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 |
|---|---|---|---|---|
| Cath left heart transseptal punc CPT 93462 | not published | not published | $1,528.00 – $12,050.00 | 3 |
| Cath lt/rt pulm art CPT 36014 | $950.60 | $2,716.00 | $1,528.00 – $4,768.00 | 3 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $6,265.06 | $17,900.18 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $14,161.84 | $40,462.40 | not published | 0 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $55.63 – $55.63 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $555.10 | $1,586.00 | $1,528.00 – $4,768.00 | 3 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $1,528.00 – $1,528.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $9,686.60 | $27,676.00 | $3,409.00 – $9,181.00 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $5,987.10 | $17,106.00 | $3,409.00 – $9,181.00 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | $7,626.85 | $21,791.00 | $3,409.00 – $9,181.00 | 9 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $8,305.50 | $23,730.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,578.05 | $10,223.00 | $3,409.00 – $9,181.00 | 9 |
| Cath right hrt mnpul art CPT 36013 | $880.25 | $2,515.00 | $1,528.00 – $4,768.00 | 3 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $446.95 | $1,277.00 | $1,528.00 – $4,768.00 | 3 |
| Cath segmntl pulm art CPT 36015 | $880.25 | $2,515.00 | $1,528.00 – $4,768.00 | 3 |
| Cath steerable flex adv 12f HCPCS C1766 | $3,380.30 | $9,658.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $1,306.55 | $3,733.00 | $169.23 – $323.82 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $5.23 – $5.23 | 1 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $677.43 | $1,935.50 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $554.52 | $1,584.34 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Cauterization of cervix 57510 CPT 57510 | $2,537.15 | $7,249.00 | $1,528.00 – $7,332.00 | 9 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $44.83 | 10 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $414.62 | 10 |
| Cdna analysis for variants CPT 81403 | not published | not published | $130.80 – $370.40 | 9 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $171.12 – $316.58 | 7 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $62.19 – $316.58 | 6 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $629.36 | 10 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $595.84 | $1,702.40 | $1.65 – $11.65 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $34.12 | $97.49 | $2.39 – $31.89 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $10.00 – $45.48 | 4 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.35 – $28.33 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $68.34 | $195.27 | $7.13 – $69.05 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $758.07 | $2,165.91 | $3.61 – $8.58 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $109.84 | $313.82 | $2.18 – $28.29 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $1,418.28 | $4,052.22 | $104.75 – $216.08 | 9 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $58.02 | $165.76 | $0.98 – $58.79 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $33.92 | $96.90 | $2.97 – $26.90 | 5 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $189.48 | 9 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $90.80 – $218.26 | 9 |
| Cell count body fluid CPT 89050 | $162.75 | $465.00 | $4.72 – $12.63 | 10 |
| Cell count w differential body fluid CPT 89051 | $162.75 | $465.00 | $5.60 – $14.71 | 10 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $12.24 – $26.14 | 10 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $501.56 | 9 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $271.72 | 10 |
| Cell marker study CPT 88182 | not published | not published | $59.57 – $211.38 | 9 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.76 – $62.18 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $5,351.02 – $10,648.53 | 4 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $1,528.00 – $4,768.00 | 4 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Cerebrospinal fld flw imag CPT 78645 | $633.50 | $1,810.00 | $302.95 – $1,928.68 | 9 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $21,240.01 | $60,685.74 | $3.79 – $15.30 | 9 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,747.00 – $15,799.68 | 9 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,747.00 – $6,749.00 | 3 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,566.00 | $15,902.85 | $80.46 – $166.67 | 9 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $1,113.20 | 9 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $364.85 – $870.14 | 9 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $76.47 – $337.50 | 9 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $194.44 | 9 |
| Change cystostomy tube; complex 51710 CPT 51710 | $639.80 | $1,828.00 | $896.84 – $7,309.00 | 10 |
| Change cystostomy tube simple CPT 51705 | $259.00 | $740.00 | $321.35 – $2,589.00 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $1,142.00 – $7,629.00 | 9 |
| Change g-tube to g-j perc CPT 49446 | $7,569.10 | $21,626.00 | $1,528.00 – $4,449.00 | 9 |
| Change nephroureteral cath CPT 50387 | $3,584.00 | $10,240.00 | $1,528.00 – $4,449.00 | 9 |
| Change of ureter tube/stent CPT 50688 | $1,990.45 | $5,687.00 | $1,142.00 – $7,309.00 | 10 |
| Change of windpipe airway 31502 CPT 31502 | $235.55 | $673.00 | $304.63 – $2,589.00 | 9 |
| Change stent via transureth CPT 50385 | not published | not published | $1,528.00 – $6,035.00 | 9 |
| Change ureter stent percut CPT 50382 | $3,743.25 | $10,695.00 | $1,528.00 – $6,035.00 | 9 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $104.28 – $405.38 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $892.85 | $2,551.00 | $76.39 – $601.00 | 7 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,142.00 – $3,094.00 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $394.79 – $2,589.00 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $408.24 – $2,589.00 | 9 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $353.00 – $2,589.00 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $353.00 – $2,589.00 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $645.40 | $1,844.00 | $424.83 – $785.93 | 6 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $60.23 – $162.55 | 7 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $326.25 – $785.93 | 7 |
| Chemo ia push tecnique CPT 96420 | $629.30 | $1,798.00 | $232.60 – $601.00 | 7 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $25.74 – $506.11 | 7 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $21.53 – $171.32 | 7 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $42.65 | 10 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $32.79 – $785.93 | 7 |
| Chemotx admn pertl cav impl CPT 96446 | $2,522.10 | $7,206.00 | $20.98 – $785.93 | 7 |
| Chest 2 vws w oblique CPT 71048 | $613.90 | $1,754.00 | $56.20 – $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.