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 |
|---|---|---|---|---|
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $568.98 – $1,052.61 | 7 |
| Test socket symes HCPCS L5618 | not published | not published | $353.52 – $654.01 | 7 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $378.71 – $700.61 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $710.85 | $2,031.00 | $277.71 – $513.77 | 7 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $27.92 | 9 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $33.16 | 9 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $11.12 | 9 |
| Tetanus ig im CPT 90389 | not published | not published | $312.85 – $1,674.85 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | $2,048.35 | $5,852.44 | $291.98 – $1,237.88 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.58 – $38.21 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $340.17 | 9 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $3,364.72 | 9 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $12,933.83 | 9 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,648.74 | 9 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $18.00 – $405.38 | 8 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $48.58 – $405.38 | 8 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $16.03 – $405.38 | 8 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $18.00 – $142.17 | 8 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $567.42 – $5,977.00 | 9 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $14.14 – $43.89 | 9 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $37.20 – $73.26 | 7 |
| Therapy activation ipnss CPT 93150 | not published | not published | $122.28 – $352.70 | 7 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $63.00 | $180.00 | $28.53 – $78.06 | 6 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $63.00 | $180.00 | $23.65 – $76.65 | 6 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $258.05 – $1,487.00 | 8 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $211.62 – $864.05 | 9 |
| Ther/proph/diag inj ia CPT 96373 | $224.70 | $642.00 | $51.69 – $506.11 | 7 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $358.42 – $1,172.19 | 2 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $241.64 – $788.88 | 2 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $161.14 – $519.01 | 2 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $33.12 | $94.62 | $1.79 – $3.78 | 5 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $7.42 – $14.00 | 4 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $440.05 – $814.09 | 7 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $647.77 – $1,198.37 | 7 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $359.99 – $665.98 | 7 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $483.36 – $894.22 | 7 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $37.88 – $37.88 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $280.14 – $526.86 | 5 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $217.54 – $402.45 | 7 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $234.32 – $433.49 | 7 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,992.90 | $5,694.00 | $806.82 – $5,977.00 | 9 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $285.56 – $528.29 | 7 |
| Thoracic duct procedure CPT 38380 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracic duct procedure CPT 38381 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Thoracic duct procedure CPT 38382 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $6,345.51 – $11,739.19 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Thoracic pad HCPCS L1060 | not published | not published | $146.53 – $271.08 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $352.70 – $9,891.00 | 4 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $2,821.63 – $17,773.26 | 9 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $352.70 – $9,891.00 | 4 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $352.70 – $9,891.00 | 4 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Thoracotomy w/expl CPT 32100 | $3,070.55 | $8,773.00 | $1,142.09 – $12,235.00 | 4 |
| Thoracotomy with cardiac massage CPT 32160 | $3,070.55 | $8,773.00 | $1,142.09 – $9,891.00 | 4 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,528.38 – $41,720.12 | 9 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $4,005.00 – $9,891.00 | 2 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $2,821.63 – $15,861.00 | 9 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $140.73 – $260.35 | 7 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $2,821.63 – $17,773.26 | 9 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $2,821.63 – $17,773.26 | 9 |
| Throat x-ray & fluoroscopy CPT 70370 | $297.50 | $850.00 | $111.93 – $427.38 | 9 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,711.85 | $4,891.00 | $1,487.00 – $8,837.00 | 3 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $2,289.35 | $6,541.00 | $4,588.50 – $13,460.00 | 8 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $4,578.70 | $13,082.00 | $4,588.50 – $27,468.35 | 8 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $7,002.45 | $20,007.00 | $4,588.50 – $42,841.00 | 8 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Thrombin time CPT 85670 | $62.65 | $179.00 | $5.77 – $17.91 | 9 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $21.24 | 9 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $2,159.89 – $13,460.00 | 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.