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 |
|---|---|---|---|---|
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,449.35 | $4,141.00 | $477.54 – $1,631.69 | 4 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $448.71 – $830.11 | 7 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $306.88 – $567.73 | 7 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $448.71 – $830.11 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,259.65 | $3,599.00 | $481.01 – $1,632.10 | 4 |
| MRA pelvis CPT 72198 | $1,229.90 | $3,514.00 | $481.58 – $1,632.07 | 4 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $448.71 – $830.11 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $306.88 – $567.73 | 7 |
| MRA spinal canal CPT 72159 | not published | not published | $500.06 – $1,810.04 | 4 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,259.65 | $3,599.00 | $500.06 – $1,631.24 | 4 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $448.71 – $830.11 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $306.88 – $567.73 | 7 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $306.88 – $567.73 | 7 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $306.88 – $567.73 | 7 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $306.88 – $567.73 | 7 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $448.71 – $830.11 | 7 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $448.71 – $830.11 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $448.71 – $830.11 | 7 |
| Mr elastography CPT 76391 | not published | not published | $306.88 – $567.73 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,142.00 – $26,513.03 | 9 |
| MRI brain w/dye CPT 70558 | not published | not published | $225.59 – $1,466.09 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $702.78 – $1,325.59 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $225.59 – $1,472.84 | 8 |
| MRI breast c- unilateral CPT 77046 | $1,114.75 | $3,185.00 | $306.88 – $567.73 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,349.60 | $3,856.00 | $459.63 – $1,522.94 | 4 |
| MRI breast without cont bi CPT 77047 | $1,404.55 | $4,013.00 | $306.88 – $567.73 | 8 |
| MRI breast w IV cont bi CPT 77049 | $1,637.30 | $4,678.00 | $457.90 – $1,515.36 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $306.88 – $933.04 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $448.71 – $1,328.33 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $747.39 – $1,865.27 | 8 |
| MRI chest without contrast CPT 71550 | $1,874.95 | $5,357.00 | $306.88 – $980.10 | 8 |
| MRI chest without & w/contrast CPT 71552 | $2,165.10 | $6,186.00 | $448.71 – $2,155.56 | 8 |
| MRI chest w IV cont CPT 71551 | $2,061.15 | $5,889.00 | $747.39 – $1,865.27 | 8 |
| MRI compatible system HCPCS L0859 | $2,012.50 | $5,750.00 | $1,399.89 – $2,589.80 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $333.95 – $1,319.17 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $306.88 – $779.27 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $747.39 – $1,672.07 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $747.39 – $1,671.93 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,574.25 – $2,912.37 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | $2,061.15 | $5,889.00 | $448.71 – $1,171.34 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,874.95 | $5,357.00 | $306.88 – $975.86 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,165.10 | $6,186.00 | $448.71 – $2,166.87 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,893.85 | $5,411.00 | $306.88 – $975.86 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,186.80 | $6,248.00 | $448.71 – $2,166.87 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,081.80 | $5,948.00 | $448.71 – $1,171.34 | 8 |
| MRI tmj CPT 70336 | $3,400.60 | $9,716.00 | $306.88 – $990.01 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,874.95 | $5,357.00 | $306.88 – $975.86 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,165.10 | $6,186.00 | $448.71 – $2,166.87 | 8 |
| MRI upper extremity w/dye CPT 73219 | $2,061.15 | $5,889.00 | $448.71 – $1,171.34 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $448.71 – $830.11 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $225.59 – $417.35 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $448.71 – $830.11 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $448.71 – $830.11 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $98.99 – $326.69 | 9 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $122.28 – $340.56 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $114.90 – $224.00 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $75.87 – $309.49 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.85 – $90.87 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $306.88 – $896.82 | 9 |
| Mr spectroscopy CPT 76390 | $1,375.50 | $3,930.00 | $111.93 – $970.60 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $426.60 | 9 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $763.40 | 9 |
| Msh2 gene known variants CPT 81296 | not published | not published | $88.99 – $675.46 | 9 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $200.79 – $476.00 | 9 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,283.70 | 9 |
| Msh6 gene known variants CPT 81299 | not published | not published | $88.99 – $616.00 | 9 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,455.00 – $17,265.50 | 9 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $130.68 | 9 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $53.76 | 10 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $114.31 | 10 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $15.64 | 10 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $57.00 | 10 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $35.20 | 10 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $48.19 – $353.00 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,941.29 – $9,141.39 | 6 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,034.39 – $1,913.62 | 6 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $76.71 – $76.71 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $51.40 – $51.40 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $835.79 – $1,546.21 | 6 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $920.87 – $1,703.61 | 6 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $18.29 – $422.33 | 7 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $136.54 – $306.17 | 7 |
| Multiple sleep latency test CPT 95805 | $568.05 | $1,623.00 | $851.19 – $2,043.29 | 7 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,790.61 – $7,012.63 | 6 |
| Mumps antibody igg CPT 86735 | $26.25 | $75.00 | $13.05 – $34.82 | 10 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Muscle-skin graft leg CPT 15738 | $3,623.20 | $10,352.00 | $1,747.00 – $7,805.00 | 9 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $51.76 – $513.77 | 7 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $36.88 – $306.17 | 7 |
| Muscle test larynx CPT 95865 | not published | not published | $59.49 – $316.58 | 7 |
| Muscle test one fiber CPT 95872 | not published | not published | $54.16 – $513.77 | 7 |
| Muscle transfers CPT 23397 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,747.00 – $20,358.00 | 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.