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 |
|---|---|---|---|---|
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $30.72 – $77.70 | 5 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $73.42 – $146.11 | 4 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,202.64 – $4,736.75 | 4 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $302.83 – $1,442.29 | 4 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $1,267.90 – $21,825.90 | 5 |
| Interfyl, 1 mg HCPCS Q4171 | $3,122.04 | $8,920.12 | $24.14 – $138.94 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $75.87 – $140.37 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,142.00 – $7,309.00 | 5 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $519.59 – $519.59 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $48.00 – $88.80 | 6 |
| Interrogation vad in person CPT 93750 | not published | not published | $28.85 – $1,528.00 | 8 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $44.57 – $88.80 | 6 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $37.20 – $68.82 | 6 |
| Interrog device eval heart CPT 93289 | not published | not published | $48.00 – $88.80 | 6 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $48.00 – $88.80 | 6 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $122.28 – $353.00 | 7 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $353.00 – $730.81 | 7 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $122.28 – $353.00 | 7 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $22,747.26 – $42,082.43 | 6 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $19,237.24 – $35,588.89 | 6 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,747.00 – $30,548.47 | 9 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | $1,418.55 | $4,053.00 | $1,142.00 – $6,604.43 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,580.90 – $2,924.67 | 6 |
| Intra-atrial pacing CPT 93610 | $3,254.30 | $9,298.00 | $121.81 – $16,065.00 | 8 |
| Intra-atrial recording CPT 93602 | not published | not published | $99.44 – $16,065.00 | 8 |
| Intracard echo interv w/s&i CPT 93662 | $1,927.10 | $5,506.00 | $301.26 – $1,528.00 | 3 |
| Intracran angioplsty w/stent CPT 61635 | $13,982.15 | $39,949.00 | $2,109.00 – $5,789.00 | 3 |
| Intracranial angioplasty CPT 61630 | $11,491.90 | $32,834.00 | $2,109.00 – $5,789.00 | 3 |
| Intracranial complete study CPT 93886 | $663.60 | $1,896.00 | $306.88 – $832.32 | 8 |
| Intracranial limited study CPT 93888 | $431.20 | $1,232.00 | $134.46 – $366.18 | 8 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $2,109.00 – $9,640.00 | 4 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $2,109.00 – $9,640.00 | 4 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,109.00 – $9,640.00 | 4 |
| Intranasal biopsy 30100 CPT 30100 | $1,307.95 | $3,737.00 | $1,142.00 – $3,094.00 | 9 |
| Intranasal reconstruction CPT 30620 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $564.39 – $2,716.00 | 3 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $1,142.00 – $2,089.33 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $503.30 | $1,438.00 | $693.67 – $2,589.00 | 9 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $111.93 – $207.07 | 6 |
| Intrapul surf admin endo tube CPT 94610 | $663.25 | $1,895.00 | $47.92 – $521.04 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $567.42 – $2,589.00 | 9 |
| Intraventricular pacing CPT 93612 | not published | not published | $144.45 – $16,065.00 | 8 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $15.08 – $40.22 | 10 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $88.31 – $316.79 | 7 |
| Intro cath dialysis circuit CPT 36901 | $1,274.70 | $3,642.00 | $203.00 – $3,409.00 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $4,491.90 | $12,834.00 | $3,409.00 – $12,477.00 | 8 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $5,288.50 | $15,110.00 | $3,409.00 – $27,468.35 | 8 |
| Intro catheter aorta CPT 36200 | $980.00 | $2,800.00 | $1,528.00 – $4,768.00 | 3 |
| Intro cath svc/ivc CPT 36010 | $829.15 | $2,369.00 | $1,528.00 – $4,768.00 | 3 |
| Intro long gi tube CPT 44500 | $899.85 | $2,571.00 | $1,142.00 – $3,094.00 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $221.90 | $634.00 | $182.88 – $373.75 | 3 |
| Intro windpipe wire/tube CPT 31730 | $1,201.20 | $3,432.00 | $1,142.00 – $7,309.00 | 10 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $510.30 | $1,458.00 | $1,528.00 – $4,768.00 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $382.90 | $1,094.00 | $1,528.00 – $4,768.00 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $712.25 | $2,035.00 | $304.63 – $2,589.00 | 9 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $26.04 – $141.73 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $11.54 – $140.37 | 7 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $285.64 – $5,988.78 | 3 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $348.01 – $733.19 | 8 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $616.67 – $752.14 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $18.72 – $88.80 | 7 |
| Ionm in operatng room 15 min CPT 95940 | $50.75 | $145.00 | $128.14 – $128.14 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $171.43 – $171.43 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.82 – $1.66 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $70.56 | $201.60 | $0.28 – $1.66 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $245.85 – $1,882.80 | 3 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $453.46 – $17,525.04 | 6 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $642.60 – $17,525.04 | 6 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.58 – $0.58 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $63,066.15 | $180,189.00 | $181.09 – $387.47 | 9 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.10 – $0.28 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | $0.61 | $1.75 | $0.49 – $14.14 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $410.13 | $1,171.79 | $3.26 – $569.89 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $10,986.98 | $31,391.37 | $66.37 – $140.35 | 9 |
| Iron CPT 83540 | $148.40 | $424.00 | $6.47 – $17.29 | 10 |
| Iron binding capacity CPT 83550 | $158.20 | $452.00 | $8.74 – $19.73 | 10 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.10 – $37.04 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $17.27 | 10 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $58.15 | $166.15 | $0.47 – $2.50 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $88.90 | $254.00 | $1.49 – $88.87 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $154.00 | $440.00 | $54.70 – $140.37 | 7 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,142.00 – $3,094.00 | 9 |
| Irrigation syringe HCPCS A4322 | not published | not published | $6.04 – $6.04 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $8.99 – $8.99 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $75.87 – $1,528.00 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $83.58 – $169.55 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Ivc venogram s&i CPT 75825 | $1,909.25 | $5,455.00 | $339.19 – $10,837.86 | 9 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $151.98 – $302.44 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $252.35 | $721.00 | $60.20 – $171.32 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $252.35 | $721.00 | $31.51 – $31.51 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $252.35 | $721.00 | $34.04 – $111.42 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $534.10 | $1,526.00 | $138.25 – $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.