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 |
|---|---|---|---|---|
| Prepare embryo for transfer CPT 89255 | not published | not published | $67.02 – $123.99 | 7 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $1,142.00 – $6,312.00 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,747.00 – $8,261.00 | 4 |
| Prepare penis study CPT 54230 | not published | not published | $1,311.00 – $4,751.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,311.00 – $4,751.00 | 3 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,952.49 – $5,462.11 | 6 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,768.11 – $5,121.00 | 6 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,153.70 – $3,984.34 | 6 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,819.42 – $5,215.93 | 6 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,807.00 – $6,312.00 | 3 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,142.00 – $4,751.00 | 4 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,807.00 – $6,312.00 | 3 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $1,807.00 – $6,312.00 | 3 |
| Prep donor liver/venous CPT 47146 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,807.00 – $6,312.00 | 3 |
| Prep donor pancreas CPT 48551 | not published | not published | $4,751.00 – $6,312.00 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $3,623.00 – $4,751.00 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,807.00 – $6,312.00 | 3 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $353.00 – $16,886.16 | 9 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,311.00 – $4,751.00 | 4 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep renal graft/venous CPT 50327 | not published | not published | $1,807.00 – $4,751.00 | 3 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $353.00 – $16,886.16 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $422.10 | $1,206.00 | $522.85 – $3,452.00 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,530.90 | $4,374.00 | $950.57 – $3,452.00 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $610.05 | $1,743.00 | $1,142.00 – $4,751.00 | 4 |
| Pressure max expiratory/inspiratory CPT 94799 | $85.05 | $243.00 | $165.49 – $306.17 | 6 |
| Pressure treatment esophagus CPT 43460 | $2,623.25 | $7,495.00 | $1,142.00 – $5,149.00 | 4 |
| Pressure velocity wire add ves CPT 93572 | $592.20 | $1,692.00 | $1,311.00 – $1,311.00 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $684.77 – $1,266.82 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $16.80 | $48.00 | $1.78 – $405.38 | 9 |
| Pretreat rbc absorption reference CPT 86978 | $33.43 | $95.50 | $1.78 – $140.37 | 9 |
| Pretreat rbc density gradient separation reference CPT 86972 | $32.13 | $91.80 | $2.08 – $405.38 | 9 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $24.28 | $69.36 | $1.49 – $140.37 | 9 |
| Pretreat rbc w enzyme reference CPT 86971 | $5.95 | $17.00 | $1.19 – $566.82 | 9 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $171.24 – $316.79 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,792.70 | $5,122.00 | $1,142.00 – $3,929.83 | 9 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,558.90 | $4,454.00 | $1,142.00 – $3,929.83 | 9 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $602.00 | $1,720.00 | $522.85 – $2,581.00 | 9 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,142.00 – $9,173.75 | 9 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $48.00 – $88.80 | 6 |
| Prgr stim/pace a/iv drug CPT 93623 | $980.00 | $2,800.00 | $550.29 – $6,312.00 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $16,590.35 | $47,401.00 | $1,747.00 – $30,650.81 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,627.65 | $16,079.00 | $1,311.00 – $5,149.00 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $602.00 | $1,720.00 | $522.85 – $2,581.00 | 9 |
| Pr incision & drainage abscess simple/single CPT 10060 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $602.00 | $1,720.00 | $391.93 – $3,452.00 | 9 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $602.00 | $1,720.00 | $202.00 – $1,311.00 | 9 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $171.24 – $316.79 | 6 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $171.24 – $316.79 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $87.50 | $250.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $7,350.00 | $21,000.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $408.24 – $2,581.00 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,528.00 – $5,175.00 | 9 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,142.00 – $5,553.00 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $181.09 | $517.39 | $114.19 – $611.33 | 9 |
| Procalcitonin CPT 84145 | $109.20 | $312.00 | $27.22 – $116.31 | 10 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $151.49 – $310.70 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $34.75 | $99.28 | $5.21 – $28.43 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.35 – $1.82 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $726.25 | $2,075.00 | $1,142.00 – $2,581.00 | 9 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,142.00 – $2,719.00 | 9 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,128.75 | $3,225.00 | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $2,581.00 – $12,111.00 | 9 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $160.06 – $296.10 | 8 |
| Progesterone CPT 84144 | $109.20 | $312.00 | $20.86 – $122.14 | 10 |
| Prolactin CPT 84146 | $113.75 | $325.00 | $19.38 – $113.47 | 10 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $353.00 – $353.00 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $273.57 – $506.11 | 6 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $353.00 – $353.00 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.61 | $1.75 | $0.09 – $1.55 | 4 |
| Promethazine hcl injection HCPCS J2550 | $33.17 | $94.76 | $3.37 – $7.12 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $408.24 – $3,452.00 | 9 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $707.39 – $2,581.00 | 9 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,747.00 – $7,876.00 | 9 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $39.59 | $113.12 | $0.12 – $0.48 | 5 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.02 – $120.00 | 2 |
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.