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 |
|---|---|---|---|---|
| Part remove hip bone super CPT 27070 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Passy muir valve metal trach HCPCS L8501 | $188.44 | $538.40 | $147.88 – $273.58 | 7 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $11.35 – $13.49 | 2 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $145.85 – $405.38 | 9 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $77.00 – $405.38 | 9 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $72.37 – $120.69 | 5 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $35.37 – $123.99 | 9 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $55.78 – $160.05 | 7 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $158.91 – $544.79 | 7 |
| Patient recorded spirometry CPT 94014 | not published | not published | $92.59 – $1,062.94 | 7 |
| Patient recorded spirometry CPT 94015 | not published | not published | $90.00 – $513.77 | 7 |
| Patten bottom HCPCS L2370 | not published | not published | $393.31 – $727.62 | 7 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $633.28 | 8 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $293.38 – $704.96 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $818.17 | 9 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $27.48 – $50.84 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $258.05 – $1,487.00 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ped crit care transport CPT 99466 | $485.45 | $1,387.00 | not published | 0 |
| Ped crit care transport addl CPT 99467 | $323.75 | $925.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $161.23 – $306.17 | 7 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $161.23 – $306.17 | 7 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,082.01 – $13,101.72 | 7 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,978.79 – $3,660.76 | 7 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,702.05 | $4,863.00 | $1,746.72 – $10,103.00 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,590.37 – $2,942.18 | 7 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,877.68 – $3,473.71 | 7 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,487.69 – $2,752.23 | 7 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $808.02 – $1,494.84 | 7 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $332.43 – $732.24 | 5 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $755.86 – $3,025.99 | 5 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $3,655.56 – $58,201.64 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $14,249.25 | $40,712.15 | $28.34 – $398.65 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $132.04 – $333.63 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $11,267.38 | $32,192.50 | $135.89 – $354.88 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $540.19 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,842.40 | $13,835.43 | $79.50 – $242.74 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $352.92 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $12.97 – $31.60 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $2,982.31 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $661.66 – $7,665.44 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $487.90 | 9 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $530.24 – $980.94 | 7 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $546.30 – $1,010.66 | 7 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $514.89 – $952.55 | 7 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $379.40 – $701.89 | 7 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $409.67 – $757.89 | 7 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $711.09 – $1,315.52 | 7 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,341.85 | $6,691.00 | $225.59 – $823.77 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,197.30 | $6,278.00 | $225.59 – $740.92 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,924.30 | $5,498.00 | $134.46 – $473.15 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,866.82 – $3,453.62 | 7 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,046.05 | $8,703.00 | $448.71 – $1,316.74 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | $2,572.15 | $7,349.00 | $448.71 – $1,074.63 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $2,098.95 | $5,997.00 | $306.88 – $834.41 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $5,589.84 – $16,065.00 | 9 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $8,837.00 – $17,265.50 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $706.30 | $2,018.00 | $134.46 – $516.16 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $320.60 | $916.00 | $134.46 – $516.16 | 9 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $153.65 – $284.25 | 7 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $10,474.80 | $29,928.00 | $58.56 – $127.60 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $13,399.77 | $38,285.05 | $3.73 – $10.33 | 9 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $9.27 – $37.35 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $765.75 | $2,187.87 | $11.73 – $58.21 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $149.81 | $428.04 | $0.52 – $5.87 | 5 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $23.28 – $101.46 | 5 |
| Penile injection CPT 54235 | $715.05 | $2,043.00 | $321.35 – $1,487.00 | 8 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $14,758.57 | $42,167.33 | not published | 0 |
| Penile vascular study CPT 93980 | not published | not published | $134.46 – $516.16 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $134.46 – $516.16 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Penis study CPT 54240 | not published | not published | $191.34 – $1,487.00 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | $46.61 | $133.18 | $82.37 – $267.00 | 5 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $15.90 – $37.09 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $57.02 – $215.70 | 5 |
| Pentobarbital sodium inj HCPCS J2515 | $260.36 | $743.89 | $6.06 – $145.17 | 9 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,339.82 – $5,747.87 | 9 |
| Perc cryo ablate renal tum CPT 50593 | $12,455.45 | $35,587.00 | $1,746.72 – $21,833.00 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $5,327.35 | $15,221.00 | $1,487.00 – $12,235.00 | 4 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $3,655.05 | $10,443.00 | $2,455.49 – $42,841.00 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $3,951.15 | $11,289.00 | $1,487.00 – $12,235.00 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $6,091.40 | $17,404.00 | $2,455.49 – $27,468.35 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $1,487.00 – $12,235.00 | 4 |
| Perc d-e cor stent ather s HCPCS C9602 | $3,655.05 | $10,443.00 | $2,455.49 – $42,841.00 | 9 |
| Perc drug-el cor stent bran HCPCS C9601 | $2,680.65 | $7,659.00 | $1,487.00 – $12,235.00 | 4 |
| Perc drug-el cor stent sing HCPCS C9600 | $7,106.05 | $20,303.00 | $2,455.49 – $27,468.35 | 9 |
| Perc rf ablate renal tumor CPT 50592 | $12,455.45 | $35,587.00 | $2,455.49 – $13,460.00 | 9 |
| Percut ablate liver rf CPT 47382 | $14,786.45 | $42,247.00 | $3,409.47 – $13,460.00 | 9 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $4,005.00 – $9,891.00 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $111.83 | $319.50 | $41.20 – $167.47 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $913.85 | $2,611.00 | $352.70 – $9,891.00 | 4 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,695.05 | $4,843.00 | $1,142.09 – $14,539.00 | 9 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $913.85 | $2,611.00 | $1,142.09 – $9,891.00 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Peripheral vascular rehab CPT 93668 | $66.15 | $189.00 | $75.87 – $224.96 | 7 |
| Peri-proc device eval icd CPT 93287 | $114.10 | $326.00 | $76.10 – $76.10 | 1 |
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.