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 |
|---|---|---|---|---|
| IV inj ra drug dx study CPT 78808 | not published | not published | $94.55 – $1,439.81 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $203.00 – $1,528.00 | 9 |
| Ivp w/nephrotomography CPT 74415 | $1,419.60 | $4,056.00 | $187.34 – $612.97 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,020.60 | $2,916.00 | $150.36 – $612.97 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $10,966.68 | $31,333.38 | $136.99 – $292.85 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $370.40 | 10 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $37.80 | 10 |
| J-tube placement CPT 44015 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,789.03 – $3,309.71 | 6 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,552.14 – $2,871.46 | 6 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,472.79 – $4,574.66 | 6 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,481.88 – $2,741.48 | 6 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,574.26 – $2,912.38 | 6 |
| Kafo femoral fx cast rigid HCPCS L2136 | $1,286.91 | $3,676.89 | $1,811.94 – $3,352.09 | 6 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $955.33 – $1,767.36 | 6 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,403.16 – $4,445.85 | 6 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $2,551.96 – $4,721.13 | 6 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $207.77 – $384.37 | 6 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,554.06 – $2,875.01 | 6 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,915.21 – $9,093.14 | 6 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,416.67 – $2,620.84 | 6 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,875.31 – $3,469.32 | 6 |
| Keratomileusis CPT 65760 | not published | not published | $203.00 – $6,035.00 | 4 |
| Keratophakia CPT 65765 | not published | not published | $203.00 – $6,035.00 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $3,409.00 – $30,073.00 | 10 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $160.06 – $1,517.15 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.02 – $68.00 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $37.82 | 10 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $185.50 | $530.00 | $8.17 – $21.81 | 10 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $32.76 | $93.60 | $0.34 – $1.30 | 9 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,142.00 – $15,828.09 | 10 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,142.00 – $5,893.83 | 9 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,142.00 – $21,832.00 | 10 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,142.00 – $12,111.00 | 10 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,142.00 – $15,828.09 | 9 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Kidney function study CPT 78725 | not published | not published | $158.80 – $1,439.81 | 9 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $843.28 – $843.28 | 1 |
| Kidney imaging morphology CPT 78700 | $362.60 | $1,036.00 | $269.48 – $1,439.81 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $394.23 – $1,928.68 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $575.75 | $1,645.00 | $394.23 – $1,928.68 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $502.60 | $1,436.00 | $134.46 – $366.18 | 9 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $353.00 – $4,619.00 | 2 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $72.98 – $72.98 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $3.99 | $11.41 | $13.89 – $13.89 | 1 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,941.90 | $19,834.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $249.74 | 10 |
| Kit hfx iq ipg bundle HCPCS C1822 | $21,787.50 | $62,250.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $37,492.00 | $107,120.00 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $27.39 – $27.39 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $27,234.38 | $77,812.50 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,234.80 | $3,528.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $3,931.62 | $11,233.19 | $46.27 – $296.10 | 8 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $8,308.44 | $23,738.40 | $2,069.73 – $3,829.00 | 6 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,659.84 | $4,742.40 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $32.51 – $32.51 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,068.15 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $2,068.15 – $9,181.00 | 10 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $2,455.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,747.00 – $30,073.00 | 10 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $163.43 – $302.35 | 6 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $119.67 – $221.39 | 6 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $130.19 – $240.85 | 6 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $797.58 – $1,475.52 | 6 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $949.88 – $1,757.28 | 6 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $171.93 – $318.07 | 6 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $171.93 – $318.07 | 6 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $145.69 – $269.53 | 6 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $104.57 – $193.45 | 6 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $135.86 – $251.34 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | $3,769.85 | $10,771.00 | $448.71 – $2,166.87 | 8 |
| Knee MRI (with contrast) CPT 73722 | $3,473.05 | $9,923.00 | $730.30 – $1,865.27 | 8 |
| Knee MRI (without contrast) CPT 73721 | $2,280.25 | $6,515.00 | $306.88 – $975.86 | 8 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $353.04 – $653.12 | 6 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,361.08 – $4,368.00 | 6 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,487.01 – $2,750.97 | 6 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $703.36 – $1,301.22 | 6 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,189.70 – $2,200.95 | 6 |
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.