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 |
|---|---|---|---|---|
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Ophthalmic biometry CPT 92136 | not published | not published | $171.12 – $316.58 | 7 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $1,487.00 – $9,891.00 | 3 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $357.46 – $872.81 | 4 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $43.79 – $88.87 | 7 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $171.12 – $625.64 | 9 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $134.46 – $516.16 | 9 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $122.03 – $516.16 | 9 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.02 – $134.38 | 2 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $352.70 – $9,891.00 | 4 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $352.70 – $9,891.00 | 4 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $352.70 – $9,891.00 | 4 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $352.70 – $9,891.00 | 4 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $352.70 – $9,891.00 | 4 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $1,528.38 – $78,268.00 | 9 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,142.09 – $46,160.81 | 9 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,142.09 – $26,513.03 | 9 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $4,588.50 – $17,698.00 | 9 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $1,142.09 – $73,423.09 | 9 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,142.09 – $14,539.00 | 9 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,528.38 – $14,085.70 | 9 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,142.09 – $13,207.00 | 9 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $3,409.47 – $13,207.00 | 9 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $3,190.25 | $9,115.00 | $3,409.47 – $12,557.00 | 9 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $321.56 – $992.84 | 7 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $449.58 – $849.57 | 5 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $75.87 – $140.37 | 7 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $75.87 – $140.37 | 7 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $97.94 – $259.21 | 5 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | $5,779.90 | $16,514.00 | $1,746.72 – $16,065.00 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $3,409.47 – $13,207.00 | 9 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,746.72 – $14,085.70 | 9 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,746.72 – $14,085.70 | 9 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,528.38 – $14,085.70 | 9 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Optx lunate dislocation CPT 25695 | $5,779.90 | $16,514.00 | $1,528.38 – $16,065.00 | 9 |
| Optx medial ankle fx CPT 27766 | $5,779.90 | $16,514.00 | $1,746.72 – $16,065.00 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | $3,190.25 | $9,115.00 | $2,159.89 – $12,557.00 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,142.09 – $14,085.70 | 9 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Optx post ankle fx CPT 27769 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | $7,794.85 | $22,271.00 | $2,159.89 – $30,073.00 | 9 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,159.89 – $41,720.12 | 9 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,746.72 – $12,132.52 | 9 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Optx thigh fx CPT 27269 | not published | not published | $2,455.49 – $17,265.50 | 9 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,746.72 – $12,132.52 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | $5,779.90 | $16,514.00 | $1,746.72 – $16,065.00 | 9 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $2,821.63 – $16,065.00 | 9 |
| Oral aprepitant HCPCS J8501 | $123.42 | $352.63 | $2.72 – $15.52 | 5 |
| Oral busulfan HCPCS J8510 | not published | not published | $8.37 – $278.82 | 9 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.99 – $17.41 | 5 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $29.76 | 9 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.53 – $40.79 | 9 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.25 – $44.53 | 9 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $397.79 – $879.37 | 9 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,455.49 – $11,276.00 | 4 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,821.63 – $11,276.00 | 4 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | $2,115.75 | $6,045.00 | $2,159.89 – $12,557.00 | 9 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $58.60 | 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.