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 |
|---|---|---|---|---|
| Treat thigh fracture CPT 27245 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Treat thigh fracture CPT 27246 | $164.50 | $470.00 | $317.26 – $7,309.00 | 10 |
| Treat thigh fracture CPT 27248 | not published | not published | $1,142.00 – $17,265.50 | 9 |
| Treat thigh fracture CPT 27240 | $1,285.90 | $3,674.00 | $1,142.00 – $4,768.00 | 9 |
| Treat thigh fracture CPT 27244 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Treat thigh fx growth plate CPT 27516 | $164.50 | $470.00 | $317.26 – $7,309.00 | 10 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,747.00 – $30,548.47 | 9 |
| Treat thumb fracture CPT 26650 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Treat thumb fracture CPT 26665 | not published | not published | $2,160.00 – $12,477.00 | 10 |
| Treat toe dislocation CPT 28636 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Treat toe dislocation CPT 28665 | $233.80 | $668.00 | $359.73 – $7,309.00 | 10 |
| Treat toe dislocation CPT 28666 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Treat toe fracture CPT 28525 | $2,738.05 | $7,823.00 | $1,747.00 – $7,332.00 | 10 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Treat ulnar fracture CPT 24675 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Treat ulnar fracture CPT 24685 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Treat vaginal bleeding CPT 57180 | $189.00 | $540.00 | $260.03 – $7,309.00 | 10 |
| Treat wrist bone fracture CPT 25635 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Treat wrist dislocation CPT 25675 | $233.80 | $668.00 | $317.26 – $7,309.00 | 10 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $137.96 – $297.22 | 9 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.18 – $24.79 | 10 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $13.24 – $36.23 | 10 |
| Treprostinil injection HCPCS J3285 | not published | not published | $55.18 – $122.18 | 9 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $806.51 – $1,818.94 | 5 |
| Trg gene rearrangement anal CPT 81342 | $73.50 | $210.00 | $201.50 – $403.00 | 9 |
| Trh stimulation panel CPT 80439 | not published | not published | $67.21 – $179.31 | 10 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $34.16 | $97.60 | $1.73 – $44.65 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $13.87 – $53.79 | 9 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.56 – $3.61 | 3 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $8.29 – $20.96 | 4 |
| Trichinella antibody CPT 86784 | not published | not published | $12.56 – $33.52 | 10 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $30.58 | 10 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $0.02 – $104.91 | 2 |
| Triglycerides CPT 84478 | $134.40 | $384.00 | $5.74 – $15.36 | 10 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.41 – $11.59 | 9 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | $0.63 | $1.81 | $1.23 – $1.67 | 3 |
| Trimethobenzamide hcl inj HCPCS J3250 | $148.05 | $423.00 | $19.69 – $107.59 | 5 |
| Trim nail(s) HCPCS G0127 | not published | not published | $75.87 – $1,528.00 | 8 |
| Trim nondyst nails CPT 11719 | $124.95 | $357.00 | $75.87 – $1,528.00 | 9 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $469.38 – $1,014.00 | 9 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,528.00 – $9,835.10 | 9 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $353.00 – $30,548.47 | 9 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $353.00 – $4,768.00 | 4 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $24,860.50 | $71,030.00 | $2,109.00 – $5,789.00 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $24,860.50 | $71,030.00 | $2,109.00 – $6,264.00 | 3 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $353.00 – $5,789.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $2,051.35 | $5,861.00 | $2,160.00 – $12,477.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,051.35 | $5,861.00 | $2,160.00 – $12,477.00 | 4 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $5,163.55 | $14,753.00 | $2,160.00 – $27,468.35 | 9 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $4,452.35 | $12,721.00 | $1,528.00 – $10,336.00 | 9 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $3,391.15 | $9,689.00 | $1,747.00 – $12,477.00 | 9 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,196.60 | $6,276.00 | $1,747.00 – $10,336.00 | 9 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,196.60 | $6,276.00 | $1,747.00 – $10,336.00 | 9 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,391.15 | $9,689.00 | $1,747.00 – $7,629.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $3,738.35 | $10,681.00 | $1,747.00 – $10,336.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $1,012.55 | $2,893.00 | $1,142.00 – $4,768.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,818.60 | $5,196.00 | $1,747.00 – $7,309.00 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,818.60 | $5,196.00 | $1,747.00 – $7,309.00 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $1,818.60 | $5,196.00 | $1,747.00 – $7,309.00 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,904.35 | $5,441.00 | $1,528.00 – $7,309.00 | 10 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $1,281.46 | 9 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,783.77 – $6,480.00 | 10 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Troponin quantitative CPT 84484 | $168.70 | $482.00 | $12.47 – $26.26 | 10 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $203.00 – $2,822.00 | 9 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,142.00 – $10,336.00 | 9 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $102.80 – $296.10 | 9 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $87.25 – $161.41 | 6 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $80.58 – $149.07 | 6 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $217.40 – $402.19 | 6 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $137.70 – $254.74 | 6 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $972.86 – $1,865.27 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $966.00 | $2,760.00 | $980.61 – $1,865.27 | 6 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $1,008.25 – $1,865.27 | 6 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $1,008.25 – $1,865.27 | 6 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $22.38 – $22.38 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $375.95 | $1,074.15 | $93.23 – $93.23 | 1 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $11.05 – $11.05 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $94.08 – $94.08 | 1 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.11 – $0.11 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $2.26 – $2.26 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $567.42 – $2,589.00 | 9 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,142.00 – $9,640.00 | 4 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $581.50 – $1,075.78 | 6 |
| Tx atrial fib pulm vein isol CPT 93656 | $11,144.70 | $31,842.00 | $3,409.00 – $57,671.00 | 8 |
| Tx closed distal humerus fx CPT 24999 | $1,489.25 | $4,255.00 | $317.26 – $4,768.00 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,148.95 | $8,997.00 | $1,142.00 – $7,332.00 | 10 |
| Tx closed tib shaft fx without manip CPT 27750 | $348.25 | $995.00 | $317.26 – $7,309.00 | 10 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $203.00 – $2,109.00 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $203.00 – $1,528.00 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,109.00 – $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.