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 |
|---|---|---|---|---|
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,746.72 – $12,235.00 | 4 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $765.34 | $2,186.68 | $0.07 – $0.07 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $73.03 | $208.66 | $0.16 – $0.16 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $3.06 – $45.04 | 5 |
| Vancomycin peak therapeutic drug level CPT 80202 | $280.00 | $800.00 | $13.54 – $42.03 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $108.86 | 9 |
| Vantas implant HCPCS J9225 | not published | not published | $4,971.34 – $14,597.85 | 5 |
| Variable concentration mask HCPCS A4620 | not published | not published | $1.26 – $1.47 | 2 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.88 – $39.97 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $205.88 – $5,083.36 | 9 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $82.28 – $152.22 | 7 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $9,891.00 – $43,618.46 | 8 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $2,159.89 – $10,103.00 | 9 |
| Vasectomy CPT 55250 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $522.39 | $1,492.53 | $1.02 – $11.73 | 5 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,528.38 – $9,891.00 | 3 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,528.38 – $9,891.00 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $36,507.39 | $104,306.83 | $20.98 – $45.49 | 9 |
| Veeg cont 2-12 hrs CPT 95713 | $579.60 | $1,656.00 | $479.94 – $1,197.36 | 7 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,873.55 | $5,353.00 | $1,104.48 – $2,241.18 | 7 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $437.15 | $1,249.00 | $479.94 – $887.89 | 7 |
| Veeg unmon 12-26 hrs CPT 95714 | $957.95 | $2,737.00 | $479.94 – $1,197.36 | 7 |
| Veeg unmon 2-12 hrs CPT 95711 | $399.35 | $1,141.00 | $277.71 – $624.06 | 7 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Vein x-ray adrenal gland CPT 75840 | $1,325.45 | $3,787.00 | $378.78 – $15,276.98 | 9 |
| Vein x-ray adrenal glands CPT 75842 | $3,629.50 | $10,370.00 | $425.00 – $26,237.59 | 5 |
| Vein x-ray eye socket CPT 75880 | $1,064.00 | $3,040.00 | $163.22 – $3,000.84 | 9 |
| Vein x-ray kidney CPT 75831 | $1,338.75 | $3,825.00 | $386.48 – $15,276.98 | 9 |
| Vein x-ray liver CPT 75891 | $1,325.45 | $3,787.00 | $387.33 – $15,276.98 | 9 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,461.60 | $4,176.00 | $386.48 – $15,276.98 | 9 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,995.00 | $5,700.00 | $386.48 – $15,276.98 | 9 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,304.80 | $3,728.00 | $392.48 – $15,276.98 | 9 |
| Vein x-ray skull CPT 75870 | $892.50 | $2,550.00 | $387.33 – $15,276.98 | 9 |
| Vein x-ray skull epidural CPT 75872 | $892.50 | $2,550.00 | $562.78 – $3,000.84 | 9 |
| Vein x-ray spleen/liver CPT 75810 | $1,325.45 | $3,787.00 | $2,151.38 – $15,276.98 | 9 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $378.11 – $804.87 | 9 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $165.49 – $344.09 | 7 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $165.49 – $344.09 | 7 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $277.71 – $652.05 | 7 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $10.95 – $27.54 | 8 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $160.06 – $296.10 | 8 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,757.70 | $5,022.00 | $21.70 – $21.70 | 1 |
| Venipuncture <3 yrs other vein CPT 36406 | $141.05 | $403.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,119.65 | $3,199.00 | $252.43 – $7,539.92 | 9 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,001.00 | $2,860.00 | $163.22 – $7,539.92 | 9 |
| Venous mech thrombectomy CPT 37187 | $9,958.90 | $28,454.00 | $1,746.72 – $19,302.08 | 9 |
| Venous m-thrombectomy add-on CPT 37188 | $7,968.80 | $22,768.00 | $1,746.72 – $15,861.00 | 9 |
| Venous sampling s&i CPT 75893 | $3,629.50 | $10,370.00 | $383.90 – $26,237.59 | 9 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $381.87 – $2,612.61 | 9 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $381.87 – $1,950.38 | 9 |
| Ventilator each subsequent day CPT 94003 | $1,678.25 | $4,795.00 | $62.05 – $1,469.97 | 7 |
| Ventilator initial day CPT 94002 | $1,678.25 | $4,795.00 | $75.95 – $1,469.97 | 7 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $44.63 – $44.63 | 1 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $989.80 | $2,828.00 | $1,137.58 – $5,977.00 | 9 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $1,746.72 – $15,227.00 | 4 |
| Version cephalic external CPT 59412 | $2,434.60 | $6,956.00 | $352.70 – $7,332.00 | 9 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.55 – $24.77 | 9 |
| Very long chain fatty acids CPT 82726 | not published | not published | $19.75 – $56.00 | 9 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Vest large holster HCPCS Q0498 | $731.62 | $2,090.34 | $617.36 – $1,142.12 | 7 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | not published | not published | $86.20 – $1,023.12 | 2 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $230.69 | $659.10 | $5.29 – $11.73 | 5 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $101.37 | $289.62 | $7.86 – $97.64 | 5 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $321.19 | $917.68 | $1.96 – $278.36 | 5 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.49 – $43.43 | 9 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $20.20 – $50.16 | 9 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $352.70 – $15,227.00 | 4 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $352.70 – $15,227.00 | 4 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $352.70 – $15,227.00 | 4 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $352.70 – $15,227.00 | 4 |
| Visit esketamine, > 56m HCPCS G2083 | not published | not published | $2,077.81 – $3,843.96 | 7 |
| Visit esketamine 56m or less HCPCS G2082 | not published | not published | $1,322.47 – $2,446.58 | 7 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $1,692.25 | $4,835.00 | $171.24 – $316.79 | 7 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $127.32 – $513.77 | 7 |
| Vital capacity test CPT 94150 | $78.75 | $225.00 | $21.07 – $306.17 | 7 |
| Vitamin b-12 CPT 82607 | $181.30 | $518.00 | $15.08 – $46.76 | 9 |
| Vitamin D Test CPT 82306 | $88.55 | $253.00 | $29.60 – $91.85 | 9 |
| Vit for macular hole CPT 67042 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Vit for macular pucker CPT 67041 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Vit for membrane dissect CPT 67043 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Vkorc1 gene CPT 81355 | not published | not published | $72.41 – $219.00 | 8 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $1,528.38 – $17,698.00 | 4 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $1,142.09 – $17,698.00 | 4 |
| Vlvt pv clsd hrt via p-art CPT 33471 | not published | not published | $8,837.00 – $9,891.00 | 2 |
| Vngrph chd anom/persist svc CPT 93584 | not published | not published | $352.70 – $352.70 | 1 |
| Vngrph chd azygs/hemiazygs CPT 93585 | not published | not published | $352.70 – $352.70 | 1 |
| Vngrph chd coronary sinus CPT 93586 | not published | not published | $352.70 – $352.70 | 1 |
| Vngrph chd vnvn cltrl at/abv CPT 93587 | not published | not published | $352.70 – $352.70 | 1 |
| Vngrph chd vnvn cltrl below CPT 93588 | not published | not published | $352.70 – $352.70 | 1 |
| Voice amplifier HCPCS L8510 | not published | not published | $303.69 – $561.83 | 7 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $632.45 | $1,807.00 | $336.27 – $9,891.00 | 4 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $2.33 – $405.38 | 9 |
| Volume deplete of harvest CPT 38214 | not published | not published | $567.42 – $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.