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 |
|---|---|---|---|---|
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $34.47 – $43.82 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $3.44 – $22.94 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $87.63 – $130.01 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $197.55 – $968.75 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $532.91 – $1,431.23 | 8 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $223.89 – $1,615.51 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $173.09 – $477.23 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $1,029.08 – $1,342.87 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $353.00 – $1,484.00 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $134.46 – $413.14 | 7 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $134.46 – $424.11 | 7 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $971.19 – $971.19 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $567.42 – $5,100.00 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $38.52 | $110.06 | $46.98 – $125.39 | 10 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $71.45 | 10 |
| T cells total count CPT 86359 | $30.99 | $88.53 | $37.73 – $100.66 | 10 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $277.71 – $513.77 | 7 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $277.71 – $513.77 | 7 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $277.71 – $1,142.00 | 7 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $208.90 – $461.73 | 9 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $1,008.25 – $1,865.27 | 6 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $1,008.25 – $1,865.27 | 6 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $60.70 – $112.30 | 6 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.03 – $15.24 | 9 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $295.47 – $890.92 | 7 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $161.21 – $890.92 | 7 |
| Temozolomide HCPCS J8700 | not published | not published | $0.76 – $13.55 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.23 – $22.38 | 9 |
| Temperature gradient studies CPT 93740 | not published | not published | $14.21 – $306.17 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $7,067.00 – $42,841.00 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.08 – $65.19 | 9 |
| Tendon lengthening CPT 26476 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Tendon shortening CPT 26477 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $29,822.42 | $85,206.91 | $169.26 – $365.27 | 9 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $959.47 – $6,439.55 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,142.00 – $10,761.00 | 9 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $2,150.75 | $6,145.00 | $1,528.00 – $7,332.00 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,747.00 – $9,636.00 | 9 |
| Tension based scoliosis orth HCPCS L1005 | $1,953.00 | $5,580.00 | $3,839.20 – $7,102.52 | 6 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $15.74 – $15.74 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $33.14 | $94.69 | $2.81 – $22.39 | 5 |
| Teriparatide injection HCPCS J3110 | not published | not published | $33.29 – $159.72 | 4 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $4,913.43 – $9,089.85 | 6 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,794.37 – $7,019.58 | 6 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,977.62 – $3,658.60 | 6 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,365.39 – $2,525.97 | 6 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $2,017.45 – $3,732.28 | 6 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $528.35 – $977.45 | 6 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $518.39 – $959.02 | 6 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $440.00 – $814.00 | 6 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $266.48 – $492.99 | 6 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $955.95 – $1,768.51 | 6 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $370.40 | 9 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $16.01 | 10 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $11.64 | 10 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $21.79 | 10 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $282.84 – $1,552.13 | 9 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $8.12 – $213.41 | 3 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $137.83 | 10 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.13 – $4.34 | 9 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $72.59 | $207.41 | $71.00 – $140.37 | 7 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $377.08 – $697.60 | 6 |
| Test socket above knee HCPCS L5624 | not published | not published | $509.03 – $941.71 | 6 |
| Test socket below knee HCPCS L5620 | not published | not published | $358.07 – $662.43 | 6 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $591.79 – $1,094.81 | 6 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $668.75 – $1,237.19 | 6 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $464.09 – $858.57 | 6 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $568.98 – $1,052.61 | 6 |
| Test socket symes HCPCS L5618 | not published | not published | $353.52 – $654.01 | 6 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $378.71 – $700.61 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $612.15 | $1,749.00 | $150.36 – $513.77 | 7 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $22.50 | 10 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $26.72 | 10 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $8.94 | 10 |
| Tetanus ig im CPT 90389 | not published | not published | $487.04 – $1,674.85 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | $2,048.35 | $5,852.44 | $454.55 – $1,237.88 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.58 – $38.21 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $274.00 | 9 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,519.06 | 10 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $5,839.20 | 10 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,195.82 | 10 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $16.53 – $405.38 | 7 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $44.62 – $405.38 | 7 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $14.72 – $405.38 | 7 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $16.53 – $123.99 | 7 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $567.42 – $5,100.00 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $260.40 | $744.00 | $14.14 – $37.76 | 10 |
| Therapeutic procd strg endur HCPCS G0237 | $137.20 | $392.00 | not published | 0 |
| Therapy activation ipnss CPT 93150 | not published | not published | $122.28 – $353.00 | 7 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $61.95 | $177.00 | $28.53 – $52.78 | 6 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $61.95 | $177.00 | $23.65 – $43.75 | 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.