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 |
|---|---|---|---|---|
| Treat lower leg dislocation CPT 27830 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Treat lower leg dislocation CPT 27831 | $2,457.00 | $7,020.00 | $1,142.09 – $7,332.00 | 9 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Treat lower leg fracture CPT 27826 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Treat lower leg fracture CPT 27827 | $7,794.85 | $22,271.00 | $1,746.72 – $30,073.00 | 9 |
| Treat lower leg fracture CPT 27828 | $7,794.85 | $22,271.00 | $2,159.89 – $30,073.00 | 9 |
| Treat lower leg joint CPT 27829 | $4,291.70 | $12,262.00 | $1,528.38 – $16,065.00 | 9 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $4,291.70 | $12,262.00 | $2,455.49 – $16,065.00 | 9 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $4,291.70 | $12,262.00 | $2,455.49 – $16,065.00 | 9 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $5,779.90 | $16,514.00 | $2,455.49 – $16,065.00 | 9 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $3,679.90 | $10,514.00 | $2,455.49 – $13,207.00 | 9 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | not published | not published | $112.54 – $316.58 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | not published | not published | $58.21 – $98.42 | 2 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $448.35 | $1,281.00 | $54.95 – $521.04 | 7 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $3,679.90 | $10,514.00 | $2,455.49 – $13,207.00 | 9 |
| Treatment mouth roof lesion CPT 42160 | $2,858.45 | $8,167.00 | $1,528.38 – $7,332.00 | 9 |
| Treatment of anal fissure CPT 46942 | not published | not published | $959.20 – $5,977.00 | 9 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Treatment of ankle fracture CPT 27792 | $5,779.90 | $16,514.00 | $1,746.72 – $16,065.00 | 9 |
| Treatment of ankle fracture CPT 27814 | $4,291.70 | $12,262.00 | $1,746.72 – $16,065.00 | 9 |
| Treatment of ankle fracture CPT 27822 | $4,291.70 | $12,262.00 | $1,746.72 – $16,065.00 | 9 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Treatment of ankle fracture 27786 CPT 27786 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $707.39 – $5,977.00 | 9 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $349.98 – $1,487.00 | 8 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $182.60 – $1,487.00 | 8 |
| Treatment of fibula fracture CPT 27784 | $5,779.90 | $16,514.00 | $1,746.72 – $16,065.00 | 9 |
| Treatment of fibula fracture 27780 CPT 27780 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Treatment of foot infection CPT 28002 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Treatment of foot infection CPT 28003 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Treatment of gum lesion CPT 41850 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Treatment of heel fracture 28400 CPT 28400 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Treatment of miscarriage CPT 59821 | $3,679.90 | $10,514.00 | $2,455.49 – $13,207.00 | 9 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $1,528.38 – $7,332.00 | 9 |
| Treatment of penis lesion CPT 54110 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Treatment of penis lesion CPT 54115 | not published | not published | $1,142.09 – $6,911.51 | 9 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $258.55 – $2,362.00 | 8 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $408.24 – $5,977.00 | 9 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $707.39 – $5,977.00 | 9 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Treatment of thigh fracture CPT 27501 | $368.90 | $1,054.00 | $259.12 – $9,297.00 | 9 |
| Treatment of thigh fracture CPT 27503 | $1,267.00 | $3,620.00 | $259.12 – $10,103.00 | 9 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Treatment of thigh fracture CPT 27508 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Treatment of thigh fracture CPT 27509 | $4,291.70 | $12,262.00 | $1,746.72 – $16,065.00 | 9 |
| Treatment of thigh fracture CPT 27510 | $1,731.10 | $4,946.00 | $878.26 – $5,977.00 | 9 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $1,528.38 – $30,548.47 | 9 |
| Treatment of thigh fracture CPT 27507 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Treatment of thigh fracture CPT 27513 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Treatment of thigh fracture CPT 27514 | not published | not published | $1,528.38 – $30,548.47 | 9 |
| Treatment of tibia fracture CPT 27756 | $4,291.70 | $12,262.00 | $1,746.72 – $16,065.00 | 9 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Treatment of toe fracture 28510 CPT 28510 | $675.85 | $1,931.00 | $259.12 – $1,487.00 | 8 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Treatment radiation delivery level 2 CPT 77407 | $558.60 | $1,596.00 | $245.13 – $917.73 | 7 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $707.39 – $5,977.00 | 9 |
| Treat metacarpal fracture CPT 26608 | $1,824.55 | $5,213.00 | $2,159.89 – $12,557.00 | 9 |
| Treat metacarpal fracture CPT 26615 | $1,824.55 | $5,213.00 | $2,159.89 – $13,460.00 | 9 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Treat metatarsal fracture CPT 28485 | $5,779.90 | $16,514.00 | $2,159.89 – $16,065.00 | 9 |
| Treat midfoot fracture each CPT 28455 | $2,320.50 | $6,630.00 | $259.12 – $3,826.07 | 8 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Treat neck spine fracture CPT 22326 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $1,528.38 – $30,548.47 | 9 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Treat penis lesion graft CPT 54111 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,528.38 – $21,833.00 | 9 |
| Treat radius fracture CPT 24665 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Treat radius fracture CPT 24666 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Treat skull fracture CPT 62000 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Treat skull fracture CPT 62005 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $1,137.58 – $5,977.00 | 9 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $1,137.58 – $5,977.00 | 9 |
| Treat spine fracture CPT 22325 | not published | not published | $1,528.38 – $30,548.47 | 9 |
| Treat sternum fracture CPT 21820 | $666.05 | $1,903.00 | $259.12 – $5,977.00 | 9 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Treat thigh fracture CPT 27230 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Treat thigh fracture CPT 27235 | $4,291.70 | $12,262.00 | $2,159.89 – $16,065.00 | 9 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Treat thigh fracture CPT 27238 | $1,706.60 | $4,876.00 | $878.26 – $5,977.00 | 9 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Treat thigh fracture CPT 27246 | $497.00 | $1,420.00 | $317.26 – $5,977.00 | 9 |
| Treat thigh fracture CPT 27248 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Treat thigh fracture CPT 27240 | $1,212.05 | $3,463.00 | $1,142.09 – $9,891.00 | 9 |
| Treat thigh fracture CPT 27244 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Treat thigh fx growth plate CPT 27516 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 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.