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 |
|---|---|---|---|---|
| Bronchoscopy w/markers CPT 31626 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $256.73 – $9,891.00 | 9 |
| Br punct aspir ea add, l CPT 19001 | $108.50 | $310.00 | $277.95 – $9,891.00 | 4 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $6.24 – $11.54 | 7 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Budesonide non-comp unit HCPCS J7626 | $4.26 | $12.18 | $1.28 – $3.67 | 5 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $33.08 | $94.50 | $0.61 – $1.23 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $83.30 | $238.00 | $19.08 – $207.24 | 9 |
| Bundled special stain group 2 CPT 88313 | $74.90 | $214.00 | $18.65 – $316.58 | 9 |
| Bundle his recording CPT 93600 | $1,922.90 | $5,494.00 | $337.60 – $16,065.00 | 8 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $33.89 | $96.82 | $0.01 – $0.19 | 5 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $1.69 | 3 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $2.64 – $15.54 | 4 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $5.25 – $25.22 | 4 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $0.02 – $123.11 | 2 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $2.65 – $8.99 | 5 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.27 – $5.49 | 5 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,976.55 – $4,139.24 | 9 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,976.55 – $4,139.24 | 9 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Burr hole implant ventricular cath/other device CPT 61210 | $2,018.10 | $5,766.00 | $1,142.09 – $9,891.00 | 4 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Burr hole skull & remove clot 61154 CPT 61154 | $1,987.30 | $5,678.00 | $1,142.09 – $9,891.00 | 4 |
| Bur rotalink 2.15mm HCPCS C1724 | $5,793.81 | $16,553.75 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.68 – $3.14 | 9 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $5.05 – $16.46 | 5 |
| Buttock fasciotomy CPT 27027 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $2,068.15 – $15,861.00 | 9 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Bx bone trocar/ndl deep CPT 20225 | $1,718.85 | $4,911.00 | $1,528.38 – $9,297.00 | 9 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,695.40 | $4,844.00 | $1,528.38 – $10,103.00 | 9 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,695.40 | $4,844.00 | $1,528.38 – $10,103.00 | 9 |
| Bx breast add lesion mr imag CPT 19086 | $1,695.40 | $4,844.00 | $1,487.00 – $9,891.00 | 3 |
| Bx breast add lesion strtctc CPT 19082 | $1,695.40 | $4,844.00 | $1,487.00 – $9,891.00 | 3 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,695.40 | $4,844.00 | $1,487.00 – $9,891.00 | 3 |
| Bx breast perq without image 19100 CPT 19100 | $1,288.70 | $3,682.00 | $789.04 – $5,977.00 | 9 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $391.93 – $5,977.00 | 9 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,746.72 – $18,416.00 | 4 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,528.38 – $18,416.00 | 4 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx liver with other CPT 47001 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Bx muscle CPT 20200 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx of breast open 19101 CPT 19101 | $4,322.15 | $12,349.00 | $1,528.38 – $9,297.00 | 9 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Bx pancreas pq ndl CPT 48102 | $3,786.65 | $10,819.00 | $1,142.09 – $5,977.00 | 9 |
| Bx perianal mass CPT 46999 | $830.55 | $2,373.00 | $959.20 – $9,891.00 | 9 |
| Bx pleura pq ndl CPT 32400 | $1,470.35 | $4,201.00 | $1,142.09 – $5,977.00 | 9 |
| Bx prostate trnsrctl u/s guid CPT 55707 | not published | not published | $4,533.71 – $8,387.37 | 6 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $1,528.38 – $10,103.00 | 9 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $222.25 | $635.00 | $1,487.00 – $9,891.00 | 3 |
| Bx skin punch ea sep/ addl les CPT 11105 | $125.65 | $359.00 | $1,487.00 – $9,891.00 | 3 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $125.65 | $359.00 | $1,487.00 – $9,891.00 | 3 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $4,415.95 | $12,617.00 | $1,142.09 – $5,977.00 | 9 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,427.22 – $9,297.00 | 9 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $753.20 | $2,152.00 | $352.70 – $5,977.00 | 9 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $2,377.55 | $6,793.00 | $352.70 – $5,977.00 | 9 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,195.25 | $3,415.00 | $601.13 – $5,977.00 | 9 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $973.00 | $2,780.00 | $273.20 – $9,891.00 | 4 |
| Bypass temp external fem-fem CPT 37799 | $1,970.15 | $5,629.00 | $105.19 – $9,891.00 | 9 |
| C-1 esterase, berinert HCPCS J0597 | $14,315.92 | $40,902.62 | $66.20 – $155.38 | 9 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $65.25 – $137.34 | 9 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $12.00 – $37.25 | 9 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $25,377.17 | $72,506.19 | $227.10 – $476.68 | 9 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $1.40 | $4.01 | $1.60 – $39.41 | 5 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Cable cath 22-pin diag HCPCS C1730 | $5,206.25 | $14,875.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $7,858.62 | $22,453.20 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $23.09 – $49.73 | 9 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $2,101.31 | 9 |
| Cadd pump refill CPT 96521 | not published | not published | $273.57 – $506.11 | 7 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $128.33 | $366.67 | $1.23 – $8.70 | 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.