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 |
|---|---|---|---|---|
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $108.86 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $44.92 | 9 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $112.42 | 8 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $30.80 – $409.31 | 5 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $10,847.12 | 9 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.92 – $39.17 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,071.81 | $3,062.30 | $219.22 – $618.11 | 9 |
| Icatibant injection HCPCS J1744 | not published | not published | $71.33 – $269.44 | 5 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $31,228.75 | $89,225.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $26,871.25 | $76,775.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $9,261.00 | $26,460.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,905.95 | $14,017.00 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $277.71 – $513.77 | 7 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.53 – $88.87 | 7 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $25.84 – $140.37 | 7 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $25.84 – $68.82 | 7 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $5,559.00 – $17,265.50 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $2,858.45 | $8,167.00 | $1,142.09 – $7,332.00 | 9 |
| Idarubicin hcl injection HCPCS J9211 | $365.53 | $1,044.37 | $37.05 – $1,194.99 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.01 – $1,134,388.29 | 8 |
| Identify sperm tissue CPT 89264 | not published | not published | $67.02 – $142.17 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $4,005.00 – $15,861.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $5,559.00 – $15,861.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $6,481.30 | $18,518.00 | $1,142.09 – $7,332.00 | 9 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $479.83 | 9 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $734.43 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $2,067.10 | $5,906.00 | $1,528.38 – $9,297.00 | 9 |
| I&d lacrimal gland CPT 68400 | $708.75 | $2,025.00 | $352.70 – $5,977.00 | 9 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $1,221.02 – $1,221.02 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,115.40 | $6,044.00 | $1,142.09 – $5,977.00 | 9 |
| Idursulfase injection HCPCS J1743 | not published | not published | $549.08 – $1,166.53 | 9 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $2,634.10 | $7,526.00 | $1,142.09 – $6,911.51 | 9 |
| I&d vag hemtma obst/postpart CPT 57022 | $2,115.40 | $6,044.00 | $1,142.09 – $9,891.00 | 9 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $182.18 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $382.01 | $1,091.45 | $23.50 – $385.27 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $514.75 | 9 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $170.22 | 8 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $151.91 – $491.60 | 8 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $123.88 – $731.30 | 8 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $428.87 | 8 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $277.90 | $794.00 | $109.52 – $297.54 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $277.90 | $794.00 | $184.07 – $852.89 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $277.90 | $794.00 | $61.12 – $405.38 | 9 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $14.65 – $43.39 | 4 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $97.60 | 8 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,821.63 – $17,265.50 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $5,593.00 | $15,980.00 | $60.30 – $60.30 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $1,770.65 | $5,059.00 | $2,159.89 – $13,460.00 | 4 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $152.92 – $319.83 | 4 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.03 – $183.31 | 4 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.23 – $119.35 | 9 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $46.41 – $140.37 | 7 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $46.41 – $88.87 | 7 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $75.87 – $288.30 | 8 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $117.38 – $217.15 | 7 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $169.05 | $483.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $101.41 | $289.75 | $169.54 – $313.65 | 7 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $67.98 | $194.22 | $63.18 – $221.23 | 7 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $136.78 – $253.04 | 7 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $75.60 | 9 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $8,431.92 | $24,091.20 | $47.80 – $97.03 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $66.23 – $174.17 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $103.33 | 9 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $53.74 – $211.92 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $200.90 | $574.00 | $20.81 – $64.56 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $198.80 | $568.00 | $20.81 – $64.56 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $63.49 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.98 – $37.19 | 9 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $43.01 | 9 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $70.39 – $140.72 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $442.75 | $1,265.00 | $22.34 – $69.29 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $104.71 – $371.79 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $48.39 – $566.82 | 9 |
| Immunoglobulin assay CPT 86023 | $47.25 | $135.00 | $12.46 – $38.63 | 9 |
| Immunology procedure CPT 86849 | not published | not published | $87.82 – $87.82 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $831.49 – $9,891.00 | 8 |
| Impedence cardiogram CPT 93701 | not published | not published | $65.96 – $316.58 | 7 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $1,528.38 – $41,720.12 | 9 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $352.70 – $12,235.00 | 4 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $3,840.76 | $10,973.60 | $1,354.37 – $1,354.37 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,134.00 | $3,240.00 | $1,026.54 – $1,899.10 | 7 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $1,142.09 – $39,167.04 | 9 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $11,704.00 | $33,440.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $3,409.47 – $78,268.00 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | $15,318.47 | $43,767.06 | $7,950.51 – $7,950.51 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $2,159.89 – $33,199.79 | 9 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $112.54 – $1,487.00 | 8 |
| Implant nerve end CPT 64787 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,142.09 – $11,276.00 | 4 |
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.