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 |
|---|---|---|---|---|
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $580.30 | $1,658.00 | $134.46 – $516.16 | 9 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $352.70 – $6,790.00 | 2 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $72.98 – $72.98 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $3.99 | $11.41 | $13.89 – $16.47 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,941.90 | $19,834.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $310.07 | 9 |
| Kit hfx iq ipg bundle HCPCS C1822 | $21,787.50 | $62,250.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $37,492.00 | $107,120.00 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $27.39 – $32.50 | 2 |
| Kit lead specify 5-6-5 HCPCS C1778 | $27,234.38 | $77,812.50 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,234.80 | $3,528.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $3,931.62 | $11,233.19 | $25.64 – $296.10 | 9 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $8,308.44 | $23,738.40 | $2,069.73 – $5,289.79 | 7 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,659.84 | $4,742.40 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $32.51 – $38.57 | 2 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,068.15 – $12,557.00 | 9 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $2,068.15 – $12,557.00 | 9 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $2,455.49 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $163.43 – $302.35 | 7 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $119.67 – $221.39 | 7 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $130.19 – $240.85 | 7 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $797.58 – $1,475.52 | 7 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $949.88 – $1,757.28 | 7 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $171.93 – $318.07 | 7 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $171.93 – $318.07 | 7 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $145.69 – $269.53 | 7 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $104.57 – $193.45 | 7 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $135.86 – $251.34 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $2,544.85 | $7,271.00 | $448.71 – $1,316.74 | 8 |
| Knee MRI (with contrast) CPT 73722 | $1,955.80 | $5,588.00 | $813.72 – $1,865.27 | 8 |
| Knee MRI (without contrast) CPT 73721 | $1,789.90 | $5,114.00 | $306.88 – $834.41 | 8 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $353.04 – $653.12 | 7 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,361.08 – $4,368.00 | 7 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,487.01 – $2,750.97 | 7 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $703.36 – $1,301.22 | 7 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,189.70 – $2,200.95 | 7 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $852.33 – $1,576.81 | 7 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $611.29 – $1,130.89 | 7 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,414.52 – $4,466.86 | 7 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,884.12 – $7,185.62 | 7 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,868.87 – $3,457.41 | 7 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,328.36 – $2,457.47 | 7 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,437.90 – $32,260.12 | 7 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,292.38 – $2,390.90 | 7 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,154.15 – $3,985.18 | 7 |
| Knee X-ray CPT 73564 | $424.55 | $1,213.00 | $76.68 – $516.16 | 9 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $587.08 – $1,086.10 | 7 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,913.09 – $9,089.22 | 7 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $689.92 – $1,276.35 | 7 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $689.92 – $1,276.35 | 7 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,408.80 – $2,606.28 | 7 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $70.12 – $254.65 | 7 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $89.34 – $264.18 | 7 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $1,076.26 – $1,991.08 | 7 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $600.78 – $1,111.44 | 6 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,644.10 – $3,041.58 | 7 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $205.78 – $727.93 | 7 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $1,124.13 – $2,079.64 | 7 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,711.62 – $3,166.50 | 7 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $2,436.24 – $4,507.04 | 7 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $479.83 | 9 |
| Kras gene variants exon 2 CPT 81275 | $136.50 | $390.00 | $193.25 – $479.83 | 8 |
| Kyleena, 19.5 mg HCPCS J7296 | $524.62 | $1,498.92 | $1,238.93 – $3,133.75 | 5 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,455.49 – $41,720.12 | 9 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,455.49 – $41,720.12 | 9 |
| Kyphosis pad HCPCS L1020 | not published | not published | $132.43 – $245.00 | 7 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $178.41 – $330.06 | 7 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $141.05 | $403.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $141.05 | $403.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $33.68 | $96.23 | $0.20 – $0.90 | 5 |
| Labioplasty 56800 CPT 56800 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Lab pathology consultation CPT 80500 | not published | not published | $100.58 – $100.58 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $240.18 – $240.18 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $601.62 – $1,113.00 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $106.61 | $304.60 | $0.20 – $0.51 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $128.10 | $366.00 | $6.04 – $18.72 | 9 |
| Lactated ringers intravenous solution HCPCS J7120 | $68.93 | $196.95 | $2.46 – $31.79 | 5 |
| Lactic acid CPT 83605 | $225.40 | $644.00 | $11.57 – $33.13 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $63.70 | $182.00 | $19.70 – $60.88 | 9 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $60.88 | 9 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $352.70 – $18,416.00 | 4 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $3,409.47 – $18,416.00 | 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.