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 |
|---|---|---|---|---|
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $406.45 – $2,475.25 | 7 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $340.25 – $2,034.84 | 7 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $663.24 | $1,894.97 | $493.08 – $912.20 | 7 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,251.44 | $6,432.68 | $1,782.97 – $3,298.49 | 7 |
| Brace back t-lso custom HCPCS L0486 | $2,676.40 | $7,646.85 | $2,583.85 – $4,780.12 | 7 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $351.28 – $2,100.30 | 7 |
| Brace cust back lso HCPCS L0631 | $306.25 | $875.00 | $1,231.38 – $2,278.05 | 7 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,098.83 – $2,032.84 | 7 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $472.36 | $1,349.61 | $463.50 – $857.48 | 7 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $143.94 – $266.29 | 7 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,549.08 – $4,715.80 | 7 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $573.13 – $1,060.29 | 6 |
| Brace knee extender plus 22-30in HCPCS L1832 | $196.11 | $560.30 | $834.24 – $1,543.34 | 7 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $181.78 – $336.29 | 7 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $123.80 | $353.70 | $455.16 – $1,422.91 | 7 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $939.24 – $1,737.59 | 7 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $171.78 | $490.80 | $149.29 – $276.19 | 7 |
| Brace m arm board HCPCS L3809 | not published | not published | $272.97 – $504.99 | 7 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $323.75 | $925.00 | $1,451.22 – $2,684.76 | 7 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,555.57 | $4,444.48 | $1,192.99 – $2,207.03 | 7 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $183.10 | $523.15 | $272.97 – $504.99 | 7 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $63.92 – $439.53 | 7 |
| Brace wrist classic lft sm HCPCS L3908 | $19.39 | $55.39 | $89.82 – $166.17 | 7 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Brach/thor cath 1st CPT 36215 | $1,208.20 | $3,452.00 | $1,487.00 – $9,891.00 | 3 |
| Brach/thor cath 2nd CPT 36216 | $964.95 | $2,757.00 | $1,487.00 – $9,891.00 | 3 |
| Brach/thor cath 3rd CPT 36217 | $1,093.05 | $3,123.00 | $1,487.00 – $9,891.00 | 3 |
| Brach/thor cath addl CPT 36218 | $240.80 | $688.00 | $1,487.00 – $9,891.00 | 3 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.26 – $99.54 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $55.48 | $158.50 | $36.64 – $77.79 | 7 |
| Brachy source palladium HCPCS C2640 | $110.25 | $315.00 | $88.26 – $175.13 | 7 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $64.48 – $140.60 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | $28,025.99 | $80,074.25 | $17,771.01 – $34,418.65 | 7 |
| Brachy src nonstrand c-131 HCPCS C2643 | $157.50 | $450.00 | $99.80 – $184.63 | 7 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $280.00 | $800.00 | $357.49 – $661.36 | 7 |
| Brachy src stranded c-131 HCPCS C2642 | $168.00 | $480.00 | $119.11 – $266.22 | 7 |
| Brachytx isodose complex CPT 77318 | $1,158.85 | $3,311.00 | $481.58 – $890.92 | 7 |
| Brachytx isodose intermed CPT 77317 | $829.85 | $2,371.00 | $356.65 – $890.92 | 7 |
| Brachytx isodose plan simple CPT 77316 | $628.60 | $1,796.00 | $273.70 – $890.92 | 7 |
| Braf gene CPT 81210 | $63.00 | $180.00 | $109.31 – $435.52 | 8 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Brain flow imaging only CPT 78610 | $490.35 | $1,401.00 | $252.13 – $2,612.61 | 9 |
| Brain image < 4 views CPT 78600 | not published | not published | $396.90 – $1,950.38 | 9 |
| Brain image 4+ views CPT 78605 | not published | not published | $428.57 – $2,612.61 | 9 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $473.07 – $1,950.38 | 9 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $661.83 – $2,612.61 | 9 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,391.60 | $3,976.00 | $448.71 – $1,316.74 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $995.40 | $2,844.00 | $448.71 – $1,074.63 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $829.15 | $2,369.00 | $306.88 – $834.41 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $2,967.30 | $8,478.00 | $448.71 – $1,316.74 | 8 |
| Brain MRI (with contrast) CPT 70552 | $2,551.85 | $7,291.00 | $448.71 – $1,074.63 | 8 |
| Brain MRI (without contrast) CPT 70551 | $2,167.90 | $6,194.00 | $306.88 – $834.41 | 8 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $105.00 | $300.00 | $59.59 – $110.24 | 7 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $1,872.00 | 9 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,450.65 | 9 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $115.50 – $931.74 | 8 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $748.26 | 9 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $1,131.52 | 9 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $459.66 | 8 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $115.50 – $931.74 | 8 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $702.38 | 9 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $218.90 – $1,092.52 | 8 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,824.88 – $5,444.03 | 9 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $4,588.50 – $19,447.84 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,695.40 | $4,844.00 | $1,528.38 – $10,103.00 | 9 |
| Breast punct aspir cyst, bil CPT 19000 | $2,255.40 | $6,444.00 | $352.70 – $5,977.00 | 9 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Breast reduction CPT 19318 | not published | not published | $2,159.89 – $15,799.68 | 9 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $113.01 – $1,487.00 | 8 |
| Breathing response hypoxia CPT 94450 | not published | not published | $94.11 – $306.17 | 7 |
| Breath recording infant CPT 94772 | $560.70 | $1,602.00 | $249.93 – $887.89 | 7 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $430.82 | 9 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $50.16 | 9 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $15,544.15 | $44,411.85 | $248.88 – $535.20 | 9 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $0.01 – $1,052,208.19 | 8 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $503.04 – $5,977.00 | 9 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $1,142.09 – $9,297.00 | 4 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Bronchial allergy tests CPT 95070 | not published | not published | $376.39 – $887.89 | 7 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $503.04 – $5,977.00 | 9 |
| Bronchial challenge CPT 94070 | not published | not published | $351.93 – $887.89 | 7 |
| Bronchial valve init insert CPT 31647 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $2,289.25 – $10,103.00 | 9 |
| Bronchial valve remov init CPT 31648 | not published | not published | $1,528.38 – $14,539.00 | 9 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,917.30 | $5,478.00 | $1,142.09 – $5,977.00 | 9 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $1,142.09 – $9,297.00 | 4 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,142.09 – $9,297.00 | 4 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,917.30 | $5,478.00 | $1,528.38 – $9,297.00 | 9 |
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.