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 |
|---|---|---|---|---|
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $514.75 | 9 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $1,286.88 | 9 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,940.05 | $5,543.00 | $958.31 – $4,454.66 | 3 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,503.25 | $4,295.00 | $956.30 – $3,711.48 | 3 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $362.34 – $1,950.38 | 9 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $1,107.90 – $1,107.90 | 1 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $54.09 | 9 |
| Nuclear rx intra-arterial CPT 79445 | $463.40 | $1,324.00 | $243.80 – $1,087.86 | 9 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $142.58 – $1,087.86 | 9 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $169.96 – $1,087.86 | 9 |
| Nuclear rx IV admin CPT 79101 | $4,878.30 | $13,938.00 | $149.41 – $1,087.86 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,334.85 | $6,671.00 | $1,005.90 – $6,336.39 | 9 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $134.13 – $1,087.86 | 9 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $524.97 – $971.19 | 7 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $723.43 | 9 |
| Nushield 1 square cm HCPCS Q4160 | $3,791.03 | $10,831.50 | $160.06 – $296.10 | 8 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,243.54 – $2,684.49 | 9 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $278,250.00 – $535,500.00 | 7 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $78.46 – $161.70 | 9 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $521.85 | $1,491.00 | $132.63 – $1,417.01 | 7 |
| Observation per hour HCPCS G0378 | $77.35 | $221.00 | $44.70 – $44.70 | 1 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,528.38 – $9,891.00 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $223.31 | 9 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $221.91 | 9 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $22.58 – $68.82 | 8 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $134.46 – $516.16 | 9 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $81.81 – $168.09 | 3 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $59.60 – $124.29 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $34.34 | $98.10 | $0.61 – $13.06 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $24,596.98 | $70,277.08 | $188.35 – $439.87 | 9 |
| Ocular function screen CPT 99172 | not published | not published | $88.95 – $88.95 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $485.62 – $485.62 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $707.39 – $5,977.00 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,409.47 – $13,207.00 | 9 |
| Ocular reconst transplant CPT 65781 | not published | not published | $3,409.47 – $13,207.00 | 9 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,409.47 – $13,207.00 | 9 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.54 – $133.79 | 9 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $228.29 – $422.33 | 7 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $228.29 – $422.33 | 7 |
| Offset knee joint each HCPCS L2390 | not published | not published | $167.72 – $310.28 | 7 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $219.72 – $406.48 | 7 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $867.27 | $2,477.91 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $180.63 | $516.09 | $0.91 – $4.73 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.86 – $6.28 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,761.72 | $7,890.62 | $40.56 – $86.26 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $9,616.66 | 9 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $6,786.85 | 9 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $9,616.66 | 9 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $9,616.66 | 9 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $9,616.66 | 9 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $17,860.22 | 9 |
| Oncology colon mrna CPT 81525 | not published | not published | $778.71 – $7,737.03 | 8 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,263.54 | 9 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,438.80 | 9 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $440.87 | 9 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $7,128.69 | 8 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $1,887.08 | 9 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,291.16 | 8 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $9,311.25 | 8 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $748.13 – $2,227.25 | 8 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $646.84 | 8 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $199.79 | 9 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $199.79 | 9 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $5,040.49 | 8 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $9,616.66 | 8 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $9,616.66 | 9 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $8,938.80 | 9 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $6,024.89 – $19,307.81 | 8 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.47 – $56.28 | 4 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.31 | $3.74 | $0.01 – $14.57 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $33.09 | $94.54 | $0.09 – $16.46 | 5 |
| One way chest drain valve HCPCS A7040 | not published | not published | $78.21 – $92.86 | 2 |
| Oocyte identification CPT 89254 | not published | not published | $142.17 – $405.38 | 8 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,159.89 – $9,891.00 | 9 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,528.38 – $14,085.70 | 9 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $8,365.00 – $17,265.50 | 8 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $4,208.34 – $13,460.00 | 8 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,746.72 – $15,861.00 | 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.