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 |
|---|---|---|---|---|
| Genome re-evaluation CPT 81427 | not published | not published | $0.02 – $4,675.30 | 9 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.02 – $10,062.40 | 9 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.02 – $5,419.90 | 9 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $89.61 | $256.03 | $3.10 – $15.81 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $204.40 | $584.00 | $16.38 – $43.74 | 10 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $16.28 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $868.15 – $1,528.00 | 8 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $882.70 | $2,522.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,636.55 | $7,533.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $20.51 | 10 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $42.88 | 10 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $204.52 | 9 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $73.83 – $316.58 | 7 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $14.39 – $38.41 | 10 |
| Ghs aspiration bladder - needle CPT 51100 | $481.95 | $1,377.00 | $203.00 – $1,528.00 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $233.80 | $668.00 | $165.49 – $2,589.00 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $12.01 | 10 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $649.60 | $1,856.00 | $907.88 – $2,589.00 | 9 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,768.15 | $7,909.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs change cysto/gastrost CPT 43762 | $233.80 | $668.00 | $321.35 – $2,589.00 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $677.95 | $1,937.00 | $348.18 – $785.93 | 7 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $386.99 – $785.93 | 7 |
| Ghs chemo IV push, ea addtl CPT 96411 | $654.50 | $1,870.00 | $92.60 – $171.32 | 7 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $82.34 | $235.25 | $35.09 – $93.67 | 10 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $405.30 | $1,158.00 | $317.26 – $7,309.00 | 10 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,655.85 | $4,731.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $233.80 | $668.00 | $317.26 – $7,309.00 | 10 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,548.40 | $4,424.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | $89.95 | $257.00 | $24.33 – $65.62 | 6 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $385.70 | $1,102.00 | $203.00 – $1,528.00 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $343.70 | $982.00 | $171.12 – $1,528.00 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $343.70 | $982.00 | $203.00 – $1,528.00 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $343.70 | $982.00 | $171.12 – $1,528.00 | 9 |
| Ghs cricothyroidotomy CPT 31605 | $1,050.00 | $3,000.00 | $304.63 – $2,589.00 | 9 |
| Ghs cutdown placement age 1 and over CPT 36425 | $225.75 | $645.00 | $203.00 – $1,528.00 | 9 |
| Ghs cutdown placement under 1 yr CPT 36420 | $164.50 | $470.00 | $171.12 – $1,528.00 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $34.11 | 10 |
| Ghs dislocation elbow closed treatment CPT 24600 | $189.00 | $540.00 | $317.26 – $7,309.00 | 10 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $859.25 | $2,455.00 | $1,166.53 – $3,094.00 | 9 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $268.80 | $768.00 | $203.00 – $1,528.00 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $761.60 | $2,176.00 | $907.88 – $2,589.00 | 9 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $443.80 | $1,268.00 | $277.71 – $513.77 | 6 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $41.28 – $353.00 | 7 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $142.31 – $306.17 | 7 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $101.26 – $101.26 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $203.00 – $1,528.00 | 9 |
| Ghs excision ingrown nail CPT 11765 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Ghs eye exam CPT 92002 | $88.20 | $252.00 | $83.25 – $316.79 | 7 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $343.70 | $982.00 | $203.00 – $1,528.00 | 9 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $9.84 | 10 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,564.15 | $4,469.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,292.15 | $6,549.00 | $1,747.00 – $7,309.00 | 10 |
| Ghs fb removal - incisional CPT 10121 | $1,360.45 | $3,887.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs fb removal - non-incisional CPT 20520 | $1,564.15 | $4,469.00 | $1,142.00 – $3,929.83 | 9 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $18.62 | 10 |
| Ghs fish cytogen CPT 88271 | not published | not published | $21.42 – $57.17 | 10 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $51.19 – $107.17 | 10 |
| Ghs flow volume loop CPT 94375 | not published | not published | $44.44 – $513.77 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $365.40 | $1,044.00 | $277.71 – $2,589.00 | 9 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $93.67 | 10 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $45.94 | 10 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $41.33 | 10 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $22.60 | 10 |
| Ghs histoplasma antigen CPT 87385 | $46.03 | $131.51 | $13.25 – $26.50 | 10 |
| Ghs HIV antibody CPT 86703 | $96.25 | $275.00 | $13.71 – $36.61 | 10 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $212.28 | 10 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,990.45 | $5,687.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,153.25 | $3,295.00 | $1,539.08 – $7,309.00 | 10 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $691.95 | $1,977.00 | $203.00 – $2,109.00 | 9 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $691.95 | $1,977.00 | $203.00 – $2,109.00 | 9 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $59.84 | 10 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $296.10 | $846.00 | $321.35 – $2,589.00 | 9 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $130.90 | $374.00 | $256.73 – $7,309.00 | 10 |
| Ghs inf midline insertion CPT 36140 | $793.45 | $2,267.00 | $1,528.00 – $4,768.00 | 3 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $12.87 – $34.36 | 10 |
| Ghs init tx 1st degree burn CPT 16000 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $1,137.58 – $7,309.00 | 10 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $1,137.58 – $2,589.00 | 9 |
| Ghs inj tendon origin/insertion CPT 20551 | $253.05 | $723.00 | $353.00 – $2,589.00 | 9 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $428.75 | $1,225.00 | $1,142.00 – $7,309.00 | 5 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $915.60 | $2,616.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs insertion of needle - bone CPT 36680 | $365.40 | $1,044.00 | $203.00 – $1,528.00 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $384.65 | $1,099.00 | $522.85 – $7,309.00 | 10 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,904.35 | $5,441.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $60.90 | $174.00 | $1,528.00 – $4,768.00 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $296.10 | $846.00 | $321.35 – $7,309.00 | 10 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $60.23 – $111.42 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $278.95 | $797.00 | $424.83 – $2,589.00 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $302.05 | $863.00 | $574.56 – $7,309.00 | 10 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 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.