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 |
|---|---|---|---|---|
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $78.98 – $189.20 | 9 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $911.59 | $2,604.53 | $126.03 – $3,044.70 | 5 |
| Calcium 24 hour urine CPT 82340 | $115.85 | $331.00 | $6.03 – $18.70 | 9 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.02 – $0.38 | 5 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | not published | not published | $0.03 – $0.03 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $84.18 | $240.50 | $0.04 – $0.57 | 5 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $86.92 | $248.35 | $0.08 – $0.57 | 5 |
| Calcium ionized CPT 82330 | $59.15 | $169.00 | $13.68 – $42.40 | 9 |
| Calcium total CPT 82310 | $103.25 | $295.00 | $5.16 – $15.99 | 9 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $39.92 | 9 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $35.89 | 9 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $28.49 – $513.77 | 7 |
| Calprotectin fecal CPT 83993 | not published | not published | $19.63 – $60.88 | 9 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $72.05 – $133.29 | 7 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $40.69 | 9 |
| Canakinumab injection HCPCS J0638 | not published | not published | $137.50 – $293.60 | 9 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $62.20 | 9 |
| Candida skin test CPT 86485 | $47.74 | $136.41 | $1.41 – $68.82 | 9 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $256,147.50 | $731,850.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $667.07 – $1,466.86 | 9 |
| Canthotomy 67715 CPT 67715 | $2,289.00 | $6,540.00 | $1,142.09 – $5,977.00 | 9 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $1.37 | $3.91 | $0.03 – $0.15 | 9 |
| Cap nerve 2x15mm HCPCS C1763 | $40,515.58 | $115,758.81 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.31 – $7.27 | 9 |
| Capsular contracture release CPT 23020 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Cap trach decann 15mm HCPCS C1750 | $3,973.20 | $11,352.00 | not published | 0 |
| Carbamazepine free CPT 80157 | not published | not published | $13.25 – $41.11 | 9 |
| Carbamazepine free -sendout CPT 80161 | $130.55 | $373.00 | $18.64 – $46.30 | 9 |
| Carbamazepine total therapeutic drug level CPT 80156 | not published | not published | $14.57 – $45.16 | 9 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $4.69 – $506.91 | 9 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $18.06 – $56.00 | 9 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $17.06 | 9 |
| Carbon dioxide CPT 82374 | $74.55 | $213.00 | $4.88 – $15.18 | 9 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $111.66 | $319.02 | $2.11 – $348.19 | 5 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $579.55 | $1,655.87 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $53.20 | $152.00 | $12.32 – $38.24 | 9 |
| Carcinoembryonic ag (cea) CPT 82378 | $230.65 | $659.00 | $18.96 – $58.85 | 9 |
| Cardiac drug stress test CPT 93024 | not published | not published | $193.69 – $1,062.94 | 7 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $702.78 – $1,300.14 | 7 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $702.78 – $1,300.14 | 7 |
| Cardiac MRI w/stress img CPT 75559 | $1,198.75 | $3,425.00 | $702.78 – $1,300.14 | 8 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,309.70 | $3,742.00 | $551.25 – $6,336.39 | 9 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,309.70 | $3,742.00 | $615.99 – $6,336.39 | 9 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,510.60 | $4,316.00 | $692.17 – $6,336.39 | 9 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $196.70 | $562.00 | $76.43 – $306.72 | 7 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $196.70 | $562.00 | $50.32 – $306.72 | 7 |
| Cardiac shunt imaging CPT 78428 | $261.10 | $746.00 | $386.55 – $1,950.38 | 9 |
| Cardiac Stress Test CPT 93015 | not published | not published | $338.96 – $758.86 | 2 |
| Cardioassist internal CPT 92970 | not published | not published | $194.85 – $5,821.00 | 3 |
| Cardiokymography HCPCS Q0035 | not published | not published | $48.04 – $88.87 | 7 |
| Cardiolipin antibody iga CPT 86147 | not published | not published | $25.45 – $63.18 | 9 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $3,933.30 | $11,238.00 | $850.08 – $2,362.00 | 8 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $380.70 – $2,362.00 | 8 |
| Card MRI veloc flow mapping CPT 75565 | $460.60 | $1,316.00 | $357.08 – $813.72 | 3 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $40.74 – $352.70 | 6 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $22.09 – $352.70 | 6 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $12,722.50 | $36,349.99 | $55.09 – $111.48 | 9 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,757.10 | 9 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,757.10 | 9 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $173.64 – $447.34 | 9 |
| Carotene CPT 82380 | not published | not published | $9.22 – $28.60 | 9 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $652.75 | $1,865.00 | $306.88 – $1,173.24 | 8 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $1,487.00 – $1,487.00 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,446.20 | $4,132.00 | $1,528.38 – $9,297.00 | 9 |
| Car seat/bed test 60 minutes CPT 94780 | $169.40 | $484.00 | $33.47 – $88.87 | 7 |
| Car seat/bed test additional 30 minutes CPT 94781 | $84.70 | $242.00 | $11.16 – $90.00 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $352.70 – $5,977.00 | 9 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $352.70 – $5,821.00 | 3 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $352.70 – $5,821.00 | 3 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $352.70 – $5,821.00 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $352.70 – $9,891.00 | 9 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $2.27 – $87.61 | 5 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $4.95 – $5.85 | 2 |
| Cataract Surgery CPT 66984 | not published | not published | $2,968.25 – $15,201.00 | 9 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,968.25 – $15,201.00 | 9 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $67.81 | 9 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $814.63 | $2,327.50 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $5,652.50 | $16,150.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $3,380.30 | $9,658.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $5,093.20 | $14,552.00 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,427.29 | $12,649.39 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $8,379.00 | $23,940.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,567.71 | $15,907.75 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $21,213.50 | $60,610.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $8,232.00 | $23,520.00 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $9,018.45 | $25,767.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $3,366.44 | $9,618.40 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $3,556.35 | $10,161.00 | $3,409.47 – $9,891.00 | 9 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $31.72 – $37.67 | 2 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $7,595.08 | $21,700.22 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $3,388.00 | $9,680.00 | not published | 0 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $34.91 – $34.91 | 1 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,627.50 | $4,650.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $2,020.55 | $5,773.00 | $1,142.09 – $5,977.00 | 9 |
| Catheter insert artery CPT 36625 | $490.35 | $1,401.00 | $1,487.00 – $9,891.00 | 3 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $15.75 | $45.00 | $6.00 – $22.58 | 9 |
| Catheter stripping venous CPT 36595 | $3,295.95 | $9,417.00 | $1,142.09 – $9,834.00 | 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.