Providence Little Co of Mary Med Center San Pedro — Infusion prices
← 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.
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.
6 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ED IV HYDRATION INITIAL HR CDM Inpatient & outpatient | 96360 HCPCS | $661 | $231 | — | — | |
| HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM Inpatient & outpatient | 96365 HCPCS | $710 | $249 | — | — | |
| HC ED IV INFUSION TX/PROPHYLAXIS/DX EA ADDNL HOUR CDM Inpatient & outpatient | 96366 HCPCS | $530 | $186 | — | — | |
| HC IV HYDRATION INITIAL HR CDM Inpatient & outpatient | 96360 HCPCS | $661 | $231 | — | — | |
| HC IV INFUSION EA ADDL HR CDM Inpatient & outpatient | 96366 HCPCS | $530 | $186 | — | — | |
| HC IV INFUSION INITIAL HR CDM Inpatient & outpatient | 96365 HCPCS | $710 | $249 | — | — |