Providence Little Co. Of Mary Medical Center - San Pedro
Providence Saint Joseph Health
Hospital Overview
Facility Details
CCN
050078
NPI
1942247291
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
158
Contact Information
Address
1300 West Seventh Street
San Pedro, CA 90732
Phone
(310) 832-3311
Insurance Accepted
💡
Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | CPT Pathology and Laboratory Procedures Range: 80047 - 89398 | Negotiated | Very Low |
Aetna | Outpatient | CPT Surgery Range: 10004 - 69990 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Coronavirus Diagnostic Panel Range: U0001 - U0005 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Human Immunodeficiency Virus Infections Range: 969 - 977 | Negotiated | Very High |
Aetna | Outpatient | HCPCS Miscellaneous Medical Services Range: M0075 - M0301 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Procedures / Professional Services Range: G0008 - G9987 | Negotiated | Very High |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Ear, Nose, Mouth & Throat Range: 135 - 159 | Negotiated | Very High |
Aetna | Facility | RC Pharmacy (Also see 063X, an extension of 250X) Range: 0250 - 0259 | Percentage of Bill Charged | |
Aetna | Facility | RC Specialty Services Range: 0760 - 0769 | Percentage of Bill Charged | |
Aetna | Facility | RC Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) Range: 0270 - 0279 | Percentage of Bill Charged |
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