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 |
|---|---|---|---|---|
| Thyroid Ultrasound CPT 76536 | $682.15 | $1,949.00 | $126.30 – $394.55 | 9 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $161.26 – $1,552.13 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,062.57 – $4,469.23 | 9 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $134.48 | 10 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $14.78 – $39.46 | 10 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $2,160.00 – $30,073.00 | 9 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $50.21 – $92.89 | 6 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $3,234.86 – $5,984.49 | 6 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $19,966.80 | $57,048.00 | $2,160.00 – $42,841.00 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $2,160.00 – $10,761.00 | 4 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $2,160.00 – $13,890.00 | 4 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $309.98 – $1,368.28 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $309.98 – $1,368.28 | 3 |
| Tigecycline injection HCPCS J3243 | $283.14 | $808.97 | $0.40 – $4.42 | 5 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $8,395.23 – $15,531.18 | 6 |
| Tilt table study CPT 93660 | $1,817.90 | $5,194.00 | $143.99 – $1,318.00 | 8 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $6.95 – $17.09 | 3 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $2.18 – $7.63 | 5 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.01 – $1,244,357.91 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,142.00 – $9,680.00 | 3 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $353.00 – $9,680.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $181.64 – $405.60 | 9 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $15.93 – $15.93 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $50.75 – $94.86 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $392.96 | 10 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $140.73 – $375.56 | 10 |
| Tissue culture tumor CPT 88239 | $32.81 | $93.75 | $147.52 – $393.69 | 10 |
| Tissue exam koh skin/hair/nails CPT 87220 | $274.40 | $784.00 | $4.27 – $11.38 | 10 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $3,655.64 | $10,444.69 | $160.06 – $296.10 | 8 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $913.66 | $2,610.46 | $68.26 – $68.26 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $11.53 – $23.06 | 10 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $66.29 – $124.06 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $2,455.00 – $21,833.00 | 9 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,069.75 – $1,979.04 | 6 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $921.20 – $1,704.22 | 6 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,204.08 – $2,227.55 | 6 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $433.13 | $1,237.50 | $1,497.69 – $2,770.73 | 6 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $635.70 – $1,176.04 | 6 |
| Tlso corset front HCPCS L0970 | not published | not published | $175.12 – $323.97 | 6 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $118.65 – $219.50 | 6 |
| Tlso full corset HCPCS L0974 | not published | not published | $265.14 – $490.51 | 6 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $572.43 – $1,059.00 | 6 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $133.07 – $246.18 | 6 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $693.80 – $1,283.53 | 6 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $169.55 – $313.67 | 6 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $976.83 – $1,807.14 | 6 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $2,120.05 – $3,922.09 | 6 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,204.08 – $2,227.55 | 6 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,385.79 – $4,413.71 | 6 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,859.00 – $3,439.15 | 6 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $339.33 – $627.76 | 6 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $416.01 – $769.62 | 6 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,747.00 – $12,302.00 | 4 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $1,818.00 – $12,302.00 | 4 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $97.95 – $124.49 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $78.20 | $223.44 | $2.08 – $30.64 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $29.45 – $204.44 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $260.40 | $744.00 | $16.13 – $43.01 | 10 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,542.53 | $27,264.38 | $5.53 – $12.64 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $16.28 | 5 |
| Toe joint transfer CPT 26556 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $14.80 – $1,528.00 | 9 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $27.96 – $161.28 | 9 |
| Tone decay hearing test CPT 92563 | not published | not published | $34.04 – $88.87 | 7 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Tongue base vol reduction CPT 41530 | not published | not published | $1,528.00 – $15,225.00 | 9 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Tongue suspension CPT 41512 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $2.53 – $127.56 | 5 |
| Topotecan oral HCPCS J8705 | not published | not published | $123.80 – $312.26 | 9 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.50 – $84.07 | 9 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $173.12 – $320.27 | 6 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $188.63 – $348.97 | 6 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,142.00 – $9,680.00 | 4 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,160.00 – $30,548.47 | 9 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Total hysterectomy CPT 58150 | not published | not published | $1,142.00 – $9,680.00 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Total lung lavage CPT 32997 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,747.00 – $9,636.00 | 3 |
| Total tau CPT 84394 | not published | not published | $101.44 – $238.50 | 6 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $796.88 – $1,474.23 | 6 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,528.00 – $41,720.12 | 9 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,528.00 – $41,720.12 | 9 |
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.