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 |
|---|---|---|---|---|
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $158.88 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $35.14 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $81.69 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $35.33 – $87.71 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $20.24 – $62.77 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $17.06 – $42.36 | 9 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.72 – $42.53 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $13.25 – $39.51 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $97.60 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $17.68 – $47.90 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $33.47 – $887.89 | 7 |
| Measure kidney pressure CPT 50396 | not published | not published | $336.27 – $5,977.00 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $332.15 | $949.00 | $75.87 – $1,487.00 | 8 |
| Measure ureter pressure CPT 50686 | not published | not published | $165.49 – $1,487.00 | 8 |
| Mecasermin injection HCPCS J2170 | not published | not published | $1.66 – $948.47 | 5 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $504.12 – $932.62 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $30.84 – $640.22 | 5 |
| #mec-opiates CPT 80356 | not published | not published | $0.02 – $122.20 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $372.45 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $470.18 – $1,310.72 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $41.02 – $297.96 | 8 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $158.55 | $453.00 | not published | 0 |
| Medial canthopexy CPT 21280 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $2,821.63 – $12,111.00 | 9 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $202.99 – $2,575.37 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $197.49 | $564.25 | $0.55 – $1.16 | 5 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.25 – $2.89 | 4 |
| Meg evoked each addl CPT 95967 | not published | not published | $1,374.97 – $2,222.96 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $1,104.48 – $2,222.96 | 7 |
| Meg spontaneous CPT 95965 | not published | not published | $1,104.48 – $6,207.69 | 7 |
| Melphalan oral 2 mg HCPCS J8600 | $5.51 | $15.73 | $9.34 – $27.74 | 5 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,871.63 | $5,347.50 | $160.06 – $565.30 | 8 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $10,493.92 | $29,982.62 | $160.06 – $296.10 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,076.90 | $5,934.00 | $52.36 – $56.57 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $160.06 – $391.69 | 8 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $67,138.44 – $169,820.76 | 5 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $160.06 – $363.18 | 8 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $142.92 – $296.10 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $23,902.34 | $68,292.40 | $125.97 – $296.10 | 8 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $235.24 – $719.56 | 4 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $4,588.50 – $16,065.00 | 9 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $43.75 | $125.00 | $1.70 – $21.80 | 5 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.54 – $22.33 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.33 – $65.66 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $17.92 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $39.40 | $112.56 | $0.44 – $14.00 | 5 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $36.60 – $52.63 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $242.63 | $693.22 | $1.33 – $102.56 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $154.00 | $440.00 | $8.46 – $26.24 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $193.90 | $554.00 | $10.56 – $32.78 | 9 |
| Metabolic panel ionized ca CPT 80047 | $154.00 | $440.00 | $13.73 – $34.07 | 9 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $3,561.68 | 7 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $602.73 – $602.73 | 1 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $283.85 – $283.85 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.93 – $3.50 | 5 |
| Methadone injection HCPCS J1230 | $101.52 | $290.07 | $1.51 – $44.96 | 5 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.89 | 4 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $34.86 | $99.61 | $4.79 – $13.67 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.16 | $3.32 | $0.20 – $8.14 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $131.45 | $375.58 | $2.26 – $43.33 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $95.77 | 9 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $94.74 – $200.02 | 4 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $30.47 – $107.50 | 5 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,132.49 | $3,235.69 | $0.76 – $19.03 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $46.29 | $132.27 | $10.03 – $45.77 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $610.56 | $1,744.46 | $1.14 – $4.11 | 5 |
| Methylphenidate CPT 80360 | not published | not published | $0.02 – $97.64 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.21 | $3.46 | $0.23 – $1.14 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $36.05 | $103.00 | $0.12 – $0.24 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $365.97 | $1,045.63 | $0.13 – $0.54 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $33.51 | $95.73 | $1.00 – $7.76 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.34 – $0.34 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $85.30 | $243.70 | $0.03 – $0.19 | 5 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $282.77 | 9 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $309.50 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $336.06 | $960.17 | $0.31 – $5.87 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $15.47 | 9 |
| Microbe susceptible mlc CPT 87187 | $29.05 | $83.00 | $30.12 – $99.74 | 9 |
| Microdissection laser CPT 88380 | not published | not published | $160.24 – $258.11 | 4 |
| Microdissection manual CPT 88381 | not published | not published | $313.98 – $775.39 | 5 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $55.81 | 9 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,469.98 – $10,119.46 | 7 |
| Microsatellite instability CPT 81301 | $168.70 | $482.00 | $331.02 – $865.46 | 8 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $165.49 – $439.40 | 7 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $352.70 – $9,891.00 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $97.02 | $277.20 | $0.16 – $2.46 | 5 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $126.10 | $360.28 | $0.17 – $1.14 | 5 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $134.46 – $516.16 | 9 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $218.97 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $87.43 | $249.80 | $1.40 – $91.40 | 5 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $682.06 – $1,261.81 | 7 |
| Minocycline hydrochloride HCPCS J2265 | $1,006.69 | $2,876.27 | $1.51 – $5.57 | 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.