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 |
|---|---|---|---|---|
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $453.25 | $1,295.00 | $950.57 – $7,805.00 | 9 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $453.25 | $1,295.00 | $950.57 – $7,805.00 | 9 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $275.80 | $788.00 | $1,142.00 – $9,636.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $275.80 | $788.00 | $522.85 – $6,826.00 | 9 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $453.25 | $1,295.00 | $522.85 – $7,805.00 | 9 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $189.00 | $540.00 | $1,142.00 – $9,636.00 | 4 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $210.35 | $601.00 | $1,142.00 – $9,636.00 | 4 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $397.95 | $1,137.00 | $950.57 – $6,826.00 | 9 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $138.60 | $396.00 | $1,142.00 – $9,636.00 | 4 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $888.03 – $1,642.86 | 6 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,247.00 | $6,420.00 | $1,528.00 – $6,826.00 | 9 |
| Comprehensive hearing test CPT 92557 | not published | not published | $108.88 – $306.17 | 7 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $121.08 – $316.79 | 7 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $146.25 – $316.79 | 7 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $415.10 | $1,186.00 | $448.71 – $830.11 | 6 |
| Concentration infection agents any type CPT 87015 | $66.85 | $191.00 | $6.68 – $17.82 | 10 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $65.83 – $306.17 | 7 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $352.75 – $789.87 | 2 |
| Condylomata destruction 56420 CPT 56420 | $275.80 | $788.00 | $260.03 – $5,100.00 | 9 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $90.47 – $202.55 | 2 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Conization of cervix CPT 57520 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,354.59 | $3,870.27 | $226.54 – $823.21 | 9 |
| Connect omega .5mm HCPCS L8613 | $1,260.00 | $3,600.00 | $502.75 – $502.75 | 1 |
| Connector tis 2x10mm HCPCS C9352 | $3,180.28 | $9,086.52 | $2,077.98 – $2,106.93 | 2 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Construction of vagina CPT 57291 | not published | not published | $2,455.00 – $10,976.00 | 9 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,142.00 – $11,902.87 | 9 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $63.25 – $140.37 | 8 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $479.85 | $1,371.00 | $49.23 – $1,917.04 | 9 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $57.40 | $164.00 | $21.66 – $46.20 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $133.70 | $382.00 | $41.64 – $405.38 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $236.25 | $675.00 | $44.40 – $123.99 | 9 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $48.04 – $150.41 | 8 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $98.94 – $405.38 | 8 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $94.08 – $1,062.94 | 7 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $93.24 – $316.58 | 7 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $17.44 – $46.23 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | $88.20 | $252.00 | $87.03 – $1,318.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Contrast baths charges CPT 97034 | $80.85 | $231.00 | $15.18 – $28.08 | 6 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,863.40 | $5,324.00 | $365.19 – $11,677.69 | 9 |
| Contrast exam thoracic aorta CPT 75600 | $2,325.40 | $6,644.00 | $567.99 – $11,677.69 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,325.40 | $6,644.00 | $364.41 – $20,055.96 | 9 |
| Contrast x-ray gallbladder CPT 74290 | $363.30 | $1,038.00 | $65.97 – $660.47 | 9 |
| Contrast x-ray of ankle CPT 73615 | $642.95 | $1,837.00 | $176.54 – $1,325.01 | 9 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $204.69 – $1,325.01 | 9 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $120.40 – $2,931.24 | 9 |
| Contrast x-ray of elbow CPT 73085 | $704.90 | $2,014.00 | $163.18 – $1,325.01 | 9 |
| Contrast x-ray of hip CPT 73525 | $358.75 | $1,025.00 | $167.91 – $1,325.01 | 9 |
| Contrast x-ray of knee joint CPT 73580 | $1,149.40 | $3,284.00 | $230.94 – $1,325.01 | 9 |
| Contrast x-ray of wrist CPT 73115 | $1,060.85 | $3,031.00 | $140.37 – $1,325.01 | 9 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $8,731.80 | $24,948.00 | $17,463.78 – $32,307.99 | 6 |
| Controller infinity pt dbs HCPCS C1787 | $4,494.00 | $12,840.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $275.80 | $788.00 | $171.12 – $5,100.00 | 9 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $304.63 – $1,318.00 | 9 |
| Control of nosebleed ant comp 30903 CPT 30903 | $275.80 | $788.00 | $171.12 – $5,100.00 | 9 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $275.80 | $788.00 | $171.12 – $1,318.00 | 9 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $275.80 | $788.00 | $693.67 – $5,100.00 | 9 |
| Control throat bleeding CPT 42961 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Control throat bleeding CPT 42962 | $2,348.85 | $6,711.00 | $1,528.00 – $7,332.00 | 9 |
| Conversion ext bil drg cath CPT 47535 | $3,647.00 | $10,420.00 | $1,747.00 – $20,358.00 | 9 |
| Convert nephrostomy catheter CPT 50434 | $3,054.10 | $8,726.00 | $1,142.00 – $7,805.00 | 9 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Coombs direct CPT 86880 | $87.85 | $251.00 | $7.65 – $140.37 | 10 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $3.85 | $11.00 | $8.11 – $405.38 | 10 |
| Coombs indirect titer reference CPT 86886 | $117.25 | $335.00 | $7.35 – $405.38 | 10 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,953.68 | 8 |
| Copper intrauterine device HCPCS J7300 | $1,609.55 | $4,598.71 | $1,161.10 – $2,936.90 | 4 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,100.00 | 9 |
| Core ndl bx lng/med perq CPT 32408 | $861.00 | $2,460.00 | $353.00 – $15,225.00 | 9 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,455.00 – $12,132.52 | 9 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $2,150.75 | $6,145.00 | $1,747.00 – $7,805.00 | 9 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $10,889.06 – $10,889.06 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $33.52 – $140.37 | 6 |
| Corneal smear CPT 65430 | not published | not published | $353.00 – $1,318.00 | 9 |
| Corneal transplant CPT 65710 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Corneal transplant CPT 65730 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Corneal transplant CPT 65750 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Corneal transplant CPT 65755 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $2,822.00 – $20,358.00 | 9 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $7,570.50 | $21,630.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $463.05 | $1,323.00 | $601.00 – $4,712.00 | 4 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Correct finger deformity CPT 26567 | $2,150.75 | $6,145.00 | $2,455.00 – $10,976.00 | 9 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Correction claw finger other CPT 26499 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,142.00 – $7,805.00 | 9 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $2,150.75 | $6,145.00 | $1,747.00 – $7,805.00 | 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.