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 |
|---|---|---|---|---|
| Incision of achilles tendon CPT 27605 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incision of achilles tendon CPT 27606 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Incision of anal sphincter CPT 46080 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of ankle bone CPT 28302 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Incision of bile duct CPT 47425 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incision of brain tissue CPT 61541 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Incision of brain tissue CPT 61567 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Incision of breast lesion CPT 19020 | $3,673.60 | $10,496.00 | $1,528.38 – $9,297.00 | 9 |
| Incision of brow nerve CPT 64732 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of burn scab initi CPT 16035 | $423.50 | $1,210.00 | $258.55 – $9,891.00 | 9 |
| Incision of cheek nerve CPT 64734 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of chin nerve CPT 64736 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of eardrum CPT 69420 | $347.90 | $994.00 | $304.63 – $5,977.00 | 9 |
| Incision of eardrum CPT 69421 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of esophagus CPT 43020 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incision of eye CPT 65850 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incision of eye CPT 66172 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incision of eyelid CPT 67710 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incision of facial nerve CPT 64742 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of fibula CPT 27707 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Incision of finger tendon CPT 26455 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of foot fascia CPT 28008 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incision of heel bone CPT 28300 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Incision of hip bone CPT 27146 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Incision of hip bones CPT 27151 | not published | not published | $2,159.89 – $17,265.50 | 9 |
| Incision of hip tendon CPT 27000 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of hip tendon CPT 27001 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of hip tendon CPT 27003 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Incision of hip tendons CPT 27006 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Incision of iris CPT 66500 | not published | not published | $495.18 – $5,977.00 | 9 |
| Incision of iris CPT 66505 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incision of jaw joint CPT 21010 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of jaw nerve CPT 64738 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of knee joint CPT 27435 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incision of liver duct CPT 47400 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Incision of lymph channels CPT 38308 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of metatarsal CPT 28306 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Incision of metatarsal CPT 28307 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of metatarsals CPT 28309 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Incision of midfoot bones CPT 28304 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Incision of palm tendon CPT 26450 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of prostate CPT 52450 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incision of rectal abscess CPT 46060 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Incision of sperm duct CPT 55200 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of stomach nerves CPT 64755 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Incision of tendon sheath CPT 25000 | $1,706.60 | $4,876.00 | $1,746.72 – $10,103.00 | 9 |
| Incision of thigh CPT 27448 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Incision of thigh CPT 27450 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Incision of thigh tendon CPT 27306 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of thigh tendon CPT 27390 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Incision of thigh tendons CPT 27307 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of thigh tendons CPT 27391 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of tibia CPT 27705 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,528.38 – $30,073.00 | 9 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision of tongue fold CPT 41010 | $2,254.70 | $6,442.00 | $1,142.09 – $5,977.00 | 9 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incision of urethra CPT 53000 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incision of urethra CPT 53010 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Incision of urethra CPT 53020 | $2,193.80 | $6,268.00 | $1,142.09 – $5,977.00 | 9 |
| Incision of urethra CPT 53025 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Incision of vagus nerve CPT 64760 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Incision of windpipe CPT 31601 | not published | not published | $2,159.89 – $12,111.00 | 9 |
| Incision of windpipe CPT 31610 | not published | not published | $2,159.89 – $12,111.00 | 9 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Incision secondary cataract CPT 66820 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Incisn windpipe CPT 31600 | $4,787.30 | $13,678.00 | $2,159.89 – $9,297.00 | 9 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $9,332.70 – $17,265.50 | 8 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $9,332.70 – $17,265.50 | 8 |
| Incobotulinumtoxin a HCPCS J0588 | $3,778.88 | $10,796.80 | $5.29 – $11.46 | 9 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $1,448.59 | $4,138.84 | $9.30 – $17.21 | 7 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $1,746.72 – $9,297.00 | 4 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Induced abortion d&c CPT 59840 | $3,679.90 | $10,514.00 | $2,455.49 – $13,207.00 | 9 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Induction of vomiting CPT 99175 | $68.60 | $196.00 | $242.12 – $242.12 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $310.99 | 9 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $54.75 – $107.92 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $130.35 – $404.32 | 9 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $37.25 | 9 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $35.07 | 9 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $1,567.69 | 9 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $1,567.69 | 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.