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 |
|---|---|---|---|---|
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $992.60 | $2,836.00 | $1,528.00 – $3,826.07 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,543.15 | $4,409.00 | $1,747.00 – $3,950.00 | 9 |
| Clsd tx fracture of radius 25500 CPT 25500 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,774.50 | $5,070.00 | $1,747.00 – $3,950.00 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,774.50 | $5,070.00 | $1,311.00 – $3,826.07 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $824.60 | $2,356.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $602.00 | $1,720.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $896.35 | $2,561.00 | $359.73 – $4,751.00 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $651.00 | $1,860.00 | $693.67 – $3,950.00 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $602.00 | $1,720.00 | $317.26 – $3,452.00 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,137.40 | $8,964.00 | $1,528.00 – $7,332.00 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,485.65 | $9,959.00 | $1,528.00 – $7,332.00 | 9 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $601.00 – $5,149.00 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,774.50 | $5,070.00 | $1,528.00 – $3,826.07 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $602.00 | $1,720.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $602.00 | $1,720.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx pelvic ring fx CPT 27197 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx pelvic ring fx CPT 27198 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,190.00 | $3,400.00 | $1,142.00 – $3,826.07 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,774.50 | $5,070.00 | $1,142.00 – $3,826.07 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $602.00 | $1,720.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,774.50 | $5,070.00 | $1,528.00 – $3,826.07 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,774.50 | $5,070.00 | $1,311.00 – $3,826.07 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,774.50 | $5,070.00 | $1,142.00 – $3,826.07 | 9 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $3,137.40 | $8,964.00 | $1,142.00 – $7,332.00 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $602.00 | $1,720.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,774.50 | $5,070.00 | $1,142.00 – $3,826.07 | 9 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $422.10 | $1,206.00 | $317.26 – $2,581.00 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $523.25 | $1,495.00 | $317.26 – $3,452.00 | 9 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,807.00 – $14,712.00 | 3 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,807.00 – $14,712.00 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $602.00 | $1,720.00 | $317.26 – $3,452.00 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,774.50 | $5,070.00 | $1,528.00 – $3,826.07 | 9 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $1,142.00 – $14,085.70 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,543.15 | $4,409.00 | $1,528.00 – $3,826.07 | 9 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,774.50 | $5,070.00 | $1,142.00 – $3,826.07 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,774.50 | $5,070.00 | $1,142.00 – $3,826.07 | 9 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $3,377.50 | $9,650.00 | $1,747.00 – $12,111.00 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,499.05 | $4,283.00 | $1,995.60 – $4,877.00 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $2,812.25 | $8,035.00 | $1,747.00 – $7,332.00 | 9 |
| Cltx palatal/max fx wire fix CPT 21421 | $1,600.55 | $4,573.00 | $2,160.00 – $7,332.00 | 9 |
| Cltx post ankle fx CPT 27767 | $523.25 | $1,495.00 | $317.26 – $2,581.00 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,774.50 | $5,070.00 | $1,311.00 – $3,826.07 | 9 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,774.50 | $5,070.00 | $1,142.00 – $3,826.07 | 9 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $896.35 | $2,561.00 | $317.26 – $2,581.00 | 9 |
| Cltx thigh fx CPT 27267 | $2,531.20 | $7,232.00 | $1,528.00 – $7,332.00 | 9 |
| Cltx thigh fx w/mnpj CPT 27268 | $2,531.20 | $7,232.00 | $1,528.00 – $6,544.00 | 9 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,528.00 – $3,452.00 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,455.00 – $11,902.87 | 9 |
| C motor evoked lwr limbs CPT 95929 | $1,130.50 | $3,230.00 | $421.82 – $887.89 | 7 |
| C motor evoked uppr limbs CPT 95928 | $1,130.50 | $3,230.00 | $390.81 – $2,043.29 | 7 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,260.65 | $6,459.00 | $1,104.48 – $2,043.29 | 7 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,807.00 – $14,712.00 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $75.87 – $353.00 | 7 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $75.87 – $353.00 | 7 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $12.57 – $35.07 | 10 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $48.44 | 10 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $19.56 – $114.47 | 10 |
| Cmv ig IV CPT 90291 | not published | not published | $1,791.99 – $4,532.67 | 4 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $35.09 – $205.48 | 10 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $274.00 | 9 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $147.76 – $273.36 | 6 |
| Co2 monitor per day CPT 94681 | not published | not published | $285.18 – $887.89 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $9,445.55 | $26,987.29 | $2.64 – $5.44 | 9 |
| Coagulation time activated teg CPT 85347 | $32.90 | $94.00 | $4.28 – $24.93 | 10 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $25.18 | 10 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $21.79 | 10 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.72 – $5.13 | 3 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.29 – $5.13 | 3 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $51.71 – $51.71 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $10,367.03 – $19,179.01 | 6 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $542.05 – $1,002.79 | 6 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $126.26 – $233.58 | 6 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $31.50 – $58.28 | 6 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $110.27 – $204.00 | 6 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $165.49 – $565.98 | 7 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $165.49 – $373.44 | 7 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.09 – $3.13 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $160.06 – $1,078.33 | 8 |
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.