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 |
|---|---|---|---|---|
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $58.44 | 10 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $74.71 – $179.50 | 4 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $25.83 – $62.07 | 4 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $353.00 – $1,318.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $1,818.00 – $9,680.00 | 4 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $1,818.00 – $9,680.00 | 4 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $353.00 – $9,636.00 | 3 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $353.00 – $9,636.00 | 3 |
| Infuse radioactive materials CPT 77750 | not published | not published | $118.00 – $917.73 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $347.01 – $347.01 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $479.94 – $887.89 | 6 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $453.95 | $1,297.00 | $211.71 – $521.04 | 6 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,839.14 – $5,252.41 | 6 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $2,087.82 – $3,862.47 | 6 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,580.90 – $2,924.67 | 6 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $171.24 – $316.79 | 6 |
| Initiation & management bipap/cpap initial day CPT 94660 | $473.55 | $1,353.00 | $57.67 – $521.04 | 7 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $12.62 | 9 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10,018.42 | $28,624.06 | $7.27 – $15.11 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $1.18 | 9 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.10 – $0.59 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | $33.89 | $96.82 | $0.10 – $0.59 | 5 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.05 – $0.59 | 5 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,094.26 – $19,408.93 | 9 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $130.10 – $197.22 | 3 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $13.23 – $26.33 | 4 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $61,200.00 – $135,956.56 | 9 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.75 – $12.86 | 5 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.51 – $74.22 | 9 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $821.40 – $1,711.10 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $690.54 | 9 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $3.25 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $5.11 – $5.11 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.81 – $9.57 | 9 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.12 – $296.94 | 9 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $99.01 | 9 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.56 – $19.59 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $127.50 – $283.24 | 9 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.14 – $38.23 | 9 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,550.11 – $14,911.16 | 9 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.90 – $4.00 | 4 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $6.75 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $49.87 – $111.43 | 9 |
| Inj. asceniv HCPCS J1554 | not published | not published | $482.70 – $1,067.86 | 9 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $53.38 – $116.92 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.61 – $66.39 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $231.00 | 9 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.46 – $167.31 | 9 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $59.19 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.36 – $351.10 | 9 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $37.60 – $100.75 | 4 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.01 – $6,338,658.66 | 8 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $38.76 – $85.72 | 9 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $206.55 – $451.31 | 9 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.20 – $0.88 | 5 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.41 – $56.48 | 8 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $92.97 | 9 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $92.97 | 9 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $2.85 – $36.82 | 5 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $338.61 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $417.21 – $914.61 | 9 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,668.84 – $3,658.48 | 9 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $347.23 – $730.98 | 9 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $1,197.02 – $2,214.80 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | $69.14 | $197.53 | $1.41 – $3.05 | 9 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $1.08 | 4 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $70.90 – $239.99 | 9 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $33.36 | $95.31 | $1.01 – $4.71 | 4 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.07 – $588.58 | 5 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $2.36 – $11.19 | 5 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $34.56 | $98.75 | $1.42 – $2.11 | 5 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $33.88 | $96.81 | $1.12 – $2.09 | 5 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $11.54 – $54.79 | 5 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $8.82 – $33.29 | 5 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.37 – $4.90 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | $649.05 | $1,854.44 | $8.84 – $17.29 | 9 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $118.17 – $295.90 | 9 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.92 – $33.58 | 9 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $83.48 – $315.53 | 9 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.90 – $193.18 | 9 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.60 – $7.16 | 4 |
| Inj, clindamycin (baxter) HCPCS J0737 | $85.89 | $245.40 | $4.44 – $19.74 | 5 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $431.90 | $1,234.00 | $1,318.00 – $9,636.00 | 3 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.31 – $210.35 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,346.40 – $2,243.63 | 5 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $530.70 – $1,185.75 | 9 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.93 – $89.55 | 9 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.58 – $35.86 | 9 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.72 – $22.09 | 9 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.93 – $19.46 | 9 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.52 – $1.87 | 9 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $3.78 | 9 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $9.33 | 9 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.08 – $0.29 | 5 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.11 – $0.59 | 5 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.06 – $0.09 | 5 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.09 – $6.43 | 9 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.55 – $22.68 | 5 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.01 – $7,143,317.60 | 8 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.27 – $51.64 | 6 |
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.