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 |
|---|---|---|---|---|
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $2,346.05 | $6,703.00 | $806.82 – $10,103.00 | 9 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $1,142.09 – $52,926.57 | 9 |
| Ins pm gen w/exist mlt leads CPT 33221 | $5,906.95 | $16,877.00 | $1,142.09 – $42,841.00 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | $8,024.10 | $22,926.00 | $1,528.38 – $15,861.00 | 9 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $352.70 – $9,891.00 | 3 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $352.70 – $26,513.03 | 9 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $1,528.38 – $73,423.09 | 9 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $13,436.15 | $38,389.00 | $2,159.89 – $42,841.00 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $5,759.60 | $16,456.00 | $4,588.50 – $24,869.57 | 9 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $2,282.70 | $6,522.00 | $4,588.50 – $19,690.54 | 9 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $2,841.65 | $8,119.00 | $4,588.50 – $24,869.57 | 9 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $1,528.38 – $46,160.81 | 9 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $2,159.89 – $68,249.43 | 9 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $1,528.38 – $57,671.00 | 9 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $352.70 – $15,227.00 | 4 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Install spinal shunt CPT 63740 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $4,588.50 – $14,673.37 | 9 |
| Inst fibrinolysis agent ini day CPT 32561 | $481.60 | $1,376.00 | $806.82 – $5,977.00 | 9 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $481.60 | $1,376.00 | $352.70 – $5,977.00 | 9 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $4,339.44 | $12,398.40 | $2,743.04 – $3,138.53 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,381.45 | $3,947.00 | $286.06 – $5,977.00 | 9 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.77 – $1.66 | 4 |
| Instill pharm renal pelvis HCPCS C9789 | $2,502.15 | $7,149.00 | $1,142.09 – $15,861.00 | 9 |
| Instll rx agnt into rnal tub CPT 50391 | $606.55 | $1,733.00 | $191.34 – $5,977.00 | 9 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $352.70 – $12,235.00 | 4 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $5.03 – $18.47 | 9 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $4,588.50 – $14,539.00 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $4,135.60 | $11,816.00 | $1,142.09 – $13,460.00 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,068.40 | $11,624.00 | $1,142.09 – $9,834.00 | 9 |
| Ins tun intraperit dia cath CPT 49421 | $2,115.75 | $6,045.00 | $1,142.09 – $9,834.00 | 9 |
| Inst via cath agent pleurds CPT 32560 | $2,444.40 | $6,984.00 | $806.82 – $5,977.00 | 9 |
| Insulin for insulin pump use HCPCS J1817 | $107.10 | $306.00 | $3.24 – $8.52 | 5 |
| Insulin suppression panel CPT 80432 | not published | not published | $165.61 – $411.22 | 9 |
| Insulin tolerance panel CPT 80434 | not published | not published | $285.03 – $707.73 | 9 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $319.52 | 9 |
| Insulin total CPT 83525 | not published | not published | $11.43 – $35.46 | 9 |
| Ins vag brachytx device CPT 57156 | $358.40 | $1,024.00 | $352.70 – $5,977.00 | 9 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $8,617.32 | $24,620.90 | $2,108.60 – $3,212.85 | 4 |
| Integra meshed bil wound mat HCPCS C9363 | $25,450.30 | $72,715.13 | $43.60 – $296.10 | 8 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $2,254.00 | $6,440.00 | not published | 0 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $48.19 – $89.15 | 7 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $165.80 – $306.72 | 7 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $165.80 – $306.72 | 7 |
| Intercalary algrft compl CPT 20934 | not published | not published | $1,487.00 – $15,227.00 | 3 |
| Interdental fixation CPT 21110 | $1,657.95 | $4,737.00 | $1,142.09 – $5,977.00 | 9 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $789.04 – $5,977.00 | 9 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $50.94 – $91.78 | 4 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $27.13 – $62.39 | 5 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $11.16 – $13.22 | 4 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $22.52 – $77.70 | 5 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $73.42 – $146.11 | 5 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,988.25 – $4,736.75 | 5 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $206.64 – $1,442.29 | 5 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $58.32 – $21,825.90 | 5 |
| Interfyl, 1 mg HCPCS Q4171 | $3,122.04 | $8,920.12 | $24.14 – $94.80 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $75.87 – $140.37 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $519.59 – $519.59 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $48.00 – $88.80 | 7 |
| Interrogation vad in person CPT 93750 | not published | not published | $55.79 – $1,487.00 | 8 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $46.41 – $88.80 | 7 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $37.20 – $84.99 | 7 |
| Interrog device eval heart CPT 93289 | not published | not published | $48.00 – $88.80 | 7 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $48.00 – $88.80 | 7 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $122.28 – $352.70 | 7 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $352.70 – $730.81 | 7 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $122.28 – $352.70 | 7 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $22,747.26 – $42,082.43 | 7 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $19,237.24 – $35,588.89 | 7 |
| Interstitial brachy inter CPT 77799 | not published | not published | $131.23 – $932.02 | 7 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | $2,067.10 | $5,906.00 | $1,142.09 – $9,891.00 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,142.09 – $6,604.43 | 9 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,580.90 – $2,924.67 | 7 |
| Intra-atrial pacing CPT 93610 | $2,161.95 | $6,177.00 | $235.59 – $16,065.00 | 8 |
| Intra-atrial recording CPT 93602 | $3,659.60 | $10,456.00 | $192.33 – $16,065.00 | 8 |
| Intracard echo interv w/s&i CPT 93662 | $4,024.65 | $11,499.00 | $448.06 – $1,487.00 | 3 |
| Intracran angioplsty w/stent CPT 61635 | $23,821.35 | $68,061.00 | $5,821.00 – $10,103.00 | 3 |
| Intracranial angioplasty CPT 61630 | $21,361.90 | $61,034.00 | $5,821.00 – $10,103.00 | 3 |
| Intracranial complete study CPT 93886 | $333.90 | $954.00 | $306.88 – $1,173.24 | 8 |
| Intracranial limited study CPT 93888 | $147.00 | $420.00 | $134.46 – $516.16 | 8 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,409.47 – $12,235.00 | 4 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,409.47 – $12,235.00 | 4 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,409.47 – $12,235.00 | 4 |
| Intranasal biopsy 30100 CPT 30100 | $1,657.95 | $4,737.00 | $1,142.09 – $5,977.00 | 9 |
| Intranasal reconstruction CPT 30620 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $278.95 | $797.00 | $1,091.57 – $4,005.00 | 3 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $1,142.09 – $2,327.63 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $761.60 | $2,176.00 | $693.67 – $5,977.00 | 9 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $111.93 – $207.07 | 6 |
| Intrapul surf admin endo tube CPT 94610 | $390.95 | $1,117.00 | $73.26 – $521.04 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $567.42 – $5,977.00 | 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.