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 |
|---|---|---|---|---|
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $431.90 | $1,234.00 | $10.56 – $61.89 | 10 |
| Metabolic panel ionized ca CPT 80047 | $43.75 | $125.00 | $13.73 – $127.84 | 10 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $3,561.68 | 6 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $602.73 – $602.73 | 1 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $361.36 – $361.36 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.93 – $3.50 | 5 |
| Methadone injection HCPCS J1230 | not published | not published | $1.93 – $44.96 | 5 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $1.14 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $34.86 | $99.61 | $10.20 – $16.38 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.47 | $4.19 | $0.36 – $10.36 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $183.82 | $525.19 | $3.43 – $55.17 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $161.61 | 10 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $166.54 – $254.64 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $38.79 – $107.50 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,132.12 | $3,234.63 | $0.96 – $19.03 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $80.30 | $229.42 | $12.77 – $45.77 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $407.16 | $1,163.30 | $1.45 – $4.11 | 4 |
| Methylphenidate CPT 80360 | not published | not published | $0.02 – $95.88 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $0.79 | $2.25 | $0.31 – $1.45 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $34.14 | $97.55 | $0.17 – $0.24 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $297.84 | $850.97 | $0.13 – $0.54 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $32.89 | $93.98 | $2.01 – $9.88 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.34 – $0.34 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $85.30 | $243.70 | $0.04 – $0.24 | 5 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $533.64 | 10 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $249.28 | 9 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $671.89 | $1,919.68 | $0.50 – $7.47 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $26.77 | 10 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $21.74 – $80.34 | 10 |
| Microdissection laser CPT 88380 | not published | not published | $127.17 – $228.89 | 4 |
| Microdissection manual CPT 88381 | not published | not published | $237.60 – $761.40 | 5 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $98.80 | 10 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,469.98 – $10,119.46 | 6 |
| Microsatellite instability CPT 81301 | $168.70 | $482.00 | $238.95 – $697.12 | 9 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,311.00 – $4,751.00 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $165.49 – $1,302.45 | 7 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $353.00 – $6,544.00 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $116.55 | $333.00 | $0.23 – $3.13 | 5 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $126.10 | $360.28 | $0.30 – $1.45 | 5 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $112.53 – $364.82 | 9 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $278.76 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $87.43 | $249.80 | $2.14 – $116.36 | 5 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $682.06 – $1,261.81 | 6 |
| Minocycline hydrochloride HCPCS J2265 | $1,006.69 | $2,876.27 | $1.93 – $5.57 | 9 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $7.19 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $136.43 – $296.10 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $11,809.77 | $33,742.20 | $67.66 – $146.35 | 9 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.99 – $6.71 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,753.40 – $6,648.00 | 9 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $463.80 | $1,325.15 | $28.46 – $149.84 | 9 |
| Mitomycin instillation HCPCS J9281 | $37,220.96 | $106,345.60 | $312.12 – $672.95 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $748.50 | $2,138.57 | $38.61 – $86.27 | 9 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $1,747.00 – $14,712.00 | 4 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $384.64 | 9 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $404.80 | 9 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,350.80 | 9 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $69.94 – $662.00 | 9 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.72 – $353.00 | 6 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.12 – $353.00 | 6 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,160.00 – $30,073.00 | 9 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $79.54 – $302.08 | 9 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,311.00 – $4,751.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,311.00 – $4,751.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,311.00 – $4,751.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,142.00 – $3,826.07 | 9 |
| Mnpj elbow under anes CPT 24300 | $1,543.15 | $4,409.00 | $1,142.00 – $4,877.00 | 9 |
| Mnpj of tmj w/anesth CPT 21073 | $1,209.25 | $3,455.00 | $202.00 – $2,719.00 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $23.65 – $43.75 | 5 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $781.39 – $1,445.57 | 6 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $1,142.00 – $5,149.00 | 4 |
| Modification of contact lens CPT 92325 | not published | not published | $66.64 – $316.58 | 7 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,807.00 – $7,764.00 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,142.00 – $7,764.00 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $17.95 – $75.46 | 10 |
| Molded inner boot HCPCS L2280 | not published | not published | $693.78 – $1,283.49 | 6 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,291.35 – $6,089.00 | 6 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,732.23 – $10,604.63 | 6 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,651.72 – $3,055.68 | 6 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $6,234.83 – $11,534.44 | 6 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $5.67 – $75.02 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.14 – $24.40 | 9 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $351.65 – $650.55 | 6 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $422.47 – $781.57 | 6 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,533.92 – $41,687.75 | 6 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,015.75 | $20,045.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $1,530.00 | 9 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $171.24 – $316.79 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $127.92 | 9 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $105.20 – $300.66 | 9 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $184.11 – $549.66 | 9 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $184.11 – $602.70 | 9 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $104.85 – $565.76 | 9 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,692.54 | 9 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,262.45 – $4,000.00 | 9 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $4,315.71 | $12,330.60 | $2.41 – $9.95 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $43.75 | $125.00 | $3.11 – $14.28 | 5 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $17.21 – $119.94 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,311.39 | $3,746.83 | $17.53 – $43.36 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $101.50 | $290.00 | $219.12 – $729.10 | 9 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $126.04 – $852.89 | 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.