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 |
|---|---|---|---|---|
| Unlisted procedure esophagus CPT 43499 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $408.24 – $9,891.00 | 9 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted procedure liver CPT 47399 | $782.25 | $2,235.00 | $789.04 – $9,891.00 | 9 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $87.82 – $87.82 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $408.24 – $9,891.00 | 9 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $789.04 – $9,891.00 | 9 |
| Unlisted procedure rectum CPT 45999 | $830.55 | $2,373.00 | $959.20 – $9,891.00 | 9 |
| Unlisted procedure spine CPT 22899 | not published | not published | $317.26 – $9,891.00 | 9 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $48.19 – $196.51 | 7 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $317.26 – $9,891.00 | 9 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $495.18 – $9,891.00 | 9 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $317.26 – $9,891.00 | 9 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $194.49 – $1,487.00 | 8 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $408.24 – $9,891.00 | 9 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $1,142.09 – $9,891.00 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $763.02 – $9,891.00 | 9 |
| Unlisted px external ear CPT 69399 | not published | not published | $184.68 – $1,487.00 | 8 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $408.24 – $9,891.00 | 9 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $259.12 – $9,891.00 | 9 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $259.12 – $9,891.00 | 9 |
| Unlisted px hands/fingers CPT 26989 | $501.55 | $1,433.00 | $259.12 – $9,891.00 | 9 |
| Unlisted px inner ear CPT 69949 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $408.24 – $9,891.00 | 9 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $259.12 – $9,891.00 | 9 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $191.34 – $9,891.00 | 9 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,142.09 – $9,891.00 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $172.87 – $319.81 | 7 |
| Unlisted px middle ear CPT 69799 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $259.12 – $9,891.00 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $830.10 – $9,891.00 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | $347.90 | $994.00 | $184.68 – $9,891.00 | 9 |
| Unlisted px small intestine CPT 44799 | $797.65 | $2,279.00 | $1,142.09 – $9,891.00 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $172.87 – $319.81 | 7 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $184.68 – $9,891.00 | 9 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $27.51 – $123.99 | 8 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $499.10 – $1,950.38 | 9 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $66.86 – $477.39 | 7 |
| Unlisted surgical path px CPT 88399 | not published | not published | $27.51 – $123.99 | 8 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $36.81 – $68.82 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $127.75 | $365.00 | $111.93 – $427.38 | 9 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $87.82 – $87.82 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $806.82 – $9,891.00 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $514.17 – $1,950.38 | 9 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,161.60 | $6,176.00 | $882.72 – $1,633.02 | 7 |
| Upgrade pm system CPT 33214 | $7,386.40 | $21,104.00 | $4,588.50 – $24,869.57 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,950.50 | $8,430.00 | $448.71 – $1,316.74 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,268.70 | $6,482.00 | $448.71 – $1,074.63 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,194.15 | $6,269.00 | $306.88 – $834.41 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $586.60 | $1,676.00 | $1,142.09 – $5,977.00 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $586.60 | $1,676.00 | $1,166.53 – $9,297.00 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $872.75 | $2,493.57 | $559.71 – $1,035.46 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,166.53 – $9,297.00 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Urea nitrogen CPT 84520 | $52.15 | $149.00 | $3.95 – $12.24 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $74.20 | $212.00 | $5.56 – $14.74 | 9 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $20.48 | 9 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $12.72 | 9 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Ureteral reflux study CPT 78740 | not published | not published | $362.34 – $1,950.38 | 9 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $415.10 | $1,186.00 | $249.17 – $1,173.24 | 9 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,821.63 – $9,891.00 | 9 |
| Urethrocystography void s&i CPT 74455 | $631.75 | $1,805.00 | $185.36 – $1,173.24 | 9 |
| Uric acid blood CPT 84550 | $100.10 | $286.00 | $4.52 – $14.02 | 9 |
| Uric acid urine CPT 84560 | $111.65 | $319.00 | $5.08 – $14.74 | 9 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $11.69 | 9 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $9.44 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $6.72 | 9 |
| Urinalysis (with microscopy) CPT 81001 | $101.85 | $291.00 | $3.17 – $9.81 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $67.20 | $192.00 | $2.25 – $6.96 | 9 |
| Urinary bldr retent nuc study CPT 78730 | $443.45 | $1,267.00 | $167.38 – $299.18 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $6.30 – $7.49 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $11.91 – $14.13 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $75.87 – $1,487.00 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $80.81 – $95.90 | 2 |
| Urine Culture Test CPT 87086 | $137.55 | $393.00 | $8.07 – $25.03 | 9 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $112.54 – $1,487.00 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $12.92 – $15.31 | 2 |
| Urine pregnancy test CPT 81025 | $137.90 | $394.00 | $6.83 – $21.39 | 9 |
| Urine screen for bacteria CPT 81007 | not published | not published | $7.46 – $74.45 | 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.