Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $78.12 | 10 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.81 – $60.91 | 10 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $34.17 | 10 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $171.24 – $316.79 | 6 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $71.84 | 9 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $77.48 – $316.58 | 7 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,304.05 | $6,583.00 | $980.61 – $1,865.27 | 6 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $972.86 – $1,865.27 | 6 |
| 2nd order venous cath CPT 36012 | $555.10 | $1,586.00 | $1,528.00 – $4,768.00 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $140.88 – $306.17 | 8 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $165.49 – $306.17 | 7 |
| 3d ech img cgen car anomal CPT 93319 | $210.00 | $600.00 | $302.56 – $302.56 | 1 |
| 3-d radiotherapy plan CPT 77295 | $1,711.50 | $4,890.00 | $756.85 – $3,293.41 | 7 |
| 3d recon without postprocess indpndt CPT 76376 | $221.20 | $632.00 | $139.48 – $480.88 | 3 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $11.15 – $29.76 | 10 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $36.40 | $104.00 | $30.10 – $50.04 | 5 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,109.00 – $12,050.00 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,828.98 | $10,939.93 | $44.72 – $93.27 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $32.05 | 10 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,201.03 – $2,843.85 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $2,165.45 | $6,187.00 | $365.30 – $10,837.86 | 9 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Abd/low ext cath 1st CPT 36245 | $1,113.35 | $3,181.00 | $1,528.00 – $4,768.00 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $1,191.40 | $3,404.00 | $1,528.00 – $4,768.00 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $1,169.35 | $3,341.00 | $1,528.00 – $4,768.00 | 3 |
| Abd/low ext cath addl CPT 36248 | $808.50 | $2,310.00 | $1,528.00 – $4,768.00 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,338.00 | $6,680.00 | $225.59 – $749.21 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,570.10 | $4,486.00 | $225.59 – $605.06 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,174.25 | $3,355.00 | $134.46 – $499.57 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $6,729.10 | $19,226.00 | $448.71 – $2,172.53 | 8 |
| Abdominal MRI (with contrast) CPT 74182 | $4,739.70 | $13,542.00 | $448.71 – $1,174.88 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $3,480.05 | $9,943.00 | $306.88 – $980.10 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,656.50 | $7,590.00 | $1,142.00 – $3,094.00 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $586.25 | $1,675.00 | $134.46 – $366.18 | 9 |
| Abdominal Ultrasound (limited) CPT 76705 | $321.30 | $918.00 | $126.30 – $366.18 | 9 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,747.00 – $15,799.68 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $859.25 | $2,455.00 | $353.00 – $3,094.00 | 9 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $629.36 | 10 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $353.00 – $1,528.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | $3,162.60 | $9,036.00 | $1,528.00 – $12,050.00 | 3 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,109.00 – $5,789.00 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,109.00 – $6,749.00 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,109.00 – $5,789.00 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $8,132.95 | $23,237.00 | $3,409.00 – $16,065.00 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | $9,707.60 | $27,736.00 | $3,409.00 – $29,316.84 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $4,558.40 | $13,024.00 | $426.22 – $16,065.00 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,307.95 | $3,737.00 | $1,142.00 – $7,309.00 | 10 |
| Ablate pulm tumor perq crybl CPT 32994 | $13,248.20 | $37,852.00 | $1,528.00 – $17,773.26 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $1,528.00 – $12,477.00 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $760.55 | $2,173.00 | $165.49 – $1,528.00 | 7 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,166.53 – $4,768.00 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $188.65 | $539.00 | $317.26 – $4,768.00 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $12,303.90 | $35,154.00 | $3,409.00 – $17,773.26 | 9 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $567.42 – $4,768.00 | 9 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $317.26 – $4,768.00 | 9 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $13,671.74 – $25,292.72 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $647.15 | $1,849.00 | $394.79 – $4,768.00 | 9 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $353.00 – $10,336.00 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,142.00 – $22,524.58 | 9 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $353.00 – $31,392.63 | 9 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $19.44 | 9 |
| Abortion CPT 59850 | not published | not published | $1,747.00 – $3,463.00 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $391.93 – $2,589.00 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $353.00 – $4,768.00 | 4 |
| Abrasion lesion single CPT 15786 | not published | not published | $203.00 – $1,528.00 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,669.15 | $4,769.00 | $1,142.00 – $10,336.00 | 9 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.10 – $0.55 | 5 |
| Acetaminophen level CPT 80143 | $321.65 | $919.00 | $18.64 – $37.28 | 10 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $143.67 | $410.48 | $36.71 – $130.06 | 5 |
| Acetone qualitative CPT 82009 | $60.90 | $174.00 | $4.52 – $12.05 | 10 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $24.10 | 10 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $29.82 | 10 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $395.25 | $1,129.29 | $0.43 – $47.98 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $2.65 | $7.56 | $13.92 – $28.29 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $41.55 – $1,528.00 | 8 |
| Acne surgery 10040 CPT 10040 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $190.40 – $352.24 | 5 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $151.43 – $280.15 | 5 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $171.24 – $322.98 | 7 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $26.25 | $75.00 | $13.05 – $24.14 | 6 |
| Acoustic immitance testing CPT 92570 | not published | not published | $22.51 – $306.17 | 7 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $34.04 – $88.87 | 7 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,455.00 – $9,181.00 | 10 |
| Actigraphy testing CPT 95803 | not published | not published | $75.87 – $140.37 | 6 |
| Actinotherapy uv light CPT 96900 | not published | not published | $48.04 – $88.87 | 7 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $37.20 – $68.82 | 6 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $37.20 – $68.82 | 6 |
| Acute hepatitis panel CPT 80074 | $481.95 | $1,377.00 | $47.63 – $127.09 | 10 |
| Acute venous thrombus image CPT 78456 | not published | not published | $357.98 – $4,677.65 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $68.32 | $195.21 | $0.07 – $0.55 | 5 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.87 – $45.02 | 10 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $37.00 | 10 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $86.99 – $422.33 | 7 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,875.44 | $19,644.10 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $164.50 | $470.00 | $203.00 – $1,528.00 | 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.