San Bernardino → Providence St Mary Medical Center
Providence St Mary Medical Center
providence.org · Apple Valley
C
Price transparency:
15 of 58 common services carry a self-pay price
15
services with a self-pay price
57
services with any published price
58
services we look for
Every price this hospital publishes
click a procedure to compare across the metro| Procedure | Self-pay | List price | Insurers pay |
|---|---|---|---|
| Abdominal ultrasound Ultrasound abdomen complete | $654–$1,023 varies | $1,462 | $97–$688 |
| Chest X-ray Chest X-ray, 2 views | $313–$489 varies | $699 | $81–$569 |
| CT scan of the abdomen and pelvis CT abdomen/pelvis with contrast | $2,858–$3,573 varies | $5,104 | $341–$2,407 |
| CT scan of the chest CT chest without contrast | $596–$1,427 varies | $2,038 | $97–$688 |
| CT scan of the head CT head without contrast | $968–$1,210 varies | $1,728 | $97–$688 |
| CT scan of the pelvis CT pelvis with contrast | $1,452–$1,815 varies | $2,593 | $163–$1,150 |
| Echocardiogram (heart ultrasound) Echocardiogram complete | $1,771–$2,479 varies | $3,542 | $489–$3,052 |
| EKG (heart rhythm test) Electrocardiogram (ECG) | $84 | $120 | $208 |
| MRI of the brain MRI brain without contrast | $1,418 | $2,026 | $217–$1,534 |
| MRI of the brain, with and without contrast MRI brain with/without contrast | $2,258 | $3,226 | $341–$2,407 |
| MRI of the knee MRI knee without contrast | $1,233–$2,259 varies | $3,227 | $217–$1,534 |
| MRI of the lower back MRI lumbar spine without contrast | $2,706–$2,941 varies | $4,201 | $217–$1,534 |
| Pregnancy ultrasound Ultrasound pregnancy | $672–$1,054 varies | $1,505 | $97–$688 |
| Screening mammogram Screening mammogram, bilateral | $337–$428 varies | $612 | $94–$545 |
| Sleep study Sleep study (polysomnography) | $1,705–$3,410 varies | $4,871 | $926–$5,784 |
| Transvaginal ultrasound Ultrasound transvaginal | $423–$662 varies | $946 | $97–$688 |
| X-ray of the lower back X-ray lower spine | $512–$802 varies | $1,146 | $97–$688 |
| X-ray of the shoulder X-ray shoulder | $363–$569 varies | $813 | $81–$569 |
| A1c diabetes blood test Hemoglobin A1c | $12–$108 varies | $155 | $10–$63 |
| Basic metabolic panel (blood test) Basic metabolic panel | $83 | $118 | $8–$55 |
| Blood clotting time (PT/INR) Prothrombin time | $9–$73 varies | $93 | $4–$28 |
| Blood clotting time (PTT) Partial thromboplastin time | $11–$47 varies | $17 | $6–$39 |
| Cholesterol panel Lipid panel | $15–$117 varies | $129 | $13–$86 |
| Complete blood count (CBC) CBC with differential | $18–$121 varies | $173 | $8–$50 |
| Comprehensive metabolic panel (blood test) Comprehensive metabolic panel | $127 | $181 | $11–$68 |
| Liver function blood test Hepatic function panel | $20–$98 varies | $28 | $8–$53 |
| PSA prostate blood test PSA (prostate screen) | $25–$157 varies | $39 | $18–$119 |
| Thyroid (TSH) blood test TSH (thyroid) | $17–$181 varies | $24 | $17–$108 |
| Urine test with microscope Urinalysis with microscopy | $46–$99 varies | $66 | $3–$20 |
| Cataract surgery with lens implant Cataract surgery w/ lens implant | not published | — | $2,065–$17,953 |
| Colonoscopy Colonoscopy diagnostic | $2,173 | $3,104 | $810–$13,809 |
| Colonoscopy with biopsy Colonoscopy w/ biopsy | not published | — | $1,046–$13,809 |
| Colonoscopy with polyp removal Colonoscopy w/ polyp removal | not published | — | $1,046–$13,809 |
| C-section delivery Cesarean section without CC/MCC | not published | — | $8,413–$25,128 |
| Draining an abscess Incision & drainage of abscess | $1–$583 varies | $833 | $177–$6,522 |
| Emergency room visit, moderate Emergency department visit, moderate | $107–$1,015 varies | $1,450 | $253–$1,514 |
| Epidural steroid injection, lower back Epidural injection lumbar w/ imaging | $1,779 | $2,542 | $613–$6,522 |
| Follow-up office visit Established patient office visit, 20-29 min | $1 | $1 | — |
| Gallbladder removal Gallbladder removal laparoscopic | not published | — | $5,113–$25,971 |
| Hernia repair Inguinal hernia repair | $7,965 | $11,378 | $3,066–$17,967 |
| Hip or knee replacement Major joint replacement (hip/knee), no MCC | not published | — | $16,380–$52,353 |
| Joint injection Joint injection (major joint) | $80–$1,226 varies | $1,751 | $262–$6,522 |
| Knee arthroscopy (meniscus) Knee arthroscopy w/ meniscectomy | not published | — | $2,868–$17,967 |
| Laser treatment after cataract surgery YAG laser capsulotomy | not published | — | $515–$13,809 |
| Nerve root injection, lower back Transforaminal epidural, lumbar | $3,542 | $5,060 | $808–$6,522 |
| New patient office visit New patient office visit, 30-44 min | $1 | $1 | — |
| Physical therapy session Physical therapy, therapeutic exercise | $53 | $76 | $29–$88 |
| Prostate biopsy Prostate biopsy | $3,922 | $5,603 | $1,805–$13,809 |
| Removal of a breast lump Excision of breast lesion | not published | — | $3,378–$17,157 |
| Shoulder arthroscopy Shoulder arthroscopy w/ decompression | not published | — | $16,398 |
| Stitches for a simple cut Simple wound repair | $1–$524 varies | $748 | $177–$6,522 |
| Therapy session, 60 minutes Psychotherapy, 60 minutes | not published | — | $141–$882 |
| Tonsil and adenoid removal (under 12) Tonsillectomy w/ adenoidectomy, under 12 | not published | — | $5,189–$26,359 |
| Upper endoscopy Upper GI endoscopy diagnostic | $1,984 | $2,834 | $803–$6,522 |
| Upper endoscopy with biopsy Upper GI endoscopy w/ biopsy | $2,046 | $2,923 | $803–$13,809 |
Read from the file Providence St Mary Medical Center publishes, last read 6 August 2026. We scanned 355577 rows to find these 58 procedures. 75 payer rows carried a percentage rather than a dollar amount and are not included in the negotiated ranges — a percentage of a charge is not a price until the charge is known.