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 |
|---|---|---|---|---|
| Bivalirudin HCPCS J0583 | $284.63 | $813.22 | $0.30 – $6.66 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $296.10 | $846.00 | $203.00 – $1,528.00 | 9 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $567.42 – $2,589.00 | 9 |
| Bld prd mix CPT 86965 | $144.20 | $412.00 | $1.65 – $405.38 | 9 |
| Bld push tfuj 2 yr/< CPT 36440 | $225.05 | $643.00 | $567.42 – $2,589.00 | 9 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $263.79 | $753.68 | $39.99 – $1,158.64 | 5 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,455.00 – $7,309.00 | 10 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $161.94 – $327.40 | 9 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $4,768.00 – $27,468.35 | 8 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $479.94 – $887.89 | 6 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $12,050.00 – $40,758.05 | 7 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $4,768.00 – $40,758.05 | 8 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $4,768.00 – $22,708.57 | 8 |
| Blink reflex test CPT 95933 | not published | not published | $70.89 – $140.37 | 7 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $78.62 | 9 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $6,941.90 | $19,834.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $8,673.00 | $24,780.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $833.20 | $2,380.56 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,654.00 | $10,440.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $11,411.40 | $32,604.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $4,206.48 | $12,018.50 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $24.31 – $24.31 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $915.60 | $2,616.00 | $1,137.58 – $2,589.00 | 9 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $796.25 | $2,275.00 | $1,137.58 – $2,589.00 | 9 |
| Block paracervical nrv CPT 64435 | not published | not published | $907.88 – $2,589.00 | 9 |
| Block plantar digital nerve CPT 64455 | $253.05 | $723.00 | $203.00 – $1,528.00 | 9 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,071.35 | $3,061.00 | $1,142.00 – $4,768.00 | 4 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,071.35 | $3,061.00 | $1,142.00 – $4,768.00 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $98.70 | $282.00 | $4.29 – $10.49 | 10 |
| Blood Clotting (PTT) Test CPT 85730 | $144.90 | $414.00 | $6.01 – $16.01 | 10 |
| Blood Count (CBC) Test CPT 85025 | $115.50 | $330.00 | $7.77 – $20.74 | 10 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $91.00 | $260.00 | $6.47 – $17.27 | 10 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $6.17 – $14.00 | 10 |
| Blood Culture Test CPT 87040 | $137.90 | $394.00 | $10.32 – $27.54 | 10 |
| Blood draw capillary 36416 CPT 36416 | $24.15 | $69.00 | $0.49 – $2,716.00 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $657.65 | $1,879.00 | $74.01 – $157.54 | 10 |
| Blood gases ph venous CPT 82800 | not published | not published | $11.00 – $22.60 | 10 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $12.52 – $42.44 | 10 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $145.25 | $415.00 | $4.23 – $8.67 | 10 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $145.25 | $415.00 | $4.38 – $8.76 | 10 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $146.30 | $418.00 | $5.32 – $10.64 | 10 |
| Blood smear interpretation CPT 85060 | $29.75 | $85.00 | $39.89 – $78.40 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $50.75 | $145.00 | $3.80 – $9.19 | 10 |
| Blood split unit HCPCS P9011 | $185.50 | $530.00 | not published | 0 |
| Blood typing abo CPT 86900 | $164.50 | $470.00 | $4.24 – $316.58 | 10 |
| Blood typing ag donor ea ag CPT 86902 | $280.70 | $802.00 | $9.01 – $852.89 | 10 |
| Blood typing patient serum CPT 86904 | $115.50 | $330.00 | $23.18 – $140.37 | 10 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $280.70 | $802.00 | $5.43 – $852.89 | 10 |
| Blood typing rh (d) CPT 86901 | $165.90 | $474.00 | $4.24 – $88.87 | 10 |
| Blood typing rh phenotype complete reference CPT 86906 | $20.83 | $59.50 | $10.99 – $88.87 | 10 |
| Blood volume CPT 78122 | not published | not published | $204.90 – $1,928.68 | 9 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,528.00 – $2,716.00 | 2 |
| Bone biopsy open superficial CPT 20240 | $2,292.15 | $6,549.00 | $1,528.00 – $7,309.00 | 10 |
| Bone Density Scan (DEXA) CPT 77080 | $248.50 | $710.00 | $73.61 – $366.18 | 9 |
| Bone filler cerament 10cc HCPCS C1602 | $10,933.86 | $31,239.60 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $323.91 – $1,439.81 | 9 |
| Bone/joint imaging ltd area CPT 78300 | $518.70 | $1,482.00 | $220.82 – $1,439.81 | 9 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,564.15 | $4,469.00 | $353.00 – $3,929.83 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,564.15 | $4,469.00 | $353.00 – $3,929.83 | 9 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,142.00 – $4,768.00 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $2,160.00 – $10,363.52 | 9 |
| Bone marrow imaging body CPT 78104 | $737.45 | $2,107.00 | $360.62 – $1,439.81 | 9 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $180.59 – $1,439.81 | 9 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $280.31 – $1,439.81 | 9 |
| Bone marrow interpretation CPT 85097 | $471.80 | $1,348.00 | $79.78 – $1,917.04 | 8 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $106.33 – $366.18 | 9 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $222.98 – $344.91 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $1.73 – $1.73 | 1 |
| Boot j walker l HCPCS L4386 | $37.56 | $107.31 | $190.16 – $351.80 | 6 |
| Boot mlti podous univ xlg HCPCS L4396 | $85.30 | $243.71 | $197.90 – $366.12 | 6 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $190.16 – $351.80 | 6 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $414.31 | $1,183.74 | $371.23 – $686.78 | 6 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $132.84 | $379.55 | $371.23 – $686.78 | 6 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $35.70 | 10 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $17.03 – $45.46 | 10 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $70.18 | 10 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $5,785.86 | $16,531.04 | $2.12 – $58.23 | 5 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $9.19 | 10 |
| Bowel imaging CPT 78290 | $518.70 | $1,482.00 | $269.48 – $1,439.81 | 9 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $173.00 – $320.05 | 6 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $682.96 – $1,263.48 | 6 |
| Brace afo lg left 6607 HCPCS L1930 | $313.16 | $894.75 | $362.45 – $670.53 | 6 |
| Brace afopos solid ankle cust HCPCS L1960 | $856.76 | $2,447.89 | $849.26 – $1,571.13 | 6 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,007.37 – $1,863.63 | 6 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $184.26 – $340.88 | 6 |
| Brace ank air stirrup univ HCPCS L4350 | $47.33 | $135.23 | $136.95 – $253.36 | 6 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $102.99 – $190.53 | 6 |
| Brace ankle stablizing lg HCPCS L1902 | $30.72 | $87.76 | $105.11 – $194.45 | 6 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $140.66 – $260.22 | 6 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $406.45 – $751.93 | 6 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $340.25 – $629.46 | 6 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $663.24 | $1,894.97 | $493.08 – $912.20 | 6 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,251.44 | $6,432.68 | $1,782.97 – $3,298.49 | 6 |
| Brace back t-lso custom HCPCS L0486 | $2,676.40 | $7,646.85 | $2,583.85 – $4,780.12 | 6 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $351.28 – $649.87 | 6 |
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.