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 |
|---|---|---|---|---|
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $1,528.38 – $17,773.26 | 9 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $2,159.89 – $17,698.00 | 9 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $2,159.89 – $9,891.00 | 9 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $2,159.89 – $21,833.00 | 8 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $2,159.89 – $21,833.00 | 8 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $3,409.47 – $13,460.00 | 4 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $4,588.50 – $21,833.00 | 9 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,142.09 – $21,833.00 | 9 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $1,142.09 – $25,292.72 | 9 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $2,455.49 – $12,235.00 | 4 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $2,821.63 – $11,276.00 | 4 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $8,365.00 – $12,341.79 | 4 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $8,365.00 – $12,341.79 | 4 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $1,142.09 – $15,861.00 | 4 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $1,528.38 – $14,539.00 | 9 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,528.38 – $14,539.00 | 9 |
| Largsc w/removal lesion CPT 31578 | $2,111.55 | $6,033.00 | $1,528.38 – $9,297.00 | 9 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $357.35 | $1,021.00 | $503.04 – $9,297.00 | 9 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,528.38 – $14,539.00 | 9 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.16 – $83.01 | 9 |
| Laryngeal function studies CPT 92520 | not published | not published | $87.32 – $316.58 | 7 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,159.89 – $12,111.00 | 9 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,455.49 – $12,111.00 | 8 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,455.49 – $12,111.00 | 8 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,455.49 – $12,111.00 | 8 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,455.49 – $12,111.00 | 8 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $2,455.49 – $12,111.00 | 8 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $63.95 – $63.95 | 1 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $56.46 – $415.03 | 6 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,229.55 | $3,513.00 | $1,142.09 – $5,977.00 | 9 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $503.04 – $5,977.00 | 9 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy w/bx & op scope CPT 31536 | $2,085.30 | $5,958.00 | $1,746.72 – $10,103.00 | 9 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Laryngoscopy w/fb removal CPT 31530 | $1,229.55 | $3,513.00 | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy with biopsy CPT 31576 | $1,174.25 | $3,355.00 | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $341.25 | $975.00 | $503.04 – $5,977.00 | 9 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Laser surgery eye strands CPT 67031 | not published | not published | $707.39 – $9,297.00 | 9 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Laser surgery of prostate CPT 52647 | not published | not published | $4,588.50 – $15,861.00 | 5 |
| Laser surgery of prostate CPT 52648 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Laser treatment of retina CPT 67039 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Laser treatment of retina CPT 67040 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Lateral canthopexy CPT 21282 | $2,122.40 | $6,064.00 | $2,455.49 – $13,207.00 | 9 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $400.90 – $741.66 | 7 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $120.42 – $222.78 | 7 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $79.54 – $147.15 | 7 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $304.63 – $1,487.00 | 8 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $4,588.50 – $21,833.00 | 9 |
| Lb with mastopexy 15839 CPT 15839 | $1,475.60 | $4,216.00 | $1,142.09 – $10,103.00 | 9 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,831.00 | $16,660.00 | not published | 0 |
| Lead capillary CPT 83655 | not published | not published | $12.11 – $37.56 | 9 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,494.00 | $12,840.00 | not published | 0 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $410.25 – $758.96 | 7 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,905.95 | $14,017.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,528.38 – $14,085.70 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $3.48 – $4.12 | 2 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $2.28 – $2.74 | 2 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $3.48 – $3.48 | 1 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,738.97 – $5,067.09 | 7 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $2,018.95 – $3,735.06 | 7 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,734.08 – $3,208.05 | 7 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $2,413.42 – $4,464.83 | 7 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $62.20 | 9 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $129.49 | 9 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $2,339.78 – $4,328.59 | 7 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,409.47 – $9,891.00 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $904.75 | $2,585.00 | $306.88 – $1,173.24 | 8 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $38.00 | 9 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Lengthening of palate CPT 42227 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,528.38 – $12,132.52 | 9 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,159.89 – $12,557.00 | 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.