Does Providence Little Co of Mary Med Ctr San Pedro have an emergency room?

Yes. The hospital’s official website lists an emergency room at Providence Little Co of Mary Med Ctr San Pedro. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Providence Little Co of Mary Med Ctr San Pedro?

1300 W 7th St, San Pedro, CA 90732, in Los Angeles County, California.

What is the phone number of Providence Little Co of Mary Med Ctr San Pedro?

(310) 832-3311, as listed by Medicare (CMS).

What is the Medicare star rating of Providence Little Co of Mary Med Ctr San Pedro?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Providence Little Co of Mary Med Ctr San Pedro

Quick answers

Does Providence Little Co of Mary Med Ctr San Pedro have an emergency room?: Yes. The hospital’s official website lists an emergency room at Providence Little Co of Mary Med Ctr San Pedro. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Providence Little Co of Mary Med Ctr San Pedro?: 1300 W 7th St, San Pedro, CA 90732, in Los Angeles County, California.
What is the phone number of Providence Little Co of Mary Med Ctr San Pedro?: (310) 832-3311, as listed by Medicare (CMS).
What is the Medicare star rating of Providence Little Co of Mary Med Ctr San Pedro?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Bariatric surgery
Behavioral health
Cancer care
Diabetes and nutrition
Emergency services
Heart and vascular
Men's health
Orthopedics
Rehabilitation
Stroke and neurosciences
Sub-acute care
Surgery

Conditions treated^[8]

Amputation
Brain injury
Critical illness myopathy
Multiple trauma
Neurological disorders
Guillain-Barré syndrome
Multiple sclerosis
Parkinson's disease
Polyneuropathy
Orthopedic conditions
Complicated hip fractures
Complicated joint replacements
Severe debility or weakness
Spinal cord injury
Stroke

Treatments^[8]

Occupational therapy
Physical therapy
Speech and language pathology
Psychological counseling
Therapeutic recreation
Rehabilitation nursing
Bioness technology
Robotic exoskeleton (Ekso Bionics)
Body-weight-supported treadmill (LiteGait)

Programs and centers^{[4][5][6][7][8]}

Center for Optimal Aging
Adult inpatient rehabilitation program (CARF accredited)
Adult stroke specialty rehabilitation program (CARF accredited)
Acute Rehabilitation Center
Advanced Primary Stroke Center
Emergency Department Fast Track
SART (sexual assault) Center
Accredited Geriatric Emergency Department

Emergency care (hospital website)^[4][5][6][7]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Advanced Primary Stroke Center

Visiting and practical information

Visiting	Critical care: 2 immediate family visitors at a time; under-12s not allowed in Critical Care Center. Quiet hours 10 p.m.-6 a.m^[9]
Parking	Complimentary parking at the facility^[9]
Interpreters and languages	Interpreters (phone and video, incl. ASL) free for patients who speak English less than very well, during business hours^[10]

Recognition^[4][6][7][8]

Advanced Primary Stroke Center (Joint Commission)
AHA/ASA Gold Plus stroke achievement award
CARF accreditation (rehabilitation)
Joint Commission Gold Seal of Approval
Advanced Primary Stroke Center certification
CARF accreditation, Adult Inpatient Rehabilitation Programs
CARF accreditation, Adult Stroke Specialty Program
ACEP Bronze Standard Level 3 Geriatric Emergency Department (GEDA) accreditation
U.S. News & World Report Best Hospitals in Rehabilitation 2026

Doctors and clinicians (257)

257 doctors and other clinicians list Providence Little Co of Mary Med Ctr San Pedro as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 233 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Kaiser Foundation Hospital - South Bay3.6 mi · Harbor City, CA · Acute Care Hospital
Del Amo Hospital5.5 mi · Torrance, CA · Psychiatric Hospital
Torrance Memorial Medical Center5.6 mi · Torrance, CA · Acute Care Hospital
Lac/Harbor-Ucla Med Center6.5 mi · Torrance, CA · Acute Care Hospital
St Mary Medical Center6.9 mi · Long Beach, CA · Acute Care Hospital

Other hospitals nearby

Providence Little Company of Mary Med Ctr Torrance7.5 mi · Torrance, CA · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Providence Little Comp of Mary Subacute Care Ctr0.3 mi · San Pedro, CA · 4 of 5 stars
Seacrest Post-Acute Care Center0.3 mi · San Pedro, CA · 2 of 5 stars
White Point Care Center0.3 mi · San Pedro, CA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Aa Care Hospice0.5 mi · San Pedro, CA
Everclear Hospice & Palliative Care, Inc3.9 mi · Lomita, CA
Salute Hospice Inc.3.9 mi · Lomita, CA

All hospice providers in the state →

Home health agencies

Gandse Home Health Care Inc.3.9 mi · Lomita, CA
Omega Home Health Care Services, Inc3.9 mi · Lomita, CA · 3 of 5 stars
Vita Home Health Services Inc4.2 mi · Harbor City, CA

