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 |
|---|---|---|---|---|
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Cricotracheal resection CPT 31592 | not published | not published | $2,455.00 – $12,111.00 | 8 |
| Critical care 30-74 minutes CPT 99291 | $2,722.30 | $7,778.00 | $1,062.41 – $1,965.46 | 6 |
| Critical care each additional 30 minutes CPT 99292 | $694.75 | $1,985.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $125.10 – $278.43 | 9 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.58 – $2.77 | 5 |
| Cross-over vein graft CPT 34520 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Crotalidae poly immune fab HCPCS J0840 | $4,596.26 | $13,132.16 | $1,841.02 – $3,774.99 | 9 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $9,135.35 | $26,101.00 | $1,142.00 – $7,953.00 | 4 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $16.98 – $16.98 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $4,589.00 – $21,832.00 | 10 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $391.93 – $2,589.00 | 9 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $14.14 – $28.28 | 10 |
| Cryoprecipitate each unit HCPCS P9012 | $320.25 | $915.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $288.63 – $1,917.04 | 7 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $219.12 – $405.38 | 7 |
| Cryopreservation sperm CPT 89259 | not published | not published | $219.12 – $405.38 | 7 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $567.42 – $2,589.00 | 9 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $67.02 – $123.99 | 7 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $1,142.00 – $10,336.00 | 9 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $203.00 – $1,528.00 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $75.87 – $1,528.00 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $35.47 | 10 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $24.79 | 10 |
| Crystal identification light microscopy CPT 89060 | $123.90 | $354.00 | $7.33 – $19.08 | 10 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,747.00 – $6,749.00 | 3 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,747.00 – $6,749.00 | 3 |
| Csf leakage imaging CPT 78650 | $874.30 | $2,498.00 | $410.12 – $4,677.65 | 9 |
| Csf shunt reprogram 62252 CPT 62252 | $178.50 | $510.00 | $395.03 – $2,589.00 | 9 |
| Csf ventriculography CPT 78635 | not published | not published | $225.88 – $1,928.68 | 9 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $274.00 | 9 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $549.66 | 9 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $370.40 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $530.95 | $1,517.00 | $122.58 – $507.02 | 3 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,338.00 | $6,680.00 | $225.59 – $1,045.88 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,711.15 | $4,889.00 | $225.59 – $1,374.91 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,492.05 | $4,263.00 | $225.59 – $955.61 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $3,754.45 | $10,727.00 | $225.59 – $939.52 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,922.15 | $8,349.00 | $448.71 – $1,131.21 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,711.15 | $4,889.00 | $225.59 – $1,075.41 | 8 |
| CT Angiogram of the Head CPT 70496 | $3,754.45 | $10,727.00 | $225.59 – $939.52 | 8 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $291.55 – $1,084.81 | 8 |
| CT angio pelvis CPT 72191 | $1,564.85 | $4,471.00 | $225.59 – $1,045.88 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,528.10 | $4,366.00 | $225.59 – $955.61 | 8 |
| CT bone density axial CPT 77078 | not published | not published | $48.96 – $207.07 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $225.59 – $417.35 | 6 |
| CT colonography dx CPT 74261 | not published | not published | $134.46 – $1,160.74 | 8 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $225.59 – $1,305.00 | 8 |
| CT colonography screening CPT 74263 | not published | not published | $306.88 – $1,379.24 | 8 |
| CT guidance for needle placement CPT 77012 | $779.45 | $2,227.00 | $182.41 – $1,171.01 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $952.70 | $2,722.00 | $174.81 – $446.78 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $317.26 – $4,768.00 | 9 |
| CT guid parench tis ablat CPT 77013 | $2,218.65 | $6,339.00 | $803.70 – $1,229.81 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $104.92 – $215.84 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $144.97 – $830.11 | 8 |
| CT hrt w/3d image CPT 75572 | not published | not published | $121.35 – $830.11 | 8 |
| CT limited or localized follow-up study CPT 76380 | $779.45 | $2,227.00 | $111.93 – $308.86 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $843.50 | $2,410.00 | $225.59 – $522.22 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $649.60 | $1,856.00 | $134.46 – $436.98 | 8 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $3,097.57 – $5,730.50 | 6 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $3,199.93 – $5,919.87 | 6 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $87.29 – $161.49 | 6 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $3,110.63 – $5,754.67 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,492.05 | $4,263.00 | $225.59 – $656.11 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $2,987.95 | $8,537.00 | $225.59 – $499.57 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $2,520.70 | $7,202.00 | $134.46 – $417.58 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,452.05 | $9,863.00 | $225.59 – $625.17 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $3,112.90 | $8,894.00 | $225.59 – $625.17 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,945.30 | $5,558.00 | $225.59 – $499.57 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,869.35 | $5,341.00 | $134.46 – $417.58 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $189.00 | $540.00 | $304.63 – $7,309.00 | 10 |
| CT scan for localization CPT 77011 | not published | not published | $955.95 – $1,646.16 | 3 |
| CT scan for therapy guide CPT 77014 | $329.35 | $941.00 | $337.64 – $663.45 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,352.60 | $12,436.00 | $448.71 – $830.11 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,744.00 | $7,840.00 | $448.71 – $830.11 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,238.25 | $6,395.00 | $297.70 – $567.73 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $1,655.85 | $4,731.00 | $225.59 – $625.17 | 8 |
| CT thoracic spine without contrast CPT 72128 | $1,556.10 | $4,446.00 | $134.46 – $522.22 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,291.50 | $3,690.00 | $129.44 – $248.76 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $1,800.05 | $5,143.00 | $225.59 – $781.71 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $843.50 | $2,410.00 | $448.71 – $830.11 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $649.60 | $1,856.00 | $134.46 – $436.98 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,492.05 | $4,263.00 | $225.59 – $656.11 | 8 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,602.37 – $2,964.38 | 6 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $58.21 – $2,265.22 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $60.54 – $405.38 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $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.