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 |
|---|---|---|---|---|
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $602.00 | $1,720.00 | $522.85 – $3,452.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $602.00 | $1,720.00 | $950.57 – $3,452.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $896.35 | $2,561.00 | $522.85 – $3,452.00 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $602.00 | $1,720.00 | $950.57 – $3,452.00 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $896.35 | $2,561.00 | $522.85 – $3,452.00 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $602.00 | $1,720.00 | $601.00 – $3,452.00 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $896.35 | $2,561.00 | $522.85 – $3,452.00 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,897.70 | $5,422.00 | $1,528.00 – $4,449.00 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $621.95 | $1,777.00 | $522.85 – $3,452.00 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $195.65 | $559.00 | $8.60 – $50.36 | 10 |
| Ghs low level laser therapy CPT 97039 | $80.85 | $231.00 | not published | 0 |
| Ghs mbp CPT 83873 | $20.13 | $57.50 | $17.20 – $100.73 | 10 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $87.50 | $250.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $87.50 | $250.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $87.50 | $250.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $70.00 | $200.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $70.00 | $200.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $718.90 | $2,054.00 | $191.08 – $192.28 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $481.60 | $1,376.00 | $181.20 – $182.49 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $481.60 | $1,376.00 | $194.26 – $195.54 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $210.35 | $601.00 | $256.87 – $256.87 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $602.00 | $1,720.00 | $202.00 – $1,484.00 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $912.10 | $2,606.00 | $1,137.58 – $2,581.00 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | $779.10 | $2,226.00 | $907.88 – $2,581.00 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | $912.10 | $2,606.00 | $1,137.58 – $2,581.00 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $1,049.30 | $2,998.00 | $1,137.58 – $2,581.00 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | $2,086.70 | $5,962.00 | $1,137.58 – $2,581.00 | 9 |
| Ghs nerve block interscaline CPT 64510 | $912.10 | $2,606.00 | $1,137.58 – $2,581.00 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,399.60 | $6,856.00 | $1,137.58 – $2,581.00 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | $779.10 | $2,226.00 | $353.00 – $2,581.00 | 9 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $907.88 – $2,581.00 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $670.60 | $1,916.00 | $202.00 – $1,311.00 | 9 |
| Ghs o2 saturation CPT 82810 | $70.70 | $202.00 | $9.77 – $51.12 | 10 |
| Ghs o2 uptake rest & exercise CPT 94680 | $239.05 | $683.00 | $129.07 – $306.17 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | $833.00 | $2,380.00 | $75.87 – $323.65 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $60.23 – $111.42 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,001.35 | $2,861.00 | $806.82 – $3,452.00 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,541.70 | $7,262.00 | $1,142.00 – $3,452.00 | 9 |
| Ghs optokenetic CPT 92544 | $346.15 | $989.00 | $120.22 – $306.17 | 7 |
| Ghs oscillating trac CPT 92545 | $346.15 | $989.00 | $113.69 – $513.77 | 7 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.88 – $121.14 | 7 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.80 – $353.00 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $80.85 | $231.00 | $44.61 – $82.53 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $80.85 | $231.00 | $45.42 – $126.65 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $105.54 – $105.54 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $2,095.80 | $5,988.00 | $14.16 – $1,807.00 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $1,142.00 – $4,751.00 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,419.20 | $6,912.00 | $1,142.00 – $4,751.00 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $42.58 – $116.61 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $602.00 | $1,720.00 | $304.63 – $2,581.00 | 9 |
| Ghs phenylketonurid CPT 84030 | $4.20 | $12.00 | $5.50 – $32.22 | 10 |
| Ghs picc line insert < 5 CPT 36568 | $1,418.90 | $4,054.00 | $1,142.00 – $2,632.01 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $25.18 | 10 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,104.48 – $2,043.29 | 6 |
| Ghs pos nystagmus CPT 92542 | $346.15 | $989.00 | $149.59 – $316.58 | 7 |
| Ghs ppd (tb intradermal) CPT 86580 | $111.65 | $319.00 | $13.34 – $68.82 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $56.57 | 10 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $30.29 | 10 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.35 – $84.01 | 10 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $75.87 – $140.37 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $71.69 | 10 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $264.55 – $264.55 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $85.43 | 10 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $252.96 – $1,311.00 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $365.05 | $1,043.00 | $171.12 – $1,311.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $602.00 | $1,720.00 | $353.00 – $2,581.00 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,190.00 | $3,400.00 | $1,747.00 – $3,950.00 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,608.15 | $10,309.00 | $2,160.00 – $7,332.00 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $75.46 | 10 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $25.18 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $317.80 | $908.00 | $13.91 – $54.39 | 10 |
| Ghs sedimentation rate CPT 85651 | $90.30 | $258.00 | $4.27 – $20.78 | 10 |
| Ghs semen analysis fert CPT 89320 | $410.90 | $1,174.00 | $12.31 – $70.56 | 10 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $52.17 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | $84.70 | $242.00 | $7.48 – $40.35 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $602.00 | $1,720.00 | $522.85 – $3,452.00 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $602.00 | $1,720.00 | $522.85 – $3,452.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $602.00 | $1,720.00 | $522.85 – $3,452.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $602.00 | $1,720.00 | $522.85 – $3,452.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $602.00 | $1,720.00 | $258.05 – $3,452.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $602.00 | $1,720.00 | $258.05 – $3,452.00 | 9 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $277.71 – $707.89 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,137.85 | $3,251.00 | $156.69 – $513.77 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,275.70 | $6,502.00 | $1,104.48 – $1,484.00 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $212.10 | $606.00 | $53.18 – $116.16 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $275.45 | $787.00 | $394.79 – $2,581.00 | 9 |
| Ghs spont nystagmus CPT 92541 | $344.05 | $983.00 | $130.01 – $316.58 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $349.30 | $998.00 | $113.30 – $266.54 | 6 |
| Ghs st - eval for alt comm CPT 92567 | $344.05 | $983.00 | $48.04 – $93.06 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | $347.90 | $994.00 | $171.12 – $1,311.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $419.65 | $1,199.00 | $77.39 – $279.86 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $226.45 | $647.00 | $41.37 – $111.42 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $149.80 | $428.00 | $273.57 – $638.04 | 7 |
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.