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 |
|---|---|---|---|---|
| Reconstruction of mouth CPT 40844 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reconstruction of nail bed CPT 11762 | $1,655.85 | $4,731.00 | $203.00 – $4,449.00 | 9 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reconstruction of nose CPT 30420 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,142.00 – $9,181.00 | 4 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,747.00 – $12,111.00 | 10 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,747.00 – $15,828.09 | 10 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,747.00 – $9,181.00 | 10 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $1,528.00 – $9,181.00 | 10 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,109.00 – $7,953.00 | 4 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $1,528.00 – $7,332.00 | 10 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,528.00 – $14,085.70 | 9 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $4,589.00 – $30,073.00 | 9 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,747.00 – $41,720.12 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,747.00 – $12,111.00 | 10 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $2,109.00 – $7,953.00 | 3 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,528.00 – $7,953.00 | 4 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Rectal sensation test CPT 91120 | not published | not published | $601.00 – $2,184.65 | 4 |
| Red blood cells each unit HCPCS P9021 | $579.95 | $1,657.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $371.35 | $1,061.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $392.00 | $1,120.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $757.75 | $2,165.00 | not published | 0 |
| Red cell mass multiple CPT 78121 | not published | not published | $191.84 – $1,928.68 | 9 |
| Red cell mass single CPT 78120 | not published | not published | $154.58 – $1,439.81 | 9 |
| Red cell sequestration CPT 78140 | not published | not published | $244.86 – $1,439.81 | 9 |
| Red cell survival kinetics CPT 78135 | not published | not published | $695.30 – $695.30 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $251.19 – $1,439.81 | 9 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $1,142.00 – $12,050.00 | 4 |
| Redo endovas vena cava filtr CPT 37192 | $1,711.15 | $4,889.00 | $1,528.00 – $7,629.00 | 9 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Reduce testis torsion CPT 54600 | $2,838.85 | $8,111.00 | $2,160.00 – $7,309.00 | 10 |
| Reduction of facial bones CPT 21209 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reduction of procidentia 45900 CPT 45900 | $882.70 | $2,522.00 | $1,142.00 – $7,309.00 | 10 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $353.00 – $4,768.00 | 4 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $127.42 – $1,528.00 | 8 |
| Refill/maint pump/resvr syst CPT 96522 | $393.40 | $1,124.00 | $233.72 – $506.11 | 7 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $116.85 | $333.87 | $7.65 – $225.74 | 5 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $1,142.00 – $5,789.00 | 4 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $307.14 – $568.21 | 6 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,747.00 – $30,073.00 | 10 |
| Reinforce thigh CPT 27495 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Reinforce tibia CPT 27745 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Reinnervate larynx CPT 31590 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,528.00 – $30,548.47 | 9 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Release encircling material CPT 67115 | not published | not published | $1,528.00 – $9,835.10 | 10 |
| Release eye tissue CPT 67343 | not published | not published | $2,160.00 – $7,728.00 | 10 |
| Release facial nerve CPT 69720 | not published | not published | $2,455.00 – $12,111.00 | 10 |
| Release facial nerve CPT 69725 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Release facial nerve CPT 69955 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Release finger contracture CPT 26525 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Release inner ear canal CPT 69960 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Release middle ear bone CPT 69650 | not published | not published | $3,409.00 – $7,728.00 | 10 |
| Release muscles of hand CPT 26593 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Release of eye fluid CPT 67015 | $1,365.70 | $3,902.00 | $1,142.00 – $7,309.00 | 10 |
| Release of foot tendon CPT 28220 | not published | not published | $1,747.00 – $6,035.00 | 9 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Release of foot tendons CPT 28222 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Release of foot tendons CPT 28226 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Release of lower leg tendon CPT 27680 | not published | not published | $1,747.00 – $7,629.00 | 10 |
| Release of lower leg tendons CPT 27681 | not published | not published | $1,528.00 – $7,629.00 | 10 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,528.00 – $9,640.00 | 4 |
| Release of midfoot joint CPT 28260 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,142.00 – $9,181.00 | 10 |
| Release of shoulder ligament CPT 23415 | not published | not published | $2,455.00 – $16,065.00 | 10 |
| Release of skull seams CPT 61550 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Release of skull seams CPT 61552 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Release of ureter CPT 50715 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Release of ureter CPT 50722 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Release of ureter CPT 50940 | not published | not published | $1,142.00 – $6,749.00 | 4 |
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.