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 |
|---|---|---|---|---|
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $63.31 | 10 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $15.05 – $88.12 | 10 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $30.86 – $140.41 | 10 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $147.03 | 10 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $39.01 | $111.45 | $0.02 – $70.66 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $10.18 – $59.58 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $52.50 | $150.00 | $91.09 – $289.68 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $91.09 – $429.24 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $75.55 | 10 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $114.06 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $13.19 – $77.22 | 10 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $51.03 | 10 |
| Mayo c1 esterase inhibitor CPT 83883 | $73.85 | $211.00 | $13.60 – $79.61 | 10 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.02 – $146.07 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.87 – $98.76 | 10 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $26.78 – $156.75 | 10 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $99.66 – $244.44 | 9 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $10.74 – $62.89 | 10 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $8.75 | $25.00 | $14.12 – $82.71 | 10 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $12.88 – $75.42 | 10 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $11.82 – $69.22 | 10 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $12.68 – $74.33 | 10 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $116.49 – $682.01 | 10 |
| Mayo chromium CPT 82495 | not published | not published | $20.28 – $118.74 | 10 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $0.02 – $93.51 | 2 |
| Mayo coccidioides antibody CPT 86635 | $14.00 | $40.00 | $11.47 – $67.17 | 10 |
| Mayo cocou cortisone urine CPT 82542 | $66.15 | $189.00 | $24.09 – $105.71 | 10 |
| Mayo cortisol free CPT 82530 | not published | not published | $16.71 – $97.84 | 10 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $54.95 | $157.00 | $42.13 – $84.26 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $12.12 – $70.98 | 10 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.02 – $125.47 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.02 – $143.99 | 2 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $113.59 | 10 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $219.12 – $1,939.29 | 9 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $13.25 – $77.56 | 10 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $25.27 – $147.95 | 10 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $29.28 – $136.30 | 10 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $7.15 – $43.87 | 10 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $28.62 | 10 |
| Mayo estriol CPT 82677 | not published | not published | $24.18 – $141.58 | 10 |
| Mayo estrone CPT 82679 | not published | not published | $24.95 – $146.15 | 10 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $16.34 – $95.66 | 10 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $78.48 | 10 |
| Mayo factor ii CPT 85210 | not published | not published | $12.98 – $76.01 | 10 |
| Mayo factor v CPT 85220 | not published | not published | $17.65 – $103.33 | 10 |
| Mayo factor vii CPT 85230 | not published | not published | $17.90 – $104.83 | 10 |
| Mayo factor viii vw factor antigen CPT 85246 | not published | not published | $22.94 – $134.33 | 10 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $22.94 – $134.33 | 10 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | not published | not published | $22.94 – $134.33 | 10 |
| Mayo factor x CPT 85260 | not published | not published | $17.90 – $104.83 | 10 |
| Mayo factor xi CPT 85270 | not published | not published | $17.90 – $104.83 | 10 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $98.34 | 10 |
| Mayo fbl culture fungi blood CPT 87103 | $210.00 | $600.00 | $18.92 – $52.79 | 10 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $17.15 – $160.92 | 10 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $7.82 – $30.59 | 10 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $49.74 | 10 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $21.67 – $75.80 | 10 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $135.80 | $388.00 | $78.90 – $284.26 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.75 – $27.82 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $136.14 | $388.97 | $35.09 – $205.48 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $205.48 | 10 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $13.79 – $73.16 | 10 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $151.09 | 10 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $29.85 | $85.28 | $8.89 – $52.00 | 10 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $5.15 | $14.72 | $13.52 – $79.11 | 10 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | not published | not published | $27.17 – $159.01 | 10 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $46.81 | $133.74 | $17.27 – $75.80 | 10 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $14.99 – $87.78 | 10 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $208.60 | $596.00 | $20.81 – $121.80 | 10 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $20.81 – $121.80 | 10 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $147.03 | 10 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $317.80 | $908.00 | $16.07 – $54.39 | 10 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $44.08 | $125.94 | $11.98 – $54.39 | 10 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | not published | not published | $35.09 – $205.48 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $35.09 – $147.03 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $82.34 | $235.25 | $35.09 – $205.48 | 10 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $147.03 | 10 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | not published | not published | $42.84 – $250.77 | 10 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $144.38 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $38.57 – $161.61 | 10 |
| Mayo inhab inhibin a CPT 86336 | not published | not published | $15.59 – $91.22 | 10 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $75.80 | 10 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $21.41 – $125.36 | 10 |
| Mayo iodine CPT 83789 | not published | not published | $24.11 – $105.71 | 10 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.11 – $113.59 | 10 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $27.11 – $113.59 | 10 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | not published | not published | $13.25 – $75.80 | 10 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $12.79 – $74.92 | 10 |
| Mayo legionella antibody CPT 86713 | not published | not published | $15.30 – $89.62 | 10 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $16.20 – $54.39 | 10 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $65.91 | 10 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | not published | not published | $15.49 – $90.67 | 10 |
| Mayo manganese CPT 83785 | not published | not published | $26.65 – $143.97 | 10 |
| Mayo metanephrines plasma CPT 83835 | not published | not published | $16.94 – $99.18 | 10 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $0.02 – $100.75 | 2 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $12.05 – $77.10 | 10 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $18.40 – $77.10 | 10 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $145.25 | $415.00 | $14.55 – $85.18 | 10 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $30.45 | $87.00 | $18.64 – $80.15 | 10 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $68.38 – $274.00 | 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.