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 |
|---|---|---|---|---|
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,478.88 – $15,227.00 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,478.88 – $15,227.00 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $438.67 – $9,891.00 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $317.15 – $9,891.00 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $435.52 | 9 |
| Srs linear based CPT 77372 | $8,587.25 | $24,535.00 | $2,143.81 – $17,525.04 | 7 |
| Srs multisource CPT 77371 | not published | not published | $3,445.63 – $17,525.04 | 7 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,478.88 – $15,227.00 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $364.83 – $9,891.00 | 4 |
| Staggered spondaic word test CPT 92572 | not published | not published | $16.05 – $306.17 | 7 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $9,624.00 – $9,891.00 | 2 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $263.85 – $488.12 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $189.00 | $540.00 | $118.26 – $229.40 | 6 |
| Stance phase only HCPCS L5858 | not published | not published | $22,336.47 – $41,322.47 | 7 |
| Standard control cable extra HCPCS L6655 | not published | not published | $122.62 – $226.85 | 7 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $108.86 | 9 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $197.90 – $366.12 | 7 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $95.12 – $169.62 | 2 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $95.12 – $169.62 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $248.15 | $709.00 | $82.26 – $208.57 | 6 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $193.14 | 9 |
| Stenger test pure tone CPT 92565 | not published | not published | $69.11 – $140.37 | 7 |
| Stenger test speech CPT 92577 | not published | not published | $127.06 – $887.89 | 7 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $7,150.50 | $20,430.00 | $2,159.89 – $42,841.00 | 5 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $50,225.00 | $143,500.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $26,143.55 | $74,695.85 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $24,396.19 | $69,703.40 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $5,247.90 | $14,994.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $4,549.30 | $12,998.00 | $2,159.89 – $30,073.00 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $2,220.05 | $6,343.00 | $2,159.89 – $13,460.00 | 4 |
| Stent placemt retro carotid CPT 37217 | $2,988.65 | $8,539.00 | $352.70 – $9,891.00 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $5,072.90 | $14,494.00 | $2,159.89 – $42,841.00 | 5 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $731.92 – $731.92 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $906.28 – $2,695.74 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.21 – $0.28 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.88 – $1.05 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $5.28 – $6.26 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Sternal pad HCPCS L1050 | not published | not published | $127.57 – $236.00 | 7 |
| St evaluate speech sound production CPT 92522 | $194.25 | $555.00 | $120.78 – $239.08 | 6 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $395.50 | $1,130.00 | $249.33 – $486.84 | 6 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $295.05 | $843.00 | $97.89 – $259.19 | 6 |
| St evaluation swallow function CPT 92610 | $270.90 | $774.00 | $60.32 – $234.31 | 6 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.02 – $97.64 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $19.90 – $36.82 | 7 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $1.28 – $1.49 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $142.17 – $405.38 | 8 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $142.17 – $566.82 | 8 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $142.17 – $405.38 | 8 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $102.02 – $405.38 | 8 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $1,142.09 – $9,891.00 | 3 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $205.22 – $379.66 | 7 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $18.92 – $36.88 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $6.54 – $7.73 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $135.10 | $386.00 | $194.49 – $1,487.00 | 8 |
| Strapping of chest CPT 29200 | $163.10 | $466.00 | $194.49 – $1,487.00 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | $184.10 | $526.00 | $75.87 – $1,487.00 | 8 |
| Strapping of hand or finger CPT 29280 | $184.10 | $526.00 | $75.87 – $1,487.00 | 8 |
| Strapping of hip CPT 29520 | $242.20 | $692.00 | $171.12 – $1,487.00 | 8 |
| Strapping of knee CPT 29530 | $203.35 | $581.00 | $171.12 – $1,487.00 | 8 |
| Strapping of toes 29550 CPT 29550 | $135.10 | $386.00 | $75.87 – $1,487.00 | 8 |
| Strep a ag ia CPT 87430 | $120.40 | $344.00 | $16.81 – $41.75 | 9 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $62.20 | 9 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $129.49 | 9 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $31.59 | 9 |
| Strep b dna amp probe CPT 87653 | $72.80 | $208.00 | $35.09 – $108.86 | 9 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $73.21 – $158.21 | 4 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $34.25 | 9 |
| Streptomycin injection HCPCS J3000 | not published | not published | $15.71 – $79.69 | 5 |
| Streptozocin injection HCPCS J9320 | $1,132.53 | $3,235.80 | $324.91 – $708.88 | 5 |
| Stress test pulmonary CPT 94618 | $434.00 | $1,240.00 | $51.95 – $316.58 | 7 |
| Stress tte complete CPT 93351 | $603.05 | $1,723.00 | $702.78 – $1,428.47 | 7 |
| Str markers spec anal addl CPT 81266 | not published | not published | $151.18 – $756.86 | 8 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $578.73 | 8 |
| St treatment speech individual CPT 92507 | $166.95 | $477.00 | $81.24 – $183.85 | 6 |
| St treatment swallow dysfunction/oral CPT 92526 | $181.30 | $518.00 | $92.41 – $214.18 | 6 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $907.88 – $5,977.00 | 9 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $258.05 – $1,487.00 | 8 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $352.70 – $1,487.00 | 8 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $34.74 | $99.25 | $0.84 – $8.89 | 5 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Suction socket HCPCS L6686 | not published | not published | $963.67 – $1,782.79 | 7 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $533.75 – $987.44 | 7 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $35.74 | 9 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $35.74 | 9 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $2,803.50 | $8,010.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $34.99 | $99.97 | $0.05 – $0.13 | 4 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.02 – $135.84 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $40.71 | $116.31 | $37.74 – $352.08 | 5 |
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.