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 |
|---|---|---|---|---|
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Optx thigh fx CPT 27269 | not published | not published | $2,455.00 – $17,265.50 | 9 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,747.00 – $12,132.52 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | $3,602.90 | $10,294.00 | $1,747.00 – $16,065.00 | 9 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $2,822.00 – $16,065.00 | 9 |
| Oral aprepitant HCPCS J8501 | not published | not published | $6.05 – $24.16 | 5 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $278.82 | 9 |
| Oral everolimus HCPCS J7527 | $10.48 | $29.93 | $4.02 – $27.10 | 5 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $24.96 | 10 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.62 – $40.79 | 9 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.25 – $44.53 | 9 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $397.79 – $879.37 | 9 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | $1,953.35 | $5,581.00 | $2,160.00 – $9,636.00 | 9 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $47.20 | 10 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.72 – $91.96 | 9 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.57 – $61.34 | 9 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,528.00 – $9,636.00 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $14.99 – $74.53 | 5 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $49.16 – $90.95 | 6 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $218.75 | $625.00 | $315.21 – $583.14 | 6 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $545.90 – $1,009.92 | 6 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $105.00 | $300.00 | $1,399.76 – $2,589.56 | 6 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $920.62 – $1,703.15 | 6 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $147.88 | $422.50 | $295.66 – $546.97 | 6 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $350.66 – $648.72 | 6 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $115.37 – $213.43 | 6 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $74.38 | $212.50 | $295.66 – $546.97 | 6 |
| Orthopantogram CPT 70355 | not published | not published | $25.61 – $326.69 | 9 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $35.09 – $64.92 | 6 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $33.61 – $33.61 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $75.87 – $353.00 | 7 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $61.04 – $112.92 | 6 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $38.11 – $70.50 | 6 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $35.09 – $64.92 | 6 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $50.33 – $93.11 | 6 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $156.26 – $289.08 | 6 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $746.03 | $2,131.50 | $619.52 – $1,146.11 | 6 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $109.09 – $487.56 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $147.88 | $422.50 | $496.49 – $918.51 | 6 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $175.00 | $500.00 | $1,082.62 – $2,002.85 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $366.45 | $1,047.00 | $155.06 – $521.04 | 6 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $38.11 – $70.50 | 6 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $27.48 – $50.84 | 6 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $102.26 – $189.18 | 6 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $77.81 – $143.95 | 6 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.65 – $19.70 | 6 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $64.07 – $118.53 | 6 |
| Osmolality blood CPT 83930 | $109.20 | $312.00 | $6.61 – $17.65 | 10 |
| Osmolality urine CPT 83935 | $109.20 | $312.00 | $6.82 – $18.18 | 10 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,318.00 – $12,302.00 | 3 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $4,589.00 – $30,073.00 | 9 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,160.00 – $20,358.00 | 9 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,160.00 – $20,358.00 | 9 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,747.00 – $30,548.47 | 9 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $4.69 – $4.69 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $96.85 – $96.85 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $5.40 – $5.40 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $7.09 – $7.09 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $9.43 – $9.43 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $3.42 – $3.42 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $17.91 – $17.91 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $16.88 – $16.88 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $268.80 | $768.00 | $111.48 – $206.24 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $258.65 | $739.00 | $105.94 – $195.99 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $263.90 | $754.00 | $110.73 – $204.85 | 5 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,822.00 – $17,265.50 | 9 |
| Other immunoelectrophoresis CPT 86325 | $345.80 | $988.00 | $23.13 – $59.67 | 10 |
| Oth resp proc, group HCPCS G0239 | $584.85 | $1,671.00 | $48.04 – $88.87 | 6 |
| Oth resp proc, indiv HCPCS G0238 | $129.85 | $371.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $80.85 | $231.00 | $53.46 – $98.90 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $80.85 | $231.00 | $37.56 – $96.46 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $80.85 | $231.00 | $25.17 – $53.76 | 6 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $42.89 – $42.89 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $175.70 | $502.00 | $73.88 – $136.68 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $80.85 | $231.00 | $32.77 – $72.69 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $80.85 | $231.00 | $19.46 – $36.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $80.85 | $231.00 | $20.77 – $38.42 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $80.85 | $231.00 | $28.41 – $59.33 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $80.85 | $231.00 | $29.39 – $63.58 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $80.85 | $231.00 | $31.92 – $66.64 | 6 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,528.00 – $12,302.00 | 4 |
| Outrigger HCPCS L1080 | not published | not published | $73.34 – $135.68 | 6 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $235.84 – $436.30 | 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.