All home health agencies in the state →

Dialysis facilities

USRC Lomita Dialysis3.9 mi · Lomita, CA · 3 of 5 stars
FMC-South Bay Home Therapy4.2 mi · Harbor City, CA · 4 of 5 stars
Fresenius Medical Care of South Bay4.2 mi · Harbor City, CA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

San Pedro Surgery Center, Inc0.5 mi · San Pedro, CA
Palos Verdes Skin Surgery Center, Inc4.9 mi · Rolling Hills Estate, CA
Advanced Surgical Center of Torrance, LLC5.4 mi · Torrance, CA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

6th Street Health Center0.9 mi · San Pedro, CA · Community health center
Pacific Avenue Health Center1.0 mi · San Pedro, CA · Community health center
Northeast Community Clinic Mobile Dental Unit3.8 mi · Wilmington, CA · Community health center

Clinics and urgent care

Westhout MD Inc0.5 mi · San Pedro, CA · Urgent care center
San Miguel Urgent Care San Pedro1.6 mi · San Pedro, CA · Urgent care center
Westhout MD Inc1.6 mi · San Pedro, CA · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC0.5 mi · San Pedro, CA · Community/retail pharmacy
GNRX Pharmacy Inc0.5 mi · San Pedro, CA · Community/retail pharmacy
F D M Exclusive Image Inc1.6 mi · San Pedro, CA · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

A Guardian Angel Guest Home0.5 mi · San Pedro, CA
Casa Esperanza0.5 mi · San Pedro, CA
Ethel's Guest Home0.5 mi · San Pedro, CA
Ocean Breeze Care Home III0.5 mi · San Pedro, CA

