Providence Little CO of Mary Medical Center San Pedro

1300 W 7th St., San Pedro, CA 90732 · Acute care hospital

These are Providence Little CO of Mary Medical Center San Pedro's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

219 of the services we track have a posted price here; 138 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge
Critical care, first 30 to 74 minutes CPT 99291	$2,053.10	$5,866.00
Emergency room visit, level 1 (minor) CPT 99281	$245.00	$700.00
Emergency room visit, level 2 CPT 99282	$352.10	$1,006.00
Emergency room visit, level 3 (moderate) CPT 99283	$569.45	$1,627.00
Emergency room visit, level 4 CPT 99284	$1,169.35	$3,341.00
Emergency room visit, level 5 (most severe) CPT 99285	$1,809.85	$5,171.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$275.80	$788.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$40.42 – $161.28
Abdominal X-ray, 1 view CPT 74018	$290.15	$829.00
Ankle X-ray, 3 or more views CPT 73610	$229.60	$656.00
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$73.61 – $525.62
Breast ultrasound, one breast, complete CPT 76641	$232.40	$664.00
Breast ultrasound, one breast, limited CPT 76642	$173.95	$497.00
Chest X-ray, 1 view CPT 71045	$285.95	$817.00
Chest X-ray, 2 views CPT 71046	$310.45	$887.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,802.15	$5,149.00
CT angiogram of the head CPT 70496	$1,754.55	$5,013.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$2,703.40	$7,724.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$2,879.80	$8,228.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,299.15	$6,569.00
CT scan of the abdomen, without contrast CPT 74150	$1,532.65	$4,379.00
CT scan of the chest, with contrast CPT 71260	$1,802.15	$5,149.00
CT scan of the chest, without contrast CPT 71250	$1,532.65	$4,379.00
CT scan of the head, without contrast CPT 70450	$1,427.65	$4,079.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$2,408.70	$6,882.00
CT scan of the pelvis, with contrast CPT 72193	$1,774.15	$5,069.00
CT scan of the sinuses or face, without contrast CPT 70486	$1,794.10	$5,126.00
Diagnostic mammogram, both breasts CPT 77066	$211.40	$604.00
Diagnostic mammogram, one breast CPT 77065	$166.60	$476.00
Foot X-ray, 3 or more views CPT 73630	$229.60	$656.00
Hand X-ray, 3 or more views CPT 73130	$280.70	$802.00
Knee X-ray, 3 views CPT 73562	$269.85	$771.00
Leg or arm vein ultrasound, both sides CPT 93970	$889.70	$2,542.00
Leg or arm vein ultrasound, one side CPT 93971	$497.00	$1,420.00
Lower back X-ray, 2 or 3 views CPT 72100	$311.50	$890.00
MRI of both breasts, without and with contrast CPT 77049	$1,637.30	$4,678.00
MRI of the abdomen, without and with contrast CPT 74183	$2,165.10	$6,186.00
MRI of the brain, without and with contrast CPT 70553	$2,637.95	$7,537.00
MRI of the brain, without contrast CPT 70551	$2,069.55	$5,913.00
MRI of the knee or other leg joint, without contrast CPT 73721	$1,874.95	$5,357.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,178.75	$6,225.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,178.75	$6,225.00
MRI of the neck (cervical spine), without contrast CPT 72141	$2,069.55	$5,913.00
MRI of the pelvis, without and with contrast CPT 72197	$2,446.15	$6,989.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,874.95	$5,357.00
Neck X-ray, 2 or 3 views CPT 72040	$269.85	$771.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$701.05	$2,003.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$390.25	$1,115.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$390.25	$1,115.00
Screening mammogram, both breasts CPT 77067	$203.00	$580.00
Shoulder X-ray, 2 or more views CPT 73030	$248.85	$711.00
Transvaginal pregnancy ultrasound CPT 76817	$464.45	$1,327.00
Transvaginal ultrasound CPT 76830	$464.45	$1,327.00
Ultrasound of the abdomen, complete CPT 76700	$942.20	$2,692.00
Ultrasound of the neck or thyroid CPT 76536	$682.15	$1,949.00
Wrist X-ray, 3 or more views CPT 73110	$305.20	$872.00
X-ray of the lower back, 4 or more views CPT 72110	$592.90	$1,694.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$184.45	$527.00
Blood culture CPT 87040	$468.30	$1,338.00
Blood draw (venipuncture) CPT 36415	$17.15	$49.00
BNP test (heart failure) CPT 83880	$62.65	$179.00
C-reactive protein (CRP) test CPT 86140	$122.85	$351.00
Chlamydia test (DNA/NAAT) CPT 87491	$33.95	$97.00
Complete blood count (CBC) with differential CPT 85025	$98.35	$281.00
Complete blood count (CBC), automated CPT 85027	$73.15	$209.00
Comprehensive metabolic panel (blood test) CPT 80053	$221.90	$634.00
COVID-19 PCR test CPT 87635	$223.30	$638.00
D-dimer test (blood clots) CPT 85379	$29.40	$84.00
Drug screen, instrument chemistry CPT 80307	$1,005.20	$2,872.00
Ferritin (iron stores) test CPT 82728	$203.70	$582.00
Free T4 (thyroid) test CPT 84439	$83.65	$239.00
General health panel (blood tests) CPT 80050	not posted		$66.66 – $194.17
Glucose (blood sugar) test CPT 82947	$83.65	$239.00
Gonorrhea test (DNA/NAAT) CPT 87591	$34.65	$99.00
Hemoglobin A1c test CPT 83036	$56.70	$162.00
Hepatitis C antibody test CPT 86803	$127.40	$364.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$25.20	$72.00
Iron test CPT 83540	$103.60	$296.00
Kidney function panel CPT 80069	$207.55	$593.00
Lipase test (pancreas) CPT 83690	$112.00	$320.00
Lipid panel, cholesterol and triglycerides CPT 80061	$141.40	$404.00
Liver function panel CPT 80076	$128.10	$366.00
Magnesium test CPT 83735	$96.60	$276.00
Obstetric blood test panel CPT 80055	not posted		$47.81 – $221.91
Partial thromboplastin time (PTT), clotting test CPT 85730	$73.15	$209.00
Pregnancy blood test (hCG), quantitative CPT 84702	$310.10	$886.00
Prothrombin time (PT/INR), clotting test CPT 85610	$64.40	$184.00
PSA (prostate specific antigen), free CPT 84154	not posted		$18.39 – $175.27
PSA (prostate specific antigen), total CPT 84153	$227.85	$651.00
Rapid strep test CPT 87880	$293.30	$838.00
Sed rate (ESR) test CPT 85652	$63.35	$181.00
TB skin test CPT 86580	not posted		$16.98 – $79.61
Thyroid stimulating hormone (TSH) CPT 84443	$203.70	$582.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$161.00	$460.00
Troponin test (heart damage) CPT 84484	$89.60	$256.00
Urinalysis, automated, with microscope CPT 81001	$69.30	$198.00
Urinalysis, automated, without microscope CPT 81003	$45.50	$130.00
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $30.21
Urinalysis, manual, without microscope CPT 81002	$20.30	$58.00
Urine culture, colony count CPT 87086	$329.00	$940.00
Urine pregnancy test CPT 81025	$111.30	$318.00
Vitamin B12 test CPT 82607	$142.80	$408.00
Vitamin D test CPT 82306	$35.35	$101.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$988.05	$2,823.00
ECG tracing only (no interpretation) CPT 93005	$195.65	$559.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,977.50	$5,650.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$45.15 – $147.53
Holter monitor, up to 48 hours CPT 93224	not posted		$322.38 – $883.64
Left heart catheterization CPT 93452	not posted		$3,409.00 – $20,717.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$3,409.00 – $20,717.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$2,346.05	$6,703.00
Treadmill stress test, complete CPT 93015	not posted		$175.26 – $608.83

