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 |
|---|---|---|---|---|
| _propoxygc/msur CPT 80367 | not published | not published | $0.02 – $95.01 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $33.31 | $95.17 | $9.94 – $37.99 | 4 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $90.39 – $167.22 | 6 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $150.54 – $278.50 | 6 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $31.62 – $58.50 | 6 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $13.01 – $24.07 | 6 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $17.62 – $32.60 | 6 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $330.48 – $852.89 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Prostate laser enucleation CPT 52649 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,094.00 – $7,332.00 | 9 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $4,533.71 – $9,181.00 | 9 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $774.97 | $2,214.21 | $131.24 – $242.79 | 6 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $50.34 – $93.13 | 6 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $31.74 – $58.72 | 6 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,365.23 – $2,525.68 | 6 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $10.89 – $20.15 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $33.16 | $94.75 | $2.40 – $18.58 | 5 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $78.58 – $145.37 | 6 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,314.97 | $9,471.35 | $2,247.25 – $3,346.73 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $37.19 – $60.72 | 6 |
| Protein c activity CPT 85303 | not published | not published | $13.84 – $36.90 | 10 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.05 – $32.29 | 9 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $440.65 | $1,259.00 | $10.74 – $28.67 | 10 |
| Protein s total CPT 85305 | not published | not published | $11.61 – $30.94 | 10 |
| Protein total 24 hour urine CPT 84156 | $166.25 | $475.00 | $3.67 – $9.78 | 10 |
| Protein total body fluid CPT 84157 | $166.25 | $475.00 | $4.00 – $9.78 | 10 |
| Protein total serum plasma whole blood CPT 84155 | $64.75 | $185.00 | $3.67 – $9.78 | 10 |
| Protein western blot tissue CPT 88371 | not published | not published | $31.53 – $59.31 | 6 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.05 – $6.05 | 9 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $191.10 | $546.00 | $3.94 – $10.52 | 10 |
| Proton treatment complex CPT 77525 | not published | not published | $1,159.94 – $2,973.65 | 7 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,116.24 – $2,973.65 | 7 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $823.73 – $2,973.65 | 7 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $710.66 – $1,314.72 | 7 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $22.98 | 10 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $171.24 – $316.79 | 6 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $353.00 – $4,768.00 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $4,589.00 – $10,336.00 | 10 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $142.10 | $406.00 | $1,142.00 – $43,618.46 | 9 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,528.00 – $43,618.46 | 9 |
| Prq card angio/athrect addl CPT 92925 | $2,585.10 | $7,386.00 | $2,455.00 – $16,107.00 | 3 |
| Prq cardiac angio addl art CPT 92921 | $2,585.10 | $7,386.00 | $2,455.00 – $12,477.00 | 3 |
| Prq card revasc chronic addl CPT 92944 | $4,833.85 | $13,811.00 | $2,455.00 – $12,477.00 | 3 |
| Prq card revasc mi 1 vsl CPT 92941 | $7,490.70 | $21,402.00 | $2,455.00 – $12,477.00 | 3 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $7,490.70 | $21,402.00 | $2,109.00 – $9,640.00 | 4 |
| Prq card stent/ath/angio CPT 92934 | $4,604.60 | $13,156.00 | $2,455.00 – $12,477.00 | 3 |
| Prq card stent w/angio addl CPT 92929 | $4,604.60 | $13,156.00 | $2,455.00 – $12,477.00 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $7,149.10 | $20,426.00 | $2,455.00 – $27,468.35 | 8 |
| Prq revasc byp graft addl CPT 92938 | $4,833.85 | $13,811.00 | $2,455.00 – $12,477.00 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $3,965.50 | $11,330.00 | $1,528.00 – $16,065.00 | 10 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,528.00 – $16,065.00 | 10 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $6,809.95 | $19,457.00 | $2,455.00 – $27,468.35 | 8 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $23,577.55 – $43,618.46 | 6 |
| Prq trlml c athrc st angiop1 CPT 92933 | $6,809.95 | $19,457.00 | $2,455.00 – $42,841.00 | 8 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Prq trluml c angiop 1art&/br CPT 92920 | $6,809.95 | $19,457.00 | $2,455.00 – $12,477.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $6,809.95 | $19,457.00 | $2,455.00 – $27,468.35 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $7,149.10 | $20,426.00 | $2,455.00 – $27,468.35 | 8 |
| Pr removal drug delivery implant CPT 11982 | $175.35 | $501.00 | $203.00 – $1,528.00 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $101.50 | $290.00 | $171.12 – $1,528.00 | 9 |
| Pr removal intrauterine device CPT 58301 | $272.65 | $779.00 | $353.00 – $2,589.00 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $189.00 | $540.00 | $203.00 – $1,528.00 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $199.85 | $571.00 | $203.00 – $1,528.00 | 9 |
| Pr robotic surgical system HCPCS S2900 | $0.35 | $1.00 | $4,768.00 – $4,768.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $567.42 – $2,589.00 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,160.00 – $12,132.52 | 10 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,160.00 – $12,132.52 | 10 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,773.00 | $10,780.00 | $1,142.00 – $2,719.00 | 9 |
| PSA (Prostate) Test CPT 84153 | $131.60 | $376.00 | $18.39 – $49.09 | 10 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $37.20 – $353.00 | 7 |
| Psychoanalysis CPT 90845 | not published | not published | $29.83 – $422.33 | 7 |
| Psychophysiological therapy CPT 90875 | not published | not published | $26.45 – $26.45 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $40.66 – $40.66 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $17.58 – $241.72 | 7 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $277.71 – $1,142.00 | 7 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $353.00 – $353.00 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $574.56 – $1,142.00 | 7 |
| Psy evaluation of records CPT 90885 | not published | not published | $19.98 – $19.98 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $171.12 – $1,142.00 | 7 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $353.00 – $353.00 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $1,142.00 – $1,142.00 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $89.95 | $257.00 | $15.90 – $29.42 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.61 – $14.00 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $89.95 | $257.00 | $19.99 – $37.83 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $89.95 | $257.00 | $9.14 – $29.27 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $89.95 | $257.00 | $12.52 – $29.01 | 6 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $56.32 – $600.00 | 9 |
| Pten gene full sequence CPT 81321 | not published | not published | $69.31 – $1,200.00 | 9 |
| Pten gene known fam variant CPT 81322 | not published | not published | $45.04 – $93.20 | 9 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,160.00 – $12,111.00 | 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.