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 heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.95 – $6.32 | 5 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $59.91 – $135.28 | 9 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $37.86 – $257.54 | 9 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $56.02 – $158.91 | 9 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $1,487.00 – $5,559.00 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $436.10 | $1,246.00 | $1,487.00 – $5,559.00 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $285.60 | $816.00 | $1,487.00 – $5,559.00 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $1,487.00 – $5,559.00 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $252.00 | $720.00 | $1,487.00 – $5,559.00 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $3.18 | 9 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.09 – $11.14 | 9 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $13.91 – $73.38 | 5 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $77.68 – $165.44 | 9 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $20.79 – $45.61 | 4 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.58 – $5.38 | 5 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $76.77 – $177.69 | 9 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $32.87 | $93.90 | $0.13 – $0.30 | 5 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $476.84 – $1,041.46 | 9 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $1,137.58 – $5,977.00 | 9 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $38.76 – $110.94 | 4 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.48 – $4.16 | 5 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $547.40 | $1,564.00 | $151.53 – $1,487.00 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | $547.40 | $1,564.00 | $151.53 – $1,487.00 | 8 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.95 – $27.24 | 9 |
| Inj ivig privigen 500 mg HCPCS J1459 | $8,868.61 | $25,338.88 | $49.53 – $105.74 | 9 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $4.13 | 9 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $5.27 | 9 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.56 – $3.20 | 9 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.38 – $8.70 | 5 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $86.85 – $221.24 | 9 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $24.45 – $75.59 | 9 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.32 – $2.86 | 9 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $2.00 | 5 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.45 – $47.36 | 9 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $139.67 | $399.05 | $24.29 – $103.89 | 5 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.03 – $3.78 | 5 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $5.42 – $13.76 | 9 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $11.05 | 5 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $34.28 | $97.95 | $0.01 – $0.19 | 5 |
| Inj, linezolid (hospira) HCPCS J2021 | $238.73 | $682.08 | $6.34 – $61.69 | 5 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.01 – $7,064,900.00 | 8 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $324.34 – $685.53 | 9 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.51 – $50.29 | 9 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.01 – $6,764.46 | 8 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $352.70 – $1,487.00 | 2 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $50.19 – $92.85 | 6 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.20 – $9.14 | 5 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $108.03 – $337.77 | 9 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $62.33 – $157.51 | 9 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $484.50 – $1,386.87 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | $65,625.00 | $187,500.00 | $765.00 – $1,663.67 | 9 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $257.51 – $492.74 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $32.96 | $94.17 | $3.19 – $40.68 | 5 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.08 – $10.41 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.17 – $4.54 | 9 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.62 – $3.44 | 5 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.34 – $28.76 | 4 |
| Inj, micafungin (par pharm) HCPCS J2247 | $165.36 | $472.47 | $0.36 – $4.35 | 5 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $42.09 – $102.28 | 9 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $239.12 – $523.80 | 9 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $24.27 – $54.22 | 9 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $8.71 – $26.68 | 5 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $7.76 – $33.49 | 5 |
| Inj multihance HCPCS A9577 | not published | not published | $3.62 – $15.98 | 3 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $3.60 – $16.81 | 3 |
| Inj. mycophenolate mofetil HCPCS J7519 | $248.38 | $709.66 | $0.41 – $3.41 | 5 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $11.54 – $19.80 | 5 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $664.68 – $1,379.93 | 9 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,336.65 | $3,819.00 | $896.84 – $10,103.00 | 9 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $85.17 | $243.33 | $2.00 – $4.67 | 9 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $26.48 – $51.30 | 6 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $91.29 – $203.35 | 9 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.53 – $1.90 | 8 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $45.77 – $97.16 | 8 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,007.42 – $2,883.12 | 4 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $100.80 | $288.00 | $41.20 – $124.70 | 4 |
| Inj ogivri 10 mg HCPCS Q5114 | $4,764.75 | $13,613.57 | $35.78 – $100.66 | 9 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $50.10 – $137.76 | 5 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.16 – $2.80 | 4 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $386.38 – $819.67 | 9 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.88 – $16.10 | 5 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.01 – $8.32 | 9 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.01 – $5,209,732.14 | 8 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $21.99 – $90.07 | 9 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $269.59 – $387.76 | 2 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $55.29 – $128.81 | 9 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.63 – $18.92 | 5 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $73.83 – $151.42 | 9 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $524.40 – $1,132.92 | 9 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.81 – $212.94 | 9 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $93.16 – $205.11 | 9 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $141.91 – $309.58 | 9 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $8,363.84 | $23,896.68 | $27.99 – $333.67 | 9 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $80.65 | 8 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.99 – $99.65 | 9 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.66 – $20.94 | 9 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $80.58 – $230.67 | 9 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.29 – $19.61 | 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.