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 |
|---|---|---|---|---|
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Tongue suspension CPT 41512 | not published | not published | $1,286.82 – $12,111.00 | 9 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $241.05 | $688.70 | $1.34 – $81.94 | 5 |
| Topotecan oral HCPCS J8705 | not published | not published | $123.80 – $268.54 | 9 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.50 – $84.07 | 9 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $173.12 – $320.27 | 7 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $188.63 – $348.97 | 7 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,159.89 – $30,548.47 | 9 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Total hysterectomy CPT 58150 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Total lung lavage CPT 32997 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,746.72 – $9,891.00 | 3 |
| Total tau CPT 84394 | not published | not published | $126.43 – $238.50 | 6 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $796.88 – $1,474.23 | 7 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,528.38 – $41,720.12 | 9 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,528.38 – $41,720.12 | 9 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $352.70 – $15,227.00 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $352.70 – $9,891.00 | 4 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $173.36 | 9 |
| Toxoplasma antibody igg CPT 86777 | $145.25 | $415.00 | $14.39 – $44.65 | 9 |
| Toxoplasma antibody igm CPT 86778 | not published | not published | $14.41 – $44.68 | 9 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $1,593.70 | 9 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $764.76 | 9 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $818.17 | 9 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $434.07 | 9 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $321.35 – $5,977.00 | 9 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $352.70 – $31,392.63 | 9 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $352.70 – $9,891.00 | 9 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $352.70 – $22,524.58 | 9 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $12,739.65 | $36,399.00 | $4,005.00 – $15,861.00 | 9 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $13,269.48 | $37,912.81 | $376.31 – $782.23 | 9 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $707.39 – $5,977.00 | 9 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $12.13 – $14.41 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $599.90 | $1,714.00 | $693.67 – $5,977.00 | 9 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $1.35 – $1.58 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $153.43 – $182.08 | 2 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $9.16 – $10.86 | 2 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $7.09 – $8.43 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $106.75 | $305.00 | $59.06 – $136.70 | 6 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $243.60 | $696.00 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $273.20 – $5,977.00 | 9 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Transcath biopsy CPT 37200 | $5,927.95 | $16,937.00 | $1,142.09 – $13,460.00 | 9 |
| Transcath closure of asd CPT 93580 | $4,414.20 | $12,612.00 | $1,378.46 – $42,841.00 | 8 |
| Transcath closure of vsd CPT 93581 | not published | not published | $1,771.00 – $42,841.00 | 8 |
| Transcatheter bx s&i CPT 75970 | $1,961.75 | $5,605.00 | $1,059.75 – $2,105.94 | 3 |
| Transcath mv repair addl prosthesis CPT 33419 | $2,588.25 | $7,395.00 | $352.70 – $15,227.00 | 4 |
| Transcath mv repair init prosthesis CPT 33418 | $10,352.30 | $29,578.00 | $352.70 – $15,227.00 | 4 |
| Transcath occlusion cns CPT 61624 | $6,255.55 | $17,873.00 | $1,142.09 – $43,618.46 | 9 |
| Transcath occlusion non-cns CPT 61626 | $13,248.20 | $37,852.00 | $3,409.47 – $27,468.35 | 9 |
| Trans cath replace aortic valve 33366 CPT 33366 | $9,131.85 | $26,091.00 | $352.70 – $11,276.00 | 4 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $2,702.00 | $7,720.00 | $2,159.89 – $15,861.00 | 9 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,455.49 – $12,235.00 | 4 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $352.70 – $17,644.36 | 9 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $9.37 – $23.26 | 9 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $15.55 | 9 |
| Transcutaneous methb CPT 88741 | not published | not published | $9.37 – $23.26 | 9 |
| Transect artery sinus CPT 61611 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Transect pulmonary artery CPT 33922 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Transfer of embryo CPT 58976 | not published | not published | $391.93 – $5,977.00 | 9 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Transferrin CPT 84466 | not published | not published | $12.76 – $39.62 | 9 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Transfusion blood/blood component(s) CPT 36430 | $793.45 | $2,267.00 | $352.70 – $5,977.00 | 9 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $8.54 – $10.14 | 2 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $3.04 – $3.61 | 2 |
| Transperi needle place pros CPT 55875 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $2,159.89 – $12,235.00 | 4 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $1,142.09 – $15,227.00 | 3 |
| Transplantation heart/lung CPT 33935 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Transplantation of heart CPT 33945 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Transplantation of liver CPT 47135 | not published | not published | $4,588.50 – $15,227.00 | 4 |
| Transplant femur ridge CPT 27140 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Transplant forearm tendon CPT 25310 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Transplant forearm tendon CPT 25312 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Transplant hand tendon CPT 26480 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Transplant palm tendon CPT 26485 | not published | not published | $1,528.38 – $9,834.00 | 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.