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 |
|---|---|---|---|---|
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $77.70 | $222.00 | $14.58 – $68.82 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $94.85 | $271.00 | $35.95 – $88.87 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $129.50 | $370.00 | $50.56 – $123.99 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $161.00 | $460.00 | $65.70 – $123.99 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $210.35 | $601.00 | $103.13 – $852.89 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $479.85 | $1,371.00 | $140.74 – $1,917.04 | 9 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $160.06 – $353.00 | 9 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $393.75 | $1,125.00 | $4.35 – $9.50 | 10 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $393.75 | $1,125.00 | $4.35 – $9.50 | 10 |
| Susceptibility mic per plate CPT 87186 | $394.45 | $1,127.00 | $8.65 – $23.07 | 10 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $17.71 | 10 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $151.86 – $280.94 | 6 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Svc venogram s&i CPT 75827 | $2,325.40 | $6,644.00 | $354.19 – $5,763.50 | 9 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $5.52 – $134.99 | 9 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,946.99 – $5,451.93 | 6 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,508.51 – $8,340.74 | 6 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $311.94 – $577.09 | 6 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $496.53 – $918.58 | 6 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $289.31 – $535.22 | 6 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $674.53 – $1,247.88 | 6 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,528.00 – $9,636.00 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,160.00 – $7,332.00 | 9 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $16.78 – $105.76 | 5 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.66 – $88.87 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $29.10 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $94.50 | $270.00 | $4.40 – $11.77 | 10 |
| System cardiomems hosp electronics HCPCS C2624 | $33,334.88 | $95,242.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $20,408.85 | $58,311.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $6,593.33 | $18,838.08 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $630.26 | $1,800.75 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $103.60 | $296.00 | $16.94 – $45.21 | 10 |
| T3 (triiodothyronine) total CPT 84480 | $203.70 | $582.00 | $14.18 – $37.84 | 10 |
| T4 (thyroxine) free CPT 84439 | $83.65 | $239.00 | $9.02 – $24.07 | 10 |
| T4 (thyroxine) total CPT 84436 | $129.50 | $370.00 | $6.87 – $18.36 | 10 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.59 – $1.77 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.78 – $4.42 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $3.56 | $10.17 | $0.38 – $17.38 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $259.96 – $548.38 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $16.86 | $48.18 | $13.73 – $36.61 | 10 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.17 – $29.95 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,747.00 – $9,680.00 | 4 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,747.00 – $9,680.00 | 4 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,142.00 – $9,680.00 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $71.26 – $151.32 | 9 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $71.03 – $150.50 | 9 |
| Talymed HCPCS Q4127 | not published | not published | $136.30 – $296.10 | 8 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $12.88 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.70 – $0.70 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $1,519.06 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,604.25 – $5,839.20 | 9 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,195.82 | 9 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,530.00 – $3,377.16 | 9 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,142.00 – $9,680.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $353.00 – $1,484.00 | 9 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.85 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $274.00 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $66.45 – $160.28 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.30 – $37.92 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $63.72 – $326.69 | 9 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $5.13 – $326.69 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $200.00 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $61.98 – $165.39 | 10 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $818.61 – $1,893.78 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,148.21 – $1,966.64 | 3 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $775.52 – $7,441.90 | 8 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,311.65 – $3,198.38 | 3 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $128.66 – $227.25 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $3,479.02 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,725.03 – $3,550.84 | 3 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $706.49 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $189.59 – $479.76 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $60.89 – $90.61 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $112.28 – $250.57 | 3 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $26.39 – $614.97 | 3 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $1,651.69 – $1,874.88 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $12.90 – $14.18 | 2 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $89.31 – $138.16 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $59.81 – $68.39 | 3 |
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.