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 |
|---|---|---|---|---|
| Extensive prostate surgery CPT 55812 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Extensive removal of liver CPT 47122 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Extensive sternum surgery CPT 21632 | not published | not published | $8,837.00 – $9,891.00 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $2,159.89 – $12,111.00 | 9 |
| Extensive surgery of throat CPT 42844 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,528.38 – $17,698.00 | 4 |
| External cannula declotting CPT 36860 | $913.85 | $2,611.00 | $397.75 – $9,297.00 | 9 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $144.61 – $386.62 | 9 |
| External newborn metabolic screening panel HCPCS S3620 | $73.50 | $210.00 | not published | 0 |
| External ocular photography CPT 92285 | not published | not published | $26.55 – $110.81 | 7 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $13.57 | $38.76 | $2.52 – $68.82 | 9 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $9,616.66 | 8 |
| External recharg sys extern HCPCS L8695 | not published | not published | $20.00 – $37.00 | 7 |
| External recharg sys intern HCPCS L8689 | not published | not published | $2,073.11 – $3,835.25 | 7 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $32.81 | $93.75 | $143.75 – $391.79 | 9 |
| Extnd color vision xm CPT 92283 | not published | not published | $29.14 – $140.37 | 7 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $17.93 – $55.63 | 9 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $831.49 – $9,891.00 | 8 |
| Extraction of lens CPT 66930 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Extraction of lens CPT 66940 | not published | not published | $1,244.95 – $13,207.00 | 9 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $171.12 – $5,977.00 | 8 |
| Eye allergy tests CPT 95060 | not published | not published | $59.85 – $316.58 | 7 |
| Eye implant band 40 HCPCS C1784 | $43.32 | $123.77 | not published | 0 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $830.10 – $9,891.00 | 4 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Eye suture during surgery CPT 67335 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $435.52 | 9 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $702.38 | 9 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $897.82 – $1,216.49 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $6,035.64 | 9 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $1,048.69 | 8 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $443.23 – $563.32 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,489.80 | 9 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $372.48 – $689.09 | 7 |
| Face bone graft CPT 21210 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Facial bones <3 CPT 70140 | $323.05 | $923.00 | $51.86 – $427.38 | 9 |
| Facial nerve function test CPT 92516 | not published | not published | $170.62 – $513.77 | 7 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $352.70 – $7,888.83 | 8 |
| Factor ix CPT 85250 | $147.00 | $420.00 | $19.04 – $59.06 | 9 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.58 – $7.63 | 9 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.14 – $3.57 | 9 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $11.14 | 9 |
| Factor ix non-recombinant HCPCS J7193 | $6,055.16 | $17,300.46 | $1.34 – $2.97 | 9 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.50 – $9.29 | 9 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.57 – $4.16 | 9 |
| Factor ix recombinant nos HCPCS J7195 | $11,148.36 | $31,852.46 | $1.78 – $3.98 | 9 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.20 – $6.62 | 9 |
| Factor viii CPT 85240 | $158.20 | $452.00 | $17.90 – $55.54 | 9 |
| Factor viii HCPCS J7190 | not published | not published | $1.13 – $2.58 | 9 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.42 – $4.99 | 9 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.56 | 9 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $4.52 | 9 |
| Factor viii recombinant nos HCPCS J7192 | $4,928.26 | $14,080.75 | $1.54 – $3.35 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $3.01 | 9 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.01 – $6.94 | 9 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $22.53 | 9 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.29 – $37.28 | 9 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $48.19 – $89.15 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $75.64 – $422.33 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | $3.10 | $8.86 | $86.79 – $422.33 | 7 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $32.78 | $93.66 | $0.01 – $0.02 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $29.94 – $62.14 | 9 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $90.92 | 8 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $15.79 | 9 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $46.60 | 9 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $601.97 | $1,719.90 | $200.58 – $371.07 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $14.13 | 9 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.12 – $137.45 | 9 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $324.84 – $2,212.75 | 7 |
| #fecal-sodium CPT 84302 | not published | not published | $4.86 – $15.09 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $263.13 – $480.78 | 3 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $78.63 – $78.63 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $83.64 – $561.60 | 6 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.64 – $46.30 | 9 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $6,209.65 – $11,487.85 | 7 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $86.02 – $159.14 | 7 |
| Fem/popl revasc w/stent CPT 37226 | $5,243.00 | $14,980.00 | $2,159.89 – $30,073.00 | 5 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $20.68 – $24.57 | 2 |
| Feno poc CPT 95012 | not published | not published | $48.04 – $88.87 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $769.30 | $2,198.00 | $0.96 – $2.84 | 5 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $24.18 | 9 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,999.87 | $11,428.20 | $1.10 – $2.43 | 9 |
| Ferritin CPT 82728 | $173.95 | $497.00 | $13.63 – $42.27 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $528.85 | $1,511.01 | $0.23 – $1.40 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $1.42 | 9 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,973.99 | 8 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $527.80 | $1,508.00 | $134.46 – $516.16 | 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.