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 |
|---|---|---|---|---|
| Endoscopy of ureter CPT 50951 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Endoscopy of ureter CPT 50953 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $37.28 – $37.28 | 1 |
| Endoscopy swallow (fees) vid CPT 92612 | $287.35 | $821.00 | $56.75 – $234.84 | 6 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,151.15 | $3,289.00 | $1,142.00 – $7,309.00 | 10 |
| Endo, single, pulmonary HCPCS C1601 | $571.73 | $1,633.50 | not published | 0 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $929.89 – $1,720.30 | 6 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $794.72 – $1,470.23 | 6 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $929.89 – $1,720.30 | 6 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $4,768.00 – $12,477.00 | 2 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $2,109.00 – $5,789.00 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $2,663.15 | $7,609.00 | $1,142.00 – $6,749.00 | 4 |
| Endovasc tempory vessel occl CPT 61623 | $11,410.00 | $32,600.00 | $2,822.00 – $27,468.35 | 9 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $353.00 – $12,050.00 | 4 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $353.00 – $12,050.00 | 4 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $353.00 – $12,050.00 | 4 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $353.00 – $12,050.00 | 4 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $2,109.00 – $4,768.00 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,528.00 – $7,309.00 | 5 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $203.00 – $7,629.00 | 9 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,528.00 – $3,757.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,528.00 – $7,309.00 | 5 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $2,455.00 – $12,477.00 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,528.00 – $4,768.00 | 4 |
| Energy storing foot HCPCS L5976 | not published | not published | $914.15 – $1,691.18 | 6 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $35.82 – $78.78 | 9 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.68 – $96.51 | 4 |
| Enlarge breast CPT 19324 | not published | not published | $4,768.00 – $21,832.00 | 4 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $116.08 | $331.67 | $1.03 – $61.56 | 5 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $24.79 | 10 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $32.00 | 10 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,747.00 – $6,749.00 | 4 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,109.00 – $6,749.00 | 4 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,142.00 – $9,173.75 | 9 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $26.84 | 10 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $44.03 – $88.06 | 10 |
| Enzyme histochemistry CPT 88319 | $504.35 | $1,441.00 | $35.74 – $1,917.04 | 9 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $545.90 – $1,009.92 | 6 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $155.64 – $287.93 | 6 |
| Ep & ablate supravent arrhyt CPT 93653 | $9,488.50 | $27,110.00 | $3,409.00 – $57,671.00 | 8 |
| Ep & ablate ventric tachy CPT 93654 | $11,144.70 | $31,842.00 | $3,409.00 – $57,671.00 | 8 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $4,962.13 | $14,177.50 | $54.94 – $117.95 | 9 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $428.75 | $1,225.00 | $1,142.00 – $7,309.00 | 5 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,137.58 – $7,309.00 | 10 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $1,137.58 – $7,309.00 | 10 |
| Epidurography CPT 72275 | not published | not published | $304.17 – $304.17 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Epikeratoplasty CPT 65767 | not published | not published | $203.00 – $6,035.00 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $4,897.12 | 10 |
| Ep induct arrhy by elect pacing CPT 93618 | $764.05 | $2,183.00 | $352.75 – $3,094.00 | 8 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $1.40 – $1.40 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $0.85 – $0.85 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $932.90 | $2,665.43 | $1.28 – $1.28 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $1.11 – $1.11 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $773.15 | $2,209.00 | $1.96 – $111.48 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $4,294.85 | $12,271.00 | $1,528.00 – $7,332.00 | 9 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.41 – $5.55 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,351.08 | $3,860.24 | $7.88 – $15.20 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $380.64 | $1,087.55 | $7.30 – $16.92 | 9 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $2.51 – $7.76 | 5 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.72 – $2.94 | 5 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $176.95 | $505.56 | $19.07 – $67.94 | 5 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $13.12 – $35.01 | 10 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $15.29 – $40.84 | 10 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $18.14 – $46.51 | 10 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $226.18 | $646.24 | $3.26 – $49.04 | 9 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.26 – $41.54 | 9 |
| Ercp biliary & pancreas CPT 74330 | $906.50 | $2,590.00 | $277.01 – $446.78 | 3 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,528.00 – $10,336.00 | 9 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,528.00 – $10,336.00 | 9 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,528.00 – $10,336.00 | 9 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $16.92 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,093.56 | $14,553.03 | $76.76 – $255.31 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $465.97 | $1,331.33 | $18.27 – $89.30 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $380.80 | $1,088.00 | $108.45 – $200.64 | 6 |
| ER Visit (level 2) CPT 99282 | $622.30 | $1,778.00 | $197.48 – $365.34 | 6 |
| ER Visit (level 3) CPT 99283 | $918.05 | $2,623.00 | $351.09 – $649.53 | 6 |
| ER Visit (level 4) CPT 99284 | $1,221.85 | $3,491.00 | $536.67 – $992.84 | 6 |
| ER Visit (level 5, high severity) CPT 99285 | $1,823.50 | $5,210.00 | $765.95 – $1,417.01 | 6 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $1,361.36 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $278.94 | $796.96 | $13.87 – $141.81 | 5 |
| Escharotomy ea addl incision CPT 16036 | $1,655.85 | $4,731.00 | $1,142.00 – $4,768.00 | 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.