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 |
|---|---|---|---|---|
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $897.82 – $1,548.68 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $5,799.95 | 8 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $1,048.69 | 8 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $443.23 – $563.32 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $2,514.00 | 10 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $372.48 – $689.09 | 6 |
| Face bone graft CPT 21210 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Facial bones <3 CPT 70140 | $384.65 | $1,099.00 | $37.35 – $302.08 | 9 |
| Facial nerve function test CPT 92516 | $514.50 | $1,470.00 | $197.17 – $513.77 | 7 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $353.00 – $7,888.83 | 8 |
| Factor ix CPT 85250 | not published | not published | $19.04 – $111.45 | 10 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.58 – $7.63 | 9 |
| Factor ix complex HCPCS J7194 | $2,497.04 | $7,134.40 | $1.45 – $3.57 | 9 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $11.14 | 9 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $2.97 | 9 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.50 – $9.29 | 9 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.74 – $5.30 | 9 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.78 – $3.98 | 9 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.20 – $8.43 | 9 |
| Factor viii CPT 85240 | $498.40 | $1,424.00 | $17.90 – $104.83 | 10 |
| Factor viii HCPCS J7190 | not published | not published | $1.39 – $2.58 | 9 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.46 – $4.99 | 9 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.56 | 9 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $4.52 | 9 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.57 – $3.35 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $3.01 | 9 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.01 – $6.94 | 9 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $22.53 | 9 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.33 – $37.28 | 9 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $48.19 – $353.00 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $75.64 – $422.33 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $86.79 – $422.33 | 7 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $32.78 | $93.66 | $0.01 – $0.02 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $11,107.03 | $31,734.36 | $29.94 – $62.14 | 9 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $73.24 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,142.00 – $10,701.00 | 9 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $29.79 | 10 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $77.93 | 10 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $601.97 | $1,719.90 | $200.58 – $371.07 | 6 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $26.61 | 10 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.12 – $137.45 | 9 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $1,196.08 – $2,212.75 | 6 |
| #fecal-sodium CPT 84302 | not published | not published | $4.86 – $28.45 | 10 |
| Feeding tube reposition CPT 74355 | not published | not published | $189.49 – $472.11 | 3 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $78.63 – $78.63 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $83.64 – $562.98 | 6 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.64 – $78.10 | 10 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $6,209.65 – $11,487.85 | 6 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $1,807.00 – $7,764.00 | 3 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $86.02 – $159.14 | 6 |
| Fem/popl revasc w/stent CPT 37226 | $7,547.75 | $21,565.00 | $2,160.00 – $30,073.00 | 5 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $20.68 – $20.68 | 1 |
| Feno poc CPT 95012 | not published | not published | $48.04 – $88.87 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $769.30 | $2,198.00 | $1.50 – $3.61 | 5 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $41.86 | 10 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,999.87 | $11,428.20 | $1.10 – $2.43 | 9 |
| Ferritin CPT 82728 | $102.90 | $294.00 | $13.63 – $79.74 | 10 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $528.85 | $1,511.01 | $0.23 – $1.48 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $1.48 | 9 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,590.00 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $524.30 | $1,498.00 | $128.55 – $364.82 | 9 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $3,361.76 | 10 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,518.10 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $202.00 – $1,311.00 | 9 |
| Fetal fibronectin CPT 82731 | $226.80 | $648.00 | $64.41 – $377.06 | 10 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $391.93 – $2,581.00 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $102.55 | $293.00 | $7.73 – $45.29 | 10 |
| Fetal hemoglobin rosette CPT 85461 | $59.50 | $170.00 | $9.36 – $38.80 | 10 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $110.74 | 10 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $353.00 – $4,751.00 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $353.00 – $4,751.00 | 3 |
| Fetal non stress test CPT 59025 | $208.60 | $596.00 | $260.03 – $4,751.00 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $202.00 – $1,311.00 | 9 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $391.93 – $2,581.00 | 9 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $0.02 – $120.00 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $11.21 – $14.76 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $140.70 | $402.00 | $10.18 – $59.58 | 10 |
| Fibrin degradation products CPT 85362 | $122.50 | $350.00 | $6.89 – $40.31 | 10 |
| Fibrin degrade semiquant CPT 85378 | $122.50 | $350.00 | $9.72 – $41.77 | 10 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $59.58 | 10 |
| Fibrinogen activity CPT 85384 | $90.30 | $258.00 | $9.72 – $49.74 | 10 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $66.50 | 10 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $10.84 – $30.96 | 10 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $45.13 | 10 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $51.79 | 10 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $100.64 | 10 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $59.62 | 10 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.53 – $38.25 | 10 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $307.30 | $878.00 | $0.28 – $0.75 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.02 – $2.11 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $820.18 | $2,343.38 | $0.35 – $0.94 | 9 |
| Filleted finger/toe flap CPT 14350 | $1,897.70 | $5,422.00 | $1,747.00 – $4,449.00 | 9 |
| Filtered speech hearing test CPT 92571 | not published | not published | $48.04 – $88.87 | 7 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $36.71 – $67.91 | 6 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $8,437.80 | $24,108.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $2,638.13 | $7,537.50 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,142.00 – $7,764.00 | 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.