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 |
|---|---|---|---|---|
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $202.00 – $1,311.00 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $950.57 – $2,581.00 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $202.00 – $1,484.00 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $601.00 – $2,581.00 | 8 |
| Ductogram sgl duct CPT 77053 | $665.00 | $1,900.00 | $90.96 – $829.25 | 9 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Duodenal motility study CPT 91022 | not published | not published | $128.77 – $1,311.00 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $306.88 – $829.25 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $134.46 – $364.82 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $891.10 | $2,546.00 | $134.46 – $574.82 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,298.85 | $3,711.00 | $277.71 – $619.98 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,036.70 | $2,962.00 | $306.88 – $829.25 | 8 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $11,009.65 | $31,456.15 | $38.57 – $70.62 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $15,440.78 | $44,116.50 | $85.89 – $180.32 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $260.40 | $744.00 | $70.84 – $364.82 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $165.49 – $353.00 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $353.00 – $353.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $5,125.05 | $14,643.00 | $1,528.00 – $4,235.11 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $5,125.05 | $14,643.00 | $1,528.00 – $4,235.11 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,001.00 | $2,860.00 | $1,142.00 – $4,235.11 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $36.58 – $1,062.94 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $353.00 – $2,654.00 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $353.00 – $2,654.00 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | $310.10 | $886.00 | $277.71 – $2,581.00 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | $243.60 | $696.00 | $165.49 – $2,581.00 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $54.03 – $154.08 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $145.27 – $413.99 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $47.11 – $133.69 | 2 |
| Dx laryngoscopy newborn CPT 31520 | $224.35 | $641.00 | $202.00 – $1,311.00 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,001.00 | $2,860.00 | $1,528.00 – $4,235.11 | 9 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $92.25 – $263.01 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $321.35 – $4,751.00 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $102.36 – $102.36 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $27.21 – $513.77 | 7 |
| Ear and throat examination CPT 92502 | not published | not published | $187.96 – $1,311.00 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,528.00 – $4,751.00 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,654.00 – $12,111.00 | 9 |
| Ear irrigation 69209 CPT 69209 | $365.05 | $1,043.00 | $75.87 – $1,311.00 | 9 |
| Ear protector evaluation CPT 92596 | not published | not published | $48.04 – $104.48 | 7 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $1,213.98 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $323.75 | $925.00 | $75.87 – $140.37 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $9.53 – $100.16 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $25.84 – $140.37 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $122.28 – $1,010.17 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $1,629.95 | $4,657.00 | $171.12 – $316.58 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $366.80 | $1,048.00 | $75.87 – $376.49 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $48.04 – $88.87 | 6 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $48.04 – $88.87 | 6 |
| Ecg record/review CPT 93268 | not published | not published | $1,255.55 – $1,685.52 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $33.74 – $190.74 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,226.70 | $6,362.00 | $702.78 – $1,300.14 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $395.50 | $1,130.00 | $503.55 – $594.82 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,343.60 | $6,696.00 | $1,008.25 – $1,865.27 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $417.90 | $1,194.00 | $306.88 – $567.73 | 7 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $397.25 | $1,135.00 | $448.71 – $830.11 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $153.65 | $439.00 | $193.69 – $226.98 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $77.40 – $364.82 | 9 |
| Echo exam of eye CPT 76519 | not published | not published | $86.66 – $364.82 | 9 |
| Echo exam of eye CPT 76529 | not published | not published | $75.55 – $302.08 | 9 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $7.77 – $84.02 | 9 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $246.88 – $1,881.01 | 9 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $109.91 – $829.25 | 9 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $69.39 – $364.82 | 9 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $38.57 – $364.82 | 9 |
| Echo exam uterus 76831- CPT 76831 | $673.40 | $1,924.00 | $163.69 – $829.25 | 9 |
| Echograp trans r pros study CPT 76873 | $220.50 | $630.00 | $134.46 – $364.82 | 9 |
| Echo guidance radiotherapy CPT 76965 | $472.15 | $1,349.00 | $90.96 – $1,003.34 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $188.38 – $188.38 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $275.18 – $275.18 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $34.88 – $274.03 | 3 |
| Echo guide for artery repair CPT 76936 | $703.15 | $2,009.00 | $193.27 – $1,077.74 | 9 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $106.82 – $274.03 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $104.36 – $274.20 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $34.88 – $274.03 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $107.44 – $274.24 | 3 |
| Echo stress CPT 93350 | $1,411.90 | $4,034.00 | $306.59 – $1,300.14 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $46.00 – $1,300.14 | 7 |
| Echo tee guidance CPT 93355 | not published | not published | $1,255.08 – $1,255.08 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,530.90 | $4,374.00 | $658.08 – $1,300.14 | 7 |
| Echo transesophageal CPT 93313 | not published | not published | $42.47 – $1,300.14 | 7 |
| Echo transesophageal CPT 93314 | not published | not published | $658.08 – $770.60 | 2 |
| Echo transesophageal CPT 93315 | $33.60 | $96.00 | $177.11 – $1,300.14 | 7 |
| Echo transesophageal CPT 93317 | not published | not published | $120.27 – $640.89 | 2 |
| Echo transesophageal intraop CPT 93318 | $780.85 | $2,231.00 | $542.13 – $1,300.14 | 7 |
| Echo transthoracic CPT 93303 | $792.05 | $2,263.00 | $662.93 – $1,300.14 | 7 |
| Echo transthoracic CPT 93304 | $397.25 | $1,135.00 | $335.96 – $1,300.14 | 7 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $792.05 | $2,263.00 | $306.88 – $662.93 | 7 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $2,145.50 | $6,130.00 | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $2,145.50 | $6,130.00 | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $2,145.50 | $6,130.00 | $353.00 – $8,261.00 | 4 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $2,145.50 | $6,130.00 | $353.00 – $8,261.00 | 4 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $4,453.40 | $12,724.00 | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $4,453.40 | $12,724.00 | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $4,453.40 | $12,724.00 | $353.00 – $6,312.00 | 4 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $353.00 – $8,261.00 | 4 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $4,453.40 | $12,724.00 | $353.00 – $8,261.00 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $353.00 – $8,261.00 | 4 |
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.