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 |
|---|---|---|---|---|
| Culture aerobic additional method definitive id each CPT 87077 | $99.75 | $285.00 | $8.08 – $21.56 | 10 |
| Culture afb any source CPT 87116 | $204.75 | $585.00 | $10.80 – $28.84 | 10 |
| Culture anaerobic additional method definitive id each CPT 87076 | $152.60 | $436.00 | $8.08 – $21.56 | 10 |
| Culture anaerobic except blood CPT 87075 | $223.30 | $638.00 | $9.47 – $25.25 | 10 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.66 – $25.17 | 10 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $35.88 – $40.70 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $51.45 | $147.00 | $9.44 – $25.17 | 10 |
| Culture body fluid CPT 87070 | $105.00 | $300.00 | $8.62 – $22.98 | 10 |
| Culture fungi definitive id mold CPT 87107 | $139.65 | $399.00 | $10.32 – $27.54 | 10 |
| Culture fungi definitive id yeast CPT 87106 | $99.75 | $285.00 | $10.32 – $27.54 | 10 |
| Culture fungi other (except blood) CPT 87102 | $137.20 | $392.00 | $8.41 – $22.42 | 10 |
| Culture fungi skin/hair/nail CPT 87101 | $137.20 | $392.00 | $7.71 – $20.57 | 10 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $14.61 – $29.22 | 10 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $41.07 | 10 |
| Culture of specimen by kit CPT 87084 | not published | not published | $22.45 – $54.14 | 10 |
| Culture quantitative aerobic other source CPT 87071 | $115.50 | $330.00 | $9.89 – $25.17 | 10 |
| Culture screening strep group a CPT 87081 | $85.40 | $244.00 | $6.63 – $17.69 | 10 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.74 – $15.48 | 10 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $15.48 | 10 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $33.44 | 10 |
| Culture typing immunologic CPT 87147 | $126.70 | $362.00 | $5.18 – $13.81 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $436.12 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $96.02 | 10 |
| Culture urine each isolate CPT 87088 | $29.40 | $84.00 | $8.09 – $21.60 | 10 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $52.18 | 10 |
| Curette/treat cornea CPT 65435 | $551.95 | $1,577.00 | $1,142.00 – $3,094.00 | 9 |
| Curette/treat cornea CPT 65436 | $1,927.80 | $5,508.00 | $203.00 – $6,035.00 | 9 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,580.90 – $2,924.67 | 6 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,580.90 – $2,924.67 | 6 |
| Custom glove for term device HCPCS L6895 | not published | not published | $683.61 – $1,264.68 | 6 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,225.62 – $2,267.40 | 6 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $746.54 – $1,381.10 | 6 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,726.83 – $3,194.64 | 6 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,214.73 – $2,247.25 | 6 |
| Cutter lead HCPCS C1773 | $13,715.63 | $39,187.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,563.45 | $4,467.00 | $1,142.00 – $2,719.00 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $9.99 – $126.36 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $15.76 – $154.55 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $38.22 | 10 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $33.37 | $95.34 | $1.33 – $11.09 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $31.50 | $90.00 | $12.95 – $34.55 | 10 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $11.25 – $47.45 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,587.77 | $4,536.49 | $0.77 – $1.89 | 9 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $6.71 | $19.17 | $2.27 – $6.93 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $71.17 – $153.51 | 5 |
| Cyclosporine 2 hour CPT 80158 | $36.55 | $104.42 | $18.05 – $48.19 | 10 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.48 | $7.09 | $1.12 – $4.71 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $5.66 | $16.17 | $4.02 – $19.97 | 5 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $160.06 – $714.70 | 8 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $160.06 – $956.19 | 8 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $22,282.07 | $63,663.07 | not published | 0 |
| Cymetra injectable HCPCS Q4112 | $424.46 | $1,212.75 | $1,735.44 – $1,735.44 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $174.90 – $582.72 | 9 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $349.62 | 9 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $268.10 – $901.82 | 9 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $349.62 | 10 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $349.62 | 10 |
| Cystatin c CPT 82610 | not published | not published | $18.52 – $37.04 | 10 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $998.00 | 9 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.98 – $45.96 | 10 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $604.80 | $1,728.00 | $93.67 – $1,229.72 | 9 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $1,528.00 – $21,832.00 | 9 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $353.00 – $22,524.58 | 9 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,619.00 – $22,524.58 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $203.00 – $2,109.00 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,142.00 – $15,828.09 | 9 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $353.00 – $12,757.91 | 9 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,160.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52214 | $1,407.70 | $4,022.00 | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,747.00 – $12,111.00 | 10 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,142.00 – $4,449.00 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $896.84 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Cystoscopy and treatment CPT 52310 | $1,377.60 | $3,936.00 | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,455.00 – $7,332.00 | 10 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy (Bladder Scope) CPT 52000 | $256.55 | $733.00 | $896.84 – $7,309.00 | 10 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,528.00 – $5,571.00 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $896.84 – $7,309.00 | 10 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,757.00 – $10,336.00 | 10 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Cystoscopy removal of clots CPT 52001 | $1,407.70 | $4,022.00 | $1,528.00 – $7,332.00 | 10 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,160.00 – $12,111.00 | 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.