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Providence Little Co of Mary Med Ctr San Pedro

1300 W 7Th St, San Pedro, CA 90732 · (310) 832-3311

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

Price file

Prices published

File dated 2026-04-01

1,420 price rows for 61 procedures

Published prices

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

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

$72
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,703

$2,703
cash
CT scan of the head, no contrast

CPT 70450 · metro median $1,428

$1,428
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,774

$1,774
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · metro median $35

$34
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,190

$498
cash
—
cash
—
cash
Complete blood count (CBC) with differential

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

$41
cash
Comprehensive metabolic panel (blood test)

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

$89
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $422

$211
cash
—
cash
—
cash
—
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $35

$35
cash
Group psychotherapy

CPT 90853 · metro median $197

$131
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,582

$1,767
cash
—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $1,570

$2,433
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 12 lines · metro median $18

$63
cash
Liver function panel

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

$71
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,967

$2,638
cash
$1,875
cash
$2,179
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,093

$2,070
cash
—
cash
—
cash
PSA test (prostate)

CPT 84153 · lowest of 8 lines · metro median $18

$104
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $15

$34
cash
Physical therapy, therapeutic exercise (15 minutes)

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

$76
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $706

$390
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $9

$29
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $227

$183
cash
—
cash
Screening mammogram (both breasts)

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

$203
cash
—
cash
—
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,473

$986
cash
Spinal injection, lower back, with imaging guidance

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

$1,408
cash
TSH test (thyroid)

CPT 84443 · lowest of 12 lines · metro median $18

$84
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $515

$464
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,147

$942
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,160

$508
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $1,160

$508
cash
Urinalysis with microscope

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

$49
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

$593
cash

Source files

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