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 |
|---|---|---|---|---|
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $242.20 | $692.00 | $522.85 – $6,826.00 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $22.96 | 10 |
| Ghs low level laser therapy CPT 97039 | $80.85 | $231.00 | not published | 0 |
| Ghs mbp CPT 83873 | $20.13 | $57.50 | $17.20 – $45.92 | 10 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $115.85 | $331.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $115.85 | $331.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $115.85 | $331.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $92.75 | $265.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $92.75 | $265.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $338.80 | $968.00 | $99.42 – $156.12 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $269.15 | $769.00 | $94.35 – $148.05 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $338.80 | $968.00 | $101.10 – $158.72 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $360.15 | $1,029.00 | $209.87 – $209.87 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $453.25 | $1,295.00 | $399.00 – $1,484.00 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $923.65 | $2,639.00 | $1,137.58 – $5,100.00 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | $482.30 | $1,378.00 | $907.88 – $5,100.00 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | $428.40 | $1,224.00 | $1,137.58 – $5,100.00 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $711.90 | $2,034.00 | $1,137.58 – $5,100.00 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | $1,079.05 | $3,083.00 | $1,137.58 – $5,100.00 | 9 |
| Ghs nerve block interscaline CPT 64510 | $428.40 | $1,224.00 | $1,137.58 – $5,100.00 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $1,137.58 – $5,100.00 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | $482.30 | $1,378.00 | $353.00 – $5,100.00 | 9 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $907.88 – $5,100.00 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $408.45 | $1,167.00 | $353.00 – $1,318.00 | 9 |
| Ghs o2 saturation CPT 82810 | $190.75 | $545.00 | $9.77 – $23.30 | 10 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $105.45 – $306.17 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $75.87 – $167.34 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $60.23 – $111.42 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $585.90 | $1,674.00 | $806.82 – $6,826.00 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,142.00 – $6,826.00 | 9 |
| Ghs optokenetic CPT 92544 | not published | not published | $62.16 – $306.17 | 7 |
| Ghs oscillating trac CPT 92545 | not published | not published | $58.78 – $513.77 | 7 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.88 – $98.98 | 7 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.80 – $353.00 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $80.85 | $231.00 | $29.26 – $82.53 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $23.49 – $126.65 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $134.81 – $134.81 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $822.50 | $2,350.00 | $7.32 – $1,818.00 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,922.85 | $8,351.00 | $1,142.00 – $9,636.00 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,594.25 | $4,555.00 | $1,142.00 – $9,636.00 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $93.10 | $266.00 | $46.05 – $95.27 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $275.80 | $788.00 | $304.63 – $5,100.00 | 9 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.50 – $14.69 | 10 |
| Ghs picc line insert < 5 CPT 36568 | $2,374.05 | $6,783.00 | $1,142.00 – $5,100.00 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $275.80 | $788.00 | $317.26 – $1,318.00 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $11.48 | 10 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,104.48 – $2,043.29 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $77.34 – $316.58 | 7 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $16.98 – $68.82 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $25.79 | 10 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $13.81 | 10 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.35 – $38.30 | 10 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $75.87 – $140.37 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $32.68 | 10 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $337.92 – $337.92 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $38.94 | 10 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $130.79 – $1,318.00 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $189.00 | $540.00 | $171.12 – $1,318.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $275.80 | $788.00 | $353.00 – $5,100.00 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,203.65 | $3,439.00 | $1,747.00 – $7,805.00 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $2,447.20 | $6,992.00 | $2,160.00 – $9,636.00 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $34.40 | 10 |
| Ghs reticulocyte count CPT 85044 | $59.50 | $170.00 | $4.31 – $11.48 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $261.80 | $748.00 | $13.91 – $27.82 | 10 |
| Ghs sedimentation rate CPT 85651 | $63.35 | $181.00 | $4.27 – $9.47 | 10 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $32.16 | 10 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $23.78 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | $394.45 | $1,127.00 | $7.48 – $18.39 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $275.80 | $788.00 | $522.85 – $6,826.00 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $540.75 | $1,545.00 | $522.85 – $6,826.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $275.80 | $788.00 | $522.85 – $6,826.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $540.75 | $1,545.00 | $522.85 – $6,826.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $275.80 | $788.00 | $258.05 – $6,826.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $540.75 | $1,545.00 | $258.05 – $6,826.00 | 9 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $277.71 – $513.77 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,226.75 | $3,505.00 | $81.02 – $513.77 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,452.80 | $7,008.00 | $624.74 – $1,484.00 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $53.18 – $98.38 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $165.90 | $474.00 | $394.79 – $5,100.00 | 9 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $67.22 – $316.58 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $190.05 | $543.00 | $113.30 – $209.60 | 6 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $48.04 – $88.87 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | $130.55 | $373.00 | $171.12 – $1,318.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $270.20 | $772.00 | $77.39 – $144.70 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $138.60 | $396.00 | $21.39 – $111.42 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $197.05 | $563.00 | $273.57 – $506.11 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $438.20 | $1,252.00 | $950.57 – $5,100.00 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $275.80 | $788.00 | $522.85 – $5,100.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,170.40 | $3,344.00 | $1,142.00 – $5,100.00 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $19.48 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $275.80 | $788.00 | $317.26 – $1,318.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $242.20 | $692.00 | $317.26 – $1,318.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $64.86 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $39.25 | 10 |
| Ghs vaginal delivery only CPT 59409 | $2,202.20 | $6,292.00 | $1,528.00 – $9,636.00 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,018.50 | $2,910.00 | $479.94 – $887.89 | 6 |
| Ghs windowing of cast CPT 29730 | $242.20 | $692.00 | $209.00 – $1,318.00 | 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.