Providence Little Co of Mary Medical Center San Pedro prices
Providence Little Co of Mary Medical Center San Pedro in San Pedro, CA publishes its standard charges, as every US hospital must under the federal Hospital Price Transparency Rule. Below is what its own file lists for common services, next to what it has agreed to accept from insurers.
What Providence Little Co of Mary Medical Center San Pedro publishes for common services
ER visit, level 3 (moderate): listed at $1,627. Insurers pay a median of $400, across 6 insurers.
If you were billed the list price, you may have been charged far more than insurers typically pay. See how to use these numbers below.
| Service | List price | Cash price | Insurers pay (median) |
|---|---|---|---|
| ER visit, level 1 (minor)CPT 99281, listed as "Emergency dept visit" | $700 | $245 | $124$108 to $232, 6 insurers |
| ER visit, level 2 (low-moderate)CPT 99282, listed as "Emergency dept visit" | $1,006 | $352 | $225$197 to $423, 6 insurers |
| ER visit, level 3 (moderate)CPT 99283, listed as "Emergency dept visit" | $1,627 | $569 | $400$351 to $751, 6 insurers |
| ER visit, level 4 (high)CPT 99284, listed as "Emergency dept visit" | $3,341 | $1,169 | $612$537 to $1,148, 6 insurers |
| ER visit, level 5 (critical)CPT 99285, listed as "Emergency dept visit" | $5,171 | $1,810 | $873$766 to $1,639, 6 insurers |
| Routine venipuncture (blood draw)CPT 36415, listed as "Routine venipuncture" | $49.00 | $17.15 | $11.43$5.73 to $22.99, 10 insurers |
| Vitamin B12 injectionCPT J3420, listed as "Vitamin b12 injection" | $93.33 to $95.34 | $32.67 to $33.37 | $3.39$3.39 to $11.78, 5 insurers |
| Comprehensive metabolic panelCPT 80053, listed as "Comprehen metabolic panel" | $254 to $634 | $88.90 to $222 | $21.12$10.56 to $101, 10 insurers |
| Basic metabolic panelCPT 80048, listed as "Metabolic panel total ca" | $205 to $527 | $71.75 to $184 | $16.92$8.46 to $80.68, 10 insurers |
| CBC with differentialCPT 85025, listed as "Complete cbc w/auto diff wbc" | $118 to $281 | $41.30 to $98.35 | $15.54$7.77 to $74.07, 10 insurers |
| Lipid panelCPT 80061, listed as "Lipid panel" | $181 to $404 | $63.35 to $141 | $26.78$13.39 to $128, 10 insurers |
| Hepatic function panelCPT 80076, listed as "Hepatic function panel" | $203 to $366 | $71.05 to $128 | $16.34$8.17 to $77.88, 10 insurers |
| X-ray, ankle, 3 viewsCPT 73610, listed as "X-ray exam of ankle" | $656 | $230 | $117$46.13 to $435, 9 insurers |
| CT abdomen, without contrastCPT 74176, listed as "Ct abd & pelvis w/o contrast" | $6,569 | $2,299 | $373$305 to $657, 8 insurers |
| CT abdomen and pelvis, with contrastCPT 74177, listed as "Ct abd & pelv w/contrast" | $7,724 | $2,703 | $611$449 to $1,207, 8 insurers |
| CT abdomen and pelvis, with and without contrastCPT 74178, listed as "Ct abd & pelv 1/> regns" | $8,228 | $2,880 | $768$449 to $1,596, 8 insurers |
| MRI brain, without contrastCPT 70551, listed as "Mri brain stem w/o dye" | $5,913 | $2,070 | $568$307 to $1,915, 8 insurers |
| MRI brain, with and without contrastCPT 70553, listed as "Mri brain stem w/o & w/dye" | $7,537 | $2,638 | $747$449 to $4,255, 8 insurers |
| MRI pelvis, without contrastCPT 72195, listed as "Mri Pelvis W/O Dye" | $6,054 | $2,119 | $568$307 to $1,896, 8 insurers |
| MRI pelvis, with and without contrastCPT 72197, listed as "Mri pelvis w/o & w/dye" | $6,989 | $2,446 | $747$449 to $4,202, 8 insurers |
| Complete echocardiogram with DopplerCPT 93306, listed as "Tte w/doppler complete" | $5,650 | $1,978 | $914$703 to $2,391, 6 insurers |
| Echocardiogram, completeCPT 93307, listed as "Tte w/o doppler complete" | $3,417 | $1,196 | $407$307 to $970, 7 insurers |
| Electrocardiogram, tracing only (technical component)CPT 93005, listed as "Electrocardiogram tracing" | $559 | $196 | $81.47$39.38 to $81.47, 7 insurers |
| Laparoscopic cholecystectomyCPT 47562, listed as "Laparoscopic cholecystectomy" | - | - | $9,791$3,409 to $9,791, 9 insurers |
| Knee arthroscopy, meniscectomyCPT 29881, listed as "Knee arthroscopy/surgery" | - | - | $5,912$2,160 to $20,717, 9 insurers |
Source: Providence Little Co of Mary Medical Center San Pedro's standard charges file, which the hospital dated April 1, 2026. Read on October 1, 2026. View the hospital's file (a large data file). Hospitals must publish this file under 45 CFR § 180.
List price
The hospital's full charge (its "gross charge") before any discount. Few people pay it, but it is often the starting point on a bill.
Cash price
What the hospital says it accepts from patients paying without insurance.
Insurers pay
The median of the per-service rates the hospital has negotiated with insurers, shown only when at least 3 insurers report one. Your plan's rate may differ.
How to use these numbers
Uninsured or paying yourself? You can ask Providence Little Co of Mary Medical Center San Pedro to bill you its published cash price, and ask about financial assistance, which nonprofit hospitals must offer.
Insured, and the hospital is in your network? Your share should be based on your plan's negotiated rate, not the list price. If your bill or explanation of benefits shows the list price, ask the billing office why.
These figures summarize what the hospital publishes. They are not a quote, and they don't include separate physician bills.
Check your Providence Little Co of Mary Medical Center San Pedro bill for errors
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