Providence St. Jude Medical Center

101 E Valencia Mesa Drive, Fullerton, CA 92835 · Acute care hospital · Emergency room

These are Providence St. Jude Medical Center's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

222 of the services we track have a posted price here; 153 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge
Critical care, first 30 to 74 minutes CPT 99291	$5,189.76	$10,812.00
Emergency room visit, level 1 (minor) CPT 99281	$636.48	$1,326.00
Emergency room visit, level 2 CPT 99282	$1,057.92	$2,204.00
Emergency room visit, level 3 (moderate) CPT 99283	$1,704.96	$3,552.00
Emergency room visit, level 4 CPT 99284	$2,534.40	$5,280.00
Emergency room visit, level 5 (most severe) CPT 99285	$3,520.32	$7,334.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$368.64	$768.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$196.32	$409.00
Abdominal X-ray, 1 view CPT 74018	$545.28	$1,136.00
Ankle X-ray, 3 or more views CPT 73610	$498.24	$1,038.00
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$114.29 – $1,211.99
Breast ultrasound, one breast, complete CPT 76641	$365.76	$762.00
Breast ultrasound, one breast, limited CPT 76642	$328.80	$685.00
Chest X-ray, 1 view CPT 71045	$751.20	$1,565.00
Chest X-ray, 2 views CPT 71046	$766.56	$1,597.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,551.84	$3,233.00
CT angiogram of the head CPT 70496	$2,005.44	$4,178.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$2,250.24	$4,688.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$2,460.96	$5,127.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$1,841.28	$3,836.00
CT scan of the abdomen, without contrast CPT 74150	$1,053.60	$2,195.00
CT scan of the chest, with contrast CPT 71260	$1,508.16	$3,142.00
CT scan of the chest, without contrast CPT 71250	$932.64	$1,943.00
CT scan of the head, without contrast CPT 70450	$1,434.72	$2,989.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,611.84	$3,358.00
CT scan of the pelvis, with contrast CPT 72193	$1,062.72	$2,214.00
CT scan of the sinuses or face, without contrast CPT 70486	$658.08	$1,371.00
Diagnostic mammogram, both breasts CPT 77066	$633.60	$1,320.00
Diagnostic mammogram, one breast CPT 77065	$494.88	$1,031.00
Foot X-ray, 3 or more views CPT 73630	$452.64	$943.00
Hand X-ray, 3 or more views CPT 73130	$495.84	$1,033.00
Knee X-ray, 3 views CPT 73562	$442.08	$921.00
Leg or arm vein ultrasound, both sides CPT 93970	$2,545.44	$5,303.00
Leg or arm vein ultrasound, one side CPT 93971	$1,673.76	$3,487.00
Lower back X-ray, 2 or 3 views CPT 72100	$510.24	$1,063.00
MRI of both breasts, without and with contrast CPT 77049	$6,978.24	$14,538.00
MRI of the abdomen, without and with contrast CPT 74183	$10,221.60	$21,295.00
MRI of the brain, without and with contrast CPT 70553	$7,491.84	$15,608.00
MRI of the brain, without contrast CPT 70551	$5,948.64	$12,393.00
MRI of the knee or other leg joint, without contrast CPT 73721	$4,974.72	$10,364.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$5,753.76	$11,987.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$7,183.68	$14,966.00
MRI of the neck (cervical spine), without contrast CPT 72141	$6,849.12	$14,269.00
MRI of the pelvis, without and with contrast CPT 72197	$10,137.60	$21,120.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$4,974.72	$10,364.00
Neck X-ray, 2 or 3 views CPT 72040	$510.24	$1,063.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$1,787.52	$3,724.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$559.68	$1,166.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$477.12	$994.00
Screening mammogram, both breasts CPT 77067	$576.00	$1,200.00
Shoulder X-ray, 2 or more views CPT 73030	$517.44	$1,078.00
Transvaginal pregnancy ultrasound CPT 76817	$479.52	$999.00
Transvaginal ultrasound CPT 76830	$723.36	$1,507.00
Ultrasound of the abdomen, complete CPT 76700	$2,002.08	$4,171.00
Ultrasound of the neck or thyroid CPT 76536	$1,881.12	$3,919.00
Wrist X-ray, 3 or more views CPT 73110	$524.64	$1,093.00
X-ray of the lower back, 4 or more views CPT 72110	$794.88	$1,656.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$58.08	$121.00
Blood culture CPT 87040	$237.60	$495.00
Blood draw (venipuncture) CPT 36415	$10.56	$22.00
BNP test (heart failure) CPT 83880	$171.36	$357.00
C-reactive protein (CRP) test CPT 86140	$271.20	$565.00
Chlamydia test (DNA/NAAT) CPT 87491	$67.20	$140.00
Complete blood count (CBC) with differential CPT 85025	$77.76	$162.00
Complete blood count (CBC), automated CPT 85027	$41.28	$86.00
Comprehensive metabolic panel (blood test) CPT 80053	$104.64	$218.00
COVID-19 PCR test CPT 87635	$74.40	$155.00
D-dimer test (blood clots) CPT 85379	$35.04	$73.00
Drug screen, instrument chemistry CPT 80307	$204.81	$426.68
Ferritin (iron stores) test CPT 82728	$155.04	$323.00
Free T4 (thyroid) test CPT 84439	$61.44	$128.00
General health panel (blood tests) CPT 80050	not posted		$94.56 – $445.43
Glucose (blood sugar) test CPT 82947	$45.12	$94.00
Gonorrhea test (DNA/NAAT) CPT 87591	$67.20	$140.00
Hemoglobin A1c test CPT 83036	$57.12	$119.00
Hepatitis C antibody test CPT 86803	$262.56	$547.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$65.28	$136.00
Iron test CPT 83540	$59.52	$124.00
Kidney function panel CPT 80069	$73.92	$154.00
Lipase test (pancreas) CPT 83690	$73.92	$154.00
Lipid panel, cholesterol and triglycerides CPT 80061	$87.84	$183.00
Liver function panel CPT 80076	$58.08	$121.00
Magnesium test CPT 83735	$73.92	$154.00
Obstetric blood test panel CPT 80055	not posted		$40.64 – $437.82
Partial thromboplastin time (PTT), clotting test CPT 85730	$71.85	$149.69
Pregnancy blood test (hCG), quantitative CPT 84702	$156.48	$326.00
Prothrombin time (PT/INR), clotting test CPT 85610	$41.76	$87.00
PSA (prostate specific antigen), free CPT 84154	$77.76	$162.00
PSA (prostate specific antigen), total CPT 84153	$93.60	$195.00
Rapid strep test CPT 87880	$48.96	$102.00
Sed rate (ESR) test CPT 85652	$38.40	$80.00
TB skin test CPT 86580	not posted		$31.62 – $105.61
Thyroid stimulating hormone (TSH) CPT 84443	$86.40	$180.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$535.68	$1,116.00
Troponin test (heart damage) CPT 84484	$147.36	$307.00
Urinalysis, automated, with microscope CPT 81001	$143.04	$298.00
Urinalysis, automated, without microscope CPT 81003	$96.96	$202.00
Urinalysis, manual, with microscope CPT 81000	not posted		$3.42 – $240.73
Urinalysis, manual, without microscope CPT 81002	$52.32	$109.00
Urine culture, colony count CPT 87086	$147.84	$308.00
Urine pregnancy test CPT 81025	$154.08	$321.00
Vitamin B12 test CPT 82607	$77.28	$161.00
Vitamin D test CPT 82306	$150.24	$313.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$657.12	$1,369.00
ECG tracing only (no interpretation) CPT 93005	$170.88	$356.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,576.80	$3,285.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$108.00 – $416.55
Holter monitor, up to 48 hours CPT 93224	not posted		$593.79 – $2,495.03
Left heart catheterization CPT 93452	$6,203.52	$12,924.00
Left heart catheterization with coronary angiogram CPT 93458	$7,428.96	$15,477.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,877.92	$8,079.00
Treadmill stress test, complete CPT 93015	not posted		$513.49 – $1,719.07

