT	74181	16	$7,869	$5,508.3	$281.36	$517.79	$8,732
MRI abdomen with and without contrast	CPT	74183	16	$7,498	$5,248.6	$351.25	$562.28	$8,732
Abdominal ultrasound complete	CPT	76700	17	$1,813	$1,269.1	$119.34	$166.66	$1,813
Abdominal ultrasound limited	CPT	76705	17	$1,395	$976.5	$87.13	$166.24	$1,395
Retroperitoneal ultrasound complete	CPT	76770	17	$2,971	$2,079.7	$115.78	$166.24	$2,971
Obstetric ultrasound first trimester	CPT	76801	17	$1,628	$1,139.6	$78.42	$166.24	$1,628
Obstetric ultrasound after first trimester	CPT	76805	17	$1,888	$1,321.6	$135.29	$184.66	$1,888
Obstetric ultrasound with fetal anatomy	CPT	76811	17	$721	$504.7	$159.03	$351.34	$1,812.92
Transvaginal ultrasound	CPT	76830	17	$1,386	$970.2	$97.04	$387.84	$1,386
Pelvic ultrasound complete	CPT	76856	17	$1,630	$1,141	$97.04	$166.24	$1,630
Scrotal ultrasound	CPT	76870	17	$1,436	$1,005.2	$85.75	$166.24	$1,436
Diagnostic mammography unilateral	CPT	77065	12	$871	$609.7	$117.89	$650.14	$871
Diagnostic mammography bilateral	CPT	77066	12	$1,034	$723.8	$149.36	$774.44	$1,034
Screening mammography bilateral	CPT	77067	12	$1,492	$1,044.4	$120.94	$877.26	$1,492
EKG complete	CPT	93000	9	$676	$473.2	$17.84	$449.81	$676
EKG tracing only	CPT	93005	16	$623	$436.1	$8.51	$370.5	$623
EKG interpretation only	CPT	93010	9	$360	$252	$9.33	$216	$360
Transthoracic echocardiogram complete	CPT	93306	16	$4,893	$3,425.1	$239.76	$737.78	$4,893
Transthoracic echocardiogram	CPT	93307	16	$2,719	$1,903.3	$185.32	$351.34	$2,719
Stress echocardiogram	CPT	93350	16	$4,246	$2,972.2	$137.87	$737.78	$4,246
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	9	—	—	$23,138	$23,138	$70,109
COPD w MCC	MS-DRG	190	9	—	—	$14,267	$14,267	$43,230
COPD w CC	MS-DRG	191	9	—	—	$11,317	$11,317	$34,291
COPD w/o CC/MCC	MS-DRG	192	9	—	—	$9,005.1	$9,005.1	$27,285
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	—	—	$11,067	$11,067	$33,533
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	—	—	$8,639.98	$8,639.98	$26,179
AMI discharged alive w MCC	MS-DRG	280	9	—	—	$20,171	$20,171	$61,117
AMI discharged alive w CC	MS-DRG	281	9	—	—	$11,884	$11,884	$36,010
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	—	—	$9,378.79	$9,378.79	$28,418
Heart failure & shock w MCC	MS-DRG	291	9	—	—	$16,022	$16,022	$48,547
Heart failure & shock w CC	MS-DRG	292	9	—	—	$11,062	$11,062	$33,519
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	—	—	$7,710.03	$7,710.03	$23,361
Cardiac arrhythmia w MCC	MS-DRG	308	9	—	—	$15,196	$15,196	$46,044
Cardiac arrhythmia w CC	MS-DRG	309	9	—	—	$9,677.75	$9,677.75	$29,324
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	—	—	$7,333.88	$7,333.88	$22,222
GI hemorrhage w CC	MS-DRG	378	9	—	—	$12,655	$12,655	$38,345
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	—	—	$8,289.56	$8,289.56	$25,117
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	—	—	$9,865.21	$9,865.21	$29,892
Fractures of femur w/o MCC	MS-DRG	533	9	—	—	$17,834	$17,834	$54,037
Kidney/UTI w MCC	MS-DRG	689	9	—	—	$14,134	$14,134	$42,826
Kidney/UTI w/o MCC	MS-DRG	690	9	—	—	$10,211	$10,211	$30,939
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	—	—	$23,421	$23,421	$70,966
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	—	—	$13,057	$13,057	$39,563
lab
Basic metabolic panel (BMP)	CPT	80048	17	$977	$683.9	$8.46	$19.88	$977
General health panel	CPT	80050	11	$980	$686	$54.43	$593.88	$980
Electrolyte panel	CPT	80051	17	$713	$499.1	$7.01	$16.48	$713
Comprehensive metabolic panel	CPT	80053	17	$1,217	$851.9	$10.56	$24.82	$1,217
Lipid panel	CPT	80061	17	$1,269	$888.3	$8.45	$15.72	$1,269
Renal function panel	CPT	80069	17	$574	$401.8	$8.68	$20.4	$574
Hepatic function panel	CPT	80076	17	$556	$389.2	$8.17	$19.2	$556
Urinalysis non-automated	CPT	81002	17	$127	$88.9	$3.08	$15.17	$127
