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 |
|---|---|---|---|---|
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $35.09 – $93.67 | 10 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $17.98 – $48.32 | 10 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | not published | not published | $13.76 – $36.73 | 10 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $8.44 – $22.54 | 10 |
| Mayo pregnenolone CPT 84140 | not published | not published | $20.67 – $55.18 | 10 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.59 – $44.27 | 10 |
| Mayo proinsulin CPT 84206 | not published | not published | $26.69 – $53.38 | 10 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $18.39 – $49.09 | 10 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $63.21 | $180.60 | $18.40 – $36.80 | 10 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $35.64 | 10 |
| Mayo receptor assay transferrin soluble CPT 84238 | $39.90 | $114.00 | $36.57 – $97.58 | 10 |
| Mayo renin CPT 84244 | not published | not published | $21.99 – $58.69 | 10 |
| Mayo repu protein electrophoresis urine CPT 84166 | $239.40 | $684.00 | $17.83 – $47.60 | 10 |
| Mayo selenium CPT 84255 | not published | not published | $25.53 – $68.13 | 10 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $41.35 | 10 |
| Mayo serotonin CPT 84260 | not published | not published | $30.98 – $82.66 | 10 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $21.09 | $60.27 | $19.35 – $51.67 | 10 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $7.12 | $20.35 | $13.73 – $36.61 | 10 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $14.65 – $170.26 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $79.80 | $228.00 | $4.27 – $11.38 | 10 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $101.44 – $238.50 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $175.00 | $500.00 | $208.92 – $417.84 | 9 |
| Mayo tgrp testosterone free CPT 84402 | not published | not published | $25.47 – $67.94 | 10 |
| Mayo tgrp testosterone total CPT 84403 | $103.60 | $296.00 | $25.81 – $68.91 | 10 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $44.34 | 10 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $16.06 – $42.86 | 10 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $10.18 – $27.16 | 10 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $12.39 – $33.08 | 10 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $0.02 – $98.04 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $138.57 | 10 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $28.32 | 10 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $35.22 | 10 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $33.77 – $70.66 | 10 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $20.24 – $54.01 | 10 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $17.06 – $34.12 | 10 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.72 – $36.58 | 10 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $13.25 – $34.55 | 10 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $78.62 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,747.00 – $10,761.00 | 9 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $9.14 – $44.00 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,747.00 – $20,358.00 | 9 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $17.31 – $887.89 | 7 |
| Measure kidney pressure CPT 50396 | $497.00 | $1,420.00 | $896.84 – $5,100.00 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $189.00 | $540.00 | $75.87 – $1,318.00 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $165.49 – $1,318.00 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $53.32 – $948.47 | 4 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $504.12 – $932.62 | 6 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $48.02 – $744.03 | 5 |
| #mec-opiates CPT 80356 | not published | not published | $0.02 – $98.04 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $300.00 | 9 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $431.85 – $1,055.74 | 9 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $32.91 – $240.00 | 9 |
| Medial canthopexy CPT 21280 | not published | not published | $2,455.00 – $10,976.00 | 9 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $2,822.00 – $12,111.00 | 9 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $202.99 – $2,043.57 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $189.18 | $540.51 | $0.55 – $1.16 | 4 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.25 – $4.50 | 4 |
| Meg evoked each addl CPT 95967 | not published | not published | $1,103.13 – $1,666.94 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $1,083.12 – $2,043.29 | 7 |
| Meg spontaneous CPT 95965 | not published | not published | $1,104.48 – $3,943.15 | 7 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $27.74 | 5 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,871.63 | $5,347.50 | $160.06 – $565.30 | 8 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $10,493.92 | $29,982.62 | $160.06 – $296.10 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,076.90 | $5,934.00 | $52.36 – $56.57 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $160.06 – $391.69 | 8 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $67,138.44 – $237,489.19 | 4 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $160.06 – $363.18 | 8 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $142.92 – $296.10 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $23,902.34 | $68,292.40 | $125.97 – $296.10 | 8 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $235.24 – $1,120.19 | 4 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $4,589.00 – $16,065.00 | 9 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $43.75 | $125.00 | $2.65 – $21.80 | 5 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.54 – $34.76 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.82 – $65.66 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $27.90 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $34.60 | $98.87 | $0.62 – $21.80 | 5 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $36.60 – $81.94 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $2.71 – $159.67 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $184.45 | $527.00 | $8.46 – $22.60 | 10 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $221.90 | $634.00 | $10.56 – $28.21 | 10 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.73 – $58.27 | 10 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $3,561.68 | 6 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $602.73 – $602.73 | 1 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $441.88 – $441.88 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.93 – $3.50 | 5 |
| Methadone injection HCPCS J1230 | not published | not published | $2.36 – $44.96 | 5 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $1.39 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $10.20 – $20.03 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.16 | $3.32 | $0.40 – $12.67 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $3.43 – $67.46 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $77.14 | 10 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $166.54 – $311.38 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $40.80 – $107.50 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,308.80 | $3,739.42 | $1.18 – $19.03 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $80.30 | $229.42 | $15.61 – $45.77 | 5 |
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.