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Providence Little Co of Mary Med Center San Pedro prices. From its own published file.

Providence Little Co of Mary Med Center San Pedro in San Pedro, CA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

17,065prices published
Apr 2026file last updated
$2,703cash price for ct abdomen and pelvis with contrast (list $7,724)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$569$1,627$351–$751
Emergency visit, high (level 4)
99284
$1,169$3,341$537–$1,148
Emergency visit, highest (level 5)
99285
$1,810$5,171$766–$1,639
Comprehensive metabolic panel
80053
$88.90$444$10.56–$101
Basic metabolic panel
80048
$71.75$366$8.46–$80.68
Complete blood count (CBC)
85025
$41.30$200$7.77–$74.07
Blood draw (venipuncture)
36415
$17.15$49.00$5.73–$22.99
Urinalysis
81001
$49.00$169$3.17–$30.21
Troponin (heart test)
84484
$62.65$218$12.47–$98.15
EKG tracing
93005
$196$559$39.38–$970
Chest X-ray, 2 views
71046
$310$887$43.86–$435
CT head without contrast
70450
$1,428$4,079$134–$808
CT abdomen and pelvis with contrast
74177
$2,703$7,724$449–$1,207
MRI lower back without contrast
72148
$2,179$6,225$307–$2,124
Ultrasound, abdomen
76700
$942$2,692$134–$526
IV push, single drug
96374
$215$613$111–$970
IV fluids, first hour
96360
$231$661$114–$585
Ketorolac injection, 15 mg
J1885
$32.66$93.67$0.34–$38.30
Ondansetron injection
J2405
$32.74$93.61$0.17–$25.63
Colonoscopy, diagnostic
45378
$498$1,424$1,196–$14,674
Upper GI endoscopy with biopsy
43239
$508$1,452$1,167–$14,674
Knee arthroscopy
29881
——$2,160–$20,717
Vaginal delivery, routine care
59400
——$1,528–$20,717
Cesarean delivery, routine care
59510
——$1,747–$20,717

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Providence Little Co of Mary Med Center San Pedro price transparency page.

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