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 |
|---|---|---|---|---|
| Punc of shunt for asp or inj CPT 61070 | $787.15 | $2,249.00 | $907.88 – $5,100.00 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $145.25 | $415.00 | $171.12 – $1,318.00 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $339.50 | $970.00 | $353.00 – $1,318.00 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $392.35 | $1,121.00 | $907.88 – $5,100.00 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | $8,176.14 | $23,360.40 | $160.06 – $353.00 | 9 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $146.34 – $353.00 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $399.00 – $1,818.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | $549.15 | $1,569.00 | $399.00 – $1,818.00 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $824.68 – $1,525.66 | 6 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,535.67 – $36,140.99 | 6 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,624.00 – $9,636.00 | 3 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $43.51 | $124.32 | $12.67 – $27.03 | 5 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $28.97 | 10 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $25.17 | 10 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $344.15 – $636.68 | 6 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $21.30 – $353.00 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $880.25 | $2,515.00 | $574.79 – $2,079.15 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $354.64 – $1,552.13 | 9 |
| Quest t3 uptake CPT 84479 | $90.65 | $259.00 | $6.47 – $17.27 | 10 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $586.48 – $1,084.99 | 6 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $6.04 – $945.91 | 4 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $345.00 – $1,008.69 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $242.18 – $794.73 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,952.90 | $5,579.72 | $275.18 – $747.15 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $77.04 – $568.61 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $399.00 – $5,204.00 | 4 |
| Radiation handling CPT 77790 | not published | not published | $43.60 – $130.28 | 3 |
| Radiation physics consult CPT 77336 | not published | not published | $120.74 – $319.81 | 7 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $89.28 – $319.81 | 7 |
| Radiation therapy management CPT 77431 | not published | not published | $203.13 – $532.70 | 2 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $118.85 – $319.81 | 7 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $40.56 – $319.81 | 7 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $211.92 – $890.92 | 7 |
| Radiation treatment delivery CPT 77401 | not published | not published | $58.63 – $395.23 | 3 |
| Radiation treatment delivery CPT 77402 | not published | not published | $131.23 – $242.77 | 7 |
| Radiation treatment delivery CPT 77412 | not published | not published | $206.61 – $1,314.72 | 7 |
| Radiation tx management x5 CPT 77427 | not published | not published | $369.43 – $1,191.70 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,528.00 – $12,302.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,747.00 – $15,225.00 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,747.00 – $20,358.00 | 9 |
| Radiesse injection HCPCS Q2026 | not published | not published | $349.19 – $716.85 | 7 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,622.33 – $12,251.31 | 6 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $964.25 – $1,783.86 | 6 |
| Radiology port images(s) CPT 77417 | not published | not published | $34.27 – $146.14 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,780.22 – $3,293.41 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.09 – $363.48 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,643.25 | $4,695.00 | $489.45 – $5,042.57 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,765.75 | $5,045.00 | $383.15 – $5,042.57 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,434.62 – $5,042.57 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,888.25 | $5,395.00 | $579.88 – $5,042.57 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,061.90 | $3,034.00 | $300.42 – $1,552.13 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $185.60 – $415.62 | 3 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,747.00 – $20,358.00 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,747.00 – $20,358.00 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,747.00 – $20,358.00 | 9 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.04 – $157.75 | 9 |
| Range of motion measurements CPT 95852 | not published | not published | $5.12 – $65.97 | 7 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $397.80 | 9 |
| Rapid desensitization CPT 95180 | not published | not published | $174.94 – $1,062.94 | 7 |
| Rapid Strep Test CPT 87880 | $293.30 | $838.00 | $16.53 – $33.06 | 10 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $9,637.76 | $27,536.45 | $370.81 – $796.49 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $222.09 – $473.69 | 9 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $765.00 – $2,104.20 | 3 |
| Rbc count only automated CPT 85041 | not published | not published | $3.02 – $8.02 | 10 |
| Rbc deglycerolized each unit HCPCS P9039 | $380.80 | $1,088.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $567.42 – $5,100.00 | 9 |
| Rbc irradiated each unit HCPCS P9038 | $170.80 | $488.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $22.96 | 10 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $17.84 | 10 |
| Rbc serum pretx incubj drugs CPT 86975 | $62.13 | $177.50 | $1.72 – $1,062.94 | 9 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $353.00 – $353.00 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $2,160.00 – $2,160.00 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $353.00 – $353.00 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,160.00 – $12,111.00 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,142.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,528.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,455.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,160.00 – $14,085.70 | 9 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,409.00 – $14,085.70 | 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.