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Providence Little Co of Mary Med Ctr San Pedro reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	79%National average: 74%
Area around the room “always” quiet at night	43%National average: 60%
Completed surveys	414Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.687No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	9.2%
Deaths within 30 days: pneumonia patients	13.8%
Deaths within 30 days: COPD patients	9.3%
Deaths within 30 days: stroke patients	10.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	4.7%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	16.2%
Readmitted within 30 days: COPD	19.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.1%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	169 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	71%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in California Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Providence Little Co of Mary Med Ctr San Pedro lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$351.09 – $751.34
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $351.09 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $367.83 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $414.29 Caremore — Medicare Managed Care Plan: $386.20 Healthnet — Ambetter Hmo: $649.53 Healthnet — Ambetter Ppo: $751.34 Humana — Medicare Managed Care Plan: $358.12 La Care Health Plan — Covered Ca Exchange: $456.42
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM	$1,627	$569.45	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$536.67 – $1,148.47
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $536.67 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $562.26 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $633.26 Caremore — Medicare Managed Care Plan: $590.34 Healthnet — Ambetter Hmo: $992.84 Healthnet — Ambetter Ppo: $1,148.47 Humana — Medicare Managed Care Plan: $547.40 La Care Health Plan — Covered Ca Exchange: $697.67
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 4 CDM	$3,341	$1,169.35	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$765.95 – $1,639.14
Emergency room visit (high): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $765.95 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $802.47 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $903.81 Caremore — Medicare Managed Care Plan: $842.55 Healthnet — Ambetter Hmo: $1,417.01 Healthnet — Ambetter Ppo: $1,639.14 Humana — Medicare Managed Care Plan: $781.27 La Care Health Plan — Covered Ca Exchange: $995.74
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM	$5,171	$1,809.85	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $80.68
Basic metabolic panel (blood test): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $22.58 Aetna — Medicare Managed Care Plan: $8.46 Blue Cross — All Commercial Plans: $43.53 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $12 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $13.51 Blue Shield — Epn/Ifp Benefit Exchange: $22.60 Blue Shield — Hmo: $27.45 Blue Shield — Medicare Managed Care Plan: $80.68 Blue Shield — Ppo/Epo: $27.45 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $24.84
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$527	$184.45	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$205	$71.75	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $100.73
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $28.20 Aetna — Medicare Managed Care Plan: $10.56 Blue Cross — All Commercial Plans: $54.44 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $14.98 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $16.87 Blue Shield — Epn/Ifp Benefit Exchange: $28.21 Blue Shield — Hmo: $34.27 Blue Shield — Medicare Managed Care Plan: $100.73 Blue Shield — Ppo/Epo: $34.27 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $31.02
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$634	$221.90	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$254	$88.90	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $221.91
Obstetric blood test panel: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $136.78 Aetna — Medicare Managed Care Plan: $47.81 Blue Cross — All Commercial Plans: $84.71 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $67.81 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $76.37 Blue Shield — Epn/Ifp Benefit Exchange: $114.74 Blue Shield — Hmo: $138.69 Blue Shield — Medicare Managed Care Plan: $221.91 Blue Shield — Ppo/Epo: $138.69 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $124.19
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $127.67
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $35.74 Aetna — Medicare Managed Care Plan: $13.39 Blue Cross — All Commercial Plans: $68.88 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $18.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $21.39 Blue Shield — Epn/Ifp Benefit Exchange: $35.76 Blue Shield — Hmo: $43.43 Blue Shield — Medicare Managed Care Plan: $127.67 Blue Shield — Ppo/Epo: $43.43 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $39.31
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE	$404	$141.40	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$181	$63.35	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $82.73
Kidney function panel: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $23.18 Aetna — Medicare Managed Care Plan: $8.68 Blue Cross — All Commercial Plans: $44.64 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $12.31 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $13.86 Blue Shield — Epn/Ifp Benefit Exchange: $23.17 Blue Shield — Hmo: $28.14 Blue Shield — Medicare Managed Care Plan: $82.73 Blue Shield — Ppo/Epo: $28.14 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $25.47
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$593	$207.55	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$267	$93.45	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $77.88
Liver function panel: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $21.80 Aetna — Medicare Managed Care Plan: $8.17 Blue Cross — All Commercial Plans: $42.04 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $11.59 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $13.05 Blue Shield — Epn/Ifp Benefit Exchange: $21.81 Blue Shield — Hmo: $26.49 Blue Shield — Medicare Managed Care Plan: $77.88 Blue Shield — Ppo/Epo: $26.49 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $23.98
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$366	$128.10	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$203	$71.05	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $30.21
Urine test (automated, with microscope): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $8.43 Aetna — Medicare Managed Care Plan: $3.17 Blue Cross — All Commercial Plans: $15.72 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4.50 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5.06 Blue Shield — Epn/Ifp Benefit Exchange: $8.46 Blue Shield — Hmo: $10.28 Blue Shield — Medicare Managed Care Plan: $30.21 Blue Shield — Ppo/Epo: $10.28 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $9.30
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$198	$69.30	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$140	$49	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $24.35
Urine test (manual, without microscope): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $6.83 Aetna — Medicare Managed Care Plan: $3.48 Blue Cross — All Commercial Plans: $12.23 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4.94 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5.56 Blue Shield — Epn/Ifp Benefit Exchange: $6.82 Blue Shield — Hmo: $8.28 Blue Shield — Medicare Managed Care Plan: $24.35 Blue Shield — Ppo/Epo: $8.28 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $7.50
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$58	$20.30	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $21.41
