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 |
|---|---|---|---|---|
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $1,872.00 | 9 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $580.28 – $1,073.52 | 6 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $580.28 – $1,073.52 | 6 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $2.75 | 9 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.48 – $0.48 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $203.35 | $581.00 | $1,142.00 – $4,751.00 | 4 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $90.10 – $166.68 | 6 |
| Wound closure by adhesive HCPCS G0168 | $63.00 | $180.00 | $1,142.00 – $1,311.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $160.06 – $588.05 | 8 |
| Wound pouch each HCPCS A6154 | not published | not published | $28.47 – $28.47 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $732.20 | $2,092.00 | $522.85 – $967.27 | 6 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $641.90 | $1,834.00 | $522.85 – $679.70 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $523.25 | $1,495.00 | $22.32 – $477.39 | 7 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $440.65 | $1,259.00 | $25.32 – $967.27 | 7 |
| Wrist arthroscopy CPT 29840 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,187.89 – $4,047.60 | 6 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,684.94 – $3,117.14 | 6 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $2,068.15 – $10,302.00 | 9 |
| Wrist X-ray CPT 73110 | $445.90 | $1,274.00 | $50.29 – $302.08 | 9 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $3,090.96 – $5,718.28 | 6 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,455.00 – $10,302.00 | 9 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,968.25 – $7,470.00 | 9 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $353.00 – $12,661.56 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,455.00 – $10,302.00 | 9 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $26.39 – $33.54 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $1,142.00 – $12,661.56 | 9 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $98.36 – $585.57 | 3 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,760.85 | $5,031.00 | $1,528.00 – $4,449.00 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,182.25 | $6,235.00 | $1,747.00 – $4,449.00 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,828.00 | 9 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.02 – $1,828.00 | 9 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $20.42 – $68.82 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,142.00 – $7,764.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $1,807.00 – $7,764.00 | 3 |
| X-ray abdomen 1 view CPT 74018 | $387.80 | $1,108.00 | $31.87 – $302.08 | 9 |
| X-ray abdomen 2 views CPT 74019 | $430.50 | $1,230.00 | $38.17 – $364.82 | 9 |
| X-ray abdomen >=3 views CPT 74021 | $480.90 | $1,374.00 | $44.46 – $364.82 | 9 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $530.60 | $1,516.00 | $59.53 – $364.82 | 9 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $427.70 | $1,222.00 | $49.68 – $302.08 | 9 |
| X-ray ankle 2 views (both sides) CPT 73600 | $384.65 | $1,099.00 | $36.73 – $302.08 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $613.20 | $1,752.00 | $146.43 – $1,225.18 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $73.37 | 10 |
| X-ray bone age studies CPT 77072 | $329.35 | $941.00 | $25.63 – $364.82 | 9 |
| X-ray bone length studies CPT 77073 | $517.30 | $1,478.00 | $44.11 – $364.82 | 9 |
| X-ray bone survey complete CPT 77075 | $1,153.60 | $3,296.00 | $134.46 – $364.82 | 9 |
| X-ray bone survey infant CPT 77076 | $492.80 | $1,408.00 | $120.54 – $364.82 | 9 |
| X-ray cervical spine 2-3 views CPT 72040 | $613.55 | $1,753.00 | $49.68 – $302.08 | 9 |
| X-ray cervical spine 4-5 views CPT 72050 | $711.20 | $2,032.00 | $67.54 – $364.82 | 9 |
| X-ray cervical spine >= 6 views CPT 72052 | $841.75 | $2,405.00 | $89.10 – $364.82 | 9 |
| X-ray clavicle complete (both sides) CPT 73000 | $392.00 | $1,120.00 | $37.35 – $302.08 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,403.50 | $4,010.00 | $157.52 – $610.71 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,403.50 | $4,010.00 | $225.59 – $610.71 | 9 |
| X-ray consultation CPT 76140 | not published | not published | $63.32 – $102.75 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $384.65 | $1,099.00 | $37.35 – $302.08 | 9 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $439.60 | $1,256.00 | $46.58 – $302.08 | 9 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $576.47 – $2,497.15 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $493.41 – $2,139.36 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $565.25 | $1,615.00 | $122.39 – $610.71 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $503.30 | $1,438.00 | $86.39 – $364.82 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $668.15 | $1,909.00 | $104.32 – $364.82 | 9 |
| X-ray exam of arm infant CPT 73092 | $427.00 | $1,220.00 | $41.04 – $364.82 | 9 |
| X-ray exam of eye sockets CPT 70200 | $633.85 | $1,811.00 | $55.22 – $364.82 | 9 |
| X-ray exam of femur 1 CPT 73551 | $344.05 | $983.00 | $33.23 – $302.08 | 9 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $39.81 – $302.08 | 9 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $103.90 – $829.25 | 9 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $47.21 – $364.82 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $53.98 – $1,881.01 | 9 |
| X-ray exam of penis CPT 74445 | not published | not published | $134.46 – $364.82 | 9 |
| X-ray exam of perineum CPT 74775 | not published | not published | $249.17 – $829.25 | 9 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $55.22 – $302.08 | 9 |
| X-ray exam of sinuses CPT 70210 | $730.10 | $2,086.00 | $40.42 – $302.08 | 9 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $163.22 – $829.25 | 9 |
| X-ray exam of teeth CPT 70300 | not published | not published | $15.78 – $302.08 | 9 |
| X-ray exam of teeth CPT 70310 | not published | not published | $52.13 – $829.25 | 9 |
| X-ray exam si joints CPT 72200 | $201.95 | $577.00 | $38.57 – $364.82 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $718.20 | $2,052.00 | $61.38 – $364.82 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $36.73 – $302.08 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | $489.30 | $1,398.00 | $54.59 – $364.82 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $102.14 – $564.30 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | $459.20 | $1,312.00 | $39.43 – $302.08 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $329.35 | $941.00 | $44.74 – $302.08 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $405.30 | $1,158.00 | $35.49 – $302.08 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $384.65 | $1,099.00 | $36.10 – $302.08 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $384.65 | $1,099.00 | $35.49 – $364.82 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $21.32 – $302.08 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $372.05 | $1,063.00 | $36.10 – $302.08 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $580.30 | $1,658.00 | $64.14 – $364.82 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $921.20 | $2,632.00 | $48.07 – $364.82 | 9 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,013.60 | $2,896.00 | $57.97 – $364.82 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,283.10 | $3,666.00 | $69.71 – $364.82 | 9 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $315.35 | $901.00 | $34.48 – $302.08 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | $372.05 | $1,063.00 | $37.35 – $302.08 | 9 |
| X-ray joint survey 1 view CPT 77077 | $517.30 | $1,478.00 | $46.58 – $364.82 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $405.30 | $1,158.00 | $38.57 – $302.08 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $439.60 | $1,256.00 | $48.44 – $302.08 | 9 |
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.