Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $90.80 | 9 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.81 – $70.78 | 9 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $39.73 | 9 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $171.24 – $316.79 | 6 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $89.20 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $149.85 – $316.58 | 7 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $705.25 | $2,015.00 | $1,008.25 – $1,865.27 | 7 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $705.25 | $2,015.00 | $1,008.25 – $1,865.27 | 7 |
| 2nd order venous cath CPT 36012 | $524.65 | $1,499.00 | $1,487.00 – $9,891.00 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $140.88 – $427.38 | 8 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $165.49 – $306.17 | 7 |
| 3d ech img cgen car anomal CPT 93319 | $214.20 | $612.00 | $389.14 – $389.14 | 1 |
| 3-d radiotherapy plan CPT 77295 | $3,606.05 | $10,303.00 | $843.30 – $3,293.41 | 7 |
| 3d recon without postprocess indpndt CPT 76376 | $182.70 | $522.00 | $155.41 – $618.48 | 3 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $11.15 – $34.60 | 9 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $71.05 | $203.00 | $36.08 – $64.36 | 5 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,571.10 | $15,917.44 | $44.49 – $93.27 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $37.25 | 9 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,194.62 – $2,843.85 | 5 |
| Abd aorta w/runoff s&i CPT 75630 | $2,310.35 | $6,601.00 | $407.03 – $15,276.98 | 9 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Abd/low ext cath 1st CPT 36245 | $1,380.05 | $3,943.00 | $1,487.00 – $9,891.00 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $1,509.20 | $4,312.00 | $1,487.00 – $9,891.00 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $1,677.20 | $4,792.00 | $1,487.00 – $9,891.00 | 3 |
| Abd/low ext cath addl CPT 36248 | $322.00 | $920.00 | $1,487.00 – $9,891.00 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,833.60 | $8,096.00 | $225.59 – $823.77 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,543.45 | $7,267.00 | $225.59 – $740.92 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,042.60 | $5,836.00 | $134.46 – $473.15 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,801.40 | $8,004.00 | $448.71 – $1,316.74 | 8 |
| Abdominal MRI (with contrast) CPT 74182 | $2,022.65 | $5,779.00 | $448.71 – $1,074.63 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $1,922.90 | $5,494.00 | $306.88 – $834.41 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $756.35 | $2,161.00 | $950.02 – $5,977.00 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $627.20 | $1,792.00 | $134.46 – $516.16 | 9 |
| Abdominal Ultrasound (limited) CPT 76705 | $574.70 | $1,642.00 | $134.46 – $516.16 | 9 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,746.72 – $15,799.68 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $738.15 | $2,109.00 | $352.70 – $5,977.00 | 9 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $744.90 | 9 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $35.00 | $100.00 | $352.70 – $1,487.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | $225.40 | $644.00 | $1,487.00 – $15,227.00 | 3 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $10,658.90 | $30,454.00 | $3,409.47 – $16,065.00 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | $11,723.95 | $33,497.00 | $3,409.47 – $29,316.84 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $4,309.20 | $12,312.00 | $824.34 – $16,065.00 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,657.95 | $4,737.00 | $1,142.09 – $5,977.00 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | $16,377.90 | $46,794.00 | $1,528.38 – $17,773.26 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | $14,786.45 | $42,247.00 | $1,528.38 – $15,861.00 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,516.10 | $10,046.00 | $161.23 – $1,487.00 | 8 |
| Ablation cryo abd perit om CPT 49999 | $1,052.80 | $3,008.00 | $1,166.53 – $9,891.00 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | $2,450.00 | $7,000.00 | $3,409.47 – $13,460.00 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $501.55 | $1,433.00 | $259.12 – $9,891.00 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $3,409.47 – $17,773.26 | 9 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $567.42 – $9,891.00 | 9 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $259.12 – $9,891.00 | 9 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $13,671.74 – $25,292.72 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $278.60 | $796.00 | $394.79 – $9,891.00 | 9 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $4,998.00 | $14,280.00 | $352.70 – $15,861.00 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,142.09 – $22,524.58 | 9 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $352.70 – $31,392.63 | 9 |
| Abobotulinumtoxina HCPCS J0586 | $2,507.07 | $7,163.07 | $8.90 – $19.44 | 9 |
| Abortion CPT 59850 | not published | not published | $1,746.72 – $9,297.00 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $391.93 – $5,977.00 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $151.53 – $9,891.00 | 4 |
| Abrasion lesion single CPT 15786 | not published | not published | $151.53 – $1,487.00 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,894.90 | $5,414.00 | $1,142.09 – $15,861.00 | 9 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $630.00 | $1,800.00 | $1,142.09 – $9,891.00 | 4 |
| Access thoracic lymph duct CPT 38794 | $347.90 | $994.00 | $1,487.00 – $9,891.00 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $86.28 | $246.50 | $0.05 – $0.38 | 5 |
| Acetaminophen level CPT 80143 | $87.15 | $249.00 | $18.64 – $46.30 | 9 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $105.37 | $301.05 | $17.23 – $88.75 | 5 |
| Acetone qualitative CPT 82009 | $144.55 | $413.00 | $4.52 – $14.02 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $53.38 | 9 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $34.65 | 9 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $395.25 | $1,129.29 | $0.37 – $32.74 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $7.69 | $21.96 | $8.89 – $19.30 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $53.44 – $1,487.00 | 8 |
| Acne surgery 10040 CPT 10040 | $256.55 | $733.00 | $151.53 – $1,487.00 | 8 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $190.40 – $436.03 | 6 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $151.43 – $296.39 | 6 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $228.29 – $422.33 | 6 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $171.24 – $321.56 | 7 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $48.19 – $89.15 | 7 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $13.05 – $32.37 | 6 |
| Acoustic immitance testing CPT 92570 | not published | not published | $43.53 – $306.17 | 7 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $48.04 – $88.87 | 7 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Actigraphy testing CPT 95803 | not published | not published | $75.87 – $207.39 | 7 |
| Actinotherapy uv light CPT 96900 | not published | not published | $48.04 – $88.87 | 7 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $23.80 | $68.00 | $37.20 – $68.82 | 6 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $23.80 | $68.00 | $37.20 – $68.82 | 6 |
| Acute hepatitis panel CPT 80074 | $210.70 | $602.00 | $47.63 – $147.76 | 9 |
| Acute venous thrombus image CPT 78456 | not published | not published | $381.87 – $6,336.39 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $68.32 | $195.21 | $0.03 – $0.38 | 5 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.87 – $52.32 | 9 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $42.99 | 9 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $82.30 – $422.33 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.