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 |
|---|---|---|---|---|
| Noonan spectrum disorders CPT 81442 | not published | not published | $1,129.00 – $4,287.20 | 9 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $37.20 – $68.82 | 6 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $160.06 – $1,546.65 | 9 |
| Npm1 gene CPT 81310 | $105.00 | $300.00 | $54.48 – $493.04 | 9 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $353.00 – $14,085.70 | 9 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $353.00 – $14,085.70 | 9 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $479.94 – $1,142.00 | 7 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $353.00 – $353.00 | 1 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $19.49 – $36.06 | 5 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $29.68 – $54.91 | 5 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $10.57 – $19.55 | 5 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $591.58 | 10 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $1,115.10 | $3,186.00 | $2,299.73 – $4,254.51 | 7 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,528.00 – $9,181.00 | 10 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,528.00 – $14,673.37 | 10 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,528.00 – $14,673.37 | 10 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,528.00 – $14,673.37 | 10 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,747.00 – $14,673.37 | 10 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,747.00 – $14,673.37 | 10 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,747.00 – $14,673.37 | 10 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,747.00 – $14,673.37 | 10 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $2,160.00 – $14,673.37 | 9 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $1,528.00 – $4,768.00 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Nsl/sins ndsc surg max sins CPT 31295 | $2,717.75 | $7,765.00 | $1,142.00 – $16,065.00 | 9 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,528.00 – $16,065.00 | 9 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,160.00 – $7,332.00 | 10 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $353.00 – $14,085.70 | 9 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $353.00 – $14,085.70 | 9 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $2,289.25 – $6,035.00 | 9 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $1,044.68 – $1,528.00 | 3 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $414.62 | 10 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $414.62 | 10 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $414.62 | 10 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $1,036.56 | 10 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $506.10 | $1,446.00 | $860.08 – $4,191.74 | 2 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $404.95 | $1,157.00 | $858.27 – $3,492.43 | 2 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $187.34 – $1,439.81 | 9 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $861.40 – $861.40 | 1 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $43.56 | 10 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $218.81 – $803.08 | 9 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $127.97 – $803.08 | 9 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $152.53 – $803.08 | 9 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $134.09 – $803.08 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,931.25 | $8,375.00 | $702.63 – $4,677.65 | 9 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $120.38 – $803.08 | 9 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $524.97 – $971.19 | 6 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $582.72 | 9 |
| Nushield 1 square cm HCPCS Q4160 | $3,791.03 | $10,831.50 | $160.06 – $296.10 | 8 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,243.54 – $2,684.49 | 9 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $278,250.00 – $535,500.00 | 7 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $14,996.94 | $42,848.40 | $81.81 – $161.70 | 9 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $2,109.00 – $12,050.00 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $385.00 | $1,100.00 | $765.95 – $1,417.01 | 6 |
| Observation per hour HCPCS G0378 | $75.25 | $215.00 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,528.00 – $6,749.00 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $194.76 | 10 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $114.74 | 10 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $37.20 – $68.82 | 7 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $134.46 – $366.18 | 9 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $73.42 – $130.69 | 3 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $59.60 – $124.29 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $34.48 | $98.51 | $1.17 – $19.14 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $24,596.98 | $70,277.08 | $166.10 – $439.87 | 9 |
| Ocular function screen CPT 99172 | not published | not published | $45.99 – $45.99 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $377.57 – $377.57 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $707.39 – $2,589.00 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,409.00 – $7,629.00 | 10 |
| Ocular reconst transplant CPT 65781 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,409.00 – $7,629.00 | 10 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.54 – $133.79 | 9 |
| Offset knee joint each HCPCS L2390 | not published | not published | $167.72 – $310.28 | 6 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $219.72 – $406.48 | 6 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $867.27 | $2,477.91 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $141.86 | $405.32 | $1.65 – $6.93 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.86 – $6.28 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $41.82 – $86.26 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,528.00 – $4,768.00 | 4 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $1,142.00 – $9,181.00 | 4 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $7,746.00 | 10 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $5,919.13 | 10 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $7,746.00 | 10 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $7,746.00 | 9 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $7,746.00 | 10 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $14,386.00 | 10 |
| Oncology colon mrna CPT 81525 | not published | not published | $698.89 – $6,232.00 | 9 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,017.74 | 10 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,158.92 | 10 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $355.12 | 10 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $5,742.00 | 9 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $1,520.00 | 10 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,040.00 | 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.