healthcosts.net

Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

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
Oritavancin 1,200 mg intravenous solution HCPCS J2406 not published not published $41.40 – $91.96 9
Oritavancin 400 mg intravenous solution HCPCS J2407 not published not published $28.52 – $61.34 9
Oropharyngeal biopsy 42800 CPT 42800 not published not published $1,286.82 – $9,891.00 9
Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 not published not published $9.45 – $47.88 5
Ortho dvc repair per 15 min HCPCS L4205 not published not published $49.16 – $90.95 6
Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 not published not published $315.21 – $583.14 7
Ortho elbow w/lock w/ft&adj HCPCS L3760 not published not published $545.90 – $1,009.92 7
Ortho ewhf rigd without jnt cstm w HCPCS L3765 not published not published $1,399.76 – $2,589.56 7
Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 not published not published $920.62 – $1,703.15 7
Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 $247.80 $708.00 $295.66 – $546.97 7
Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 not published not published $350.66 – $648.72 7
Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 not published not published $115.37 – $213.43 7
Ortho hnd without jnt w/fit&adj HCPCS L3919 not published not published $295.66 – $546.97 7
Orthopantogram CPT 70355 not published not published $27.88 – $427.38 9
Orthopedic shoe add rub insl HCPCS L3510 not published not published $35.09 – $64.92 7
Orthop traing pfrmd phys/qhp CPT 92065 not published not published $65.00 – $65.00 1
Orthop traing supvj phys/qhp CPT 92066 not published not published $75.87 – $352.70 7
Ortho shoe add full sole HCPCS L3540 not published not published $61.04 – $112.92 7
Ortho shoe add half sole HCPCS L3530 not published not published $38.11 – $70.50 7
Ortho shoe add leather insol HCPCS L3500 not published not published $35.09 – $64.92 7
Ortho shoe add march bar HCPCS L3595 not published not published $50.33 – $93.11 7
Ortho sidebar disconnect HCPCS L2768 not published not published $156.26 – $289.08 7
Orthosis lso rigd frm hyperex HCPCS L0472 $746.03 $2,131.50 $619.52 – $1,146.11 7
Orthovisc inj per dose HCPCS J7324 not published not published $97.70 – $355.35 9
Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 not published not published $496.49 – $918.51 7
Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 not published not published $1,082.62 – $2,002.85 7
Oscillation chest wall mechanical per session CPT 94669 $325.15 $929.00 $193.28 – $521.04 6
O shoe add felt w leath insl HCPCS L3520 not published not published $38.11 – $70.50 7
O shoe add horseshoe toe tap HCPCS L3560 not published not published $27.48 – $50.84 7
O shoe add instep extension HCPCS L3570 not published not published $102.26 – $189.18 7
O shoe add instep velcro clo HCPCS L3580 not published not published $77.81 – $143.95 7
O shoe add standard toe tap HCPCS L3550 not published not published $10.65 – $19.70 7
O shoe convert to sof counte HCPCS L3590 not published not published $64.07 – $118.53 7
Osmolality blood CPT 83930 $117.95 $337.00 $6.61 – $20.50 9
Osmolality urine CPT 83935 $148.75 $425.00 $6.82 – $21.13 9
Ostectomy complete 1st metatarsal head 28111 CPT 28111 not published not published $1,746.72 – $10,103.00 9
Ostectomy scapula partial CPT 23190 not published not published $2,159.89 – $12,557.00 9
Osteoart algrft w/surf & b1 CPT 20932 not published not published $1,487.00 – $15,227.00 3
Osteochondral knee allograft CPT 27415 not published not published $4,588.50 – $30,073.00 9
Osteochondral knee autograft CPT 27416 not published not published $2,159.89 – $16,065.00 9
Osteochondral talus autogrft CPT 28446 not published not published $2,159.89 – $16,065.00 9
Osteopath manip tx/5-6 body region 98927 CPT 98927 not published not published $27.77 – $61.87 7
Osteopath manip tx/7-8 body region 98928 CPT 98928 not published not published $27.77 – $61.87 7
Osteopath manip tx/9-10 body region98929 CPT 98929 not published not published $27.77 – $61.87 7
Osteoplasty humerus CPT 24420 not published not published $1,746.72 – $16,065.00 9
Osteot dsc ant 1 vrt sgm crv CPT 22220 not published not published $1,746.72 – $17,265.50 9
Osteot dsc ant 1vrt sgm ea CPT 22226 not published not published $1,142.09 – $9,891.00 4
Osteot dsc ant 1vrt sgm lmbr CPT 22224 not published not published $1,746.72 – $17,265.50 9
Osteot dsc ant 1vrt sgm thrc CPT 22222 not published not published $1,528.38 – $17,265.50 9
