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 |
|---|---|---|---|---|
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $70.16 – $129.80 | 6 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $97.63 – $180.62 | 6 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $111.35 – $206.00 | 6 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $48.83 – $90.34 | 6 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $59.46 – $110.00 | 6 |
| Shoe post-op mens m HCPCS L3260 | $11.05 | $31.56 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $59.46 – $110.00 | 6 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $42.72 – $79.03 | 6 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $102.26 – $189.18 | 6 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $192.22 – $355.61 | 6 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $735.74 – $1,361.12 | 6 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $62.55 – $115.72 | 6 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,528.00 – $12,477.00 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,747.00 – $12,132.52 | 10 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $342.92 – $634.40 | 6 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $521.09 – $964.02 | 6 |
| Shoulder harness HCPCS L5699 | not published | not published | $304.35 – $563.05 | 6 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $624.04 – $1,154.47 | 6 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,769.85 | $10,771.00 | $448.71 – $2,166.87 | 8 |
| Shoulder MRI (with contrast) CPT 73222 | $3,473.05 | $9,923.00 | $730.30 – $1,865.27 | 8 |
| Shoulder MRI (without contrast) CPT 73221 | $2,280.25 | $6,515.00 | $306.88 – $975.86 | 8 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,409.00 – $12,132.52 | 9 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $353.00 – $17,265.50 | 9 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $552.52 – $1,022.16 | 6 |
| Shoulder X-ray CPT 73030 | $471.80 | $1,348.00 | $47.31 – $303.19 | 9 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $108.79 – $201.26 | 6 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $68.26 – $126.28 | 6 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $59.71 – $110.46 | 6 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,501.75 | $10,005.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $70.19 – $366.18 | 9 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $34.07 | 10 |
| Sialography s&i CPT 70390 | $930.65 | $2,659.00 | $158.80 – $832.32 | 9 |
| Sialolithotomy 42330 CPT 42330 | $1,731.10 | $4,946.00 | $1,528.00 – $7,332.00 | 9 |
| Sickling rbc CPT 85660 | $13.12 | $37.49 | $5.51 – $14.73 | 10 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy for bleeding CPT 45334 | $798.00 | $2,280.00 | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $75.87 – $140.37 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $111.44 | 3 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $912.85 – $1,688.77 | 6 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $321.35 – $2,589.00 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $340.62 | $973.19 | $132.99 – $308.01 | 5 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $71.87 – $248.76 | 8 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $302.33 – $559.31 | 6 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,452.05 | $9,863.00 | $225.59 – $625.17 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $2,987.95 | $8,537.00 | $225.59 – $499.57 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $2,249.80 | $6,428.00 | $134.46 – $417.58 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | $1,909.25 | $5,455.00 | $350.70 – $10,837.86 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $395.82 – $732.27 | 6 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $60.40 – $111.74 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,269.19 – $122,586.77 | 9 |
| Sirolimus, oral HCPCS J7520 | $2.66 | $7.59 | $2.27 – $75.07 | 5 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $81.38 – $252.90 | 9 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $297.38 – $550.15 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $8.97 | $25.62 | $0.02 – $86.05 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $94.64 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $12.43 – $12.43 | 1 |
| Skin Biopsy CPT 11102 | $233.80 | $668.00 | $203.00 – $1,528.00 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,528.00 – $7,309.00 | 5 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,528.00 – $7,309.00 | 5 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $10.81 – $68.82 | 9 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,109.00 – $9,640.00 | 4 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,109.00 – $9,640.00 | 4 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,031.61 – $2,782.34 | 4 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $349.62 | 10 |
| Sleep study attended CPT 95807 | $747.25 | $2,135.00 | $479.94 – $969.54 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $987.23 – $2,043.29 | 7 |
| Sleep study unattended CPT 95806 | not published | not published | $277.71 – $513.77 | 7 |
| Sleeve fing rolyan med HCPCS L3933 | $6.30 | $18.00 | $232.89 – $430.85 | 6 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,528.00 – $9,640.00 | 4 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $7.95 | $22.72 | $15.26 – $15.26 | 1 |
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.