Urinalysis automated	CPT	81003	17	$211	$147.7	$2.25	$5.29	$211
Glucose quantitative	CPT	82947	17	$180	$126	$3.93	$17.8	$180
Hemoglobin A1c	CPT	83036	17	$434	$303.8	$9.71	$22.82	$434
Thyroid stimulating hormone (TSH)	CPT	84443	17	$539	$377.3	$16.8	$39.48	$539
Complete blood count with automated differential	CPT	85025	17	$330	$231	$7.77	$18.26	$330
Complete blood count without differential	CPT	85027	17	$139	$97.3	$6.47	$15.21	$139
Urine culture bacterial	CPT	87086	17	$433	$303.1	$8.07	$18.97	$433
Urine culture identification	CPT	87088	17	$38	$26.6	$7.54	$18.68	$38
Tissue exam by pathologist level IV	CPT	88305	17	$543	$380.1	$58.8	$137.69	$543
maternity
Fetal non-stress test	CPT	59025	13	—	—	$32.7	$260.13	$20,938
Routine obstetric care including vaginal delivery	CPT	59400	7	—	—	$1,936.17	$5,028.38	$20,938
Vaginal delivery only	CPT	59409	13	—	—	$780.72	$4,006.1	$20,938
Vaginal delivery with postpartum	CPT	59410	6	—	—	$1,144.68	$8,555.94	$20,938
Routine obstetric care with C-section	CPT	59510	7	—	—	$1,936.28	$5,746.71	$20,938
C-section delivery only	CPT	59514	7	—	—	$781.35	$5,746.71	$20,938
C-section with postpartum	CPT	59515	6	—	—	$1,401.51	$9,693	$20,938
office
Office visit, new patient, 15-29 min	CPT	99202	9	$133	$93.1	$49.2	$83.6	$133
Office visit, new patient, 30-44 minutes	CPT	99203	9	$145	$101.5	$82.05	$110.6	$145
Office visit, new patient, 45-59 min	CPT	99204	9	$157	$109.9	$94.2	$126.18	$157
Office visit, new patient, 60-74 min	CPT	99205	9	$169	$118.3	$101.4	$144.12	$169
Office visit, established patient, 5 min	CPT	99211	9	$121	$84.7	$17.21	$50.66	$121
Office visit, established patient, 10-19 min	CPT	99212	9	$133	$93.1	$16.37	$73.86	$133
Office visit, established patient, 20-29 minutes	CPT	99213	9	$145	$101.5	$34.43	$94.04	$145
Office visit, established patient, 30-39 minutes	CPT	99214	9	$157	$109.9	$53.79	$101.82	$157
Office visit, established patient, 40-54 min	CPT	99215	9	$169	$118.3	$82.05	$116.34	$169
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	—	—	$388.13	$1,235.5	$8,811
Upper GI endoscopy with biopsy	CPT	43239	13	—	—	$416.53	$1,235.5	$9,384
Sigmoidoscopy diagnostic	CPT	45330	13	—	—	$97.34	$1,211.72	$7,009
Sigmoidoscopy with biopsy	CPT	45331	13	—	—	$128.48	$1,211.72	$7,009
Colonoscopy diagnostic	CPT	45378	13	—	—	$433.27	$1,211.72	$9,384
Colonoscopy with biopsy	CPT	45380	13	—	—	$569.45	$1,583.36	$9,384
Colonoscopy with polyp removal	CPT	45385	13	—	—	$579.62	$1,583.36	$9,384
surgery
Total shoulder arthroplasty	CPT	23472	11	—	—	$1,539.81	$18,608	$53,963
PCI w drug-eluting stent w MCC	MS-DRG	246	9	—	—	$38,762	$38,762	$117,450
PCI w drug-eluting stent w/o MCC	MS-DRG	247	9	—	—	$24,659	$24,659	$74,716
Hip hemiarthroplasty	CPT	27125	9	—	—	$1,300.85	$6,779.88	$20,938
Total hip replacement	CPT	27130	12	—	—	$1,466.66	$18,608	$53,963
Total knee replacement	CPT	27447	12	—	—	$1,464.95	$18,608	$53,963
Knee revision arthroplasty single component	CPT	27486	7	—	—	$1,606.64	$13,815	$22,151
Knee revision arthroplasty all components	CPT	27487	9	—	—	$1,993.9	$9,581.25	$22,151
Shoulder arthroscopy with decompression	CPT	29826	9	—	—	$192.66	$5,536	$15,056
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	—	$612.51	$9,508.13	$27,412
Knee arthroscopy with meniscectomy	CPT	29881	13	—	—	$639.76	$4,324.13	$13,910
ACL reconstruction	CPT	29888	13	—	—	$1,129.6	$9,452.28	$27,412
Major small/large bowel procedures w MCC	MS-DRG	329	9	—	—	$60,350	$60,350	$182,860
Major small/large bowel procedures w CC	MS-DRG	330	9	—	—	$31,717	$31,717	$96,103
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	—	—	$21,440	$21,440	$64,963
CABG single arterial graft	CPT	33533	8	—	—	$2,005.05	$12,824	$20,938
CABG 2 arterial grafts	CPT	33534	8	—	—	$2,350.36	$13,256	$27,524
CABG 3 arterial grafts	CPT	33535	8	—	—	$2,613.41	$13,256	$27,524
