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 |
|---|---|---|---|---|
| Antibody htlv-i CPT 86687 | not published | not published | $9.09 – $22.39 | 10 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $37.38 | 10 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $189.35 | $541.00 | $18.37 – $49.01 | 10 |
| Antibody id rbc panel CPT 86870 | $471.80 | $1,348.00 | $2.20 – $852.89 | 9 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.55 – $36.18 | 10 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.87 – $34.34 | 10 |
| Antibody screen rbc CPT 86850 | $267.40 | $764.00 | $13.86 – $123.99 | 10 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $39.50 | 10 |
| Antidepressant not specified CPT 80338 | not published | not published | $0.02 – $87.40 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $27.70 – $111.42 | 7 |
| Antigen therapy services CPT 95146 | not published | not published | $37.83 – $111.42 | 7 |
| Antigen therapy services CPT 95147 | not published | not published | $36.14 – $171.32 | 7 |
| Antigen therapy services CPT 95148 | not published | not published | $49.64 – $171.32 | 7 |
| Antigen therapy services CPT 95149 | not published | not published | $68.20 – $171.32 | 7 |
| Antigen therapy services CPT 95165 | not published | not published | $16.74 – $111.42 | 7 |
| Antigen therapy services CPT 95170 | not published | not published | $11.67 – $111.42 | 7 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.49 – $3.12 | 9 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $1,575.09 | $4,500.27 | $1.25 – $2.58 | 9 |
| Anti-inhibitor HCPCS J7198 | $3,424.51 | $9,784.32 | $2.42 – $5.16 | 9 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $24.10 | 10 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $24.10 | 10 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $24.10 | 10 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Antinuclear antibodies CPT 86038 | $168.70 | $482.00 | $12.09 – $32.26 | 10 |
| Antinuclear antibodies titer CPT 86039 | $74.20 | $212.00 | $11.16 – $29.80 | 10 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $16.07 – $42.86 | 10 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $15.41 | 10 |
| Antistreptolysin o titer CPT 86060 | not published | not published | $7.30 – $19.48 | 10 |
| Antithrombin iii activity CPT 85300 | not published | not published | $11.85 – $31.61 | 10 |
| Antithrombin iii injection HCPCS J7197 | $7,045.34 | $20,129.53 | $4.10 – $8.47 | 9 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $1,089.59 – $9,791.00 | 9 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,023.12 – $2,019.60 | 9 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,409.00 – $11,902.87 | 10 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $171.12 – $316.58 | 7 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $66.22 – $316.58 | 7 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $2,109.00 – $6,264.00 | 3 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $1,008.00 | 9 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $2,700.38 | 9 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $1,528.00 – $12,050.00 | 3 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $69.31 – $400.00 | 9 |
| Apc gene full sequence CPT 81201 | not published | not published | $121.29 – $1,560.00 | 9 |
| Apc gene known fam variants CPT 81202 | not published | not published | $66.69 – $560.00 | 9 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $75.87 – $140.37 | 7 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $2,716.00 – $10,363.52 | 9 |
| Apheresis plasma CPT 36514 | $2,139.20 | $6,112.00 | $1,142.00 – $4,768.00 | 9 |
| Apheresis platelets CPT 36513 | $1,887.55 | $5,393.00 | $567.42 – $4,768.00 | 9 |
| Apheresis rbc CPT 36512 | $1,887.55 | $5,393.00 | $1,142.00 – $4,768.00 | 9 |
| Apheresis wbc CPT 36511 | $2,098.25 | $5,995.00 | $1,142.00 – $4,768.00 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $148.07 – $414.62 | 9 |
| Appendectomy CPT 44950 | not published | not published | $1,142.00 – $10,824.34 | 9 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $2,822.00 – $12,477.00 | 9 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,528.00 – $4,449.00 | 9 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $353.00 – $4,768.00 | 4 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $353.00 – $4,768.00 | 4 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $1,528.00 – $7,629.00 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $630.00 | $1,800.00 | $353.00 – $4,768.00 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $353.00 – $4,768.00 | 4 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $203.00 – $1,528.00 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $203.00 – $1,528.00 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $203.00 – $1,528.00 | 9 |
| Appl body cast sho to hips CPT 29035 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Appl cast figure-of-eight CPT 29049 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Appl cast plaster velpeau CPT 29058 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Appl cast shoulder spica CPT 29055 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Appl halo type body cast CPT 29000 | not published | not published | $353.00 – $2,589.00 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Application clubfoot cast CPT 29450 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $189.00 | $540.00 | $171.12 – $1,528.00 | 9 |
| Application halo femoral CPT 20663 | not published | not published | $1,142.00 – $7,629.00 | 9 |
| Application halo pelvic CPT 20662 | not published | not published | $1,142.00 – $6,035.00 | 9 |
| Application long leg splint 29505 CPT 29505 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Application lower leg splint 29515 CPT 29515 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Application multi layer compression below knee (both sides) CPT 29581 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Application of body cast CPT 29010 | not published | not published | $203.00 – $1,528.00 | 9 |
| Application of body cast CPT 29015 | not published | not published | $203.00 – $1,528.00 | 9 |
| Application of cylinder cast 29365 CPT 29365 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Application of forearm cast 29075 CPT 29075 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Application of long arm cast 29065 CPT 29065 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Application of long leg cast CPT 29355 | not published | not published | $203.00 – $1,528.00 | 9 |
| Application of long leg cast 29345 CPT 29345 | $268.80 | $768.00 | $203.00 – $1,528.00 | 9 |
| Application of paste boot 29580 CPT 29580 | $136.85 | $391.00 | $203.00 – $1,528.00 | 9 |
| Application short leg cast 29405 CPT 29405 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $950.57 – $3,094.00 | 9 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,581.30 | $4,518.00 | $950.57 – $3,094.00 | 9 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,084.95 | $5,957.00 | not published | 0 |
| Appl long leg cast brace CPT 29358 | $233.45 | $667.00 | $203.00 – $1,528.00 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,747.00 – $30,073.00 | 10 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $81.90 | $234.00 | $6.52 – $15.05 | 6 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $89.95 | $257.00 | $13.20 – $24.42 | 6 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $48.04 – $353.00 | 7 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $203.00 – $1,528.00 | 9 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $203.00 – $1,528.00 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Apply finger cast 29086 CPT 29086 | $164.50 | $470.00 | $203.00 – $1,528.00 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $210.35 | $601.00 | $171.12 – $1,528.00 | 9 |
| Apply halo w/removal cranial CPT 20661 | $690.55 | $1,973.00 | $1,142.00 – $4,768.00 | 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.