Visits & medical services prices at Providence Holy Cross Medical Center
Mission Hills, CA · every code in this section with a posted price and a Medicare benchmark.
232 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$4,558.40 | $13,024 | 0.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $31.85 | $91 | 0.6× |
| Aep neurodiagnostic i&r (92653) | $576.80 | $1,648 | 2.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $708.40 | $2,024 | 2.6× |
| Airway Inhalation Treatment (94640) | $326.90 | $934 | 1.2× |
| Airway resistance by oscillometry (94728) | $569.80 | $1,628 | 3.4× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $130.90 | $374 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $89.95 | $257 | 6.3× |
| Application Modality 1/> Areas Infrared (97026) | $52.50 | $150 | 7.9× |
| Arrhythmia Induction (93618) | $764.05 | $2,183 | 0.5× |
| Assessment of aphasia per hr (96105) | $978.25 | $2,795 | 10.1× |
| Behavral qualit analys voice (92524) | $241.85 | $691 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $585.20 | $1,672 | 1.2× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,351.60 | $9,576 | 0.3× |
| C motor evoked uppr limbs (95928) | $1,052.45 | $3,007 | 1.0× |
| C motor evoked upr&lwr limbs (95939) | $2,104.90 | $6,014 | 1.9× |
| Canalith repositioning proc (95992) | $528.85 | $1,511 | 13.0× |
| Car seat/bed test 60 min (94780) | $68.60 | $196 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,026.90 | $2,934 | 3.7× |
| Cardiopulmonary resuscitation (92950) | $290.50 | $830 | 1.0× |
| Cardioversion (92960) | $1,095.50 | $3,130 | 1.3× |
| Cardioversion elective internal (92961) | $467.60 | $1,336 | 0.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,046.85 | $22,991 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,987.10 | $17,106 | 1.4× |
| Chemo Admin Peritoneal Cavity (96446) | $2,522.10 | $7,206 | 5.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $623.35 | $1,781 | 6.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $623.35 | $1,781 | 6.7× |
| Chemo Ia Push (96420) | $629.30 | $1,798 | 1.5× |
| Chemo IV infusion addl hr (96415) | $474.60 | $1,356 | 5.1× |
| Chemo IV push addl drug (96411) | $654.50 | $1,870 | 7.1× |
| Chemother Prolong Infuse W/Pump (96416) | $677.95 | $1,937 | 1.6× |
| Chemotherapy Into Cns (96450) | $892.85 | $2,551 | 2.1× |
| Chemotherapy Intracavitary (96440) | $892.85 | $2,551 | 2.1× |
| Chemotherapy Unspecified (96549) | $96.25 | $275 | 1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $474.60 | $1,356 | 5.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $937.30 | $2,678 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $654.50 | $1,870 | 1.5× |
| Chest Wall Manipulation (94668) | $125.30 | $358 | 0.7× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,469.30 | $4,198 | 3.1× |
| Color/duplex Doppler, complete (93975) | $780.50 | $2,230 | 2.5× |
| Color/duplex Doppler, limited (93976) | $448 | $1,280 | 3.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $89.95 | $257 | 2.8× |
| Coronary Art/Grft Angio S&I (93455) | $5,890.85 | $16,831 | 1.4× |
| Coronary Artery Angio S&I (93454) | $4,251.10 | $12,146 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $681.10 | $1,946 | 2.4× |
| Cpt initial (94667) | $136.50 | $390 | 0.8× |
| Critical care first hour (99291) | $2,722.30 | $7,778 | 2.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,052.45 | $3,007 | 2.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $545.30 | $1,558 | 2.1× |
| Developmental tst admin phys/qhp 1st hour (96112) | $488.60 | $1,396 | 3.0× |
| Dialysis One Evaluation (90945) | $592.20 | $1,692 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $394.80 | $1,128 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $318.15 | $909 | 2.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $200.55 | $573 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $448.35 | $1,281 | 1.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $417.90 | $1,194 | 3.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,194.90 | $3,414 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $668.50 | $1,910 | 5.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $486.50 | $1,390 | 1.6× |
| Duplex Scan Hemodialysis Access (93990) | $373.45 | $1,067 | 2.8× |
| Duplex up extrem art bilat (93930) | $835.10 | $2,386 | 2.7× |
| Duplex up extrem art unilat/ltd (93931) | $373.10 | $1,066 | 2.8× |
| Echo Congenital Complete (93303) | $878.15 | $2,509 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $440.30 | $1,258 | 1.4× |
| Echo transesophag montr cardiac pump functj (93318) | $823.20 | $2,352 | 1.2× |
| Echo transesophageal (93312) | $1,732.85 | $4,951 | 2.5× |
| Eeg 41-60 Minutes (95812) | $732.55 | $2,093 | 2.6× |
| EEG awake and asleep (95819) | $1,464.40 | $4,184 | 5.3× |
| EEG awake drowsy (95816) | $977.20 | $2,792 | 3.5× |
| EEG cerebral death evaluation (95824) | $1,464.40 | $4,184 | 3.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $443.80 | $1,268 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $1,464.40 | $4,184 | 5.3× |
