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 |
|---|---|---|---|---|
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $8,305.50 | $23,730.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Cath right hrt mnpul art CPT 36013 | $2,207.80 | $6,308.00 | $1,318.00 – $9,636.00 | 3 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $113.75 | $325.00 | $1,318.00 – $9,636.00 | 3 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Cath steerable flex adv 12f HCPCS C1766 | $3,080.00 | $8,800.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $1,624.00 | $4,640.00 | $169.23 – $331.39 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $5.23 – $5.23 | 1 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $677.43 | $1,935.50 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $554.52 | $1,584.34 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Cauterization of cervix 57510 CPT 57510 | $1,992.55 | $5,693.00 | $1,528.00 – $9,636.00 | 9 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $44.83 | 10 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $414.62 | 10 |
| Cdna analysis for variants CPT 81403 | not published | not published | $133.86 – $370.40 | 9 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $171.12 – $316.58 | 7 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $64.17 – $316.58 | 6 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $629.36 | 10 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $35.07 | $100.20 | $1.65 – $12.37 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $35.20 | $100.56 | $2.39 – $33.88 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $10.00 – $48.31 | 4 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.35 – $30.09 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $34.93 | $99.80 | $7.13 – $73.35 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $731.04 | $2,088.69 | $3.83 – $8.58 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $42.97 | $122.76 | $2.18 – $30.05 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $1,418.28 | $4,052.22 | $104.75 – $216.08 | 9 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $84.18 | $240.50 | $0.98 – $62.45 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $33.60 | $95.99 | $2.97 – $28.58 | 5 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $189.48 | 9 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $92.92 – $218.26 | 9 |
| Cell count body fluid CPT 89050 | $161.00 | $460.00 | $4.72 – $12.63 | 10 |
| Cell count w differential body fluid CPT 89051 | $161.00 | $460.00 | $5.60 – $14.71 | 10 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $12.24 – $26.14 | 10 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $501.56 | 9 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $271.72 | 10 |
| Cell marker study CPT 88182 | $224.70 | $642.00 | $61.47 – $227.76 | 9 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.76 – $62.18 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $5,351.02 – $10,648.53 | 4 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $302.95 – $2,079.15 | 9 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.79 – $15.30 | 9 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,747.00 – $15,799.68 | 9 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,747.00 – $9,636.00 | 3 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $80.46 – $166.67 | 9 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $1,113.20 | 9 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $376.49 – $870.14 | 9 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $78.26 – $337.50 | 9 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $194.44 | 9 |
| Change cystostomy tube; complex 51710 CPT 51710 | $846.65 | $2,419.00 | $896.84 – $5,100.00 | 9 |
| Change cystostomy tube simple CPT 51705 | $438.20 | $1,252.00 | $321.35 – $5,100.00 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,528.00 – $5,100.00 | 9 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Change of ureter tube/stent CPT 50688 | $1,547.35 | $4,421.00 | $1,142.00 – $5,100.00 | 9 |
| Change of windpipe airway 31502 CPT 31502 | $275.80 | $788.00 | $304.63 – $5,100.00 | 9 |
| Change stent via transureth CPT 50385 | not published | not published | $1,528.00 – $10,976.00 | 9 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $112.36 – $405.38 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $258.05 – $1,318.00 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $353.00 – $1,318.00 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $353.00 – $1,318.00 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $353.00 – $1,818.00 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $389.20 | $1,112.00 | $76.39 – $601.00 | 7 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $353.00 – $1,818.00 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $909.65 | $2,599.00 | $1,318.00 – $9,636.00 | 3 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $909.65 | $2,599.00 | $1,318.00 – $9,636.00 | 3 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $909.65 | $2,599.00 | $399.00 – $1,818.00 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $909.65 | $2,599.00 | $399.00 – $1,818.00 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $394.79 – $5,100.00 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $408.24 – $5,100.00 | 9 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $353.00 – $5,100.00 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $353.00 – $5,100.00 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $394.79 – $1,318.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $376.60 | $1,076.00 | $353.00 – $1,318.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $353.00 – $1,318.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $909.65 | $2,599.00 | $399.00 – $1,818.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $909.65 | $2,599.00 | $399.00 – $1,818.00 | 9 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $60.23 – $162.55 | 7 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $326.25 – $785.93 | 7 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $232.60 – $601.00 | 7 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $25.74 – $506.11 | 7 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $21.53 – $171.32 | 7 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $42.65 | 10 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $32.79 – $785.93 | 7 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $20.98 – $785.93 | 7 |
| Chest 2 vws w oblique CPT 71048 | $382.20 | $1,092.00 | $57.52 – $394.55 | 9 |
| Chest apical lordotic proj CPT 71047 | $334.60 | $956.00 | $55.91 – $326.69 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,922.20 | $5,492.00 | $225.59 – $781.71 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,802.15 | $5,149.00 | $225.59 – $625.17 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,532.65 | $4,379.00 | $134.46 – $522.22 | 8 |
| Chest X-ray CPT 71046 | $310.45 | $887.00 | $43.86 – $326.69 | 9 |
| Chest X-ray (single view) CPT 71045 | $285.95 | $817.00 | $23.78 – $326.69 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $75.87 – $140.37 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $166.28 – $660.47 | 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.