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 |
|---|---|---|---|---|
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $5.65 | 4 |
| Miroderm HCPCS Q4175 | not published | not published | $136.43 – $296.10 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $67.66 – $146.35 | 9 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.99 – $5.27 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,429.00 – $8,253.49 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,403.54 | $6,867.27 | $28.27 – $65.74 | 9 |
| Mitomycin instillation HCPCS J9281 | $37,220.96 | $106,345.60 | $312.12 – $672.95 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $484.59 | $1,384.53 | $29.60 – $86.27 | 9 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $1,746.72 – $15,227.00 | 4 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $477.54 | 8 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $502.56 | 8 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,677.02 | 8 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $96.89 – $821.87 | 8 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.72 – $352.70 | 6 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.12 – $352.70 | 6 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $84.91 – $427.38 | 9 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Mnpj elbow under anes CPT 24300 | $1,706.60 | $4,876.00 | $1,142.09 – $12,557.00 | 9 |
| Mnpj of tmj w/anesth CPT 21073 | $1,230.95 | $3,517.00 | $1,142.09 – $4,099.00 | 8 |
| Mnt subs tx for change dx HCPCS G0270 | $63.35 | $181.00 | $23.65 – $76.65 | 6 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $781.39 – $1,445.57 | 7 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Modification of contact lens CPT 92325 | not published | not published | $66.64 – $316.58 | 7 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $22.23 – $93.67 | 9 |
| Molded inner boot HCPCS L2280 | not published | not published | $693.78 – $1,283.49 | 7 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,291.35 – $6,089.00 | 7 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,732.23 – $10,604.63 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,651.72 – $3,055.68 | 7 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $6,234.83 – $11,534.44 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $5.84 – $76.40 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.14 – $24.40 | 9 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $351.65 – $650.55 | 7 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $422.47 – $781.57 | 7 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,533.92 – $41,687.75 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,015.75 | $20,045.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $528.58 – $1,530.00 | 9 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $171.24 – $316.79 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $158.80 | 8 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $145.74 – $373.25 | 8 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $255.05 – $682.40 | 8 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $255.05 – $748.26 | 8 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $145.25 – $702.38 | 8 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $2,101.31 | 8 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,748.88 – $4,966.00 | 8 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $120.89 | $345.40 | $1.89 – $9.95 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $43.75 | $125.00 | $3.11 – $14.28 | 5 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $13.05 – $94.21 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,311.39 | $3,746.83 | $10.79 – $34.06 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $101.50 | $290.00 | $219.12 – $559.02 | 9 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $142.17 – $852.89 | 9 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $277.90 | $794.00 | $90.75 – $405.38 | 9 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $636.74 – $1,378.06 | 9 |
| Motion analysis video/3d CPT 96000 | not published | not published | $98.12 – $887.89 | 7 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $116.89 – $2,043.29 | 7 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $108.91 – $1,062.94 | 7 |
| Mouth piece HCPCS A4617 | not published | not published | $6.14 – $7.29 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $94.10 – $255.50 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $578.20 | $1,652.00 | $219.12 – $783.90 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $116.37 – $316.28 | 5 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $90.75 – $405.38 | 9 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $373.25 | 9 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $62.20 | 9 |
| M.pneumon dna quant CPT 87582 | not published | not published | $121.30 – $751.39 | 9 |
| Mpsv4 vaccine subq CPT 90733 | $493.75 | $1,410.70 | $178.73 – $274.52 | 4 |
| MRA abdomen post contrast CPT 74185 | $1,973.30 | $5,638.00 | $483.89 – $2,034.24 | 4 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,979.95 | $5,657.00 | $477.54 – $2,033.77 | 4 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $448.71 – $1,074.63 | 8 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $306.88 – $834.41 | 8 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $448.71 – $1,316.74 | 8 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,041.90 | $5,834.00 | $481.01 – $2,034.28 | 4 |
| MRA pelvis CPT 72198 | $1,682.45 | $4,807.00 | $481.58 – $2,034.24 | 4 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $448.71 – $1,074.63 | 8 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $306.88 – $834.41 | 8 |
| MRA spinal canal CPT 72159 | $1,473.85 | $4,211.00 | $500.06 – $2,256.07 | 4 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,442.00 | $4,120.00 | $500.06 – $2,033.20 | 4 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $448.71 – $1,074.63 | 8 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $448.71 – $1,074.63 | 8 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $448.71 – $1,074.63 | 8 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $448.71 – $1,074.63 | 8 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $306.88 – $834.41 | 8 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $306.88 – $834.41 | 8 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $306.88 – $834.41 | 8 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $306.88 – $834.41 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $448.71 – $1,316.74 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $448.71 – $1,316.74 | 8 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $448.71 – $1,316.74 | 8 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $448.71 – $1,316.74 | 8 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $448.71 – $1,316.74 | 8 |
| Mr elastography CPT 76391 | not published | not published | $306.88 – $568.48 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,142.09 – $26,513.03 | 9 |
| MRI brain w/dye CPT 70558 | not published | not published | $225.59 – $1,074.63 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $702.78 – $1,300.14 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $225.59 – $1,316.74 | 8 |
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.