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 |
|---|---|---|---|---|
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $4.79 – $6.15 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $32.37 – $111.42 | 7 |
| Supply of digital device HCPCS G0552 | not published | not published | $171.24 – $316.79 | 6 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $35.73 – $52.36 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $23.75 | $67.87 | $88.92 – $164.50 | 7 |
| Supprelin la implant HCPCS J9226 | not published | not published | $33,730.64 – $97,205.89 | 9 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $3,409.47 – $9,891.00 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $3,409.47 – $9,891.00 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,142.09 – $12,132.52 | 9 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,142.09 – $12,132.52 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $100.80 | $288.00 | $18.17 – $68.82 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $151.20 | $432.00 | $42.11 – $88.87 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $217.70 | $622.00 | $63.02 – $123.99 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $283.15 | $809.00 | $67.02 – $123.99 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $395.50 | $1,130.00 | $128.55 – $852.89 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $494.55 | $1,413.00 | $142.17 – $1,917.04 | 9 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $160.06 – $352.70 | 9 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,142.09 – $6,604.43 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $71.05 | $203.00 | $4.74 – $11.80 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $5.60 | $16.00 | $4.74 – $11.80 | 9 |
| Susceptibility mic per plate CPT 87186 | $80.85 | $231.00 | $8.65 – $26.83 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $20.59 | 9 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $151.86 – $280.94 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Svc venogram s&i CPT 75827 | $1,424.15 | $4,069.00 | $385.63 – $7,539.92 | 9 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $7.22 – $123.99 | 9 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,946.99 – $5,451.93 | 7 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,508.51 – $8,340.74 | 7 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $311.94 – $577.09 | 7 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $496.53 – $918.58 | 7 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $289.31 – $535.22 | 7 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $674.53 – $1,247.88 | 7 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,159.89 – $9,834.00 | 9 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Synch audio-only est high 40 CPT 98015 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $7.71 | $22.04 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $7.71 | $22.04 | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.61 – $67.93 | 5 |
| Synthetic sentence id test CPT 92576 | not published | not published | $48.04 – $88.87 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | $413.36 | $1,181.04 | $6.96 – $26.13 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $276.50 | $790.00 | $4.40 – $13.64 | 9 |
| System cardiomems hosp electronics HCPCS C2624 | $33,334.88 | $95,242.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $20,408.85 | $58,311.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $6,593.33 | $18,838.08 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $630.26 | $1,800.75 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $81.20 | $232.00 | $16.94 – $52.56 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $141.40 | $404.00 | $14.18 – $43.98 | 9 |
| T4 (thyroxine) free CPT 84439 | $140.35 | $401.00 | $9.02 – $27.97 | 9 |
| T4 (thyroxine) total CPT 84436 | $99.40 | $284.00 | $6.87 – $21.31 | 9 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.59 – $1.23 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.78 – $3.89 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.83 | $2.38 | $0.15 – $11.16 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $259.96 – $548.38 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $13.73 – $42.60 | 9 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.08 – $29.95 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,746.72 – $12,235.00 | 4 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,746.72 – $12,235.00 | 4 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $2,003.52 | $5,724.34 | $71.26 – $151.32 | 9 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $71.03 – $150.50 | 9 |
| Talymed HCPCS Q4127 | not published | not published | $91.67 – $296.10 | 8 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $8.27 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.70 – $0.85 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $1,885.90 | 8 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,746.62 – $7,249.37 | 8 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,484.60 | 8 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,530.00 – $3,377.16 | 9 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,142.09 – $12,235.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $352.70 – $1,487.00 | 8 |
| Tavr perq femoral CPT 33361 | $9,750.30 | $27,858.00 | $2,821.63 – $11,276.00 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $790.27 | $2,257.92 | $0.25 – $0.85 | 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.