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 |
|---|---|---|---|---|
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $2,159.89 – $41,720.12 | 9 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,821.63 – $41,720.12 | 9 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,528.38 – $41,720.12 | 9 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Arthrodesis triple CPT 28715 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Arthroplasty finger joint 26535 CPT 26535 | $2,457.00 | $7,020.00 | $2,455.49 – $13,207.00 | 9 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $2,455.49 – $13,460.00 | 9 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $9,891.00 – $30,548.47 | 8 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $2,455.49 – $41,720.12 | 9 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $3,409.47 – $41,720.12 | 9 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $1,746.72 – $12,132.52 | 9 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,487.00 – $10,103.00 | 4 |
| Artificial insemination CPT 58321 | not published | not published | $352.70 – $5,977.00 | 9 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $260.03 – $5,977.00 | 9 |
| Artiss fibrin sealant HCPCS C9250 | $1,103.17 | $3,151.91 | $143.70 – $362.38 | 9 |
| Art pressure waveform analys CPT 93050 | $79.10 | $226.00 | $37.20 – $75.23 | 7 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $352.70 – $15,227.00 | 4 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $352.70 – $15,227.00 | 4 |
| Ascenda two piece catheter HCPCS C1772 | $18,287.50 | $52,250.00 | not published | 0 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $117.31 | 8 |
| Asp core fat pad CPT 17999 | $400.75 | $1,145.00 | $66.86 – $9,891.00 | 9 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $352.70 – $2,362.00 | 8 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,081.85 | $3,091.00 | $806.82 – $9,891.00 | 9 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,983.40 | $8,524.00 | $1,142.09 – $9,297.00 | 9 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $498.05 | $1,423.00 | $352.70 – $5,977.00 | 9 |
| Aspirate pleura without imaging 32554 CPT 32554 | $711.55 | $2,033.00 | $806.82 – $5,977.00 | 9 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,946.70 | $5,562.00 | $352.70 – $5,977.00 | 9 |
| Aspiration orbital contents CPT 67415 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $184.68 – $9,891.00 | 9 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $608.30 | $1,738.00 | $352.70 – $2,362.00 | 8 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $1,137.58 – $5,977.00 | 9 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $22.91 | 9 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.26 – $22.64 | 9 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $77.72 | 9 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $64.06 | 9 |
| Assay dir meas fr estradiol CPT 82681 | $86.10 | $246.00 | $27.94 – $69.37 | 9 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $23.28 | 9 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $70.26 | 9 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $22.86 | 9 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $126.29 | 9 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $19.12 – $215.03 | 6 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $80.02 | 9 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $77.57 | 9 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.75 – $32.35 | 9 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $21.37 | 9 |
| Assay of breath ethanol CPT 82075 | not published | not published | $0.02 – $74.49 | 9 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $64.54 | 9 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $39.31 | 9 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $69.84 | 9 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.28 – $80.05 | 9 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $71.23 – $176.87 | 9 |
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $218.20 | 9 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $73.15 | 9 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $24.64 | 9 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $39.11 – $97.10 | 9 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $41.71 | 9 |
| Assay of fluoride CPT 82735 | not published | not published | $18.54 – $57.51 | 9 |
| Assay of galactose CPT 82760 | not published | not published | $11.20 – $34.73 | 9 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.15 – $32.66 | 9 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.48 – $66.64 | 9 |
| Assay of glutathione CPT 82978 | not published | not published | $15.45 – $44.22 | 9 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $66.77 | 9 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $27.44 | 9 |
| Assay of interleukin-6 (il-6) CPT 83529 | not published | not published | $17.27 – $42.90 | 9 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $49.34 | 9 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $28.43 | 9 |
| Assay of leflunomide CPT 80193 | not published | not published | $38.57 – $95.77 | 9 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $53.33 | 9 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $33.31 | 9 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $20.08 | 9 |
| Assay of osteocalcin CPT 83937 | not published | not published | $29.85 – $74.11 | 9 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $11.37 | 9 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $59.35 | 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.