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 |
|---|---|---|---|---|
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision of neck cyst CPT 42815 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision of salivary cyst CPT 42408 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excision of tongue lesion CPT 41112 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision of tongue lesion CPT 41114 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision of tonsil tags CPT 42860 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Excision of uvula CPT 42140 | not published | not published | $1,286.82 – $9,297.00 | 9 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excision radial head CPT 24130 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $1,528.38 – $7,332.00 | 9 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $2,486.75 | $7,105.00 | $1,528.38 – $15,861.00 | 9 |
| Excis partial tal calc CPT 28120 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,063.30 | $3,038.00 | $763.02 – $5,977.00 | 9 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $1,114.75 | $3,185.00 | $763.02 – $5,977.00 | 9 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $2,344.30 | $6,698.00 | $1,528.38 – $9,297.00 | 9 |
| Exc malig feenl >4cm 11646 CPT 11646 | $2,486.75 | $7,105.00 | $1,528.38 – $9,297.00 | 9 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $2,021.95 | $5,777.00 | $1,142.09 – $5,977.00 | 9 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $2,072.35 | $5,921.00 | $763.02 – $5,977.00 | 9 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,402.75 | $6,865.00 | $1,142.09 – $3,929.83 | 8 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $772.45 | $2,207.00 | $910.78 – $5,977.00 | 9 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $772.45 | $2,207.00 | $763.02 – $5,977.00 | 9 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $772.45 | $2,207.00 | $522.85 – $5,977.00 | 9 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,206.80 | $3,448.00 | $910.78 – $5,977.00 | 9 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,206.80 | $3,448.00 | $910.78 – $9,297.00 | 9 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,448.95 | $6,997.00 | $1,746.72 – $10,103.00 | 9 |
| Exc prtl bn phlnx toe CPT 28124 | $1,824.55 | $5,213.00 | $1,746.72 – $10,103.00 | 9 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $2,821.63 – $15,861.00 | 9 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $2,821.63 – $13,207.00 | 9 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $2,123.80 | $6,068.00 | $910.78 – $5,977.00 | 9 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $2,462.95 | $7,037.00 | $1,528.38 – $9,297.00 | 9 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $2,525.25 | $7,215.00 | $1,528.38 – $9,297.00 | 9 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $4,295.90 | $12,274.00 | $1,528.38 – $15,861.00 | 9 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $4,295.90 | $12,274.00 | $1,528.38 – $9,297.00 | 9 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $3,228.40 | $9,224.00 | $1,528.38 – $9,297.00 | 9 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $3,246.25 | $9,275.00 | $1,528.38 – $9,297.00 | 9 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $1,864.80 | $5,328.00 | $1,528.38 – $15,861.00 | 9 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,706.60 | $4,876.00 | $1,746.72 – $10,103.00 | 9 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $3,016.30 | $8,618.00 | $1,528.38 – $9,297.00 | 9 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,020.55 | $5,773.00 | $1,142.09 – $5,977.00 | 9 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $2,159.89 – $9,891.00 | 9 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $2,049.60 | $5,856.00 | $1,528.38 – $9,297.00 | 9 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $318.95 – $590.06 | 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.