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 |
|---|---|---|---|---|
| Unlisted muscskel px head CPT 21499 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $165.49 – $306.17 | 6 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $37.20 – $68.82 | 6 |
| Unlisted orl service/px CPT 92700 | not published | not published | $37.20 – $68.82 | 6 |
| Unlisted procedure colon CPT 45399 | not published | not published | $1,142.00 – $5,571.00 | 9 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $408.24 – $4,768.00 | 9 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted procedure liver CPT 47399 | not published | not published | $910.78 – $4,768.00 | 9 |
| Unlisted procedure microbiology CPT 87999 | $19.95 | $57.00 | $62.30 – $62.30 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $408.24 – $4,768.00 | 9 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $910.78 – $4,768.00 | 9 |
| Unlisted procedure rectum CPT 45999 | $732.90 | $2,094.00 | $1,142.00 – $4,768.00 | 9 |
| Unlisted procedure spine CPT 22899 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $203.00 – $1,528.00 | 9 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $408.24 – $4,768.00 | 9 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $1,142.00 – $4,768.00 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $910.78 – $4,768.00 | 9 |
| Unlisted px external ear CPT 69399 | not published | not published | $203.00 – $1,528.00 | 9 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $408.24 – $4,768.00 | 9 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted px hands/fingers CPT 26989 | $188.65 | $539.00 | $317.26 – $4,768.00 | 9 |
| Unlisted px inner ear CPT 69949 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $408.24 – $4,768.00 | 9 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $321.35 – $4,768.00 | 9 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,142.00 – $4,768.00 | 3 |
| Unlisted px middle ear CPT 69799 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $317.26 – $4,768.00 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | $235.55 | $673.00 | $304.63 – $4,768.00 | 9 |
| Unlisted px small intestine CPT 44799 | $747.25 | $2,135.00 | $1,142.00 – $4,768.00 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $304.63 – $4,768.00 | 9 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $67.02 – $123.99 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $258.05 – $477.39 | 6 |
| Unlisted surgical path px CPT 88399 | not published | not published | $67.02 – $123.99 | 7 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $37.20 – $68.82 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $113.40 | $324.00 | $111.93 – $303.19 | 8 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $62.30 – $62.30 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $806.82 – $4,768.00 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $514.17 – $1,439.81 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $996.45 | $2,847.00 | $882.72 – $1,633.02 | 6 |
| Upgrade pm system CPT 33214 | $9,546.95 | $27,277.00 | $4,589.00 – $24,869.57 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,739.70 | $13,542.00 | $448.71 – $2,200.12 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,769.85 | $10,771.00 | $448.71 – $1,187.61 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,473.05 | $9,923.00 | $306.88 – $1,098.16 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $622.65 | $1,779.00 | $1,142.00 – $7,309.00 | 10 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $622.65 | $1,779.00 | $1,166.53 – $7,309.00 | 10 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $872.75 | $2,493.57 | $559.71 – $1,035.46 | 6 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,166.53 – $7,309.00 | 10 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Urea nitrogen CPT 84520 | $64.75 | $185.00 | $3.95 – $10.52 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $237.65 | $679.00 | $5.56 – $12.68 | 10 |
| Urea nitrogen clearance CPT 84545 | $166.25 | $475.00 | $7.20 – $17.63 | 10 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $10.26 | 10 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Ureteral reflux study CPT 78740 | not published | not published | $187.34 – $1,439.81 | 9 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $641.90 | $1,834.00 | $128.83 – $832.32 | 9 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,822.00 – $7,629.00 | 9 |
| Urethrocystography void s&i CPT 74455 | $687.05 | $1,963.00 | $140.37 – $832.32 | 9 |
| Uric acid blood CPT 84550 | $64.75 | $185.00 | $4.52 – $12.05 | 10 |
| Uric acid urine CPT 84560 | $263.90 | $754.00 | $5.08 – $12.68 | 10 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $9.84 | 10 |
| Urinalysis microscopic only CPT 81015 | $180.95 | $517.00 | $3.05 – $8.10 | 10 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $5.79 | 10 |
| Urinalysis (with microscopy) CPT 81001 | $180.95 | $517.00 | $3.17 – $8.46 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $128.45 | $367.00 | $2.25 – $6.00 | 10 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $128.83 – $232.62 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $6.30 – $6.30 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $11.91 – $11.91 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $75.87 – $1,528.00 | 9 |
| Urinary suspensory HCPCS A5105 | not published | not published | $80.81 – $80.81 | 1 |
| Urine Culture Test CPT 87086 | $103.95 | $297.00 | $8.07 – $21.54 | 10 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $171.12 – $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.