Home › Hospitals › Providence Little Co of Mary Med Ctr San Pedro › Supplies, drugs & other 16 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
2d tte w or w/o fol w/con,fu (C8924) $662.90
$1,894
1.5×
Catheterize for urine spec (P9612) $14.35
$41
1.5×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $440.30
$1,258
0.5×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $440.30
$1,258
0.5×
Diab manage trn per indiv (G0108) $98
$280
1.8×
Diab manage trn ind/group (G0109) $37.10
$106
2.3×
Direct refer hospital observ (G0379) $472.85
$1,351
0.6×
Hospital outpt clinic visit (G0463) range across 19 matching MRF lines $148.75–$999.60
$425–$2,856
varies
Oth resp proc, group (G0239) $584.85
$1,671
12.2×
Oth resp proc, indiv (G0238) $129.85
$371
3.5×
Pathogen test for platelets (P9100) $72.59
$207.41
1.0×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $121.98
$348.50
0.2×
Therapeutic procd strg endur (G0237) $137.20
$392
3.7×
Trluml Perip Athrc Iliac Art (0238T) likely a partial charge, not the full procedure $6,900.25
$19,715
0.3×
Tte w or wo fol wcon,doppler (C8929) $2,027.90
$5,794
2.0×
Unsched dialysis esrd pt hos (G0257) $2,197.30
$6,278
2.5×
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.