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 |
|---|---|---|---|---|
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $352.70 – $1,487.00 | 8 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Apply finger cast 29086 CPT 29086 | $163.10 | $466.00 | $194.49 – $1,487.00 | 8 |
| Apply forearm splintdynamic 29126 CPT 29126 | $161.35 | $461.00 | $171.12 – $1,487.00 | 8 |
| Apply halo w/removal cranial CPT 20661 | $1,267.00 | $3,620.00 | $1,142.09 – $9,891.00 | 9 |
| Apply hand/wrist cast 29085 CPT 29085 | $222.25 | $635.00 | $194.49 – $1,487.00 | 8 |
| Apply interstit radiat compl CPT 77778 | $2,399.95 | $6,857.00 | $686.14 – $1,657.20 | 7 |
| Apply intrcav radiat compl CPT 77763 | $1,410.85 | $4,031.00 | $668.51 – $1,657.20 | 7 |
| Apply intrcav radiat interm CPT 77762 | $852.25 | $2,435.00 | $516.89 – $1,314.72 | 7 |
| Apply intrcav radiat simple CPT 77761 | $716.45 | $2,047.00 | $430.34 – $1,314.72 | 7 |
| Apply of finger splint 29131 CPT 29131 | $184.10 | $526.00 | $75.87 – $1,487.00 | 8 |
| Apply rem fixation device CPT 20660 | $1,706.60 | $4,876.00 | $878.26 – $9,891.00 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $352.70 – $1,487.00 | 8 |
| Apply short leg castambul type 29425 CPT 29425 | $222.25 | $635.00 | $352.70 – $1,487.00 | 8 |
| Apply surf ldr radionuclide CPT 77789 | $328.30 | $938.00 | $76.16 – $242.77 | 7 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,746.72 – $45,368.55 | 9 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,528.38 – $14,539.00 | 9 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $352.70 – $15,861.00 | 9 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $352.70 – $15,861.00 | 9 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $900.98 | $2,574.23 | $1.69 – $3.68 | 9 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $108.86 | 9 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $22.23 – $93.67 | 9 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $29.91 | 9 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $28.61 | 9 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $41.46 – $87.85 | 6 |
| Aquatic exercise - group charge CPT 97150 | $50.75 | $145.00 | $19.48 – $37.27 | 6 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $8.04 | 9 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.45 – $3.98 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $740.68 | $2,116.24 | $0.74 – $2.24 | 9 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.32 – $7.01 | 9 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.69 – $1.49 | 4 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,315.30 | $6,615.13 | $5.86 – $33.79 | 5 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Arterial blood draw/perc 36620 CPT 36620 | $247.45 | $707.00 | $1,487.00 – $9,891.00 | 3 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Artery to vein shunt CPT 36835 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Artery transpose/endovas taa CPT 33889 | $642.95 | $1,837.00 | $5,821.00 – $12,235.00 | 3 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Artery xray each vessel 7577426 CPT 75774 | $1,766.10 | $5,046.00 | $355.68 – $2,298.72 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,129.70 | $8,942.00 | $440.40 – $26,237.59 | 9 |
| Artery x-rays adrenal gland CPT 75731 | $1,439.20 | $4,112.00 | $447.25 – $15,276.98 | 9 |
| Artery x-rays adrenals CPT 75733 | $1,527.05 | $4,363.00 | $512.45 – $15,276.98 | 9 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,822.45 | $5,207.00 | $447.25 – $15,276.98 | 9 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,854.25 | $8,155.00 | $514.15 – $15,276.98 | 9 |
| Artery x-rays chest CPT 75756 | $1,430.45 | $4,087.00 | $448.10 – $15,276.98 | 9 |
| Artery x-rays lung CPT 75741 | $1,325.45 | $3,787.00 | $387.33 – $15,276.98 | 9 |
| Artery x-rays lung CPT 75746 | $1,924.30 | $5,498.00 | $421.58 – $15,276.98 | 9 |
| Artery x-rays lungs CPT 75743 | $1,325.45 | $3,787.00 | $408.73 – $15,276.98 | 9 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,126.25 | $6,075.00 | $439.55 – $26,237.59 | 9 |
| Artery x-rays spine CPT 75705 | $2,125.55 | $6,073.00 | $445.53 – $26,237.59 | 9 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $352.70 – $9,891.00 | 4 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,746.72 – $64,562.94 | 9 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,821.63 – $45,368.55 | 9 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $3,409.47 – $30,073.00 | 9 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,746.72 – $64,562.94 | 9 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $1,746.72 – $41,720.12 | 9 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $352.70 – $41,720.12 | 9 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $5,779.90 | $16,514.00 | $2,159.89 – $16,065.00 | 9 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $779.80 | $2,228.00 | $352.70 – $5,977.00 | 9 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $884.80 | $2,528.00 | $352.70 – $2,362.00 | 8 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,003.40 | $5,724.00 | $352.70 – $1,487.00 | 8 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $428.75 | $1,225.00 | $352.70 – $5,977.00 | 9 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $867.30 | $2,478.00 | $352.70 – $5,977.00 | 9 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $328.30 | $938.00 | $352.70 – $1,487.00 | 8 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $8,365.00 – $9,891.00 | 3 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $2,159.89 – $16,065.00 | 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.