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 |
|---|---|---|---|---|
| Hemodialysis one evaluation CPT 90935 | $793.10 | $2,266.00 | $59.35 – $1,633.02 | 7 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $86.79 – $354.77 | 2 |
| Hemoglobin CPT 85018 | $46.20 | $132.00 | $2.37 – $6.32 | 10 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $8.02 | 10 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $8.00 – $16.00 | 10 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $22.08 | 10 |
| Hemoglobin methemoglobin quantitative CPT 83050 | not published | not published | $8.20 – $19.54 | 10 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $26.68 | 10 |
| Hemoglobin plasma CPT 83051 | not published | not published | $7.31 – $19.50 | 10 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $18.37 | 10 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $10.52 | 10 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $23.68 | 10 |
| Hemolysins/agglutinins auto CPT 86940 | $26.78 | $76.50 | $8.77 – $21.89 | 10 |
| Hemolysins and agglutinins incubated CPT 86941 | $26.78 | $76.50 | $12.11 – $32.32 | 10 |
| Hemoperfusion CPT 90997 | not published | not published | $59.93 – $59.93 | 1 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $42.29 | 10 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,822.00 – $7,728.00 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $767.55 | $2,193.00 | $1,142.00 – $2,589.00 | 9 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $1,418.55 | $4,053.00 | $2,160.00 – $7,728.00 | 10 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $70.23 – $140.07 | 9 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $70.23 – $140.07 | 9 |
| Heparin assay CPT 85520 | not published | not published | $13.09 – $34.93 | 10 |
| Heparin bolus from bag HCPCS J1644 | $68.93 | $196.95 | $0.44 – $3.05 | 5 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $24.79 | 10 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $117.99 | $337.12 | $0.04 – $1.94 | 5 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $37.84 | 10 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,747.00 – $6,749.00 | 4 |
| Hepatitis a antibody igm CPT 86709 | $136.85 | $391.00 | $11.26 – $30.04 | 10 |
| Hepatitis b core antibody igm CPT 86705 | $136.50 | $390.00 | $11.77 – $31.40 | 10 |
| Hepatitis b core antibody total CPT 86704 | not published | not published | $12.05 – $32.16 | 10 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $2,840.78 | $8,116.52 | $140.21 – $335.55 | 9 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $50.64 | 10 |
| Hepatitis b surface antibody CPT 86706 | $136.85 | $391.00 | $10.74 – $28.67 | 10 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $147.12 – $322.02 | 4 |
| Hepatitis c antibody CPT 86803 | $171.15 | $489.00 | $14.27 – $38.09 | 10 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $62.44 | 10 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $85.68 | 10 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $93.67 | 10 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $59.60 | 10 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $111.41 | 10 |
| Hepatobiliary system imaging CPT 78226 | $595.35 | $1,701.00 | $514.17 – $1,439.81 | 9 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $66.05 – $158.71 | 4 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $190.40 – $416.31 | 4 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $1,090.00 – $2,607.90 | 9 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $10,962.66 – $10,962.66 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $877.86 – $2,607.90 | 9 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $1,195.82 | 9 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $1,411.05 – $1,411.05 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | $1,955.10 | $5,586.00 | $2,160.00 – $7,629.00 | 10 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $24.79 | 10 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $24.79 | 10 |
| Herpes simplex type 1 antibody igg CPT 86695 | $30.10 | $86.00 | $13.19 – $35.20 | 10 |
| Herpes simplex type 2 antibody igg CPT 86696 | $30.10 | $86.00 | $19.35 – $51.67 | 10 |
| Herpes simplex virus isolation CPT 87255 | not published | not published | $33.86 – $90.36 | 10 |
| Heterophile antibodies screening CPT 86308 | $85.05 | $243.00 | $5.18 – $13.81 | 10 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $17.27 | 10 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $19.67 | 10 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $102.90 | 9 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | not published | not published | $117.20 – $216.82 | 6 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $117.20 – $216.82 | 6 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $13.24 | 10 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $52.30 – $116.00 | 10 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $111.41 | 10 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $42.90 – $210.96 | 4 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $24.95 – $475.40 | 4 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $2,068.15 – $7,629.00 | 8 |
| High activity knee frame HCPCS L5930 | not published | not published | $4,045.31 – $7,483.82 | 6 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $11.69 – $11.69 | 1 |
| Hinge extension/flex wrist/f HCPCS L3900 | $147.00 | $420.00 | $1,781.40 – $3,295.59 | 6 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $2,192.72 – $4,056.53 | 6 |
| Hip adj flex ext abduct cont HCPCS L2624 | $517.06 | $1,477.32 | $507.36 – $938.62 | 6 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $4,589.00 – $16,065.00 | 10 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $2,160.00 – $12,477.00 | 10 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $2,160.00 – $12,477.00 | 10 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $8,469.42 – $15,668.43 | 6 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $314.68 – $582.16 | 6 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $372.09 – $688.37 | 6 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $729.78 – $1,350.09 | 6 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $7,129.62 – $13,189.80 | 6 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $6,572.57 – $12,159.25 | 6 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $7,258.09 – $13,427.47 | 6 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,790.71 – $3,312.81 | 6 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $1,905.46 – $3,525.10 | 6 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $469.85 – $869.22 | 6 |
| Hip X-ray CPT 73502 | $546.00 | $1,560.00 | $64.53 – $303.19 | 9 |
| Histamine CPT 83088 | not published | not published | $29.53 – $78.81 | 10 |
| Histochemical stains add-on CPT 88314 | not published | not published | $41.11 – $152.53 | 5 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $13.12 – $110.02 | 9 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $48.12 | 10 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $53.52 | 10 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $47.08 | 10 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $53.52 | 10 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $117.24 | 10 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.44 – $153.23 | 9 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.49 – $2.75 | 9 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $6.84 – $14.81 | 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.