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 |
|---|---|---|---|---|
| X-ray knee ap standing bilateral CPT 73565 | $197.40 | $564.00 | $44.11 – $302.08 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $427.00 | $1,220.00 | $41.65 – $302.08 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $201.95 | $577.00 | $72.47 – $364.82 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,007.65 | $2,879.00 | $72.47 – $364.82 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,007.65 | $2,879.00 | $101.44 – $364.82 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $122.39 – $829.25 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | $532.00 | $1,520.00 | $49.68 – $364.82 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $43.50 – $302.08 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $189.51 – $189.51 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $501.55 | $1,433.00 | $44.74 – $302.08 | 9 |
| X-ray neck soft tissue CPT 70360 | $327.25 | $935.00 | $34.88 – $302.08 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $491.05 | $1,403.00 | $33.64 – $302.08 | 9 |
| X-ray of mammary ducts CPT 77054 | $1,185.80 | $3,388.00 | $125.47 – $829.25 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $45.97 – $302.08 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $372.05 | $1,063.00 | $32.41 – $364.82 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $554.75 | $1,585.00 | $55.83 – $364.82 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $287.32 – $1,248.81 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $327.36 – $1,426.36 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $967.40 | $2,764.00 | $319.00 – $1,225.18 | 9 |
| X-ray ribs 2 views left CPT 71100 | $474.95 | $1,357.00 | $39.20 – $302.08 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $609.35 | $1,741.00 | $50.29 – $364.82 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $554.75 | $1,585.00 | $47.82 – $364.82 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $610.75 | $1,745.00 | $67.54 – $364.82 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $474.95 | $1,357.00 | $45.97 – $364.82 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $506.10 | $1,446.00 | $37.96 – $302.08 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $384.65 | $1,099.00 | $38.57 – $364.82 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $36.73 – $302.08 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $329.35 | $941.00 | $29.33 – $302.08 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $823.90 | $2,354.00 | $48.44 – $302.08 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $590.45 | $1,687.00 | $64.46 – $1,881.01 | 9 |
| X-ray skull < 4 views CPT 70250 | $501.55 | $1,433.00 | $45.36 – $364.82 | 9 |
| X-ray skull > 4 views complete CPT 70260 | $858.55 | $2,453.00 | $55.83 – $364.82 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $134.46 – $364.82 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $746.20 | $2,132.00 | $151.36 – $610.71 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $212.80 | $608.00 | $83.93 – $235.80 | 3 |
| X-ray spine single view CPT 72020 | $392.00 | $1,120.00 | $29.33 – $302.08 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $459.20 | $1,312.00 | $48.44 – $302.08 | 9 |
| X-ray sternum > 2 views CPT 71120 | $503.65 | $1,439.00 | $40.42 – $302.08 | 9 |
| X-ray surgical specimen CPT 76098 | $723.80 | $2,068.00 | $20.08 – $1,881.01 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $565.25 | $1,615.00 | $118.70 – $610.71 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $744.80 | $2,128.00 | $65.70 – $302.08 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | $644.70 | $1,842.00 | $41.65 – $364.82 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $718.20 | $2,052.00 | $49.05 – $364.82 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $644.70 | $1,842.00 | $45.36 – $302.08 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $260.75 | $745.00 | $43.75 – $302.08 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $336.35 | $961.00 | $79.59 – $364.82 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $459.20 | $1,312.00 | $34.88 – $302.08 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $329.35 | $941.00 | $41.65 – $302.08 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,012.90 | $2,894.00 | $156.90 – $610.71 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $964.25 | $2,755.00 | $140.88 – $610.71 | 9 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $269.16 – $269.16 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $400.64 – $400.64 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $384.65 | $1,099.00 | $39.81 – $302.08 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $110.69 – $610.71 | 9 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $623.51 – $1,081.50 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $160.06 – $6,297.39 | 9 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $69.34 | 10 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $3.20 | 9 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $77.22 | 10 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $135,600.07 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $142.29 – $296.10 | 8 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.46 – $20.86 | 9 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $106.94 | $305.53 | $1.49 – $3.61 | 9 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $0.98 – $4.06 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $265.44 | 10 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $87.15 | 10 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $8.15 | $23.28 | $2.48 – $2.48 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $9.25 – $67.94 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $2,905.51 | $8,301.45 | $8.61 – $17.85 | 9 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $5,775.09 | $16,500.25 | $32.64 – $62.25 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $175.80 | $502.28 | $16.99 – $635.75 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $216.92 – $670.06 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $809.72 | 10 |
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.