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 thigh fx growth plate CPT 27517 | not published | not published | $259.12 – $5,977.00 | 9 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Treat thumb fracture CPT 26650 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Treat thumb fracture CPT 26665 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Treat toe dislocation CPT 28636 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Treat toe dislocation CPT 28665 | $675.85 | $1,931.00 | $359.73 – $5,977.00 | 9 |
| Treat toe dislocation CPT 28666 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Treat toe fracture CPT 28525 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Treat ulnar fracture CPT 24675 | $2,320.50 | $6,630.00 | $259.12 – $5,977.00 | 9 |
| Treat ulnar fracture CPT 24685 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Treat vaginal bleeding CPT 57180 | $185.15 | $529.00 | $260.03 – $5,977.00 | 9 |
| Treat wrist bone fracture CPT 25635 | $1,842.75 | $5,265.00 | $259.12 – $5,977.00 | 9 |
| Treat wrist dislocation CPT 25675 | $1,029.00 | $2,940.00 | $259.12 – $5,977.00 | 9 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $137.96 – $297.22 | 9 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.18 – $30.25 | 9 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $13.24 – $41.06 | 9 |
| Treprostinil injection HCPCS J3285 | not published | not published | $55.18 – $122.18 | 9 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $800.15 – $1,634.86 | 5 |
| Trg gene rearrangement anal CPT 81342 | $73.50 | $210.00 | $201.50 – $500.34 | 8 |
| Trh stimulation panel CPT 80439 | not published | not published | $67.21 – $208.49 | 9 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $34.16 | $97.60 | $0.86 – $30.47 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $84.79 | $242.27 | $7.51 – $53.79 | 9 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.28 – $2.46 | 4 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $6.81 – $20.96 | 5 |
| Trichinella antibody CPT 86784 | not published | not published | $12.56 – $38.98 | 9 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $37.97 | 9 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $0.02 – $134.94 | 2 |
| Triglycerides CPT 84478 | $120.75 | $345.00 | $5.74 – $17.85 | 9 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.39 – $11.59 | 9 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | $0.63 | $1.81 | $0.35 – $1.67 | 4 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $13.44 – $107.59 | 5 |
| Trim nail(s) HCPCS G0127 | not published | not published | $66.86 – $1,487.00 | 8 |
| Trim nondyst nails CPT 11719 | $97.65 | $279.00 | $66.86 – $1,487.00 | 8 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $382.64 – $1,014.00 | 9 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $352.70 – $30,548.47 | 9 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $352.70 – $9,891.00 | 4 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $497.00 | $1,420.00 | $317.26 – $5,977.00 | 9 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $11,936.05 | $34,103.00 | $5,821.00 – $9,891.00 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $14,950.25 | $42,715.00 | $5,821.00 – $9,891.00 | 3 |
| Trnscath plc stnt ante carotid art CPT 37218 | $2,988.65 | $8,539.00 | $352.70 – $9,891.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $2,154.60 | $6,156.00 | $2,159.89 – $13,460.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,154.60 | $6,156.00 | $2,159.89 – $13,460.00 | 4 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $5,176.15 | $14,789.00 | $2,159.89 – $27,468.35 | 9 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,830.40 | $10,944.00 | $1,528.38 – $15,861.00 | 9 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $7,269.85 | $20,771.00 | $1,746.72 – $13,460.00 | 9 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $6,024.90 | $17,214.00 | $1,746.72 – $15,861.00 | 9 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $6,024.90 | $17,214.00 | $1,746.72 – $15,861.00 | 9 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,911.25 | $11,175.00 | $1,746.72 – $12,557.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $5,448.80 | $15,568.00 | $1,746.72 – $15,861.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $3,202.50 | $9,150.00 | $1,142.09 – $9,891.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,131.85 | $6,091.00 | $1,746.72 – $10,103.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,033.50 | $5,810.00 | $1,746.72 – $10,103.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,033.50 | $5,810.00 | $1,746.72 – $10,103.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $2,486.75 | $7,105.00 | $1,746.72 – $10,103.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,486.75 | $7,105.00 | $1,528.38 – $9,297.00 | 9 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $1,590.92 | 8 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $14,353.20 | 9 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Troponin quantitative CPT 84484 | $110.25 | $315.00 | $12.47 – $30.98 | 9 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $707.39 – $2,362.00 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $102.80 – $296.10 | 9 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $87.25 – $161.41 | 7 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $80.58 – $149.07 | 7 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $217.40 – $402.19 | 7 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $137.70 – $254.74 | 7 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $1,008.25 – $1,865.27 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $705.25 | $2,015.00 | $1,008.25 – $1,865.27 | 7 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $1,008.25 – $1,865.27 | 7 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $1,008.25 – $1,865.27 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $22.38 – $26.54 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $375.95 | $1,074.15 | $93.23 – $110.66 | 2 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $11.05 – $13.10 | 2 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $94.08 – $111.69 | 2 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.11 – $0.15 | 2 |
| Tubular dressing HCPCS A6457 | not published | not published | $2.26 – $2.69 | 2 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $567.42 – $5,977.00 | 9 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $581.50 – $1,075.78 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | $9,338.00 | $26,680.00 | $3,409.47 – $57,671.00 | 8 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $259.12 – $9,891.00 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,719.40 | $13,484.00 | $1,142.09 – $7,332.00 | 9 |
| Tx closed tib shaft fx without manip CPT 27750 | $2,329.60 | $6,656.00 | $259.12 – $5,977.00 | 9 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $206.01 – $2,362.00 | 8 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $352.70 – $1,487.00 | 8 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $3,409.47 – $9,891.00 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $3,409.47 – $11,276.00 | 4 |
| Tx l/r atrial fib addl CPT 93657 | $225.40 | $644.00 | $1,487.00 – $15,227.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $4,719.40 | $13,484.00 | $2,455.49 – $13,207.00 | 9 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,671.20 | $7,632.00 | $2,159.89 – $12,557.00 | 9 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $2,835.70 | $8,102.00 | $1,528.38 – $9,297.00 | 9 |
| Tx open nsl fx uncomp CPT 21325 | $2,858.45 | $8,167.00 | $2,159.89 – $12,557.00 | 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.