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 |
|---|---|---|---|---|
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $136.78 – $253.04 | 6 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,528.00 – $16,065.00 | 9 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $65.04 | 10 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,617.36 | $16,049.60 | $49.08 – $97.03 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.40 – $174.17 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $103.33 | 9 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $83.66 – $211.92 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $103.60 | $296.00 | $20.81 – $55.52 | 10 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $77.00 | $220.00 | $20.81 – $55.52 | 10 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $52.35 | 10 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.98 – $31.99 | 10 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $37.00 | 10 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $112.90 – $112.90 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $22.34 – $59.61 | 10 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $36.75 | $105.00 | $96.18 – $298.29 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $38.68 | $110.50 | $38.82 – $566.82 | 9 |
| Immunoglobulin assay CPT 86023 | $47.25 | $135.00 | $12.46 – $33.23 | 10 |
| Immunology procedure CPT 86849 | not published | not published | $67.13 – $67.13 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $831.49 – $9,636.00 | 7 |
| Impedence cardiogram CPT 93701 | not published | not published | $80.85 – $316.58 | 7 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $1,528.00 – $41,720.12 | 9 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $353.00 – $9,680.00 | 4 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $3,840.76 | $10,973.60 | $1,354.37 – $1,354.37 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,134.00 | $3,240.00 | $1,026.54 – $1,899.10 | 6 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $1,142.00 – $39,167.04 | 9 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $7,350.00 | $21,000.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $3,409.00 – $78,268.00 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | $15,318.47 | $43,767.06 | $7,950.51 – $7,950.51 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $2,160.00 – $33,199.79 | 9 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $353.00 – $1,318.00 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $3,664.00 – $46,160.81 | 9 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,142.00 – $18,630.78 | 9 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,623.00 – $15,163.96 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,664.00 – $15,163.96 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,747.00 – $73,423.09 | 9 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $6,020.00 – $9,636.00 | 2 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $932.39 – $1,724.92 | 6 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $2,160.00 – $7,919.00 | 4 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $3,409.00 – $20,358.00 | 9 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,528.00 – $42,841.00 | 9 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,528.00 – $42,841.00 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $353.00 – $9,680.00 | 4 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Implant ureth bulk agent HCPCS L8606 | $1,708.88 | $4,882.50 | $387.61 – $387.61 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,822.38 – $3,371.40 | 6 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $2,371.71 – $7,888.07 | 6 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $1,528.00 – $20,358.00 | 9 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,528.00 – $14,673.37 | 9 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $353.00 – $30,548.47 | 9 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $1,142.00 – $30,548.47 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $4,589.00 – $30,073.00 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,409.00 – $9,835.10 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,142.00 – $12,302.00 | 4 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $14,642.81 – $14,642.81 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $1,137.05 | 9 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $3.79 – $3.79 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $304.63 – $9,636.00 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,409.00 – $9,636.00 | 9 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,995.60 – $9,636.00 | 9 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.82 – $92.75 | 9 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $8,545.38 – $16,254.31 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,103.19 – $8,545.38 | 8 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,730.29 – $8,923.02 | 8 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $1,131.91 – $6,734.40 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $831.46 – $4,272.69 | 8 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $745.62 – $1,797.39 | 8 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $2,000.94 – $7,855.33 | 8 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $2,746.40 – $3,490.46 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $300.99 – $949.75 | 4 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,528.00 – $16,065.00 | 9 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,142.00 – $9,636.00 | 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.