Urine test (automated, without microscope): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $6 Aetna — Medicare Managed Care Plan: $2.25 Blue Cross — All Commercial Plans: $11.57 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $3.19 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $3.59 Blue Shield — Epn/Ifp Benefit Exchange: $6 Blue Shield — Hmo: $7.28 Blue Shield — Medicare Managed Care Plan: $21.41 Blue Shield — Ppo/Epo: $7.28 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $6.59
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$130	$45.50	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$70	$24.50	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $175.27
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $49.10 Aetna — Medicare Managed Care Plan: $18.39 Blue Cross — All Commercial Plans: $94.61 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $26.08 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $29.37 Blue Shield — Epn/Ifp Benefit Exchange: $49.09 Blue Shield — Hmo: $59.62 Blue Shield — Medicare Managed Care Plan: $175.27 Blue Shield — Ppo/Epo: $59.62 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $53.97
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$651	$227.85	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$296	$103.60	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $160.07
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $44.82 Aetna — Medicare Managed Care Plan: $16.80 Blue Cross — All Commercial Plans: $86.44 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $23.83 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $26.83 Blue Shield — Epn/Ifp Benefit Exchange: $44.83 Blue Shield — Hmo: $54.45 Blue Shield — Medicare Managed Care Plan: $160.07 Blue Shield — Ppo/Epo: $54.45 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $49.29
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$582	$203.70	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$239	$83.65	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $74.07
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $20.75 Aetna — Medicare Managed Care Plan: $7.77 Blue Cross — All Commercial Plans: $40 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $11.02 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $12.41 Blue Shield — Epn/Ifp Benefit Exchange: $20.74 Blue Shield — Hmo: $25.20 Blue Shield — Medicare Managed Care Plan: $74.07 Blue Shield — Ppo/Epo: $25.20 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $22.81
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$281	$98.35	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$118	$41.30	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $61.65
Complete blood count (CBC), automated: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $17.27 Aetna — Medicare Managed Care Plan: $6.47 Blue Cross — All Commercial Plans: $33.28 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $9.18 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $10.33 Blue Shield — Epn/Ifp Benefit Exchange: $17.27 Blue Shield — Hmo: $20.97 Blue Shield — Medicare Managed Care Plan: $61.65 Blue Shield — Ppo/Epo: $20.97 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $18.98
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$209	$73.15	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$74	$25.90	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $37.44
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $10.49 Aetna — Medicare Managed Care Plan: $4.29 Blue Cross — All Commercial Plans: $20.26 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $6.08 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $6.85 Blue Shield — Epn/Ifp Benefit Exchange: $10.49 Blue Shield — Hmo: $12.74 Blue Shield — Medicare Managed Care Plan: $37.44 Blue Shield — Ppo/Epo: $12.74 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $11.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$184	$64.40	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$84	$29.40	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $57.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16.02 Aetna — Medicare Managed Care Plan: $6.01 Blue Cross — All Commercial Plans: $30.89 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $8.52 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $9.60 Blue Shield — Epn/Ifp Benefit Exchange: $16.01 Blue Shield — Hmo: $19.44 Blue Shield — Medicare Managed Care Plan: $57.15 Blue Shield — Ppo/Epo: $19.44 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $17.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$209	$73.15	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$96	$33.60	Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$134.46 – $807.62
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $358.90 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $689.52 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $417.58 Blue Shield — Hmo: $504.76 Blue Shield — Medicare Managed Care Plan: $807.62 Blue Shield — Ppo/Epo: $504.76 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $451.99
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$4,079	$1,427.65	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$448.71 – $4,255.18
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $747.39 Aetna — Medicare Managed Care Plan: $448.71 Blue Cross — All Commercial Plans: $3,208.38 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $470.10 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $529.47 Blue Shield — Epn/Ifp Benefit Exchange: $2,200.12 Blue Shield — Hmo: $2,659.49 Blue Shield — Medicare Managed Care Plan: $4,255.18 Blue Shield — Ppo/Epo: $2,659.49 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,381.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE	$7,537	$2,637.95	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$43.86 – $435.21
Chest X-ray, 2 views: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $43.86 Aetna — Medicare Managed Care Plan: $111.93 Blue Cross — All Commercial Plans: $123.36 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $117.27 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $132.07 Blue Shield — Epn/Ifp Benefit Exchange: $46.26 Blue Shield — Hmo: $55.92 Blue Shield — Medicare Managed Care Plan: $89.48 Blue Shield — Ppo/Epo: $55.92 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $50.08
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$887	$310.45	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$81.02 – $525.62
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $92.43 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $134.72 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $81.02 Blue Shield — Hmo: $97.93 Blue Shield — Medicare Managed Care Plan: $156.69 Blue Shield — Ppo/Epo: $97.93 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $87.69
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$1,694	$592.90	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$306.88 – $2,123.91
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $747.39 Aetna — Medicare Managed Care Plan: $306.88 Blue Cross — All Commercial Plans: $1,806.23 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $321.51 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $362.12 Blue Shield — Epn/Ifp Benefit Exchange: $1,098.16 Blue Shield — Hmo: $1,327.44 Blue Shield — Medicare Managed Care Plan: $2,123.91 Blue Shield — Ppo/Epo: $1,327.44 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $1,188.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$6,225	$2,178.75	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$225.59 – $1,170.22
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $549.14 Aetna — Medicare Managed Care Plan: $225.59 Blue Cross — All Commercial Plans: $996.74 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $236.35 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $266.20 Blue Shield — Epn/Ifp Benefit Exchange: $605.06 Blue Shield — Hmo: $731.39 Blue Shield — Medicare Managed Care Plan: $1,170.22 Blue Shield — Ppo/Epo: $731.39 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $654.93
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$5,069	$1,774.15	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$306.88 – $1,887.37
