Supplies, drugs & other prices at Providence Holy Cross Medical Center
Mission Hills, CA · every code in this section with a posted price and a Medicare benchmark.
47 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,304.05 | $6,583 | 2.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $638.75 | $1,825 | 1.4× |
| Catheterize for urine spec (P9612) | $35 | $100 | 3.7× |
| Chemo extend iv infus w/pump (G0498) | $645.40 | $1,844 | 1.5× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $483.70 | $1,382 | 0.5× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $483.70 | $1,382 | 0.5× |
| Diab manage trn per indiv (G0108) | $146.30 | $418 | 2.6× |
| Diab manage trn ind/group (G0109) | $81.20 | $232 | 5.1× |
| Direct refer hospital observ (G0379) | $385 | $1,100 | 0.5× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,380.40 | $3,944 | 0.9× |
| Hospital outpt clinic visit (G0463) range across 19 matching MRF lines |
$257.60–$1,278.20 | $736–$3,652 | varies |
| Insertion perm ccm-d system pulse generator only (0916T) | $25,529.70 | $72,942 | 0.9× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $9,412.20 | $26,892 | 0.9× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $9,412.20 | $26,892 | 0.9× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $25,529.70 | $72,942 | 0.6× |
| Interrog dev eval impl ccm-d system in person (0927T) | $42 | $120 | 0.9× |
| Pathogen test for platelets (P9100) | $69.65 | $199 | 0.9× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,149.10 | $20,426 | 0.3× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$7,149.10 | $20,426 | 0.5× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$6,809.95 | $19,457 | 0.3× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$6,809.95 | $19,457 | 0.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$6,484.80 | $18,528 | 0.4× |
| Place device/marker, non pro (C9728) | $2,220.75 | $6,345 | 1.2× |
| Programming device eval impl ccm-d sys in person (0926T) | $42 | $120 | 0.9× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $121.98 | $348.50 | 0.2× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $2,079.70 | $5,942 | 0.8× |
| Removal perm ccm-d system pulse generator only (0919T) | $4,139.10 | $11,826 | 0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $703.50 | $2,010 | 0.9× |
| Revasc intra lithotrip-ather (C9766) | $20,844.60 | $59,556 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $20,844.60 | $59,556 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $10,287.90 | $29,394 | 0.7× |
| Revasc lithotr-ather tib/per (C9774) | $26,838.35 | $76,681 | 1.1× |
| Revasc lithotr-stent tib/per (C9773) | $27,949.25 | $79,855 | 1.2× |
| Revasc lithotrip tibi/perone (C9772) | $20,844.60 | $59,556 | 1.4× |
| Revasc lithotrip-stent-ather (C9767) | $20,844.60 | $59,556 | 0.9× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $2,272.55 | $6,493 | 0.5× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $2,272.55 | $6,493 | 0.5× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $4,139.10 | $11,826 | 0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $4,139.10 | $11,826 | 0.9× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $4,139.10 | $11,826 | 0.9× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $25,529.70 | $72,942 | 0.9× |
| Trauma respons w/hosp criti (G0390) | $13,826.05 | $39,503 | 8.1× |
| Trluml Perip Athrc Brchiocph (0237T) | $7,502.95 | $21,437 | 0.5× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$8,878.45 | $25,367 | 0.4× |
| Tte w or w/o fol w/con,stres (C8928) | $966 | $2,760 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $2,338 | $6,680 | 2.3× |
| Unsched dialysis esrd pt hos (G0257) | $996.45 | $2,847 | 1.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.