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 |
|---|---|---|---|---|
| Unlisted px neck/thorax CPT 21899 | not published | not published | $304.63 – $9,636.00 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $304.63 – $9,636.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $317.26 – $9,636.00 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | $242.20 | $692.00 | $304.63 – $9,636.00 | 9 |
| Unlisted px small intestine CPT 44799 | $679.70 | $1,942.00 | $1,142.00 – $9,636.00 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $304.63 – $9,636.00 | 9 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $304.63 – $9,636.00 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $304.63 – $9,636.00 | 9 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $67.02 – $123.99 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $514.17 – $1,552.13 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $258.05 – $477.39 | 6 |
| Unlisted surgical path px CPT 88399 | not published | not published | $67.02 – $123.99 | 7 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $37.20 – $68.82 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $103.60 | $296.00 | $111.93 – $326.69 | 8 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $67.13 – $67.13 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $806.82 – $9,636.00 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $514.17 – $1,552.13 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,197.30 | $6,278.00 | $882.72 – $1,633.02 | 6 |
| Upgrade pm system CPT 33214 | not published | not published | $4,589.00 – $24,869.57 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,599.45 | $7,427.00 | $448.71 – $2,200.12 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,350.95 | $6,717.00 | $448.71 – $1,187.61 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,178.75 | $6,225.00 | $306.88 – $1,098.16 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $508.20 | $1,452.00 | $1,142.00 – $5,100.00 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $508.20 | $1,452.00 | $1,166.53 – $6,826.00 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $872.75 | $2,493.57 | $559.71 – $1,035.46 | 6 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,166.53 – $6,826.00 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Urea nitrogen CPT 84520 | $90.65 | $259.00 | $3.95 – $10.52 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $107.10 | $306.00 | $5.56 – $12.68 | 10 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $17.63 | 10 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $10.26 | 10 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Ureteral reflux study CPT 78740 | not published | not published | $187.34 – $1,552.13 | 9 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.00 – $5,893.83 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $300.30 | $858.00 | $128.83 – $896.82 | 9 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,822.00 – $9,636.00 | 9 |
| Urethrocystography void s&i CPT 74455 | $423.85 | $1,211.00 | $140.37 – $896.82 | 9 |
| Uric acid blood CPT 84550 | $90.65 | $259.00 | $4.52 – $12.05 | 10 |
| Uric acid urine CPT 84560 | $107.10 | $306.00 | $5.08 – $12.68 | 10 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $9.84 | 10 |
| Urinalysis microscopic only CPT 81015 | $41.65 | $119.00 | $3.05 – $8.10 | 10 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $30.80 | $88.00 | $2.17 – $5.79 | 10 |
| Urinalysis (with microscopy) CPT 81001 | $69.30 | $198.00 | $3.17 – $8.46 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $45.50 | $130.00 | $2.25 – $6.00 | 10 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $128.83 – $240.03 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $6.30 – $6.30 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $11.91 – $11.91 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $75.87 – $1,318.00 | 9 |
| Urinary suspensory HCPCS A5105 | not published | not published | $80.81 – $80.81 | 1 |
| Urine Culture Test CPT 87086 | $329.00 | $940.00 | $8.07 – $21.54 | 10 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $171.12 – $1,318.00 | 9 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $12.92 – $12.92 | 1 |
| Urine pregnancy test CPT 81025 | $111.30 | $318.00 | $6.27 – $17.22 | 10 |
| Urine screen for bacteria CPT 81007 | not published | not published | $6.85 – $59.96 | 10 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.73 – $18.18 | 5 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $126.23 – $360.28 | 4 |
| Urography, antegrade CPT 74425 | $1,067.50 | $3,050.00 | $115.47 – $1,325.01 | 9 |
| Urography inf drip &/or bolus CPT 74410 | $605.15 | $1,729.00 | $173.14 – $660.47 | 9 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $910.88 – $2,065.06 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $18.23 – $250.99 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $134.46 – $394.55 | 9 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,180.41 – $4,033.76 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $27.54 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $137.66 – $657.48 | 4 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $2,623.00 – $30,073.00 | 7 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $144.64 – $347.55 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $131.58 – $316.18 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $84.58 | $241.66 | $139.49 – $335.19 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $78.54 – $188.73 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $58.65 – $140.93 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $83.60 | $238.87 | $29.80 – $93.13 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $105.05 – $313.10 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $63.57 – $329.32 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $158.98 – $804.51 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $121.82 – $290.23 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $31.06 – $241.48 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $72.02 | $205.77 | $13.30 – $114.26 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $270.95 | $774.15 | $82.82 – $295.43 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $134.83 – $442.85 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $39.49 – $141.11 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $62.59 – $141.11 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $70.06 – $161.57 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.06 – $153.37 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $158.87 – $381.75 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $79.04 | $225.84 | $28.34 – $68.09 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $313.63 – $793.49 | 4 |
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.