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $747.39 Aetna — Medicare Managed Care Plan: $306.88 Blue Cross — All Commercial Plans: $1,623.24 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $321.51 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $362.12 Blue Shield — Epn/Ifp Benefit Exchange: $975.86 Blue Shield — Hmo: $1,179.61 Blue Shield — Medicare Managed Care Plan: $1,887.37 Blue Shield — Ppo/Epo: $1,179.61 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $1,056.29
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$5,357	$1,874.95	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$448.71 – $1,207.19
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $581.35 Aetna — Medicare Managed Care Plan: $448.71 Blue Cross — All Commercial Plans: $1,061.30 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $470.10 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $529.47 Blue Shield — Epn/Ifp Benefit Exchange: $624.17 Blue Shield — Hmo: $754.49 Blue Shield — Medicare Managed Care Plan: $1,207.19 Blue Shield — Ppo/Epo: $754.49 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $675.61
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST	$7,724	$2,703.40	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$134.46 – $525.62
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $222.14 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $290.84 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $174.83 Blue Shield — Hmo: $211.33 Blue Shield — Medicare Managed Care Plan: $338.12 Blue Shield — Ppo/Epo: $211.33 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $189.23
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$2,692	$942.20	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$134.46 – $525.62
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates Aetna — All Commercial Plans: $222.14 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $301.71 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $185.66 Blue Shield — Hmo: $224.42 Blue Shield — Medicare Managed Care Plan: $359.07 Blue Shield — Ppo/Epo: $224.42 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $200.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$1,115	$390.25	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$134.46 – $525.62
Transvaginal ultrasound: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $211.12 Aetna — Medicare Managed Care Plan: $134.46 Blue Cross — All Commercial Plans: $225.77 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $140.87 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $158.66 Blue Shield — Epn/Ifp Benefit Exchange: $135.31 Blue Shield — Hmo: $163.56 Blue Shield — Medicare Managed Care Plan: $261.70 Blue Shield — Ppo/Epo: $163.56 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $146.46
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$1,327	$464.45	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$151.28 – $406.03
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $210.58 Blue Cross — All Commercial Plans: $406.03 Blue Shield — Epn/Ifp Benefit Exchange: $174.66 Blue Shield — Hmo: $211.13 Blue Shield — Medicare Managed Care Plan: $337.81 Blue Shield — Ppo/Epo: $211.13 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $189.06 Cigna — Oa/Oap Hmo/Pos: $295.65 Cigna — Ppo: $393.86 Unitedhealthcare — All Commercial Plans: $151.28
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$476	$166.60	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$97.95 – $209.61
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $97.95 Caremore — Medicare Managed Care Plan: $107.75 Healthnet — Ambetter Hmo: $181.21 Healthnet — Ambetter Ppo: $209.61 Humana — Medicare Managed Care Plan: $99.91 La Care Health Plan — Covered Ca Exchange: $127.34
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$192.86 – $519.79
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $269.46 Blue Cross — All Commercial Plans: $519.79 Blue Shield — Epn/Ifp Benefit Exchange: $262.12 Blue Shield — Hmo: $316.85 Blue Shield — Medicare Managed Care Plan: $506.95 Blue Shield — Ppo/Epo: $316.85 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $283.72 Cigna — Oa/Oap Hmo/Pos: $376.86 Cigna — Ppo: $502.04 Unitedhealthcare — All Commercial Plans: $192.86
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$604	$211.40	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$120.80 – $258.51
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $120.80 Caremore — Medicare Managed Care Plan: $132.88 Healthnet — Ambetter Hmo: $223.48 Healthnet — Ambetter Ppo: $258.51 Humana — Medicare Managed Care Plan: $123.22 La Care Health Plan — Covered Ca Exchange: $157.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$159.95 – $513.48
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $222.52 Blue Cross — All Commercial Plans: $429.26 Blue Shield — Epn/Ifp Benefit Exchange: $265.49 Blue Shield — Hmo: $320.92 Blue Shield — Medicare Managed Care Plan: $513.48 Blue Shield — Ppo/Epo: $320.92 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $287.37 Cigna — Oa/Oap Hmo/Pos: $311.91 Cigna — Ppo: $415.53 Unitedhealthcare — All Commercial Plans: $159.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$580	$203	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN UNIL/BIL W CAD	$580	$203	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$45.15 – $147.53
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans Blue Cross — All Commercial Plans: $147.53 Blue Shield — Epn/Ifp Benefit Exchange: $45.15 Blue Shield — Hmo: $54.58 Blue Shield — Medicare Managed Care Plan: $87.32 Blue Shield — Ppo/Epo: $54.58 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $48.87
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,409 – $20,717
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,169.67 Blue Cross — All Commercial Plans: $9,680 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,368.47 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $4,920.14 Blue Shield — Epn/Ifp Benefit Exchange: $7,833 Blue Shield — Hmo: $9,193 Blue Shield — Medicare Managed Care Plan: $3,409 Blue Shield — Ppo/Epo: $9,473 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,534 Caremore — Medicare Managed Care Plan: $4,586.63
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$686.24 – $25,913
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates Aetna — Medicare Managed Care Plan: $10,031.67 Blue Cross — All Commercial Plans: $6,576 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $10,509.96 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $11,837.21 Blue Shield — Epn/Ifp Benefit Exchange: $686.24 Blue Shield — Hmo: $829.52 Blue Shield — Medicare Managed Care Plan: $1,327.23 Blue Shield — Ppo/Epo: $829.52 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $742.80 Caremore — Medicare Managed Care Plan: $11,034.84
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$3,409 – $93,018
Heart rhythm study with ablation for atrial fibrillation: 10 of 18 insurance plan rates Aetna — Medicare Managed Care Plan: $33,617.65 Blue Cross — All Commercial Plans: $12,302 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $35,220.49 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $39,668.30 Blue Shield — Epn/Ifp Benefit Exchange: $7,833 Blue Shield — Hmo: $9,193 Blue Shield — Medicare Managed Care Plan: $3,409 Blue Shield — Ppo/Epo: $9,473 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,534 Caremore — Medicare Managed Care Plan: $36,979.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,018.70 – $2,642.06
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $2,178.29 Aetna — Medicare Managed Care Plan: $1,104.48 Blue Cross — All Commercial Plans: $1,018.70 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,157.14 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,303.27 Blue Shield — Epn/Ifp Benefit Exchange: $1,366.06 Blue Shield — Hmo: $1,651.28 Blue Shield — Medicare Managed Care Plan: $2,642.06 Blue Shield — Ppo/Epo: $1,651.28 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $1,478.65

