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 |
|---|---|---|---|---|
| Cystoscopy & ureter catheter CPT 52005 | $1,377.60 | $3,936.00 | $1,528.00 – $7,309.00 | 10 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,671.90 | $7,634.00 | $2,160.00 – $7,309.00 | 10 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,160.00 – $7,309.00 | 10 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | $1,407.70 | $4,022.00 | $1,747.00 – $7,309.00 | 10 |
| Cysto/uretero stricture tx CPT 52344 | $1,407.70 | $4,022.00 | $1,747.00 – $7,332.00 | 10 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,747.00 – $12,111.00 | 10 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,160.00 – $7,332.00 | 10 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,160.00 – $7,332.00 | 10 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,377.60 | $3,936.00 | $1,528.00 – $7,309.00 | 10 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $353.00 – $4,768.00 | 4 |
| Cystourethro w/implant CPT 52441 | not published | not published | $353.00 – $4,768.00 | 4 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $353.00 – $10,336.00 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $110.49 | $315.69 | $0.99 – $27.73 | 5 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $604.66 – $1,394.36 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,197.94 – $2,395.88 | 9 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $92.88 | 10 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $81.40 | 10 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $2,320.00 | 10 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $400.25 – $1,800.00 | 9 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,085.60 – $3,446.96 | 10 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $24.79 | 10 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $14.28 | $40.80 | $14.39 – $38.41 | 10 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $16.85 – $44.96 | 10 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $26.84 | 10 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $5,923.71 | $16,924.88 | $1,791.99 – $3,895.82 | 9 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $60.06 | 10 |
| Cyto/molecular report CPT 88291 | not published | not published | $15.76 – $93.13 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $57.01 | 10 |
| Cytopath c/v automated CPT 88147 | not published | not published | $29.69 – $101.12 | 10 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $27.56 – $55.28 | 10 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $18.54 – $40.55 | 10 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $29.30 | 10 |
| Cytopath c/v manual CPT 88150 | not published | not published | $18.54 – $36.38 | 10 |
| Cytopath c/v redo CPT 88153 | not published | not published | $24.03 – $48.06 | 10 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $54.07 | 10 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $27.32 – $90.03 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $102.90 | $294.00 | $67.02 – $125.43 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $70.69 | 10 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $54.07 | 10 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $92.40 | $264.00 | $32.86 – $88.87 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $50.75 | $145.00 | $31.62 – $90.60 | 9 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $14.28 – $23.46 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $115.15 | $329.00 | $34.32 – $405.38 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $97.65 | $279.00 | $54.50 – $177.78 | 9 |
| Cytopath smear other source CPT 88160 | $56.70 | $162.00 | $24.00 – $99.70 | 9 |
| Cytopath smear other source CPT 88162 | not published | not published | $30.10 – $160.68 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $25.84 – $101.41 | 9 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $18.54 – $36.38 | 10 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.54 – $36.38 | 10 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $27.56 – $84.44 | 10 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.54 – $36.38 | 10 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $157.30 | 10 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $79.21 | 10 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $219.12 – $840.99 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $97.32 | $278.06 | $6.12 – $54.91 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,294.90 | $3,699.71 | $52.14 – $752.25 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.00 – $33.48 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $30.12 – $552.70 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $125.67 | $359.07 | $0.06 – $1.39 | 5 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.53 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,316.22 | $52,332.07 | $55.03 – $113.93 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $8,334.78 | $23,813.66 | $3.07 – $7.90 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $7.90 | 9 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $28.67 | 10 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $30.14 | 10 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $249.61 – $535.39 | 9 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $479.33 | $1,369.50 | $33.36 – $67.35 | 5 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $111.26 – $539.94 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $258.05 – $1,528.00 | 7 |
| D&c after delivery 59160 CPT 59160 | $2,422.70 | $6,922.00 | $1,747.00 – $7,332.00 | 10 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,537.15 | $7,249.00 | $1,528.00 – $7,332.00 | 10 |
| Dch glucoscan CPT 82948 | $29.75 | $85.00 | $5.04 – $10.08 | 10 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $144.59 – $887.89 | 7 |
| Dch validity tests CPT 81002 | $33.60 | $96.00 | $3.48 – $6.96 | 10 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,511.53 – $10,336.00 | 10 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,409.00 – $9,181.00 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $24.10 | 10 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $582.75 | $1,665.00 | $203.00 – $1,528.00 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $217.35 | $621.00 | $353.00 – $1,528.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,564.15 | $4,469.00 | $1,528.00 – $7,309.00 | 10 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $114.10 | $326.00 | $1,528.00 – $4,768.00 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $114.10 | $326.00 | $1,528.00 – $4,768.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $384.65 | $1,099.00 | $522.85 – $7,309.00 | 10 |
| Debride nail1-5 11720 CPT 11720 | $189.00 | $540.00 | $75.87 – $1,528.00 | 9 |
| Debride nail6 or more 11721 CPT 11721 | $189.00 | $540.00 | $75.87 – $1,528.00 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $691.95 | $1,977.00 | $910.78 – $7,309.00 | 10 |
| Debride skin bone at fx site CPT 11012 | $2,636.55 | $7,533.00 | $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.