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$6,405.00 – $22,145.00
Appendix removal, laparoscopic CPT 44970	not posted		$6,609.22 – $18,394.00
Breast biopsy with ultrasound guidance CPT 19083	$3,783.36	$7,882.00
Carpal tunnel release CPT 64721	$1,099.20	$2,290.00
Colonoscopy with biopsy CPT 45380	not posted		$1,308.22 – $15,614.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$1,308.22 – $15,614.00
Colonoscopy, diagnostic CPT 45378	$1,044.96	$2,177.00
Colposcopy with biopsy CPT 57454	$444.96	$927.00
Cystoscopy (bladder scope) CPT 52000	$621.60	$1,295.00
Ear tubes, under general anesthesia CPT 69436	not posted		$1,696.26 – $15,614.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$1,044.96	$2,177.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$6,609.22 – $22,145.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$11,403.00 – $12,301.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$9,004.00 – $29,305.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$3,538.96 – $15,614.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$6,609.22 – $20,418.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$2,166.24	$4,513.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$3,853.66 – $23,129.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$3,577.09 – $20,418.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$1,308.22 – $15,614.00
Nasal endoscopy, diagnostic CPT 31231	$225.60	$470.00
Prostate biopsy CPT 55700	$2,824.80	$5,885.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$4,188.00 – $29,305.00
Removal of a breast lump, open surgery CPT 19120	not posted		$4,280.52 – $18,394.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$7,932.80 – $22,145.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$1,016.67 – $15,614.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$1,016.67 – $15,614.00
Septoplasty (nasal septum repair) CPT 30520	$4,121.76	$8,587.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$1,266.00 – $20,418.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$11,403.00 – $22,145.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$4,932.00 – $20,418.00
Total hip replacement CPT 27130	not posted		$6,405.00 – $39,963.00
Total knee replacement CPT 27447	not posted		$6,405.00 – $39,963.00
Upper endoscopy (EGD) with biopsy CPT 43239	$1,075.68	$2,241.00
Upper endoscopy (EGD), diagnostic CPT 43235	$1,075.68	$2,241.00
Vasectomy CPT 55250	not posted		$2,285.30 – $15,614.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted		$6,405.00 – $20,418.00
Fetal non-stress test CPT 59025	$124.80	$260.00
IUD insertion CPT 58300	$133.44	$278.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$5,605.00 – $20,418.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$5,605.00 – $20,418.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$9,010.33 – $20,511.15
C-section, without complications MS-DRG 788	not posted	$9,740.83 – $21,041.25
Chest pain MS-DRG 313	not posted	$7,445.51 – $16,584.23
COPD flare-up, with major complications MS-DRG 190	not posted	$11,172.05 – $26,116.73
COPD flare-up, without complications MS-DRG 192	not posted	$6,695.78 – $15,047.40
Fainting (syncope) MS-DRG 312	not posted	$8,902.67 – $20,257.73
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$9,951.33 – $22,922.18
Heart failure, with major complications MS-DRG 291	not posted	$12,864.70 – $30,338.93
Heart failure, without complications MS-DRG 293	not posted	$5,965.27 – $13,579.95
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$16,617.00 – $224,371.80
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$19,065.35 – $43,837.88
Irregular heartbeat, without complications MS-DRG 310	not posted	$5,966.23 – $13,008.38
Kidney failure, with complications MS-DRG 683	not posted	$8,943.04 – $20,666.93
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$8,305.77 – $18,660.45
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$11,913.00 – $60,550.00
Normal newborn care MS-DRG 795	not posted	$2,246.35 – $4,645.35
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,004.92 – $18,169.88
Pneumonia, with complications MS-DRG 194	not posted	$8,271.17 – $19,065.00
Pneumonia, with major complications MS-DRG 193	not posted	$13,158.83 – $30,638.85
Pneumonia, without complications MS-DRG 195	not posted	$6,566.02 – $14,480.10
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$13,950.85 – $32,770.88
Sepsis, with major complications MS-DRG 871	not posted	$19,196.07 – $45,623.48
Sepsis, without major complications MS-DRG 872	not posted	$10,360.80 – $23,970.75
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$8,895.95 – $20,480.93
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$11,913.00 – $85,046.18
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$8,018.38 – $18,141.98
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$10,235.85 – $23,645.25
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$9,928.00 – $27,867.45
Vaginal delivery, without complications MS-DRG 807	not posted	$7,005.28 – $14,814.90
Weight loss surgery, without complications MS-DRG 621	not posted	$15,023.54 – $33,984.53

