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 |
|---|---|---|---|---|
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $160.06 – $1,078.33 | 8 |
| 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 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,109.00 – $7,953.00 | 3 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $2,109.00 – $7,953.00 | 3 |
| 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 |
| Collagen based wound filler HCPCS A6010 | $1,092.00 | $3,120.00 | $61.37 – $61.37 | 1 |
| Collagen dressing <=16 sq in HCPCS A6021 | $16.82 | $48.07 | $41.67 – $41.67 | 1 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | $10.50 | $29.99 | $41.67 – $41.67 | 1 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $12.25 – $12.25 | 1 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $4.52 – $4.52 | 1 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $746.46 – $746.46 | 1 |
| 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 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $160.06 – $3,457.78 | 9 |
| 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 |
| Colostomy with biopsies CPT 44322 | not published | not published | $1,142.00 – $6,749.00 | 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 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $2,319.54 – $4,291.15 | 6 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $557.15 – $1,030.73 | 6 |
| 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 |
| 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 body section x-ray CPT 76101 | not published | not published | $202.92 – $202.92 | 1 |
| Complex body section x-rays CPT 76102 | not published | not published | $247.28 – $247.28 | 1 |
| 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 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $2,109.00 – $12,050.00 | 3 |
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.