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 |
|---|---|---|---|---|
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,528.38 – $13,460.00 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,746.72 – $12,132.52 | 9 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $342.92 – $634.40 | 7 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $521.09 – $964.02 | 7 |
| Shoulder harness HCPCS L5699 | not published | not published | $304.35 – $563.05 | 7 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $624.04 – $1,154.47 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,619.75 | $7,485.00 | $448.71 – $1,316.74 | 8 |
| Shoulder MRI (with contrast) CPT 73222 | $1,888.60 | $5,396.00 | $813.72 – $1,865.27 | 8 |
| Shoulder MRI (without contrast) CPT 73221 | $1,808.45 | $5,167.00 | $306.88 – $834.41 | 8 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,409.47 – $15,861.00 | 9 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $352.70 – $17,265.50 | 9 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $552.52 – $1,022.16 | 7 |
| Shoulder X-ray CPT 73030 | $383.25 | $1,095.00 | $52.71 – $427.38 | 9 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $108.79 – $201.26 | 7 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $68.26 – $126.28 | 7 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $59.71 – $110.46 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,501.75 | $10,005.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $192.15 | $549.00 | $134.46 – $516.16 | 9 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $37.91 | 9 |
| Sialography s&i CPT 70390 | $306.95 | $877.00 | $208.48 – $1,173.24 | 9 |
| Sialolithotomy 42330 CPT 42330 | $2,858.45 | $8,167.00 | $1,528.38 – $9,891.00 | 9 |
| Sickling rbc CPT 85660 | $47.95 | $137.00 | $5.51 – $17.10 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | $811.30 | $2,318.00 | $1,142.09 – $5,977.00 | 9 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $1,074.52 – $5,977.00 | 9 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $46.41 – $140.37 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $76.04 | 4 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $912.85 – $1,688.77 | 7 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $321.35 – $5,977.00 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $478.29 | $1,366.55 | $132.99 – $308.01 | 5 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $110.46 – $248.76 | 8 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $302.33 – $559.31 | 7 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,409.47 – $17,265.50 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,009.00 | $5,740.00 | $225.59 – $823.77 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $1,669.15 | $4,769.00 | $225.59 – $740.92 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $1,390.90 | $3,974.00 | $134.46 – $473.15 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | $1,634.85 | $4,671.00 | $390.75 – $15,276.98 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $395.82 – $732.27 | 7 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $60.40 – $111.74 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | $92,244.69 | $263,556.25 | $56,269.19 – $122,586.77 | 9 |
| Sirolimus, oral HCPCS J7520 | $15.76 | $45.04 | $0.96 – $51.23 | 5 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $81.38 – $252.90 | 9 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $297.38 – $550.15 | 7 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.02 – $110.68 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $121.73 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $12.43 – $14.76 | 2 |
| Skin Biopsy CPT 11102 | $251.30 | $718.00 | $435.07 – $1,487.00 | 8 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $561.69 – $9,891.00 | 4 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $12.49 – $68.82 | 9 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,159.89 – $12,235.00 | 4 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Skyla, 13.5 mg HCPCS J7301 | $436.84 | $1,248.10 | $1,031.61 – $2,609.37 | 5 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $434.07 | 9 |
| Sleep study attended CPT 95807 | not published | not published | $479.94 – $1,875.16 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,104.48 – $2,043.29 | 7 |
| Sleep study unattended CPT 95806 | not published | not published | $277.71 – $513.77 | 7 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $232.89 – $430.85 | 7 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $7.95 | $22.72 | $15.26 – $15.26 | 1 |
| Sling pelv split sam med HCPCS L0621 | $53.03 | $151.50 | $33.70 – $233.21 | 7 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,395.47 | $29,701.35 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Slitting of prepuce CPT 54001 | $2,983.40 | $8,524.00 | $1,528.38 – $9,297.00 | 9 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $46.53 – $46.53 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $75.87 – $218.38 | 7 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $33,050.99 | 9 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $52.21 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy CPT 44378 | not published | not published | $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.