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 |
|---|---|---|---|---|
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $522.85 – $2,589.00 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $203.00 – $1,528.00 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $950.57 – $2,589.00 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $203.00 – $1,528.00 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $601.00 – $2,589.00 | 8 |
| Ductogram sgl duct CPT 77053 | $705.25 | $2,015.00 | $51.24 – $832.32 | 9 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Duodenal motility study CPT 91022 | not published | not published | $101.96 – $1,528.00 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | $486.50 | $1,390.00 | $306.88 – $832.32 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $134.46 – $366.18 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $373.45 | $1,067.00 | $134.46 – $366.18 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $277.71 – $538.75 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $835.10 | $2,386.00 | $306.88 – $832.32 | 8 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $11,009.65 | $31,456.15 | $38.57 – $81.29 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $15,440.78 | $44,116.50 | $85.89 – $180.32 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $400.40 | $1,144.00 | $88.29 – $366.18 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $165.49 – $353.00 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $353.00 – $353.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,597.70 | $7,422.00 | $1,528.00 – $7,309.00 | 10 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,597.70 | $7,422.00 | $1,142.00 – $7,309.00 | 10 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $28.96 – $1,062.94 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $353.00 – $3,094.00 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $353.00 – $3,094.00 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | $269.85 | $771.00 | $277.71 – $2,589.00 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | $203.70 | $582.00 | $165.49 – $2,589.00 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $67.34 – $122.00 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $181.05 – $327.80 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $58.71 – $105.85 | 2 |
| Dx laryngoscopy newborn CPT 31520 | $483.35 | $1,381.00 | $203.00 – $1,528.00 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,001.00 | $2,860.00 | $1,528.00 – $7,309.00 | 10 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $114.97 – $208.25 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $321.35 – $4,768.00 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $81.05 – $81.05 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $14.07 – $513.77 | 7 |
| Ear and throat examination CPT 92502 | not published | not published | $97.18 – $1,528.00 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,528.00 – $4,768.00 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,094.00 – $12,111.00 | 10 |
| Ear irrigation 69209 CPT 69209 | $101.50 | $290.00 | $75.87 – $1,528.00 | 9 |
| Ear protector evaluation CPT 92596 | not published | not published | $48.04 – $88.87 | 7 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $1,213.98 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $221.20 | $632.00 | $39.38 – $140.37 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $4.93 – $79.31 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $13.36 – $140.37 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $122.28 – $522.30 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $771.40 | $2,204.00 | $110.27 – $316.58 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $75.87 – $194.66 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $48.04 – $88.87 | 6 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $48.04 – $88.87 | 6 |
| Ecg record/review CPT 93268 | not published | not published | $649.17 – $1,334.59 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $17.44 – $151.03 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,338.00 | $6,680.00 | $702.78 – $1,300.14 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $392.70 | $1,122.00 | $260.36 – $470.98 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,338.00 | $6,680.00 | $1,008.25 – $1,865.27 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $440.30 | $1,258.00 | $173.71 – $567.73 | 7 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $638.75 | $1,825.00 | $448.71 – $830.11 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $170.45 | $487.00 | $100.15 – $179.72 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $45.45 – $366.18 | 9 |
| Echo exam of eye CPT 76519 | not published | not published | $52.20 – $366.18 | 9 |
| Echo exam of eye CPT 76529 | not published | not published | $49.53 – $303.19 | 9 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.77 – $84.34 | 9 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $174.83 – $1,887.98 | 9 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $63.44 – $832.32 | 9 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $86.48 – $366.18 | 9 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $48.07 – $366.18 | 9 |
| Echo exam uterus 76831- CPT 76831 | $149.10 | $426.00 | $135.31 – $832.32 | 9 |
| Echograp trans r pros study CPT 76873 | $127.05 | $363.00 | $134.46 – $366.18 | 9 |
| Echo guidance radiotherapy CPT 76965 | $112.35 | $321.00 | $113.36 – $794.45 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $186.53 – $186.53 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $217.88 – $217.88 | 1 |
| Echo guide for amniocentesis CPT 76946 | $228.90 | $654.00 | $43.47 – $216.98 | 3 |
| Echo guide for artery repair CPT 76936 | $576.80 | $1,648.00 | $240.87 – $1,072.24 | 9 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $133.13 – $216.98 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $130.06 – $217.11 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $43.47 – $216.98 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $133.90 – $217.15 | 3 |
| Echo stress CPT 93350 | $966.00 | $2,760.00 | $158.52 – $1,300.14 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $23.78 – $1,300.14 | 7 |
| Echo tee guidance CPT 93355 | not published | not published | $993.77 – $993.77 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,732.85 | $4,951.00 | $340.26 – $1,300.14 | 7 |
| Echo transesophageal CPT 93313 | not published | not published | $21.96 – $1,300.14 | 7 |
| Echo transesophageal CPT 93314 | not published | not published | $340.26 – $610.16 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $91.58 – $1,300.14 | 7 |
| Echo transesophageal CPT 93317 | not published | not published | $62.18 – $507.46 | 2 |
| Echo transesophageal intraop CPT 93318 | $823.20 | $2,352.00 | $280.31 – $1,300.14 | 7 |
| Echo transthoracic CPT 93303 | $878.15 | $2,509.00 | $342.76 – $1,300.14 | 7 |
| Echo transthoracic CPT 93304 | not published | not published | $173.71 – $1,300.14 | 7 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $306.88 – $567.73 | 7 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $353.00 – $4,768.00 | 4 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $353.00 – $6,264.00 | 4 |
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.