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 |
|---|---|---|---|---|
| Partial removal of liver CPT 47125 | not published | not published | $2,109.00 – $6,749.00 | 4 |
| Partial removal of liver CPT 47130 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,528.00 – $12,050.00 | 4 |
| Partial removal of nose CPT 30150 | not published | not published | $1,747.00 – $12,111.00 | 10 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Partial removal of penis CPT 54120 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $3,409.00 – $12,111.00 | 10 |
| Partial removal of radius CPT 25151 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Partial removal of radius CPT 25230 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Partial removal of rib CPT 21600 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Partial removal of sternum CPT 21620 | not published | not published | $1,142.00 – $9,181.00 | 9 |
| Partial removal of thyroid CPT 60220 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Partial removal of thyroid CPT 60225 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Partial removal of toe CPT 28160 | $2,738.05 | $7,823.00 | $1,747.00 – $7,332.00 | 10 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Partial thyroid excision CPT 60210 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $3,311.28 | $9,460.79 | $5.07 – $13.71 | 3 |
| Part removal hip bone deep CPT 27071 | not published | not published | $2,160.00 – $12,477.00 | 9 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,747.00 – $12,477.00 | 9 |
| Passy muir valve metal trach HCPCS L8501 | $188.44 | $538.40 | $147.88 – $273.58 | 6 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $11.35 – $11.35 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $75.41 – $405.38 | 9 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $39.81 – $405.38 | 9 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $37.42 – $93.84 | 5 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $18.29 – $123.99 | 9 |
| Patient recorded spirometry CPT 94014 | not published | not published | $66.24 – $1,062.94 | 7 |
| Patient recorded spirometry CPT 94015 | not published | not published | $51.33 – $513.77 | 7 |
| Patten bottom HCPCS L2370 | not published | not published | $393.31 – $727.62 | 6 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $510.10 | 9 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $293.38 – $704.96 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $659.02 | 10 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $27.48 – $50.84 | 6 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $258.05 – $1,528.00 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Ped crit care transport CPT 99466 | $378.00 | $1,080.00 | not published | 0 |
| Ped crit care transport addl CPT 99467 | $252.00 | $720.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $165.49 – $306.17 | 6 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $165.49 – $306.17 | 6 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,082.01 – $13,101.72 | 6 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,978.79 – $3,660.76 | 6 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,581.30 | $4,518.00 | $1,747.00 – $7,309.00 | 10 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,590.37 – $2,942.18 | 6 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,877.68 – $3,473.71 | 6 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,487.69 – $2,752.23 | 6 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $808.02 – $1,494.84 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $332.43 – $732.24 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $755.86 – $4,434.61 | 4 |
| Pegaspargase injection HCPCS J9266 | $23,567.55 | $67,335.85 | $5,357.25 – $58,201.64 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $14,249.25 | $40,712.15 | $28.34 – $545.53 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $333.63 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,655.15 | $16,157.56 | $135.89 – $354.88 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $540.19 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,842.40 | $13,835.43 | $79.50 – $242.74 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $352.92 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $16.32 – $46.31 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $4,370.59 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $72,846.22 | $208,132.06 | $1,230.19 – $7,665.44 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $487.90 | 9 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $530.24 – $980.94 | 6 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $546.30 – $1,010.66 | 6 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $514.89 – $952.55 | 6 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $379.40 – $701.89 | 6 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $409.67 – $757.89 | 6 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $711.09 – $1,315.52 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,015.65 | $5,759.00 | $225.59 – $749.21 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,174.25 | $3,355.00 | $225.59 – $605.06 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,064.70 | $3,042.00 | $134.46 – $522.22 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,866.82 – $3,453.62 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,561.20 | $13,032.00 | $448.71 – $2,172.53 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | $3,480.05 | $9,943.00 | $448.71 – $1,174.88 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $3,023.30 | $8,638.00 | $306.88 – $980.10 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $4,619.00 – $16,065.00 | 8 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $4,768.00 – $17,265.50 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $502.60 | $1,436.00 | $134.46 – $366.18 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $321.30 | $918.00 | $134.46 – $366.18 | 9 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $153.65 – $284.25 | 6 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $10,474.80 | $29,928.00 | $60.15 – $127.60 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $13,399.77 | $38,285.05 | $4.04 – $10.33 | 9 |
| Peng benzathine/procaine inj HCPCS J0558 | $873.45 | $2,495.58 | $13.59 – $37.35 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $765.75 | $2,187.87 | $17.19 – $58.21 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $182.71 | $522.03 | $0.52 – $8.60 | 5 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $34.11 – $101.46 | 4 |
| Penile injection CPT 54235 | $296.10 | $846.00 | $203.00 – $1,528.00 | 9 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $14,758.57 | $42,167.33 | not published | 0 |
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.