Providence Cedars-Sinai Tarzana Medical Center
18321 Clark St, Tarzana, CA · Providence · · NPI 1821250762
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 |
|---|---|---|---|---|
| Gi inhouse confirmation CPT 87045 | $94.50 | $270.00 | $9.44 – $25.17 | 10 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,528.00 – $7,730.00 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $133.05 – $1,439.81 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $1,166.53 – $2,606.00 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,196.08 – $2,212.75 | 6 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $1,166.53 – $2,606.00 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,166.53 – $2,606.00 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $73.94 – $202.24 | 9 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $59.14 – $123.04 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $70.00 | 9 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $11.72 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $48.04 – $88.87 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,160.00 – $9,835.10 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,160.00 – $9,835.10 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,528.00 – $5,080.00 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,160.00 – $5,080.00 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $142.19 – $263.05 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $410.13 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $443.24 | $1,266.40 | $135.00 – $323.45 | 9 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $38.14 | 10 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $122.97 | 10 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $134.77 | 10 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $40.22 | 10 |
| Glucose 1 hr post dose CPT 82950 | $98.00 | $280.00 | $4.75 – $12.68 | 10 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $16.18 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $6.56 | 10 |
| Glucose blood quantitative CPT 82947 | $49.00 | $140.00 | $3.93 – $10.47 | 10 |
| Glucose body fluid CPT 82945 | $103.25 | $295.00 | $3.93 – $10.47 | 10 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $75.87 – $140.37 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $203.70 | $582.00 | $12.87 – $34.36 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $41.30 | $118.00 | $3.92 – $10.47 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $33.01 | $94.32 | $0.82 – $1.28 | 5 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $28.51 – $60.00 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $40.78 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $155.40 | $444.00 | $18.58 – $49.60 | 10 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $396.13 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $155.40 | $444.00 | $18.52 – $49.43 | 10 |
| Gonioscopy CPT 92020 | not published | not published | $29.39 – $316.58 | 7 |
| Goniotomy CPT 65820 | not published | not published | $1,142.00 – $9,835.10 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $997.22 – $1,516.05 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,052.75 | $5,865.00 | $60.42 – $296.10 | 8 |
| Graft axiofill 1000mg HCPCS J3590 | $19,901.45 | $56,861.28 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $160.06 – $2,270.34 | 8 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $16,032.49 | $45,807.11 | $126.60 – $296.10 | 8 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,747.00 – $7,332.00 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,279.40 | $77,941.15 | $61.91 – $296.10 | 7 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,518.13 – $4,294.63 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $36,050.00 | $103,000.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $31,998.58 | $91,424.50 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $27,688.86 | $79,111.03 | $129.82 – $296.10 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $7,541.10 | $21,546.00 | $160.06 – $353.00 | 9 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,142.00 – $8,480.00 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $13,167.00 | $37,620.00 | $160.06 – $296.10 | 8 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $103.06 – $296.10 | 8 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $160.06 – $322.54 | 7 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $34,036.43 | $97,246.95 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,063.50 | $11,610.00 | $74.63 – $296.10 | 8 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $46,981.90 | $134,234.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,677.50 | $7,650.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $181.62 | 4 |
| Granisetron hcl injection HCPCS J1626 | $78.32 | $223.77 | $0.52 – $63.95 | 5 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,409.00 – $17,265.50 | 9 |
| Great toe with reduction 28495 CPT 28495 | $156.80 | $448.00 | $203.00 – $1,287.00 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,142.00 – $10,353.00 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $4,557.82 – $10,353.00 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,287.00 – $6,483.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $4,557.82 – $10,353.00 | 9 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $42.00 | 10 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $177.94 | 10 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $258.66 | 10 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $55.74 – $151.20 | 10 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $48.19 – $353.00 | 7 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $48.19 – $353.00 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,142.00 – $9,240.00 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,142.00 – $9,240.00 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,528.00 – $9,240.00 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,747.00 – $9,240.00 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,142.00 – $9,240.00 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,142.00 – $5,080.00 | 9 |
| G-tube reposition CPT 43761 | $340.55 | $973.00 | $321.35 – $2,594.00 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $190.35 – $7,053.70 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,382.10 | $6,806.00 | $203.00 – $1,775.00 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $6,494.37 | $18,555.34 | $947.68 – $947.68 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,836.25 | $10,960.70 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $11,338.25 | $32,395.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $139.30 | $398.00 | $82.38 – $422.73 | 2 |
| Gum graft CPT 41870 | not published | not published | $1,995.60 – $4,776.00 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $13,093.85 | $37,411.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,160.00 – $7,332.00 | 9 |
| Hair analysis HCPCS P2031 | not published | not published | $7.02 – $181.37 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $203.00 – $1,484.00 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $522.85 – $3,969.00 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $522.85 – $3,969.00 | 9 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $51.86 – $95.94 | 6 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,115.46 – $5,763.60 | 6 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,952.09 – $7,311.37 | 6 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,804.53 – $8,888.38 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $88.70 | $253.44 | $9.17 – $111.55 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $34.45 | $98.42 | $1.55 – $25.96 | 5 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $258.53 – $478.28 | 6 |
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.