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 |
|---|---|---|---|---|
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $99.20 – $99.20 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $48.19 – $352.70 | 7 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $130.66 – $352.70 | 7 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $1,397.63 – $2,585.62 | 7 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $330.45 | 9 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $330.45 | 9 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $87.13 | 8 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $211.58 | 9 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $211.58 | 9 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $39.73 | 9 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $208.93 | 9 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $67.36 – $208.93 | 9 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $24.40 | 9 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,303.95 – $3,237.72 | 8 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $1,814.83 – $1,814.83 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,757.10 | 9 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,581.40 | 9 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $352.70 – $15,861.00 | 9 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $62.20 | 9 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $682.40 | 9 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $340.17 | 9 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $64.56 | 9 |
| Human ig IV CPT 90283 | not published | not published | $162.64 – $268.65 | 3 |
| Human ig sc CPT 90284 | not published | not published | $32.54 – $49.77 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $6,664.00 | $19,040.00 | $1.72 – $6.39 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $120.76 | $345.04 | $31.55 – $69.17 | 5 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $201.60 | $576.00 | $0.38 – $1.08 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.36 – $1.32 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $33.86 | $96.75 | $5.19 – $20.82 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $113.40 | $324.00 | $56.05 – $111.42 | 8 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $318.15 | $909.00 | $179.25 – $506.11 | 8 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $45.19 – $53.61 | 2 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $33.33 – $39.55 | 2 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $15.67 – $18.62 | 2 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $5.60 | $16.00 | $12.98 – $15.37 | 2 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $24.27 – $28.80 | 2 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $1.29 – $25.74 | 3 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $159.15 | $454.72 | $8.89 – $44.25 | 5 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $5.86 – $25.74 | 3 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $14.41 – $17.08 | 2 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $77.86 – $92.40 | 2 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $47.13 – $55.95 | 2 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $32.20 – $38.19 | 2 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $13.60 – $16.16 | 2 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $9.29 – $11.02 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $803.81 | $2,296.60 | $0.09 – $0.38 | 5 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $2,532.32 | $7,235.20 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $100.10 – $198.18 | 3 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $3.89 – $4.35 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 5 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.41 – $5.62 | 4 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $16.93 – $38.18 | 5 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $4.17 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $54.33 | 9 |
| Hymenotomy CPT 56442 | $2,732.10 | $7,806.00 | $1,142.09 – $7,332.00 | 9 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.44 – $37.63 | 9 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $19.48 – $109.61 | 5 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $552.19 – $552.19 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $31.58 | 9 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $695.83 – $1,657.20 | 7 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $496.07 – $917.73 | 7 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $521.19 – $1,314.72 | 7 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $521.19 – $1,314.72 | 7 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $695.83 – $1,314.72 | 7 |
| Hypnotherapy CPT 90880 | not published | not published | $70.48 – $241.72 | 7 |
| Hypothermia ill neonate CPT 99184 | $2,737.35 | $7,821.00 | $352.70 – $352.70 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.39 – $37.78 | 9 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $1,528.38 – $9,891.00 | 3 |
| Hysterosalpingography s&i CPT 74740 | $428.75 | $1,225.00 | $152.83 – $1,173.24 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $2,159.89 – $15,861.00 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,528.38 – $11,902.87 | 9 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,746.72 – $11,902.87 | 9 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,746.72 – $11,902.87 | 9 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $3,409.47 – $10,103.00 | 9 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $219.82 – $480.33 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,317.50 – $10,369.05 | 8 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,387.74 – $5,009.55 | 9 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $166.55 – $239.94 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $76.12 – $1,201.83 | 8 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $45.74 – $867.76 | 8 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $953.01 – $2,215.70 | 8 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $24.07 – $161.97 | 9 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $18.61 – $44.89 | 9 |
| I131 max 100uci HCPCS A9531 | not published | not published | $7.10 – $9.05 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $132.35 – $774.73 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $33.31 | 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.