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 |
|---|---|---|---|---|
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.88 | 3 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $46.09 – $85.27 | 7 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.05 – $8.99 | 9 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $353.00 – $1,318.00 | 9 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.73 – $18.96 | 9 |
| Inj dx for sinogram CPT 20501 | $257.60 | $736.00 | $1,318.00 – $9,636.00 | 3 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $838.95 | $2,397.00 | $353.00 – $5,100.00 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $304.15 | $869.00 | $1,318.00 – $9,636.00 | 3 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $51.11 – $109.48 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $467.67 – $1,009.94 | 9 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.02 – $40.66 | 9 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $794.83 – $1,581.71 | 8 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $399.00 | $1,140.00 | $353.00 – $5,100.00 | 9 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $412.80 | 9 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $13.55 | 3 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.77 – $145.40 | 9 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $2.02 | 3 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.75 – $23.57 | 5 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $1,318.00 – $3,664.00 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $14.05 – $43.88 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $365.75 | $1,045.00 | $907.88 – $5,100.00 | 9 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.48 – $4.12 | 3 |
| Injection eye drug CPT 67028 | $510.65 | $1,459.00 | $424.83 – $5,100.00 | 9 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $4.21 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $341.25 | $975.00 | $1,318.00 – $9,636.00 | 3 |
| Injection for bladder x-ray CPT 51600 | $202.30 | $578.00 | $1,318.00 – $9,636.00 | 3 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $542.85 | $1,551.00 | $1,318.00 – $9,636.00 | 3 |
| Injection for spleen x-ray CPT 38200 | $1,254.05 | $3,583.00 | $1,318.00 – $9,636.00 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Injection for ureter x-ray CPT 50684 | $173.60 | $496.00 | $1,318.00 – $9,636.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $173.60 | $496.00 | $1,318.00 – $9,636.00 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $80.69 – $235.75 | 2 |
| Injection, fulvestrant HCPCS J9395 | $3,240.61 | $9,258.88 | $9.45 – $16.58 | 5 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $63.75 – $348.69 | 4 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $835.76 | 8 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.39 – $26.38 | 9 |
| Injection into brain canal CPT 61026 | not published | not published | $907.88 – $5,100.00 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $394.79 – $5,100.00 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | $603.05 | $1,723.00 | $1,142.00 – $9,636.00 | 9 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,137.58 – $7,805.00 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $503.04 – $6,826.00 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.01 – $2.15 | 9 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,318.00 – $9,636.00 | 3 |
| Injection jugular CPT 36299 | not published | not published | $1,318.00 – $9,636.00 | 2 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.26 – $9.17 | 5 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.52 – $12.32 | 9 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $92.60 – $171.32 | 6 |
| Injection of sinus tract CPT 20500 | $1,169.35 | $3,341.00 | $353.00 – $2,719.00 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,532.32 | $7,235.20 | $6.51 – $13.93 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $193.17 – $198.30 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $3.61 | 9 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $17.76 | 3 |
| Injection px peyronie ds CPT 54200 | not published | not published | $321.35 – $5,100.00 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $270.20 | $772.00 | $514.17 – $5,100.00 | 8 |
| Injection, renflexis HCPCS Q5104 | $1,725.90 | $4,931.13 | $26.80 – $76.85 | 9 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.67 – $74.71 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $353.00 – $5,100.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $491.75 | $1,405.00 | $907.88 – $5,100.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $549.15 | $1,569.00 | $907.88 – $5,100.00 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $1,137.58 – $5,100.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,594.25 | $4,555.00 | $1,142.00 – $9,636.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,187.45 | $9,107.00 | $1,137.58 – $5,100.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,594.25 | $4,555.00 | $1,142.00 – $9,636.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,187.45 | $9,107.00 | $1,137.58 – $5,100.00 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,379.00 | $3,940.00 | $907.88 – $5,100.00 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,407.70 | $4,022.00 | $907.88 – $5,100.00 | 9 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $162.32 – $351.25 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $446.60 | $1,276.00 | $353.00 – $5,100.00 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $275.80 | $788.00 | $353.00 – $5,100.00 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $275.80 | $788.00 | $353.00 – $5,100.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $168.00 | $480.00 | $45.01 – $111.42 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $168.00 | $480.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $214.55 | $613.00 | $110.82 – $506.11 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $168.00 | $480.00 | $36.98 – $171.32 | 7 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $63.80 | 3 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $4.36 – $15.02 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Injection treatment of eye CPT 66030 | $1,246.35 | $3,561.00 | $1,142.00 – $5,100.00 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,142.00 – $5,204.00 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,142.00 – $5,204.00 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $1,137.58 – $6,826.00 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $693.67 – $5,100.00 | 9 |
| Inject sacroiliac joint CPT 27096 | $2,016.35 | $5,761.00 | $399.00 – $2,623.00 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $353.00 – $1,318.00 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $353.00 – $5,100.00 | 9 |
| Inject/treat eye socket CPT 67515 | not published | not published | $353.00 – $5,100.00 | 9 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.05 – $78.54 | 8 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.92 – $100.99 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.56 – $71.75 | 9 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $31.40 – $72.07 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $370.42 – $820.23 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $55.64 – $111.76 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $549.15 | $1,569.00 | $907.88 – $5,100.00 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $985.95 | $2,817.00 | $1,137.58 – $5,100.00 | 9 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.11 – $5.01 | 5 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.19 – $4.46 | 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.