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 |
|---|---|---|---|---|
| Partial removal of thyroid CPT 60225 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Partial removal of toe CPT 28160 | $2,150.75 | $6,145.00 | $1,747.00 – $7,805.00 | 9 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,747.00 – $9,636.00 | 9 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Partial thyroid excision CPT 60210 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $3,311.28 | $9,460.79 | $5.07 – $14.56 | 3 |
| Part removal hip bone deep CPT 27071 | not published | not published | $2,160.00 – $10,761.00 | 9 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,747.00 – $10,761.00 | 9 |
| Passy muir valve metal trach HCPCS L8501 | $188.44 | $538.40 | $147.88 – $273.58 | 6 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $11.35 – $11.35 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $75.41 – $405.38 | 9 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $39.81 – $405.38 | 9 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $37.42 – $96.83 | 5 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $18.29 – $123.99 | 9 |
| Patient recorded spirometry CPT 94014 | not published | not published | $66.24 – $1,062.94 | 7 |
| Patient recorded spirometry CPT 94015 | not published | not published | $51.33 – $513.77 | 7 |
| Patten bottom HCPCS L2370 | not published | not published | $393.31 – $727.62 | 6 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $510.10 | 9 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $293.38 – $704.96 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $659.02 | 10 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $27.48 – $50.84 | 6 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $258.05 – $1,318.00 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Ped crit care transport CPT 99466 | $458.15 | $1,309.00 | not published | 0 |
| Ped crit care transport addl CPT 99467 | $230.65 | $659.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $165.49 – $306.17 | 6 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $165.49 – $306.17 | 6 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,082.01 – $13,101.72 | 6 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,978.79 – $3,660.76 | 6 |
| Pedicle enel/ntroral 15576 CPT 15576 | $440.30 | $1,258.00 | $1,747.00 – $7,805.00 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,590.37 – $2,942.18 | 6 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,877.68 – $3,473.71 | 6 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,487.69 – $2,752.23 | 6 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $808.02 – $1,494.84 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $332.43 – $732.24 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $755.86 – $4,710.76 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $5,690.85 – $58,201.64 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $28.34 – $545.53 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $333.63 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.89 – $354.88 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $540.19 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $79.50 – $242.74 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $352.92 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $16.32 – $49.20 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $4,642.75 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $1,306.79 – $7,665.44 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $487.90 | 9 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $530.24 – $980.94 | 6 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $546.30 – $1,010.66 | 6 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $514.89 – $952.55 | 6 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $379.40 – $701.89 | 6 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $409.67 – $757.89 | 6 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $711.09 – $1,315.52 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,891.05 | $5,403.00 | $225.59 – $749.21 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,774.15 | $5,069.00 | $225.59 – $605.06 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,506.75 | $4,305.00 | $134.46 – $522.22 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,818.00 – $9,636.00 | 4 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,866.82 – $3,453.62 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,446.15 | $6,989.00 | $448.71 – $2,172.53 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | $2,328.20 | $6,652.00 | $448.71 – $1,174.88 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $2,118.90 | $6,054.00 | $306.88 – $980.10 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $4,712.00 – $20,358.00 | 8 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $6,576.00 – $17,265.50 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $701.05 | $2,003.00 | $134.46 – $394.55 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $376.95 | $1,077.00 | $134.46 – $394.55 | 9 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $153.65 – $284.25 | 6 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $60.15 – $127.60 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.04 – $10.33 | 9 |
| Peng benzathine/procaine inj HCPCS J0558 | $873.45 | $2,495.58 | $14.43 – $37.35 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $663.16 | $1,894.73 | $18.26 – $58.21 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $182.71 | $522.03 | $0.52 – $9.13 | 5 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $36.23 – $101.46 | 4 |
| Penile injection CPT 54235 | $275.80 | $788.00 | $321.35 – $1,318.00 | 9 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $14,758.57 | $42,167.33 | not published | 0 |
| Penile vascular study CPT 93980 | not published | not published | $134.46 – $394.55 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $134.46 – $398.20 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Penis study CPT 54240 | not published | not published | $277.71 – $1,318.00 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $95.63 – $415.66 | 5 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $25.31 – $57.74 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $57.02 – $215.70 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $9.43 – $145.17 | 9 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,626.33 – $5,747.87 | 9 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $1,747.00 – $21,833.00 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1,318.00 – $9,680.00 | 4 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $2,455.00 – $42,841.00 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $1,318.00 – $9,680.00 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $2,455.00 – $27,468.35 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $1,318.00 – $9,680.00 | 4 |
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.