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 |
|---|---|---|---|---|
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $115.15 | $329.00 | $128.86 – $405.38 | 9 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $636.74 – $1,378.06 | 9 |
| Motion analysis video/3d CPT 96000 | not published | not published | $96.35 – $887.89 | 7 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $114.78 – $2,043.29 | 7 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $330.97 – $1,062.94 | 7 |
| Mouth piece HCPCS A4617 | not published | not published | $6.14 – $6.14 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $67.93 – $250.89 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $101.50 | $290.00 | $219.12 – $678.52 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $84.01 – $310.57 | 5 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $105.60 – $405.38 | 9 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $629.88 | 10 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $117.40 | 10 |
| M.pneumon dna quant CPT 87582 | not published | not published | $87.56 – $605.24 | 10 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $178.73 – $290.63 | 3 |
| MRA abdomen post contrast CPT 74185 | $4,571.35 | $13,061.00 | $483.89 – $1,997.53 | 4 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $5,236.00 | $14,960.00 | $477.54 – $1,997.06 | 4 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $448.71 – $830.11 | 7 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $306.88 – $567.73 | 7 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $448.71 – $830.11 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,347.00 | $12,420.00 | $481.01 – $1,997.57 | 4 |
| MRA pelvis CPT 72198 | $5,065.20 | $14,472.00 | $481.58 – $1,997.53 | 4 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $448.71 – $830.11 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $306.88 – $567.73 | 7 |
| MRA spinal canal CPT 72159 | $4,154.50 | $11,870.00 | $500.06 – $2,215.36 | 4 |
| MRA upper extremity post contrast-bil CPT 73225 | $4,546.85 | $12,991.00 | $500.06 – $1,996.51 | 4 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $448.71 – $830.11 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $306.88 – $567.73 | 7 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $306.88 – $567.73 | 7 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $306.88 – $567.73 | 7 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $306.88 – $567.73 | 7 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $448.71 – $830.11 | 7 |
| Mr elastography CPT 76391 | not published | not published | $306.88 – $828.63 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,142.00 – $26,513.03 | 9 |
| MRI brain w/dye CPT 70558 | not published | not published | $225.59 – $2,835.52 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $585.98 – $2,563.77 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $225.59 – $2,848.58 | 8 |
| MRI breast c- unilateral CPT 77046 | $2,784.95 | $7,957.00 | $306.88 – $809.05 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | $2,840.60 | $8,116.00 | $459.63 – $1,863.97 | 4 |
| MRI breast without cont bi CPT 77047 | $2,955.05 | $8,443.00 | $306.88 – $804.16 | 8 |
| MRI breast w IV cont bi CPT 77049 | $3,013.15 | $8,609.00 | $457.90 – $1,854.69 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $3,449.95 | $9,857.00 | $306.88 – $1,804.56 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,221.40 | $9,204.00 | $448.71 – $2,569.08 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,216.10 | $12,046.00 | $585.98 – $3,206.81 | 8 |
| MRI chest without contrast CPT 71550 | $3,084.90 | $8,814.00 | $306.88 – $1,895.58 | 8 |
| MRI chest without & w/contrast CPT 71552 | $3,700.20 | $10,572.00 | $448.71 – $4,168.99 | 8 |
| MRI chest w IV cont CPT 71551 | $3,199.70 | $9,142.00 | $585.98 – $2,272.29 | 8 |
| MRI compatible system HCPCS L0859 | $2,012.50 | $5,750.00 | $1,399.89 – $2,589.80 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $585.98 – $1,614.56 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $306.88 – $1,507.15 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $585.98 – $2,046.49 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $585.98 – $2,046.32 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,574.25 – $2,912.37 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | $2,999.15 | $8,569.00 | $448.71 – $2,265.45 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,832.90 | $8,094.00 | $306.88 – $1,887.37 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,199.70 | $9,142.00 | $448.71 – $4,190.88 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,699.20 | $7,712.00 | $306.88 – $1,887.37 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,700.20 | $10,572.00 | $448.71 – $4,190.88 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,199.70 | $9,142.00 | $448.71 – $2,265.45 | 8 |
| MRI tmj CPT 70336 | $3,084.90 | $8,814.00 | $306.88 – $1,914.74 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,832.90 | $8,094.00 | $306.88 – $1,887.37 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,199.70 | $9,142.00 | $448.71 – $4,190.88 | 8 |
| MRI upper extremity w/dye CPT 73219 | $3,016.30 | $8,618.00 | $448.71 – $2,265.45 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $448.71 – $830.11 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $225.59 – $417.35 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $448.71 – $830.11 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $448.71 – $830.11 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $77.61 – $302.08 | 9 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $122.28 – $391.34 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $90.08 – $274.16 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $75.87 – $598.57 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $18.70 – $84.02 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $306.88 – $931.48 | 9 |
| Mr spectroscopy CPT 76390 | $577.15 | $1,649.00 | $111.93 – $1,877.21 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $426.60 | 9 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $763.40 | 9 |
| Msh2 gene known variants CPT 81296 | not published | not published | $69.94 – $675.46 | 9 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $157.81 – $476.00 | 9 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,283.70 | 9 |
| Msh6 gene known variants CPT 81299 | not published | not published | $69.94 – $616.00 | 9 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,455.00 – $17,265.50 | 9 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $130.68 | 9 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $117.40 | 10 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $250.77 | 10 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $34.32 | 10 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $116.57 | 10 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $77.22 | 10 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $48.19 – $353.00 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,941.29 – $9,141.39 | 6 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,034.39 – $1,913.62 | 6 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $76.71 – $76.71 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $51.40 – $51.40 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $835.79 – $1,546.21 | 6 |
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.