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 |
|---|---|---|---|---|
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $353.00 – $16,886.16 | 9 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Prep renal graft/venous CPT 50327 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $353.00 – $16,886.16 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $730.10 | $2,086.00 | $522.85 – $6,826.00 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,797.60 | $5,136.00 | $950.57 – $6,826.00 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $702.10 | $2,006.00 | $1,142.00 – $9,636.00 | 4 |
| Pressure max expiratory/inspiratory CPT 94799 | $615.30 | $1,758.00 | not published | 0 |
| Pressure treatment esophagus CPT 43460 | $1,170.40 | $3,344.00 | $1,142.00 – $9,636.00 | 4 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $1,318.00 – $1,318.00 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $684.77 – $1,266.82 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $16.80 | $48.00 | $1.93 – $405.38 | 9 |
| Pretreat rbc absorption reference CPT 86978 | $154.00 | $440.00 | $1.93 – $140.37 | 9 |
| Pretreat rbc density gradient separation reference CPT 86972 | $32.13 | $91.80 | $2.25 – $405.38 | 9 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $24.28 | $69.36 | $1.61 – $140.37 | 9 |
| Pretreat rbc w enzyme reference CPT 86971 | $5.95 | $17.00 | $1.28 – $566.82 | 9 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $171.24 – $316.79 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,216.25 | $3,475.00 | $1,142.00 – $5,100.00 | 9 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,216.25 | $3,475.00 | $1,142.00 – $5,100.00 | 9 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $275.80 | $788.00 | $522.85 – $5,100.00 | 9 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $48.00 – $88.80 | 6 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $48.00 – $88.80 | 6 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $284.53 – $4,712.00 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $1,747.00 – $30,650.81 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $280.00 | $800.00 | $522.85 – $5,100.00 | 9 |
| Pr incision & drainage abscess simple/single CPT 10060 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $275.80 | $788.00 | $391.93 – $6,826.00 | 9 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $339.50 | $970.00 | $353.00 – $1,318.00 | 9 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $171.24 – $316.79 | 6 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $171.24 – $316.79 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $115.85 | $331.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $7,350.00 | $21,000.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $408.24 – $5,100.00 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,142.00 – $10,976.00 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,462.71 | $4,179.16 | $139.63 – $611.33 | 9 |
| Procalcitonin CPT 84145 | $53.20 | $152.00 | $27.22 – $54.44 | 10 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $151.49 – $379.93 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $34.75 | $99.28 | $5.71 – $34.76 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.35 – $2.23 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,298.50 | $3,710.00 | $1,142.00 – $5,100.00 | 9 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,059.80 | $3,028.00 | $1,142.00 – $6,604.43 | 9 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $2,623.00 – $12,111.00 | 9 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $160.06 – $296.10 | 8 |
| Progesterone CPT 84144 | $83.65 | $239.00 | $20.86 – $55.68 | 10 |
| Prolactin CPT 84146 | $96.25 | $275.00 | $19.38 – $51.72 | 10 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $353.00 – $353.00 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $273.57 – $506.11 | 6 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $353.00 – $353.00 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.61 | $1.75 | $0.09 – $1.89 | 4 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.56 – $7.12 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $408.24 – $6,826.00 | 9 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $707.39 – $5,100.00 | 9 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $35.86 | $102.45 | $0.12 – $0.59 | 5 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.02 – $98.04 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $35.22 | $100.64 | $9.94 – $40.36 | 4 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $90.39 – $167.22 | 6 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $150.54 – $278.50 | 6 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $31.62 – $58.50 | 6 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $13.01 – $24.07 | 6 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $17.62 – $32.60 | 6 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $356.09 – $852.89 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Prostate laser enucleation CPT 52649 | not published | not published | $2,160.00 – $20,358.00 | 9 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,669.00 – $9,636.00 | 9 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $4,533.71 – $9,636.00 | 9 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $774.97 | $2,214.21 | $131.24 – $242.79 | 6 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $50.34 – $93.13 | 6 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $31.74 – $58.72 | 6 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,365.23 – $2,525.68 | 6 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $10.89 – $20.15 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $33.33 | $95.24 | $2.40 – $19.74 | 5 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $78.58 – $145.37 | 6 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,314.97 | $9,471.35 | $2,247.25 – $3,555.13 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $37.19 – $60.72 | 6 |
| Protein c activity CPT 85303 | $115.15 | $329.00 | $13.84 – $36.90 | 10 |
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.