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 |
|---|---|---|---|---|
| Motion analysis video/3d CPT 96000 | not published | not published | $52.49 – $887.89 | 7 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $62.76 – $2,043.29 | 7 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $171.13 – $1,062.94 | 7 |
| Mouth piece HCPCS A4617 | not published | not published | $6.14 – $6.14 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $70.65 – $198.65 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $101.50 | $290.00 | $219.12 – $556.12 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $104.44 – $245.91 | 5 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $105.99 – $405.38 | 9 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $300.66 | 10 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $53.52 | 10 |
| M.pneumon dna quant CPT 87582 | not published | not published | $108.87 – $605.24 | 10 |
| Mpsv4 vaccine subq CPT 90733 | $493.75 | $1,410.70 | $178.73 – $334.57 | 3 |
| MRA abdomen post contrast CPT 74185 | $4,710.65 | $13,459.00 | $483.89 – $1,581.64 | 4 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,251.50 | $9,290.00 | $477.54 – $1,581.27 | 4 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $448.71 – $830.11 | 7 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $306.88 – $567.73 | 7 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $448.71 – $830.11 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,710.65 | $13,459.00 | $481.01 – $1,581.68 | 4 |
| MRA pelvis CPT 72198 | $3,028.55 | $8,653.00 | $481.58 – $1,581.64 | 4 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $448.71 – $830.11 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $306.88 – $567.73 | 7 |
| MRA spinal canal CPT 72159 | $3,473.05 | $9,923.00 | $500.06 – $1,754.12 | 4 |
| MRA upper extremity post contrast-bil CPT 73225 | $4,561.20 | $13,032.00 | $500.06 – $1,580.84 | 4 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $448.71 – $830.11 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $306.88 – $567.73 | 7 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $306.88 – $567.73 | 7 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $306.88 – $567.73 | 7 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $306.88 – $567.73 | 7 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $448.71 – $830.11 | 7 |
| Mr elastography CPT 76391 | not published | not published | $306.88 – $567.73 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,142.00 – $26,513.03 | 9 |
| MRI brain w/dye CPT 70558 | not published | not published | $225.59 – $1,466.09 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $702.78 – $1,325.59 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $225.59 – $1,472.84 | 8 |
| MRI breast c- unilateral CPT 77046 | $2,280.95 | $6,517.00 | $306.88 – $567.73 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,473.05 | $9,923.00 | $459.63 – $1,475.89 | 4 |
| MRI breast without cont bi CPT 77047 | $3,251.50 | $9,290.00 | $306.88 – $567.73 | 8 |
| MRI breast w IV cont bi CPT 77049 | $3,769.85 | $10,771.00 | $457.90 – $1,468.54 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $3,251.50 | $9,290.00 | $306.88 – $933.04 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,592.15 | $4,549.00 | $448.71 – $1,328.33 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $730.30 – $1,865.27 | 8 |
| MRI chest without contrast CPT 71550 | $3,251.50 | $9,290.00 | $306.88 – $980.10 | 8 |
| MRI chest without & w/contrast CPT 71552 | $4,710.65 | $13,459.00 | $448.71 – $2,155.56 | 8 |
| MRI chest w IV cont CPT 71551 | $3,769.85 | $10,771.00 | $730.30 – $1,865.27 | 8 |
| MRI compatible system HCPCS L0859 | $2,012.50 | $5,750.00 | $1,399.89 – $2,589.80 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $333.95 – $1,278.41 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $306.88 – $779.27 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $730.30 – $1,620.41 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $730.30 – $1,620.27 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,574.25 – $2,912.37 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | $3,473.05 | $9,923.00 | $448.71 – $1,171.34 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,280.25 | $6,515.00 | $306.88 – $975.86 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,769.85 | $10,771.00 | $448.71 – $2,166.87 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,820.30 | $8,058.00 | $306.88 – $975.86 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,365.95 | $9,617.00 | $448.71 – $2,166.87 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,023.30 | $8,638.00 | $448.71 – $1,171.34 | 8 |
| MRI tmj CPT 70336 | $2,820.30 | $8,058.00 | $306.88 – $990.01 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,280.25 | $6,515.00 | $306.88 – $975.86 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,769.85 | $10,771.00 | $448.71 – $2,166.87 | 8 |
| MRI upper extremity w/dye CPT 73219 | $3,473.05 | $9,923.00 | $448.71 – $1,171.34 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $448.71 – $830.11 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $225.59 – $417.35 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $448.71 – $830.11 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $448.71 – $830.11 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $96.73 – $303.19 | 9 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $122.28 – $316.07 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $112.27 – $217.08 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $75.87 – $309.49 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.30 – $84.34 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $306.88 – $832.32 | 9 |
| Mr spectroscopy CPT 76390 | $587.65 | $1,679.00 | $111.93 – $970.60 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $426.60 | 9 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $763.40 | 9 |
| Msh2 gene known variants CPT 81296 | not published | not published | $86.96 – $675.46 | 9 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $196.20 – $476.00 | 9 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,283.70 | 9 |
| Msh6 gene known variants CPT 81299 | not published | not published | $86.96 – $616.00 | 9 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,455.00 – $17,265.50 | 9 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $130.68 | 9 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $53.76 | 10 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $114.31 | 10 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $15.64 | 10 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $57.00 | 10 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $35.20 | 10 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $48.19 – $353.00 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,941.29 – $9,141.39 | 6 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,034.39 – $1,913.62 | 6 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $76.71 – $76.71 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $51.40 – $51.40 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $835.79 – $1,546.21 | 6 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $920.87 – $1,703.61 | 6 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $18.29 – $422.33 | 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.