CABG 4+ arterial grafts	CPT	33536	8	—	—	$2,810.22	$13,256	$27,524
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	—	—	$21,177	$21,177	$64,165
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	—	—	$16,598	$16,598	$50,292
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	9	—	—	$43,568	$43,568	$132,010
Open appendectomy	CPT	44950	13	—	—	$712.52	$4,832.43	$20,938
Laparoscopic appendectomy	CPT	44970	13	—	—	$486.06	$7,680.9	$22,144
Spinal fusion (non-cervical) w MCC	MS-DRG	459	9	—	—	$82,983	$82,983	$251,440
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	9	—	—	$48,643	$48,643	$147,387
Major joint replacement w MCC	MS-DRG	469	9	—	—	$38,292	$38,292	$116,024
Major joint replacement w/o MCC	MS-DRG	470	9	—	—	$23,765	$23,765	$72,009
Laparoscopic cholecystectomy	CPT	47562	13	—	—	$737.17	$7,726.01	$28,173
Lap cholecystectomy with cholangiography	CPT	47563	13	—	—	$801.45	$7,726.01	$28,173
Hip & femur procedures except major joint w MCC	MS-DRG	480	9	—	—	$37,555	$37,555	$113,793
Hip & femur procedures except major joint w CC	MS-DRG	481	9	—	—	$26,164	$26,164	$79,278
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	9	—	—	$20,647	$20,647	$62,561
Open umbilical hernia repair	CPT	49560	13	—	—	$822.25	$4,857.97	$13,924
Umbilical hernia repair age 5+	CPT	49585	13	—	—	$509.08	$4,857.97	$13,924
Lap inguinal hernia repair	CPT	49650	13	—	—	$379.7	$7,726.01	$22,144
Lap incisional hernia repair	CPT	49652	13	—	—	$524.57	$7,726.01	$28,173
Total abdominal hysterectomy	CPT	58150	9	—	—	$1,144.74	$5,066.3	$20,938
Vaginal hysterectomy	CPT	58260	13	—	—	$955.37	$6,654.36	$28,173
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	—	$838.74	$7,726.01	$28,173
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	—	$616.65	$13,520	$38,979
Lap salpingo-oophorectomy	CPT	58661	13	—	—	$701.38	$7,726.01	$22,144
OR procedure for obesity w MCC	MS-DRG	619	9	—	—	$37,995	$37,995	$115,126
OR procedure for obesity w CC	MS-DRG	620	9	—	—	$22,080	$22,080	$66,901
OR procedure for obesity w/o CC/MCC	MS-DRG	621	9	—	—	$20,051	$20,051	$60,753
Complex cataract surgery	CPT	66982	13	—	—	$885.33	$3,170.81	$20,474
Cataract surgery with lens implant	CPT	66984	13	—	—	$647.78	$3,170.81	$20,474
Intravitreal injection	CPT	67028	13	—	—	$137.03	$843.22	$7,009
Vitrectomy mechanical	CPT	67042	13	—	—	$1,167.05	$5,979.63	$28,173
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	9	—	—	$14,362	$14,362	$43,516
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	9	—	—	$22,480	$22,480	$68,115
PCI single major coronary artery	CPT	92920	16	$21,037	$14,726	$435.12	$7,823.19	$27,524
PCI with drug-eluting stent	CPT	92928	16	$30,264	$21,185	$483.05	$15,158	$43,958
PCI bypass graft	CPT	92937	16	$30,264	$21,185	$482.46	$15,158	$43,958
Left heart catheterization	CPT	93452	17	$16,821	$11,775	$945.95	$7,969.77	$19,101
Coronary angiography with cath	CPT	93455	17	$21,511	$15,058	$1,140.17	$7,969.77	$27,524
Coronary angiography with bypass cath	CPT	93458	17	$35,177	$24,624	$1,178.01	$7,969.77	$35,177

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 18)

Payer	Codes covered	Median rate
Anthem BCBS	192	$1,053
Medicare	191	$605.97
Kaiser Permanente	189	$545.3
Cigna	181	$1,812.92
Aetna	178	$1,819.08
Blue Cross Blue Shield	174	$5,028.38
Humana	163	$787.96
Health Net	163	$2,223.9
commercial \| oscar \| all plans	157	$2,033.5
Medicaid	142	$277.53
UnitedHealthcare	141	$6,729
commercial \| mhn \| all plans	119	$351.34
commercial \| healthsmart \| all plans	103	$925.28
commercial \| magellan \| all plans	103	$796.5
Multiplan	103	$1,105.95
commercial \| us behavioral health \| all plans	103	$1,327.5
commercial \| connected care intel \| all plans	89	$7,009
commercial \| chinese community \| all plans	9	$6,255.93

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