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$28.41 – $77.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $77.90 Aetna — Medicare Managed Care Plan: $32.07 Blue Shield — Epn/Ifp Benefit Exchange: $28.41 Blue Shield — Hmo: $34.34 Blue Shield — Medicare Managed Care Plan: $54.95 Blue Shield — Ppo/Epo: $34.34 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $30.75 Caremore — Medicare Managed Care Plan: $35.28 Healthnet — Ambetter Hmo: $59.33 Healthnet — Ambetter Ppo: $68.63
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$231	$80.85	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$231	$80.85	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$106.80 – $228.55
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna — All Commercial Plans: $211.47 Aetna — Medicare Managed Care Plan: $106.80 Caremore — Medicare Managed Care Plan: $117.48 Healthnet — Ambetter Hmo: $197.58 Healthnet — Ambetter Ppo: $228.55 Humana — Medicare Managed Care Plan: $108.94 La Care Health Plan — Covered Ca Exchange: $138.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM	$697	$243.95	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$739	$258.65	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$103.01 – $220.44
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna — All Commercial Plans: $211.47 Aetna — Medicare Managed Care Plan: $103.01 Caremore — Medicare Managed Care Plan: $113.31 Healthnet — Ambetter Hmo: $190.57 Healthnet — Ambetter Ppo: $220.44 Humana — Medicare Managed Care Plan: $105.07 La Care Health Plan — Covered Ca Exchange: $133.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM	$711	$248.85	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$754	$263.90	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$107.57 – $230.20
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — All Commercial Plans: $211.47 Aetna — Medicare Managed Care Plan: $107.57 Caremore — Medicare Managed Care Plan: $118.33 Healthnet — Ambetter Hmo: $199 Healthnet — Ambetter Ppo: $230.20 Humana — Medicare Managed Care Plan: $109.72 La Care Health Plan — Covered Ca Exchange: $139.84
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM	$725	$253.75	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$768	$268.80	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PT 30 MIN CDM	$522	$182.70	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$39.11 – $488.54
Family psychotherapy, without the patient: 10 of 13 insurance plan rates Aetna — Medicare Managed Care Plan: $228.29 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $239.17 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $269.38 Blue Shield — Epn/Ifp Benefit Exchange: $39.11 Blue Shield — Hmo: $47.27 Blue Shield — Medicare Managed Care Plan: $75.64 Blue Shield — Ppo/Epo: $47.27 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $42.33 Caremore — Medicare Managed Care Plan: $251.12 Healthnet — Ambetter Hmo: $422.33
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$44.88 – $488.54
Family psychotherapy, with the patient: 10 of 13 insurance plan rates Aetna — Medicare Managed Care Plan: $228.29 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $239.17 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $269.38 Blue Shield — Epn/Ifp Benefit Exchange: $44.88 Blue Shield — Hmo: $54.25 Blue Shield — Medicare Managed Care Plan: $86.79 Blue Shield — Ppo/Epo: $54.25 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $48.57 Caremore — Medicare Managed Care Plan: $251.12 Healthnet — Ambetter Hmo: $422.33
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$17.58 – $279.62
Group psychotherapy: 10 of 13 insurance plan rates Aetna — Medicare Managed Care Plan: $130.66 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $136.89 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $154.18 Blue Shield — Epn/Ifp Benefit Exchange: $17.58 Blue Shield — Hmo: $21.25 Blue Shield — Medicare Managed Care Plan: $34 Blue Shield — Ppo/Epo: $21.25 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $19.03 Caremore — Medicare Managed Care Plan: $143.73 Healthnet — Ambetter Hmo: $241.72
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM	$375	$131.25	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$1,747 – $16,780
Removal of breast growth (open surgery): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $5,035.90 Blue Cross — All Commercial Plans: $4,712 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $5,276.01 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5,942.28 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Caremore — Medicare Managed Care Plan: $5,539.49
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,747 – $48,502
Total hip replacement: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $16,512.69 Blue Cross — All Commercial Plans: $7,067 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $17,299.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $19,484.71 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Caremore — Medicare Managed Care Plan: $18,163.96
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,747 – $48,502
Total knee replacement: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $16,512.69 Blue Cross — All Commercial Plans: $12,302 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $17,299.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $19,484.71 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Caremore — Medicare Managed Care Plan: $18,163.96
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,318 – $16,780
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Blue Cross — All Commercial Plans: $6,576 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Cigna — Oa/Oap Hmo/Pos: $7,805 Cigna — Ppo: $16,780 Unitedhealthcare — All Commercial Plans: $1,493 Unitedhealthcare — Select/Navigate Hmo: $1,318
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,160 – $20,717
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,208.34 Blue Cross — All Commercial Plans: $6,020 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,408.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $4,965.77 Blue Shield — Epn/Ifp Benefit Exchange: $4,962 Blue Shield — Hmo: $5,823 Blue Shield — Medicare Managed Care Plan: $2,160 Blue Shield — Ppo/Epo: $6,001 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $5,407 Caremore — Medicare Managed Care Plan: $4,629.17
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$1,747 – $19,534
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $7,613.89 Blue Cross — All Commercial Plans: $6,020 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $7,976.91 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $8,984.27 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Caremore — Medicare Managed Care Plan: $8,375.28
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$1,142 – $10,964
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,166.53 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,222.15 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,376.49 Blue Shield — Epn/Ifp Benefit Exchange: $2,624 Blue Shield — Hmo: $3,079 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Ppo/Epo: $3,173 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,859 Caremore — Medicare Managed Care Plan: $1,283.19
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$1,452	$508.20	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,166.53 – $14,674
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,166.53 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,222.15 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,376.49 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Caremore — Medicare Managed Care Plan: $1,283.19