| Eeg Sleep Only (95822) | $487.20 | $1,392 | 1.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $443.80 | $1,268 | 1.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $959 | $2,740 | 3.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,156.35 | $6,161 | 4.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,876.30 | $8,218 | 6.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $712.60 | $2,036 | 2.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,438.50 | $4,110 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) | $89.95 | $257 | 6.1× |
| Electrocardiogram Tracing (93005) | $221.20 | $632 | 2.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,611.55 | $16,033 | 0.6× |
| Electrophysiology Evaluation (93642) | $2,783.20 | $7,952 | 1.8× |
| Emergency Dept Visit Level 2 (99282) | $622.30 | $1,778 | 3.2× |
| Emergency Dept Visit Level 3 (99283) | $918.05 | $2,623 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $1,221.85 | $3,491 | 2.3× |
| Emg 3 Extremities (95863) | $250.25 | $715 | 1.5× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$9,488.50 | $27,110 | 0.3× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$11,144.70 | $31,842 | 0.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,611.55 | $16,033 | 0.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,611.55 | $16,033 | 0.6× |
| Er level 1 (99281) | $380.80 | $1,088 | 3.5× |
| Er level v (99285) | $1,823.50 | $5,210 | 2.4× |
| Evaluate pt use of inhaler (94664) | $251.30 | $718 | 0.9× |
| Evaluate Speech Production (92522) | $241.85 | $691 | 2.2× |
| Evaluate Swallowing Function (92610) | $274.75 | $785 | 3.2× |
| Evaluation of speech fluency (92521) | $241.85 | $691 | 1.8× |
| Exercise test for bronchospasm (94617) | $519.05 | $1,483 | 3.0× |
| Extracranial Bilat Study (93880) | $824.60 | $2,356 | 2.7× |
| Extracranial Uni/Ltd Study (93882) | $460.25 | $1,315 | 3.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $287.35 | $821 | 1.4× |
| Gi tract capsule endoscopy (91110) | $1,041.95 | $2,977 | 0.9× |
| Group Therapeutic Procedures (97150) | $107.45 | $307 | 6.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,686.60 | $27,676 | 2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $793.10 | $2,266 | 0.9× |
| High altitude simulation test (94452) | $195.65 | $559 | 1.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $195.65 | $559 | 1.1× |
| Holter monitor recording (93225) | $771.40 | $2,204 | 4.5× |
| Immunization administration (90471) | $88.20 | $252 | 1.0× |
| Insert/Place Heart Catheter (93503) | $1,274.70 | $3,642 | 0.6× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,254.30 | $9,298 | 0.3× |
| Intracranial Complete Study (93886) | $663.60 | $1,896 | 2.2× |
| Iontophoresis 15 min (97033) | $89.95 | $257 | 4.7× |
| Irrig Drug Delivery Device (96523) | $154 | $440 | 2.0× |
| IV infusion hydration each additional hour (96361) | $252.35 | $721 | 4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $456.40 | $1,304 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $252.35 | $721 | 2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $252.35 | $721 | 4.2× |
| IV push initial (96374) | $252.35 | $721 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $7,626.85 | $21,791 | 1.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $140.35 | $401 | 1.8× |
| Mechanical chest wall oscillation per session (94669) | $209.30 | $598 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $52.85 | $151 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $52.85 | $151 | 1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $26.25 | $75 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $430.85 | $1,231 | 4.7× |
| Muscle Test 2 Limbs (95861) | $716.10 | $2,046 | 4.2× |
| Muscle Test Nonparaspinal (95870) | $235.55 | $673 | 1.4× |
| Muscle Test One Limb (95860) | $478.10 | $1,366 | 2.8× |
| Nasopharyngoscopy (92511) | $122.50 | $350 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $282.80 | $808 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $503.30 | $1,438 | 1.8× |
| Needle electromyography larynx (95865) | $225.05 | $643 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $639.10 | $1,826 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $641.90 | $1,834 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $164.50 | $470 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $641.90 | $1,834 | 1.2× |
| Nerve Conduction Studies 1-2 Studies (95907) | $295.40 | $844 | 1.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $484.75 | $1,385 | 1.7× |
| Nerve conduction studies 5-6 studies (95909) | $688.80 | $1,968 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $484.75 | $1,385 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $295.40 | $844 | 1.8× |
| Neuromuscular Reeducation (97112) | $89.95 | $257 | 2.7× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $88.20 | $252 | 0.5× |
| Oral Function Therapy (92526) | $170.10 | $486 | 2.0× |
| Oral Speech Device Eval (92597) | $325.85 | $931 | 4.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $89.95 | $257 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $90.65 | $259 | 2.0× |
| Ot eval high complexity (97167) | $220.50 | $630 | 2.2× |
| Ot Eval Low Complex (97165) | $214.20 | $612 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $217.70 | $622 | 2.2× |
| Ot manual therapy 15 min (97140) | $89.95 | $257 | 3.2× |
