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 |
|---|---|---|---|---|
| Incision of sperm duct CPT 55200 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Incision of stomach nerves CPT 64755 | not published | not published | $1,528.00 – $6,264.00 | 4 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Incision of tendon sheath CPT 25000 | $1,346.45 | $3,847.00 | $1,747.00 – $7,309.00 | 10 |
| Incision of thigh CPT 27448 | not published | not published | $1,142.00 – $17,265.50 | 9 |
| Incision of thigh CPT 27450 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Incision of thigh tendon CPT 27306 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Incision of thigh tendon CPT 27390 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Incision of thigh tendons CPT 27307 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Incision of thigh tendons CPT 27391 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Incision of tibia CPT 27705 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,528.00 – $30,073.00 | 10 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Incision of tongue fold CPT 41010 | $1,504.30 | $4,298.00 | $1,142.00 – $7,309.00 | 10 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Incision of urethra CPT 53000 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Incision of urethra CPT 53010 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Incision of urethra CPT 53020 | $1,731.10 | $4,946.00 | $1,142.00 – $7,309.00 | 10 |
| Incision of urethra CPT 53025 | not published | not published | $1,528.00 – $6,035.00 | 9 |
| Incision of vagus nerve CPT 64760 | not published | not published | $1,528.00 – $6,749.00 | 4 |
| Incision of windpipe CPT 31601 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Incision of windpipe CPT 31610 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Incision secondary cataract CPT 66820 | not published | not published | $1,142.00 – $4,449.00 | 9 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,747.00 – $6,035.00 | 9 |
| Incisn windpipe CPT 31600 | $2,151.10 | $6,146.00 | $2,160.00 – $7,332.00 | 9 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $4,768.00 – $17,265.50 | 8 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $4,768.00 – $17,265.50 | 8 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.29 – $11.46 | 9 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $9.30 – $17.21 | 7 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,747.00 – $4,768.00 | 4 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,747.00 – $5,789.00 | 4 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $1,747.00 – $4,768.00 | 4 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $1,747.00 – $3,463.00 | 4 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,747.00 – $4,768.00 | 4 |
| Induced abortion d&c CPT 59840 | $2,537.15 | $7,249.00 | $2,455.00 – $7,332.00 | 10 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,455.00 – $7,332.00 | 10 |
| Induction of vomiting CPT 99175 | $75.60 | $216.00 | $125.19 – $125.19 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $60.31 – $140.40 | 10 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $83.91 – $83.91 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $130.35 – $347.83 | 10 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $30.00 | 10 |
| Infect ag eia influenza a or b ea CPT 87400 | $60.20 | $172.00 | $14.13 – $28.26 | 10 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $675.91 | 10 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $675.91 | 10 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $128.73 – $345.98 | 10 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $257.45 – $687.01 | 10 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $65.54 | 10 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $24.22 – $70.58 | 10 |
| Infect ag ia optc obs influenza CPT 87804 | $60.20 | $172.00 | $16.55 – $33.10 | 10 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $24.79 | 10 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $43.82 | 10 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $32.14 | 10 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $24.79 | 10 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $15.60 – $31.20 | 10 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $32.20 | 10 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $24.79 | 10 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $26.84 | 10 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $106.94 | 10 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $93.67 | 10 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $114.31 | 10 |
| Infect ag na hpv high-risk types CPT 87624 | $34.30 | $98.00 | $35.09 – $91.22 | 10 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $140.00 | $400.00 | $95.80 – $228.72 | 10 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $137.94 | 10 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $102.62 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $528.85 | $1,511.00 | $416.78 – $1,094.26 | 10 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $1,304.00 | 10 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $69.56 | 10 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $15.70 – $82.96 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $37.45 | $107.00 | $11.98 – $24.79 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $26.84 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $13.82 – $27.64 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $11.98 – $24.79 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $230.30 | $658.00 | $14.38 – $38.39 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $123.20 | $352.00 | $10.33 – $27.56 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.33 – $27.56 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $86.80 | $248.00 | $24.08 – $65.17 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $107.27 | $306.49 | $11.98 – $24.79 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $11.98 – $24.79 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $24.79 | 10 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $90.30 | $258.00 | $35.09 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $43.05 | $123.00 | $35.09 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $112.35 | $321.00 | $37.27 – $96.02 | 10 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $528.85 | $1,511.00 | $416.78 – $1,091.99 | 10 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $35.09 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $35.09 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $51.10 | $146.00 | $41.68 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $43.05 | $123.00 | $35.09 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $83.30 | $238.00 | $51.31 – $102.62 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $667.80 | $1,908.00 | $142.63 – $285.26 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $142.63 – $285.26 | 10 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $63.70 | $182.00 | $35.09 – $93.67 | 10 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $35.09 – $91.43 | 10 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $129.83 | 5 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $65.95 – $153.54 | 10 |
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.