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 |
|---|---|---|---|---|
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $353.00 – $6,264.00 | 4 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $353.00 – $9,640.00 | 4 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $353.00 – $9,640.00 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $353.00 – $9,640.00 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $353.00 – $9,640.00 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $353.00 – $9,640.00 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $353.00 – $9,640.00 | 4 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $48.00 – $93.50 | 7 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $25.32 | 10 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $25,442.29 | $72,692.25 | $44.35 – $96.34 | 8 |
| Eculizumab injection HCPCS J1300 | not published | not published | $221.78 – $317.95 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $150.58 – $13,889.06 | 9 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.69 – $3.61 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $29.00 – $53.65 | 5 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $120.90 – $223.67 | 5 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $81.90 | $234.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $732.55 | $2,093.00 | $277.71 – $513.77 | 7 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,464.40 | $4,184.00 | $140.64 – $887.89 | 7 |
| Eeg during surgery CPT 95955 | $217.70 | $622.00 | $178.23 – $178.23 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $156.84 – $2,043.29 | 7 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $89.38 – $887.89 | 7 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $977.20 | $2,792.00 | $233.17 – $513.77 | 7 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,464.40 | $4,184.00 | $271.85 – $513.77 | 7 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $642.38 – $642.38 | 1 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $778.57 – $778.57 | 1 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $795.42 – $795.42 | 1 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $994.78 – $994.78 | 1 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $908.46 – $908.46 | 1 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $1,257.06 – $1,257.06 | 1 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $636.34 – $636.34 | 1 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $312.13 – $312.13 | 1 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $411.07 – $411.07 | 1 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $482.79 – $482.79 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $487.20 | $1,392.00 | $277.71 – $513.77 | 7 |
| Eeg recording awake and asleep CPT 95819 | $1,464.40 | $4,184.00 | $260.04 – $513.77 | 7 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $959.00 | $2,740.00 | $277.71 – $513.77 | 6 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $443.80 | $1,268.00 | $277.71 – $513.77 | 6 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $2,876.30 | $8,218.00 | $479.94 – $887.89 | 6 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $2,156.35 | $6,161.00 | $479.94 – $887.89 | 6 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $712.60 | $2,036.00 | $277.71 – $513.77 | 6 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,438.50 | $4,110.00 | $479.94 – $887.89 | 6 |
| E equine encephalitis igg CPT 86652 | not published | not published | $13.19 – $35.20 | 10 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $31.57 – $69.62 | 9 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,142.00 – $5,571.00 | 9 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,142.00 – $4,449.00 | 9 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $1,142.00 – $21,832.00 | 9 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $353.00 – $7,728.00 | 9 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $353.00 – $5,571.00 | 9 |
| Egd guide wire insertion CPT 43248 | not published | not published | $1,166.53 – $7,309.00 | 10 |
| Egd injection varices CPT 43243 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,528.00 – $5,571.00 | 9 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,528.00 – $5,571.00 | 9 |
| Egd remove foreign body CPT 43247 | $622.65 | $1,779.00 | $1,166.53 – $7,309.00 | 10 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $1,086.75 | $3,105.00 | $1,528.00 – $7,309.00 | 10 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,142.00 – $5,571.00 | 9 |
| Egd varices ligation CPT 43244 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,160.00 – $7,332.00 | 9 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $1,528.00 – $10,150.65 | 10 |
| Egfr gene com variants CPT 81235 | $139.65 | $399.00 | $44.17 – $649.16 | 9 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $70.18 | 10 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $39.14 | 10 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $45.15 – $142.97 | 2 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $142.97 – $142.97 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $54.87 – $54.87 | 1 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $37.20 – $68.82 | 6 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $4,616.98 – $8,541.41 | 6 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,572.24 – $4,758.64 | 6 |
| Elbow arthroscopy CPT 29830 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $4,383.37 – $8,109.23 | 6 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $3,782.53 – $6,997.68 | 6 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $4,453.13 – $8,238.29 | 6 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $3,331.21 – $6,162.74 | 6 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $799.39 – $1,478.87 | 6 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $959.29 – $1,774.69 | 6 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $4,225.63 – $7,817.42 | 6 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $186.90 | $534.00 | $395.03 – $3,463.00 | 9 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $28,715.00 – $53,122.75 | 6 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $28,851.23 – $53,374.78 | 6 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $12.71 – $23.51 | 5 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $395.03 – $3,463.00 | 9 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $203.00 – $1,528.00 | 9 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,764.83 | $22,185.24 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $53.90 – $2,716.00 | 9 |
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.