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 |
|---|---|---|---|---|
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $835.76 | 8 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $13,223.92 | $37,782.64 | $12.35 – $26.38 | 9 |
| Injection into brain canal CPT 61026 | $518.70 | $1,482.00 | $907.88 – $5,977.00 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $394.79 – $5,977.00 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | $1,118.60 | $3,196.00 | $959.20 – $9,891.00 | 9 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,137.58 – $10,103.00 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $321.51 – $9,297.00 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.01 – $2.15 | 9 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Injection jugular CPT 36299 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.12 – $5.89 | 5 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.52 – $12.32 | 9 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $92.60 – $171.32 | 6 |
| Injection of sinus tract CPT 20500 | not published | not published | $352.70 – $4,099.00 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4,711.84 | $13,462.40 | $6.50 – $13.93 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | $176.02 | $502.92 | $117.24 – $198.30 | 3 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $3.61 | 9 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $11.41 | 4 |
| Injection px peyronie ds CPT 54200 | not published | not published | $321.35 – $5,977.00 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $392.35 | $1,121.00 | $394.77 – $5,977.00 | 9 |
| Injection, renflexis HCPCS Q5104 | $1,725.90 | $4,931.13 | $25.05 – $76.85 | 9 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.67 – $74.71 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $352.70 – $5,977.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $961.10 | $2,746.00 | $672.48 – $5,977.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,058.75 | $3,025.00 | $672.48 – $5,977.00 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,199.10 | $3,426.00 | $1,137.58 – $5,977.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $280.35 | $801.00 | $450.55 – $9,891.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $869.05 | $2,483.00 | $1,137.58 – $5,977.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $280.35 | $801.00 | $450.55 – $9,891.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $869.05 | $2,483.00 | $1,137.58 – $5,977.00 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,057.70 | $3,022.00 | $907.88 – $5,977.00 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,536.10 | $7,246.00 | $907.88 – $5,977.00 | 9 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $19.71 – $351.25 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $822.15 | $2,349.00 | $352.70 – $5,977.00 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $554.40 | $1,584.00 | $352.70 – $5,977.00 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $637.35 | $1,821.00 | $352.70 – $5,977.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $100.10 | $286.00 | $60.23 – $111.42 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $100.10 | $286.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $189.70 | $542.00 | $85.83 – $506.11 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $132.65 | $379.00 | $71.53 – $171.32 | 7 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $40.98 | 4 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $3.57 – $9.65 | 3 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Injection treatment of eye CPT 66030 | $1,754.55 | $5,013.00 | $1,142.09 – $5,977.00 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $1,137.58 – $9,297.00 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $693.67 – $5,977.00 | 9 |
| Inject sacroiliac joint CPT 27096 | $1,419.25 | $4,055.00 | $1,142.09 – $4,005.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $349.98 – $1,487.00 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $352.70 – $5,977.00 | 9 |
| Inject/treat eye socket CPT 67515 | not published | not published | $352.70 – $5,977.00 | 9 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.05 – $78.54 | 8 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.92 – $100.99 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.56 – $71.75 | 9 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.12 – $72.07 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $370.42 – $820.23 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $55.64 – $111.76 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,057.70 | $3,022.00 | $907.88 – $5,977.00 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,160.60 | $3,316.00 | $1,137.58 – $5,977.00 | 9 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.11 – $4.84 | 5 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.19 – $2.87 | 9 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.49 – $36.87 | 8 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.36 – $10.64 | 9 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $412.80 | 9 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.45 – $400.57 | 9 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $17.37 – $39.78 | 9 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.01 – $5,013,800.00 | 8 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.91 – $20.49 | 9 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $74.65 | 9 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $78.53 – $123.48 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $18.95 – $44.78 | 9 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.43 – $288.66 | 9 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.08 | 4 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.12 – $2.37 | 9 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.43 – $15.37 | 5 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.55 – $6.49 | 9 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $215.64 – $490.22 | 4 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $221.85 – $476.16 | 4 |
| Inj for ext venography CPT 36005 | $263.20 | $752.00 | $1,487.00 – $9,891.00 | 3 |
| Inj for mammo ductogram CPT 19030 | $206.50 | $590.00 | $1,487.00 – $9,891.00 | 3 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $2.60 | 9 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $524.18 – $1,360.69 | 9 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.43 – $8.71 | 5 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $51.00 | 9 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $20.40 – $99.35 | 9 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $6.91 – $32.25 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $51.00 – $145.90 | 5 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $185.41 – $535.60 | 4 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $5.29 – $32.36 | 5 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $115.00 – $250.41 | 9 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,684.01 – $5,961.52 | 9 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.85 – $3.57 | 5 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.63 – $4.73 | 5 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $163.20 – $467.13 | 5 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.88 – $11.37 | 9 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $67.81 – $151.42 | 9 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.34 – $31.07 | 5 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.01 – $7,923,323.34 | 8 |
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.