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 |
|---|---|---|---|---|
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $602.70 | 9 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $370.40 | 9 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $94.00 | 9 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $102.14 | 9 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,290.37 – $2,387.18 | 6 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $983.68 – $1,819.81 | 6 |
| Socket insert above knee HCPCS L5658 | not published | not published | $460.83 – $852.54 | 6 |
| Socket insert below knee HCPCS L5655 | not published | not published | $432.96 – $800.98 | 6 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $605.51 – $1,120.19 | 6 |
| Socket insert symes HCPCS L5654 | not published | not published | $498.83 – $922.84 | 6 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $799.39 – $1,478.87 | 6 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $959.29 – $1,774.69 | 6 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $42.85 – $79.27 | 6 |
| Sock wool above knee HCPCS L8430 | not published | not published | $34.09 – $63.07 | 6 |
| Sodium 24 hour urine CPT 84300 | $107.10 | $306.00 | $5.06 – $12.97 | 10 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $68.93 | $196.95 | $4.92 – $42.13 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $68.93 | $196.95 | $2.47 – $48.31 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $68.93 | $196.95 | $1.23 – $37.71 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $68.93 | $196.95 | $0.17 – $0.34 | 4 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $116.38 | $332.52 | $3.86 – $32.70 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $96.90 – $549.11 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $89.60 | $256.00 | $4.81 – $12.84 | 10 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.82 – $2.00 | 9 |
| Soft interface below knee se HCPCS L2820 | $136.96 | $391.30 | $133.05 – $246.14 | 6 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $111.93 – $207.07 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $883.46 – $2,690.62 | 9 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $883.46 – $2,391.66 | 9 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $883.46 – $6,577.02 | 9 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $883.46 – $2,092.70 | 9 |
| Solid skin barrier HCPCS A4362 | not published | not published | $6.77 – $6.77 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $14.77 – $14.77 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $81.02 – $513.77 | 7 |
| Somatropin injection HCPCS J2941 | not published | not published | $69.39 – $315.53 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $883.46 – $5,979.10 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $883.46 – $1,793.74 | 9 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $24.63 – $49.01 | 4 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $191.58 – $354.42 | 6 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Special physics consult CPT 77370 | not published | not published | $172.87 – $319.81 | 7 |
| Special pump services CPT 99190 | not published | not published | $1,308.85 – $1,308.85 | 1 |
| Special pump services CPT 99191 | not published | not published | $980.73 – $980.73 | 1 |
| Special pump services CPT 99192 | not published | not published | $654.42 – $654.42 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $43.60 – $319.81 | 7 |
| Special radiation treatment CPT 77470 | not published | not published | $224.48 – $1,314.72 | 7 |
| Special teletx port plan CPT 77321 | not published | not published | $138.03 – $890.92 | 7 |
| Specific gravity body fluid CPT 84315 | $30.80 | $88.00 | $3.28 – $6.69 | 10 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $11.76 | 10 |
| Speech audiometry complete CPT 92556 | not published | not published | $52.33 – $140.37 | 7 |
| Speech evaluation complex CPT 70371 | not published | not published | $123.89 – $896.82 | 9 |
| Speech recep thresh CPT 92555 | not published | not published | $34.04 – $140.37 | 7 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $28.48 | 10 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $55.96 | 10 |
| Sperm identification CPT 89257 | not published | not published | $67.02 – $123.99 | 7 |
| Sperm isolation complex CPT 89261 | not published | not published | $67.02 – $123.99 | 7 |
| Sperm isolation simple CPT 89260 | not published | not published | $67.02 – $123.99 | 7 |
| Sperm washing 58323 CPT 58323 | not published | not published | $260.03 – $5,100.00 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,196.30 | $3,418.00 | $907.88 – $5,100.00 | 9 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $353.00 – $30,073.00 | 9 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $84.96 – $513.77 | 7 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $322.00 | $920.00 | $90.30 – $887.89 | 7 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $55.84 – $306.17 | 7 |
| Spleen imaging CPT 78185 | $944.65 | $2,699.00 | $209.14 – $1,552.13 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Splicing of ureters CPT 50770 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $131.25 | $375.00 | $592.42 – $1,095.98 | 6 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $35.00 | $100.00 | $71.73 – $132.70 | 6 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $180.95 | 6 |
| Splint finger frog med HCPCS L3927 | $19.25 | $55.00 | $38.17 – $70.61 | 6 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.73 – $3.73 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $54.25 | $155.00 | $97.81 – $180.95 | 6 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,619.65 | $13,199.00 | $1,528.00 – $7,332.00 | 9 |
| Split blood or products CPT 86985 | $103.60 | $296.00 | $1.40 – $405.38 | 9 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $117.56 – $217.49 | 6 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $353.00 – $1,318.00 | 9 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $785.31 – $1,452.82 | 6 |
| Sputum specimen collection CPT 89220 | not published | not published | $34.98 – $405.38 | 9 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,841.05 – $8,914.63 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $764.65 – $12,302.00 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $764.65 – $12,302.00 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $226.81 – $9,636.00 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $163.98 – $9,636.00 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $350.80 | 10 |
| Srs linear based CPT 77372 | not published | not published | $1,943.70 – $17,525.04 | 7 |
| Srs multisource CPT 77371 | not published | not published | $2,561.26 – $17,525.04 | 7 |
| Srs spinal lesion CPT 63620 | not published | not published | $764.65 – $12,302.00 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $188.63 – $9,636.00 | 4 |
| Staggered spondaic word test CPT 92572 | not published | not published | $8.30 – $306.17 | 7 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $7,067.00 – $9,636.00 | 2 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $263.85 – $488.12 | 6 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $292.95 | $837.00 | $118.26 – $218.78 | 5 |
| Stance phase only HCPCS L5858 | not published | not published | $22,336.47 – $41,322.47 | 6 |
| Standard control cable extra HCPCS L6655 | not published | not published | $122.62 – $226.85 | 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.