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 |
|---|---|---|---|---|
| Western blot test CPT 84181 | not published | not published | $17.03 – $45.46 | 10 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $11.38 – $36.38 | 10 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $4,390.61 – $8,122.63 | 6 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $261.73 – $484.20 | 6 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $175.00 | $500.00 | $495.89 – $917.40 | 6 |
| Whole blood for transfusion HCPCS P9010 | $815.15 | $2,329.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $2,574.00 | 9 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $1,872.00 | 9 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $580.28 – $1,073.52 | 6 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $580.28 – $1,073.52 | 6 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $2.75 | 9 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.48 – $0.48 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $210.00 | $600.00 | $1,142.00 – $4,768.00 | 4 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $90.10 – $166.68 | 6 |
| Wound closure by adhesive HCPCS G0168 | $54.95 | $157.00 | $1,142.00 – $1,528.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $160.06 – $588.05 | 8 |
| Wound pouch each HCPCS A6154 | not published | not published | $28.47 – $28.47 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $639.10 | $1,826.00 | $522.85 – $967.27 | 6 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $641.90 | $1,834.00 | $522.85 – $679.70 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $164.50 | $470.00 | $11.54 – $477.39 | 7 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $641.90 | $1,834.00 | $13.09 – $967.27 | 7 |
| Wrist arthroscopy CPT 29840 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,187.89 – $4,047.60 | 6 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,684.94 – $3,117.14 | 6 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $2,068.15 – $10,336.00 | 10 |
| Wrist X-ray CPT 73110 | $441.00 | $1,260.00 | $46.13 – $303.19 | 9 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $3,090.96 – $5,718.28 | 6 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,455.00 – $10,336.00 | 9 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,968.25 – $7,493.00 | 10 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $353.00 – $12,661.56 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,455.00 – $10,336.00 | 9 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $26.39 – $33.54 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $1,142.00 – $12,661.56 | 9 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $113.23 – $585.57 | 3 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,818.60 | $5,196.00 | $1,528.00 – $7,309.00 | 10 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,904.35 | $5,441.00 | $1,747.00 – $7,309.00 | 10 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,828.00 | 9 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.02 – $1,828.00 | 9 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $10.56 – $68.82 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $2,109.00 – $5,789.00 | 3 |
| X-ray abdomen 1 view CPT 74018 | $357.00 | $1,020.00 | $39.72 – $303.19 | 9 |
| X-ray abdomen 2 views CPT 74019 | $407.75 | $1,165.00 | $47.57 – $366.18 | 9 |
| X-ray abdomen >=3 views CPT 74021 | $440.30 | $1,258.00 | $55.42 – $366.18 | 9 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $680.40 | $1,944.00 | $65.97 – $366.18 | 9 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $399.00 | $1,140.00 | $59.35 – $303.19 | 9 |
| X-ray ankle 2 views (both sides) CPT 73600 | $247.10 | $706.00 | $42.75 – $303.19 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $647.15 | $1,849.00 | $182.49 – $1,229.72 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $33.44 | 10 |
| X-ray bone age studies CPT 77072 | $297.85 | $851.00 | $30.10 – $366.18 | 9 |
| X-ray bone length studies CPT 77073 | $586.25 | $1,675.00 | $49.94 – $366.18 | 9 |
| X-ray bone survey complete CPT 77075 | $739.20 | $2,112.00 | $134.46 – $366.18 | 9 |
| X-ray bone survey infant CPT 77076 | $526.75 | $1,505.00 | $105.75 – $366.18 | 9 |
| X-ray cervical spine 2-3 views CPT 72040 | $294.35 | $841.00 | $53.45 – $303.19 | 9 |
| X-ray cervical spine 4-5 views CPT 72050 | $609.70 | $1,742.00 | $79.33 – $366.18 | 9 |
| X-ray cervical spine >= 6 views CPT 72052 | $774.55 | $2,213.00 | $99.58 – $366.18 | 9 |
| X-ray clavicle complete (both sides) CPT 73000 | $358.40 | $1,024.00 | $45.28 – $303.19 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,038.80 | $2,968.00 | $152.05 – $612.97 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,161.65 | $3,319.00 | $198.18 – $612.97 | 9 |
| X-ray consultation CPT 76140 | not published | not published | $78.92 – $81.35 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $293.30 | $838.00 | $45.28 – $303.19 | 9 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $418.60 | $1,196.00 | $50.92 – $303.19 | 9 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $718.44 – $1,977.24 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $614.93 – $1,693.94 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $778.40 | $2,224.00 | $104.64 – $612.97 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $385.70 | $1,102.00 | $107.67 – $366.18 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $512.05 | $1,463.00 | $130.02 – $366.18 | 9 |
| X-ray exam of arm infant CPT 73092 | $302.05 | $863.00 | $42.75 – $366.18 | 9 |
| X-ray exam of eye sockets CPT 70200 | $435.40 | $1,244.00 | $68.82 – $366.18 | 9 |
| X-ray exam of femur 1 CPT 73551 | $446.95 | $1,277.00 | $41.42 – $303.19 | 9 |
| X-ray exam of jaw joint CPT 70328 | $349.30 | $998.00 | $42.75 – $303.19 | 9 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $129.49 – $832.32 | 9 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $55.14 – $366.18 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $65.97 – $1,887.98 | 9 |
| X-ray exam of penis CPT 74445 | not published | not published | $99.58 – $366.18 | 9 |
| X-ray exam of perineum CPT 74775 | not published | not published | $128.83 – $832.32 | 9 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $59.35 – $303.19 | 9 |
| X-ray exam of sinuses CPT 70210 | $144.20 | $412.00 | $50.38 – $303.19 | 9 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $84.39 – $832.32 | 9 |
| X-ray exam of teeth CPT 70300 | not published | not published | $19.66 – $303.19 | 9 |
| X-ray exam of teeth CPT 70310 | not published | not published | $36.00 – $832.32 | 9 |
| X-ray exam si joints CPT 72200 | $247.80 | $708.00 | $45.28 – $366.18 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $676.90 | $1,934.00 | $76.50 – $366.18 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $306.95 | $877.00 | $36.00 – $303.19 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | $511.00 | $1,460.00 | $68.04 – $366.18 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $127.29 – $446.81 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | $596.40 | $1,704.00 | $49.14 – $303.19 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $336.70 | $962.00 | $36.00 – $303.19 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $247.10 | $706.00 | $42.75 – $303.19 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $386.40 | $1,104.00 | $45.00 – $303.19 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $220.85 | $631.00 | $42.75 – $366.18 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $26.57 – $303.19 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $239.05 | $683.00 | $41.07 – $303.19 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $600.25 | $1,715.00 | $79.94 – $366.18 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $609.70 | $1,742.00 | $59.91 – $366.18 | 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.