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 |
|---|---|---|---|---|
| Estradiol valerate 10 mg inj HCPCS J1380 | $85.77 | $245.05 | $7.71 – $27.82 | 5 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $67.28 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $397.39 – $2,069.78 | 5 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $164.25 – $1,070.06 | 9 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $410.25 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $14.90 – $46.21 | 9 |
| Etonogestrel implant system HCPCS J7307 | $1,976.81 | $5,648.02 | $1,238.93 – $3,133.75 | 5 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $598.81 | $1,710.89 | $0.97 – $38.41 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | $41.66 | $119.04 | $75.76 – $164.39 | 9 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $105.58 – $331.06 | 9 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $26.06 | 9 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $92.48 – $92.48 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $165.49 – $306.17 | 7 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $262.50 | $750.00 | $134.79 – $378.76 | 6 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $30.70 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $133.70 | $382.00 | $98.11 – $243.60 | 9 |
| Evaluation heart device CPT 93640 | $1,863.75 | $5,325.00 | $1,232.28 – $11,276.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $226.80 | $648.00 | $144.86 – $279.64 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | $236.95 | $677.00 | $228.29 – $422.33 | 7 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $8,097.25 | $23,135.00 | $352.70 – $9,891.00 | 4 |
| Evasc prlng admn rx agnt add CPT 61651 | $6,073.20 | $17,352.00 | $352.70 – $9,891.00 | 4 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $2,523.15 | $7,209.00 | $352.70 – $9,891.00 | 4 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $3,222.10 | $9,206.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $3,222.10 | $9,206.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $3,956.05 | $11,303.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $1,680.70 | $4,802.00 | $352.70 – $9,891.00 | 4 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $3,222.10 | $9,206.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $3,222.10 | $9,206.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $3,222.10 | $9,206.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $3,222.10 | $9,206.00 | $1,142.09 – $9,891.00 | 4 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Event monitor CPT 93270 | not published | not published | $48.00 – $161.23 | 7 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $170.62 – $623.93 | 7 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $170.62 – $513.77 | 7 |
| Evoked potentials upper limbs CPT 95925 | $1,024.45 | $2,927.00 | $156.69 – $513.77 | 7 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $100.36 – $513.77 | 7 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,482.24 – $2,742.14 | 7 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $1,058.69 – $1,958.58 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | $632.10 | $1,806.00 | $352.70 – $5,977.00 | 9 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,679.90 | $10,514.00 | $1,528.38 – $9,297.00 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $8,365.00 – $9,891.00 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $8,837.00 – $9,891.00 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,685.60 | $4,816.00 | $1,528.38 – $9,297.00 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,455.49 – $9,891.00 | 4 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $2,486.75 | $7,105.00 | $1,528.38 – $9,297.00 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Exc bartholins gland/cyst CPT 56740 | $3,679.90 | $10,514.00 | $1,746.72 – $10,103.00 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,462.95 | $7,037.00 | $1,142.09 – $5,977.00 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,525.25 | $7,215.00 | $1,528.38 – $9,297.00 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,587.55 | $7,393.00 | $1,528.38 – $9,297.00 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $772.45 | $2,207.00 | $763.02 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $2,021.95 | $5,777.00 | $763.02 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $2,123.80 | $6,068.00 | $910.78 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,402.75 | $6,865.00 | $1,142.09 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $2,402.75 | $6,865.00 | $910.78 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,525.25 | $7,215.00 | $1,142.09 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,652.30 | $7,578.00 | $1,528.38 – $9,297.00 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $772.45 | $2,207.00 | $522.85 – $5,977.00 | 9 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,206.80 | $3,448.00 | $910.78 – $5,977.00 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $2,455.49 – $11,902.87 | 9 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $352.70 – $9,891.00 | 9 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $352.70 – $17,265.50 | 9 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $352.70 – $17,265.50 | 9 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $763.02 – $10,103.00 | 9 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $8,837.00 – $9,891.00 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc excessive skin hip CPT 15834 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc excessive skin leg CPT 15833 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $1,142.09 – $6,911.51 | 9 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,427.22 – $9,297.00 | 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.