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 |
|---|---|---|---|---|
| Gastrointestinal repair CPT 43360 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Gastro/jejuno tube, std HCPCS B4087 | $650.05 | $1,857.29 | $77.50 – $77.50 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $5,821.00 – $11,276.00 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Gated heart multiple CPT 78473 | $1,247.75 | $3,565.00 | $514.17 – $1,950.38 | 9 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $4.81 – $5.69 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $5.13 – $6.09 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $4.23 – $5.02 | 2 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.89 – $2.23 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $7.13 – $8.50 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $117.31 | 8 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $136.81 | 6 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $162.19 | 6 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $189.90 | 6 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $101.49 | 6 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $115.90 | 6 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $133.44 | 6 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $181.04 | 6 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $215.86 | 6 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $255.69 | 6 |
| Gefitinib oral HCPCS J8565 | not published | not published | $143.01 – $625.65 | 5 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $75.84 – $140.30 | 7 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.59 – $4.79 | 7 |
| Gel-one HCPCS J7326 | not published | not published | $524.02 – $1,173.00 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.65 – $6.00 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $227.73 | $650.66 | $2.96 – $309.96 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $17,753.23 | $50,723.50 | $227.69 – $501.21 | 9 |
| General health panel CPT 80050 | not published | not published | $87.21 – $194.17 | 5 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,121.91 | $154,634.04 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $28,469.00 | $81,340.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $6,079.76 | 9 |
| Genioplasty augmentation CPT 21120 | not published | not published | $2,159.89 – $14,539.00 | 9 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.02 – $5,804.38 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.02 – $12,492.47 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.02 – $6,728.82 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $89.61 | $256.03 | $2.62 – $10.79 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $280.00 | $800.00 | $16.38 – $50.83 | 9 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $16.28 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $704.17 – $1,487.00 | 8 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $878.85 | $2,511.00 | $959.20 – $5,977.00 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,266.60 | $6,476.00 | $1,528.38 – $9,297.00 | 9 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $24.37 | 9 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $49.87 | 9 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $253.92 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $108.85 | $311.00 | $117.54 – $316.58 | 7 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $14.39 – $44.65 | 9 |
| Ghs aspiration bladder - needle CPT 51100 | $286.65 | $819.00 | $321.35 – $1,487.00 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | $230.30 | $658.00 | $165.49 – $5,977.00 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $13.97 | 9 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $2,213.05 | $6,323.00 | $672.48 – $5,977.00 | 9 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,508.05 | $10,023.00 | $1,142.09 – $5,977.00 | 9 |
| Ghs change cysto/gastrost CPT 43762 | $1,702.05 | $4,863.00 | $321.35 – $5,977.00 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $958.65 | $2,739.00 | $424.83 – $785.93 | 7 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $424.83 – $785.93 | 7 |
| Ghs chemo IV push, ea addtl CPT 96411 | $275.10 | $786.00 | $92.60 – $179.25 | 7 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $35.09 – $108.86 | 9 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $675.85 | $1,931.00 | $259.12 – $1,487.00 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,554.70 | $4,442.00 | $259.12 – $5,977.00 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,329.60 | $6,656.00 | $1,142.09 – $5,977.00 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,436.55 | $15,533.00 | $1,528.38 – $9,297.00 | 9 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $497.00 | $1,420.00 | $259.12 – $5,977.00 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,329.60 | $6,656.00 | $1,142.09 – $5,977.00 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,937.95 | $5,537.00 | $1,528.38 – $9,297.00 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $675.85 | $1,931.00 | $259.12 – $1,487.00 | 8 |
| Ghs community re-entry 15 minutes CPT 97537 | $67.20 | $192.00 | $35.47 – $65.62 | 6 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $282.80 | $808.00 | $182.60 – $1,487.00 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $199.85 | $571.00 | $171.12 – $1,487.00 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $457.10 | $1,306.00 | $182.60 – $1,487.00 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $548.45 | $1,567.00 | $171.12 – $1,487.00 | 8 |
| Ghs cricothyroidotomy CPT 31605 | $1,227.10 | $3,506.00 | $304.63 – $5,977.00 | 9 |
| Ghs cutdown placement age 1 and over CPT 36425 | $372.40 | $1,064.00 | $46.41 – $1,487.00 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | $242.20 | $692.00 | $46.41 – $1,487.00 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $39.66 | 9 |
| Ghs dislocation elbow closed treatment CPT 24600 | $675.85 | $1,931.00 | $259.12 – $5,977.00 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,081.50 | $3,090.00 | $950.02 – $5,977.00 | 9 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $222.25 | $635.00 | $194.49 – $1,487.00 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,881.95 | $5,377.00 | $907.88 – $5,977.00 | 9 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $380.45 | $1,087.00 | $277.71 – $624.06 | 7 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $53.09 – $352.70 | 7 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $165.49 – $306.17 | 7 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $195.85 – $195.85 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,010.45 | $2,887.00 | $258.55 – $1,487.00 | 8 |
| Ghs excision ingrown nail CPT 11765 | $576.45 | $1,647.00 | $151.53 – $1,487.00 | 8 |
| Ghs eye exam CPT 92002 | $113.40 | $324.00 | $161.01 – $316.79 | 7 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $351.40 | $1,004.00 | $349.98 – $1,487.00 | 8 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $12.03 | 9 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,642.20 | $4,692.00 | $1,528.38 – $9,297.00 | 9 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,181.85 | $9,091.00 | $1,746.72 – $10,103.00 | 9 |
| Ghs fb removal - incisional CPT 10121 | $1,625.05 | $4,643.00 | $1,528.38 – $9,297.00 | 9 |
| Ghs fb removal - non-incisional CPT 20520 | $2,344.30 | $6,698.00 | $763.02 – $5,977.00 | 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.