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 |
|---|---|---|---|---|
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $67.02 – $142.17 | 8 |
| Cryosurg ablate fa each CPT 19105 | $6,113.10 | $17,466.00 | $1,142.09 – $15,861.00 | 9 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $151.53 – $1,487.00 | 8 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $75.87 – $1,487.00 | 8 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $41.24 | 9 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $29.76 | 9 |
| Crystal identification light microscopy CPT 89060 | $187.60 | $536.00 | $7.33 – $22.18 | 9 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,746.72 – $9,891.00 | 3 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,746.72 – $9,891.00 | 3 |
| Csf leakage imaging CPT 78650 | $1,309.70 | $3,742.00 | $752.94 – $6,336.39 | 9 |
| Csf shunt reprogram 62252 CPT 62252 | $253.40 | $724.00 | $395.03 – $5,977.00 | 9 |
| Csf ventriculography CPT 78635 | not published | not published | $436.87 – $2,612.61 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $202.30 | $578.00 | $136.58 – $652.11 | 3 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,766.10 | $5,046.00 | $225.59 – $834.57 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,054.15 | $5,869.00 | $225.59 – $834.57 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,552.60 | $4,436.00 | $225.59 – $834.57 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $1,267.35 | $3,621.00 | $225.59 – $834.57 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $984.90 | $2,814.00 | $448.71 – $1,431.43 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,578.85 | $4,511.00 | $225.59 – $834.57 | 8 |
| CT Angiogram of the Head CPT 70496 | $1,014.30 | $2,898.00 | $225.59 – $834.57 | 8 |
| CT angio hrt w/3d image CPT 75574 | $1,030.75 | $2,945.00 | $291.55 – $830.11 | 8 |
| CT angio pelvis CPT 72191 | $1,578.85 | $4,511.00 | $225.59 – $834.57 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,578.85 | $4,511.00 | $225.59 – $834.57 | 8 |
| CT bone density axial CPT 77078 | not published | not published | $94.69 – $207.07 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $225.59 – $417.35 | 6 |
| CT colonography dx CPT 74261 | not published | not published | $134.46 – $473.15 | 8 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $225.59 – $740.92 | 8 |
| CT colonography screening CPT 74263 | not published | not published | $306.88 – $2,667.55 | 8 |
| CT guidance for needle placement CPT 77012 | $1,821.40 | $5,204.00 | $268.38 – $1,506.10 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,426.25 | $4,075.00 | $194.78 – $574.63 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $317.26 – $9,891.00 | 9 |
| CT guid parench tis ablat CPT 77013 | $785.75 | $2,245.00 | $895.50 – $1,581.73 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $479.15 | $1,369.00 | $111.93 – $207.07 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $824.95 | $2,357.00 | $280.39 – $830.11 | 8 |
| CT hrt w/3d image CPT 75572 | $824.95 | $2,357.00 | $234.70 – $830.11 | 8 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $111.93 – $263.04 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,280.95 | $6,517.00 | $225.59 – $740.92 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,931.65 | $5,519.00 | $134.46 – $473.15 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,906.40 | $8,304.00 | $225.59 – $823.77 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $1,853.95 | $5,297.00 | $225.59 – $740.92 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $1,614.55 | $4,613.00 | $134.46 – $473.15 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,074.45 | $5,927.00 | $225.59 – $823.77 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,975.75 | $5,645.00 | $225.59 – $823.77 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,754.20 | $5,012.00 | $225.59 – $740.92 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,632.40 | $4,664.00 | $134.46 – $473.15 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $303.10 | $866.00 | $184.68 – $5,977.00 | 9 |
| CT scan for therapy guide CPT 77014 | $785.75 | $2,245.00 | $376.20 – $705.06 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,037.00 | $5,820.00 | $448.71 – $1,431.43 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,949.15 | $5,569.00 | $448.71 – $1,207.19 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,890.35 | $5,401.00 | $306.88 – $632.83 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $2,493.75 | $7,125.00 | $225.59 – $740.92 | 8 |
| CT thoracic spine without contrast CPT 72128 | $2,365.65 | $6,759.00 | $134.46 – $473.15 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,908.55 | $5,453.00 | $129.44 – $248.76 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $2,605.75 | $7,445.00 | $225.59 – $823.77 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,014.25 | $5,755.00 | $448.71 – $830.11 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,807.05 | $5,163.00 | $134.46 – $473.15 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,596.30 | $7,418.00 | $225.59 – $823.77 | 8 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $82.05 – $405.38 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $85.34 – $405.38 | 9 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $561.69 – $9,834.00 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $561.69 – $9,297.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $45.85 | $131.00 | $8.08 – $25.08 | 9 |
| Culture afb any source CPT 87116 | $168.00 | $480.00 | $10.80 – $33.51 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | $67.55 | $193.00 | $8.08 – $25.08 | 9 |
| Culture anaerobic except blood CPT 87075 | $265.30 | $758.00 | $9.47 – $29.35 | 9 |
| Culture bact stool aero addl path ea CPT 87046 | $65.80 | $188.00 | $9.44 – $29.26 | 9 |
| Culture body fluid CPT 87070 | $169.40 | $484.00 | $8.62 – $26.72 | 9 |
| Culture fungi definitive id mold CPT 87107 | $33.95 | $97.00 | $10.32 – $32.02 | 9 |
| Culture fungi definitive id yeast CPT 87106 | $51.10 | $146.00 | $10.32 – $32.02 | 9 |
| Culture fungi other (except blood) CPT 87102 | $154.35 | $441.00 | $8.41 – $26.06 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $169.05 | $483.00 | $7.71 – $23.94 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $14.61 – $36.29 | 9 |
| Culture mycoplasma any source CPT 87109 | $57.75 | $165.00 | $15.39 – $47.72 | 9 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $29.26 | 9 |
| Culture screening strep group a CPT 87081 | $120.40 | $344.00 | $6.63 – $20.56 | 9 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $19.21 | 9 |
| Culture typing immunologic CPT 87147 | $12.25 | $35.00 | $5.18 – $16.05 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $541.45 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $108.86 | 9 |
| Culture urine each isolate CPT 87088 | not published | not published | $8.09 – $25.12 | 9 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $60.66 | 9 |
| Curette/treat cornea CPT 65435 | $708.75 | $2,025.00 | $1,142.09 – $5,977.00 | 9 |
| Curette/treat cornea CPT 65436 | $1,910.30 | $5,458.00 | $1,142.09 – $5,821.00 | 8 |
| Cutter lead HCPCS C1773 | $13,715.63 | $39,187.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,343.95 | $6,697.00 | $1,142.09 – $5,977.00 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $19.32 – $162.52 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $30.47 – $198.78 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $44.41 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $33.05 | $94.44 | $0.95 – $7.57 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $90.30 | $258.00 | $12.95 – $40.16 | 9 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,907.64 | $5,450.41 | $0.62 – $1.89 | 9 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $527.00 | $1,505.70 | $1.98 – $4.73 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $218.69 | $624.84 | $71.17 – $153.51 | 5 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $18.05 – $56.00 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $0.61 | $1.75 | $0.77 – $3.22 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $4.38 | $12.51 | $2.07 – $13.62 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $22,282.07 | $63,663.07 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $194.88 – $723.43 | 8 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $434.07 | 8 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $298.72 – $1,119.60 | 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.