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 |
|---|---|---|---|---|
| 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 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $2,109.00 – $7,953.00 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $19,019.00 | $54,340.00 | not published | 0 |
| Clamp neck artery CPT 61703 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| 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 airways CPT 31725 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| 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 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $80.01 – $80.01 | 1 |
| 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 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,109.00 – $12,050.00 | 3 |
| 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 bladder-uterus fistula CPT 51920 | not published | not published | $1,142.00 – $6,035.00 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Close chest after drainage CPT 32810 | not published | not published | $1,142.00 – $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 |
| Closed tx septal&nose fx CPT 21337 | $1,731.10 | $4,946.00 | $1,528.00 – $7,332.00 | 10 |
| Closed tx sesamoid fx 28530 CPT 28530 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Closed tx vert fx w/manj CPT 22315 | $2,614.50 | $7,470.00 | $1,528.00 – $7,332.00 | 10 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,142.00 – $17,265.50 | 9 |
| Close mult vsd CPT 33675 | not published | not published | $2,109.00 – $12,050.00 | 3 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,109.00 – $12,050.00 | 3 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,528.00 – $6,749.00 | 4 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $203.00 – $1,528.00 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $203.00 – $1,528.00 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $2,109.00 – $7,309.00 | 10 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $32.00 | 10 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,504.30 | $4,298.00 | $1,528.00 – $7,309.00 | 10 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $503.30 | $1,438.00 | $693.67 – $7,309.00 | 10 |
| Closure of eyelid by suture CPT 67875 | $481.60 | $1,376.00 | $1,142.00 – $3,094.00 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Closure of valve CPT 33600 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Closure of valve CPT 33602 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $806.82 – $4,768.00 | 9 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $50.54 | 10 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $54.49 | 10 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $50.54 | 10 |
| Clot factor xii hageman CPT 85280 | not published | not published | $19.35 – $51.65 | 10 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $9.11 – $23.72 | 10 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $43.61 | 10 |
| Clotting assay whole blood CPT 85396 | not published | not published | $16.33 – $79.94 | 5 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.66 – $8.28 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $3.56 – $3.56 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $2.95 – $2.95 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $164.50 | $470.00 | $317.26 – $7,309.00 | 10 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,346.45 | $3,847.00 | $1,142.00 – $7,309.00 | 10 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $164.50 | $470.00 | $317.26 – $7,309.00 | 10 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $282.10 | $806.00 | $317.26 – $7,309.00 | 10 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $348.25 | $995.00 | $317.26 – $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.