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 |
|---|---|---|---|---|
| Shoulder X-ray CPT 73030 | $248.85 | $711.00 | $48.41 – $326.69 | 9 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $108.79 – $201.26 | 6 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $68.26 – $126.28 | 6 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $59.71 – $110.46 | 6 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,501.75 | $10,005.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $70.19 – $394.55 | 9 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $34.07 | 10 |
| Sialography s&i CPT 70390 | $384.30 | $1,098.00 | $158.80 – $896.82 | 9 |
| Sialolithotomy 42330 CPT 42330 | $1,699.95 | $4,857.00 | $1,528.00 – $9,636.00 | 9 |
| Sickling rbc CPT 85660 | $13.12 | $37.49 | $5.51 – $14.73 | 10 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | $651.00 | $1,860.00 | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $361.90 | $1,034.00 | $75.87 – $140.37 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $118.38 | 3 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $912.85 – $1,688.77 | 6 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $321.35 – $5,100.00 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $478.29 | $1,366.55 | $132.99 – $308.01 | 5 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $71.87 – $248.76 | 8 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $302.33 – $559.31 | 6 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,291.45 | $6,547.00 | $225.59 – $625.17 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $2,128.00 | $6,080.00 | $225.59 – $499.57 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $1,794.10 | $5,126.00 | $134.46 – $417.58 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | $1,449.70 | $4,142.00 | $358.90 – $11,677.69 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $395.82 – $732.27 | 6 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $60.40 – $111.74 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,269.19 – $122,586.77 | 9 |
| Sirolimus, oral HCPCS J7520 | $4.58 | $13.09 | $2.27 – $79.75 | 5 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $81.38 – $252.90 | 9 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $297.38 – $550.15 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $8.97 | $25.62 | $0.02 – $88.80 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $97.66 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $12.43 – $12.43 | 1 |
| Skin Biopsy CPT 11102 | $242.20 | $692.00 | $399.00 – $1,528.00 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $11.47 – $68.82 | 9 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,818.00 – $9,680.00 | 4 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $1,818.00 – $9,680.00 | 4 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,031.61 – $2,955.60 | 4 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $349.62 | 10 |
| Sleep study attended CPT 95807 | not published | not published | $479.94 – $969.54 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,018.70 – $2,043.29 | 7 |
| Sleep study unattended CPT 95806 | not published | not published | $277.71 – $513.77 | 7 |
| Sleeve fing rolyan med HCPCS L3933 | $8.75 | $25.00 | $232.89 – $430.85 | 6 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,528.00 – $9,680.00 | 4 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $7.95 | $22.72 | $15.26 – $15.26 | 1 |
| Sling pelv split sam med HCPCS L0621 | $53.03 | $151.50 | $33.70 – $62.35 | 6 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,395.47 | $29,701.35 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Slitting of prepuce CPT 54001 | $1,547.35 | $4,421.00 | $1,528.00 – $6,826.00 | 9 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $24.06 – $24.06 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $75.87 – $140.37 | 7 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $33,050.99 | 8 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $44.92 | 10 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy CPT 44382 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,747.00 – $9,636.00 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $3,664.00 – $20,358.00 | 9 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $601.78 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $140.35 | $401.00 | $5.39 – $14.33 | 10 |
| Smear gram stain CPT 87205 | $170.45 | $487.00 | $4.27 – $11.38 | 10 |
| Smear nasal eosinophil CPT 89190 | $84.70 | $242.00 | $5.79 – $12.68 | 10 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $372.40 | $1,064.00 | $5.99 – $15.99 | 10 |
| Smear wet mount CPT 87210 | $245.35 | $701.00 | $5.82 – $11.64 | 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.