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 |
|---|---|---|---|---|
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $134.46 – $394.55 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $358.40 | $1,024.00 | $134.46 – $394.55 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $963.20 | $2,752.00 | $277.71 – $580.50 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $867.65 | $2,479.00 | $306.88 – $896.82 | 8 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $11,009.65 | $31,456.15 | $38.57 – $86.36 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $85.89 – $180.32 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $90.36 – $394.55 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $165.49 – $353.00 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $353.00 – $353.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,467.20 | $4,192.00 | $1,528.00 – $6,826.00 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,467.20 | $4,192.00 | $1,142.00 – $5,100.00 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $29.89 – $1,062.94 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $353.00 – $5,100.00 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $353.00 – $5,100.00 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | $474.95 | $1,357.00 | $277.71 – $5,100.00 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | $192.50 | $550.00 | $165.49 – $5,100.00 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $68.92 – $125.89 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $185.28 – $338.25 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $60.08 – $109.23 | 2 |
| Dx laryngoscopy newborn CPT 31520 | $245.70 | $702.00 | $399.00 – $1,318.00 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,467.20 | $4,192.00 | $1,528.00 – $6,826.00 | 9 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $117.66 – $214.89 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $321.35 – $9,636.00 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $83.64 – $83.64 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $14.07 – $513.77 | 7 |
| Ear and throat examination CPT 92502 | not published | not published | $97.18 – $1,318.00 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,528.00 – $9,636.00 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,669.00 – $15,225.00 | 9 |
| Ear irrigation 69209 CPT 69209 | $189.00 | $540.00 | $75.87 – $1,318.00 | 9 |
| Ear protector evaluation CPT 92596 | not published | not published | $48.04 – $88.87 | 7 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $1,213.98 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $195.65 | $559.00 | $39.38 – $140.37 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $4.93 – $81.84 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $87.15 | $249.00 | $13.36 – $140.37 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $122.28 – $522.30 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $375.90 | $1,074.00 | $110.27 – $316.58 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $870.10 | $2,486.00 | $75.87 – $194.66 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $48.04 – $88.87 | 6 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $48.04 – $88.87 | 6 |
| Ecg record/review CPT 93268 | not published | not published | $649.17 – $1,377.14 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $17.44 – $155.84 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,977.50 | $5,650.00 | $702.78 – $1,300.14 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $434.35 | $1,241.00 | $260.36 – $485.99 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,027.90 | $5,794.00 | $1,008.25 – $1,865.27 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $679.70 | $1,942.00 | $173.71 – $567.73 | 7 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $662.90 | $1,894.00 | $448.71 – $830.11 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $262.50 | $750.00 | $100.15 – $185.45 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $45.45 – $394.55 | 9 |
| Echo exam of eye CPT 76519 | not published | not published | $52.20 – $394.55 | 9 |
| Echo exam of eye CPT 76529 | not published | not published | $49.53 – $326.69 | 9 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.77 – $90.87 | 9 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $174.83 – $2,034.28 | 9 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $63.44 – $896.82 | 9 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $88.50 – $394.55 | 9 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $49.19 – $394.55 | 9 |
| Echo exam uterus 76831- CPT 76831 | $252.00 | $720.00 | $135.31 – $896.82 | 9 |
| Echograp trans r pros study CPT 76873 | not published | not published | $134.46 – $394.55 | 9 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $116.01 – $819.77 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $192.48 – $192.48 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $224.83 – $224.83 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $44.49 – $223.90 | 3 |
| Echo guide for artery repair CPT 76936 | $942.20 | $2,692.00 | $246.50 – $1,155.33 | 9 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $135.31 – $223.90 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $133.10 – $224.03 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $44.49 – $223.90 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $134.74 – $224.07 | 3 |
| Echo stress CPT 93350 | $1,586.90 | $4,534.00 | $158.52 – $1,300.14 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $23.78 – $1,300.14 | 7 |
| Echo tee guidance CPT 93355 | not published | not published | $1,025.45 – $1,025.45 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,277.85 | $3,651.00 | $340.26 – $1,300.14 | 7 |
| Echo transesophageal CPT 93313 | not published | not published | $21.96 – $1,300.14 | 7 |
| Echo transesophageal CPT 93314 | not published | not published | $340.26 – $629.61 | 2 |
| Echo transesophageal CPT 93315 | $1,246.35 | $3,561.00 | $91.58 – $1,300.14 | 7 |
| Echo transesophageal CPT 93317 | not published | not published | $62.18 – $523.64 | 2 |
| Echo transesophageal intraop CPT 93318 | $1,277.85 | $3,651.00 | $280.31 – $1,300.14 | 7 |
| Echo transthoracic CPT 93303 | $1,473.15 | $4,209.00 | $342.76 – $1,300.14 | 7 |
| Echo transthoracic CPT 93304 | $662.90 | $1,894.00 | $173.71 – $1,300.14 | 7 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,195.95 | $3,417.00 | $306.88 – $567.73 | 7 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $6,600.30 | $18,858.00 | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $353.00 – $9,636.00 | 4 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $353.00 – $9,680.00 | 4 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $353.00 – $9,680.00 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $353.00 – $9,680.00 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $353.00 – $9,680.00 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $353.00 – $9,680.00 | 4 |
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.