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 |
|---|---|---|---|---|
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $273.20 – $5,977.00 | 9 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $520.80 | $1,488.00 | $352.70 – $5,977.00 | 9 |
| Colpotomy drng of abscess 57010 CPT 57010 | $2,732.10 | $7,806.00 | $1,528.38 – $9,297.00 | 9 |
| Colpotomy w/exploration 57000 CPT 57000 | $2,732.10 | $7,806.00 | $1,142.09 – $7,332.00 | 9 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $191.45 | $547.00 | $2.67 – $405.38 | 9 |
| Compatibility test each unit electronic CPT 86923 | $265.30 | $758.00 | $2.02 – $405.38 | 9 |
| Compatibility test each unit immediate spin technique CPT 86920 | $210.70 | $602.00 | $2.52 – $405.38 | 9 |
| Compatibility test incubate CPT 86921 | $345.10 | $986.00 | $2.25 – $405.38 | 9 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $1,896.30 | $5,418.00 | $549.87 – $2,362.00 | 8 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,896.30 | $5,418.00 | $549.87 – $2,362.00 | 8 |
| Complement antigen each component c3 CPT 86160 | $257.60 | $736.00 | $12.00 – $37.25 | 9 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $31.08 | 9 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $321.35 – $5,977.00 | 9 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $872.55 | $2,493.00 | $522.85 – $9,297.00 | 9 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,003.45 | $2,867.00 | $857.14 – $10,103.00 | 9 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $469.35 | $1,341.00 | $191.34 – $1,487.00 | 8 |
| Compl oph exam general anes CPT 92018 | not published | not published | $184.17 – $5,821.00 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $588.35 | $1,681.00 | $857.14 – $10,103.00 | 9 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $588.35 | $1,681.00 | $857.14 – $10,103.00 | 9 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $290.50 | $830.00 | $561.69 – $9,891.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $576.45 | $1,647.00 | $522.85 – $9,297.00 | 9 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $588.35 | $1,681.00 | $522.85 – $10,103.00 | 9 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $167.65 | $479.00 | $561.69 – $9,891.00 | 4 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $167.65 | $479.00 | $206.01 – $9,891.00 | 4 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $872.55 | $2,493.00 | $857.14 – $9,297.00 | 9 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $186.90 | $534.00 | $561.69 – $9,891.00 | 4 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $888.03 – $1,642.86 | 7 |
| Composite graft/pri close/don area 15760 CPT 15760 | $1,910.30 | $5,458.00 | $1,528.38 – $9,297.00 | 9 |
| Comprehensive hearing test CPT 92557 | not published | not published | $165.49 – $306.17 | 7 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $171.24 – $316.79 | 7 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $171.24 – $316.79 | 7 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $448.71 – $830.11 | 6 |
| Concentration infection agents any type CPT 87015 | $33.25 | $95.00 | $6.68 – $20.72 | 9 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $127.32 – $306.17 | 7 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $352.75 – $507.38 | 2 |
| Condylomata destruction 56420 CPT 56420 | $185.15 | $529.00 | $260.03 – $5,977.00 | 9 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $53.48 – $130.11 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Conization of cervix CPT 57520 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,354.59 | $3,870.27 | $145.52 – $823.21 | 9 |
| Connect omega .5mm HCPCS L8613 | $1,260.00 | $3,600.00 | $502.75 – $502.75 | 1 |
| Connector tis 2x10mm HCPCS C9352 | $3,180.28 | $9,086.52 | $1,334.81 – $2,106.93 | 2 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Construction of vagina CPT 57291 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,142.09 – $11,902.87 | 9 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $42.11 – $140.37 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $887.60 | $2,536.00 | $42.11 – $1,917.04 | 9 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $109.90 | $314.00 | $27.51 – $60.24 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $282.80 | $808.00 | $80.11 – $405.38 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $92.75 | $265.00 | $55.34 – $123.99 | 9 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $80.50 | $230.00 | $42.11 – $196.77 | 9 |
| Consult comp w/report rfrd material CPT 88325 | $202.30 | $578.00 | $98.94 – $405.38 | 9 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $181.96 – $1,062.94 | 7 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $110.81 – $316.58 | 7 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $33.74 – $57.63 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | $61.95 | $177.00 | $108.48 – $1,487.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Contrast baths charges CPT 97034 | $40.60 | $116.00 | $15.18 – $34.00 | 6 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,939.00 | $5,540.00 | $397.60 – $15,276.98 | 9 |
| Contrast exam thoracic aorta CPT 75600 | $1,802.85 | $5,151.00 | $618.40 – $15,276.98 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,629.50 | $10,370.00 | $396.75 – $26,237.59 | 9 |
| Contrast x-ray gallbladder CPT 74290 | $221.90 | $634.00 | $127.59 – $864.05 | 9 |
| Contrast x-ray of ankle CPT 73615 | $486.85 | $1,391.00 | $192.21 – $1,733.40 | 9 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $222.86 – $1,733.40 | 9 |
| Contrast x-ray of brain CPT 70015 | $773.50 | $2,210.00 | $222.16 – $3,834.71 | 9 |
| Contrast x-ray of elbow CPT 73085 | $266.35 | $761.00 | $177.66 – $1,733.40 | 9 |
| Contrast x-ray of hip CPT 73525 | $382.90 | $1,094.00 | $182.81 – $1,733.40 | 9 |
| Contrast x-ray of knee joint CPT 73580 | $748.30 | $2,138.00 | $259.83 – $1,733.40 | 9 |
| Contrast x-ray of wrist CPT 73115 | $637.00 | $1,820.00 | $205.06 – $1,733.40 | 9 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $8,731.80 | $24,948.00 | $17,463.78 – $32,307.99 | 7 |
| Controller infinity pt dbs HCPCS C1787 | $4,494.00 | $12,840.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $303.10 | $866.00 | $171.12 – $5,977.00 | 9 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $184.68 – $1,487.00 | 8 |
| Control of nosebleed ant comp 30903 CPT 30903 | $682.50 | $1,950.00 | $171.12 – $5,977.00 | 9 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $303.10 | $866.00 | $171.12 – $1,487.00 | 8 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $753.20 | $2,152.00 | $184.68 – $5,977.00 | 9 |
| Control throat bleeding CPT 42961 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Control throat bleeding CPT 42962 | $2,492.70 | $7,122.00 | $1,528.38 – $9,297.00 | 9 |
| Conversion ext bil drg cath CPT 47535 | $2,115.75 | $6,045.00 | $1,746.72 – $15,861.00 | 9 |
| Convert nephrostomy catheter CPT 50434 | $3,021.55 | $8,633.00 | $1,142.09 – $10,103.00 | 9 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Coombs direct CPT 86880 | $81.55 | $233.00 | $7.65 – $140.37 | 9 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $139.30 | $398.00 | $8.11 – $405.38 | 9 |
| Coombs indirect titer reference CPT 86886 | $28.18 | $80.50 | $7.35 – $405.38 | 9 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,953.68 | 8 |
| Copper intrauterine device HCPCS J7300 | $1,609.55 | $4,598.71 | $878.60 – $2,936.90 | 5 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,607.15 | 8 |
| Core ndl bx lng/med perq CPT 32408 | $1,494.15 | $4,269.00 | $352.70 – $14,539.00 | 9 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $10,889.06 – $10,889.06 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $41.78 – $140.37 | 7 |
| Corneal smear CPT 65430 | not published | not published | $182.60 – $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.