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 |
|---|---|---|---|---|
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $3,409.00 – $9,181.00 | 9 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Repair stomach opening CPT 43870 | not published | not published | $1,142.00 – $7,332.00 | 10 |
| Repair tear ducts CPT 68700 | not published | not published | $1,528.00 – $7,309.00 | 10 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $3,148.95 | $8,997.00 | $1,747.00 – $7,332.00 | 10 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $2,738.05 | $7,823.00 | $2,160.00 – $7,629.00 | 10 |
| Repair testis injury CPT 54670 | not published | not published | $1,747.00 – $7,309.00 | 10 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Repair throat wound CPT 42900 | $1,307.95 | $3,737.00 | $1,142.00 – $7,309.00 | 10 |
| Repair toe dislocation CPT 28645 | not published | not published | $1,747.00 – $7,332.00 | 10 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $246.05 | $703.00 | $304.63 – $7,309.00 | 10 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,528.00 – $14,673.37 | 10 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $4,768.00 – $7,332.00 | 4 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $4,768.00 – $7,332.00 | 4 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $4,768.00 – $7,332.00 | 4 |
| Repair umbilical lesion CPT 49600 | not published | not published | $2,160.00 – $7,629.00 | 10 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Repair umbilical lesion CPT 49605 | not published | not published | $2,109.00 – $6,264.00 | 4 |
| Repair umbilical lesion CPT 49610 | not published | not published | $1,142.00 – $6,264.00 | 4 |
| Repair umbilical lesion CPT 49611 | not published | not published | $2,109.00 – $5,789.00 | 4 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $3,965.50 | $11,330.00 | $1,747.00 – $16,065.00 | 10 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $2,160.00 – $12,111.00 | 10 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $1,142.00 – $7,629.00 | 4 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Repair uro sphincter CPT 53449 | not published | not published | $1,142.00 – $15,828.09 | 10 |
| Repair vagina CPT 57335 | not published | not published | $1,142.00 – $8,364.18 | 9 |
| Repair vagina/perineum CPT 57210 | $2,422.70 | $6,922.00 | $1,528.00 – $7,332.00 | 10 |
| Repair valve femoral vein CPT 34501 | not published | not published | $3,409.00 – $12,477.00 | 9 |
| Repair venous anomaly CPT 33724 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $4,768.00 – $7,332.00 | 4 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $4,768.00 – $7,332.00 | 4 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $2,109.00 – $7,953.00 | 3 |
| Repair vessel graft defect CPT 35870 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $2,068.15 – $7,309.00 | 10 |
| Repair windpipe opening CPT 31614 | not published | not published | $1,528.00 – $12,111.00 | 10 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $1,747.00 – $7,953.00 | 4 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $27.75 – $51.34 | 6 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $1,747.00 – $12,050.00 | 4 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $2,109.00 – $5,789.00 | 4 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $2,109.00 – $5,789.00 | 4 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $2,109.00 – $5,789.00 | 4 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Replace duod/jej tube perc CPT 49451 | $762.30 | $2,178.00 | $1,166.53 – $3,094.00 | 9 |
| Replace elbow joint CPT 24363 | not published | not published | $3,409.00 – $41,720.12 | 10 |
| Replace eye fluid CPT 67025 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $20.22 – $37.41 | 6 |
| Replace g/c tube perc CPT 49450 | $1,844.85 | $5,271.00 | $1,166.53 – $3,094.00 | 9 |
| Replace g-j tube perc CPT 49452 | $1,090.25 | $3,115.00 | $1,166.53 – $3,094.00 | 9 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $486.92 – $900.80 | 6 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $1,142.00 – $7,309.00 | 10 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $1,142.00 – $8,128.41 | 10 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $1,747.00 – $12,050.00 | 4 |
| Replacement of aortic valve CPT 33412 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replacement of aortic valve CPT 33413 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replacement of contact lens CPT 92326 | not published | not published | $75.87 – $141.76 | 7 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $2,109.00 – $12,050.00 | 4 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $1,747.00 – $12,050.00 | 4 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $467.90 – $865.62 | 6 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $632.54 – $1,170.20 | 6 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $625.42 – $1,157.03 | 6 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $409.60 – $757.76 | 6 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $502.59 – $929.79 | 6 |
| Replace picvad cath CPT 36585 | $3,182.90 | $9,094.00 | $1,142.00 – $7,629.00 | 10 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $760.15 – $1,406.28 | 6 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $431.18 – $797.68 | 6 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $1,319.70 – $2,441.45 | 6 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $1,528.00 – $14,673.37 | 10 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Replace socket above knee HCPCS L5701 | not published | not published | $5,550.13 – $10,267.74 | 6 |
| Replace socket below knee HCPCS L5700 | not published | not published | $4,470.21 – $8,269.89 | 6 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $773.56 – $1,431.09 | 6 |
| Replace socket hip HCPCS L5702 | not published | not published | $7,091.90 – $13,120.02 | 6 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $1,747.00 – $16,065.00 | 10 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $1,028.26 – $1,902.28 | 6 |
| Replace tunneled cv cath CPT 36578 | $2,406.60 | $6,876.00 | $1,142.00 – $7,629.00 | 10 |
| Replace ureter by bowel CPT 50840 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Replace vad intra w/bp CPT 33983 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Replace vad intra without bp CPT 33982 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Replace vad pump ext CPT 33981 | not published | not published | $2,109.00 – $9,640.00 | 3 |
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.39 – $0.72 | 6 |
| Replantation arm complete CPT 20802 | not published | not published | $2,822.00 – $41,720.12 | 9 |
| Replantation digit complete CPT 20822 | $1,285.90 | $3,674.00 | $2,068.15 – $6,035.00 | 9 |
| Replantation digit complete CPT 20816 | not published | not published | $2,068.15 – $12,477.00 | 9 |
| Replantation foot complete CPT 20838 | not published | not published | $2,822.00 – $41,720.12 | 9 |
| Replantation hand complete CPT 20808 | not published | not published | $4,589.00 – $41,720.12 | 9 |
| Replantation of penis CPT 54438 | not published | not published | $4,768.00 – $6,264.00 | 2 |
| Replantation thumb complete CPT 20827 | not published | not published | $2,068.15 – $12,477.00 | 9 |
| Replantation thumb complete CPT 20824 | not published | not published | $2,068.15 – $12,477.00 | 9 |
| Replant forearm complete CPT 20805 | not published | not published | $4,589.00 – $41,720.12 | 9 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $3,644.20 – $6,741.77 | 6 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $2,104.49 – $3,893.31 | 6 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $5,199.26 – $9,618.63 | 6 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $21.01 – $21.01 | 1 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $1,953.57 – $3,614.10 | 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.