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 |
|---|---|---|---|---|
| Protein c concentrate HCPCS J2724 | not published | not published | $15.05 – $32.29 | 9 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $161.00 | $460.00 | $10.74 – $28.67 | 10 |
| Protein s total CPT 85305 | not published | not published | $11.61 – $30.94 | 10 |
| Protein total 24 hour urine CPT 84156 | $83.65 | $239.00 | $3.67 – $9.78 | 10 |
| Protein total body fluid CPT 84157 | $71.75 | $205.00 | $4.00 – $9.78 | 10 |
| Protein total serum plasma whole blood CPT 84155 | $71.75 | $205.00 | $3.67 – $9.78 | 10 |
| Protein western blot tissue CPT 88371 | not published | not published | $31.53 – $59.31 | 6 |
| Prothrombin complex kcentra HCPCS J7168 | $8,146.97 | $23,277.07 | $2.05 – $6.05 | 9 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $85.75 | $245.00 | $3.94 – $10.52 | 10 |
| Proton treatment complex CPT 77525 | not published | not published | $1,196.93 – $2,973.65 | 7 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,151.84 – $2,973.65 | 7 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $850.00 – $2,973.65 | 7 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $710.66 – $1,314.72 | 7 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $22.98 | 10 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $171.24 – $316.79 | 6 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $353.00 – $9,636.00 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $4,589.00 – $20,358.00 | 9 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $1,142.00 – $43,618.46 | 9 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,528.00 – $43,618.46 | 9 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $2,455.00 – $13,890.00 | 3 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $2,455.00 – $10,761.00 | 3 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $2,455.00 – $10,761.00 | 3 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $2,455.00 – $12,302.00 | 3 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $1,818.00 – $9,680.00 | 4 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $2,455.00 – $10,761.00 | 3 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $2,455.00 – $10,761.00 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $2,455.00 – $27,468.35 | 8 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $2,455.00 – $10,761.00 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,528.00 – $16,065.00 | 9 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $3,602.90 | $10,294.00 | $1,528.00 – $16,065.00 | 9 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,528.00 – $16,065.00 | 9 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,528.00 – $16,065.00 | 9 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $2,455.00 – $27,468.35 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $2,455.00 – $42,841.00 | 8 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $23,835.00 | $68,100.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $2,455.00 – $12,111.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $2,455.00 – $27,468.35 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $2,455.00 – $27,468.35 | 8 |
| Pr removal drug delivery implant CPT 11982 | $242.20 | $692.00 | $353.00 – $1,318.00 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $189.00 | $540.00 | $171.12 – $1,318.00 | 9 |
| Pr removal intrauterine device CPT 58301 | $242.20 | $692.00 | $353.00 – $5,100.00 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $275.80 | $788.00 | $399.00 – $1,318.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $275.80 | $788.00 | $258.05 – $1,318.00 | 9 |
| Pr robotic surgical system HCPCS S2900 | $0.35 | $1.00 | $9,636.00 – $9,636.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $567.42 – $5,100.00 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,160.00 – $12,132.52 | 9 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,160.00 – $12,132.52 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,548.75 | $4,425.00 | $1,142.00 – $5,100.00 | 9 |
| PSA (Prostate) Test CPT 84153 | $227.85 | $651.00 | $18.39 – $49.09 | 10 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $37.20 – $353.00 | 7 |
| Psychoanalysis CPT 90845 | not published | not published | $29.83 – $422.33 | 7 |
| Psychoeducation 45 min + HCPCS G0177 | $123.20 | $352.00 | not published | 0 |
| Psychophysiological therapy CPT 90875 | not published | not published | $26.45 – $26.45 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $40.66 – $40.66 | 1 |
| Psychotherapy group therapy CPT 90853 | $131.25 | $375.00 | $17.58 – $241.72 | 7 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $182.70 | $522.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $277.71 – $1,142.00 | 7 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $353.00 – $353.00 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $574.56 – $1,142.00 | 7 |
| Psy evaluation of records CPT 90885 | not published | not published | $19.98 – $19.98 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $171.12 – $1,142.00 | 7 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $353.00 – $353.00 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $1,142.00 – $1,142.00 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $80.85 | $231.00 | $15.90 – $29.42 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $9.10 | $26.00 | $6.61 – $14.33 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $80.85 | $231.00 | $19.99 – $37.83 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.85 | $231.00 | $9.14 – $29.27 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $80.85 | $231.00 | $12.52 – $29.01 | 6 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $58.11 – $600.00 | 9 |
| Pten gene full sequence CPT 81321 | not published | not published | $71.52 – $1,200.00 | 9 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.48 – $93.20 | 9 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Pt evaluation high complexity patient/family CPT 97163 | $268.80 | $768.00 | $107.57 – $199.00 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $258.65 | $739.00 | $106.80 – $197.58 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $263.90 | $754.00 | $103.01 – $190.57 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $15.76 – $113.52 | 7 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $2,443.33 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $175.70 | $502.00 | $71.23 – $131.78 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $285.25 | $815.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $13.96 – $25.83 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.85 | $231.00 | $24.33 – $56.39 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $80.85 | $231.00 | $23.49 – $61.33 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $83.30 | $238.00 | $25.17 – $63.46 | 6 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $435.78 – $27,468.35 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $206.25 – $10,761.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $11,000.00 | 10 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,818.00 – $12,302.00 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Pulmonary vent imaging CPT 78579 | $1,242.15 | $3,549.00 | $330.81 – $1,552.13 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $214.20 | $612.00 | $40.82 – $306.17 | 7 |
| Pulse ox multiple CPT 94761 | $455.00 | $1,300.00 | $10.15 – $129.63 | 2 |
| Pulse ox single CPT 94760 | not published | not published | $4.79 – $50.15 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $728.88 | $2,082.50 | not published | 0 |
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.