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 |
|---|---|---|---|---|
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Adh-sendout CPT 84588 | not published | not published | $33.94 – $90.59 | 10 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $3,983.00 | $11,380.00 | $1,747.00 – $16,065.00 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,247.00 | $6,420.00 | $1,747.00 – $7,805.00 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $254.14 | $726.12 | $0.23 – $1.20 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $152.25 | $435.00 | $59.79 – $171.32 | 7 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $124.60 | $356.00 | $92.60 – $171.32 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $676.55 | $1,933.00 | $310.22 – $785.93 | 7 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $364.70 | $1,042.00 | $237.94 – $785.93 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $201.60 | $576.00 | $60.61 – $171.32 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $201.60 | $576.00 | $92.60 – $171.32 | 7 |
| Administration immunization 1 vaccine CPT 90471 | $46.20 | $132.00 | $92.60 – $171.32 | 6 |
| Administration immunization each additional vaccine CPT 90472 | $46.20 | $132.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $92.60 – $171.32 | 6 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $112.36 – $112.36 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $60.23 – $111.42 | 6 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $60.23 – $111.42 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $60.23 – $111.42 | 6 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $98.18 – $98.18 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $40.70 – $88.39 | 9 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $480.31 – $5,042.57 | 9 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $277.71 – $513.77 | 6 |
| Aep neurodiagnostic i&r CPT 92653 | $271.95 | $777.00 | $277.71 – $513.77 | 6 |
| Aep thrshld est mlt freq i&r CPT 92652 | $851.90 | $2,434.00 | $277.71 – $513.77 | 6 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $6,395.04 | 9 |
| _afb id by dna probe rflx ast CPT 87149 | $53.90 | $154.00 | $20.05 – $53.52 | 10 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $15.09 | 10 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $315.57 | 10 |
| Aflibercept injection HCPCS J0178 | not published | not published | $731.88 – $1,711.10 | 9 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $889.32 – $1,645.24 | 6 |
| After cataract laser surgery CPT 66821 | $2,432.50 | $6,950.00 | $707.39 – $6,826.00 | 9 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.58 – $479.11 | 9 |
| Air conduction bilat CPT 92552 | not published | not published | $39.95 – $316.58 | 7 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $74.11 – $306.17 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $71.75 | $205.00 | $7.78 – $15.56 | 10 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $121.13 | $346.08 | $53.08 – $368.24 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $56.14 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $123.48 | $352.80 | $53.08 – $114.12 | 8 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $148.18 | 8 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $90.59 | 10 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $26.60 | $76.00 | $5.78 – $15.45 | 10 |
| Albumin serum plasma or whole blood CPT 82040 | $71.75 | $205.00 | $4.95 – $13.22 | 10 |
| Albuterol ipratrop non-comp HCPCS J7620 | $0.61 | $1.75 | $0.38 – $16.50 | 5 |
| Albuterol non-comp con HCPCS J7611 | $0.70 | $1.99 | $0.35 – $0.59 | 5 |
| Albuterol non-comp unit HCPCS J7613 | $0.61 | $1.75 | $0.15 – $1.77 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $71.40 | $204.00 | $0.02 – $34.54 | 10 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $2,963.85 – $12,300.59 | 9 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,440.42 – $5,249.20 | 9 |
| Alkaline phosphatase CPT 84075 | $107.10 | $306.00 | $5.18 – $13.81 | 10 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $42.29 | 10 |
| Allergen egg white ige CPT 86003 | not published | not published | $5.22 – $13.94 | 10 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $15.94 | 10 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $43.60 – $111.42 | 7 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $33.47 – $111.42 | 7 |
| Allergy Skin Testing CPT 95004 | not published | not published | $9.14 – $2,043.29 | 7 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $18.42 – $2,043.29 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $4,589.00 – $30,073.00 | 9 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $33.93 – $33.93 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $3,985.24 | $11,386.40 | $160.06 – $296.10 | 8 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $160.06 – $296.10 | 8 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $21,510.09 | $61,457.41 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $8,403.84 | $24,010.98 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $22,984.85 | $65,671.01 | $48.70 – $296.10 | 8 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $17,109.79 | $48,885.10 | $160.06 – $353.00 | 9 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $4,232.06 | $12,091.60 | $160.06 – $296.10 | 8 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,783.40 | $16,524.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $4,191.43 | $11,975.50 | $160.06 – $296.10 | 8 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $4,814.57 | $13,755.92 | $160.06 – $531.09 | 9 |
| Alloskin HCPCS Q4115 | not published | not published | $24.64 – $296.10 | 8 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $48.04 – $88.87 | 6 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $37.20 – $68.82 | 6 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.14 – $11.09 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $171.88 | 10 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $17.00 – $44.77 | 10 |
| Alpha-fetoprotein tumor marker CPT 82105 | $103.60 | $296.00 | $16.77 – $44.77 | 10 |
| Alprostadil for injection HCPCS J0270 | $597.56 | $1,707.32 | $0.39 – $57.44 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $31,630.68 | $90,373.36 | $92.10 – $196.64 | 9 |
| Alt/sgpt CPT 84460 | $109.20 | $312.00 | $5.30 – $14.13 | 10 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.49 – $9.89 | 9 |
| Aluminum - quest CPT 82108 | not published | not published | $25.48 – $68.00 | 10 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $111.99 – $226.21 | 7 |
| Amantadine (symmetrel)-sendout CPT 80375 | $31.21 | $89.18 | $0.02 – $90.81 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $43.73 – $316.58 | 7 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $44.05 | $125.86 | $1.19 – $27.10 | 5 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $37.00 | 10 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $37.00 | 10 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $45.02 | 10 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $34.91 | $99.75 | $1.62 – $2.80 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $3.83 | 9 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $16.45 – $43.93 | 10 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $390.02 – $847.98 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $70.52 | $201.48 | $9.13 – $23.76 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $103.94 | $296.96 | $3.92 – $17.38 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $34.05 | $97.28 | $0.48 – $124.91 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $90.18 | 2 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $4.46 – $35.94 | 2 |
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.