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$1,452	$508.20	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,196.08 – $14,674
Colonoscopy (diagnostic): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,196.08 Blue Cross — All Commercial Plans: $2,623 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,253.11 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,411.36 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Caremore — Medicare Managed Care Plan: $1,315.69
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$1,424	$498.40	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,528 – $14,674
Colonoscopy with biopsy: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $2,623 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,612.46 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,816.09 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Caremore — Medicare Managed Care Plan: $1,692.99
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,528 – $14,674
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $2,623 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,612.46 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,816.09 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Caremore — Medicare Managed Care Plan: $1,692.99
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,142 – $14,674
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,539.08 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,612.46 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,816.09 Blue Shield — Epn/Ifp Benefit Exchange: $2,624 Blue Shield — Hmo: $3,079 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Ppo/Epo: $3,173 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,859 Caremore — Medicare Managed Care Plan: $1,692.99
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$353 – $14,674
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,196.08 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,253.11 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,411.36 Blue Shield — Epn/Ifp Benefit Exchange: $810 Blue Shield — Hmo: $951 Blue Shield — Medicare Managed Care Plan: $353 Blue Shield — Ppo/Epo: $980 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $883 Caremore — Medicare Managed Care Plan: $1,315.69
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$3,409 – $43,766
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $7,775.56 Blue Cross — All Commercial Plans: $12,302 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $8,146.28 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $9,175.04 Blue Shield — Epn/Ifp Benefit Exchange: $7,833 Blue Shield — Hmo: $9,193 Blue Shield — Medicare Managed Care Plan: $3,409 Blue Shield — Ppo/Epo: $9,473 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,534 Caremore — Medicare Managed Care Plan: $8,553.11
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$2,160 – $20,717
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,604.99 Blue Cross — All Commercial Plans: $6,020 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,824.55 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $5,433.82 Blue Shield — Epn/Ifp Benefit Exchange: $4,962 Blue Shield — Hmo: $5,823 Blue Shield — Medicare Managed Care Plan: $2,160 Blue Shield — Ppo/Epo: $6,001 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $5,407 Caremore — Medicare Managed Care Plan: $5,065.49
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$5,049	$1,767.15	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$1,528 – $14,674
Prostate biopsy: 10 of 12 insurance plan rates Blue Cross — All Commercial Plans: $3,664 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Cigna — Oa/Oap Hmo/Pos: $6,826 Cigna — Ppo: $14,674 Healthnet — All Commercial Plans: $7,176 Healthnet — Blue And Gold Other Commercial Plan: $4,449
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$1,142 – $35,214
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $13,671.74 Blue Cross — All Commercial Plans: $8,111 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $14,323.59 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $16,132.44 Blue Shield — Epn/Ifp Benefit Exchange: $2,624 Blue Shield — Hmo: $3,079 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Ppo/Epo: $3,173 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,859 Caremore — Medicare Managed Care Plan: $15,038.92
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,747 – $16,780
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $4,163.48 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $4,361.99 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $4,912.85 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Caremore — Medicare Managed Care Plan: $4,579.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$907.88 – $10,964
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $907.88 Blue Cross — All Commercial Plans: $2,623 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $951.17 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,071.29 Blue Shield — Epn/Ifp Benefit Exchange: $2,624 Blue Shield — Hmo: $3,079 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Ppo/Epo: $3,173 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,859 Caremore — Medicare Managed Care Plan: $998.67
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$4,022	$1,407.70	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$4,022	$1,407.70	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$1,137.58 – $10,964
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $1,137.58 Blue Cross — All Commercial Plans: $2,623 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $1,191.82 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $1,342.33 Blue Shield — Epn/Ifp Benefit Exchange: $2,624 Blue Shield — Hmo: $3,079 Blue Shield — Medicare Managed Care Plan: $1,142 Blue Shield — Ppo/Epo: $3,173 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $2,859 Caremore — Medicare Managed Care Plan: $1,251.34
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,528 – $14,674
Carpal tunnel release: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $2,511.53 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $2,631.28 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $2,963.57 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Caremore — Medicare Managed Care Plan: $2,762.68
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$2,563	$897.05	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$707.39 – $14,674
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $707.39 Blue Cross — All Commercial Plans: $3,664 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $741.12 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $834.71 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Caremore — Medicare Managed Care Plan: $778.13
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POST-CATARACT LASER SURGERY	$6,950	$2,432.50	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,968.25 – $31,736
Cataract removal with lens implant: 10 of 20 insurance plan rates Aetna — Medicare Managed Care Plan: $2,968.25 Blue Cross — All Commercial Plans: $8,111 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $3,109.77 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $3,502.48 Blue Shield — Epn/Ifp Benefit Exchange: $7,632 Blue Shield — Hmo: $8,957 Blue Shield — Medicare Managed Care Plan: $3,322 Blue Shield — Ppo/Epo: $9,230 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $8,316 Caremore — Medicare Managed Care Plan: $3,265.07

