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 |
|---|---|---|---|---|
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $198.23 – $198.23 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $280.23 – $280.23 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $48.43 – $279.07 | 3 |
| Echo guide for artery repair CPT 76936 | $712.25 | $2,035.00 | $263.00 – $1,511.42 | 9 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $148.34 – $279.07 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $144.91 – $279.24 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $48.43 – $279.07 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $149.19 – $279.28 | 3 |
| Echo stress CPT 93350 | $1,083.95 | $3,097.00 | $306.59 – $1,300.14 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $46.00 – $1,300.14 | 7 |
| Echo tee guidance CPT 93355 | $2,584.40 | $7,384.00 | $1,278.15 – $1,278.15 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,359.40 | $3,884.00 | $658.08 – $1,300.14 | 7 |
| Echo transesophageal CPT 93313 | not published | not published | $42.47 – $1,300.14 | 7 |
| Echo transesophageal CPT 93314 | not published | not published | $658.08 – $784.76 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $177.11 – $1,300.14 | 7 |
| Echo transesophageal CPT 93317 | not published | not published | $120.27 – $652.67 | 2 |
| Echo transesophageal intraop CPT 93318 | $920.85 | $2,631.00 | $542.13 – $1,300.14 | 7 |
| Echo transthoracic CPT 93303 | $915.25 | $2,615.00 | $662.93 – $1,300.14 | 7 |
| Echo transthoracic CPT 93304 | $511.70 | $1,462.00 | $335.96 – $1,300.14 | 7 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $977.20 | $2,792.00 | $306.88 – $662.93 | 7 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $1,678.25 | $4,795.00 | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $1,678.25 | $4,795.00 | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,678.25 | $4,795.00 | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,678.25 | $4,795.00 | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $4,677.75 | $13,365.00 | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $4,677.75 | $13,365.00 | $352.70 – $9,891.00 | 4 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $352.70 – $12,235.00 | 4 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $352.70 – $12,235.00 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $352.70 – $12,235.00 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $352.70 – $12,235.00 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $352.70 – $12,235.00 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $4,677.75 | $13,365.00 | $352.70 – $12,235.00 | 4 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $48.00 – $91.63 | 7 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $31.44 | 9 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $25,442.29 | $72,692.25 | $44.35 – $96.34 | 8 |
| Eculizumab injection HCPCS J1300 | not published | not published | $221.78 – $317.95 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $102.75 – $13,889.06 | 9 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.69 – $2.53 | 5 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $29.00 – $60.38 | 6 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $120.90 – $262.84 | 6 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $476.00 | $1,360.00 | $277.71 – $513.77 | 7 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $364.70 | $1,042.00 | $272.01 – $887.89 | 7 |
| Eeg during surgery CPT 95955 | not published | not published | $344.70 – $344.70 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $303.33 – $2,043.29 | 7 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $114.95 – $887.89 | 7 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $481.95 | $1,377.00 | $277.71 – $513.77 | 7 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $583.80 | $1,668.00 | $277.71 – $513.77 | 7 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $826.20 – $826.20 | 1 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $1,001.36 – $1,001.36 | 1 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $1,023.03 – $1,023.03 | 1 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $1,279.44 – $1,279.44 | 1 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $1,168.42 – $1,168.42 | 1 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $1,616.78 – $1,616.78 | 1 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $818.43 – $818.43 | 1 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $401.44 – $401.44 | 1 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $528.70 – $528.70 | 1 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $620.94 – $620.94 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $208.60 | $596.00 | $277.71 – $513.77 | 7 |
| Eeg recording awake and asleep CPT 95819 | $499.80 | $1,428.00 | $277.71 – $513.77 | 7 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $554.40 | $1,584.00 | $277.71 – $624.06 | 7 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $380.45 | $1,087.00 | $277.71 – $624.06 | 7 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,784.65 | $5,099.00 | $479.94 – $1,197.36 | 7 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,368.85 | $3,911.00 | $479.94 – $1,197.36 | 7 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $415.80 | $1,188.00 | $277.71 – $624.06 | 7 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $913.15 | $2,609.00 | $479.94 – $1,197.36 | 7 |
| E equine encephalitis igg CPT 86652 | not published | not published | $13.19 – $40.91 | 9 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $23,671.55 | $67,632.99 | $31.57 – $69.62 | 9 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $1,142.09 – $21,833.00 | 9 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $352.70 – $14,539.00 | 9 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $352.70 – $13,207.00 | 9 |
| Egd guide wire insertion CPT 43248 | not published | not published | $1,166.53 – $9,297.00 | 9 |
| Egd injection varices CPT 43243 | not published | not published | $1,457.73 – $9,297.00 | 9 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,457.73 – $9,297.00 | 9 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Egd remove foreign body CPT 43247 | $586.60 | $1,676.00 | $1,166.53 – $9,297.00 | 9 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,142.09 – $9,297.00 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $1,086.40 | $3,104.00 | $1,528.38 – $9,297.00 | 9 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Egd varices ligation CPT 43244 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,159.89 – $10,103.00 | 9 |
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.