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 |
|---|---|---|---|---|
| Tx open nsl sptl fx CPT 21336 | $1,824.55 | $5,213.00 | $2,159.89 – $12,557.00 | 9 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,457.00 | $7,020.00 | $2,159.89 – $12,557.00 | 9 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $497.00 | $1,420.00 | $259.12 – $1,487.00 | 8 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,995.60 – $9,891.00 | 9 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $35.63 – $513.77 | 7 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $693.67 – $5,977.00 | 9 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $434.07 | 9 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $27.98 – $237.75 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $479.83 | 9 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $9.97 | 9 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.75 – $147.62 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $356.52 – $659.56 | 7 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $120.87 – $581.02 | 8 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $172.20 | $492.00 | $134.46 – $516.16 | 9 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $19.33 – $516.16 | 9 |
| Ultrasound breast complete CPT 76641 | $346.15 | $989.00 | $134.46 – $516.16 | 9 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $259.00 | $740.00 | $111.93 – $427.38 | 9 |
| Ultrasound chest CPT 76604 | $404.95 | $1,157.00 | $134.46 – $516.16 | 9 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $56.13 – $516.16 | 9 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $101.48 – $516.16 | 9 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $83.19 – $245.79 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | $148.05 | $423.00 | $134.46 – $516.16 | 9 |
| Ultrasound encephalogram CPT 76506 | $322.00 | $920.00 | $134.46 – $516.16 | 9 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $191.96 – $191.96 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $665.00 | $1,900.00 | $134.46 – $516.16 | 9 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $479.50 | $1,370.00 | $134.46 – $516.16 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $313.95 | $897.00 | $49.28 – $82.19 | 3 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $679.35 | $1,941.00 | $279.07 – $428.13 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $475.65 | $1,359.00 | $140.86 – $416.34 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $159.97 – $310.75 | 3 |
| Ultrasound hips infant dynamic CPT 76885 | $103.60 | $296.00 | $111.93 – $427.38 | 9 |
| Ultrasound infant hips ltd without stress CPT 76886 | $98.00 | $280.00 | $111.93 – $427.38 | 9 |
| Ultrasound joint complete left CPT 76881 | $539.00 | $1,540.00 | $134.46 – $516.16 | 9 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $354.90 | $1,014.00 | $25.33 – $516.16 | 9 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $36.17 – $516.16 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $441.35 | $1,261.00 | $125.46 – $497.96 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $247.80 | $708.00 | $73.26 – $155.14 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $464.10 | $1,326.00 | $252.13 – $1,173.24 | 9 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $192.50 | $550.00 | $134.46 – $516.16 | 9 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $331.10 | $946.00 | $134.46 – $516.16 | 9 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $382.90 | $1,094.00 | $134.46 – $516.16 | 9 |
| Ultrasound prostate/transrectal CPT 76872 | $641.90 | $1,834.00 | $134.46 – $516.16 | 9 |
| Ultrasound retroperitoneal limited CPT 76775 | $451.50 | $1,290.00 | $134.46 – $516.16 | 9 |
| Ultrasound scrotum and contents CPT 76870 | $690.90 | $1,974.00 | $134.46 – $516.16 | 9 |
| Ultrasound spinal canal and contents CPT 76800 | $318.50 | $910.00 | $134.46 – $516.16 | 9 |
| Ultrasound transabd ea addl gest CPT 76812 | $359.80 | $1,028.00 | $155.14 – $237.28 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $639.80 | $1,828.00 | $134.46 – $516.16 | 9 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $291.55 – $864.05 | 9 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $439.65 – $1,297.61 | 3 |
| Ultraviolet therapy CPT 97028 | not published | not published | $9.27 – $17.15 | 6 |
| Umbilical artery cath newborn 36660 CPT 36660 | $655.90 | $1,874.00 | $1,142.09 – $9,891.00 | 4 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $391.93 – $5,977.00 | 9 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,386.80 – $26,615.58 | 7 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $37.20 – $68.82 | 7 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $37.20 – $68.82 | 7 |
| Unlisted chemotherapy px CPT 96549 | $99.05 | $283.00 | $60.23 – $111.42 | 7 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted CT procedure CPT 76497 | not published | not published | $111.93 – $263.04 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $514.17 – $1,950.38 | 9 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $27.51 – $126.02 | 9 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $27.51 – $126.02 | 9 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $165.49 – $1,487.00 | 8 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $327.16 – $1,950.38 | 9 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $22.58 – $9,891.00 | 9 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $111.93 – $427.38 | 9 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $514.17 – $1,950.38 | 9 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $514.17 – $1,950.38 | 9 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $87.82 – $87.82 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $260.03 – $9,891.00 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,159.89 – $12,111.00 | 9 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px testis CPT 54699 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlisted maaa CPT 81599 | not published | not published | $891.44 – $891.44 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted misc path test CPT 89240 | not published | not published | $27.51 – $123.99 | 8 |
| Unlisted mr procedure CPT 76498 | $99.40 | $284.00 | $111.93 – $834.41 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $514.17 – $1,950.38 | 9 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $108.91 – $306.17 | 7 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $514.17 – $1,950.38 | 9 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $37.20 – $110.81 | 7 |
| Unlisted orl service/px CPT 92700 | not published | not published | $37.20 – $84.69 | 7 |
| Unlisted procedure colon CPT 45399 | not published | not published | $1,142.09 – $13,207.00 | 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.