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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $896.84 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,528.00 – $7,805.00 | 9 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Cystoscopy and treatment CPT 52310 | $1,756.30 | $5,018.00 | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,455.00 – $10,976.00 | 9 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | $402.85 | $1,151.00 | $896.84 – $5,100.00 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,528.00 – $10,976.00 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $896.84 – $6,826.00 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,664.00 – $20,358.00 | 9 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $1,528.00 – $20,358.00 | 9 |
| Cystoscopy removal of clots CPT 52001 | $2,065.00 | $5,900.00 | $1,528.00 – $7,332.00 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Cystoscopy & ureter catheter CPT 52005 | $1,756.30 | $5,018.00 | $1,528.00 – $6,826.00 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $1,503.25 | $4,295.00 | $2,160.00 – $9,636.00 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | $2,065.00 | $5,900.00 | $1,747.00 – $7,805.00 | 9 |
| Cysto/uretero stricture tx CPT 52344 | $2,065.00 | $5,900.00 | $1,747.00 – $7,805.00 | 9 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,160.00 – $20,358.00 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,160.00 – $7,805.00 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,756.30 | $5,018.00 | $1,528.00 – $6,826.00 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $353.00 – $9,636.00 | 4 |
| Cystourethro w/implant CPT 52441 | not published | not published | $353.00 – $9,636.00 | 4 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $353.00 – $20,358.00 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.99 – $29.46 | 5 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $92.88 | 10 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $81.40 | 10 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $2,320.00 | 10 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $409.61 – $1,800.00 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $24.06 | $68.75 | $14.39 – $38.41 | 10 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $16.85 – $44.96 | 10 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $26.84 | 10 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,791.99 – $3,895.82 | 9 |
| Cyto/molecular report CPT 88291 | not published | not published | $15.76 – $96.10 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $57.01 | 10 |
| Cytopath c/v index add-on CPT 88155 | $33.95 | $97.00 | $14.65 – $29.30 | 10 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $28.19 – $97.00 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $121.80 | $348.00 | $67.02 – $125.43 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $70.69 | 10 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $54.07 | 10 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $134.75 | $385.00 | $33.90 – $89.03 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $120.05 | $343.00 | $32.62 – $97.62 | 9 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $51.10 | $146.00 | $14.44 – $24.21 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $109.55 | $313.00 | $34.32 – $405.38 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $68.25 | $195.00 | $56.24 – $191.55 | 9 |
| Cytopath smear other source CPT 88160 | $101.85 | $291.00 | $24.76 – $107.43 | 9 |
| Cytopath smear other source CPT 88162 | $136.85 | $391.00 | $30.10 – $173.13 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | $30.80 | $88.00 | $26.67 – $109.27 | 9 |
| Cytopath tbs c/v manual CPT 88164 | $93.10 | $266.00 | $18.54 – $36.38 | 10 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $157.30 | 10 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $79.21 | 10 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $219.12 – $840.99 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $6.12 – $58.33 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $55.38 – $752.25 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.00 – $33.48 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $30.12 – $587.11 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,618.65 | $4,624.70 | $0.06 – $1.47 | 5 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.53 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $55.03 – $113.93 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.07 – $7.90 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $7.90 | 9 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $249.61 – $535.39 | 9 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $33.36 – $67.35 | 5 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $258.05 – $1,318.00 | 7 |
| D&c after delivery 59160 CPT 59160 | $2,202.20 | $6,292.00 | $1,747.00 – $7,805.00 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $1,992.55 | $5,693.00 | $1,528.00 – $7,332.00 | 9 |
| Dch glucoscan CPT 82948 | $24.85 | $71.00 | $5.04 – $10.08 | 10 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $144.59 – $887.89 | 7 |
| Dch validity tests CPT 81002 | $20.30 | $58.00 | $3.48 – $6.96 | 10 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,511.53 – $20,358.00 | 9 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,142.00 – $5,204.00 | 9 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $24.10 | 10 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $453.25 | $1,295.00 | $353.00 – $1,318.00 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $130.55 | $373.00 | $353.00 – $1,318.00 | 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.