Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $1,142.00 – $7,764.00 | 4 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,142.00 – $8,261.00 | 4 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,807.00 – $8,261.00 | 3 |
| Thrombomodulin CPT 85337 | not published | not published | $17.27 – $61.01 | 10 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $56.36 | 10 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $82.95 | $237.00 | $6.47 – $37.88 | 10 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $77.68 | 10 |
| Thumb fusion with graft CPT 26820 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Thumb fusion with graft CPT 26842 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Thumb tendon transfer CPT 26510 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $973.17 – $1,800.36 | 6 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,743.48 – $3,225.44 | 6 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $705.84 – $1,305.80 | 6 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $1,112.93 – $2,058.92 | 6 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,528.00 – $8,261.00 | 4 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,142.00 – $8,261.00 | 4 |
| Thyroglobulin antibody CPT 86800 | not published | not published | $15.91 – $93.10 | 10 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,142.00 – $11,488.00 | 4 |
| Thyroid imaging CPT 78013 | $543.55 | $1,553.00 | $256.92 – $1,434.70 | 9 |
| Thyroid met imaging CPT 78015 | not published | not published | $330.20 – $1,434.70 | 9 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $483.65 – $1,434.70 | 9 |
| Thyroid mets imag whole body CPT 78018 | $1,737.40 | $4,964.00 | $501.53 – $1,921.84 | 9 |
| Thyroid met uptake CPT 78020 | not published | not published | $103.90 – $232.90 | 3 |
| Thyroid (TSH) Test CPT 84443 | $155.40 | $444.00 | $16.80 – $98.34 | 10 |
| Thyroid Ultrasound CPT 76536 | $396.55 | $1,133.00 | $134.46 – $364.82 | 9 |
| Thyroid uptake measurement CPT 78012 | $430.15 | $1,229.00 | $126.43 – $1,434.70 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,847.74 – $4,469.23 | 9 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $295.02 | 10 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $14.78 – $86.57 | 10 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $2,160.00 – $30,073.00 | 9 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $50.21 – $92.89 | 6 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $3,234.86 – $5,984.49 | 6 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $9,431.45 | $26,947.00 | $2,160.00 – $42,841.00 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $2,160.00 – $10,701.00 | 4 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $1,595.30 | $4,558.00 | $2,160.00 – $13,814.00 | 4 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $309.98 – $1,118.93 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $309.98 – $1,118.93 | 3 |
| Tigecycline injection HCPCS J3243 | $283.14 | $808.97 | $0.40 – $3.61 | 5 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $8,395.23 – $15,531.18 | 6 |
| Tilt table study CPT 93660 | $2,305.45 | $6,587.00 | $278.49 – $1,311.00 | 8 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $6.95 – $13.97 | 3 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $523.74 | $1,496.40 | $2.18 – $7.63 | 5 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.01 – $1,244,357.91 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,142.00 – $11,488.00 | 3 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $353.00 – $11,488.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,142.00 – $4,751.00 | 4 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,142.00 – $5,149.00 | 4 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,142.00 – $4,751.00 | 4 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,142.00 – $4,751.00 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $12,886.65 | $36,819.00 | $181.64 – $405.60 | 9 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $19.50 – $19.50 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $50.75 – $77.57 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $862.05 | 10 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $140.73 – $823.88 | 10 |
| Tissue culture tumor CPT 88239 | $32.81 | $93.75 | $147.52 – $863.64 | 10 |
| Tissue exam koh skin/hair/nails CPT 87220 | $108.50 | $310.00 | $4.27 – $24.97 | 10 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $3,655.64 | $10,444.69 | $160.06 – $296.10 | 8 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $913.66 | $2,610.46 | $55.82 – $55.82 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $11.53 – $48.31 | 10 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $66.29 – $101.46 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,069.75 – $1,979.04 | 6 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $921.20 – $1,704.22 | 6 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,204.08 – $2,227.55 | 6 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $433.13 | $1,237.50 | $1,497.69 – $2,770.73 | 6 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $635.70 – $1,176.04 | 6 |
| Tlso corset front HCPCS L0970 | not published | not published | $175.12 – $323.97 | 6 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $118.65 – $219.50 | 6 |
| Tlso full corset HCPCS L0974 | not published | not published | $265.14 – $490.51 | 6 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $572.43 – $1,059.00 | 6 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $133.07 – $246.18 | 6 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $693.80 – $1,283.53 | 6 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $169.55 – $313.67 | 6 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $976.83 – $1,807.14 | 6 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $2,120.05 – $3,922.09 | 6 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,204.08 – $2,227.55 | 6 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,385.79 – $4,413.71 | 6 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,859.00 – $3,439.15 | 6 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $339.33 – $627.76 | 6 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $416.01 – $769.62 | 6 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,747.00 – $14,712.00 | 4 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $1,807.00 – $14,712.00 | 4 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $97.95 – $124.49 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $79.14 | $226.12 | $2.08 – $25.05 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $26.42 – $167.19 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $390.60 | $1,116.00 | $16.13 – $94.36 | 10 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,542.53 | $27,264.38 | $5.53 – $12.64 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $16.28 | 5 |
| Toe joint transfer CPT 26556 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $17.15 | $49.00 | $14.80 – $1,528.00 | 9 |
| Tomosynthesis breast screen bilateral CPT 77063 | $78.05 | $223.00 | $27.96 – $197.40 | 9 |
| Tone decay hearing test CPT 92563 | not published | not published | $48.04 – $88.87 | 7 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,747.00 – $8,261.00 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.