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 |
|---|---|---|---|---|
| Implant neuroelectrode CPT 61867 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $4,588.50 – $46,160.81 | 9 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,142.09 – $18,630.78 | 9 |
| Implant neuroelectrodes CPT 64555 | $9,374.40 | $26,784.00 | $4,005.00 – $15,163.96 | 9 |
| Implant neuroelectrodes CPT 64561 | $5,866.70 | $16,762.00 | $4,588.50 – $15,163.96 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,746.72 – $73,423.09 | 9 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $5,679.85 – $9,891.00 | 3 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $222.64 – $1,724.92 | 7 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $2,159.89 – $10,103.00 | 4 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,528.38 – $42,841.00 | 9 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,528.38 – $42,841.00 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $352.70 – $12,235.00 | 4 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Implant ureth bulk agent HCPCS L8606 | $1,708.88 | $4,882.50 | $387.61 – $387.61 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,822.38 – $3,371.40 | 7 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $2,371.71 – $7,888.07 | 7 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,528.38 – $14,673.37 | 9 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $352.70 – $30,548.47 | 9 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $1,142.09 – $30,548.47 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $4,588.50 – $30,073.00 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,142.09 – $15,227.00 | 4 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $14,642.81 – $14,642.81 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $1,137.05 | 9 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $3.79 – $4.53 | 2 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $304.63 – $9,891.00 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,995.60 – $9,891.00 | 9 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.82 – $92.75 | 9 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $8,545.38 – $10,441.09 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,103.19 – $8,545.38 | 8 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,730.29 – $8,923.02 | 8 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $1,131.91 – $6,734.40 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $788.31 – $4,272.69 | 8 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $735.87 – $1,797.39 | 8 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $2,000.94 – $7,855.33 | 8 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $2,746.40 – $3,490.46 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $300.99 – $657.68 | 4 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incise/drain eyelid lining CPT 68020 | $1,505.00 | $4,300.00 | $535.26 – $9,891.00 | 9 |
| Incise flexor carpi radialis CPT 25001 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Incise hand/finger tendon CPT 26460 | $1,706.60 | $4,876.00 | $1,746.72 – $10,103.00 | 9 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,528.38 – $10,103.00 | 9 |
| Incise inner ear CPT 69801 | not published | not published | $1,995.60 – $13,207.00 | 9 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Incise inner ear nerve CPT 69950 | not published | not published | $3,409.47 – $11,276.00 | 4 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $707.39 – $5,977.00 | 9 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incise inner eye strands CPT 67030 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,142.09 – $14,673.37 | 9 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Incise skull repair CPT 62121 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,528.38 – $18,416.00 | 4 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,142.09 – $18,416.00 | 4 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,142.09 – $18,416.00 | 4 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,142.09 – $18,416.00 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $408.24 – $5,977.00 | 9 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,528.38 – $12,132.52 | 9 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incise & treat bladder CPT 51030 | not published | not published | $4,532.51 – $9,891.00 | 4 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision anal septum infant CPT 46070 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,450.00 | $7,000.00 | $1,142.09 – $4,099.00 | 8 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $5,559.00 – $17,265.50 | 8 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,528.38 – $17,265.50 | 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.