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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44382 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,746.72 – $12,557.00 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $601.78 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $74.90 | $214.00 | $5.39 – $16.67 | 9 |
| Smear gram stain CPT 87205 | $63.35 | $181.00 | $4.27 – $13.25 | 9 |
| Smear nasal eosinophil CPT 89190 | $112.70 | $322.00 | $5.79 – $14.74 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $121.45 | $347.00 | $5.99 – $18.59 | 9 |
| Smear wet mount CPT 87210 | $67.55 | $193.00 | $5.82 – $14.44 | 9 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $748.26 | 9 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $459.85 | 9 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $116.70 | 8 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $126.82 | 8 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,290.37 – $2,387.18 | 7 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $983.68 – $1,819.81 | 7 |
| Socket insert above knee HCPCS L5658 | not published | not published | $460.83 – $852.54 | 7 |
| Socket insert below knee HCPCS L5655 | not published | not published | $432.96 – $800.98 | 7 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $605.51 – $1,120.19 | 7 |
| Socket insert symes HCPCS L5654 | not published | not published | $498.83 – $922.84 | 7 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $799.39 – $1,478.87 | 7 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $959.29 – $1,774.69 | 7 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $42.85 – $79.27 | 7 |
| Sock wool above knee HCPCS L8430 | not published | not published | $34.09 – $63.07 | 7 |
| Sodium 24 hour urine CPT 84300 | $131.25 | $375.00 | $5.06 – $15.09 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $68.93 | $196.95 | $2.28 – $27.06 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $68.93 | $196.95 | $1.38 – $31.03 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $68.93 | $196.95 | $0.71 – $24.22 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $68.93 | $196.95 | $0.17 – $0.34 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $35.15 | $100.42 | $2.18 – $21.00 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $852.60 | $2,436.00 | $73.39 – $352.73 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $108.50 | $310.00 | $4.81 – $14.94 | 9 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $33.55 | $95.87 | $0.82 – $2.00 | 9 |
| Soft interface below knee se HCPCS L2820 | $136.96 | $391.30 | $133.05 – $246.14 | 7 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $111.93 – $207.07 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,101.16 – $3,340.40 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,101.16 – $2,969.25 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $1,101.16 – $8,165.36 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,598.10 | 8 |
| Solid skin barrier HCPCS A4362 | not published | not published | $6.77 – $8.02 | 2 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $14.77 – $17.54 | 2 |
| Somatosensory testing CPT 95927 | $1,024.45 | $2,927.00 | $156.69 – $513.77 | 7 |
| Somatropin injection HCPCS J2941 | not published | not published | $69.39 – $315.53 | 5 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $1,101.16 – $7,423.06 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,226.95 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $24.63 – $49.01 | 5 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $191.58 – $354.42 | 7 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Special physics consult CPT 77370 | $785.40 | $2,244.00 | $172.87 – $319.81 | 7 |
| Special pump services CPT 99190 | not published | not published | $2,531.40 – $2,531.40 | 1 |
| Special pump services CPT 99191 | not published | not published | $1,896.79 – $1,896.79 | 1 |
| Special pump services CPT 99192 | not published | not published | $1,265.70 – $1,265.70 | 1 |
| Special radiation dosimetry CPT 77331 | $469.00 | $1,340.00 | $48.43 – $319.81 | 7 |
| Special radiation treatment CPT 77470 | $1,788.15 | $5,109.00 | $244.41 – $1,314.72 | 7 |
| Special teletx port plan CPT 77321 | $760.20 | $2,172.00 | $150.28 – $890.92 | 7 |
| Specific gravity body fluid CPT 84315 | $49.00 | $140.00 | $3.28 – $8.14 | 9 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $14.59 | 9 |
| Speech audiometry complete CPT 92556 | not published | not published | $75.87 – $140.37 | 7 |
| Speech evaluation complex CPT 70371 | $750.05 | $2,143.00 | $134.88 – $1,173.24 | 9 |
| Speech recep thresh CPT 92555 | not published | not published | $65.84 – $140.37 | 7 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $33.11 | 9 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $65.04 | 9 |
| Sperm identification CPT 89257 | not published | not published | $67.02 – $123.99 | 8 |
| Sperm isolation complex CPT 89261 | not published | not published | $67.02 – $123.99 | 8 |
| Sperm isolation simple CPT 89260 | not published | not published | $67.02 – $123.99 | 8 |
| Sperm washing 58323 CPT 58323 | not published | not published | $260.03 – $5,977.00 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,881.95 | $5,377.00 | $907.88 – $5,977.00 | 9 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $352.70 – $30,073.00 | 9 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $127.63 – $513.77 | 7 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $283.50 | $810.00 | $174.64 – $887.89 | 7 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $108.01 – $306.17 | 7 |
| Spleen imaging CPT 78185 | $596.40 | $1,704.00 | $404.50 – $1,950.38 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Splicing of ureters CPT 50770 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $592.42 – $1,095.98 | 7 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $71.73 – $132.70 | 7 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $180.95 | 7 |
| Splint finger frog med HCPCS L3927 | not published | not published | $38.17 – $70.61 | 7 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.73 – $3.73 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $34.32 | $98.07 | $97.81 – $180.95 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $3,141.95 | $8,977.00 | $1,528.38 – $9,834.00 | 9 |
| Split blood or products CPT 86985 | $95.55 | $273.00 | $1.83 – $405.38 | 9 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $117.56 – $217.49 | 7 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $352.70 – $1,487.00 | 8 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $785.31 – $1,452.82 | 7 |
| Sputum specimen collection CPT 89220 | not published | not published | $39.88 – $405.38 | 9 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $2,090.73 – $8,914.63 | 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.