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 |
|---|---|---|---|---|
| Neutron beam tx complex CPT 77423 | not published | not published | $386.55 – $1,314.72 | 7 |
| New Patient Office Visit (level 2) CPT 99202 | not published | not published | $221.00 – $221.00 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | not published | not published | $450.00 – $450.00 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | not published | not published | $406.00 – $406.00 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | not published | not published | $442.00 – $442.00 | 1 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $0.02 – $1,140.50 | 9 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $652.99 | 9 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $24.56 – $60.97 | 9 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $42.84 – $132.87 | 9 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $295.57 | $844.48 | $0.09 – $0.38 | 5 |
| Nikaidoh proc CPT 33782 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Nintedanib 150 mg capsule HCPCS J8999 | $233.84 | $668.12 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $1,104.48 – $4,253.86 | 8 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Nipple exploration CPT 19110 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.61 – $35.30 | 9 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $1,337.64 – $1,751.74 | 3 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $84.18 | $240.50 | $1.42 – $4.54 | 5 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $13,830.89 | $39,516.84 | $33.00 – $69.55 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $53,707.01 | $153,448.60 | $192.77 – $417.27 | 9 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $1,137.58 – $5,977.00 | 9 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,881.95 | $5,377.00 | $907.88 – $5,977.00 | 9 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,160.60 | $3,316.00 | $1,137.58 – $5,977.00 | 9 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $394.79 – $5,977.00 | 9 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $1,487.00 – $1,487.00 | 1 |
| Njx cath slct p-art angrp bi CPT 93573 | $175.00 | $500.00 | $1,487.00 – $1,487.00 | 1 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $1,487.00 – $1,487.00 | 1 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $1,487.00 – $1,487.00 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | $1,160.60 | $3,316.00 | $1,137.58 – $9,297.00 | 9 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $1,137.58 – $9,297.00 | 9 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $1,137.58 – $9,297.00 | 9 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $1,137.58 – $9,297.00 | 9 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,336.65 | $3,819.00 | $896.84 – $10,103.00 | 9 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Nl removal calculus CPT 50060 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,797.25 | $5,135.00 | $514.17 – $1,950.38 | 9 |
| Nm imaging bone/joint whole body CPT 78306 | $1,502.90 | $4,294.00 | $514.17 – $1,950.38 | 9 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $740.60 | $2,116.00 | $509.87 – $1,950.38 | 9 |
| Nm imaging gastric emptying study CPT 78264 | $1,340.15 | $3,829.00 | $514.17 – $1,950.38 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,072.05 | $3,063.00 | $514.17 – $1,950.38 | 9 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,333.85 | $3,811.00 | $698.35 – $2,612.61 | 9 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,415.75 | $4,045.00 | $304.48 – $2,612.61 | 9 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $525.35 | $1,501.00 | $646.89 – $2,612.61 | 9 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $789.60 | $2,256.00 | $514.17 – $1,950.38 | 9 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,579.90 | $4,514.00 | $137.43 – $1,087.86 | 9 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $3,624.97 – $6,706.19 | 7 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $4,502.37 – $8,329.38 | 7 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $9,891.00 – $64,047.70 | 8 |
| Non-card vasc flow imaging CPT 78445 | $485.80 | $1,388.00 | $320.17 – $1,950.38 | 9 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $103.70 – $191.85 | 7 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $48.04 – $112.54 | 7 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $48.04 – $112.54 | 7 |
| Non-imaging heart function CPT 78414 | not published | not published | $129.00 – $2,612.61 | 9 |
| Noninv pace analysis CPT 93724 | not published | not published | $84.99 – $601.00 | 7 |
| Non-molded lacer HCPCS L2320 | not published | not published | $315.25 – $583.21 | 7 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $448.71 – $831.02 | 8 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.07 – $0.11 | 2 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $1,257.95 – $5,322.56 | 8 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $37.20 – $68.82 | 6 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $160.06 – $1,546.65 | 9 |
| Npm1 gene CPT 81310 | $105.00 | $300.00 | $60.70 – $612.12 | 8 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $352.70 – $15,861.00 | 9 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $352.70 – $15,861.00 | 9 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $3.10 | $8.86 | $335.20 – $887.89 | 7 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $352.70 – $352.70 | 1 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $734.43 | 9 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $6,065.50 | $17,330.00 | $2,299.73 – $7,012.83 | 7 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,528.38 – $14,673.37 | 9 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,528.38 – $14,673.37 | 9 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,528.38 – $14,673.37 | 9 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,746.72 – $14,673.37 | 9 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,746.72 – $14,673.37 | 9 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,746.72 – $14,673.37 | 9 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,746.72 – $14,673.37 | 9 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $2,159.89 – $14,673.37 | 9 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Nsl/sins ndsc surg max sins CPT 31295 | $3,918.95 | $11,197.00 | $1,142.09 – $16,065.00 | 9 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $352.70 – $14,085.70 | 9 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $352.70 – $14,085.70 | 9 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $2,289.25 – $9,891.00 | 9 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $1,142.09 – $1,487.00 | 3 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $514.75 | 9 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $514.75 | 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.