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 |
|---|---|---|---|---|
| MRI breast c- unilateral CPT 77046 | $1,356.25 | $3,875.00 | $306.88 – $568.48 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,695.05 | $4,843.00 | $459.63 – $1,898.22 | 4 |
| MRI breast without cont bi CPT 77047 | $1,796.20 | $5,132.00 | $306.88 – $568.48 | 8 |
| MRI breast w IV cont bi CPT 77049 | $2,244.90 | $6,414.00 | $457.90 – $1,888.77 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $788.55 | $2,253.00 | $306.88 – $834.41 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,165.15 | $3,329.00 | $448.71 – $1,316.74 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,697.15 | $4,849.00 | $813.72 – $1,865.27 | 8 |
| MRI chest without contrast CPT 71550 | $1,729.70 | $4,942.00 | $306.88 – $834.41 | 8 |
| MRI chest without & w/contrast CPT 71552 | $2,481.15 | $7,089.00 | $448.71 – $1,316.74 | 8 |
| MRI chest w IV cont CPT 71551 | $1,806.00 | $5,160.00 | $813.72 – $1,865.27 | 8 |
| MRI compatible system HCPCS L0859 | $2,012.50 | $5,750.00 | $1,399.89 – $2,589.80 | 7 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $645.89 – $1,644.24 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $306.88 – $674.45 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $813.72 – $2,084.10 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $813.72 – $2,083.92 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,574.25 – $2,912.37 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | $2,091.25 | $5,975.00 | $448.71 – $1,074.63 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,799.70 | $5,142.00 | $306.88 – $834.41 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,389.45 | $6,827.00 | $448.71 – $1,316.74 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,912.05 | $5,463.00 | $306.88 – $834.41 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,811.90 | $8,034.00 | $448.71 – $1,316.74 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,979.60 | $5,656.00 | $448.71 – $1,074.63 | 8 |
| MRI tmj CPT 70336 | $1,855.70 | $5,302.00 | $306.88 – $834.41 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,639.75 | $4,685.00 | $306.88 – $834.41 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,395.05 | $6,843.00 | $448.71 – $1,316.74 | 8 |
| MRI upper extremity w/dye CPT 73219 | $2,017.05 | $5,763.00 | $448.71 – $1,074.63 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $448.71 – $1,074.63 | 8 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $225.59 – $1,074.63 | 8 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $448.71 – $1,316.74 | 8 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $448.71 – $1,316.74 | 8 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $107.77 – $427.38 | 9 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $122.28 – $445.53 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $125.09 – $279.20 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $75.87 – $598.57 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $25.97 – $118.88 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $306.88 – $1,173.24 | 9 |
| Mr spectroscopy CPT 76390 | $746.20 | $2,132.00 | $111.93 – $1,877.21 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $529.64 | 8 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $947.78 | 8 |
| Msh2 gene known variants CPT 81296 | not published | not published | $96.89 – $838.57 | 8 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $218.61 – $590.95 | 8 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,593.70 | 8 |
| Msh6 gene known variants CPT 81299 | not published | not published | $96.89 – $764.76 | 8 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,455.49 – $17,265.50 | 9 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $162.24 | 8 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $66.74 | 9 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $132.87 | 9 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $18.18 | 9 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $70.78 | 9 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $40.91 | 9 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $48.19 – $89.15 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,941.29 – $9,141.39 | 7 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,034.39 – $1,913.62 | 7 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $76.71 – $91.06 | 2 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $51.40 – $61.01 | 2 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $835.79 – $1,546.21 | 7 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $920.87 – $1,703.61 | 7 |
| Multi family grp psychotherapy CPT 90849 | $3.10 | $8.86 | $35.37 – $422.33 | 7 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $165.49 – $306.17 | 7 |
| Multiple sleep latency test CPT 95805 | not published | not published | $1,060.93 – $2,043.29 | 7 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,790.61 – $7,012.63 | 7 |
| Mumps antibody igg CPT 86735 | not published | not published | $13.05 – $40.49 | 9 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Muscle-skin graft leg CPT 15738 | $2,874.90 | $8,214.00 | $1,746.72 – $10,103.00 | 9 |
| Muscle-skin graft trunk CPT 15734 | $4,377.45 | $12,507.00 | $1,746.72 – $10,103.00 | 9 |
| Muscle test cran nerv unilat CPT 95867 | $469.35 | $1,341.00 | $100.11 – $513.77 | 7 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $45.97 – $306.17 | 7 |
| Muscle test larynx CPT 95865 | not published | not published | $115.06 – $316.58 | 7 |
| Muscle test one fiber CPT 95872 | not published | not published | $104.74 – $513.77 | 7 |
| Muscle transfers CPT 23397 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $119.80 | 9 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $62.20 | 9 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $132.87 | 9 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $4.42 | $12.64 | $0.16 – $1.32 | 5 |
| Mycophenolic acid HCPCS J7518 | $3.59 | $10.25 | $0.19 – $8.33 | 5 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $13.24 – $41.08 | 9 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $435.52 | 9 |
| Myelogphy 2/> spine regions CPT 72270 | $861.70 | $2,462.00 | $376.20 – $3,834.71 | 9 |
| Myelography l-s spine CPT 72265 | $679.00 | $1,940.00 | $244.41 – $3,834.71 | 9 |
| Myelography neck spine CPT 72240 | $845.60 | $2,416.00 | $251.26 – $3,834.71 | 9 |
| Myelography thoracic spine CPT 72255 | $660.10 | $1,886.00 | $230.73 – $3,834.71 | 9 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,829.00 | $10,940.00 | $1,008.25 – $12,557.00 | 9 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,780.70 | $10,802.00 | $1,008.25 – $12,557.00 | 9 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,289.30 | $9,398.00 | $1,008.25 – $12,557.00 | 9 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,233.30 | $9,238.00 | $1,008.25 – $12,557.00 | 9 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $13.30 | $38.00 | $11.53 – $28.80 | 9 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $812.52 – $3,402.43 | 8 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $390.74 – $3,558.20 | 8 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $458.81 – $6,781.84 | 8 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $501.68 – $6,781.84 | 8 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,011.63 – $3,402.43 | 8 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $431.06 – $5,549.00 | 8 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $370.58 – $3,558.20 | 8 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $2,455.49 – $9,891.00 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,455.49 – $13,207.00 | 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.