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 |
|---|---|---|---|---|
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $245.95 – $455.01 | 7 |
| Exc vagina lesion 57135 CPT 57135 | $2,732.10 | $7,806.00 | $1,528.38 – $9,297.00 | 9 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.70 – $56.55 | 4 |
| Exercise tst brncspsm w/ecg CPT 94617 | $434.00 | $1,240.00 | $171.12 – $316.58 | 6 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $75.87 – $140.37 | 7 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $352.70 – $1,487.00 | 3 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.58 – $49.25 | 9 |
| Exome re-evaluation CPT 81417 | not published | not published | $320.00 – $794.56 | 8 |
| Exome sequence analysis CPT 81415 | not published | not published | $2,429.00 – $11,868.74 | 8 |
| Exome sequence analysis CPT 81416 | not published | not published | $2,429.00 – $29,796.00 | 8 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $1,082.72 – $2,003.03 | 7 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $943.67 – $1,745.79 | 7 |
| Exoskeletal bk ultralt mater HCPCS L5785 | not published | not published | $672.47 – $1,244.07 | 7 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $1,366.21 – $2,527.49 | 7 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,226.40 | $3,504.00 | $1,158.66 – $1,158.66 | 1 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,943.68 | $8,410.50 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration for testis CPT 54550 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exploration for testis CPT 54560 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exploration of ankle joint CPT 27612 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exploration of bile ducts CPT 47700 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration of foot joint CPT 28020 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exploration of foot joint CPT 28022 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Exploration of knee joint CPT 27310 | $2,457.00 | $7,020.00 | $2,159.89 – $12,557.00 | 9 |
| Exploration of middle ear CPT 69440 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Exploration of sinuses CPT 31090 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Exploration of toe joint CPT 28024 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Exploration of ureter CPT 50600 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration/repair of rectum CPT 45562 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $1,142.09 – $15,403.87 | 9 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Expl orbit w/removal lesion CPT 61333 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Explore/drain eye socket CPT 67405 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Explore/drain eye socket CPT 67440 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Explore epididymis CPT 54865 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Explore inner ear CPT 69805 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Explore inner ear CPT 69806 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Explore/irrigate tear ducts CPT 68840 | $351.40 | $1,004.00 | $349.98 – $1,487.00 | 8 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $2,159.89 – $9,891.00 | 9 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Explore parathyroid glands CPT 60500 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,206.80 | $3,448.00 | $1,142.09 – $5,977.00 | 9 |
| Explore/repair chest 32110 CPT 32110 | $3,070.55 | $8,773.00 | $1,528.38 – $11,276.00 | 4 |
| Explore scrotum CPT 55110 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Explore/treat eye socket CPT 67412 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Explore/treat eye socket CPT 67420 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Explore/treat eye socket CPT 67430 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Explore/treat finger joint CPT 26075 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Explore/treat finger joint CPT 26080 | $1,706.60 | $4,876.00 | $2,068.15 – $12,557.00 | 9 |
| Explore/treat knee joint CPT 27331 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Explore wound abdomen 20102 CPT 20102 | $2,020.55 | $5,773.00 | $1,528.38 – $9,891.00 | 9 |
| Explore woundchest 20101 CPT 20101 | $2,292.50 | $6,550.00 | $1,528.38 – $9,891.00 | 9 |
| Explore wound neck 20100 CPT 20100 | $761.60 | $2,176.00 | $693.67 – $5,977.00 | 9 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $352.70 – $9,891.00 | 4 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $352.70 – $9,891.00 | 4 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $2,821.63 – $9,891.00 | 9 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $2,821.63 – $13,207.00 | 9 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $2,448.95 | $6,997.00 | $1,528.38 – $9,297.00 | 9 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $1,427.22 – $3,929.83 | 8 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,427.22 – $9,297.00 | 9 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $260.49 – $481.91 | 7 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $149.57 – $149.57 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $137.25 – $316.58 | 7 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $164.81 – $164.81 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $171.12 – $316.58 | 7 |
| Extended culture of oocytes CPT 89272 | not published | not published | $142.17 – $1,917.04 | 8 |
| Extended steel shank HCPCS L2360 | not published | not published | $78.42 – $145.08 | 7 |
| Extended visual field xm CPT 92083 | not published | not published | $171.12 – $316.58 | 7 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $6.30 – $7.49 | 2 |
| Extension per extension per HCPCS L2760 | not published | not published | $93.09 – $172.22 | 7 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,286.82 – $12,111.00 | 9 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,142.09 – $9,891.00 | 4 |
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.