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 |
|---|---|---|---|---|
| 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 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $472.37 – $472.37 | 1 |
| 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 |
| Corneal transplant CPT 65710 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Corneal transplant CPT 65730 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Corneal transplant CPT 65750 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Corneal transplant CPT 65755 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $2,821.63 – $15,861.00 | 9 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $7,570.50 | $21,630.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $5,373.90 | $15,354.00 | $3,409.47 – $9,891.00 | 9 |
| Coronary angio/lv gram/lt heart CPT 93458 | $4,677.75 | $13,365.00 | $3,409.47 – $9,891.00 | 9 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $4,814.60 | $13,756.00 | $3,409.47 – $9,891.00 | 9 |
| Coronary artery correction CPT 33502 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Coronary artery graft CPT 33503 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Coronary artery graft CPT 33504 | not published | not published | $1,746.72 – $15,227.00 | 4 |
| Coronary art/grft angio s&i CPT 93455 | $4,568.90 | $13,054.00 | $3,409.47 – $9,891.00 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,117.40 | $11,764.00 | $3,409.47 – $9,891.00 | 9 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $2,198.35 | $6,281.00 | $397.75 – $6,790.00 | 4 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $4.35 – $136.07 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Correct finger deformity CPT 26567 | $2,457.00 | $7,020.00 | $2,455.49 – $13,207.00 | 9 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Correction claw finger other CPT 26499 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,282.15 – $12,557.00 | 9 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Correction of bladder defect CPT 51940 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $408.24 – $5,977.00 | 9 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $171.12 – $1,487.00 | 8 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,282.15 – $9,297.00 | 9 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Correct rectal prolapse CPT 45541 | $1,535.10 | $4,386.00 | $1,142.09 – $9,891.00 | 9 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $561.69 – $1,487.00 | 8 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $352.70 – $9,891.00 | 4 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $9.05 – $18.53 | 5 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $32.62 – $101.18 | 9 |
| Cortisol total am CPT 82533 | $203.00 | $580.00 | $16.30 – $50.59 | 9 |
| Costotransversectomy CPT 21610 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $292.66 | $836.16 | $28.02 – $311.10 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $49.70 | $142.00 | $26.71 – $59.20 | 6 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $48.19 – $89.15 | 7 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $130.66 – $241.72 | 7 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | $323.75 – $323.75 | 1 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,413.39 | $6,895.40 | not published | 0 |
| Cover eye w/membrane CPT 65778 | not published | not published | $352.70 – $9,297.00 | 9 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $352.70 – $9,834.00 | 9 |
| Covers for upright each HCPCS L1120 | not published | not published | $60.85 – $112.57 | 7 |
| Cover wrist HCPCS L3984 | not published | not published | $516.04 – $954.67 | 7 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $28.00 | $80.00 | $52.27 – $96.70 | 6 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $51.31 – $127.40 | 8 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $70.20 – $189.79 | 9 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $13.03 – $40.43 | 9 |
| C-peptide CPT 84681 | not published | not published | $20.81 – $56.87 | 9 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Cptrized corneal topography CPT 92025 | not published | not published | $53.58 – $140.37 | 7 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $75.87 – $140.37 | 7 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $277.71 – $1,511.42 | 8 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $706.43 – $3,548.23 | 8 |
| Cranial cervical orthosis HCPCS L0112 | not published | not published | $1,678.86 – $3,105.89 | 7 |
| Cranial cervical torticollis HCPCS L0113 | not published | not published | $342.07 – $632.83 | 7 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,455.49 – $11,276.00 | 4 |
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.