PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
Acute Care Hospitals
Procedure Prices at PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM
CPT 36415
$8.25
Mechanical Traction
CPT 97012
$54.5
Therapeutic Exercises
CPT 97110
$54.5
Therapeutic Activities
CPT 97530
$54.5
HC CBC WITH DIFF AUTO
CPT 85025
$70.25
Screening Mammogram (bilateral)
CPT 77067
$105
Diagnostic Mammogram (unilateral)
CPT 77065
$109.5
HC ESTAB PT VISIT - LEVEL 3
CPT 99213
$110
EKG Tracing
CPT 93005
$131.5
Diagnostic Mammogram (bilateral)
CPT 77066
$139
HC COMPREHEN METABOLIC PANEL
CPT 80053
$158.5
Chest X-Ray (2 views)
CPT 71046
$179.5
Chest X-Ray (1 view)
CPT 71045
$203.5
Thoracic Spine X-Ray
CPT 72072
$216.5
OB Ultrasound
CPT 76805
$252.75
ER Visit — Low-Moderate Complexity
CPT 99283
$290.75
Abdominal Ultrasound — Limited
CPT 76705
$336.25
Retroperitoneal Ultrasound
CPT 76770
$487.25
Abdominal Ultrasound
CPT 76700
$610.5
Echocardiogram
CPT 93307
$663.25
ER Visit — Moderate Complexity
CPT 99284
$666.25
ER Visit — High Complexity
CPT 99285
$1,031.25
CT Chest
CPT 71250
$1,032.75
Echocardiogram w/ Doppler
CPT 93306
$1,096.25
MRI Joint of Lower Extremity
CPT 73721
$1,335.5
MRI Brain w/o Contrast
CPT 70551
$1,432.25
CT Abdomen & Pelvis
CPT 74177
$1,821.75
MRI Brain w/ Contrast
CPT 70553
$1,825.75
Compare Prices Nearby
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.