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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66740 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $258.05 – $1,318.00 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,142.00 – $5,204.00 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $399.00 – $1,318.00 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $522.85 – $5,100.00 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $399.00 – $1,318.00 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $522.85 – $5,100.00 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $353.00 – $1,318.00 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $353.00 – $5,100.00 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $3,569.96 – $20,358.00 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | $3,648.40 | $10,424.00 | $1,747.00 – $9,636.00 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,528.00 – $9,636.00 | 9 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $60.06 | 10 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $107.02 | 10 |
| Determination venous press CPT 93770 | $55.65 | $159.00 | $3.24 – $5.99 | 2 |
| Determine refractive state CPT 92015 | not published | not published | $126.41 – $126.41 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $28.76 – $259.74 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $86.68 – $306.17 | 7 |
| Device ablt adv novasure HCPCS C1886 | $4,494.00 | $12,840.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,762.50 | $10,750.00 | $353.00 – $353.00 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,238.93 – $3,683.82 | 4 |
| Device sut capio slim opn HCPCS C2631 | $1,946.41 | $5,561.16 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $8,085.00 | $23,100.00 | not published | 0 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $266.77 – $266.77 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $40.39 – $40.39 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $43.71 – $326.69 | 9 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $92.55 – $237.96 | 9 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $33.29 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.61 | $1.75 | $0.06 – $1.47 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $33.10 | $94.56 | $0.18 – $5.89 | 5 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $200.06 – $441.27 | 9 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $323.76 | 10 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.74 – $1.38 | 3 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $49.74 – $238.65 | 9 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $67.89 – $523.48 | 4 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $28.89 – $340.84 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.71 – $1.41 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $68.93 | $196.95 | $2.49 – $73.94 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $68.93 | $196.95 | $4.42 – $16.20 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $68.93 | $196.95 | $3.62 – $42.13 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $68.93 | $196.95 | $5.36 – $45.37 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $22.23 – $59.34 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $56.70 | $162.00 | $9.71 – $25.90 | 10 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $377.96 – $377.96 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $64.20 – $64.20 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $64.20 – $64.20 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $64.20 – $64.20 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $37.10 | $106.00 | $17.48 – $32.34 | 5 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $126.02 – $126.02 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $64.20 – $64.20 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Diagnostic anoscopy CPT 46601 | $214.20 | $612.00 | $353.00 – $5,100.00 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $183.75 | $525.00 | $171.12 – $1,318.00 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $192.86 – $376.86 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $151.28 – $295.65 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $183.75 | $525.00 | $256.73 – $1,318.00 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $248.85 | $711.00 | $256.73 – $1,318.00 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $211.40 | $604.00 | $120.80 – $519.79 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $166.60 | $476.00 | $97.95 – $406.03 | 9 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $104.23 – $326.69 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,573.45 | $13,067.00 | $1,318.00 – $3,664.00 | 3 |
| Dialysis one evaluation CPT 90945 | $880.25 | $2,515.00 | $61.04 – $992.84 | 7 |
| Dialysis repeated eval CPT 90947 | not published | not published | $88.47 – $423.38 | 2 |
| Dialysis training incompl CPT 90993 | not published | not published | $282.28 – $282.28 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.46 – $15.24 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $31.50 | $90.00 | $0.16 – $0.51 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $55.40 | $158.29 | $10.05 – $15.02 | 5 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $25.59 – $63.63 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.18 – $0.48 | 4 |
| Diffusing capacity CPT 94729 | $288.75 | $825.00 | $112.07 – $174.55 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $152.75 – $1,022.34 | 2 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $260.92 | $745.49 | $5.98 – $10.49 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,877.79 | $51,079.39 | $2,871.94 – $10,682.45 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $286.65 | $819.00 | $13.28 – $35.43 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $472.05 | $1,348.72 | $85.89 – $184.36 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Dilate esophagus CPT 43453 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,818.00 – $6,826.00 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $1,818.00 – $6,826.00 | 3 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,818.00 – $7,805.00 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $399.00 – $1,318.00 | 9 |
| Dilate urethra stricture CPT 53600 | $423.50 | $1,210.00 | $321.35 – $5,100.00 | 9 |
| Dilate urethra stricture CPT 53601 | not published | not published | $171.12 – $5,100.00 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $321.35 – $5,100.00 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | $192.50 | $550.00 | $165.49 – $1,318.00 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $399.00 – $1,318.00 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $171.12 – $1,318.00 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $1,142.00 – $5,204.00 | 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.