Providence Little Co of Mary Med Center San Pedro — price list
← Hospital overviewVerified from Providence Little Co of Mary Med Center San Pedro’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CATH SHERPA ACTIVE 6F EBU3.5 Inpatient & outpatient | C1887 HCPCS | $227 | $79.54 | — | — | |
| HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient | 82306 HCPCS | $101 | $35.35 | — | — | |
| HC 3D RENDER W/O POSTPROCESS Inpatient & outpatient | 76376 HCPCS | $957 | $335 | — | — | |
| HC 3D RENDERING W/POSTPROCESS Inpatient & outpatient | 76377 HCPCS | $581 | $203 | — | — | |
| HC ALANINE AMINO (ALT) (SGPT) Inpatient & outpatient | 84460 HCPCS | $312 | $109 | — | — | |
| HC ALANINE AMINO (ALT) (SGPT) Outpatient | 84460 HCPCS | $120 | $42.00 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Inpatient & outpatient | 82040 HCPCS | $205 | $71.75 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Outpatient | 82040 HCPCS | $105 | $36.75 | — | — | |
| HC ALKALINE PHOS Inpatient & outpatient | 84075 HCPCS | $306 | $107 | — | — | |
| HC ALKALINE PHOS Outpatient | 84075 HCPCS | $120 | $42.00 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM CDM Inpatient & outpatient | 82105 HCPCS | $296 | $104 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM CDM Outpatient | 82105 HCPCS | $179 | $62.65 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM LAB Inpatient & outpatient | 82105 HCPCS | $296 | $104 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM LAB Outpatient | 82105 HCPCS | $179 | $62.65 | — | — | |
| HC AMPLATZ SS 180CM .038 ST M001465191 Inpatient & outpatient | C1769 HCPCS | $165 | $57.75 | — | — | |
| HC AMPLATZ SS 260CM .035 3MMJ M001465021 Inpatient & outpatient | C1769 HCPCS | $173 | $60.45 | — | — | |
| HC AMYLASE Inpatient & outpatient | 82150 HCPCS | $338 | $118 | — | — | |
| HC AMYLASE Outpatient | 82150 HCPCS | $146 | $51.10 | — | — | |
| HC AMYLASE URINE Inpatient & outpatient | 82150 HCPCS | $338 | $118 | — | — | |
| HC AMYLASE URINE Outpatient | 82150 HCPCS | $146 | $51.10 | — | — | |
| HC ANALGESICS NON-OPIOID 1 OR 2 Inpatient & outpatient | 80329 HCPCS | $478 | $167 | — | — | |
| HC ANALGESICS NON-OPIOID 1 OR 2 ACETAMINOPHEN Inpatient & outpatient | 80329 HCPCS | $478 | $167 | — | — | |
| HC ANGIOSEAL VIP 6F 610130 Inpatient & outpatient | C1760 HCPCS | $672 | $235 | — | — | |
| HC ANGIOSEAL VIP 8F 610131 Inpatient & outpatient | C1760 HCPCS | $875 | $306 | — | — | |
| HC ANTIBODY ABSORPTION Inpatient & outpatient | 86978 HCPCS | $67.32 | $23.56 | — | — | |
| HC ANTIBODY ELUTION RBC EACH ELUTION LAB Inpatient & outpatient | 86860 HCPCS | $80.50 | $28.18 | — | — | |
| HC ANTIBODY HERPES SMPLX TYPE 2 CDM Inpatient & outpatient | 86696 HCPCS | $86.00 | $30.10 | — | — | |
| HC ANTIBODY HIV-1 LAB Inpatient & outpatient | 86701 HCPCS | $85.28 | $29.85 | — | — | |
| HC ANTIBODY HIV-2 LAB Inpatient & outpatient | 86702 HCPCS | $14.72 | $5.15 | — | — | |
| HC ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ LAB Inpatient & outpatient | 86870 HCPCS | $71.00 | $24.85 | — | — |