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 |
|---|---|---|---|---|
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $20.08 | 9 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $22.86 | 9 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $127.74 | 8 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | not published | not published | $117.20 – $216.82 | 7 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $117.20 – $216.82 | 7 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $16.12 | 9 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $58.00 – $144.01 | 9 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $129.49 | 9 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $42.90 – $143.95 | 4 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $24.95 – $324.40 | 4 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $2,068.15 – $9,891.00 | 9 |
| High activity knee frame HCPCS L5930 | not published | not published | $4,045.31 – $7,483.82 | 7 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $11.69 – $13.91 | 2 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $87.93 – $241.72 | 7 |
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $1,781.40 – $3,295.59 | 7 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $2,192.72 – $4,056.53 | 7 |
| Hip adj flex ext abduct cont HCPCS L2624 | $517.06 | $1,477.32 | $507.36 – $938.62 | 7 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $4,588.50 – $16,065.00 | 9 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $8,469.42 – $15,668.43 | 7 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $314.68 – $582.16 | 7 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $372.09 – $688.37 | 7 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $729.78 – $1,350.09 | 7 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $7,129.62 – $13,189.80 | 7 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $6,572.57 – $12,159.25 | 7 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $7,258.09 – $13,427.47 | 7 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,790.71 – $3,312.81 | 7 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $1,905.46 – $3,525.10 | 7 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $469.85 – $869.22 | 7 |
| Hip X-ray CPT 73502 | $428.05 | $1,223.00 | $71.90 – $427.38 | 9 |
| Histamine CPT 83088 | not published | not published | $29.53 – $91.61 | 9 |
| Histochemical stains add-on CPT 88314 | not published | not published | $42.11 – $169.96 | 5 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $14.06 – $110.02 | 9 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $59.74 | 9 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $62.20 | 9 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $54.73 | 9 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $62.20 | 9 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $145.54 | 9 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.27 – $153.23 | 9 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.49 – $2.75 | 9 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $6.84 – $14.81 | 9 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.12 – $29.33 | 9 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $889.56 – $1,645.69 | 7 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $204.02 – $377.44 | 7 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $729.86 – $1,350.24 | 7 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $170.35 – $315.15 | 7 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $671.84 – $1,242.90 | 7 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $551.09 – $1,019.52 | 7 |
| Hla class i high defin qual CPT 86832 | not published | not published | $289.80 – $803.88 | 9 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $263.45 – $808.96 | 9 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $64.19 – $240.99 | 9 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $180.74 | 9 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $339.16 | 9 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $1,582.75 | 9 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $395.69 | 9 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $1,752.33 | 9 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $1,004.43 | 8 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $858.05 | 8 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $998.47 | 8 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $123.68 – $307.09 | 8 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $548.09 | 8 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $74.33 – $184.54 | 8 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $440.10 | 8 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $832.76 | 8 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $1,002.10 | 8 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $169.90 – $421.88 | 8 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $316.41 | 8 |
| Hla typing a b or c CPT 86813 | $112.46 | $321.30 | $58.00 – $179.89 | 9 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $86.42 | 9 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $90.69 | 9 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $271.87 | 9 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $6.72 – $7.93 | 2 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $130.66 – $241.72 | 7 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $48.19 – $89.15 | 7 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $48.19 – $89.15 | 7 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $193.66 – $422.33 | 7 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $9.29 – $11.02 | 2 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $310.44 – $574.31 | 7 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $196.66 – $363.82 | 7 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $427.56 – $790.99 | 7 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.43 – $0.56 | 2 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.58 – $0.76 | 3 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.44 – $0.76 | 3 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $188.16 – $348.10 | 7 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $190.90 – $353.16 | 7 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $67.26 – $124.43 | 7 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $4.40 – $5.19 | 2 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $277.71 – $513.77 | 7 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $277.71 – $513.77 | 7 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $277.71 – $513.77 | 7 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $120.80 – $120.80 | 1 |
| Homocysteine CPT 83090 | $98.70 | $282.00 | $17.92 – $52.32 | 9 |
| Homogenization tissue CPT 87176 | not published | not published | $5.88 – $18.24 | 9 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $22.41 – $60.01 | 9 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $78.28 – $144.82 | 7 |
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.