Pain and spine

Service	Cash price	Gross charge
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$377.28	$786.00
Lower back nerve root injection with imaging guidance CPT 64483	$1,046.40	$2,180.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,555.20	$3,240.00
Lower back spinal injection (epidural), without imaging CPT 62322	$1,399.20	$2,915.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$4,018.56	$8,372.00
Eye exam, new patient, comprehensive CPT 92004	not posted		$145.55 – $316.79
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted		$601.28 – $15,614.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$140.67 – $306.17

Sleep

Service	Cash price	Gross charge
Home sleep apnea test CPT 95806	$925.44	$1,928.00
Sleep study with CPAP titration CPT 95811	$1,810.56	$3,772.00
Sleep study, overnight in a sleep lab CPT 95810	$1,543.20	$3,215.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$266.88	$556.00

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	$120.48	$251.00
Physical therapy evaluation, low complexity CPT 97161	$222.24	$463.00
Physical therapy evaluation, moderate complexity CPT 97162	$334.56	$697.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$136.32	$284.00
Therapeutic activities, 15 minutes CPT 97530	$138.24	$288.00

Mental health

Service	Cash price	Gross charge
Family psychotherapy, with the patient, 50 minutes CPT 90847	$199.68	$416.00
Family psychotherapy, without the patient, 50 minutes CPT 90846	$219.36	$457.00
Group psychotherapy CPT 90853	$69.12	$144.00
Psychiatric diagnostic evaluation CPT 90791	$214.08	$446.00
Psychotherapy, 30 minutes CPT 90832	$164.64	$343.00
Psychotherapy, 45 minutes CPT 90834	$213.12	$444.00
Psychotherapy, 60 minutes CPT 90837	$254.88	$531.00

Infusions and injections

Service	Cash price	Gross charge
Injection under the skin or into a muscle CPT 96372	$84.00	$175.00
IV hydration, each additional hour CPT 96361	$39.36	$82.00
IV hydration, first hour CPT 96360	$195.36	$407.00
IV push injection of a drug, first CPT 96374	$162.24	$338.00
IV push injection, each additional drug CPT 96375	$72.96	$152.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$61.89	$128.94
Dexamethasone injection, per 1 mg HCPCS J1100	$44.76	$93.25
Fentanyl injection, per 0.1 mg HCPCS J3010	$60.00	$125.00
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$2.66 – $2.66
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$44.76	$93.25
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$102.00	$212.50
Morphine injection, up to 10 mg HCPCS J2270	$174.62	$363.80
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$44.76	$93.25
Propofol injection, per 10 mg HCPCS J2704	$113.02	$235.45
Saline IV solution, 1000 ml HCPCS J7030	$61.49	$128.10

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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