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 |
|---|---|---|---|---|
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,350.65 | $3,858.99 | $7.57 – $15.20 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $2,074.14 | $5,926.12 | $7.30 – $16.92 | 9 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.41 – $5.30 | 5 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.41 – $2.94 | 5 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $79.65 | $227.58 | $16.20 – $46.36 | 5 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $13.12 – $40.69 | 9 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $15.29 – $47.46 | 9 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $18.14 – $54.07 | 9 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,078.00 | $3,080.00 | $3.26 – $49.04 | 9 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.26 – $41.54 | 9 |
| Ercp biliary & pancreas CPT 74330 | $960.40 | $2,744.00 | $308.65 – $574.63 | 3 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $11.54 | 4 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,093.56 | $14,553.03 | $76.76 – $255.31 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $465.97 | $1,331.33 | $9.02 – $60.93 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $183.40 | $524.00 | $108.45 – $200.64 | 7 |
| ER Visit (level 2) CPT 99282 | $358.05 | $1,023.00 | $197.48 – $365.34 | 7 |
| ER Visit (level 3) CPT 99283 | $602.35 | $1,721.00 | $335.46 – $649.53 | 7 |
| ER Visit (level 4) CPT 99284 | $1,030.05 | $2,943.00 | $536.67 – $992.84 | 7 |
| ER Visit (level 5, high severity) CPT 99285 | $1,540.35 | $4,401.00 | $765.95 – $1,417.01 | 7 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $1,039.96 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $278.94 | $796.96 | $9.46 – $141.81 | 5 |
| Escharotomy ea addl incision CPT 16036 | $1,486.10 | $4,246.00 | $1,142.09 – $9,891.00 | 4 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,958.78 – $15,861.00 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $375.55 | $1,073.00 | $0.42 – $1.14 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $626.05 | $1,788.72 | $0.28 – $1.70 | 5 |
| Esophageal dilat s&i CPT 74360 | $448.35 | $1,281.00 | $227.89 – $574.58 | 3 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Esophageal motility CPT 78258 | $1,062.95 | $3,037.00 | $481.65 – $1,950.38 | 9 |
| Esophageal recording CPT 93615 | not published | not published | $54.95 – $4,099.00 | 8 |
| Esophageal recording CPT 93616 | not published | not published | $54.95 – $4,099.00 | 8 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $4,958.78 – $15,861.00 | 8 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $586.60 | $1,676.00 | $1,142.09 – $5,977.00 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | $1,086.40 | $3,104.00 | $1,142.09 – $5,977.00 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esophagus motility study CPT 91010 | not published | not published | $201.71 – $1,487.00 | 8 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $293.39 – $1,487.00 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | $1,086.40 | $3,104.00 | $1,528.38 – $9,297.00 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $63.37 – $1,487.00 | 3 |
| Esoph imped function test CPT 91037 | not published | not published | $277.71 – $1,487.00 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $306.81 – $1,487.00 | 8 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Essure 58565 CPT 58565 | not published | not published | $3,409.47 – $15,861.00 | 9 |
| Establish access to aorta CPT 36160 | $406.00 | $1,160.00 | $1,487.00 – $9,891.00 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $155.00 – $155.00 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $173.00 – $173.00 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $208.00 – $208.00 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $269.00 – $269.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $427.00 – $427.00 | 1 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Estradiol total CPT 82670 | $94.15 | $269.00 | $27.94 – $86.68 | 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.