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$1,747.00 – $25,913.00
Appendix removal, laparoscopic CPT 44970	not posted		$2,822.00 – $20,717.00
Breast biopsy with ultrasound guidance CPT 19083	$3,076.15	$8,789.00
Carpal tunnel release CPT 64721	$897.05	$2,563.00
Colonoscopy with biopsy CPT 45380	not posted		$1,528.00 – $14,674.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$1,528.00 – $14,674.00
Colonoscopy, diagnostic CPT 45378	$498.40	$1,424.00
Colposcopy with biopsy CPT 57454	not posted		$391.93 – $10,964.00
Cystoscopy (bladder scope) CPT 52000	$402.85	$1,151.00
Ear tubes, under general anesthesia CPT 69436	not posted		$1,747.00 – $16,780.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$498.40	$1,424.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$3,409.00 – $43,766.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$10,761.00 – $16,987.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$2,455.00 – $43,766.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$1,747.00 – $16,780.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$2,160.00 – $20,717.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$1,767.15	$5,049.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$4,533.71 – $43,766.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$2,160.00 – $20,717.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$1,142.00 – $14,674.00
Nasal endoscopy, diagnostic CPT 31231	$183.75	$525.00
Prostate biopsy CPT 55700	not posted		$1,528.00 – $14,674.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$1,142.00 – $35,214.00
Removal of a breast lump, open surgery CPT 19120	not posted		$1,747.00 – $16,780.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$2,455.00 – $25,913.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$353.00 – $14,674.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$353.00 – $14,674.00
Septoplasty (nasal septum repair) CPT 30520	$1,699.95	$4,857.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$1,318.00 – $16,780.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$3,409.00 – $16,987.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$1,747.00 – $19,534.00
Total hip replacement CPT 27130	not posted		$1,747.00 – $48,502.00
Total knee replacement CPT 27447	not posted		$1,747.00 – $48,502.00
Upper endoscopy (EGD) with biopsy CPT 43239	$508.20	$1,452.00
Upper endoscopy (EGD), diagnostic CPT 43235	$508.20	$1,452.00
Vasectomy CPT 55250	not posted		$1,528.00 – $14,674.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted		$1,747.00 – $20,717.00
Fetal non-stress test CPT 59025	$274.75	$785.00
IUD insertion CPT 58300	$190.75	$545.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$1,528.00 – $20,717.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,528.00 – $20,717.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$9,373.11 – $41,175.00
C-section, without complications MS-DRG 788	not posted	$10,097.47 – $37,262.94
Chest pain MS-DRG 313	not posted	$7,821.45 – $34,313.00
COPD flare-up, with major complications MS-DRG 190	not posted	$11,516.65 – $82,348.00
COPD flare-up, without complications MS-DRG 192	not posted	$7,078.02 – $48,035.00
Fainting (syncope) MS-DRG 312	not posted	$9,266.36 – $44,604.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$10,306.20 – $65,192.00
Heart failure, with major complications MS-DRG 291	not posted	$13,195.08 – $92,642.00
Heart failure, without complications MS-DRG 293	not posted	$6,353.66 – $48,035.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$94,199.84 – $648,490.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$19,343.59 – $130,383.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$6,354.61 – $37,744.00
Kidney failure, with complications MS-DRG 683	not posted	$9,306.39 – $72,054.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$8,674.48 – $48,035.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$24,227.32 – $123,523.00
Normal newborn care MS-DRG 795	not posted	$2,420.98 – $10,294.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,376.16 – $44,604.00
Pneumonia, with complications MS-DRG 194	not posted	$8,640.17 – $65,192.00
Pneumonia, with major complications MS-DRG 193	not posted	$13,486.73 – $92,642.00
Pneumonia, without complications MS-DRG 195	not posted	$6,949.35 – $48,035.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$14,272.09 – $54,898.00
Sepsis, with major complications MS-DRG 871	not posted	$19,473.21 – $116,661.00
Sepsis, without major complications MS-DRG 872	not posted	$10,712.23 – $72,054.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$9,259.69 – $51,467.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$54,235.87 – $229,888.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$8,389.50 – $44,604.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$10,588.32 – $75,486.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$12,784.29 – $54,898.00
Vaginal delivery, without complications MS-DRG 807	not posted	$7,384.92 – $25,774.02
Weight loss surgery, without complications MS-DRG 621	not posted	$15,335.76 – $92,642.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$308.00	$880.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$1,137.58 – $10,964.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,407.70	$4,022.00
Lower back spinal injection (epidural), without imaging CPT 62322	$985.95	$2,817.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted		$2,968.25 – $31,736.00
Eye exam, new patient, comprehensive CPT 92004	not posted		$146.25 – $366.44
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$2,432.50	$6,950.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$108.88 – $354.16

