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 |
|---|---|---|---|---|
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $2,109.00 – $6,264.00 | 4 |
| Thrombin time CPT 85670 | $100.10 | $286.00 | $5.77 – $15.41 | 10 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $18.30 | 10 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $2,160.00 – $12,477.00 | 9 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $2,109.00 – $6,264.00 | 3 |
| Thrombomodulin CPT 85337 | not published | not published | $17.27 – $34.54 | 10 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $25.69 | 10 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $191.10 | $546.00 | $6.47 – $17.27 | 10 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $70.22 | 10 |
| Thumb fusion with graft CPT 26820 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Thumb fusion with graft CPT 26842 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Thumb tendon transfer CPT 26510 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $973.17 – $1,800.36 | 6 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,743.48 – $3,225.44 | 6 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $705.84 – $1,305.80 | 6 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $1,112.93 – $2,058.92 | 6 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,528.00 – $6,264.00 | 4 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Thyroglobulin antibody CPT 86800 | not published | not published | $15.91 – $42.44 | 10 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,142.00 – $9,640.00 | 4 |
| Thyroid imaging CPT 78013 | $252.35 | $721.00 | $320.20 – $1,439.81 | 9 |
| Thyroid met imaging CPT 78015 | not published | not published | $228.41 – $1,439.81 | 9 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $307.17 – $1,439.81 | 9 |
| Thyroid mets imag whole body CPT 78018 | $1,020.25 | $2,915.00 | $480.31 – $1,928.68 | 9 |
| Thyroid met uptake CPT 78020 | not published | not published | $101.19 – $129.49 | 3 |
| Thyroid (TSH) Test CPT 84443 | $242.20 | $692.00 | $16.80 – $44.83 | 10 |
| Thyroid Ultrasound CPT 76536 | $442.05 | $1,263.00 | $126.30 – $366.18 | 9 |
| Thyroid uptake measurement CPT 78012 | $252.35 | $721.00 | $157.57 – $1,439.81 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,062.57 – $4,469.23 | 9 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $134.48 | 10 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $14.78 – $39.46 | 10 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $2,160.00 – $30,073.00 | 10 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $50.21 – $92.89 | 6 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $3,234.86 – $5,984.49 | 6 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $2,160.00 – $42,841.00 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $2,160.00 – $12,477.00 | 4 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $1,417.15 | $4,049.00 | $2,160.00 – $16,107.00 | 4 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $309.98 – $1,288.07 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $309.98 – $1,288.07 | 3 |
| Tigecycline injection HCPCS J3243 | $93.77 | $267.91 | $0.40 – $4.16 | 5 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $8,395.23 – $15,531.18 | 6 |
| Tilt table study CPT 93660 | $1,057.70 | $3,022.00 | $143.99 – $1,528.00 | 8 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $6.95 – $16.08 | 3 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $237.92 | $679.76 | $2.18 – $7.63 | 5 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.01 – $1,244,357.91 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,142.00 – $9,640.00 | 3 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $353.00 – $9,640.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $181.64 – $405.60 | 9 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $15.44 – $15.44 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $50.75 – $89.30 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $392.96 | 10 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $140.73 – $375.56 | 10 |
| Tissue culture tumor CPT 88239 | $32.81 | $93.75 | $147.52 – $393.69 | 10 |
| Tissue exam koh skin/hair/nails CPT 87220 | $70.35 | $201.00 | $4.27 – $11.38 | 10 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $3,655.64 | $10,444.69 | $160.06 – $296.10 | 8 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $913.66 | $2,610.46 | $64.26 – $64.26 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $11.53 – $23.06 | 10 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $66.29 – $116.79 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,455.00 – $21,832.00 | 9 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $2,455.00 – $21,832.00 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $2,455.00 – $21,832.00 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $2,455.00 – $21,832.00 | 9 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,069.75 – $1,979.04 | 6 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $921.20 – $1,704.22 | 6 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,204.08 – $2,227.55 | 6 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $433.13 | $1,237.50 | $1,497.69 – $2,770.73 | 6 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $635.70 – $1,176.04 | 6 |
| Tlso corset front HCPCS L0970 | not published | not published | $175.12 – $323.97 | 6 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $118.65 – $219.50 | 6 |
| Tlso full corset HCPCS L0974 | not published | not published | $265.14 – $490.51 | 6 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $572.43 – $1,059.00 | 6 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $133.07 – $246.18 | 6 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $693.80 – $1,283.53 | 6 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $169.55 – $313.67 | 6 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $976.83 – $1,807.14 | 6 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $2,120.05 – $3,922.09 | 6 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,204.08 – $2,227.55 | 6 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,385.79 – $4,413.71 | 6 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,859.00 – $3,439.15 | 6 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $339.33 – $627.76 | 6 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $416.01 – $769.62 | 6 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,747.00 – $12,050.00 | 4 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $97.95 – $124.49 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $70.09 | $200.25 | $2.08 – $28.84 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | $3.44 | $9.82 | $29.45 – $192.46 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $210.35 | $601.00 | $16.13 – $43.01 | 10 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,542.53 | $27,264.38 | $5.53 – $12.64 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $16.28 | 5 |
| Toe joint transfer CPT 26556 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $14.80 – $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.