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 |
|---|---|---|---|---|
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $675.85 | $1,931.00 | $317.26 – $9,297.00 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,320.50 | $6,630.00 | $878.26 – $9,297.00 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,706.60 | $4,876.00 | $1,528.38 – $9,297.00 | 9 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,320.50 | $6,630.00 | $259.12 – $5,977.00 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,351.35 | $3,861.00 | $1,142.09 – $5,977.00 | 9 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $4,296.25 | $12,275.00 | $1,746.72 – $12,111.00 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,657.95 | $4,737.00 | $1,286.82 – $12,557.00 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $2,658.60 | $7,596.00 | $1,746.72 – $10,103.00 | 9 |
| Cltx palatal/max fx wire fix CPT 21421 | $2,122.40 | $6,064.00 | $2,159.89 – $12,557.00 | 9 |
| Cltx post ankle fx CPT 27767 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,320.50 | $6,630.00 | $259.12 – $5,977.00 | 9 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,320.50 | $6,630.00 | $878.26 – $5,977.00 | 9 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $675.85 | $1,931.00 | $317.26 – $5,977.00 | 9 |
| Cltx thigh fx CPT 27267 | $1,824.55 | $5,213.00 | $259.12 – $7,332.00 | 9 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| C motor evoked lwr limbs CPT 95929 | $986.65 | $2,819.00 | $207.39 – $887.89 | 7 |
| C motor evoked uppr limbs CPT 95928 | $986.65 | $2,819.00 | $207.39 – $2,043.29 | 7 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,717.80 | $4,908.00 | $207.39 – $2,043.29 | 7 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $75.87 – $140.37 | 7 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $75.87 – $140.37 | 7 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $34.95 | 9 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $25.64 | 9 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $19.56 – $60.66 | 9 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $35.09 – $108.86 | 9 |
| Co2 monitor per day CPT 94681 | not published | not published | $290.42 – $887.89 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $47,227.69 | $134,936.25 | $2.64 – $5.44 | 9 |
| Coagulation time activated teg CPT 85347 | $59.15 | $169.00 | $4.28 – $13.21 | 9 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $11.56 | 9 |
| Cocaine 4 % nasal solution HCPCS C9046 | $133.85 | $382.44 | $1.72 – $4.03 | 4 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $165.49 – $306.17 | 7 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $165.49 – $306.17 | 7 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.52 – $2.46 | 3 |
| Cold agglutinin screen (arc) CPT 86156 | $10.71 | $30.60 | $8.07 – $20.78 | 9 |
| Cold agglutinin titer CPT 86157 | $28.56 | $81.60 | $8.06 – $25.03 | 9 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colistimethate sodium inj HCPCS J0770 | $102.66 | $293.32 | $11.39 – $138.71 | 5 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $73.16 – $157.77 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $49.90 | $142.56 | $40.66 – $75.22 | 7 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $16.15 | $46.15 | $73.56 – $136.09 | 7 |
| Collar cerv ascend 172 reg HCPCS L0172 | $213.89 | $611.10 | $182.91 – $338.38 | 7 |
| Collar cerv patriot adlt HCPCS L0150 | $87.00 | $248.56 | $165.57 – $306.30 | 7 |
| Collar extrication adult univ HCPCS L0200 | $110.25 | $315.00 | $791.22 – $1,463.76 | 7 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $168.00 | $480.00 | $105.19 – $1,487.00 | 8 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $350.70 | $1,002.00 | $105.19 – $1,487.00 | 8 |
| Collection of venous blood by venipuncture CPT 36415 | $10.85 | $31.00 | $6.00 – $22.58 | 9 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $277.71 – $1,487.00 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | $610.75 | $1,745.00 | $1,196.08 – $9,297.00 | 9 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/control bleed CPT 45382 | $811.30 | $2,318.00 | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,142.09 – $9,297.00 | 9 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,142.09 – $9,297.00 | 9 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,142.09 – $12,557.00 | 9 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Colpocentesis 57020 CPT 57020 | $3,728.90 | $10,654.00 | $1,165.43 – $9,297.00 | 9 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $2,455.49 – $11,902.87 | 9 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $7,934.96 – $16,065.00 | 9 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $5,821.00 – $11,902.87 | 7 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,260.95 | $9,317.00 | $1,142.09 – $7,332.00 | 9 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $2,734.20 | $7,812.00 | $352.70 – $5,977.00 | 9 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $1,746.72 – $9,297.00 | 9 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $315.00 | $900.00 | $260.03 – $5,977.00 | 9 |
| Colposcopy vulva 56820 CPT 56820 | $185.15 | $529.00 | $260.03 – $1,487.00 | 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.