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 |
|---|---|---|---|---|
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $2,623.00 – $9,636.00 | 9 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.04 – $0.04 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $54.55 – $111.06 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $11.49 – $17.95 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,622.87 | $7,493.92 | $252.76 – $1,536.65 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $2.80 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $33.60 | $96.00 | $1.21 – $6.48 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $36.16 – $147.30 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $18.42 – $88.87 | 7 |
| Disability dlco CPT 94727 | $267.75 | $765.00 | $74.11 – $513.77 | 7 |
| Disaccharidases CPT 82657 | $26.95 | $77.00 | $22.17 – $48.19 | 10 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $207.19 – $7,245.07 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $353.00 – $4,235.11 | 9 |
| Dissolve clot heart vessel CPT 92975 | $2,417.45 | $6,907.00 | $273.28 – $2,623.00 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $90.81 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $558.00 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $274.00 | 9 |
| Dna antibody native/double stranded CPT 86225 | $23.80 | $68.00 | $13.74 – $36.67 | 10 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $53.52 | 10 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $53.52 | 10 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $53.76 | 10 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $53.52 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $107.59 | $307.40 | $6.80 – $50.67 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $1.17 – $88.08 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $3.54 – $110.98 | 9 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.65 – $65.69 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.31 – $309.11 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $87.41 | $249.75 | $0.60 – $1.53 | 5 |
| Doppler echo complete CPT 93320 | $368.90 | $1,054.00 | $153.60 – $330.39 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,318.00 – $1,318.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $963.20 | $2,752.00 | $256.00 – $580.50 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $392.35 | $1,121.00 | $164.43 – $478.24 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $3.83 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $54.58 – $115.22 | 5 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,701.45 | $59,147.00 | $33,581.40 – $33,581.40 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.61 – $516.30 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $6.27 – $225.95 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $323.38 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $84.15 | $240.43 | $0.18 – $0.26 | 4 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $349.62 | 10 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $537.95 | $1,537.00 | $353.00 – $1,818.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $537.95 | $1,537.00 | $353.00 – $1,818.00 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $1,216.25 | $3,475.00 | $1,142.00 – $9,636.00 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $537.95 | $1,537.00 | $353.00 – $1,818.00 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,467.80 | $9,908.00 | $1,142.00 – $5,100.00 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Drainage mouth roof lesion CPT 42000 | $189.00 | $540.00 | $304.63 – $6,826.00 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $1,845.20 | $5,272.00 | $1,528.00 – $6,826.00 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,142.00 – $6,911.51 | 9 |
| Drainage of eye CPT 65800 | $1,246.35 | $3,561.00 | $1,142.00 – $5,100.00 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Drainage of kidney lesion CPT 50390 | $537.95 | $1,537.00 | $910.78 – $5,100.00 | 9 |
| Drainage of mouth lesion CPT 41005 | $242.20 | $692.00 | $304.63 – $5,100.00 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Drainage of mouth lesion CPT 41007 | $1,027.25 | $2,935.00 | $1,142.00 – $5,100.00 | 9 |
| Drainage of mouth lesion CPT 41008 | $1,576.05 | $4,503.00 | $1,142.00 – $7,332.00 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $693.67 – $5,100.00 | 9 |
| Drainage of mouth lesion CPT 41015 | $385.35 | $1,101.00 | $693.67 – $5,100.00 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,142.00 – $12,111.00 | 9 |
| Drainage of mouth lesion CPT 41017 | $1,699.95 | $4,857.00 | $1,142.00 – $7,332.00 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $275.80 | $788.00 | $304.63 – $1,318.00 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $373.45 | $1,067.00 | $399.00 – $1,318.00 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,142.00 – $5,204.00 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,447.20 | $6,992.00 | $1,142.00 – $7,332.00 | 9 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.00 – $5,893.83 | 9 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Drainage of rectal abscess CPT 45005 | $896.00 | $2,560.00 | $1,528.00 – $6,826.00 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Drainage of salivary gland CPT 42305 | $1,699.95 | $4,857.00 | $1,528.00 – $7,332.00 | 9 |
| Drainage of salivary gland CPT 42320 | $385.35 | $1,101.00 | $693.67 – $5,100.00 | 9 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Drainage of urethra abscess 53060 CPT 53060 | $1,359.75 | $3,885.00 | $1,528.00 – $9,636.00 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $896.84 – $7,805.00 | 9 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Drain bladder by trocar/cath CPT 51101 | $466.20 | $1,332.00 | $399.00 – $2,669.00 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $275.80 | $788.00 | $171.12 – $1,318.00 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $5,992.00 | $17,120.00 | $1,142.00 – $7,805.00 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $5,992.00 | $17,120.00 | $1,142.00 – $20,358.00 | 9 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $905.45 | $2,587.00 | $907.88 – $5,100.00 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $147.03 – $147.03 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Drain lower leg bursa CPT 27604 | $2,377.90 | $6,794.00 | $1,528.00 – $7,332.00 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | $1,800.75 | $5,145.00 | $1,528.00 – $6,911.51 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,048.55 | $5,853.00 | $1,528.00 – $6,911.51 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Drain ovary abscess open CPT 58820 | 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.