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 |
|---|---|---|---|---|
| Cltx post ankle fx CPT 27767 | $164.50 | $470.00 | $317.26 – $2,589.00 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,548.40 | $4,424.00 | $1,528.00 – $3,826.07 | 9 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $233.80 | $668.00 | $317.26 – $7,309.00 | 10 |
| Cltx thigh fx CPT 27267 | $2,614.50 | $7,470.00 | $1,528.00 – $7,332.00 | 9 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,455.00 – $11,902.87 | 10 |
| C motor evoked lwr limbs CPT 95929 | $1,052.45 | $3,007.00 | $218.10 – $887.89 | 7 |
| C motor evoked uppr limbs CPT 95928 | $1,052.45 | $3,007.00 | $202.07 – $2,043.29 | 7 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,104.90 | $6,014.00 | $862.52 – $2,043.29 | 7 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $75.87 – $353.00 | 7 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $75.87 – $353.00 | 7 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $28.14 | 10 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $22.08 | 10 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $19.56 – $52.18 | 10 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $35.09 – $93.67 | 10 |
| Co2 monitor per day CPT 94681 | not published | not published | $223.62 – $887.89 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $9,445.55 | $26,987.29 | $2.64 – $5.44 | 9 |
| Coagulation time activated teg CPT 85347 | $15.75 | $45.00 | $4.28 – $11.36 | 10 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $9.93 | 10 |
| Cocaine 4 % nasal solution HCPCS C9046 | $133.85 | $382.44 | $1.72 – $5.90 | 3 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $165.49 – $306.17 | 7 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $165.49 – $306.17 | 7 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.09 – $3.61 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | $10.71 | $30.60 | $8.07 – $17.88 | 10 |
| Cold agglutinin titer CPT 86157 | $78.05 | $223.00 | $8.06 – $21.53 | 10 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,528.00 – $6,749.00 | 4 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,747.00 – $6,749.00 | 4 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $2,109.00 – $6,749.00 | 3 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Colistimethate sodium inj HCPCS J0770 | $39.43 | $112.67 | $23.76 – $203.27 | 5 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $78.35 – $157.77 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $49.90 | $142.56 | $40.66 – $75.22 | 6 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $16.15 | $46.15 | $73.56 – $136.09 | 6 |
| Collar cerv ascend 172 reg HCPCS L0172 | $213.89 | $611.10 | $182.91 – $338.38 | 6 |
| Collar cerv patriot adlt HCPCS L0150 | $87.00 | $248.56 | $165.57 – $306.30 | 6 |
| Collar extrication adult univ HCPCS L0200 | $110.25 | $315.00 | $791.22 – $1,463.76 | 6 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $164.50 | $470.00 | $110.75 – $1,528.00 | 8 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $164.50 | $470.00 | $127.37 – $1,528.00 | 8 |
| Collection of venous blood by venipuncture CPT 36415 | $21.00 | $60.00 | $5.73 – $18.18 | 10 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $277.71 – $1,528.00 | 7 |
| Colonoscopy (diagnostic) CPT 45378 | $610.75 | $1,745.00 | $1,196.08 – $7,309.00 | 10 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy w/control bleed CPT 45382 | $798.00 | $2,280.00 | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,142.00 – $4,893.00 | 9 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Colpocentesis 57020 CPT 57020 | $2,558.50 | $7,310.00 | $1,528.00 – $8,364.18 | 10 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $2,455.00 – $11,902.87 | 9 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,747.00 – $6,035.00 | 4 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $4,768.00 – $16,065.00 | 8 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $6,035.00 – $11,902.87 | 7 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $2,786.00 | $7,960.00 | $1,142.00 – $7,332.00 | 10 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $353.00 – $2,589.00 | 9 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $130.90 | $374.00 | $260.03 – $2,589.00 | 9 |
| Colposcopy vulva 56820 CPT 56820 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $353.00 – $2,589.00 | 9 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $353.00 – $2,589.00 | 9 |
| Colpotomy drng of abscess 57010 CPT 57010 | $2,422.70 | $6,922.00 | $1,528.00 – $7,332.00 | 10 |
| Colpotomy w/exploration 57000 CPT 57000 | $2,422.70 | $6,922.00 | $1,142.00 – $7,332.00 | 10 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $304.50 | $870.00 | $1.90 – $405.38 | 9 |
| Compatibility test each unit electronic CPT 86923 | $304.50 | $870.00 | $1.44 – $405.38 | 8 |
| Compatibility test each unit immediate spin technique CPT 86920 | $185.50 | $530.00 | $1.79 – $405.38 | 9 |
| Compatibility test incubate CPT 86921 | not published | not published | $1.60 – $405.38 | 9 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $203.00 – $2,109.00 | 9 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $203.00 – $2,109.00 | 9 |
| Complement antigen each component c3 CPT 86160 | $64.75 | $185.00 | $12.00 – $32.05 | 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.