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 |
|---|---|---|---|---|
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $3.99 – $4.75 | 2 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $12.72 – $15.09 | 2 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,853.72 | $5,296.35 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $7,178.22 | $20,509.20 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $493.76 | $1,410.75 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $4,108.65 | $11,739.00 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $3.05 – $3.64 | 2 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $321.35 – $1,487.00 | 8 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $655.90 | $1,874.00 | $1,487.00 – $9,891.00 | 3 |
| Cath left heart/lv gram CPT 93452 | $3,427.90 | $9,794.00 | $3,409.47 – $9,891.00 | 9 |
| Cath left heart transseptal punc CPT 93462 | $1,757.70 | $5,022.00 | $1,487.00 – $15,227.00 | 4 |
| Cath lt/rt pulm art CPT 36014 | $196.70 | $562.00 | $1,487.00 – $9,891.00 | 3 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $6,265.06 | $17,900.18 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $14,161.84 | $40,462.40 | not published | 0 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $55.63 – $66.01 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | $515.90 | $1,474.00 | $1,487.00 – $9,891.00 | 3 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $1,487.00 – $2,830.42 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $5,161.10 | $14,746.00 | $3,409.47 – $9,891.00 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $5,565.35 | $15,901.00 | $3,409.47 – $9,891.00 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | $6,217.40 | $17,764.00 | $3,409.47 – $9,891.00 | 9 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $8,305.50 | $23,730.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $1,709.05 | $4,883.00 | $3,409.47 – $9,891.00 | 9 |
| Cath right hrt mnpul art CPT 36013 | $187.60 | $536.00 | $1,487.00 – $9,891.00 | 3 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $196.00 | $560.00 | $1,487.00 – $9,891.00 | 3 |
| Cath segmntl pulm art CPT 36015 | $239.75 | $685.00 | $1,487.00 – $9,891.00 | 3 |
| Cath steerable flex adv 12f HCPCS C1766 | $3,380.30 | $9,658.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $287.00 | $820.00 | $327.30 – $360.80 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $5.23 – $6.20 | 2 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $677.43 | $1,935.50 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $554.52 | $1,584.34 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $547.05 | $1,563.00 | $258.05 – $1,487.00 | 8 |
| Cauterization of cervix 57510 CPT 57510 | $3,679.90 | $10,514.00 | $1,528.38 – $9,891.00 | 9 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $52.10 | 9 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $514.75 | 9 |
| Cdna analysis for variants CPT 81403 | not published | not published | $145.74 – $459.85 | 8 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $171.12 – $321.40 | 7 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $79.99 – $316.58 | 6 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $721.63 | 9 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $595.84 | $1,702.40 | $0.84 – $7.95 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $35.13 | $100.36 | $1.23 – $21.76 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $10.00 – $31.03 | 5 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.35 – $24.58 | 4 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $68.34 | $195.27 | $5.13 – $47.12 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $758.07 | $2,165.91 | $1.62 – $8.58 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $73.72 | $210.63 | $1.64 – $19.30 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $1,418.28 | $4,052.22 | $104.75 – $216.08 | 9 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $58.02 | $165.76 | $0.48 – $40.12 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $33.61 | $96.03 | $2.29 – $18.36 | 5 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $235.24 | 8 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $101.17 – $270.95 | 8 |
| Cell count body fluid CPT 89050 | $227.85 | $651.00 | $4.72 – $14.67 | 9 |
| Cell count w differential body fluid CPT 89051 | $227.85 | $651.00 | $5.60 – $17.08 | 9 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $32.47 | 9 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $622.70 | 8 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $421.42 | 9 |
| Cell marker study CPT 88182 | $224.70 | $642.00 | $67.02 – $297.96 | 9 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.70 – $62.18 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $5,351.02 – $10,648.53 | 5 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Cerebrospinal fld flw imag CPT 78645 | $618.10 | $1,766.00 | $585.93 – $2,612.61 | 9 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.79 – $15.30 | 9 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,746.72 – $15,799.68 | 9 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $130.66 – $241.72 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,746.72 – $9,891.00 | 3 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,566.00 | $15,902.85 | $78.47 – $166.67 | 9 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $1,382.04 | 8 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $1,080.30 | 8 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $85.21 – $419.02 | 8 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $241.39 | 8 |
| Change cystostomy tube; complex 51710 CPT 51710 | $805.70 | $2,302.00 | $896.84 – $5,977.00 | 9 |
| Change cystostomy tube simple CPT 51705 | $772.45 | $2,207.00 | $321.35 – $5,977.00 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Change g-tube to g-j perc CPT 49446 | $2,003.40 | $5,724.00 | $1,528.38 – $5,977.00 | 9 |
| Change nephroureteral cath CPT 50387 | $1,841.00 | $5,260.00 | $1,528.38 – $9,297.00 | 9 |
| Change of ureter tube/stent CPT 50688 | $1,841.00 | $5,260.00 | $1,142.09 – $5,977.00 | 9 |
| Change of windpipe airway 31502 CPT 31502 | $259.00 | $740.00 | $243.62 – $5,977.00 | 9 |
| Change stent via transureth CPT 50385 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Change ureter stent percut CPT 50382 | $5,841.15 | $16,689.00 | $1,528.38 – $9,297.00 | 9 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $27.51 – $405.38 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $258.05 – $1,487.00 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $151.53 – $1,487.00 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $151.53 – $1,487.00 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $258.55 – $2,362.00 | 8 |
| Chemo adm cns w/lmbr punct CPT 96450 | $958.65 | $2,739.00 | $147.74 – $601.00 | 7 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $352.70 – $2,362.00 | 8 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $670.60 | $1,916.00 | $1,487.00 – $9,891.00 | 3 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $670.60 | $1,916.00 | $1,487.00 – $9,891.00 | 3 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,339.10 | $3,826.00 | $907.88 – $2,362.00 | 8 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,339.10 | $3,826.00 | $907.88 – $2,362.00 | 8 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $758.10 | $2,166.00 | $394.79 – $5,977.00 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $408.24 – $5,977.00 | 9 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $352.70 – $5,977.00 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $352.70 – $5,977.00 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | $810.95 | $2,317.00 | $394.79 – $1,487.00 | 8 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,339.10 | $3,826.00 | $352.70 – $1,487.00 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $748.65 | $2,139.00 | $352.70 – $1,487.00 | 8 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,339.10 | $3,826.00 | $907.88 – $2,362.00 | 8 |
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.