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 |
|---|---|---|---|---|
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $87.94 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $70.69 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $54.10 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $54.07 | 10 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $52.70 – $70.48 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $353.00 – $7,309.00 | 10 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $353.00 – $7,309.00 | 10 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $15.10 – $42.44 | 10 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $56.54 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $92.70 | 9 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $48.16 | 9 |
| Screening Mammogram CPT 77067 | $193.20 | $552.00 | $108.84 – $416.00 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $32.49 – $59.56 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $49.09 | 10 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $36.38 | 10 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $55,884.64 | $159,670.40 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $161.70 | $462.00 | $92.60 – $172.81 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,709.35 | $7,741.00 | $1,142.00 – $4,768.00 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,665.65 | $4,759.00 | $1,528.00 – $4,768.00 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $87.50 | $250.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $115.50 | $330.00 | $2.70 – $7.20 | 10 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,468.96 – $8,942.43 | 4 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,142.00 – $9,640.00 | 4 |
| Select picture audiometry CPT 92583 | not published | not published | $75.87 – $140.37 | 7 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.56 – $1.56 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $37.20 – $68.82 | 6 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $17.36 | 10 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $32.16 | 10 |
| Semen analysis w/count CPT 89310 | $143.15 | $409.00 | $8.61 – $22.98 | 10 |
| Sensorimotor examination CPT 92060 | not published | not published | $36.98 – $140.37 | 7 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $26.72 – $88.87 | 7 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,160.00 – $7,309.00 | 10 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $155.04 – $384.00 | 10 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Serial tonometry CPT 92100 | $88.20 | $252.00 | $115.31 – $159.59 | 2 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.73 – $132.00 | 4 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $87.30 | 9 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.02 – $87.40 | 2 |
| Set radiation therapy field CPT 77280 | $320.95 | $917.00 | $172.87 – $319.81 | 7 |
| Set radiation therapy field CPT 77285 | $343.70 | $982.00 | $481.58 – $890.92 | 7 |
| Set radiation therapy field CPT 77290 | $478.80 | $1,368.00 | $481.58 – $890.92 | 7 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $395.03 – $1,528.00 | 7 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $27.70 – $27.70 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.28 | 4 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.67 | 4 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,834.09 – $3,393.07 | 6 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,165.46 – $4,006.10 | 6 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,055.53 – $3,802.73 | 6 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,834.09 – $3,393.07 | 6 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,165.46 – $4,006.10 | 6 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,165.46 – $4,006.10 | 6 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,834.09 – $3,393.07 | 6 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,055.53 – $3,802.73 | 6 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $1,075.74 – $1,990.12 | 6 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $40.15 | 10 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $21.33 | 10 |
| Sex transformation f to m CPT 55980 | not published | not published | $1,142.00 – $7,332.00 | 8 |
| Sex transformation m to f CPT 55970 | not published | not published | $1,142.00 – $8,364.18 | 8 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $386.50 | 10 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $334.25 | $955.00 | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $203.00 – $1,528.00 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $334.25 | $955.00 | $203.00 – $1,528.00 | 9 |
| Sheath above knee HCPCS L8410 | not published | not published | $33.14 – $61.31 | 6 |
| Sheath below knee HCPCS L8400 | not published | not published | $25.69 – $47.53 | 6 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $9,459.45 | $27,027.00 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $4,666.27 | $13,332.20 | not published | 0 |
| Sheath upper limb HCPCS L8415 | not published | not published | $29.31 – $54.22 | 6 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $48.96 | 10 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $6,081.45 – $11,250.68 | 6 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $6,224.47 – $11,515.27 | 6 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $18,164.17 – $33,603.71 | 6 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $59.46 – $110.00 | 6 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $51.86 – $95.94 | 6 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $48.83 – $90.34 | 6 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $41.16 – $76.15 | 6 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $74.74 – $138.27 | 6 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $126.64 – $234.28 | 6 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $74.74 – $138.27 | 6 |
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.