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 |
|---|---|---|---|---|
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Antibody CPT 86744 | not published | not published | $15.99 – $40.91 | 9 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $12.88 – $39.97 | 9 |
| Antibody elution rbc reference CPT 86860 | $190.40 | $544.00 | $2.25 – $405.38 | 9 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $19.35 – $60.03 | 9 |
| Antibody htlv-i CPT 86687 | not published | not published | $9.09 – $26.02 | 9 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $43.45 | 9 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $189.35 | $541.00 | $18.37 – $56.98 | 9 |
| Antibody id rbc panel CPT 86870 | $265.30 | $758.00 | $3.09 – $852.89 | 9 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.55 – $42.05 | 9 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.87 – $39.92 | 9 |
| Antibody screen rbc CPT 86850 | $139.30 | $398.00 | $13.86 – $123.99 | 9 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $45.90 | 9 |
| Antidepressant not specified CPT 80338 | not published | not published | $0.02 – $112.40 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $53.58 – $111.42 | 7 |
| Antigen therapy services CPT 95146 | not published | not published | $60.23 – $111.42 | 7 |
| Antigen therapy services CPT 95147 | not published | not published | $69.90 – $171.32 | 7 |
| Antigen therapy services CPT 95148 | not published | not published | $85.83 – $171.32 | 7 |
| Antigen therapy services CPT 95149 | not published | not published | $85.83 – $171.32 | 7 |
| Antigen therapy services CPT 95165 | not published | not published | $32.37 – $111.42 | 7 |
| Antigen therapy services CPT 95170 | not published | not published | $22.58 – $111.42 | 7 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $8,957.05 | $25,591.56 | $1.49 – $3.12 | 9 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.23 – $2.58 | 9 |
| Anti-inhibitor HCPCS J7198 | $16,747.49 | $47,849.98 | $2.42 – $5.16 | 9 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $29.91 | 9 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $29.91 | 9 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $29.91 | 9 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Antinuclear antibodies CPT 86038 | not published | not published | $12.09 – $37.49 | 9 |
| Antinuclear antibodies titer CPT 86039 | not published | not published | $11.16 – $34.62 | 9 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $16.07 – $49.84 | 9 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $17.91 | 9 |
| Antistreptolysin o titer CPT 86060 | $179.55 | $513.00 | $7.30 – $22.64 | 9 |
| Antithrombin iii activity CPT 85300 | $147.00 | $420.00 | $11.85 – $36.77 | 9 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.41 – $8.47 | 9 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $743.49 – $9,791.00 | 9 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $716.43 – $2,019.60 | 9 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $171.12 – $316.58 | 7 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $85.17 – $316.58 | 7 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $1,251.43 | 8 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $3,352.51 | 8 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $1,487.00 – $15,227.00 | 3 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $89.14 – $496.60 | 8 |
| Apc gene full sequence CPT 81201 | not published | not published | $156.00 – $1,936.74 | 8 |
| Apc gene known fam variants CPT 81202 | not published | not published | $85.77 – $695.24 | 8 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $75.87 – $140.37 | 7 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $3,409.47 – $10,363.52 | 9 |
| Apheresis plasma CPT 36514 | $4,474.75 | $12,785.00 | $1,142.09 – $9,891.00 | 9 |
| Apheresis platelets CPT 36513 | not published | not published | $567.42 – $9,891.00 | 9 |
| Apheresis rbc CPT 36512 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Apheresis wbc CPT 36511 | $3,113.60 | $8,896.00 | $1,142.09 – $9,891.00 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $164.98 – $514.75 | 8 |
| Appendectomy CPT 44950 | not published | not published | $1,142.09 – $10,824.34 | 9 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $2,821.63 – $13,460.00 | 9 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $857.14 – $5,977.00 | 9 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $352.70 – $9,891.00 | 4 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $206.01 – $9,891.00 | 4 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $857.14 – $9,834.00 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $714.00 | $2,040.00 | $352.70 – $9,891.00 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $206.01 – $9,891.00 | 4 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $209.00 – $1,487.00 | 8 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $352.70 – $1,487.00 | 8 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $194.49 – $1,487.00 | 8 |
| Appl body cast sho to hips CPT 29035 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Appl cast figure-of-eight CPT 29049 | $330.40 | $944.00 | $194.49 – $1,487.00 | 8 |
| Appl cast plaster velpeau CPT 29058 | $330.40 | $944.00 | $194.49 – $1,487.00 | 8 |
| Appl cast shoulder spica CPT 29055 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Appl halo type body cast CPT 29000 | not published | not published | $194.49 – $5,977.00 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Appl hip spica cast 1 leg CPT 29305 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Application clubfoot cast CPT 29450 | $163.10 | $466.00 | $194.49 – $1,487.00 | 8 |
| Application finger splntstatic 29130 CPT 29130 | $193.90 | $554.00 | $171.12 – $1,487.00 | 8 |
| Application halo femoral CPT 20663 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Application halo pelvic CPT 20662 | not published | not published | $1,142.09 – $10,103.00 | 9 |
| Application long leg splint 29505 CPT 29505 | $232.75 | $665.00 | $194.49 – $1,487.00 | 8 |
| Application lower leg splint 29515 CPT 29515 | $193.90 | $554.00 | $194.49 – $1,487.00 | 8 |
| Application multi layer compression below knee (both sides) CPT 29581 | $163.10 | $466.00 | $194.49 – $1,487.00 | 8 |
| Application of body cast CPT 29010 | not published | not published | $352.70 – $1,487.00 | 8 |
| Application of body cast CPT 29015 | not published | not published | $352.70 – $1,487.00 | 8 |
| Application of cylinder cast 29365 CPT 29365 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Application of forearm cast 29075 CPT 29075 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Application of long arm cast 29065 CPT 29065 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Application of long leg cast CPT 29355 | not published | not published | $352.70 – $1,487.00 | 8 |
| Application of long leg cast 29345 CPT 29345 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Application of paste boot 29580 CPT 29580 | $163.10 | $466.00 | $194.49 – $1,487.00 | 8 |
| Application short leg cast 29405 CPT 29405 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $561.69 – $5,977.00 | 9 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,702.05 | $4,863.00 | $561.69 – $5,977.00 | 9 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,084.95 | $5,957.00 | not published | 0 |
| Appl long leg cast brace CPT 29358 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $35.70 | $102.00 | $6.52 – $28.49 | 6 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $43.40 | $124.00 | $13.20 – $40.53 | 6 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $48.04 – $352.70 | 7 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $194.49 – $1,487.00 | 8 |
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.