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 |
|---|---|---|---|---|
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $127.50 – $283.24 | 9 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $21,220.68 | $60,630.52 | $18.10 – $38.23 | 9 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,547.32 – $9,578.31 | 9 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.90 – $4.00 | 4 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $6.75 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | $19,423.99 | $55,497.12 | $49.87 – $111.43 | 9 |
| Inj. asceniv HCPCS J1554 | not published | not published | $482.70 – $1,067.86 | 9 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $53.38 – $116.92 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.61 – $66.39 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $231.00 | 9 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.46 – $167.31 | 9 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $59.19 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.36 – $351.10 | 9 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $37.60 – $100.75 | 5 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.01 – $6,338,658.66 | 8 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $14,821.36 | $42,346.75 | $38.76 – $85.72 | 9 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $206.55 – $451.31 | 9 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $32.89 | $93.96 | $0.17 – $0.57 | 5 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.41 – $56.48 | 8 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $5,785.79 | $16,530.84 | $3.46 – $92.97 | 9 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $92.97 | 9 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.55 – $23.65 | 5 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $217.51 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $417.21 – $914.61 | 9 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,363.66 – $3,658.48 | 9 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $346.19 – $730.98 | 9 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $1,197.02 – $2,214.80 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | $74.23 | $212.09 | $1.41 – $3.05 | 9 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $1.08 | 4 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $70.90 – $239.99 | 9 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $33.38 | $95.37 | $1.01 – $3.03 | 5 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.07 – $558.36 | 5 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.33 – $7.19 | 5 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $34.56 | $98.75 | $0.91 – $2.11 | 5 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $34.23 | $97.79 | $1.00 – $2.09 | 5 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.87 – $35.20 | 5 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.07 – $21.38 | 5 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.37 – $4.90 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | $649.05 | $1,854.44 | $8.84 – $17.29 | 9 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $118.17 – $295.90 | 9 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.40 – $33.58 | 9 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $83.48 – $315.53 | 9 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.80 – $193.18 | 9 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.60 – $7.16 | 4 |
| Inj, clindamycin (baxter) HCPCS J0737 | $86.10 | $246.00 | $1.72 – $12.68 | 5 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $465.50 | $1,330.00 | $1,487.00 – $9,891.00 | 3 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $9,147.83 | $26,136.65 | $89.31 – $191.69 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $4,560.02 | $13,028.62 | $1,044.14 – $2,243.63 | 5 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $530.70 – $1,185.75 | 9 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.93 – $57.53 | 9 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.58 – $35.86 | 9 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.72 – $14.19 | 9 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.93 – $19.46 | 9 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.52 – $1.87 | 9 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,246.13 | $3,560.36 | $0.50 – $3.78 | 9 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $9.33 | 9 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.06 – $0.19 | 5 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.38 | 5 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.09 | 5 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.09 – $6.43 | 9 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $14.57 | 5 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.01 – $7,143,317.60 | 8 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.27 – $51.64 | 6 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.57 | 4 |
| Inj disk cerv-thor ea lev CPT 62291 | $418.95 | $1,197.00 | $1,487.00 – $9,891.00 | 3 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $46.09 – $85.27 | 7 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.05 – $8.99 | 9 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $352.70 – $1,487.00 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.68 – $18.96 | 9 |
| Inj dx for sinogram CPT 20501 | $297.85 | $851.00 | $1,487.00 – $9,891.00 | 3 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,881.95 | $5,377.00 | $352.70 – $5,977.00 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $219.45 | $627.00 | $1,487.00 – $9,891.00 | 3 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $51.11 – $109.48 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $467.67 – $1,009.94 | 9 |
| Injection, cangrelor HCPCS C9460 | $2,734.39 | $7,812.54 | $20.02 – $40.66 | 9 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $794.83 – $1,581.71 | 8 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $297.50 | $850.00 | $352.70 – $5,977.00 | 9 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $412.80 | 9 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $8.70 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | $10,586.32 | $30,246.63 | $69.84 – $145.40 | 9 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $1.30 | 3 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.37 – $15.14 | 5 |
| Injection during cath supravalvular aortography CPT 93567 | $438.20 | $1,252.00 | $1,487.00 – $5,559.00 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $14.05 – $43.88 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $925.75 | $2,645.00 | $907.88 – $5,977.00 | 9 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.20 – $2.65 | 4 |
| Injection eye drug CPT 67028 | $354.55 | $1,013.00 | $424.83 – $5,977.00 | 9 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $2.70 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $230.30 | $658.00 | $1,487.00 – $9,891.00 | 3 |
| Injection for bladder x-ray CPT 51600 | $159.25 | $455.00 | $1,487.00 – $9,891.00 | 3 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $201.95 | $577.00 | $1,487.00 – $9,891.00 | 3 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Injection for ureter x-ray CPT 50684 | $227.50 | $650.00 | $1,487.00 – $9,891.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $485.80 | $1,388.00 | $1,487.00 – $9,891.00 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $47.70 – $151.44 | 3 |
| Injection, fulvestrant HCPCS J9395 | $396.84 | $1,133.83 | $6.98 – $16.58 | 5 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $63.75 – $348.69 | 5 |
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.