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 |
|---|---|---|---|---|
| Sling pelv split sam med HCPCS L0621 | $53.03 | $151.50 | $33.70 – $62.35 | 6 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,395.47 | $29,701.35 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Slitting of prepuce CPT 54001 | $1,990.45 | $5,687.00 | $1,528.00 – $7,309.00 | 10 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $24.06 – $24.06 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $75.87 – $140.37 | 7 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $33,050.99 | 8 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $44.92 | 10 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44382 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,747.00 – $4,893.00 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $3,757.00 – $12,111.00 | 10 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $601.78 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $93.10 | $266.00 | $5.39 – $14.33 | 10 |
| Smear gram stain CPT 87205 | $95.90 | $274.00 | $4.27 – $11.38 | 10 |
| Smear nasal eosinophil CPT 89190 | $135.10 | $386.00 | $5.79 – $12.68 | 10 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $100.80 | $288.00 | $5.99 – $15.99 | 10 |
| Smear wet mount CPT 87210 | $93.10 | $266.00 | $5.82 – $11.64 | 10 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $602.70 | 9 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $370.40 | 9 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $94.00 | 9 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $102.14 | 9 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,290.37 – $2,387.18 | 6 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $983.68 – $1,819.81 | 6 |
| Socket insert above knee HCPCS L5658 | not published | not published | $460.83 – $852.54 | 6 |
| Socket insert below knee HCPCS L5655 | not published | not published | $432.96 – $800.98 | 6 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $605.51 – $1,120.19 | 6 |
| Socket insert symes HCPCS L5654 | not published | not published | $498.83 – $922.84 | 6 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $799.39 – $1,478.87 | 6 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $959.29 – $1,774.69 | 6 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $42.85 – $79.27 | 6 |
| Sock wool above knee HCPCS L8430 | not published | not published | $34.09 – $63.07 | 6 |
| Sodium 24 hour urine CPT 84300 | $237.65 | $679.00 | $5.06 – $12.97 | 10 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $68.93 | $196.95 | $4.92 – $39.66 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $68.93 | $196.95 | $2.47 – $45.48 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $68.93 | $196.95 | $1.23 – $35.50 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $68.93 | $196.95 | $0.17 – $0.34 | 4 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $35.37 | $101.06 | $3.86 – $30.78 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $96.90 – $516.92 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $64.75 | $185.00 | $4.81 – $12.84 | 10 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $33.55 | $95.87 | $0.82 – $2.00 | 9 |
| Soft interface below knee se HCPCS L2820 | $136.96 | $391.30 | $133.05 – $246.14 | 6 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $111.93 – $207.07 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $856.17 – $2,690.62 | 9 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $856.17 – $2,391.66 | 9 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $856.17 – $6,577.02 | 9 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $856.17 – $2,092.70 | 9 |
| Solid skin barrier HCPCS A4362 | not published | not published | $6.77 – $6.77 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $14.77 – $14.77 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $81.02 – $513.77 | 7 |
| Somatropin injection HCPCS J2941 | not published | not published | $69.39 – $315.53 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $856.17 – $5,979.10 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $856.17 – $1,793.74 | 9 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $24.63 – $49.01 | 4 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $191.58 – $354.42 | 6 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Special physics consult CPT 77370 | $271.60 | $776.00 | $172.87 – $319.81 | 7 |
| Special pump services CPT 99190 | not published | not published | $1,308.85 – $1,308.85 | 1 |
| Special pump services CPT 99191 | not published | not published | $980.73 – $980.73 | 1 |
| Special pump services CPT 99192 | not published | not published | $654.42 – $654.42 | 1 |
| Special radiation dosimetry CPT 77331 | $243.95 | $697.00 | $43.47 – $319.81 | 7 |
| Special radiation treatment CPT 77470 | $821.10 | $2,346.00 | $219.35 – $1,314.72 | 7 |
| Special teletx port plan CPT 77321 | $245.35 | $701.00 | $134.88 – $890.92 | 7 |
| Specific gravity body fluid CPT 84315 | $153.65 | $439.00 | $3.28 – $6.69 | 10 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $11.76 | 10 |
| Speech audiometry complete CPT 92556 | not published | not published | $52.33 – $140.37 | 7 |
| Speech evaluation complex CPT 70371 | not published | not published | $121.06 – $832.32 | 9 |
| Speech recep thresh CPT 92555 | not published | not published | $34.04 – $140.37 | 7 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $28.48 | 10 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $55.96 | 10 |
| Sperm identification CPT 89257 | not published | not published | $67.02 – $123.99 | 7 |
| Sperm isolation complex CPT 89261 | not published | not published | $67.02 – $123.99 | 7 |
| Sperm isolation simple CPT 89260 | not published | not published | $67.02 – $123.99 | 7 |
| Sperm washing 58323 CPT 58323 | not published | not published | $260.03 – $2,589.00 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $761.60 | $2,176.00 | $907.88 – $2,589.00 | 9 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $353.00 – $30,073.00 | 9 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $84.96 – $513.77 | 7 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $585.20 | $1,672.00 | $90.30 – $887.89 | 7 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $55.84 – $306.17 | 7 |
| Spleen imaging CPT 78185 | not published | not published | $209.14 – $1,439.81 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Splicing of ureters CPT 50770 | not published | not published | $1,142.00 – $6,264.00 | 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.