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 |
|---|---|---|---|---|
| X-ray skull > 4 views complete CPT 70260 | $512.75 | $1,465.00 | $71.21 – $394.55 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $571.90 | $1,634.00 | $110.41 – $394.55 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $474.25 | $1,355.00 | $115.47 – $660.47 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $153.30 | $438.00 | $107.04 – $192.66 | 3 |
| X-ray spine single view CPT 72020 | $178.15 | $509.00 | $36.00 – $326.69 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $229.25 | $655.00 | $61.78 – $326.69 | 9 |
| X-ray sternum > 2 views CPT 71120 | $248.85 | $711.00 | $51.56 – $326.69 | 9 |
| X-ray surgical specimen CPT 76098 | $655.20 | $1,872.00 | $25.61 – $2,034.28 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $577.50 | $1,650.00 | $115.47 – $660.47 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $330.05 | $943.00 | $75.25 – $326.69 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | $340.55 | $973.00 | $53.12 – $394.55 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $340.55 | $973.00 | $62.56 – $394.55 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $380.80 | $1,088.00 | $57.85 – $326.69 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $201.60 | $576.00 | $55.80 – $326.69 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $260.40 | $744.00 | $101.51 – $394.55 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $248.85 | $711.00 | $44.49 – $326.69 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $133.70 | $382.00 | $36.00 – $326.69 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $708.75 | $2,025.00 | $146.28 – $660.47 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $675.50 | $1,930.00 | $128.83 – $660.47 | 9 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $219.91 – $219.91 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $327.34 – $327.34 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $206.15 | $589.00 | $42.75 – $326.69 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $228.20 | $652.00 | $104.64 – $660.47 | 9 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $322.38 – $883.64 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $160.06 – $6,297.39 | 9 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $31.61 | 10 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $3.20 | 9 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $35.20 | 10 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $135,600.07 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $142.29 – $296.10 | 8 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.46 – $20.86 | 9 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $106.94 | $305.53 | $1.49 – $4.42 | 9 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $0.98 – $4.97 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $121.00 | 10 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $39.73 | 10 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $8.15 | $23.28 | $2.48 – $2.48 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $58.46 | $167.03 | $10.31 – $83.07 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $17.85 | 9 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $32.64 – $62.25 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $4,871.59 | $13,918.84 | $18.94 – $777.42 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $216.92 – $819.38 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $386.50 | 10 |
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.