Osteot humerus w/wo int fixj CPT 24400 not published not published $2,159.89 – $16,065.00 9
Osteot mlt relignmt imed rod CPT 27712 not published not published $1,746.72 – $30,548.47 9
Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 not published not published $1,746.72 – $16,065.00 9
Ostomy clamp, replacement HCPCS A4363 not published not published $4.69 – $5.56 2
Ostomy irrigation set HCPCS A4400 not published not published $96.85 – $114.95 2
Ost pch drain 2 piece system HCPCS A4426 not published not published $5.40 – $6.44 2
Ost pch drain for barrier fl HCPCS A4425 not published not published $7.09 – $8.43 2
Ost pch drain w bar & filter HCPCS A4424 not published not published $9.43 – $11.19 2
Ost pch for bar w flange/flt HCPCS A4419 not published not published $3.42 – $4.10 2
Ost skn barr extnd >4 sq HCPCS A4410 not published not published $17.91 – $21.26 2
Ost urine pch w b/bltin conv HCPCS A4430 not published not published $16.88 – $20.04 2
Ot evaluation high complexity patient/family CPT 97167 $202.30 $578.00 $111.48 – $206.24 6
Ot evaluation low complexity patient/family CPT 97165 $194.95 $557.00 $105.94 – $202.42 6
Ot evaluation moderate complexity patient/family CPT 97166 $198.45 $567.00 $110.73 – $204.85 6
Other bone graft microvasc CPT 20962 not published not published $2,821.63 – $17,265.50 9
Other immunoelectrophoresis CPT 86325 not published not published $23.13 – $69.36 9
Oth resp proc, group HCPCS G0239 not published not published $48.04 – $88.87 7
Oth resp proc, indiv HCPCS G0238 not published not published $37.20 – $73.26 7
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 $85.40 $244.00 $53.46 – $98.90 5
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $85.40 $244.00 $52.14 – $96.46 6
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $66.50 $190.00 $29.06 – $53.76 6
Otolaryngo binocular microscopy 92504 CPT 92504 not published not published $82.95 – $82.95 1
Otoplasty 69300 CPT 69300 not published not published $1,746.72 – $10,103.00 9
Ot re-evaluation patient/family CPT 97168 $118.65 $339.00 $73.88 – $136.68 6
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $78.75 $225.00 $39.29 – $72.69 6
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $59.15 $169.00 $19.46 – $57.60 6
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $59.15 $169.00 $20.77 – $60.38 6
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $74.20 $212.00 $32.07 – $59.33 6
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $74.55 $213.00 $34.37 – $63.58 6
Ot training self care/home management direct contact each 15 minutes CPT 97535 $58.80 $168.00 $36.02 – $66.64 6
Outflow tarct agmntj heart chamber 33478 CPT 33478 not published not published $1,528.38 – $15,227.00 4
Outrigger HCPCS L1080 not published not published $73.34 – $135.68 7
Outrigger bil with vert extens HCPCS L1085 not published not published $235.84 – $436.30 7
Ovarian cystectomy 58925 CPT 58925 not published not published $2,455.49 – $11,902.87 9
Ovine, 1000 usp units HCPCS J3472 not published not published $162.50 – $395.30 4
Ovulation tests CPT 84830 not published not published $12.70 – $31.55 9
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 $405.05 $1,157.29 $0.82 – $8.33 5
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $366.36 $1,046.74 $0.09 – $24.22 5
Oxymorphone hcl injection HCPCS J2410 not published not published $3.19 – $9.46 5
Oxytetracycline injection HCPCS J2460 not published not published $1.10 – $3.78 3
Oxytocin 10 unit/ml injection solution HCPCS J2590 $33.79 $96.55 $1.43 – $4.32 5
P-32 chromic phos ther per mci HCPCS A9564 not published not published $256.09 – $2,103.01 5
P-32 sod phosphate ther per mci HCPCS A9563 not published not published $207.72 – $618.83 9
Pabpn1 gene detc abnor allel CPT 81312 not published not published $137.00 – $340.17 9
Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 $34,860.00 $99,600.00 not published 0
Packing strips, non-impreg HCPCS A6407 not published not published $3.70 – $4.42 2
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $373.72 $1,067.76 $0.11 – $1.32 5
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $5,256.98 $15,019.93 $6.02 – $28.08 9
Palb2 gene full gene seq CPT 81307 not published not published $565.76 – $1,679.77 9
Palb2 gene known famil vrnt CPT 81308 not published not published $301.35 – $748.26 9
Palifermin injection HCPCS J2425 not published not published $25.12 – $73.08 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.