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 pemetrexed ditromethamin HCPCS J9323 | not published | not published | $10.34 – $22.23 | 5 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $3.65 – $10.19 | 9 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.21 – $28.01 | 5 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $3.79 – $20.32 | 9 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,477.18 – $14,154.53 | 4 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $70.48 – $174.28 | 9 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $16.20 – $321.69 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.14 – $26.12 | 9 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $37.00 – $71.03 | 9 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.51 – $7.68 | 9 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $88.27 – $223.28 | 9 |
| Inj proc ankle arthr CPT 27648 | $159.60 | $456.00 | $1,487.00 – $9,891.00 | 3 |
| Inj proc elbow arthro CPT 24220 | $142.10 | $406.00 | $1,487.00 – $9,891.00 | 3 |
| Inj proc for lymphang CPT 38790 | $252.00 | $720.00 | $1,487.00 – $9,891.00 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | $510.65 | $1,459.00 | $1,487.00 – $9,891.00 | 3 |
| Inj proc myelogram lumbar CPT 62284 | $436.10 | $1,246.00 | $1,487.00 – $9,891.00 | 3 |
| Inj proc sialogram CPT 42550 | $154.35 | $441.00 | $1,487.00 – $9,891.00 | 3 |
| Inj progesterone per 50 mg HCPCS J2675 | $32.97 | $94.19 | $0.63 – $9.46 | 5 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.85 – $16.81 | 3 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $20.96 – $62.45 | 4 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.22 – $4.60 | 9 |
| Inj, releuko 1 mcg HCPCS Q5125 | $587.49 | $1,678.54 | $0.32 – $0.92 | 9 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.76 – $1.53 | 5 |
| Inj retro urethrocysto CPT 51610 | $196.35 | $561.00 | $1,487.00 – $9,891.00 | 3 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.95 – $27.95 | 9 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $0.01 – $25,816.79 | 8 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.90 – $2.65 | 4 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $28.52 – $64.91 | 9 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $12.54 – $28.01 | 9 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $258.55 – $1,487.00 | 8 |
| Inj scleros sol sgl vein CPT 36470 | $473.20 | $1,352.00 | $258.55 – $1,487.00 | 8 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.78 – $4.00 | 8 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $520.71 – $1,158.21 | 9 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $40.23 – $91.53 | 9 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.60 – $38.12 | 9 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $0.92 – $2.71 | 9 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $63.25 – $132.07 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $151.53 – $1,487.00 | 8 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $18.59 – $84.59 | 5 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $76.20 – $171.44 | 9 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.11 – $38.98 | 9 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $344.32 – $727.84 | 9 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $40.66 – $87.38 | 9 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $33.27 – $69.70 | 9 |
| Inj tedizolid phosphate HCPCS J3090 | $1,118.14 | $3,194.68 | $1.83 – $3.87 | 9 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $36.75 – $80.22 | 9 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $357.23 – $758.00 | 9 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.06 – $0.19 | 5 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $0.14 – $2.77 | 8 |
| Inj testosterone cypionate HCPCS J1071 | $43.75 | $125.00 | $0.03 – $0.19 | 5 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.40 – $2.26 | 5 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $544.95 | $1,557.01 | $5.74 – $18.36 | 6 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $352.70 – $9,891.00 | 3 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $352.70 – $9,891.00 | 3 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $2.55 – $7.38 | 5 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $118.20 – $282.64 | 9 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $55.73 – $1,210.00 | 9 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $153.99 – $333.98 | 9 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.26 – $12.84 | 9 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $189.72 – $417.98 | 8 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $18.21 – $38.72 | 9 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.18 – $0.57 | 4 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.16 – $24.94 | 9 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,723.76 – $7,537.99 | 9 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $3.27 – $18.39 | 9 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.44 – $8.75 | 9 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $10.98 – $21.85 | 7 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.14 – $6.20 | 6 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $2.38 – $5.93 | 6 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $25.08 – $52.93 | 9 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $8.16 – $23.46 | 5 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $7.82 – $22.33 | 5 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.15 – $0.15 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.48 – $7.38 | 5 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.53 – $7.53 | 9 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $34.65 – $103.37 | 9 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $447.68 – $956.71 | 9 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $277.03 – $700.73 | 9 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $57.53 – $164.66 | 5 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $71.66 – $132.63 | 2 |
| Inj w/fluor eval cv device CPT 36598 | $299.95 | $857.00 | $273.57 – $5,977.00 | 9 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.91 – $30.70 | 9 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $46.75 – $103.69 | 9 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $517.41 – $1,127.83 | 9 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $24.17 – $46.24 | 6 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $32.30 – $62.10 | 6 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,596.24 – $5,714.98 | 9 |
| Ins cath ren art 1st bi CPT 36252 | $3,102.75 | $8,865.00 | $4,061.05 – $9,891.00 | 9 |
| Ins cath ren art 1st uni CPT 36251 | $2,066.40 | $5,904.00 | $4,061.05 – $9,891.00 | 9 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $4,061.05 – $9,891.00 | 9 |
| Ins cath ren art 2nd+ uni CPT 36253 | $3,245.20 | $9,272.00 | $5,144.95 – $13,460.00 | 9 |
| Ins cerv dilator (sep proc) CPT 59200 | $1,027.25 | $2,935.00 | $273.20 – $5,977.00 | 9 |
| Ins device for right guide open CPT 49412 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Insemination of oocytes CPT 89268 | not published | not published | $142.17 – $405.38 | 8 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Insert and remove bone pin CPT 20650 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Insert balloon device CPT 33973 | not published | not published | $5,821.00 – $9,891.00 | 3 |
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.