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 |
|---|---|---|---|---|
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.09 – $20.09 | 3 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $353.00 – $2,589.00 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $301.00 | $860.00 | $1,528.00 – $4,768.00 | 3 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $411.95 | $1,177.00 | $1,528.00 – $4,768.00 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $573.56 – $573.56 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,747.00 – $6,749.00 | 4 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $58.08 – $140.37 | 7 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $63.00 – $140.37 | 7 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $69.37 – $69.37 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $48.04 – $757.08 | 7 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $48.04 – $366.85 | 7 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $63.14 – $63.14 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $59.76 – $59.76 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $64.83 – $64.83 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $203.00 – $1,528.00 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Fixation of knee joint CPT 27570 | $1,346.45 | $3,847.00 | $1,142.00 – $7,309.00 | 10 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,409.00 – $16,065.00 | 10 |
| Fix g/colon tube w/device CPT 49460 | $2,259.60 | $6,456.00 | $1,142.00 – $3,094.00 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $2,738.05 | $7,823.00 | $1,747.00 – $7,332.00 | 9 |
| Flebogamma injection HCPCS J1572 | not published | not published | $54.00 – $167.87 | 9 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $37.28 | 10 |
| Fl exam g/colon tube w contrast CPT 49465 | $255.85 | $731.00 | $203.00 – $1,528.00 | 9 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,748.98 – $5,085.61 | 6 |
| Flex foot system HCPCS L5980 | not published | not published | $5,166.71 – $9,558.41 | 6 |
| Flexible keel foot HCPCS L5972 | not published | not published | $575.28 – $1,064.27 | 6 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $271.77 – $502.77 | 6 |
| Flexible Sigmoidoscopy CPT 45330 | $610.75 | $1,745.00 | $1,142.00 – $2,589.00 | 9 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $467.82 – $865.47 | 6 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,747.00 – $12,477.00 | 10 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $203.07 – $375.68 | 6 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $4,010.20 – $7,418.87 | 6 |
| Floor of mouth biopsy 41108 CPT 41108 | $1,360.45 | $3,887.00 | $1,142.00 – $3,929.83 | 9 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,584.67 – $6,901.32 | 9 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $7,976.50 | 8 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $671.22 – $1,401.09 | 8 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $63.98 – $407.04 | 5 |
| Flow cytometry marker each additional CPT 88185 | not published | not published | $38.75 – $113.36 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $6.56 | $18.75 | $112.78 – $852.89 | 9 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $304.47 – $387.00 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $160.06 – $296.10 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $48.80 – $309.01 | 5 |
| Floxuridine injection HCPCS J9200 | not published | not published | $486.42 – $8,574.91 | 9 |
| Flt3 gene CPT 81245 | $52.50 | $150.00 | $103.70 – $331.02 | 9 |
| Flt3 gene analysis CPT 81246 | $52.50 | $150.00 | $83.00 – $166.00 | 9 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $86.42 | $246.90 | $7.12 – $348.04 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $980.83 | $2,802.38 | $104.30 – $238.72 | 5 |
| Fluidotherapy charges pt CPT 97022 | $89.95 | $257.00 | $17.49 – $32.36 | 6 |
| Fluid pressure muscle 20950 CPT 20950 | $691.95 | $1,977.00 | $353.00 – $2,589.00 | 9 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $7.29 – $28.01 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $486.87 – $1,055.16 | 9 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $328.91 – $731.09 | 9 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $130.49 – $887.89 | 7 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $220.22 – $513.77 | 7 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $277.71 – $513.77 | 6 |
| Fluorescent antibody titer dna CPT 86256 | $4.31 | $12.30 | $12.05 – $32.16 | 10 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $707.24 – $1,582.77 | 8 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $156.17 – $1,561.25 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $665.70 | $1,902.00 | $55.57 – $183.32 | 3 |
| Fluoroguide needle placement CPT 77002 | $502.25 | $1,435.00 | $90.16 – $239.97 | 3 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $50.48 | 10 |
| Fluoroscopy up to 1 hour CPT 76000 | $502.25 | $1,435.00 | $115.47 – $832.32 | 9 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $272.73 | $779.22 | $4.40 – $8.04 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $73.45 | $209.86 | $17.57 – $213.81 | 5 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $106.84 – $1,107.25 | 8 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $13.43 – $104.56 | 4 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $6,495.36 | 9 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $15.83 – $49.64 | 4 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $23.82 – $106.68 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $306.88 – $567.73 | 7 |
| Fmri brain by tech CPT 70554 | not published | not published | $306.88 – $1,145.48 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,203.30 | $3,438.00 | $353.00 – $2,589.00 | 9 |
| Fna bx w/ct gdn ea addl CPT 10010 | $602.00 | $1,720.00 | $1,528.00 – $4,768.00 | 3 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $353.00 – $2,589.00 | 9 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $21.14 | $60.39 | $39.49 – $39.49 | 1 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $8.80 | $25.14 | $19.25 – $19.25 | 1 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $20.41 – $20.41 | 1 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $58.21 – $58.21 | 1 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $14.81 – $14.81 | 1 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $17.73 – $17.73 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $50.48 | 10 |
| Folic acid CPT 82746 | $173.60 | $496.00 | $14.70 – $39.23 | 10 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $32.83 | $93.80 | $0.10 – $0.13 | 4 |
| Follow-up angiography CPT 75898 | $844.90 | $2,414.00 | $93.67 – $10,837.86 | 9 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $171.24 – $316.79 | 6 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,158.19 | $6,166.27 | $4.71 – $25.65 | 9 |
| Fondaparinux sodium HCPCS J1652 | $209.80 | $599.42 | $1.71 – $31.06 | 5 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $241.15 – $446.13 | 6 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $91.55 – $169.37 | 6 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $56.45 – $104.43 | 6 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $91.13 – $168.59 | 6 |
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.