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 |
|---|---|---|---|---|
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $1,528.00 – $15,225.00 | 9 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $1,528.00 – $26,513.03 | 9 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revise temple bone implant CPT 69718 | not published | not published | $6,576.00 – $30,073.00 | 3 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Revise thumb tendon CPT 26490 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise thumb tendon CPT 26496 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revise two eye muscles CPT 67312 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise two eye muscles CPT 67316 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revise ureter CPT 50727 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Revise ureter CPT 50728 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Revise urine flow CPT 50830 | not published | not published | $1,747.00 – $9,636.00 | 4 |
| Revise vag graft open abd CPT 57296 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $1,142.00 – $7,805.00 | 9 |
| Revise windpipe scar CPT 31830 | not published | not published | $1,528.00 – $7,332.00 | 9 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revise wrist joint CPT 25332 | not published | not published | $2,455.00 – $10,976.00 | 9 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of amputation CPT 24935 | not published | not published | $3,409.00 – $16,065.00 | 9 |
| Revision of ankle joint CPT 27700 | not published | not published | $2,455.00 – $16,065.00 | 9 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $1,528.00 – $20,358.00 | 9 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,528.00 – $6,826.00 | 9 |
| Revision of big toe CPT 28310 | not published | not published | $1,747.00 – $12,132.52 | 9 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Revision of bladder neck CPT 52500 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of calf tendon CPT 27687 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of cervix CPT 57720 | $1,992.55 | $5,693.00 | $1,747.00 – $7,805.00 | 9 |
| Revision of cervix CPT 59320 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Revision of circulation CPT 37140 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of circulation CPT 37145 | not published | not published | $1,528.00 – $9,636.00 | 4 |
| Revision of circulation CPT 37160 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of circulation CPT 37180 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of collar bone CPT 23480 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Revision of collar bone CPT 23485 | not published | not published | $3,409.00 – $30,073.00 | 9 |
| Revision of colostomy CPT 44340 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Revision of cornea CPT 65600 | $1,729.35 | $4,941.00 | $1,528.00 – $9,636.00 | 9 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of eyelid CPT 67880 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of eyelid CPT 67882 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of eyelid CPT 67950 | $1,729.35 | $4,941.00 | $1,528.00 – $6,826.00 | 9 |
| Revision of eyelid CPT 67961 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of eyelid CPT 67966 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $1,142.00 – $10,761.00 | 9 |
| Revision of foot CPT 28116 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of foot and ankle CPT 28262 | not published | not published | $2,160.00 – $16,065.00 | 9 |
| Revision of foot bones CPT 28737 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of foot tendon CPT 28238 | not published | not published | $1,747.00 – $16,065.00 | 9 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of heart chamber CPT 33476 | not published | not published | $1,528.00 – $9,680.00 | 4 |
| Revision of heart chamber CPT 33735 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Revision of heart chamber CPT 33736 | not published | not published | $1,818.00 – $9,680.00 | 3 |
| Revision of heart chamber CPT 33737 | not published | not published | $9,636.00 – $9,680.00 | 2 |
| Revision of heart chamber CPT 92992 | not published | not published | $12,302.00 – $12,302.00 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,818.00 – $9,636.00 | 3 |
| Revision of hip bone CPT 27147 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Revision of hip bones CPT 27156 | not published | not published | $2,160.00 – $17,265.50 | 9 |
| Revision of hip tendon CPT 27097 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,142.00 – $9,636.00 | 9 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Revision of infusion pump CPT 36261 | not published | not published | $1,528.00 – $8,891.76 | 9 |
| Revision of iris CPT 66761 | $2,971.85 | $8,491.00 | $707.39 – $5,100.00 | 9 |
| Revision of iris CPT 66762 | not published | not published | $707.39 – $5,100.00 | 9 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,142.00 – $5,100.00 | 9 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of knee joint CPT 27440 | not published | not published | $2,822.00 – $30,073.00 | 9 |
| Revision of knee joint CPT 27441 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Revision of knee joint CPT 27442 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Revision of knee joint CPT 27443 | not published | not published | $2,455.00 – $30,073.00 | 9 |
| Revision of knee joint CPT 27446 | not published | not published | $4,589.00 – $30,073.00 | 9 |
| Revision of knee joint CPT 27445 | not published | not published | $1,528.00 – $10,761.00 | 4 |
| Revision of larynx CPT 31400 | not published | not published | $1,528.00 – $12,111.00 | 9 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of lung CPT 32940 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,142.00 – $9,636.00 | 4 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,528.00 – $9,680.00 | 4 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,528.00 – $12,132.52 | 9 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,747.00 – $7,805.00 | 9 |
| Revision of neck muscle CPT 21725 | not published | not published | $910.78 – $7,805.00 | 9 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $1,528.00 – $17,265.50 | 9 |
| Revision of nose CPT 30120 | not published | not published | $1,142.00 – $7,332.00 | 9 |
| Revision of nose CPT 30430 | not published | not published | $1,747.00 – $12,111.00 | 9 |
| Revision of nose CPT 30435 | not published | not published | $2,455.00 – $12,111.00 | 9 |
| Revision of nose CPT 30450 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revision of nose CPT 30460 | not published | not published | $3,409.00 – $15,225.00 | 9 |
| Revision of nose CPT 30462 | not published | not published | $4,589.00 – $20,358.00 | 9 |
| Revision of pelvis CPT 27158 | not published | not published | $1,747.00 – $17,265.50 | 9 |
| Revision of penis CPT 54300 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Revision of penis CPT 54304 | not published | not published | $1,747.00 – $7,919.00 | 9 |
| Revision of penis CPT 54420 | not published | not published | $2,160.00 – $9,636.00 | 9 |
| Revision of penis CPT 54430 | $2,835.00 | $8,100.00 | $1,142.00 – $9,636.00 | 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.