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$1,528 – $20,717
Vaginal delivery, with care before and after: rates for 8 insurance plans Blue Cross — All Commercial Plans: $7,067 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Cigna — Oa/Oap Hmo/Pos: $9,636 Cigna — Ppo: $20,717
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$1,747 – $20,717
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans Blue Cross — All Commercial Plans: $7,067 Blue Shield — Epn/Ifp Benefit Exchange: $4,013 Blue Shield — Hmo: $4,710 Blue Shield — Medicare Managed Care Plan: $1,747 Blue Shield — Ppo/Epo: $4,853 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $4,372 Cigna — Oa/Oap Hmo/Pos: $9,636 Cigna — Ppo: $20,717
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$1,528 – $20,717
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans Blue Cross — All Commercial Plans: $6,576 Blue Shield — Epn/Ifp Benefit Exchange: $3,511 Blue Shield — Hmo: $4,121 Blue Shield — Medicare Managed Care Plan: $1,528 Blue Shield — Ppo/Epo: $4,247 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $3,826 Cigna — Oa/Oap Hmo/Pos: $9,636 Cigna — Ppo: $20,717

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$94,199.84 – $648,490
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $244,627.99 Aetna — Medicare Managed Care Plan: $94,199.84 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $116,933.90 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $131,708.66 Blue Cross — Medicare Managed Care Plan: $94,199.84 Blue Shield — Epn/Ifp Benefit Exchange: $143,841.51 Blue Shield — Hmo: $164,826.87 Blue Shield — Ppo/Epo: $164,826.87 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $148,316.02 Brand New Day — Medicare Managed Care Plan: $94,199.84
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$54,235.87 – $229,888
Spinal fusion (not neck), without major complications: rates for 7 insurance plans Blue Shield — Epn/Ifp Benefit Exchange: $54,235.87 Blue Shield — Hmo: $62,148.46 Blue Shield — Ppo/Epo: $62,148.46 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $55,922.99 Cigna — Oa/Oap Hmo/Pos: $86,213.95 Cigna — Ppo: $162,851.65 First Health/Coventry — Coventry All Commercial Plans: $229,888
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$19,343.59 – $130,383
Hip or knee replacement (major joint of the leg), without major complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $47,795.54 Aetna — Medicare Managed Care Plan: $19,343.59 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $22,846.60 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $25,733.30 Blue Cross — Medicare Managed Care Plan: $19,343.59 Blue Shield — Epn/Ifp Benefit Exchange: $26,201.52 Blue Shield — Hmo: $30,024.12 Blue Shield — Ppo/Epo: $30,024.12 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $27,016.58 Brand New Day — Medicare Managed Care Plan: $19,343.59
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$24,227.32 – $123,523
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $60,006.15 Aetna — Medicare Managed Care Plan: $24,227.32 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $28,683.36 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $32,307.55 Blue Cross — Medicare Managed Care Plan: $24,227.32 Blue Shield — Epn/Ifp Benefit Exchange: $35,031.90 Blue Shield — Hmo: $40,142.78 Blue Shield — Ppo/Epo: $40,142.78 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $36,121.64 Brand New Day — Medicare Managed Care Plan: $24,227.32
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$12,784.29 – $54,898
Uterus and ovary surgery (not for cancer), without complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $30,383.31 Aetna — Medicare Managed Care Plan: $12,784.29 Blue Cross — Anthem Vivity City Of La Other Commercial Plan: $14,523.44 Blue Cross — Anthem Vivity Non City Of La Other Commercial Plan: $16,358.49 Blue Cross — Medicare Managed Care Plan: $12,784.29 Blue Shield — Epn/Ifp Benefit Exchange: $15,615.55 Blue Shield — Hmo: $17,893.74 Blue Shield — Ppo/Epo: $17,893.74 Blue Shield — Tandem Ppo/Blue High Performance Ppo/Epo: $16,101.31 Brand New Day — Medicare Managed Care Plan: $12,784.29

Source: Providence Little Co of Mary Med Ctr San Pedro’s standard charges file (pricetransparency.providence.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1300 W 7th St, San Pedro, CA 90732
County	Los Angeles County
State	California
Phone	(310) 832‑3311
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	050078
Name in Medicare records	PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
Profile level	Medicare data + hospital website
Name on the hospital’s website	Providence Little Company of Mary Medical Center San Pedro
Official website	providence.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

About - Providence Little Company of Mary Medical Center San Pedro — providence.org
Departments - Providence Little Company of Mary Medical Center San Pedro — providence.org
About Little Company of Mary Medical Center San Pedro | Providence — providence.org
Emergency Services | Little Company of Mary San Pedro | Providence — providence.org
Acute Rehabilitation Center | Little Company of Mary San Pedro | Providence — providence.org
Patients and Visitors | Little Company of Mary San Pedro | Providence — providence.org
Interpretation Services | Little Company of Mary Medical Center San Pedro | Providence — providence.org