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 |
|---|---|---|---|---|
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $761.95 | $2,177.00 | $763.02 – $5,977.00 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,142.09 – $13,460.00 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | $1,706.60 | $4,876.00 | $1,142.09 – $5,977.00 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,181.85 | $9,091.00 | $1,528.38 – $9,297.00 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,020.55 | $5,773.00 | $1,142.09 – $5,977.00 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,344.30 | $6,698.00 | $763.02 – $5,977.00 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $352.70 – $13,460.00 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $2,073.40 | $5,924.00 | $1,746.72 – $9,891.00 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $9,903.95 | $28,297.00 | $1,528.38 – $52,926.57 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $9,903.95 | $28,297.00 | $1,528.38 – $74,686.95 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $9,903.95 | $28,297.00 | $1,528.38 – $52,926.57 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $2,073.40 | $5,924.00 | $1,746.72 – $9,891.00 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $352.70 – $9,891.00 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,441.95 | $6,977.00 | $243.62 – $2,362.00 | 8 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $352.70 – $9,891.00 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | $2,749.25 | $7,855.00 | $1,746.72 – $19,690.54 | 9 |
| Rmvl perq right heart vad CPT 33997 | $1,330.00 | $3,800.00 | $352.70 – $8,837.00 | 3 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $352.70 – $15,861.00 | 9 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $352.70 – $15,861.00 | 9 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $352.70 – $15,861.00 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $6,053.25 | $17,295.00 | $1,528.38 – $42,841.00 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,188.75 | $14,825.00 | $1,528.38 – $19,690.54 | 9 |
| Rmvl pq iabp CPT 33968 | $611.80 | $1,748.00 | $6,790.00 – $17,698.00 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,330.00 | $3,800.00 | $3,322.13 – $9,891.00 | 4 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,142.09 – $15,227.00 | 4 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,142.09 – $15,227.00 | 4 |
| Rmvl sq defib electrode CPT 33272 | $2,073.40 | $5,924.00 | $352.70 – $9,891.00 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,434.30 | $4,098.00 | $910.78 – $9,297.00 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $1,475.60 | $4,216.00 | $1,142.09 – $6,911.51 | 9 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $372.40 | $1,064.00 | $112.54 – $1,487.00 | 8 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $8,365.00 – $17,265.50 | 8 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $8,365.00 – $17,265.50 | 8 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Rmvl tv pm lead dual CPT 33235 | $4,288.20 | $12,252.00 | $1,746.72 – $9,891.00 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $3,476.20 | $9,932.00 | $1,746.72 – $9,891.00 | 9 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $352.70 – $15,201.00 | 9 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $352.70 – $9,891.00 | 9 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $352.70 – $15,201.00 | 9 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $352.70 – $9,891.00 | 4 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $352.70 – $26,513.03 | 9 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $352.70 – $73,423.09 | 9 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $475.93 – $9,891.00 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $8,309.39 – $15,227.00 | 3 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $6,207.69 – $15,227.00 | 3 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $220.85 | 7 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.56 – $3.85 | 5 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.80 – $67.81 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $10,736.80 | $30,676.57 | $11.00 – $22.62 | 9 |
| Romiplostim injection HCPCS J2796 | not published | not published | $100.56 – $126.60 | 2 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $10,252.84 | $29,293.83 | $12.00 – $24.70 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $355.25 | $1,015.00 | $0.06 – $0.57 | 5 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $868.15 – $1,606.08 | 7 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $45.27 | 9 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $128.15 – $237.08 | 7 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $151.53 – $477.39 | 7 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.31 – $49.11 | 9 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $352.70 – $30,548.47 | 9 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,455.49 – $15,227.00 | 4 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $4,588.50 – $16,065.00 | 9 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $1,142.09 – $30,548.47 | 9 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,752.75 | $7,865.00 | $1,142.09 – $5,977.00 | 9 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $960.40 | $2,744.00 | $514.17 – $1,950.38 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,052.44 – $6,336.39 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,839.15 – $7,079.53 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $4,094.65 | $11,699.00 | $1,142.09 – $5,977.00 | 9 |
| Rpl tun-cvad w subq port CPT 36582 | $5,458.60 | $15,596.00 | $2,455.49 – $10,103.00 | 9 |
| Rpl tun-cvad w subq pump CPT 36583 | $7,946.75 | $22,705.00 | $2,455.49 – $13,460.00 | 9 |
| Rpl tun cvc wo subq port CPT 36581 | $5,047.00 | $14,420.00 | $1,142.09 – $9,834.00 | 9 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,142.09 – $15,861.00 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $352.70 – $15,403.87 | 9 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $352.70 – $15,861.00 | 9 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $352.70 – $15,403.87 | 9 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $352.70 – $12,557.00 | 9 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $352.70 – $15,861.00 | 9 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,142.09 – $15,861.00 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,142.09 – $15,861.00 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $352.70 – $15,403.87 | 9 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $352.70 – $15,861.00 | 9 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $352.70 – $12,557.00 | 9 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $2,821.63 – $13,460.00 | 9 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,528.38 – $15,227.00 | 4 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,528.38 – $15,227.00 | 4 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $2,455.49 – $13,207.00 | 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.