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 |
|---|---|---|---|---|
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $163.24 – $608.87 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $74.71 – $179.50 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $249.17 | $711.91 | $74.70 – $179.50 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $19.56 – $47.00 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $20.00 – $48.05 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.68 – $71.96 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $69.22 – $151.52 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $19.36 – $103.86 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $20.00 – $85.56 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.34 – $38.21 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.86 – $105.13 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $65.67 – $143.78 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $99.80 | $285.15 | $32.97 – $79.23 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.78 – $23.50 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $241.74 – $870.93 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $211.34 – $3,941.59 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $175.28 – $642.24 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $169.96 – $398.93 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $350.71 | $1,002.04 | $96.72 – $244.65 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $283.21 – $716.36 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $83.03 – $286.96 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $789.96 | $2,257.04 | $230.83 – $554.68 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $233.66 – $561.47 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $834.65 | $2,384.70 | $279.96 – $672.74 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $45.50 – $131.64 | 4 |
| Vaccine rabies im CPT 90675 | $1,116.66 | $3,190.47 | $315.22 – $922.52 | 9 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $312.94 – $1,436.45 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $567.26 – $2,869.65 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $567.26 – $2,410.49 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $312.48 – $1,363.52 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $149.83 – $519.23 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $100.67 – $320.39 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $169.43 | $484.09 | $47.97 – $196.32 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $159.09 | $454.54 | $28.55 – $97.21 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $120.06 – $326.68 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $186.53 – $471.82 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $168.28 – $499.19 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 9 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $81.86 – $81.86 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,008.32 | $2,880.90 | $562.64 – $1,040.88 | 6 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $220.87 – $408.61 | 6 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $11,376.29 | $32,503.68 | $5,020.16 – $9,287.30 | 6 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,142.00 – $20,358.00 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,142.00 – $11,902.87 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,142.00 – $20,358.00 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,142.00 – $11,902.87 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,142.00 – $20,358.00 | 9 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $9,636.00 – $9,680.00 | 2 |
| Vaginal bx CPT 58999 | $267.75 | $765.00 | $260.03 – $9,636.00 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $2,202.20 | $6,292.00 | $1,528.00 – $9,636.00 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,528.00 – $9,636.00 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,142.00 – $20,358.00 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,455.00 – $9,636.00 | 9 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,640.30 – $3,034.56 | 6 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $199.15 | $569.00 | $13.54 – $36.16 | 10 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,270.52 – $3,105.78 | 9 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,107.39 – $12,111.00 | 8 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,747.00 – $12,302.00 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,747.00 – $12,302.00 | 3 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,145.95 – $27,468.35 | 8 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $913.36 – $27,468.35 | 8 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,528.00 – $9,680.00 | 4 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,747.00 – $9,680.00 | 4 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $318.73 | $910.67 | $0.07 – $0.07 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $87.64 | $250.39 | $0.16 – $0.16 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $3.06 – $70.11 | 5 |
| Vancomycin peak therapeutic drug level CPT 80202 | $260.40 | $744.00 | $13.54 – $36.16 | 10 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $93.67 | 10 |
| Vantas implant HCPCS J9225 | not published | not published | $4,971.34 – $22,725.40 | 5 |
| Variable concentration mask HCPCS A4620 | not published | not published | $1.26 – $1.26 | 1 |
| Varicella zoster antibody igg CPT 86787 | $73.15 | $209.00 | $12.88 – $34.38 | 10 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $580.76 – $5,083.36 | 9 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $82.28 – $152.22 | 6 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $9,636.00 – $43,618.46 | 8 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $2,160.00 – $7,919.00 | 9 |
| Vasectomy CPT 55250 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $84.96 | $242.75 | $1.02 – $18.26 | 5 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,528.00 – $9,636.00 | 3 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,528.00 – $9,636.00 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.98 – $45.49 | 9 |
| Veeg cont 2-12 hrs CPT 95713 | $453.60 | $1,296.00 | $479.94 – $887.89 | 6 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,358.70 | $3,882.00 | $1,104.48 – $2,043.29 | 6 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $351.05 | $1,003.00 | $479.94 – $887.89 | 6 |
| Veeg unmon 12-26 hrs CPT 95714 | $680.40 | $1,944.00 | $479.94 – $887.89 | 6 |
| Veeg unmon 2-12 hrs CPT 95711 | $340.20 | $972.00 | $277.71 – $513.77 | 6 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $347.90 – $11,677.69 | 9 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $390.36 – $20,055.96 | 5 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $84.39 – $2,293.84 | 9 |
| Vein x-ray kidney CPT 75831 | $2,325.40 | $6,644.00 | $354.97 – $11,677.69 | 9 |
| Vein x-ray liver CPT 75891 | not published | not published | $355.76 – $11,677.69 | 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.