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 |
|---|---|---|---|---|
| Guide worley csg 9fx50cm std HCPCS C1892 | $11,338.25 | $32,395.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $138.95 | $397.00 | $81.97 – $419.40 | 2 |
| Gum graft CPT 41870 | not published | not published | $1,995.60 – $4,768.00 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $13,093.85 | $37,411.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,160.00 – $7,332.00 | 9 |
| Hair analysis HCPCS P2031 | not published | not published | $7.02 – $180.46 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $203.00 – $1,528.00 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $522.85 – $7,309.00 | 10 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $522.85 – $7,309.00 | 10 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $51.86 – $95.94 | 6 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,115.46 – $5,763.60 | 6 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,952.09 – $7,311.37 | 6 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,804.53 – $8,888.38 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $9.17 – $128.68 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $34.45 | $98.42 | $1.55 – $29.95 | 5 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $258.53 – $478.28 | 6 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $47.13 – $47.13 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $11.54 – $11.54 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $115.37 – $213.43 | 6 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $4,868.50 | $13,910.00 | $5,789.00 – $5,789.00 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,396.60 – $4,433.71 | 6 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,334.78 – $4,319.34 | 6 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $988.45 – $1,828.63 | 6 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,455.98 – $4,543.56 | 6 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Hand tendon reconstruction CPT 26502 | $2,738.05 | $7,823.00 | $2,160.00 – $7,629.00 | 10 |
| Hand X-ray CPT 73130 | $358.40 | $1,024.00 | $46.13 – $303.19 | 9 |
| Haptoglobin quantitative CPT 83010 | $213.85 | $611.00 | $12.58 – $33.58 | 10 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $275.23 – $509.18 | 6 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $197.96 – $366.23 | 6 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $186.86 – $345.69 | 6 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $567.42 – $2,589.00 | 9 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,528.00 – $4,768.00 | 4 |
| Hast w/i&r phys/qhp CPT 94452 | $195.65 | $559.00 | $79.87 – $316.58 | 7 |
| Hast w/oxygen titrate CPT 94453 | $195.65 | $559.00 | $118.68 – $316.58 | 7 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,200.00 | 10 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $404.80 | 10 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $750.50 | 10 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $649.16 | 10 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $349.62 | 10 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $404.80 | 10 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $750.50 | 10 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $40.22 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $176.99 – $1,528.00 | 7 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $115.47 – $612.97 | 9 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $40.17 | 10 |
| Hcg qualitative CPT 84703 | $277.90 | $794.00 | $7.52 – $20.04 | 10 |
| Hcg quantitative CPT 84702 | $178.85 | $511.00 | $15.05 – $40.17 | 10 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $103.12 – $203.07 | 3 |
| Hc metata joint dislocation anes CPT 28635 | $1,548.40 | $4,424.00 | $1,142.00 – $7,309.00 | 10 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $950.57 – $2,589.00 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $950.57 – $2,589.00 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $360.68 – $1,928.68 | 9 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $514.17 – $1,439.81 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | $362.60 | $1,036.00 | $313.92 – $1,439.81 | 9 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $461.88 – $2,035.50 | 9 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $693.00 | $1,980.00 | $414.20 – $3,080.50 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $353.00 – $4,768.00 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $477.66 – $1,657.20 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $869.99 – $1,657.20 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $895.78 – $1,657.20 | 7 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $369.99 – $917.73 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $496.07 – $917.73 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $3,768.10 | $10,766.00 | $225.59 – $625.17 | 8 |
| Head CT scan (with contrast) CPT 70460 | $2,667.70 | $7,622.00 | $225.59 – $499.57 | 8 |
| Head CT scan (without contrast) CPT 70450 | $2,127.65 | $6,079.00 | $134.46 – $417.58 | 8 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,359.14 | 9 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $3,250.00 | 9 |
| Heart first pass add-on CPT 78496 | not published | not published | $125.66 – $620.22 | 3 |
| Heart first pass multiple CPT 78483 | not published | not published | $486.03 – $1,928.68 | 9 |
| Heart image spect CPT 78494 | not published | not published | $469.14 – $1,439.81 | 9 |
| Heart infarct image CPT 78466 | not published | not published | $230.94 – $1,439.81 | 9 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $323.91 – $1,928.68 | 9 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $149.83 – $277.19 | 6 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $50.25 | 10 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $91.55 – $169.37 | 6 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $11.23 | 10 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $18.18 | 10 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $16.85 – $38.73 | 10 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $160.06 – $692.62 | 8 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $21.85 | 10 |
| Hematocrit CPT 85014 | $50.75 | $145.00 | $2.37 – $6.32 | 10 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $207.21 – $803.08 | 9 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,528.00 – $12,050.00 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $28.56 – $71.10 | 9 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $8,311.28 – $15,375.87 | 6 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $8,249.73 – $15,262.00 | 6 |
| Hemodialysis access study CPT 90940 | not published | not published | $110.41 – $208.92 | 2 |
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.