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Providence Holy Cross Medical Center

15031 Rinaldi St, Mission Hills, CA 91346 · (818) 365-8051

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Los Angeles, CA metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

1,401 price rows for 60 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $48

$29
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,703

$1,024
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,428

$483
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,774

$479
cash
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cash
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cash
—
cash
Chlamydia test (DNA)

CPT 87491 · metro median $35

$43
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,190

$611
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 8 lines · metro median $32

$29
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $58

$37
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $422

$420
cash
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cash
—
cash
—
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $35

$43
cash
—
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,582

$1,955
cash
—
cash
—
cash
Left heart catheterization

CPT 93452 · metro median $5,658

$3,971
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines · metro median $18

$37
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $45

$26
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,967

$1,200
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,790

$784
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,214

$784
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,093

$784
cash
—
cash
$916
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $18

$110
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 8 lines · metro median $15

$43
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $90

$90
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $706

$544
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $9

$21
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $4,196

$3,511
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $281

$193
cash
—
cash
—
cash
—
cash
$796
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,829

$790
cash
TSH test (thyroid)

CPT 84443 · lowest of 14 lines · metro median $18

$60
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $515

$442
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,147

$586
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,160

$623
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $1,160

$623
cash
Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $35

$35
cash
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cash
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cash
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cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $652

$812
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.