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 |
|---|---|---|---|---|
| Apply hand/wrist cast 29085 CPT 29085 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $453.58 – $1,657.20 | 7 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $395.92 – $1,657.20 | 7 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $318.84 – $1,314.72 | 7 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $222.50 – $1,314.72 | 7 |
| Apply of finger splint 29131 CPT 29131 | $189.00 | $540.00 | $75.87 – $1,528.00 | 9 |
| Apply rem fixation device CPT 20660 | $1,346.45 | $3,847.00 | $1,142.00 – $4,768.00 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $203.00 – $1,528.00 | 9 |
| Apply short leg castambul type 29425 CPT 29425 | $268.80 | $768.00 | $203.00 – $1,528.00 | 9 |
| Apply surf ldr radionuclide CPT 77789 | $162.05 | $463.00 | $39.38 – $242.77 | 7 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,747.00 – $45,368.55 | 9 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,528.00 – $7,728.00 | 9 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $353.00 – $10,336.00 | 9 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $353.00 – $10,336.00 | 9 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $900.98 | $2,574.23 | $1.69 – $3.68 | 9 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $93.67 | 10 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $17.28 – $75.46 | 10 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $24.10 | 10 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $23.06 | 10 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $41.46 – $76.70 | 6 |
| Aquatic exercise - group charge CPT 97150 | $107.45 | $307.00 | $19.27 – $36.04 | 6 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $8.04 | 9 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $2.01 – $3.98 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $4,791.57 | $13,690.20 | $1.01 – $2.24 | 9 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.32 – $7.01 | 9 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.69 – $1.49 | 3 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $4,253.19 | $12,151.98 | $6.64 – $33.79 | 5 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,528.00 – $6,264.00 | 4 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $2,109.00 – $6,749.00 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,528.00 – $6,749.00 | 4 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $2,109.00 – $6,749.00 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,109.00 – $6,749.00 | 3 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,109.00 – $6,749.00 | 3 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Arterial blood draw/perc 36620 CPT 36620 | $232.75 | $665.00 | $1,528.00 – $4,768.00 | 3 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Artery to vein shunt CPT 36835 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $2,160.00 – $12,477.00 | 10 |
| Artery xray each vessel 7577426 CPT 75774 | $1,335.60 | $3,816.00 | $319.22 – $1,787.28 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,402.30 | $12,578.00 | $395.26 – $18,613.58 | 9 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $401.40 – $10,837.86 | 9 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $459.91 – $10,837.86 | 9 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,339.40 | $6,684.00 | $401.40 – $10,837.86 | 9 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,425.50 | $6,930.00 | $461.44 – $10,837.86 | 9 |
| Artery x-rays chest CPT 75756 | $6,050.80 | $17,288.00 | $402.17 – $10,837.86 | 9 |
| Artery x-rays lung CPT 75741 | $4,123.00 | $11,780.00 | $347.62 – $10,837.86 | 9 |
| Artery x-rays lung CPT 75746 | $6,050.80 | $17,288.00 | $378.36 – $10,837.86 | 9 |
| Artery x-rays lungs CPT 75743 | $6,050.80 | $17,288.00 | $366.83 – $10,837.86 | 9 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,402.30 | $12,578.00 | $394.49 – $18,613.58 | 9 |
| Artery x-rays spine CPT 75705 | $4,402.30 | $12,578.00 | $399.86 – $18,613.58 | 9 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $353.00 – $5,789.00 | 4 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,747.00 – $64,562.94 | 9 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,822.00 – $45,368.55 | 9 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $2,455.00 – $30,073.00 | 10 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $3,409.00 – $30,073.00 | 10 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,747.00 – $64,562.94 | 9 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $1,747.00 – $41,720.12 | 9 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $353.00 – $41,720.12 | 9 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $3,965.50 | $11,330.00 | $2,160.00 – $16,065.00 | 10 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $2,455.00 – $30,073.00 | 10 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $480.90 | $1,374.00 | $353.00 – $2,589.00 | 9 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $695.80 | $1,988.00 | $203.00 – $2,109.00 | 9 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $695.80 | $1,988.00 | $203.00 – $1,528.00 | 9 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $474.60 | $1,356.00 | $353.00 – $2,589.00 | 9 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $480.90 | $1,374.00 | $353.00 – $2,589.00 | 9 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $480.90 | $1,374.00 | $203.00 – $1,528.00 | 9 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $4,768.00 – $9,181.00 | 3 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $1,142.00 – $12,477.00 | 4 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $2,160.00 – $16,065.00 | 10 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $2,160.00 – $41,720.12 | 10 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,822.00 – $41,720.12 | 9 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,528.00 – $41,720.12 | 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.