| Ot paraffin bath (97018) | $81.90 | $234 | 13.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $89.95 | $257 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $214.20 | $612 | 3.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $240.10 | $686 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $240.10 | $686 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $341.95 | $977 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,809.95 | $19,457 | 0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$7,149.10 | $20,426 | 0.5× |
| Phlebotomy therapeutic (99195) | $164.50 | $470 | 1.0× |
| Physical Performance Test (97750) | $89.95 | $257 | 2.7× |
| Plethysmography (94726) | $300.30 | $858 | 0.6× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$6,809.95 | $19,457 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$6,809.95 | $19,457 | 0.5× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$6,809.95 | $19,457 | 0.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$7,149.10 | $20,426 | 0.5× |
| Pt Eval High Complex (97163) | $218.75 | $625 | 2.2× |
| Pt eval low complex 20 min (97161) | $212.45 | $607 | 2.2× |
| Pt Eval Mod Complex (97162) | $215.95 | $617 | 2.2× |
| Pt gait training 15 min (97116) | $89.95 | $257 | 3.1× |
| Pt mechanical traction (97012) | $89.95 | $257 | 6.3× |
| Pt Re-Eval Est Plan Care (97164) | $212.45 | $607 | 3.1× |
| Pulm function test by gas (94727) | $215.95 | $617 | 0.8× |
| Pulmonary service/procedure (94799) | $460.60 | $1,316 | 2.8× |
| Pulmonary Stress Testing (94618) | $519.05 | $1,483 | 3.0× |
| R Hrt Art/Grft Angio (93457) | $7,626.85 | $21,791 | 1.8× |
| R hrt coronary artery angio (93456) | $5,987.10 | $17,106 | 1.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,987.10 | $17,106 | 1.4× |
| Refill/Maint Portable Pump (96521) | $393.40 | $1,124 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $393.40 | $1,124 | 1.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $63.70 | $182 | 0.4× |
| Right Heart Cath (93451) | $3,578.05 | $10,223 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $248.85 | $711 | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $325.85 | $931 | 2.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $163.10 | $466 | 3.4× |
| Self Care Mngment Training (97535) | $81.90 | $234 | 2.5× |
| Sensory Integration Ea 15 Min (97533) | $89.95 | $257 | 1.5× |
| Short-latency somatosens ep std upr limbs (95925) | $1,060.15 | $3,029 | 3.8× |
| Sleep study attended (95807) | $747.25 | $2,135 | 1.6× |
| Slp caregiver training 1st 30 min (97550) | $44.10 | $126 | 0.8× |
| Somatosensory Testing (95938) | $2,119.25 | $6,055 | 1.9× |
| Speech sound lang comprehen (92523) | $362.95 | $1,037 | 1.6× |
| Spirometry (94010) | $441 | $1,260 | 1.6× |
| Ssep lower limbs (95926) | $1,060.15 | $3,029 | 3.8× |
| Standardized Cognitive Performance Testing (96125) | $262.50 | $750 | 2.6× |
| Stress Tte Only (93350) | $966 | $2,760 | 1.4× |
| Subcutaneous Infusion Each Additional Hour (96370) | $219.80 | $628 | 3.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $219.80 | $628 | 0.8× |
| Subq Infusion Additional Pump Infusion Site (96371) | $161.70 | $462 | 1.7× |
| Surfactant Admin Thru Tube (94610) | $663.25 | $1,895 | 2.4× |
| Temp transcutaneous pacing (92953) | $839.65 | $2,399 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$81.55–$89.95 | $233–$257 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$81.55–$89.95 | $233–$257 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $89.95 | $257 | 3.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $262.85 | $751 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $252.35 | $721 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $186.20 | $532 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$508.55–$534.10 | $1,453–$1,526 | varies |
| Therapeutic Activities (97530) | $89.95 | $257 | 2.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,057.70 | $3,022 | 2.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $431.20 | $1,232 | 3.2× |
| Tte w/doppler, complete (93306) | $2,338 | $6,680 | 3.3× |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$11,144.70 | $31,842 | 0.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $187.60 | $536 | 2.5× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $119.70 | $342 | 5.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $186.20 | $532 | 3.1× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$350.70–$760.55 | $1,002–$2,173 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $669.90 | $1,914 | 3.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,527.40 | $4,364 | 5.5× |
| Vasopneumatic device (97016) | $89.95 | $257 | 7.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,005.90 | $2,874 | 2.1× |
| Veeg 2-12 hr intmt mntr (95712) | $747.95 | $2,137 | 1.6× |
| Veeg 2-12 hr unmonitored (95711) | $465.85 | $1,331 | 1.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,261.70 | $6,462 | 4.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,508.50 | $4,310 | 3.1× |
| Veeg ea 12-26hr cont mntr (95716) | $3,017 | $8,620 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,643.95 | $4,697 | 2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,643.95 | $4,697 | 2.1× |
| Vital capacity, total (94150) | $128.80 | $368 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $107.45 | $307 | 3.5× |
| Whirlpool Therapy (97022) | $89.95 | $257 | 5.7× |
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.