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 |
|---|---|---|---|---|
| Lens, intraocular (new tech) HCPCS C1780 | $589.05 | $1,683.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $1,654.19 | $4,726.25 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,654.19 | $4,726.25 | $202.65 – $202.65 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $175.00 | $500.00 | $202.65 – $202.65 | 1 |
| Lepirudin HCPCS J1945 | not published | not published | $312.27 – $1,135.37 | 5 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $110.25 | $315.01 | $3.95 – $58.66 | 5 |
| Leukacyte transfusion CPT 86950 | not published | not published | $5.42 – $405.38 | 9 |
| Leukocyte phagocytosis CPT 86344 | $224.91 | $642.60 | $10.39 – $25.79 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,069.15 | $5,911.85 | $155.42 – $460.73 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,620.05 | $13,200.13 | $1,311.56 – $3,591.15 | 9 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $4,819.82 – $13,829.00 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $10.45 – $325.73 | 5 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $1,283.08 | 9 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.95 – $112.62 | 9 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $95.60 – $176.86 | 7 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $119.47 – $221.02 | 7 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $221.08 – $408.99 | 7 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $336.32 – $628.89 | 7 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $528.26 – $977.28 | 7 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.69 – $6.43 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.30 – $3.60 | 5 |
| Levalbuterol non-comp unit HCPCS J7614 | $0.67 | $1.90 | $0.09 – $3.60 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $245.14 | $700.39 | $0.05 – $2.08 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $13.25 – $39.51 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $86.54 | $247.25 | $1.96 – $53.55 | 5 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $182.99 – $808.12 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $302.07 | $863.07 | $7.70 – $30.84 | 5 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $4,169.67 – $9,891.00 | 9 |
| Liberta rc ipg HCPCS C1820 | $32,673.99 | $93,354.25 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.04 – $2.08 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $34.97 | $99.90 | $0.01 – $0.19 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $68.93 | $196.95 | $0.01 – $0.02 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $14.69 – $45.55 | 9 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $0.00 | $0.01 | not published | 0 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $287.51 – $531.89 | 7 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $88.45 – $163.63 | 7 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $45.78 – $84.69 | 7 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $678.86 – $1,255.89 | 7 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,142.09 – $13,460.00 | 4 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,362.00 – $9,297.00 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,724.10 | $4,926.00 | $1,528.38 – $9,297.00 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,159.89 – $9,891.00 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,821.63 – $9,891.00 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,159.89 – $9,891.00 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ligation/major artery/extremity 37618 CPT 37618 | $2,257.85 | $6,451.00 | $1,142.09 – $9,891.00 | 4 |
| Ligation major artery neck CPT 37615 | $1,868.30 | $5,338.00 | $2,362.00 – $9,891.00 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,142.09 – $13,240.19 | 9 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Ligation of inf vena cava CPT 37619 | $2,871.05 | $8,203.00 | $2,821.63 – $13,460.00 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,821.63 – $9,891.00 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,159.89 – $14,539.00 | 9 |
| Ligation of shunt CPT 49428 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $950.37 – $2,403.87 | 5 |
| Limb exercise test CPT 95875 | not published | not published | $98.76 – $306.17 | 7 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $72.84 – $134.75 | 7 |
| Limited autopsy CPT 88036 | not published | not published | $7.87 – $244.77 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $6.99 – $217.37 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $142.35 – $263.35 | 7 |
| Limited visual field xm CPT 92081 | not published | not published | $75.87 – $140.37 | 7 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.61 – $13.81 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $215.59 | $615.96 | $2.86 – $103.13 | 5 |
| Lipase CPT 83690 | $169.05 | $483.00 | $6.89 – $21.37 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $84.08 | 9 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $34.19 – $97.87 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $57.40 | $164.00 | $8.19 – $25.40 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $59.50 | $170.00 | $10.50 – $29.59 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $84.88 | 9 |
| Lip surgery procedure CPT 40799 | not published | not published | $184.68 – $9,891.00 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.01 – $1,110,350.92 | 8 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $40.91 | 9 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $193.82 – $358.57 | 7 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $77.75 – $143.84 | 7 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $606.56 – $1,122.14 | 7 |
| Lithium therapeutic drug level CPT 80178 | $187.60 | $536.00 | $6.61 – $20.50 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $1,753.85 | $5,011.00 | $352.70 – $352.70 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $2,230.06 | 9 |
| Liver elastography 91200 CPT 91200 | not published | not published | $97.64 – $306.17 | 8 |
| Liver Function Test CPT 80076 | $116.20 | $332.00 | $8.17 – $25.34 | 9 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $1,068.79 – $1,068.79 | 1 |
| Liver imaging CPT 78201 | $1,038.80 | $2,968.00 | $404.50 – $2,612.61 | 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.