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$277.71 – $838.72
Sleep study with CPAP titration CPT 95811	not posted	$1,104.48 – $2,862.07
Sleep study, overnight in a sleep lab CPT 95810	not posted	$1,018.70 – $2,642.06

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$302.40	$864.00

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	$80.85	$231.00
Physical therapy evaluation, low complexity CPT 97161	$258.65	$739.00
Physical therapy evaluation, moderate complexity CPT 97162	$263.90	$754.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$80.85	$231.00
Therapeutic activities, 15 minutes CPT 97530	$80.85	$231.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	not posted		$44.88 – $488.54
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$39.11 – $488.54
Group psychotherapy CPT 90853	$131.25	$375.00
Psychotherapy, 30 minutes CPT 90832	$182.70	$522.00

Infusions and injections

Service	Cash price	Gross charge
Injection under the skin or into a muscle CPT 96372	$168.00	$480.00
IV hydration, each additional hour CPT 96361	$150.85	$431.00
IV hydration, first hour CPT 96360	$231.35	$661.00
IV push injection of a drug, first CPT 96374	$214.55	$613.00
IV push injection, each additional drug CPT 96375	$168.00	$480.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$84.18	$240.50
Dexamethasone injection, per 1 mg HCPCS J1100	$33.10	$94.56
Fentanyl injection, per 0.1 mg HCPCS J3010	$312.55	$893.00
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$3.89 – $6.78
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$33.60	$96.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$97.02	$277.20
Morphine injection, up to 10 mg HCPCS J2270	$126.32	$360.90
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$32.80	$93.72
Propofol injection, per 10 mg HCPCS J2704	$35.86	$102.45
Saline IV solution, 1000 ml HCPCS J7030	$68.93	$196.95

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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