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 |
|---|---|---|---|---|
| Chest apical lordotic proj CPT 71047 | $591.50 | $1,690.00 | $54.63 – $303.19 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,747.90 | $4,994.00 | $225.59 – $781.71 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,570.10 | $4,486.00 | $225.59 – $625.17 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,420.30 | $4,058.00 | $134.46 – $522.22 | 8 |
| Chest X-ray CPT 71046 | $466.55 | $1,333.00 | $42.86 – $303.19 | 9 |
| Chest X-ray (single view) CPT 71045 | $292.25 | $835.00 | $23.24 – $303.19 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $75.87 – $140.37 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $394.45 | $1,127.00 | $162.48 – $612.97 | 9 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $414.92 | 9 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $521.58 | 9 |
| Chlamydia culture CPT 87110 | not published | not published | $19.60 – $52.28 | 10 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $24.79 | 10 |
| Chlamydia type CPT 87140 | not published | not published | $5.57 – $14.88 | 10 |
| Chlnggrphy intraop addl s&i CPT 74301 | $272.65 | $779.00 | $45.15 – $97.60 | 3 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $22.74 – $125.52 | 4 |
| Chloride CPT 82435 | $64.75 | $185.00 | $4.60 – $12.26 | 10 |
| Chloride 24 hour urine CPT 82436 | $166.25 | $475.00 | $5.75 – $13.41 | 10 |
| Chloroprocaine hcl injection HCPCS J2401 | $58.68 | $167.66 | $0.04 – $0.28 | 5 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.70 – $1.29 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $235.08 | $671.66 | $39.38 – $83.62 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $91.65 | $261.87 | $34.67 – $62.44 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.72 – $1.94 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $892.85 | $2,551.00 | $96.39 – $785.93 | 7 |
| Cholangiogram percutaneous compl CPT 47532 | $2,048.90 | $5,854.00 | $1,747.00 – $10,336.00 | 9 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $583.10 | $1,666.00 | $75.23 – $77.78 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $6,121.85 | $17,491.00 | $1,142.00 – $7,629.00 | 9 |
| Cholesterol CPT 82465 | $64.75 | $185.00 | $4.35 – $11.61 | 10 |
| Cholesterol body fluid CPT 84999 | not published | not published | $62.30 – $62.30 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $92.05 | $263.00 | $13.39 – $35.76 | 10 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $10,149.00 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $7.87 – $21.03 | 10 |
| Cholinesterase challenge CPT 95857 | not published | not published | $52.03 – $513.77 | 7 |
| Chorion biopsy CPT 59015 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $18.19 – $69.33 | 5 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $85.74 | 10 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $78.00 | 10 |
| Chromatography CPT 83021 | not published | not published | $18.06 – $48.19 | 10 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $31.74 | 10 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $114.08 | 9 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $443.85 | 10 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $462.14 | 10 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $125.49 – $332.61 | 10 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $397.24 | 10 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $401.04 | 10 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $528.68 | 10 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $462.14 | 10 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $479.73 | 10 |
| Chromosome banding study CPT 88283 | not published | not published | $22.54 – $137.20 | 10 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $53.82 | 10 |
| Chromosome karyotype study CPT 88280 | $32.81 | $93.75 | $33.47 – $66.98 | 10 |
| Chromosome study additional CPT 88289 | not published | not published | $24.49 – $68.86 | 10 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $33.25 | 10 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $61.50 – $123.00 | 10 |
| Cidofovir injection HCPCS J0740 | $2,714.60 | $7,756.00 | $427.08 – $1,121.93 | 9 |
| Cilastatin sodium injection HCPCS J0743 | $119.52 | $341.48 | $11.13 – $60.73 | 5 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.01 – $1,189,314.00 | 8 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $3.88 | 4 |
| Cine/video x-rays CPT 76120 | not published | not published | $93.67 – $366.18 | 9 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $70.19 – $112.23 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $86.42 | $246.90 | $3.32 – $57.13 | 5 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $121.19 | 4 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $639.80 | $1,828.00 | $896.84 – $7,309.00 | 10 |
| Circumcision (newborn) CPT 54150 | $1,990.45 | $5,687.00 | $1,142.00 – $7,309.00 | 10 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $1,688.10 | $4,823.14 | $4.20 – $171.38 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $659.02 | 10 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $326.53 | $932.93 | $8.73 – $35.70 | 9 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $19,019.00 | $54,340.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,455.00 – $7,629.00 | 10 |
| Claviculectomy total CPT 23125 | not published | not published | $2,455.00 – $7,629.00 | 10 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $693.67 – $4,768.00 | 9 |
| Clearance of airways CPT 31720 | $251.30 | $718.00 | $281.64 – $7,309.00 | 10 |
| Clearance of tear duct CPT 68530 | not published | not published | $203.00 – $1,528.00 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $90.84 – $316.58 | 7 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $72.42 – $316.58 | 7 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $78.19 – $316.58 | 7 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $48.04 – $88.87 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $87.61 | $250.30 | $1.07 – $4.99 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $18,945.85 | $54,131.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Cllr miami j sm HCPCS L0174 | $450.76 | $1,287.89 | $420.89 – $778.65 | 6 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.94 – $88.00 | 9 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $61.97 | $177.07 | $32.24 – $207.16 | 5 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $233.80 | $668.00 | $203.00 – $1,528.00 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $2,614.50 | $7,470.00 | $1,142.00 – $4,768.00 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $157.15 | $449.00 | $203.00 – $1,528.00 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,548.40 | $4,424.00 | $1,528.00 – $7,309.00 | 10 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $189.00 | $540.00 | $317.26 – $2,589.00 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,995.60 – $7,728.00 | 10 |
| Closed tx orbit without manipulj CPT 21400 | $437.50 | $1,250.00 | $693.67 – $7,309.00 | 10 |
| Closed tx orbit w/manipulj CPT 21401 | $1,307.95 | $3,737.00 | $1,747.00 – $7,309.00 | 10 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,548.40 | $4,424.00 | $1,528.00 – $7,309.00 | 10 |
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.