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 |
|---|---|---|---|---|
| Cricotracheal resection CPT 31592 | not published | not published | $2,455.00 – $12,111.00 | 8 |
| Critical care 30-74 minutes CPT 99291 | $5,178.25 | $14,795.00 | $1,062.41 – $1,965.46 | 6 |
| Critical care each additional 30 minutes CPT 99292 | $1,431.50 | $4,090.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $125.10 – $278.43 | 9 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,747.00 – $10,498.00 | 4 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,747.00 – $10,498.00 | 4 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,142.00 – $11,488.00 | 4 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,747.00 – $10,498.00 | 4 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,747.00 – $10,498.00 | 4 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,142.00 – $10,498.00 | 4 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,142.00 – $10,498.00 | 4 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $2.46 | $7.02 | $0.52 – $2.77 | 5 |
| Cross-over vein graft CPT 34520 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Crotalidae poly immune fab HCPCS J0840 | $4,596.26 | $13,132.16 | $1,841.02 – $3,774.99 | 9 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $1,142.00 – $10,498.00 | 4 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $16.98 – $16.98 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $4,589.00 – $21,833.00 | 9 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $391.93 – $2,581.00 | 9 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $14.14 – $50.20 | 10 |
| Cryoprecipitate each unit HCPCS P9012 | $258.30 | $738.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $364.53 – $1,917.04 | 7 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $219.12 – $405.38 | 7 |
| Cryopreservation sperm CPT 89259 | not published | not published | $196.73 – $405.38 | 7 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $567.42 – $2,581.00 | 9 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $67.02 – $123.99 | 7 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $1,142.00 – $10,302.00 | 9 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $202.00 – $1,311.00 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $75.87 – $1,311.00 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $77.81 | 10 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $54.39 | 10 |
| Crystal identification light microscopy CPT 89060 | $166.60 | $476.00 | $7.33 – $41.86 | 10 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,747.00 – $9,005.00 | 3 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,747.00 – $9,005.00 | 3 |
| Csf leakage imaging CPT 78650 | $1,247.05 | $3,563.00 | $542.22 – $4,661.06 | 9 |
| Csf shunt reprogram 62252 CPT 62252 | $172.90 | $494.00 | $395.03 – $2,581.00 | 9 |
| Csf ventriculography CPT 78635 | not published | not published | $436.87 – $1,921.84 | 9 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $274.00 | 9 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $549.66 | 9 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $370.40 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $359.10 | $1,026.00 | $98.36 – $640.34 | 3 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,538.90 | $7,254.00 | $225.59 – $2,022.80 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,538.90 | $7,254.00 | $225.59 – $2,659.16 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,354.80 | $6,728.00 | $225.59 – $1,848.21 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $1,467.55 | $4,193.00 | $225.59 – $1,817.10 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,173.10 | $9,066.00 | $448.71 – $2,187.83 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,538.90 | $7,254.00 | $225.59 – $2,079.91 | 8 |
| CT Angiogram of the Head CPT 70496 | $1,467.55 | $4,193.00 | $225.59 – $1,817.10 | 8 |
| CT angio hrt w/3d image CPT 75574 | $2,646.35 | $7,561.00 | $291.55 – $2,098.09 | 8 |
| CT angio pelvis CPT 72191 | $1,269.80 | $3,628.00 | $225.59 – $2,022.80 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,354.80 | $6,728.00 | $225.59 – $1,848.21 | 8 |
| CT bone density axial CPT 77078 | not published | not published | $94.69 – $207.07 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,619.10 | $4,626.00 | $225.59 – $417.35 | 6 |
| CT colonography dx CPT 74261 | $857.50 | $2,450.00 | $134.46 – $2,244.94 | 8 |
| CT colonography dx w/dye CPT 74262 | $1,071.70 | $3,062.00 | $225.59 – $2,523.96 | 8 |
| CT colonography screening CPT 74263 | $1,071.70 | $3,062.00 | $306.88 – $2,667.55 | 8 |
| CT guidance for needle placement CPT 77012 | $952.35 | $2,721.00 | $193.27 – $1,478.92 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,881.60 | $5,376.00 | $140.27 – $564.26 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $317.26 – $4,751.00 | 9 |
| CT guid parench tis ablat CPT 77013 | $2,335.55 | $6,673.00 | $644.88 – $1,553.19 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $584.50 | $1,670.00 | $84.19 – $417.45 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,646.35 | $7,561.00 | $280.39 – $830.11 | 8 |
| CT hrt w/3d image CPT 75572 | $421.75 | $1,205.00 | $234.70 – $830.11 | 8 |
| CT limited or localized follow-up study CPT 76380 | $589.05 | $1,683.00 | $111.93 – $597.35 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,340.80 | $6,688.00 | $225.59 – $1,010.00 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,869.70 | $5,342.00 | $134.46 – $845.15 | 8 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $3,097.57 – $5,730.50 | 6 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $3,199.93 – $5,919.87 | 6 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $87.29 – $161.49 | 6 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $3,110.63 – $5,754.67 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,538.90 | $7,254.00 | $225.59 – $1,268.96 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $1,482.25 | $4,235.00 | $225.59 – $966.21 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $1,415.40 | $4,044.00 | $134.46 – $807.62 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,968.05 | $5,623.00 | $225.59 – $1,209.12 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,859.90 | $5,314.00 | $225.59 – $1,209.12 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,538.95 | $4,397.00 | $225.59 – $966.21 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,415.40 | $4,044.00 | $134.46 – $807.62 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $602.00 | $1,720.00 | $304.63 – $2,581.00 | 9 |
| CT scan for localization CPT 77011 | $1,334.90 | $3,814.00 | $767.04 – $3,183.78 | 3 |
| CT scan for therapy guide CPT 77014 | $265.65 | $759.00 | $270.92 – $700.67 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,623.55 | $10,353.00 | $448.71 – $1,595.53 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,034.15 | $8,669.00 | $448.71 – $1,207.19 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,948.45 | $5,567.00 | $238.87 – $632.83 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $2,381.40 | $6,804.00 | $225.59 – $1,209.12 | 8 |
| CT thoracic spine without contrast CPT 72128 | $2,091.95 | $5,977.00 | $134.46 – $1,010.00 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,145.90 | $3,274.00 | $129.44 – $456.61 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $2,538.90 | $7,254.00 | $225.59 – $1,511.87 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,340.80 | $6,688.00 | $439.78 – $1,010.00 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,869.70 | $5,342.00 | $134.46 – $845.15 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,538.90 | $7,254.00 | $225.59 – $1,268.96 | 8 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,602.37 – $2,964.38 | 6 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $58.00 – $4,381.08 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $60.32 – $405.38 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,528.00 – $4,449.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $153.65 | $439.00 | $8.08 – $47.31 | 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.