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 |
|---|---|---|---|---|
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $352.70 – $5,977.00 | 9 |
| Manipulate wrist w/anesthes CPT 25259 | $1,706.60 | $4,876.00 | $1,142.09 – $10,103.00 | 9 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $356.65 | $1,019.00 | $73.26 – $316.58 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $367.50 | $1,050.00 | $73.26 – $316.58 | 7 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Manipulation of spine CPT 22505 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $317.26 – $5,977.00 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.24 – $12.30 | 5 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $2.54 – $13.62 | 5 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $103.64 – $191.73 | 7 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $12.61 | 9 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $223.33 – $271.30 | 2 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Map tachycard site(s) CPT 93609 | $3,527.65 | $10,079.00 | $467.08 – $8,837.00 | 3 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $9,626.34 | $27,503.84 | $50.45 – $104.34 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,969.37 | $11,341.07 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,542.63 | $4,407.52 | $1,254.00 – $2,446.61 | 7 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $151.26 – $382.46 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $255.91 – $473.43 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Mast mod rad CPT 19307 | not published | not published | $7,744.54 – $15,861.00 | 9 |
| Mastoidectomy CPT 69501 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Mastoids complete CPT 70130 | $477.75 | $1,365.00 | $99.78 – $516.16 | 9 |
| Mastoid surgery revision CPT 69603 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Mastopexy CPT 19316 | not published | not published | $2,159.89 – $15,799.68 | 9 |
| Mast radical CPT 19305 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $2,159.89 – $15,799.68 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $160.06 – $352.70 | 9 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $3,721.30 – $5,518.34 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $6,785.68 | $19,387.65 | $42.79 – $296.10 | 8 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $108.86 | 9 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $67.77 | 9 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $132.87 | 9 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $14.46 – $44.85 | 9 |
| Mayo aathr protein s free CPT 85306 | $155.05 | $443.00 | $15.32 – $47.52 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $15.32 – $47.52 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.57 – $95.77 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.02 – $67.86 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $67.86 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $14.78 – $45.88 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.02 – $188.55 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $148.75 | $425.00 | $13.44 – $41.68 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $37.41 | $106.89 | $15.08 – $46.76 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $107.35 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $97.64 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $362.84 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $64.75 | $185.00 | $83.87 – $227.60 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $340.17 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $77.20 – $2,880.28 | 8 |
| Mayo androstenedione CPT 82157 | not published | not published | $29.28 – $90.80 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $14.60 – $45.29 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $33.53 | 9 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $15.05 – $46.71 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $30.86 – $76.63 | 9 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $155.45 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.02 – $71.96 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $10.18 – $31.58 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $52.50 | $150.00 | $126.19 – $359.65 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $126.19 – $532.89 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $40.03 | 9 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $116.16 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $13.19 – $40.91 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $27.05 | 9 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $13.60 – $42.16 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.02 – $148.75 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.87 – $52.32 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $26.78 – $83.04 | 9 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $303.46 | 8 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $10.74 – $33.31 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $14.12 – $43.82 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $12.88 – $39.97 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $11.82 – $36.68 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $12.68 – $39.35 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $116.49 – $361.37 | 9 |
| Mayo chromium CPT 82495 | not published | not published | $20.28 – $62.92 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $0.02 – $95.22 | 2 |
| Mayo coccidioides antibody CPT 86635 | $46.20 | $132.00 | $11.47 – $35.59 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $17.50 | $50.00 | $24.09 – $59.82 | 9 |
| Mayo cortisol free CPT 82530 | not published | not published | $16.71 – $51.84 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $124.25 | $355.00 | $42.13 – $104.59 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $12.12 – $37.62 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.02 – $127.77 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.02 – $146.63 | 2 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $60.18 | 9 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $142.17 – $1,211.17 | 9 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $13.25 – $41.11 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $25.27 – $78.38 | 9 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $29.28 – $72.69 | 9 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $23.95 | 9 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $15.18 | 9 |
| Mayo estriol CPT 82677 | not published | not published | $24.18 – $75.01 | 9 |
| Mayo estrone CPT 82679 | not published | not published | $24.95 – $77.42 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $16.34 – $50.70 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $40.93 | 9 |
| Mayo factor ii CPT 85210 | $155.75 | $445.00 | $12.98 – $40.27 | 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.