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 |
|---|---|---|---|---|
| Dilate urethra stricture CPT 53621 | not published | not published | $321.35 – $2,581.00 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | $243.60 | $696.00 | $165.49 – $1,311.00 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $202.00 – $1,311.00 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $171.12 – $1,311.00 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $1,142.00 – $5,175.00 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $896.35 | $2,561.00 | $896.84 – $4,751.00 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $263.55 | $753.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.00 – $10,302.00 | 9 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,623.00 – $7,332.00 | 9 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.04 – $0.04 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $54.55 – $108.55 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $9.40 – $17.95 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $206.70 – $1,536.65 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $2.80 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $33.60 | $96.00 | $1.18 – $5.30 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $36.16 – $147.30 | 4 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $4.04 – $86.00 | 5 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $35.63 – $88.87 | 7 |
| Disability dlco CPT 94727 | $231.70 | $662.00 | $141.15 – $513.77 | 7 |
| Disaccharidases CPT 82657 | $26.95 | $77.00 | $22.17 – $105.71 | 10 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,747.00 – $4,449.00 | 9 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,528.00 – $30,548.47 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,747.00 – $8,261.00 | 4 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $1,142.00 – $5,149.00 | 4 |
| Discography cerv/thor spine CPT 72285 | $1,329.30 | $3,798.00 | $162.45 – $6,699.21 | 9 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $79.41 – $146.91 | 6 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $224.28 – $414.92 | 6 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $202.00 – $4,235.11 | 9 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,142.00 – $6,312.00 | 4 |
| Dissolve clot heart vessel CPT 92975 | $2,108.40 | $6,024.00 | $528.54 – $3,623.00 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,807.00 – $11,488.00 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,142.00 – $6,312.00 | 4 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $111.14 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $1,142.00 – $6,312.00 | 4 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $558.00 | 9 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $549.66 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $274.00 | 9 |
| Dna antibody native/double stranded CPT 86225 | $25.20 | $72.00 | $13.74 – $80.45 | 10 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $117.40 | 10 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $117.40 | 10 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $117.40 | 10 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $117.40 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $145.15 | $414.70 | $6.80 – $41.44 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $958.45 | $2,738.42 | $1.09 – $72.03 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $2.89 – $110.98 | 9 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.65 – $53.72 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.31 – $309.11 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $87.41 | $249.75 | $0.60 – $1.53 | 5 |
| Doppler echo complete CPT 93320 | $1,115.10 | $3,186.00 | $297.07 – $404.37 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $789.25 | $2,255.00 | $1,311.00 – $1,311.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,174.60 | $3,356.00 | $277.71 – $536.76 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $470.05 | $1,343.00 | $171.12 – $442.21 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $3.13 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | $60.27 | $172.20 | $47.46 – $115.22 | 5 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,701.45 | $59,147.00 | $33,581.40 – $33,581.40 | 1 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $125.47 – $232.12 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $20,947.71 | $59,850.60 | $240.61 – $516.30 | 9 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $264.42 | $755.49 | $5.63 – $184.77 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,228.65 | $12,081.85 | $71.86 – $323.38 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $84.15 | $240.43 | $0.18 – $0.26 | 4 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $732.45 | 10 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $34.03 – $34.03 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $793.10 | $2,266.00 | $202.00 – $1,807.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $793.10 | $2,266.00 | $202.00 – $1,807.00 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $1,190.00 | $3,400.00 | $1,142.00 – $4,751.00 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $602.00 | $1,720.00 | $202.00 – $1,807.00 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,021.20 | $8,632.00 | $1,142.00 – $4,856.73 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Drainage mouth roof lesion CPT 42000 | $365.05 | $1,043.00 | $304.63 – $3,452.00 | 9 |
| Drainage of abdomen CPT 48000 | not published | not published | $1,528.00 – $8,261.00 | 4 |
| Drainage of arm bursa 23931 CPT 23931 | $1,446.55 | $4,133.00 | $1,528.00 – $3,929.83 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,142.00 – $6,911.51 | 9 |
| Drainage of bone lesion CPT 26992 | not published | not published | $2,160.00 – $7,876.00 | 9 |
| Drainage of bone lesion CPT 27303 | not published | not published | $1,528.00 – $7,876.00 | 9 |
| Drainage of eye CPT 65800 | $1,365.70 | $3,902.00 | $1,142.00 – $4,449.00 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $1,747.00 – $5,175.00 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Drainage of kidney lesion CPT 50390 | $1,073.10 | $3,066.00 | $910.78 – $2,581.00 | 9 |
| Drainage of mouth lesion CPT 41005 | $523.25 | $1,495.00 | $304.63 – $2,581.00 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Drainage of mouth lesion CPT 41007 | $1,499.05 | $4,283.00 | $1,142.00 – $2,719.00 | 9 |
| Drainage of mouth lesion CPT 41008 | $2,020.55 | $5,773.00 | $1,142.00 – $7,332.00 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $693.67 – $2,581.00 | 9 |
| Drainage of mouth lesion CPT 41015 | $651.00 | $1,860.00 | $693.67 – $2,581.00 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Drainage of mouth lesion CPT 41017 | $1,983.80 | $5,668.00 | $1,142.00 – $7,332.00 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,142.00 – $5,175.00 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,608.15 | $10,309.00 | $1,142.00 – $7,332.00 | 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.