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 |
|---|---|---|---|---|
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,359.39 | $6,741.11 | $996.45 – $996.45 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $10.10 – $10.10 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.60 – $31.95 | 9 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.80 – $22.58 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $16,886.06 | $48,245.88 | $74.16 – $164.32 | 9 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.28 – $80.69 | 9 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $9,116.38 | $26,046.80 | $31.28 – $86.25 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.26 – $73.12 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $13.69 – $73.12 | 9 |
| R & l heart cath congenital CPT 93531 | not published | not published | $3,409.00 – $12,050.00 | 4 |
| R & l heart cath congenital CPT 93532 | not published | not published | $4,768.00 – $12,050.00 | 3 |
| R & l heart cath congenital CPT 93533 | not published | not published | $4,768.00 – $12,050.00 | 3 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $4,169.67 – $9,181.00 | 8 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $4,169.67 – $9,181.00 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,142.00 – $17,265.50 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $691.95 | $1,977.00 | $910.78 – $2,589.00 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,142.00 – $12,477.00 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | $1,346.45 | $3,847.00 | $1,142.00 – $7,309.00 | 10 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $2,292.15 | $6,549.00 | $1,528.00 – $7,309.00 | 10 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,153.25 | $3,295.00 | $1,142.00 – $7,309.00 | 10 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,564.15 | $4,469.00 | $1,142.00 – $3,929.83 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $353.00 – $12,477.00 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,528.00 – $4,768.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $1,747.00 – $8,891.76 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $13,185.90 | $37,674.00 | $1,528.00 – $55,220.00 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $15,388.45 | $43,967.00 | $1,528.00 – $74,686.95 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $13,185.90 | $37,674.00 | $1,528.00 – $55,220.00 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $3,120.95 | $8,917.00 | $1,747.00 – $8,891.76 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,528.00 – $4,768.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $353.00 – $5,789.00 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,528.00 – $9,640.00 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $600.95 | $1,717.00 | $203.00 – $2,109.00 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $353.00 – $4,768.00 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | $4,018.70 | $11,482.00 | $1,747.00 – $19,690.54 | 10 |
| Rmvl perq right heart vad CPT 33997 | $907.55 | $2,593.00 | $353.00 – $6,264.00 | 3 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $353.00 – $10,336.00 | 9 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $353.00 – $10,336.00 | 9 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $353.00 – $10,336.00 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $1,528.00 – $42,841.00 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $8,036.00 | $22,960.00 | $1,528.00 – $19,690.54 | 9 |
| Rmvl pq iabp CPT 33968 | $785.40 | $2,244.00 | $4,619.00 – $32,564.00 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $816.55 | $2,333.00 | $2,109.00 – $6,264.00 | 4 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,142.00 – $12,050.00 | 4 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,142.00 – $12,050.00 | 4 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $353.00 – $8,891.76 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,513.00 | $7,180.00 | $910.78 – $3,463.00 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $2,188.90 | $6,254.00 | $1,142.00 – $7,309.00 | 10 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $225.75 | $645.00 | $203.00 – $1,528.00 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $4,768.00 – $17,265.50 | 8 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $4,768.00 – $17,265.50 | 8 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Rmvl tv pm lead dual CPT 33235 | $3,249.05 | $9,283.00 | $1,747.00 – $8,891.76 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $1,747.00 – $8,891.76 | 9 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $353.00 – $7,785.43 | 9 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $353.00 – $7,785.43 | 9 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $353.00 – $7,785.43 | 9 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $353.00 – $7,629.00 | 4 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $353.00 – $26,513.03 | 9 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $353.00 – $73,423.09 | 9 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $1,142.00 – $10,336.00 | 9 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $1,484.00 – $4,768.00 | 3 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $9,181.00 – $12,050.00 | 2 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $7,629.00 – $12,050.00 | 2 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $220.85 | 6 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.30 – $3.85 | 5 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.80 – $67.81 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $21,473.52 | $61,352.92 | $11.11 – $22.62 | 9 |
| Romiplostim injection HCPCS J2796 | not published | not published | $106.97 – $185.53 | 2 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $12.19 – $24.70 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $33.17 | $94.76 | $0.10 – $0.83 | 5 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $868.15 – $1,606.08 | 6 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $36.46 | 10 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $128.15 – $237.08 | 6 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $203.00 – $477.39 | 7 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.31 – $49.11 | 9 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $353.00 – $30,548.47 | 9 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $4,589.00 – $16,065.00 | 10 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $1,142.00 – $30,548.47 | 9 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $906.85 | $2,591.00 | $1,142.00 – $7,309.00 | 10 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $543.20 | $1,552.00 | $373.27 – $1,439.81 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $944.55 – $4,677.65 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,839.15 – $5,226.25 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,593.90 | $4,554.00 | $1,142.00 – $7,309.00 | 10 |
| Rpl tun-cvad w subq port CPT 36582 | $3,182.90 | $9,094.00 | $2,455.00 – $7,629.00 | 10 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $2,455.00 – $12,477.00 | 10 |
| Rpl tun cvc wo subq port CPT 36581 | $3,244.50 | $9,270.00 | $1,142.00 – $7,629.00 | 10 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $353.00 – $15,403.87 | 9 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $353.00 – $14,384.78 | 9 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $353.00 – $15,403.87 | 9 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $353.00 – $8,519.24 | 9 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $353.00 – $14,384.78 | 9 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,142.00 – $12,477.00 | 4 |
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.