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 |
|---|---|---|---|---|
| Hc metata joint dislocation anes CPT 28635 | $2,026.50 | $5,790.00 | $1,142.09 – $5,977.00 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $1,874.60 | $5,356.00 | $874.60 – $5,977.00 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $937.30 | $2,678.00 | $874.60 – $9,891.00 | 4 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $1,874.60 | $5,356.00 | $874.60 – $5,977.00 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $937.30 | $2,678.00 | $874.60 – $9,891.00 | 4 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $937.30 | $2,678.00 | $874.60 – $9,891.00 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $955.85 | $2,731.00 | $401.88 – $2,612.61 | 9 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $268.49 – $1,950.38 | 9 |
| Hc nm kidney imaging with flow CPT 78701 | $686.00 | $1,960.00 | $473.92 – $1,950.38 | 9 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $656.60 | $1,876.00 | $528.70 – $2,612.61 | 9 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $801.10 – $3,080.50 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $5,073.25 | $14,495.00 | $352.70 – $9,891.00 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,592.10 | $7,406.00 | $532.22 – $1,657.20 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,692.55 | $7,693.00 | $895.78 – $1,716.63 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $3,031.35 | $8,661.00 | $895.78 – $1,716.63 | 7 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $412.25 – $917.73 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $479.19 – $917.73 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $1,906.80 | $5,448.00 | $225.59 – $823.77 | 8 |
| Head CT scan (with contrast) CPT 70460 | $1,642.55 | $4,693.00 | $225.59 – $740.92 | 8 |
| Head CT scan (without contrast) CPT 70450 | $1,532.30 | $4,378.00 | $134.46 – $473.15 | 8 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,687.37 | 8 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $4,034.88 | 8 |
| Heart first pass add-on CPT 78496 | not published | not published | $140.01 – $1,199.54 | 3 |
| Heart first pass multiple CPT 78483 | $1,422.05 | $4,063.00 | $541.55 – $2,612.61 | 9 |
| Heart image spect CPT 78494 | not published | not published | $514.17 – $1,950.38 | 9 |
| Heart infarct image CPT 78466 | not published | not published | $366.10 – $1,950.38 | 9 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $447.40 – $2,612.61 | 9 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $149.83 – $277.19 | 7 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $58.41 | 9 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $91.55 – $169.37 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $13.05 | 9 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $21.13 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | $166.95 | $477.00 | $16.85 – $45.03 | 9 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $160.06 – $692.62 | 8 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $25.40 | 9 |
| Hematocrit CPT 85014 | $28.35 | $81.00 | $2.37 – $7.34 | 9 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $230.88 – $1,087.86 | 9 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,487.00 – $15,227.00 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $33,764.17 | $96,469.07 | $19.49 – $71.10 | 9 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $8,311.28 – $15,375.87 | 7 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $8,249.73 – $15,262.00 | 7 |
| Hemodialysis access study CPT 90940 | not published | not published | $213.54 – $268.71 | 2 |
| Hemodialysis one evaluation CPT 90935 | $1,589.35 | $4,541.00 | $114.80 – $1,633.02 | 7 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $167.85 – $395.20 | 2 |
| Hemoglobin CPT 85018 | $23.80 | $68.00 | $2.37 – $7.34 | 9 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $9.97 | 9 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $8.00 – $19.86 | 9 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $26.66 | 9 |
| Hemoglobin methemoglobin quantitative CPT 83050 | not published | not published | $8.20 – $22.71 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $33.12 | 9 |
| Hemoglobin plasma CPT 83051 | not published | not published | $7.31 – $22.67 | 9 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $22.35 | 9 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $12.24 | 9 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $27.53 | 9 |
| Hemolysins/agglutinins auto CPT 86940 | $26.78 | $76.50 | $8.77 – $25.43 | 9 |
| Hemolysins and agglutinins incubated CPT 86941 | $109.55 | $313.00 | $12.11 – $37.56 | 9 |
| Hemoperfusion CPT 90997 | not published | not published | $115.90 – $115.90 | 1 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $49.14 | 9 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,821.63 – $14,539.00 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,118.60 | $3,196.00 | $959.20 – $5,977.00 | 9 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $2,067.10 | $5,906.00 | $2,159.89 – $14,539.00 | 9 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $70.23 – $140.07 | 9 |
| Hepagam b intravenous, inj HCPCS J1573 | $2,058.70 | $5,882.01 | $70.23 – $140.07 | 9 |
| Heparin assay CPT 85520 | $164.85 | $471.00 | $13.09 – $40.60 | 9 |
| Heparin bolus from bag HCPCS J1644 | $68.93 | $196.95 | $0.22 – $2.08 | 5 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $29.41 | 9 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $33.20 | $94.85 | $0.02 – $1.32 | 5 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $43.98 | 9 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Hepatitis a antibody igm CPT 86709 | $271.25 | $775.00 | $11.26 – $34.93 | 9 |
| Hepatitis b core antibody igm CPT 86705 | $204.75 | $585.00 | $11.77 – $36.51 | 9 |
| Hepatitis b core antibody total CPT 86704 | $178.15 | $509.00 | $12.05 – $37.38 | 9 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $2,840.78 | $8,116.52 | $140.21 – $335.55 | 9 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $66.67 | 9 |
| Hepatitis b surface antibody CPT 86706 | $187.60 | $536.00 | $10.74 – $33.31 | 9 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $147.12 – $322.02 | 4 |
| Hepatitis c antibody CPT 86803 | $204.75 | $585.00 | $14.27 – $44.28 | 9 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $77.51 | 9 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $189.78 | 9 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $108.86 | 9 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $73.99 | 9 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $129.49 | 9 |
| Hepatobiliary system imaging CPT 78226 | $1,212.75 | $3,465.00 | $514.17 – $1,950.38 | 9 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $66.05 – $158.71 | 4 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $190.40 – $416.31 | 4 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $1,169.80 – $3,237.72 | 8 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $14,099.70 – $14,099.70 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $877.86 – $3,237.72 | 8 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $1,484.60 | 8 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $1,814.83 – $1,814.83 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | $2,849.70 | $8,142.00 | $2,159.89 – $12,557.00 | 9 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $29.76 | 9 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $29.76 | 9 |
| Herpes simplex type 1 antibody igg CPT 86695 | not published | not published | $13.19 – $40.91 | 9 |
| Herpes simplex type 2 antibody igg CPT 86696 | not published | not published | $19.35 – $60.03 | 9 |
| Herpes simplex virus isolation CPT 87255 | not published | not published | $33.86 – $105.05 | 9 |
| Heterophile antibodies screening CPT 86308 | $197.40 | $564.00 | $5.18 – $16.05 | 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.