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 |
|---|---|---|---|---|
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $389.90 | $1,114.00 | $203.00 – $1,528.00 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $395.85 | $1,131.00 | $203.00 – $1,528.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $384.65 | $1,099.00 | $522.85 – $7,309.00 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $402.15 | $1,149.00 | $522.85 – $7,309.00 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $582.75 | $1,665.00 | $950.57 – $7,309.00 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $408.45 | $1,167.00 | $522.85 – $7,309.00 | 10 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $582.75 | $1,665.00 | $601.00 – $7,309.00 | 10 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $414.05 | $1,183.00 | $522.85 – $7,309.00 | 10 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,655.85 | $4,731.00 | $1,528.00 – $7,309.00 | 10 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $414.05 | $1,183.00 | $522.85 – $7,309.00 | 10 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $215.25 | $615.00 | $8.60 – $22.96 | 10 |
| Ghs mbp CPT 83873 | $20.13 | $57.50 | $17.20 – $45.92 | 10 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $87.50 | $250.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $87.50 | $250.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $87.50 | $250.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $70.00 | $200.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $70.00 | $200.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $420.35 | $1,201.00 | $99.42 – $151.30 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $348.60 | $996.00 | $94.35 – $143.48 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $147.70 | $422.00 | $101.10 – $153.81 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $316.75 | $905.00 | $203.39 – $203.39 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $582.75 | $1,665.00 | $203.00 – $1,528.00 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $796.25 | $2,275.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs nerve blk intercostal, single level CPT 64420 | $649.60 | $1,856.00 | $907.88 – $7,309.00 | 10 |
| Ghs nerve block axillary nerve CPT 64417 | $796.25 | $2,275.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs nerve block brachial plexus CPT 64415 | $915.60 | $2,616.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs nerve block celiac plexus CPT 64530 | $995.40 | $2,844.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs nerve block interscaline CPT 64510 | $796.25 | $2,275.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,856.75 | $5,305.00 | $1,137.58 – $7,309.00 | 10 |
| Ghs nerve block sciatic nerve CPT 64445 | $649.60 | $1,856.00 | $353.00 – $2,589.00 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $649.60 | $1,856.00 | $907.88 – $2,589.00 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $259.35 | $741.00 | $203.00 – $1,528.00 | 9 |
| Ghs o2 saturation CPT 82810 | $65.80 | $188.00 | $9.77 – $23.30 | 10 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $102.20 – $306.17 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $75.87 – $167.34 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $60.23 – $111.42 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $788.90 | $2,254.00 | $806.82 – $7,309.00 | 10 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,563.45 | $4,467.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs optokenetic CPT 92544 | not published | not published | $62.16 – $306.17 | 7 |
| Ghs oscillating trac CPT 92545 | not published | not published | $58.78 – $513.77 | 7 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.88 – $95.92 | 7 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.80 – $353.00 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $89.95 | $257.00 | $29.26 – $82.53 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $89.95 | $257.00 | $23.49 – $126.65 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $131.75 – $131.75 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $839.65 | $2,399.00 | $7.32 – $2,109.00 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,836.10 | $5,246.00 | $1,142.00 – $4,768.00 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $862.05 | $2,463.00 | $1,142.00 – $4,768.00 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $42.74 – $92.33 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $189.00 | $540.00 | $304.63 – $7,309.00 | 10 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.50 – $14.69 | 10 |
| Ghs picc line insert < 5 CPT 36568 | $1,563.45 | $4,467.00 | $1,142.00 – $7,309.00 | 10 |
| Ghs plngl fx pm cl CPT 26725 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $11.48 | 10 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,104.48 – $2,043.29 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $77.34 – $316.58 | 7 |
| Ghs ppd (tb intradermal) CPT 86580 | $29.40 | $84.00 | $16.59 – $68.82 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $25.79 | 10 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $13.81 | 10 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.35 – $38.30 | 10 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $75.87 – $140.37 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $32.68 | 10 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $330.26 – $330.26 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $38.94 | 10 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $130.79 – $1,528.00 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $101.50 | $290.00 | $171.12 – $1,528.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $302.05 | $863.00 | $353.00 – $2,589.00 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,548.40 | $4,424.00 | $1,747.00 – $7,309.00 | 10 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,148.95 | $8,997.00 | $2,160.00 – $7,629.00 | 10 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $34.40 | 10 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $11.48 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $207.20 | $592.00 | $13.91 – $27.82 | 10 |
| Ghs sedimentation rate CPT 85651 | $115.50 | $330.00 | $4.27 – $9.47 | 10 |
| Ghs semen analysis fert CPT 89320 | $201.60 | $576.00 | $12.31 – $32.16 | 10 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $23.78 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | $56.00 | $160.00 | $7.48 – $18.39 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $384.65 | $1,099.00 | $522.85 – $7,309.00 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $405.30 | $1,158.00 | $522.85 – $7,309.00 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $397.25 | $1,135.00 | $522.85 – $7,309.00 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $405.30 | $1,158.00 | $522.85 – $7,309.00 | 10 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $210.35 | $601.00 | $203.00 – $1,528.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $407.40 | $1,164.00 | $258.05 – $7,309.00 | 10 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $405.30 | $1,158.00 | $258.05 – $7,309.00 | 10 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $277.71 – $513.77 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,060.15 | $3,029.00 | $81.02 – $513.77 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,119.25 | $6,055.00 | $624.74 – $1,484.00 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $163.10 | $466.00 | $53.18 – $98.38 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $253.05 | $723.00 | $394.79 – $2,589.00 | 9 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $67.22 – $316.58 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $262.85 | $751.00 | $113.30 – $209.60 | 6 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $48.04 – $88.87 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | $95.20 | $272.00 | $171.12 – $1,528.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $325.85 | $931.00 | $77.39 – $144.70 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $219.80 | $628.00 | $21.39 – $111.42 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $219.80 | $628.00 | $273.57 – $506.11 | 7 |
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.