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 |
|---|---|---|---|---|
| Penile vascular study CPT 93980 | $200.55 | $573.00 | $134.46 – $392.73 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $134.46 – $398.20 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Penis study CPT 54240 | not published | not published | $203.00 – $1,528.00 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $95.63 – $391.30 | 5 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $25.31 – $54.35 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $57.02 – $215.70 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | $344.35 | $983.85 | $8.87 – $145.17 | 9 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $8,440.05 | $24,114.42 | $2,626.33 – $5,747.87 | 9 |
| Perc cryo ablate renal tum CPT 50593 | $5,121.90 | $14,634.00 | $1,747.00 – $21,832.00 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,833.85 | $13,811.00 | $1,528.00 – $9,640.00 | 4 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $7,149.10 | $20,426.00 | $2,455.00 – $42,841.00 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,833.85 | $13,811.00 | $1,528.00 – $9,640.00 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $7,149.10 | $20,426.00 | $2,455.00 – $27,468.35 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,604.60 | $13,156.00 | $1,528.00 – $9,640.00 | 4 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,809.95 | $19,457.00 | $2,455.00 – $42,841.00 | 9 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,604.60 | $13,156.00 | $1,528.00 – $9,640.00 | 4 |
| Perc drug-el cor stent sing HCPCS C9600 | $6,809.95 | $19,457.00 | $2,455.00 – $27,468.35 | 9 |
| Perc rf ablate renal tumor CPT 50592 | $5,735.10 | $16,386.00 | $2,455.00 – $12,477.00 | 9 |
| Percut ablate liver rf CPT 47382 | $9,027.55 | $25,793.00 | $3,409.00 – $12,477.00 | 9 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $2,716.00 – $4,768.00 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $111.83 | $319.50 | $83.34 – $245.43 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,274.70 | $3,642.00 | $353.00 – $4,768.00 | 4 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,758.00 | $7,880.00 | $1,142.00 – $7,728.00 | 9 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,274.70 | $3,642.00 | $1,142.00 – $5,789.00 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,455.00 – $7,332.00 | 10 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $75.87 – $140.37 | 7 |
| Peri-proc device eval icd CPT 93287 | $121.10 | $346.00 | $59.17 – $59.17 | 1 |
| Peri-proc device eval pm CPT 93286 | $121.10 | $346.00 | $53.13 – $53.13 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $2,589.00 – $12,477.00 | 10 |
| Peritoneogram rs&i CPT 74190 | $710.50 | $2,030.00 | $115.47 – $1,887.98 | 9 |
| Perit-vens shunt pat tst CPT 78291 | $709.45 | $2,027.00 | $271.16 – $1,439.81 | 9 |
| Permanent tear duct plug HCPCS A4263 | $201.25 | $575.00 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $20.07 – $37.13 | 6 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $2,345.94 – $4,339.99 | 6 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.48 – $3.88 | 4 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $26.90 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $5,241.60 | $14,976.00 | $2,109.00 – $4,768.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $711.90 | $2,034.00 | $3,322.00 – $9,181.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $910.78 – $2,589.00 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $910.78 – $2,589.00 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,409.00 – $21,832.00 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,409.00 – $21,832.00 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $1,142.00 – $27,468.35 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $1,142.00 – $43,618.46 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $1,142.00 – $27,468.35 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $1,142.00 – $27,468.35 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $353.00 – $4,768.00 | 3 |
| Perq plmt bile duct stent CPT 47538 | $2,578.80 | $7,368.00 | $1,747.00 – $12,477.00 | 9 |
| Perq plmt bile duct stent CPT 47539 | $3,677.80 | $10,508.00 | $1,747.00 – $12,477.00 | 9 |
| Perq plmt bile duct stent CPT 47540 | $3,677.80 | $10,508.00 | $1,747.00 – $12,477.00 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $285.60 | $816.00 | $321.35 – $2,589.00 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,716.00 – $7,332.00 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $2,716.00 – $7,309.00 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,528.00 – $2,079.67 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $6,749.00 – $42,841.00 | 7 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $4,727.98 – $42,841.00 | 7 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $5,695.57 – $42,841.00 | 7 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,109.00 – $6,749.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $2,738.05 | $7,823.00 | $1,528.00 – $7,332.00 | 10 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,160.00 – $9,181.00 | 10 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $24.79 | 10 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $11,876.18 | $33,931.94 | $16.57 – $34.89 | 9 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.22 – $135.43 | 9 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $85.17 | $243.35 | $98.47 – $98.47 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $39.53 – $39.53 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,801.80 | $5,148.00 | $1,839.15 – $3,402.43 | 8 |
| Pet CT whole body initial CPT 78816 | $1,801.80 | $5,148.00 | $1,839.15 – $3,495.47 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,490.65 | $4,259.00 | $1,839.15 – $3,402.43 | 8 |
| Pet image full body CPT 78813 | not published | not published | $1,839.15 – $3,495.47 | 8 |
| Pet image ltd area CPT 78811 | $1,801.80 | $5,148.00 | $1,665.13 – $3,083.80 | 8 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $514.17 – $951.22 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $130.79 – $3,497.66 | 3 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $46,021.89 | $131,491.10 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $20.64 – $38.18 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $30.12 – $55.72 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.50 – $19.42 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Ph body fluid CPT 83986 | $166.25 | $475.00 | $3.58 – $9.55 | 10 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $0.02 – $86.62 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $102.57 | $293.06 | $13.31 – $63.30 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $208.95 | $597.00 | $15.30 – $30.60 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $1,673.01 | $4,780.04 | $124.79 – $966.00 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $35.17 | $100.48 | $0.01 – $0.28 | 4 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.61 – $239.52 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $33.15 | $94.71 | $0.87 – $6.66 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $174.30 | $498.00 | $13.25 – $35.37 | 10 |
| Phlebotomy therapeutic CPT 99195 | $164.50 | $470.00 | $38.54 – $316.58 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $2,822.00 – $7,629.00 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $2,822.00 – $7,629.00 | 9 |
| Phosphorus CPT 84100 | $64.75 | $185.00 | $4.74 – $12.66 | 10 |
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.