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 |
|---|---|---|---|---|
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $26.74 | 10 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,409.00 – $7,728.00 | 10 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,528.00 – $9,640.00 | 4 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $321.35 – $7,309.00 | 10 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $582.75 | $1,665.00 | $522.85 – $7,309.00 | 10 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $203.00 – $1,528.00 | 9 |
| Compl oph exam general anes CPT 92018 | not published | not published | $95.22 – $6,035.00 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $189.00 | $540.00 | $1,142.00 – $4,768.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $384.65 | $1,099.00 | $522.85 – $7,309.00 | 10 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $582.75 | $1,665.00 | $522.85 – $7,309.00 | 10 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $101.50 | $290.00 | $1,142.00 – $7,309.00 | 5 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $189.00 | $540.00 | $1,142.00 – $7,309.00 | 5 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $94.50 | $270.00 | $1,142.00 – $7,309.00 | 5 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $830.30 | $2,372.28 | $888.03 – $1,642.86 | 6 |
| Composite graft/pri close/don area 15760 CPT 15760 | $1,818.60 | $5,196.00 | $1,528.00 – $7,309.00 | 10 |
| Comprehensive hearing test CPT 92557 | not published | not published | $108.88 – $306.17 | 7 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $121.08 – $316.79 | 7 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $146.25 – $316.79 | 7 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $448.71 – $830.11 | 6 |
| Concentration infection agents any type CPT 87015 | $70.35 | $201.00 | $6.68 – $17.82 | 10 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $65.83 – $306.17 | 7 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $352.75 – $743.57 | 2 |
| Condylomata destruction 56420 CPT 56420 | $189.00 | $540.00 | $260.03 – $2,589.00 | 9 |
| Conivaptan hcl HCPCS C9488 | $2,174.13 | $6,211.80 | $90.47 – $190.68 | 2 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Conization of cervix CPT 57520 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,354.59 | $3,870.27 | $213.26 – $823.21 | 9 |
| Connect omega .5mm HCPCS L8613 | $1,260.00 | $3,600.00 | $502.75 – $502.75 | 1 |
| Connector tis 2x10mm HCPCS C9352 | $3,180.28 | $9,086.52 | $1,956.17 – $2,106.93 | 2 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Construction of vagina CPT 57291 | not published | not published | $2,455.00 – $8,364.18 | 10 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,142.00 – $11,902.87 | 9 |
| Consultation pathology during surgery CPT 88329 | $190.05 | $543.00 | $58.70 – $140.37 | 8 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $504.35 | $1,441.00 | $49.23 – $1,917.04 | 9 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $39.55 | $113.00 | $21.66 – $46.20 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $190.05 | $543.00 | $41.64 – $405.38 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $53.20 | $152.00 | $43.03 – $123.99 | 9 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $48.04 – $139.59 | 8 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $98.94 – $405.38 | 8 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $94.08 – $1,062.94 | 7 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $93.24 – $316.58 | 7 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $17.44 – $44.81 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $84.34 – $1,528.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Contrast baths charges CPT 97034 | not published | not published | $15.18 – $28.08 | 6 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,121.35 | $6,061.00 | $356.84 – $10,837.86 | 9 |
| Contrast exam thoracic aorta CPT 75600 | $2,121.35 | $6,061.00 | $555.01 – $10,837.86 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,402.30 | $12,578.00 | $356.08 – $18,613.58 | 9 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $65.97 – $612.97 | 9 |
| Contrast x-ray of ankle CPT 73615 | $842.10 | $2,406.00 | $172.50 – $1,229.72 | 9 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $200.02 – $1,229.72 | 9 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $120.40 – $2,720.43 | 9 |
| Contrast x-ray of elbow CPT 73085 | $647.15 | $1,849.00 | $159.45 – $1,229.72 | 9 |
| Contrast x-ray of hip CPT 73525 | $894.60 | $2,556.00 | $164.07 – $1,229.72 | 9 |
| Contrast x-ray of knee joint CPT 73580 | $942.55 | $2,693.00 | $230.94 – $1,229.72 | 9 |
| Contrast x-ray of wrist CPT 73115 | $682.15 | $1,949.00 | $140.37 – $1,229.72 | 9 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $8,731.80 | $24,948.00 | $17,463.78 – $32,307.99 | 6 |
| Controller infinity pt dbs HCPCS C1787 | $4,494.00 | $12,840.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $204.75 | $585.00 | $171.12 – $7,309.00 | 10 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $203.00 – $1,528.00 | 9 |
| Control of nosebleed ant comp 30903 CPT 30903 | $189.00 | $540.00 | $171.12 – $7,309.00 | 10 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $189.00 | $540.00 | $171.12 – $1,528.00 | 9 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $503.30 | $1,438.00 | $693.67 – $7,309.00 | 10 |
| Control throat bleeding CPT 42961 | not published | not published | $1,142.00 – $6,035.00 | 4 |
| Control throat bleeding CPT 42962 | $1,900.85 | $5,431.00 | $1,528.00 – $7,332.00 | 10 |
| Conversion ext bil drg cath CPT 47535 | $2,198.35 | $6,281.00 | $1,747.00 – $10,336.00 | 9 |
| Convert nephrostomy catheter CPT 50434 | $2,034.20 | $5,812.00 | $1,142.00 – $4,449.00 | 9 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Coombs direct CPT 86880 | $182.00 | $520.00 | $7.65 – $140.37 | 10 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $101.15 | $289.00 | $8.11 – $405.38 | 10 |
| Coombs indirect titer reference CPT 86886 | $220.85 | $631.00 | $7.35 – $405.38 | 10 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,953.68 | 8 |
| Copper intrauterine device HCPCS J7300 | $1,609.55 | $4,598.71 | $1,161.10 – $2,936.90 | 4 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,100.00 | 9 |
| Core ndl bx lng/med perq CPT 32408 | $1,488.20 | $4,252.00 | $353.00 – $7,728.00 | 9 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,455.00 – $12,132.52 | 10 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $2,738.05 | $7,823.00 | $1,747.00 – $7,629.00 | 10 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $10,889.06 – $10,889.06 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $32.49 – $140.37 | 6 |
| Corneal smear CPT 65430 | not published | not published | $203.00 – $1,528.00 | 9 |
| Corneal transplant CPT 65710 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Corneal transplant CPT 65730 | not published | not published | $3,409.00 – $9,835.10 | 10 |
| Corneal transplant CPT 65750 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Corneal transplant CPT 65755 | not published | not published | $3,409.00 – $9,835.10 | 10 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $2,822.00 – $10,336.00 | 9 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $7,570.50 | $21,630.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $7,626.85 | $21,791.00 | $3,409.00 – $9,181.00 | 9 |
| Coronary angio/lv gram/lt heart CPT 93458 | $5,987.10 | $17,106.00 | $3,409.00 – $9,181.00 | 9 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $8,046.85 | $22,991.00 | $3,409.00 – $9,181.00 | 9 |
| Coronary art/grft angio s&i CPT 93455 | $5,890.85 | $16,831.00 | $3,409.00 – $9,181.00 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,251.10 | $12,146.00 | $3,409.00 – $9,181.00 | 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.