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 superficial wnd dehiscence simp12020 CPT 12020 | $896.35 | $2,561.00 | $950.57 – $2,581.00 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $602.00 | $1,720.00 | $522.85 – $2,581.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $866.60 | $2,476.00 | $1,142.00 – $2,719.00 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $42.74 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $142.29 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $86.10 | 10 |
| Ghs vaginal delivery only CPT 59409 | $2,345.35 | $6,701.00 | $1,528.00 – $7,332.00 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,808.40 | $8,024.00 | $479.94 – $887.89 | 6 |
| Ghs windowing of cast CPT 29730 | $302.40 | $864.00 | $202.00 – $1,311.00 | 9 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $54.39 | 10 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $86.15 | 10 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $261.70 – $829.25 | 9 |
| Gi inhouse confirmation CPT 87045 | $79.80 | $228.00 | $9.44 – $55.22 | 10 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,528.00 – $7,876.00 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $257.33 – $1,434.70 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,729.35 | $4,941.00 | $1,166.53 – $3,245.22 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,196.08 – $2,212.75 | 6 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $1,166.53 – $2,970.78 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,166.53 – $2,654.00 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $74.09 – $202.24 | 9 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $59.26 – $123.04 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $30.37 – $70.00 | 9 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $11.72 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $48.04 – $88.87 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,160.00 – $9,835.10 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,160.00 – $9,835.10 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,160.00 – $5,175.00 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | $26.95 | $77.00 | $142.19 – $263.05 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,020.77 | $2,916.48 | $146.33 – $410.13 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $772.47 | $2,207.07 | $135.00 – $323.45 | 9 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $83.67 | 10 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $269.75 | 10 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $295.65 | 10 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $88.24 | 10 |
| Glucose 1 hr post dose CPT 82950 | $81.90 | $234.00 | $4.75 – $27.82 | 10 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $35.49 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $13.70 | 10 |
| Glucose blood quantitative CPT 82947 | $39.55 | $113.00 | $3.93 – $22.96 | 10 |
| Glucose body fluid CPT 82945 | $83.30 | $238.00 | $3.93 – $22.96 | 10 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $75.87 – $140.37 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $160.30 | $458.00 | $12.87 – $75.38 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $39.55 | $113.00 | $3.92 – $22.96 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $33.90 | $96.87 | $0.82 – $1.28 | 5 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $28.51 – $60.00 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,179.63 | $20,513.24 | $11.29 – $40.78 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $113.75 | $325.00 | $18.58 – $108.81 | 10 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $869.01 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $113.75 | $325.00 | $18.52 – $108.44 | 10 |
| Gonioscopy CPT 92020 | not published | not published | $56.85 – $316.58 | 7 |
| Goniotomy CPT 65820 | not published | not published | $1,142.00 – $9,835.10 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,216.95 | $6,334.15 | $997.22 – $1,516.05 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,052.75 | $5,865.00 | $60.42 – $296.10 | 8 |
| Graft axiofill 1000mg HCPCS J3590 | $19,901.45 | $56,861.28 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $160.06 – $2,270.34 | 8 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $16,032.49 | $45,807.11 | $126.60 – $296.10 | 8 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,279.40 | $77,941.15 | $61.91 – $296.10 | 7 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,518.13 – $4,294.63 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $46,027.63 | $131,507.50 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $31,998.58 | $91,424.50 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $27,688.86 | $79,111.03 | $130.09 – $296.10 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $7,541.10 | $21,546.00 | $160.06 – $353.00 | 9 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,142.00 – $8,261.00 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $13,167.00 | $37,620.00 | $160.06 – $296.10 | 8 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $103.06 – $296.10 | 8 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2,610.56 | $7,458.75 | $160.06 – $322.54 | 7 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $34,036.43 | $97,246.95 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,063.50 | $11,610.00 | $74.63 – $296.10 | 8 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $46,981.90 | $134,234.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,677.50 | $7,650.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $181.99 | 4 |
| Granisetron hcl injection HCPCS J1626 | $33.47 | $95.63 | $0.47 – $64.08 | 5 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Great toe with reduction 28495 CPT 28495 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,142.00 – $10,302.00 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $4,557.82 – $10,302.00 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,311.00 – $6,312.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $4,557.82 – $10,302.00 | 9 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.70 – $23.50 | 5 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $92.14 | 10 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $390.34 | 10 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $459.22 | 10 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $44.61 – $151.20 | 10 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $48.19 – $353.00 | 7 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $48.19 – $353.00 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,528.00 – $9,005.00 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,747.00 – $9,005.00 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,142.00 – $5,175.00 | 9 |
| G-tube reposition CPT 43761 | $896.35 | $2,561.00 | $321.35 – $2,581.00 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $151.97 – $7,027.67 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,182.30 | $3,378.00 | $202.00 – $1,807.00 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $6,494.37 | $18,555.34 | $947.68 – $947.68 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,836.25 | $10,960.70 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $11,338.25 | $32,395.00 | not published | 0 |
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.