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 |
|---|---|---|---|---|
| Revasc intravasc lithotripsy HCPCS C9764 | not published | not published | $6,020.00 – $27,468.35 | 8 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $2,160.00 – $43,618.46 | 8 |
| Revasc lithotrip-stent-ather HCPCS C9767 | not published | not published | $6,576.00 – $43,618.46 | 8 |
| Revasc lithotrip tibi/perone HCPCS C9772 | not published | not published | $2,160.00 – $27,468.35 | 8 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $2,160.00 – $43,618.46 | 8 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $2,160.00 – $43,618.46 | 8 |
| Revascularization penis CPT 37788 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.31 – $0.97 | 5 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,455.00 – $15,799.68 | 9 |
| Revise circulation to head CPT 61708 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Revise circulation to head CPT 61705 | not published | not published | $1,818.00 – $9,680.00 | 4 |
| Revise circulation to head CPT 61710 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revise eye CPT 65091 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise eyelashes CPT 67825 | not published | not published | $408.24 – $5,100.00 | 9 |
| Revise eyelashes CPT 67835 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revise eye muscle CPT 67311 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise eye muscle CPT 67314 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,318.00 – $9,636.00 | 4 |
| Revise eye socket implant CPT 67560 | $2,017.75 | $5,765.00 | $1,528.00 – $7,332.00 | 9 |
| Revise eye sockets CPT 21260 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Revise eye sockets CPT 21261 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Revise eye sockets CPT 21263 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Revise eye sockets CPT 21267 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise eye sockets CPT 21268 | not published | not published | $1,528.00 – $14,085.70 | 9 |
| Revise eye with implant CPT 65093 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise finger joint each CPT 26135 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise finger joint each CPT 26140 | $1,058.05 | $3,023.00 | $1,528.00 – $6,826.00 | 9 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise graft w/vein CPT 35879 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $3,409.00 – $12,111.00 | 9 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,142.00 – $16,065.00 | 9 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,455.00 – $10,976.00 | 9 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,455.00 – $30,548.47 | 9 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,747.00 – $30,548.47 | 9 |
| Revise hip joint replacement CPT 27137 | not published | not published | $1,747.00 – $30,548.47 | 9 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Revise kneecap CPT 27437 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,747.00 – $12,132.52 | 9 |
| Revise knuckle with implant CPT 26531 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revise lower leg tendon CPT 27690 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Revise lower leg tendon CPT 27691 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Revise lower leg tendons CPT 27686 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise middle ear bone CPT 69660 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Revise middle ear bone CPT 69661 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Revise middle ear bone CPT 69662 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revise ocular implant CPT 65125 | not published | not published | $1,528.00 – $10,976.00 | 9 |
| Revise ocular implant CPT 65150 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,528.00 – $9,636.00 | 9 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,747.00 – $30,073.00 | 9 |
| Revise radius & ulna CPT 25375 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $2,822.00 – $30,073.00 | 9 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $3,409.00 – $41,720.12 | 9 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $1,747.00 – $9,636.00 | 9 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $1,142.00 – $18,630.78 | 9 |
| Revise/remove sling repair CPT 57287 | not published | not published | $2,623.00 – $9,636.00 | 9 |
| Revise & repair chest wall CPT 32906 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Revise/replace knee joint CPT 27486 | not published | not published | $1,747.00 – $30,548.47 | 9 |
| Revise/replace knee joint CPT 27487 | not published | not published | $2,160.00 – $41,720.12 | 9 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $1,528.00 – $18,630.78 | 9 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $2,160.00 – $10,824.34 | 9 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $1,818.00 – $20,358.00 | 4 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $1,818.00 – $20,358.00 | 4 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $2,455.00 – $20,358.00 | 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.