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 |
|---|---|---|---|---|
| Rb82 rubidium HCPCS A9555 | not published | not published | $765.00 – $1,720.75 | 3 |
| Rbc count only automated CPT 85041 | $28.35 | $81.00 | $3.02 – $17.60 | 10 |
| Rbc deglycerolized each unit HCPCS P9039 | $858.55 | $2,453.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $567.42 – $2,581.00 | 9 |
| Rbc irradiated each unit HCPCS P9038 | $271.25 | $775.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $50.36 | 10 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $39.13 | 10 |
| Rbc serum pretx incubj drugs CPT 86975 | $62.13 | $177.50 | $1.59 – $1,062.94 | 9 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $353.00 – $353.00 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $2,160.00 – $2,160.00 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $353.00 – $353.00 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,142.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,528.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,455.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,409.00 – $14,085.70 | 9 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,455.00 – $14,085.70 | 9 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,160.00 – $7,332.00 | 9 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Realignment of knee CPT 27457 | not published | not published | $1,142.00 – $17,265.50 | 9 |
| Realignment of knee CPT 27455 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Realignment of tendons CPT 26437 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Rechanneling of artery CPT 35306 | not published | not published | $1,807.00 – $5,149.00 | 3 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,142.00 – $10,498.00 | 4 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,528.00 – $9,005.00 | 4 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,807.00 – $7,764.00 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,807.00 – $7,764.00 | 3 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,142.00 – $13,240.19 | 9 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,807.00 – $7,764.00 | 3 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,142.00 – $8,261.00 | 4 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $1,764.01 – $1,858.97 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,528.00 – $14,085.70 | 9 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,528.00 – $14,085.70 | 9 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,528.00 – $9,005.00 | 4 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,528.00 – $64,562.94 | 9 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,528.00 – $10,498.00 | 4 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $2,455.00 – $7,876.00 | 9 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,455.00 – $14,085.70 | 9 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,455.00 – $14,085.70 | 9 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $2,455.00 – $41,720.12 | 9 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $3,409.00 – $30,073.00 | 9 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,455.00 – $7,332.00 | 9 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,160.00 – $7,332.00 | 9 |
| Reconstruct finger joint CPT 26548 | $2,531.20 | $7,232.00 | $2,160.00 – $7,332.00 | 9 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,528.00 – $41,720.12 | 9 |
| Reconstruction knee CPT 27427 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Reconstruction knee CPT 27428 | not published | not published | $2,160.00 – $30,073.00 | 9 |
| Reconstruction knee CPT 27429 | not published | not published | $2,160.00 – $30,073.00 | 9 |
| Reconstruction of anus CPT 46753 | not published | not published | $1,747.00 – $6,604.43 | 9 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,142.00 – $9,005.00 | 4 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,747.00 – $5,175.00 | 9 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,747.00 – $5,175.00 | 9 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,747.00 – $5,175.00 | 9 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,528.00 – $30,548.47 | 9 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Reconstruction of jaw CPT 21245 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruction of jaw CPT 21246 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruction of jaw CPT 21248 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruction of jaw CPT 21249 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $2,455.00 – $45,368.55 | 9 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,747.00 – $14,085.70 | 9 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,455.00 – $12,111.00 | 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.