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 |
|---|---|---|---|---|
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $101.57 | 10 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $78.65 | 10 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $137.85 | 10 |
| Assay of somatostatin CPT 84307 | not published | not published | $18.28 – $107.01 | 10 |
| Assay of thiocyanate CPT 84430 | not published | not published | $11.63 – $68.13 | 10 |
| Assay of troponin qual CPT 84512 | $18.90 | $54.00 | $10.09 – $45.08 | 10 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.63 – $60.88 | 10 |
| Assay of urine sulfate CPT 84392 | not published | not published | $5.49 – $27.82 | 10 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $41.56 | 10 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $29.41 | 10 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $96.75 | 10 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $60.42 | 10 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $40.31 | 10 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $115.60 | 10 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $100.98 – $372.58 | 7 |
| Assess cyst contrast inject CPT 49424 | $1,036.70 | $2,962.00 | $1,311.00 – $4,751.00 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $24.97 | 10 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $165.49 – $306.17 | 7 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,311.00 – $10,302.00 | 4 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $40.26 – $74.48 | 6 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $1,036.24 – $1,917.04 | 7 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $219.12 – $405.38 | 7 |
| Ast/sgot CPT 84450 | $83.65 | $239.00 | $5.18 – $30.25 | 10 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $20,179.99 | $57,657.10 | $94.00 – $192.19 | 9 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $7,547.75 | $21,565.00 | $2,160.00 – $30,073.00 | 5 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $8,732.85 | $24,951.00 | $2,160.00 – $42,841.00 | 5 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $87.28 | 10 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $34.86 | $99.59 | $0.20 – $0.96 | 5 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,142.00 – $8,261.00 | 4 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,142.00 – $11,902.87 | 9 |
| Attach ocular implant CPT 65140 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $165.49 – $306.17 | 7 |
| Audiometry air + bone CPT 92553 | $344.05 | $983.00 | $115.90 – $306.17 | 7 |
| Auditory function 60 min CPT 92620 | not published | not published | $165.49 – $306.17 | 7 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $4,589.00 – $12,111.00 | 9 |
| Augmentation of facial bones CPT 21208 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,673.76 | $13,353.60 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $3,248.00 | $9,280.00 | $1,311.00 – $4,751.00 | 4 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $4,196.85 | $11,991.00 | $2,455.00 – $16,065.00 | 9 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $4,589.00 – $16,065.00 | 9 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $4,589.00 – $16,065.00 | 9 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $1,681.30 | 9 |
| Autologous blood op salvage CPT 86891 | not published | not published | $7.10 – $1,917.04 | 9 |
| Autologous blood process CPT 86890 | $377.65 | $1,079.00 | $5.02 – $405.38 | 9 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,653.72 – $4,909.39 | 6 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,653.72 – $4,909.39 | 6 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $37.88 | 10 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $63.11 – $316.58 | 7 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $63.11 – $306.17 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $79.81 – $316.58 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $7,258.22 | $20,737.77 | $102.69 – $208.85 | 9 |
| Av fistula revision CPT 36833 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Avul nail plate addl CPT 11732 | $204.05 | $583.00 | $1,142.00 – $4,751.00 | 4 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $53.55 – $135.45 | 8 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.01 – $1,081,107.57 | 8 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Azacitidine injection HCPCS J9025 | $2,135.15 | $6,100.44 | $0.56 – $13.97 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.61 | $1.75 | $1.81 – $374.37 | 5 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $507.45 | 9 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $35.02 | $100.05 | $3.57 – $81.67 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $213.77 | $610.76 | $3.03 – $11.08 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,371.20 | $9,632.00 | $90.27 – $375.82 | 9 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $33.63 – $268.61 | 5 |
| Baclofen eval charges CPT 97750 | $80.85 | $231.00 | $35.60 – $65.86 | 6 |
| Bacterial meningitis antigen CPT 86403 | $217.00 | $620.00 | $11.54 – $59.67 | 10 |
| Bacterial vaginosis pcr CPT 87801 | $104.30 | $298.00 | $70.20 – $410.91 | 10 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $87.19 | 10 |
| #bac vag cand-c. albicans naa CPT 87481 | $68.60 | $196.00 | $35.09 – $205.48 | 10 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $12.96 – $12.96 | 1 |
| Balloon dilate urtrl strix CPT 50706 | $311.15 | $889.00 | $1,311.00 – $5,149.00 | 3 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.45 – $0.45 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $4.08 – $4.08 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $19.56 – $19.56 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $12.30 – $12.30 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $9.74 – $9.74 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $17.36 – $17.36 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $2,907.10 | $8,306.00 | $1,528.00 – $7,332.00 | 9 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $205.48 | 10 |
| Basic vestibular evaluation CPT 92540 | $1,381.10 | $3,946.00 | $74.79 – $513.77 | 7 |
| Basiliximab HCPCS J0480 | not published | not published | $4,650.35 – $10,078.47 | 9 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,733.29 | $4,952.25 | not published | 0 |
| B cells total count CPT 86355 | $30.99 | $88.53 | $37.73 – $220.81 | 10 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $637.24 | $1,820.69 | $3.39 – $11.67 | 9 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $189.98 | 9 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $46.23 – $134.87 | 3 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $3,593.78 | $10,267.93 | $3.89 – $8.36 | 9 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $8,417.10 | $24,048.86 | $53.95 – $118.19 | 9 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $13.83 – $13.83 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $7,946.95 | $22,705.58 | $2.16 – $5.61 | 9 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $7,331.48 | $20,947.08 | $13.94 – $30.53 | 9 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $7,229.27 | $20,655.06 | $12.90 – $29.20 | 9 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $11,778.71 | $33,653.45 | $31.74 – $58.71 | 9 |
| Benign lesion paring 2-4 CPT 11056 | $523.25 | $1,495.00 | $202.00 – $1,311.00 | 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.