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 |
|---|---|---|---|---|
| Pt evaluation low complexity patient/family CPT 97161 | $302.40 | $864.00 | $106.80 – $197.58 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $317.45 | $907.00 | $103.01 – $190.57 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.37 – $138.94 | 7 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $2,443.33 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $302.40 | $864.00 | $71.23 – $131.78 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $629.30 | $1,798.00 | $30.28 – $56.02 | 5 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $13.96 – $25.83 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.85 | $231.00 | $30.48 – $56.39 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $80.85 | $231.00 | $33.15 – $61.33 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $89.60 | $256.00 | $34.30 – $63.46 | 6 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $842.83 – $27,468.35 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $398.91 – $10,701.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $23,045.00 | 10 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,807.00 – $14,712.00 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,142.00 – $10,498.00 | 4 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $259.37 – $1,434.70 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $155.40 | $444.00 | $78.95 – $306.17 | 7 |
| Pulse ox multiple CPT 94761 | $18.55 | $53.00 | $19.63 – $158.65 | 2 |
| Pulse ox single CPT 94760 | not published | not published | $9.26 – $61.38 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $728.88 | $2,082.50 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $779.10 | $2,226.00 | $907.88 – $2,581.00 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $106.75 | $305.00 | $171.12 – $1,311.00 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $966.70 | $2,762.00 | $202.00 – $1,311.00 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $783.30 | $2,238.00 | $907.88 – $2,581.00 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | $8,176.14 | $23,360.40 | $160.06 – $353.00 | 9 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $146.34 – $353.00 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,142.00 – $4,751.00 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $202.00 – $1,807.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $202.00 – $1,807.00 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $824.68 – $1,525.66 | 6 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,535.67 – $36,140.99 | 6 |
| Pyelotomy complicated CPT 50135 | not published | not published | $4,751.00 – $7,764.00 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,142.00 – $6,312.00 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,142.00 – $7,764.00 | 4 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $43.51 | $124.32 | $10.36 – $27.03 | 5 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $63.56 | 10 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $55.22 | 10 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $344.15 – $636.68 | 6 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $26.07 – $353.00 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,389.85 | $3,971.00 | $450.66 – $1,921.84 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,463.00 | $4,180.00 | $278.05 – $1,434.70 | 9 |
| Quest t3 uptake CPT 84479 | $131.60 | $376.00 | $6.47 – $37.88 | 10 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $586.48 – $1,084.99 | 6 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $6.04 – $945.91 | 4 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $282.13 – $1,008.69 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $242.18 – $794.73 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,748.40 | $4,995.42 | $275.18 – $747.15 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $77.04 – $568.61 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $202.00 – $5,175.00 | 4 |
| Radiation handling CPT 77790 | $1,591.10 | $4,546.00 | $70.00 – $127.51 | 3 |
| Radiation physics consult CPT 77336 | $587.65 | $1,679.00 | $94.67 – $509.76 | 7 |
| Radiation therapy dose plan CPT 77300 | $1,566.25 | $4,475.00 | $70.00 – $319.81 | 7 |
| Radiation therapy management CPT 77431 | not published | not published | $159.26 – $521.36 | 2 |
| Radiation treatment aid(s) CPT 77332 | $654.15 | $1,869.00 | $93.42 – $319.81 | 7 |
| Radiation treatment aid(s) CPT 77333 | $1,089.20 | $3,112.00 | $31.80 – $325.07 | 7 |
| Radiation treatment aid(s) CPT 77334 | $1,510.95 | $4,317.00 | $166.16 – $890.92 | 7 |
| Radiation treatment delivery CPT 77401 | $357.70 | $1,022.00 | $45.97 – $386.82 | 3 |
| Radiation treatment delivery CPT 77402 | $487.55 | $1,393.00 | $131.23 – $305.49 | 7 |
| Radiation treatment delivery CPT 77412 | $657.30 | $1,878.00 | $399.60 – $1,314.72 | 7 |
| Radiation tx management x5 CPT 77427 | not published | not published | $289.65 – $1,166.33 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,528.00 – $14,712.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,747.00 – $7,703.00 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,747.00 – $10,302.00 | 9 |
| Radiesse injection HCPCS Q2026 | not published | not published | $349.19 – $716.85 | 7 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,622.33 – $12,251.31 | 6 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $964.25 – $1,783.86 | 6 |
| Radiology port images(s) CPT 77417 | $821.80 | $2,348.00 | $26.87 – $143.03 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | $5,157.95 | $14,737.00 | $1,780.22 – $4,776.10 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.09 – $363.48 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,316.30 | $6,618.00 | $515.72 – $4,661.06 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,364.60 | $6,756.00 | $698.35 – $4,661.06 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,124.81 – $4,661.06 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,423.05 | $6,923.00 | $540.36 – $4,661.06 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $660.80 | $1,888.00 | $279.66 – $1,434.70 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $145.52 – $508.69 | 3 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,747.00 – $6,911.51 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,747.00 – $10,302.00 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,747.00 – $6,911.51 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,747.00 – $6,911.51 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,747.00 – $10,302.00 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,747.00 – $6,911.51 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,747.00 – $10,302.00 | 9 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,142.00 – $6,911.51 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $13,066.20 | $37,332.00 | $75.04 – $157.75 | 9 |
| Range of motion measurements CPT 95852 | not published | not published | $5.12 – $80.75 | 7 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $397.80 | 9 |
| Rapid desensitization CPT 95180 | not published | not published | $338.34 – $1,062.94 | 7 |
| Rapid Strep Test CPT 87880 | $106.40 | $304.00 | $16.53 – $54.39 | 10 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,006.69 | $11,447.68 | $370.81 – $796.49 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $24,978.16 | $71,366.16 | $222.09 – $473.69 | 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.