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 |
|---|---|---|---|---|
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Tx l/r atrial fib addl CPT 93657 | $3,162.60 | $9,036.00 | $1,528.00 – $12,050.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $2,738.05 | $7,823.00 | $2,455.00 – $7,332.00 | 10 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,148.95 | $8,997.00 | $2,160.00 – $7,332.00 | 10 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,148.95 | $8,997.00 | $1,528.00 – $7,332.00 | 10 |
| Tx open nsl fx uncomp CPT 21325 | $1,731.10 | $4,946.00 | $2,160.00 – $7,332.00 | 10 |
| Tx open nsl sptl fx CPT 21336 | $2,614.50 | $7,470.00 | $2,160.00 – $7,332.00 | 10 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,738.05 | $7,823.00 | $2,160.00 – $7,332.00 | 10 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,528.00 – $4,768.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,995.60 – $6,035.00 | 9 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,142.00 – $9,181.00 | 10 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $18.42 – $513.77 | 7 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $693.67 – $2,589.00 | 9 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $349.62 | 10 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $41.00 – $237.75 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $386.50 | 10 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $8.46 | 10 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.75 – $147.62 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $356.52 – $659.56 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $108.48 – $468.00 | 9 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $166.95 | $477.00 | $134.46 – $366.18 | 9 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $17.35 – $366.18 | 9 |
| Ultrasound breast complete CPT 76641 | $442.05 | $1,263.00 | $134.46 – $366.18 | 9 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $331.10 | $946.00 | $111.93 – $303.19 | 9 |
| Ultrasound chest CPT 76604 | $292.25 | $835.00 | $115.47 – $366.18 | 9 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $230.65 | $659.00 | $50.38 – $366.18 | 9 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $67.82 – $366.18 | 9 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $74.67 – $191.10 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $134.46 – $366.18 | 9 |
| Ultrasound encephalogram CPT 76506 | $602.00 | $1,720.00 | $126.30 – $366.18 | 9 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $149.25 – $149.25 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $602.00 | $1,720.00 | $134.46 – $366.18 | 9 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $367.85 | $1,051.00 | $121.82 – $366.18 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $52.50 | $150.00 | $38.29 – $63.90 | 3 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $365.40 | $1,044.00 | $216.98 – $371.45 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $175.00 | $500.00 | $126.42 – $323.71 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | $2,581.95 | $7,377.00 | $143.57 – $241.61 | 3 |
| Ultrasound hips infant dynamic CPT 76885 | $106.40 | $304.00 | $111.93 – $303.19 | 9 |
| Ultrasound infant hips ltd without stress CPT 76886 | $102.20 | $292.00 | $111.93 – $303.19 | 9 |
| Ultrasound joint complete left CPT 76881 | $403.20 | $1,152.00 | $134.46 – $366.18 | 9 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $302.40 | $864.00 | $22.74 – $366.18 | 9 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $32.46 – $366.18 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $228.90 | $654.00 | $104.99 – $387.17 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $204.75 | $585.00 | $65.75 – $110.55 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $352.80 | $1,008.00 | $226.28 – $832.32 | 9 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $231.35 | $661.00 | $98.73 – $366.18 | 9 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $434.70 | $1,242.00 | $126.30 – $366.18 | 9 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $394.80 | $1,128.00 | $132.48 – $366.18 | 9 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $134.46 – $366.18 | 9 |
| Ultrasound retroperitoneal limited CPT 76775 | $442.05 | $1,263.00 | $126.30 – $366.18 | 9 |
| Ultrasound scrotum and contents CPT 76870 | $531.30 | $1,518.00 | $134.46 – $366.18 | 9 |
| Ultrasound spinal canal and contents CPT 76800 | $403.20 | $1,152.00 | $126.30 – $366.18 | 9 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $118.43 – $184.49 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $442.05 | $1,263.00 | $134.46 – $366.18 | 9 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $291.55 – $830.11 | 9 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $394.58 – $1,008.91 | 3 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.46 – $17.15 | 6 |
| Umbilical artery cath newborn 36660 CPT 36660 | $458.15 | $1,309.00 | $1,142.00 – $4,768.00 | 4 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $391.93 – $2,589.00 | 9 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,386.80 – $26,615.58 | 6 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $37.20 – $68.82 | 6 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $37.20 – $68.82 | 6 |
| Unlisted chemotherapy px CPT 96549 | $96.25 | $275.00 | $60.23 – $111.42 | 6 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted CT procedure CPT 76497 | not published | not published | $111.93 – $207.07 | 7 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $67.02 – $123.99 | 8 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $67.02 – $123.99 | 8 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $165.49 – $1,528.00 | 7 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $260.03 – $4,768.00 | 9 |
| Unlisted fluoroscopic px CPT 76496 | $171.50 | $490.00 | $111.93 – $303.19 | 8 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $62.30 – $62.30 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $260.03 – $4,768.00 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px testis CPT 54699 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlisted maaa CPT 81599 | not published | not published | $632.41 – $632.41 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted misc path test CPT 89240 | not published | not published | $67.02 – $123.99 | 7 |
| Unlisted mr procedure CPT 76498 | $166.60 | $476.00 | $111.93 – $207.07 | 7 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $514.17 – $1,439.81 | 8 |
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.