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 |
|---|---|---|---|---|
| CT angio hrt w/3d image CPT 75574 | not published | not published | $291.55 – $1,084.81 | 8 |
| CT angio pelvis CPT 72191 | $1,545.60 | $4,416.00 | $225.59 – $1,045.88 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,288.35 | $3,681.00 | $225.59 – $955.61 | 8 |
| CT bone density axial CPT 77078 | not published | not published | $48.96 – $207.07 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | $415.10 | $1,186.00 | $225.59 – $417.35 | 6 |
| CT colonography dx CPT 74261 | $1,579.20 | $4,512.00 | $134.46 – $1,160.74 | 8 |
| CT colonography dx w/dye CPT 74262 | $1,802.15 | $5,149.00 | $225.59 – $1,305.00 | 8 |
| CT colonography screening CPT 74263 | $1,298.50 | $3,710.00 | $306.88 – $1,379.24 | 8 |
| CT guidance for needle placement CPT 77012 | $1,059.45 | $3,027.00 | $182.41 – $1,208.35 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,539.65 | $4,399.00 | $178.90 – $461.02 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $317.26 – $9,636.00 | 9 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $822.50 – $1,269.02 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $450.80 | $1,288.00 | $107.38 – $215.84 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $144.97 – $830.11 | 8 |
| CT hrt w/3d image CPT 75572 | not published | not published | $121.35 – $830.11 | 8 |
| CT limited or localized follow-up study CPT 76380 | $550.55 | $1,573.00 | $111.93 – $308.86 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,762.25 | $5,035.00 | $225.59 – $522.22 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,425.90 | $4,074.00 | $134.46 – $436.98 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,803.20 | $5,152.00 | $225.59 – $656.11 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $2,806.30 | $8,018.00 | $225.59 – $499.57 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $2,408.70 | $6,882.00 | $134.46 – $417.58 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,968.35 | $8,481.00 | $225.59 – $625.17 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,291.45 | $6,547.00 | $225.59 – $625.17 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,128.00 | $6,080.00 | $225.59 – $499.57 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,794.10 | $5,126.00 | $134.46 – $417.58 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $275.80 | $788.00 | $304.63 – $5,100.00 | 9 |
| CT scan for therapy guide CPT 77014 | $506.80 | $1,448.00 | $345.54 – $684.61 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,879.80 | $8,228.00 | $448.71 – $830.11 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,703.40 | $7,724.00 | $448.71 – $830.11 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,299.15 | $6,569.00 | $304.67 – $567.73 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $2,254.00 | $6,440.00 | $225.59 – $625.17 | 8 |
| CT thoracic spine without contrast CPT 72128 | $2,081.10 | $5,946.00 | $134.46 – $522.22 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $540.75 | $1,545.00 | $129.44 – $248.76 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $2,403.45 | $6,867.00 | $225.59 – $781.71 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,288.35 | $3,681.00 | $448.71 – $830.11 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $996.80 | $2,848.00 | $134.46 – $436.98 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,494.85 | $4,271.00 | $225.59 – $656.11 | 8 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $62.72 – $2,265.22 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $65.23 – $405.38 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $167.65 | $479.00 | $8.08 – $21.56 | 10 |
| Culture afb any source CPT 87116 | $610.75 | $1,745.00 | $10.80 – $28.84 | 10 |
| Culture anaerobic additional method definitive id each CPT 87076 | $178.15 | $509.00 | $8.08 – $21.56 | 10 |
| Culture anaerobic except blood CPT 87075 | $315.70 | $902.00 | $9.47 – $25.25 | 10 |
| Culture bact stool aero addl path ea CPT 87046 | $449.75 | $1,285.00 | $9.44 – $25.17 | 10 |
| Culture body fluid CPT 87070 | $450.10 | $1,286.00 | $8.62 – $22.98 | 10 |
| Culture fungi definitive id mold CPT 87107 | $170.45 | $487.00 | $10.32 – $27.54 | 10 |
| Culture fungi definitive id yeast CPT 87106 | $280.00 | $800.00 | $10.32 – $27.54 | 10 |
| Culture fungi other (except blood) CPT 87102 | $478.45 | $1,367.00 | $8.41 – $22.42 | 10 |
| Culture fungi skin/hair/nail CPT 87101 | $453.25 | $1,295.00 | $7.71 – $20.57 | 10 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $14.61 – $29.22 | 10 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $41.07 | 10 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $25.17 | 10 |
| Culture screening strep group a CPT 87081 | $450.10 | $1,286.00 | $6.63 – $17.69 | 10 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $15.48 | 10 |
| Culture typing immunologic CPT 87147 | $114.45 | $327.00 | $5.18 – $13.81 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $436.12 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $96.02 | 10 |
| Culture urine each isolate CPT 87088 | $167.65 | $479.00 | $8.09 – $21.60 | 10 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $52.18 | 10 |
| Curette/treat cornea CPT 65435 | $503.65 | $1,439.00 | $1,142.00 – $5,100.00 | 9 |
| Curette/treat cornea CPT 65436 | $1,729.35 | $4,941.00 | $399.00 – $5,204.00 | 9 |
| Cutter lead HCPCS C1773 | $13,715.63 | $39,187.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,317.00 | $6,620.00 | $1,142.00 – $5,100.00 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $9.99 – $130.39 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $15.76 – $159.48 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $38.22 | 10 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $33.37 | $95.34 | $1.33 – $11.78 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $31.50 | $90.00 | $12.95 – $34.55 | 10 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.77 – $1.89 | 9 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $2.27 – $7.36 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $71.17 – $153.51 | 5 |
| Cyclosporine 2 hour CPT 80158 | $36.55 | $104.42 | $18.05 – $48.19 | 10 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.20 | $6.29 | $1.12 – $5.01 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $8.79 | $25.11 | $4.02 – $21.21 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $22,282.07 | $63,663.07 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $178.99 – $582.72 | 9 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $349.62 | 9 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $274.37 – $901.82 | 9 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $349.62 | 10 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $349.62 | 10 |
| Cystatin c CPT 82610 | not published | not published | $18.52 – $37.04 | 10 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $998.00 | 9 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.98 – $45.96 | 10 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $406.35 | $1,161.00 | $93.67 – $1,325.01 | 9 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $1,528.00 – $21,833.00 | 9 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $353.00 – $22,524.58 | 9 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,712.00 – $22,524.58 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $399.00 – $1,818.00 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,142.00 – $15,828.09 | 9 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $353.00 – $20,358.00 | 9 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Cystoscopy and treatment CPT 52214 | $2,065.00 | $5,900.00 | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $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.