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 |
|---|---|---|---|---|
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $1,528.38 – $10,150.65 | 9 |
| Egfr gene com variants CPT 81235 | $139.65 | $399.00 | $56.81 – $805.94 | 9 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $155.45 | 9 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $48.59 | 9 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $87.32 – $183.89 | 2 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $183.89 – $183.89 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $70.58 – $70.58 | 1 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $37.20 – $68.82 | 7 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $4,616.98 – $8,541.41 | 7 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,572.24 – $4,758.64 | 7 |
| Elbow arthroscopy CPT 29830 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $4,383.37 – $8,109.23 | 7 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $3,782.53 – $6,997.68 | 7 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $4,453.13 – $8,238.29 | 7 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $3,331.21 – $6,162.74 | 7 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $799.39 – $1,478.87 | 7 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $959.29 – $1,774.69 | 7 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $4,225.63 – $7,817.42 | 7 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $272.30 | $778.00 | $395.03 – $9,297.00 | 9 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $28,715.00 – $53,122.75 | 6 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $28,851.23 – $53,374.78 | 7 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $12.71 – $35.04 | 6 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $395.03 – $9,297.00 | 9 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $352.70 – $1,487.00 | 8 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,764.83 | $22,185.24 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $53.90 – $4,005.00 | 8 |
| Electrical stimulation/unattended 97014 CPT 97014 | $31.15 | $89.00 | $30.74 – $38.85 | 2 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $35.37 – $44.03 | 2 |
| Electrocochleography CPT 92584 | not published | not published | $165.49 – $435.02 | 7 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $69.11 – $2,043.29 | 7 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $4,729.74 – $8,568.24 | 2 |
| Electrodes, pair HCPCS A4556 | not published | not published | $20.45 – $24.29 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $223.33 – $2,043.29 | 7 |
| Electroejaculation CPT 55870 | not published | not published | $601.13 – $5,977.00 | 9 |
| Electrogastrography CPT 91132 | not published | not published | $64.74 – $1,487.00 | 8 |
| Electrogastrography w/test CPT 91133 | not published | not published | $82.43 – $1,487.00 | 8 |
| Electrolyte panel CPT 80051 | $102.55 | $293.00 | $7.01 – $21.77 | 9 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $11.98 – $27.48 | 6 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $10,829.14 – $20,033.91 | 7 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $72.95 – $235.38 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $83.84 – $226.21 | 7 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $48,155.50 – $89,087.68 | 7 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $44,356.85 – $82,060.17 | 7 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $213.07 – $1,917.04 | 9 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $62.50 – $316.58 | 7 |
| Electrophysiologic study CPT 93624 | $3,105.90 | $8,874.00 | $342.49 – $16,065.00 | 8 |
| Electrophysiology evaluation CPT 93619 | $3,801.00 | $10,860.00 | $1,327.23 – $16,065.00 | 8 |
| Electrophysiology evaluation CPT 93620 | $5,194.35 | $14,841.00 | $2,272.44 – $16,065.00 | 8 |
| Electrophysiology evaluation CPT 93621 | $5,097.05 | $14,563.00 | $411.02 – $8,837.00 | 3 |
| Electrophysiology evaluation CPT 93622 | $5,097.05 | $14,563.00 | $678.14 – $8,837.00 | 3 |
| Electrophysiology evaluation CPT 93641 | $1,997.80 | $5,708.00 | $1,232.28 – $8,837.00 | 3 |
| Electrophysiology evaluation CPT 93642 | $825.65 | $2,359.00 | $1,232.28 – $4,099.00 | 8 |
| Electrophysiology evaluation CPT 93644 | $825.65 | $2,359.00 | $1,487.00 – $5,559.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | $364.35 | $1,041.00 | $519.01 – $5,559.00 | 3 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.29 – $45.42 | 9 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $10.03 – $24.81 | 5 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $302.94 – $631.97 | 9 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.74 – $16.62 | 9 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $184.71 – $393.41 | 9 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,528.38 – $10,103.00 | 9 |
| Embolization s&i CPT 75894 | $3,542.00 | $10,120.00 | $2,239.10 – $4,402.85 | 3 |
| Embo or occlude vascular arterial s&i CPT 37242 | $23,821.35 | $68,061.00 | $352.70 – $30,650.81 | 9 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $23,821.35 | $68,061.00 | $352.70 – $27,468.35 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $23,821.35 | $68,061.00 | $352.70 – $27,468.35 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | $21,361.90 | $61,034.00 | $352.70 – $27,468.35 | 9 |
| Embryo hatching CPT 89253 | not published | not published | $142.17 – $405.38 | 8 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $601.13 – $5,977.00 | 9 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $3,409.47 – $13,460.00 | 9 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $3,409.47 – $13,460.00 | 9 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $352.70 – $9,891.00 | 4 |
| Emb without cervical dilation 58100 CPT 58100 | $543.90 | $1,554.00 | $260.03 – $1,487.00 | 8 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $331.45 | $947.00 | $128.95 – $316.58 | 7 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $161.59 – $306.17 | 7 |
| Emg cranial nerve bilateral CPT 95868 | $469.35 | $1,341.00 | $121.06 – $513.77 | 7 |
| Emg needle test 1-extremity CPT 95860 | $341.60 | $976.00 | $93.89 – $316.58 | 7 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $165.49 – $306.17 | 7 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $511.70 | $1,462.00 | $38.63 – $513.77 | 7 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $257.90 – $477.12 | 7 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $304.77 – $563.82 | 7 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $107.01 – $197.97 | 7 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,328.48 – $2,457.69 | 7 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $845.03 – $1,563.31 | 7 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $13.19 – $40.91 | 9 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $13.19 – $40.91 | 9 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $13.19 – $40.91 | 9 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $2,455.49 – $15,861.00 | 9 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $2,455.49 – $15,861.00 | 9 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $649.58 – $1,201.72 | 7 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $156.61 – $289.73 | 7 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $952.47 – $1,762.07 | 7 |
| Endo assay seven anal CPT 81506 | not published | not published | $61.21 – $171.14 | 8 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $443.39 – $820.27 | 7 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $652.69 – $1,207.48 | 7 |
| Endo cath bile duct s&i CPT 74328 | $756.00 | $2,160.00 | $207.19 – $574.63 | 3 |
| Endo cath panc duct s&i CPT 74329 | $686.00 | $1,960.00 | $165.10 – $574.63 | 3 |
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.