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 |
|---|---|---|---|---|
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,884.71 | 9 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,884.71 | 8 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $619.85 | $1,771.00 | $260.03 – $1,487.00 | 8 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $391.93 – $1,487.00 | 8 |
| Fetal fibronectin CPT 82731 | $490.70 | $1,402.00 | $64.41 – $199.79 | 9 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $391.93 – $5,977.00 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $111.65 | $319.00 | $7.73 – $24.02 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $69.65 | $199.00 | $9.36 – $23.23 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $58.69 | 9 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $352.70 – $9,891.00 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $352.70 – $9,891.00 | 3 |
| Fetal non stress test CPT 59025 | $669.20 | $1,912.00 | $260.03 – $9,891.00 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $391.93 – $1,487.00 | 8 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $391.93 – $5,977.00 | 9 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $0.02 – $122.20 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $7.76 – $14.76 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $143.85 | $411.00 | $10.18 – $31.58 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $21.37 | 9 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $24.14 | 9 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $31.58 | 9 |
| Fibrinogen activity CPT 85384 | $92.05 | $263.00 | $9.72 – $26.35 | 9 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $35.22 | 9 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $15.01 – $38.43 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | $65.80 | $188.00 | $7.71 – $23.94 | 9 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $27.44 | 9 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $53.33 | 9 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $31.60 | 9 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $149.80 | $428.00 | $6.53 – $20.28 | 9 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,409.47 – $17,265.50 | 9 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $514.50 | $1,469.99 | $0.28 – $0.75 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,928.98 | $5,511.38 | $0.99 – $2.11 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $820.18 | $2,343.38 | $0.35 – $0.94 | 9 |
| Filleted finger/toe flap CPT 14350 | $2,292.50 | $6,550.00 | $1,746.72 – $10,103.00 | 9 |
| Filtered speech hearing test CPT 92571 | not published | not published | $48.04 – $88.87 | 7 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $36.71 – $67.91 | 7 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $5,280.63 | $15,087.50 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $2,638.13 | $7,537.50 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.09 – $13.71 | 4 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $352.70 – $5,977.00 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $381.15 | $1,089.00 | $1,487.00 – $9,891.00 | 3 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $974.40 | $2,784.00 | $1,487.00 – $9,891.00 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $429.45 | $1,227.00 | $277.95 – $1,487.00 | 8 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $573.56 – $573.56 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $75.87 – $140.37 | 7 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $75.87 – $140.37 | 7 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $134.16 – $134.16 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $48.04 – $110.81 | 7 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $48.04 – $110.81 | 7 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $122.11 – $122.11 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $115.59 – $115.59 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $125.38 – $125.38 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $22.58 – $1,487.00 | 8 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Fixation of knee joint CPT 27570 | $1,706.60 | $4,876.00 | $1,142.09 – $5,977.00 | 9 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Fix g/colon tube w/device CPT 49460 | $1,440.25 | $4,115.00 | $1,071.68 – $5,977.00 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Flebogamma injection HCPCS J1572 | not published | not published | $54.00 – $167.87 | 9 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $46.30 | 9 |
| Fl exam g/colon tube w contrast CPT 49465 | $428.40 | $1,224.00 | $306.88 – $1,487.00 | 8 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,748.98 – $5,085.61 | 7 |
| Flex foot system HCPCS L5980 | not published | not published | $5,166.71 – $9,558.41 | 7 |
| Flexible keel foot HCPCS L5972 | not published | not published | $575.28 – $1,064.27 | 7 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $271.77 – $502.77 | 7 |
| Flexible Sigmoidoscopy CPT 45330 | $610.75 | $1,745.00 | $1,074.52 – $5,977.00 | 9 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $467.82 – $865.47 | 7 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $203.07 – $375.68 | 7 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $4,010.20 – $7,418.87 | 7 |
| Floor of mouth biopsy 41108 CPT 41108 | $1,724.10 | $4,926.00 | $763.02 – $5,977.00 | 9 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,584.67 – $6,901.32 | 9 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $7,976.50 | 8 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $671.22 – $1,401.09 | 8 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $90.75 – $523.52 | 5 |
| Flow cytometry marker each additional CPT 88185 | not published | not published | $42.11 – $126.31 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $6.56 | $18.75 | $42.11 – $852.89 | 9 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $304.47 – $387.00 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $160.06 – $296.10 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $90.75 – $397.43 | 5 |
| Floxuridine injection HCPCS J9200 | not published | not published | $133.24 – $8,574.91 | 9 |
| Flt3 gene CPT 81245 | $52.50 | $150.00 | $115.55 – $410.96 | 8 |
| Flt3 gene analysis CPT 81246 | $52.50 | $150.00 | $83.00 – $206.09 | 8 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $86.84 | $248.10 | $2.26 – $237.48 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $263.63 | $753.23 | $71.65 – $238.72 | 5 |
| Fluidotherapy charges pt CPT 97022 | $53.55 | $153.00 | $17.49 – $55.21 | 6 |
| Fluid pressure muscle 20950 CPT 20950 | $1,036.70 | $2,962.00 | $245.04 – $5,977.00 | 9 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $7.29 – $19.11 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $486.87 – $1,055.16 | 9 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $328.91 – $731.09 | 9 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $182.60 – $887.89 | 7 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $277.71 – $513.77 | 7 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $277.71 – $572.79 | 7 |
| Fluorescent antibody titer dna CPT 86256 | not published | not published | $12.05 – $37.38 | 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.