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 |
|---|---|---|---|---|
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $34.91 | $99.75 | $1.50 – $2.80 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $3.83 | 9 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $16.45 – $51.05 | 9 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $287.25 – $847.98 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $70.52 | $201.48 | $5.87 – $23.76 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $103.94 | $296.96 | $2.61 – $11.16 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $84.18 | $240.50 | $0.48 – $80.23 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $112.40 | 2 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.64 – $23.09 | 3 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.19 – $46.25 | 9 |
| Ammonia CPT 82140 | $203.70 | $582.00 | $14.57 – $45.20 | 9 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,056.65 | $3,019.00 | $601.13 – $9,891.00 | 9 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $391.93 – $9,891.00 | 9 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $23.23 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $2,985.85 | $8,531.00 | $2,159.89 – $12,557.00 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $0.02 – $97.64 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.02 – $117.15 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $135.63 | $387.52 | $34.12 – $107.65 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | $377.26 | $1,077.88 | $10.30 – $22.15 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $382.55 | $1,093.00 | $22.62 – $50.12 | 9 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $117.60 | $336.00 | $0.49 – $10.22 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $188.98 | $539.95 | $1.49 – $19.87 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $194.25 | $555.00 | $262.99 – $1,165.05 | 9 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $1,824.55 | $5,213.00 | $1,528.38 – $9,297.00 | 9 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,528.38 – $17,698.00 | 9 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $1,528.38 – $12,132.52 | 9 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,142.09 – $17,698.00 | 9 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Amputation of lower leg CPT 27882 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | $2,457.00 | $7,020.00 | $1,528.38 – $9,297.00 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Amylase CPT 82150 | $148.75 | $425.00 | $6.48 – $20.10 | 9 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $58.42 – $125.37 | 5 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $37.56 | 9 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $97.65 | $279.00 | $0.02 – $127.12 | 2 |
| Anal pressure record CPT 91122 | not published | not published | $201.71 – $1,487.00 | 4 |
| Anal/urinary muscle study CPT 51784 | $469.35 | $1,341.00 | $165.49 – $1,487.00 | 8 |
| Anal/urinary muscle study CPT 51785 | $748.30 | $2,138.00 | $321.35 – $5,977.00 | 9 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $87.37 – $226.21 | 7 |
| Analysis gene f2 20210g>a variant CPT 81240 | $71.40 | $204.00 | $65.69 – $163.11 | 8 |
| Analysis gene f5 leiden variant CPT 81241 | $71.40 | $204.00 | $66.04 – $182.18 | 8 |
| Analysis nerve CPT 88356 | not published | not published | $67.02 – $285.12 | 9 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $48.00 – $88.80 | 7 |
| Analysis tumor CPT 88358 | not published | not published | $34.05 – $405.38 | 9 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $120.53 – $226.21 | 7 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $155.45 | 9 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | $95.68 | $273.36 | $15.05 – $46.71 | 9 |
| An cholangiogram percutaneous compl CPT 47531 | $2,421.30 | $6,918.00 | $867.20 – $9,834.00 | 9 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $89.44 | 9 |
| An fluoro guide for cvp CPT 77001 | $88.90 | $254.00 | $240.13 – $416.71 | 3 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $1,750.70 | $5,002.00 | $1,487.00 – $8,365.00 | 3 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $2,928.45 | $8,367.00 | $2,159.89 – $13,460.00 | 5 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $2,286.90 | $6,534.00 | $2,159.89 – $13,460.00 | 5 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $1,388.80 | $3,968.00 | $2,159.89 – $13,460.00 | 4 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $63.66 | 9 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $2,979.43 | $8,512.67 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $4,519.55 | $12,913.00 | $2,159.89 – $30,073.00 | 5 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $915.60 | $2,616.00 | $1,487.00 – $8,365.00 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $2,289.35 | $6,541.00 | $1,142.09 – $13,460.00 | 8 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $915.60 | $2,616.00 | $1,487.00 – $8,365.00 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $2,289.35 | $6,541.00 | $1,142.09 – $13,460.00 | 8 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.48 – $5.49 | 5 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Ankle X-ray CPT 73610 | $364.00 | $1,040.00 | $60.41 – $427.38 | 9 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $352.70 – $1,487.00 | 8 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $48.19 – $89.15 | 7 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $7.30 – $13.50 | 6 |
| Anogenital exam child w imag CPT 99170 | $145.60 | $416.00 | $22.58 – $481.05 | 7 |
| Anora (draw only) CPT 99001 | not published | not published | $12.28 – $66.04 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Anoscopy CPT 46611 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Anoscopy and biopsy CPT 46606 | $1,409.10 | $4,026.00 | $1,074.52 – $9,891.00 | 9 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Anoscopy control bleeding 46614 CPT 46614 | $1,310.75 | $3,745.00 | $1,074.52 – $9,891.00 | 9 |
| Anoscopy remove fb 46608 CPT 46608 | $1,409.10 | $4,026.00 | $1,074.52 – $5,977.00 | 9 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,142.09 – $6,604.43 | 9 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,142.09 – $6,604.43 | 9 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $277.71 – $513.77 | 7 |
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.