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 |
|---|---|---|---|---|
| Pt evaluation high complexity patient/family CPT 97163 | $218.75 | $625.00 | $107.57 – $199.00 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $212.45 | $607.00 | $106.80 – $197.58 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $215.95 | $617.00 | $103.01 – $190.57 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $15.76 – $110.02 | 7 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $2,443.33 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $212.45 | $607.00 | $71.23 – $131.78 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $528.85 | $1,511.00 | $30.28 – $56.02 | 5 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $13.96 – $25.83 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $89.95 | $257.00 | $24.33 – $56.39 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $89.95 | $257.00 | $23.49 – $61.33 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $107.45 | $307.00 | $25.17 – $63.46 | 6 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $435.78 – $27,468.35 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $206.25 – $12,477.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $11,000.00 | 10 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,109.00 – $12,050.00 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Pulmonary vent imaging CPT 78579 | $362.60 | $1,036.00 | $323.25 – $1,439.81 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $40.82 – $306.17 | 7 |
| Pulse ox multiple CPT 94761 | $212.45 | $607.00 | $10.15 – $125.62 | 2 |
| Pulse ox single CPT 94760 | not published | not published | $4.79 – $48.60 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $728.88 | $2,082.50 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $878.85 | $2,511.00 | $907.88 – $7,309.00 | 10 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $125.30 | $358.00 | $171.12 – $1,528.00 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $384.65 | $1,099.00 | $203.00 – $1,528.00 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Puncture spinal lumbar diagnostic CPT 62270 | $705.95 | $2,017.00 | $907.88 – $7,309.00 | 10 |
| Puraply 1 sq cm HCPCS Q4195 | $8,176.14 | $23,360.40 | $160.06 – $353.00 | 9 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $146.34 – $353.00 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $203.00 – $2,109.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $203.00 – $2,109.00 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $824.68 – $1,525.66 | 6 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,535.67 – $36,140.99 | 6 |
| Pyelotomy complicated CPT 50135 | not published | not published | $4,768.00 – $5,789.00 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,142.00 – $4,768.00 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $43.51 | $124.32 | $11.92 – $27.03 | 5 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $28.97 | 10 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $25.17 | 10 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $344.15 – $636.68 | 6 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $20.64 – $353.00 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $838.95 | $2,397.00 | $561.66 – $1,928.68 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $433.30 | $1,238.00 | $346.53 – $1,439.81 | 9 |
| Quest t3 uptake CPT 84479 | $211.75 | $605.00 | $6.47 – $17.27 | 10 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $586.48 – $1,084.99 | 6 |
| Quinupristin/dalfopristin HCPCS J2770 | $1,687.65 | $4,821.85 | $6.04 – $945.91 | 4 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $324.78 – $1,008.69 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $242.18 – $794.73 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,748.40 | $4,995.42 | $275.18 – $747.15 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $77.04 – $568.61 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $203.00 – $6,035.00 | 4 |
| Radiation handling CPT 77790 | $543.20 | $1,552.00 | $43.60 – $126.25 | 3 |
| Radiation physics consult CPT 77336 | $201.25 | $575.00 | $117.98 – $319.81 | 7 |
| Radiation therapy dose plan CPT 77300 | $534.10 | $1,526.00 | $87.24 – $319.81 | 7 |
| Radiation therapy management CPT 77431 | not published | not published | $198.49 – $516.24 | 2 |
| Radiation treatment aid(s) CPT 77332 | $222.25 | $635.00 | $116.43 – $319.81 | 7 |
| Radiation treatment aid(s) CPT 77333 | $372.40 | $1,064.00 | $39.63 – $319.81 | 7 |
| Radiation treatment aid(s) CPT 77334 | $514.85 | $1,471.00 | $207.08 – $890.92 | 7 |
| Radiation treatment delivery CPT 77401 | not published | not published | $57.29 – $383.02 | 3 |
| Radiation treatment delivery CPT 77402 | $167.30 | $478.00 | $131.23 – $242.77 | 7 |
| Radiation treatment delivery CPT 77412 | $221.90 | $634.00 | $206.61 – $1,314.72 | 7 |
| Radiation tx management x5 CPT 77427 | not published | not published | $360.99 – $1,154.87 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,528.00 – $12,050.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,747.00 – $7,728.00 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,747.00 – $10,336.00 | 9 |
| Radiesse injection HCPCS Q2026 | not published | not published | $349.19 – $716.85 | 7 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,622.33 – $12,251.31 | 6 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $964.25 – $1,783.86 | 6 |
| Radiology port images(s) CPT 77417 | $281.05 | $803.00 | $33.48 – $141.62 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | $728.35 | $2,081.00 | $1,780.22 – $3,293.41 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.09 – $363.48 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $954.45 | $2,727.00 | $489.45 – $4,677.65 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,069.25 | $3,055.00 | $383.15 – $4,677.65 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,401.83 – $4,677.65 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,209.95 | $3,457.00 | $579.88 – $4,677.65 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $452.55 | $1,293.00 | $300.42 – $1,439.81 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $181.35 – $402.78 | 3 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,747.00 – $10,336.00 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,747.00 – $10,336.00 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,747.00 – $10,336.00 | 9 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,142.00 – $6,911.51 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $13,066.20 | $37,332.00 | $75.04 – $157.75 | 9 |
| Range of motion measurements CPT 95852 | not published | not published | $5.12 – $63.94 | 7 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $397.80 | 9 |
| Rapid desensitization CPT 95180 | not published | not published | $174.94 – $1,062.94 | 7 |
| Rapid Strep Test CPT 87880 | $69.65 | $199.00 | $16.53 – $33.06 | 10 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,006.69 | $11,447.68 | $370.81 – $796.49 | 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.