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 |
|---|---|---|---|---|
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $549.66 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $274.00 | 9 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $549.66 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $370.40 | 9 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $116.98 | 9 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $1,200.00 | 10 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $349.62 | 10 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $750.50 | 10 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $47.30 – $274.06 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $112.77 | 8 |
| Gabapentin non-blood CPT 80355 | not published | not published | $0.02 – $66.63 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.52 – $3.79 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.97 – $16.29 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.24 – $2.15 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $29.27 – $59.09 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $56.21 | 10 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $57.32 | 10 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $23.48 | 10 |
| Galectin-3 CPT 82777 | not published | not published | $33.76 – $88.50 | 10 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $3,409.00 – $20,358.00 | 9 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $2.48 – $15.38 | 9 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $1,545.91 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $1,578.91 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $2,216.65 | 8 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $1,873.21 | 8 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.77 – $5.89 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $500.00 – $1,372.78 | 9 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $1,051.03 | 9 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $45.66 – $105.11 | 9 |
| Gammaglobulin iga CPT 82784 | $42.35 | $121.00 | $9.30 – $24.81 | 10 |
| Gammaglobulin ige CPT 82785 | $45.50 | $130.00 | $16.46 – $43.95 | 10 |
| Gamma glutamyltransferase CPT 82977 | $122.85 | $351.00 | $7.20 – $19.21 | 10 |
| Gammagraft HCPCS Q4111 | not published | not published | $15.12 – $296.10 | 8 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.65 – $123.58 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.73 – $103.95 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $173.44 | $495.53 | $63.86 – $146.70 | 5 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $8,825.26 – $33,750.40 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $93.67 | 10 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $111.41 | 10 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $14.65 | 10 |
| Gastric emptying imag study CPT 78265 | $1,345.40 | $3,844.00 | $514.17 – $1,552.13 | 9 |
| Gastric emptying imag study CPT 78266 | $1,478.05 | $4,223.00 | $698.35 – $2,079.15 | 9 |
| Gastric motility studies CPT 91020 | not published | not published | $124.43 – $1,318.00 | 8 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $362.31 – $1,552.13 | 9 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $47.22 | 10 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $375.80 – $1,552.13 | 9 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $417.64 – $1,318.00 | 8 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Gastro/jejuno tube, std HCPCS B4087 | $650.05 | $1,857.29 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Gated heart multiple CPT 78473 | not published | not published | $514.17 – $1,552.13 | 9 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $4.81 – $4.81 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $5.13 – $5.13 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $4.23 – $4.23 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.89 – $1.89 | 1 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $7.13 – $7.13 | 1 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $94.50 | 9 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $136.81 | 6 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $162.19 | 6 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $189.90 | 6 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $101.49 | 6 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $115.90 | 6 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $133.44 | 6 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $181.04 | 6 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $215.86 | 6 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $255.69 | 6 |
| Gefitinib oral HCPCS J8565 | not published | not published | $143.01 – $625.65 | 5 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $75.84 – $140.30 | 6 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.59 – $4.79 | 6 |
| Gel-one HCPCS J7326 | not published | not published | $526.79 – $1,173.00 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.68 – $9.34 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $5.93 – $482.54 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $227.69 – $501.21 | 9 |
| General health panel CPT 80050 | not published | not published | $66.66 – $154.39 | 5 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,121.91 | $154,634.04 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $28,469.00 | $81,340.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $4,897.12 | 9 |
| Genioplasty augmentation CPT 21120 | not published | not published | $2,160.00 – $15,225.00 | 9 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.02 – $4,675.30 | 9 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.02 – $10,062.40 | 9 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.02 – $5,419.90 | 9 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $89.61 | $256.03 | $3.10 – $16.79 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $260.40 | $744.00 | $16.38 – $43.74 | 10 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $16.28 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $868.15 – $1,484.00 | 8 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $686.00 | $1,960.00 | $1,142.00 – $5,100.00 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,048.55 | $5,853.00 | $1,528.00 – $6,911.51 | 9 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $20.51 | 10 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $42.88 | 10 |
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.