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 |
|---|---|---|---|---|
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $120.28 – $585.57 | 3 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,247.00 | $6,420.00 | $1,528.00 – $6,826.00 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,480.50 | $4,230.00 | $1,747.00 – $7,805.00 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,828.00 | 9 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.02 – $1,828.00 | 9 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $10.56 – $68.82 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| X-ray abdomen 1 view CPT 74018 | $290.15 | $829.00 | $40.65 – $326.69 | 9 |
| X-ray abdomen 2 views CPT 74019 | $304.50 | $870.00 | $48.68 – $394.55 | 9 |
| X-ray abdomen >=3 views CPT 74021 | $319.90 | $914.00 | $56.71 – $394.55 | 9 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $347.20 | $992.00 | $65.97 – $394.55 | 9 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $268.80 | $768.00 | $59.35 – $326.69 | 9 |
| X-ray ankle 2 views (both sides) CPT 73600 | $206.15 | $589.00 | $42.75 – $326.69 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,086.40 | $3,104.00 | $185.66 – $1,325.01 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $33.44 | 10 |
| X-ray bone age studies CPT 77072 | $248.85 | $711.00 | $30.10 – $394.55 | 9 |
| X-ray bone length studies CPT 77073 | $353.50 | $1,010.00 | $49.94 – $394.55 | 9 |
| X-ray bone survey complete CPT 77075 | $665.00 | $1,900.00 | $134.46 – $394.55 | 9 |
| X-ray bone survey infant CPT 77076 | $617.05 | $1,763.00 | $109.13 – $394.55 | 9 |
| X-ray cervical spine 2-3 views CPT 72040 | $269.85 | $771.00 | $53.45 – $326.69 | 9 |
| X-ray cervical spine 4-5 views CPT 72050 | $455.00 | $1,300.00 | $79.33 – $394.55 | 9 |
| X-ray cervical spine >= 6 views CPT 72052 | $562.80 | $1,608.00 | $99.58 – $394.55 | 9 |
| X-ray clavicle complete (both sides) CPT 73000 | $178.15 | $509.00 | $45.28 – $326.69 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $738.50 | $2,110.00 | $152.05 – $660.47 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $837.20 | $2,392.00 | $198.18 – $660.47 | 9 |
| X-ray consultation CPT 76140 | not published | not published | $80.76 – $83.95 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $206.15 | $589.00 | $45.28 – $326.69 | 9 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $269.85 | $771.00 | $50.92 – $326.69 | 9 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $735.25 – $2,040.28 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $629.32 – $1,747.95 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $384.30 | $1,098.00 | $104.64 – $660.47 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $339.15 | $969.00 | $110.19 – $394.55 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $450.10 | $1,286.00 | $133.06 – $394.55 | 9 |
| X-ray exam of arm infant CPT 73092 | $171.85 | $491.00 | $42.75 – $394.55 | 9 |
| X-ray exam of eye sockets CPT 70200 | $464.10 | $1,326.00 | $70.19 – $394.55 | 9 |
| X-ray exam of femur 1 CPT 73551 | $221.55 | $633.00 | $42.39 – $326.69 | 9 |
| X-ray exam of jaw joint CPT 70328 | $203.00 | $580.00 | $42.75 – $326.69 | 9 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $132.52 – $896.82 | 9 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $55.14 – $394.55 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $65.97 – $2,034.28 | 9 |
| X-ray exam of penis CPT 74445 | not published | not published | $99.58 – $394.55 | 9 |
| X-ray exam of perineum CPT 74775 | not published | not published | $128.83 – $896.82 | 9 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $59.35 – $326.69 | 9 |
| X-ray exam of sinuses CPT 70210 | $187.95 | $537.00 | $51.56 – $326.69 | 9 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $84.39 – $896.82 | 9 |
| X-ray exam of teeth CPT 70300 | not published | not published | $20.12 – $326.69 | 9 |
| X-ray exam of teeth CPT 70310 | not published | not published | $36.00 – $896.82 | 9 |
| X-ray exam si joints CPT 72200 | not published | not published | $45.28 – $394.55 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $346.15 | $989.00 | $78.29 – $394.55 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $173.60 | $496.00 | $36.00 – $326.69 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | $417.90 | $1,194.00 | $69.63 – $394.55 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $130.27 – $461.06 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | $295.40 | $844.00 | $50.29 – $326.69 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $156.10 | $446.00 | $36.00 – $326.69 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $206.15 | $589.00 | $42.75 – $326.69 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $258.30 | $738.00 | $45.28 – $326.69 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $206.15 | $589.00 | $42.75 – $394.55 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $27.20 – $326.69 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $171.85 | $491.00 | $41.07 – $326.69 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $341.60 | $976.00 | $81.81 – $394.55 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $344.75 | $985.00 | $61.31 – $394.55 | 9 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $379.05 | $1,083.00 | $73.94 – $394.55 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $416.50 | $1,190.00 | $88.91 – $394.55 | 9 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $172.20 | $492.00 | $43.97 – $326.69 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | $258.30 | $738.00 | $47.63 – $326.69 | 9 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $48.96 – $394.55 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $206.15 | $589.00 | $45.28 – $326.69 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $269.85 | $771.00 | $50.92 – $326.69 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $205.45 | $587.00 | $42.75 – $326.69 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $171.85 | $491.00 | $42.75 – $326.69 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $79.33 – $394.55 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $592.90 | $1,694.00 | $81.02 – $394.55 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $592.90 | $1,694.00 | $104.64 – $394.55 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $99.58 – $896.82 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | $371.35 | $1,061.00 | $55.14 – $394.55 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $203.00 | $580.00 | $45.28 – $326.69 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $154.84 – $154.84 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $328.30 | $938.00 | $45.28 – $326.69 | 9 |
| X-ray neck soft tissue CPT 70360 | $217.35 | $621.00 | $36.00 – $326.69 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $203.35 | $581.00 | $42.90 – $326.69 | 9 |
| X-ray of mammary ducts CPT 77054 | $398.30 | $1,138.00 | $134.08 – $896.82 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $55.14 – $326.69 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $280.70 | $802.00 | $41.34 – $394.55 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $280.70 | $802.00 | $59.35 – $394.55 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $366.46 – $1,020.33 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $417.53 – $1,165.40 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $493.50 | $1,410.00 | $230.94 – $1,325.01 | 9 |
| X-ray ribs 2 views left CPT 71100 | $289.80 | $828.00 | $50.00 – $326.69 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $397.60 | $1,136.00 | $64.14 – $394.55 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $390.60 | $1,116.00 | $59.35 – $394.55 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $455.00 | $1,300.00 | $79.33 – $394.55 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $297.50 | $850.00 | $55.14 – $394.55 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $358.40 | $1,024.00 | $48.41 – $326.69 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $248.85 | $711.00 | $45.28 – $394.55 | 9 |
| X-ray sella turcica CPT 70240 | $211.75 | $605.00 | $36.00 – $326.69 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $190.40 | $544.00 | $37.41 – $326.69 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $376.25 | $1,075.00 | $61.78 – $326.69 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $385.00 | $1,100.00 | $82.21 – $2,034.28 | 9 |
| X-ray skull < 4 views CPT 70250 | $218.75 | $625.00 | $55.14 – $394.55 | 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.