Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
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 |
|---|---|---|---|---|
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $4,589.00 – $20,358.00 | 9 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $2,160.00 – $10,824.34 | 9 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $2,455.00 – $9,636.00 | 9 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $3,569.96 – $9,636.00 | 8 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $353.00 – $20,358.00 | 9 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $353.00 – $20,358.00 | 9 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,142.00 – $10,761.00 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,142.00 – $20,358.00 | 4 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $47.82 – $47.82 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $53.72 – $140.37 | 7 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,455.00 – $10,976.00 | 9 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $6,020.00 – $9,636.00 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $3,602.90 | $10,294.00 | $1,528.00 – $16,065.00 | 9 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $300.11 – $865.73 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,747.00 – $15,828.09 | 9 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Rsv assay w/optic CPT 87807 | $261.45 | $747.00 | $13.10 – $26.20 | 10 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $295.80 – $1,412.13 | 4 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $66.50 | $190.00 | $171.24 – $316.79 | 6 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $48.00 – $353.00 | 7 |
| Rubella antibody igg CPT 86762 | $73.15 | $209.00 | $14.39 – $38.41 | 10 |
| Rubeola ag if CPT 87283 | not published | not published | $24.79 – $121.60 | 10 |
| Rubeola antibody igg CPT 86765 | $73.15 | $209.00 | $12.88 – $34.38 | 10 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $659.02 | 10 |
| Russell viper venom diluted CPT 85613 | $17.55 | $50.15 | $9.58 – $25.54 | 10 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,834.16 | 9 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $312.80 – $578.68 | 6 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.61 – $76.97 | 9 |
| Salivary gland function exam CPT 78232 | not published | not published | $219.91 – $1,552.13 | 9 |
| Salivary gland imaging CPT 78230 | not published | not published | $193.11 – $1,552.13 | 9 |
| Salivary glnd img serial img CPT 78231 | $1,061.90 | $3,034.00 | $238.78 – $1,552.13 | 9 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $35.20 | 10 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $171.24 – $316.79 | 6 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $2.47 – $3.13 | 2 |
| Sargramostim injection HCPCS J2820 | not published | not published | $61.89 – $128.74 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $3.82 – $102.86 | 10 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.34 – $347.31 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $128.80 | $368.00 | $35.33 – $90.74 | 9 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $59.10 – $147.14 | 10 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $3,664.00 – $20,358.00 | 9 |
| Sbrt management CPT 77435 | not published | not published | $438.01 – $3,804.48 | 3 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $509.60 | $1,456.00 | $306.88 – $896.82 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $404.25 | $1,155.00 | $134.46 – $394.55 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $477.40 | $1,364.00 | $306.88 – $896.82 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $134.46 – $394.55 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $453.95 | $1,297.00 | $134.46 – $394.55 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $497.00 | $1,420.00 | $134.46 – $394.55 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $889.70 | $2,542.00 | $306.88 – $896.82 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $370.30 | $1,058.00 | $134.46 – $394.55 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $370.30 | $1,058.00 | $134.46 – $394.55 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Scan proc spinal CPT 61783 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $7,144.50 – $13,217.32 | 6 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,142.00 – $15,225.00 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $4,208.34 – $20,358.00 | 9 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $5,235.51 | $14,958.60 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $36.38 | 10 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $33.52 – $52.70 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $63.88 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $87.94 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $70.69 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $54.10 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $54.07 | 10 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $52.70 – $72.73 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $353.00 – $6,826.00 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $353.00 – $6,826.00 | 9 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $15.58 – $42.44 | 10 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $56.54 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $92.70 | 9 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $48.16 | 9 |
| Screening Mammogram CPT 77067 | $203.00 | $580.00 | $108.84 – $429.26 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $33.52 – $60.95 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $49.09 | 10 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $36.38 | 10 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $55,884.64 | $159,670.40 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $154.35 | $441.00 | $92.60 – $172.81 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,377.90 | $6,794.00 | $1,142.00 – $9,636.00 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $115.85 | $331.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $63.35 | $181.00 | $2.70 – $7.20 | 10 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,468.96 – $9,499.28 | 4 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,142.00 – $9,680.00 | 4 |
| Select picture audiometry CPT 92583 | not published | not published | $75.87 – $140.37 | 7 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.56 – $1.56 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $17.36 | 10 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $32.16 | 10 |
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.