Providence Little Co of Mary Med Center San Pedro — Physical therapy 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.

13 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM Inpatient & outpatient	97110 HCPCS	$231	$80.85	—	—
HC CRISIS TELEH 97112 NEUROMUSCUL REEDUCAT EA 15 MIN CDM Inpatient & outpatient	97112 HCPCS	$231	$80.85	—	—
HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM Inpatient & outpatient	97161 HCPCS	$739	$259	—	—
HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM Inpatient & outpatient	97162 HCPCS	$754	$264	—	—
HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES Inpatient & outpatient	97140 HCPCS	$231	$80.85	—	—
HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN Inpatient & outpatient	97112 HCPCS	$231	$80.85	—	—
HC PT EVALUATION MOD COMPLEX CDM Inpatient & outpatient	97162 HCPCS	$754	$264	—	—
HC PT EVALUATION LOW COMPLEX CDM Inpatient & outpatient	97161 HCPCS	$739	$259	—	—
HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN Inpatient & outpatient	97110 HCPCS	$231	$80.85	—	—
HC VIRTUAL THERAPY NEUROMUSC REEDUCA PX 1 OR MORE AREAS EACH 15MINS CDM Inpatient & outpatient	97112 HCPCS	$218	$76.30	—	—
HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM Inpatient & outpatient	97161 HCPCS	$697	$244	—	—
HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM Inpatient & outpatient	97162 HCPCS	$711	$249	—	—
HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM Inpatient & outpatient	97110 HCPCS	$218	$76.30	—	—