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 |
|---|---|---|---|---|
| Peri-proc device eval pm CPT 93286 | $114.10 | $326.00 | $68.33 – $68.33 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $4,588.50 – $13,460.00 | 9 |
| Peritoneogram rs&i CPT 74190 | $444.85 | $1,271.00 | $223.33 – $2,661.28 | 9 |
| Perit-vens shunt pat tst CPT 78291 | $596.40 | $1,704.00 | $514.17 – $1,950.38 | 9 |
| Permanent tear duct plug HCPCS A4263 | $201.25 | $575.00 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $20.07 – $37.13 | 7 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $2,345.94 – $4,339.99 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.48 – $2.65 | 5 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $18.36 | 4 |
| Perq art m-thrombect &/nfs CPT 61645 | $11,030.95 | $31,517.00 | $5,821.00 – $9,891.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $4,414.20 | $12,612.00 | $3,322.13 – $9,834.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $773.50 | $2,210.00 | $324.84 – $5,977.00 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | $488.25 | $1,395.00 | $324.84 – $5,977.00 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,409.47 – $21,833.00 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,409.47 – $21,833.00 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $1,142.09 – $27,468.35 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $1,142.09 – $43,618.46 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $1,142.09 – $27,468.35 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $1,142.09 – $27,468.35 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $352.70 – $9,891.00 | 3 |
| Perq plmt bile duct stent CPT 47538 | $6,368.95 | $18,197.00 | $1,746.72 – $15,861.00 | 9 |
| Perq plmt bile duct stent CPT 47539 | $6,486.55 | $18,533.00 | $1,746.72 – $15,861.00 | 9 |
| Perq plmt bile duct stent CPT 47540 | $6,486.55 | $18,533.00 | $1,746.72 – $15,861.00 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,956.50 | $5,590.00 | $321.35 – $5,977.00 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,821.63 – $10,103.00 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $4,005.00 – $9,891.00 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,487.00 – $2,674.78 | 2 |
| Perq transcath closure pda CPT 93582 | $6,901.65 | $19,719.00 | $9,624.00 – $42,841.00 | 8 |
| Perq transcath cls aortic CPT 93591 | $14,484.75 | $41,385.00 | $6,080.92 – $42,841.00 | 8 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $7,325.40 – $42,841.00 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $5,821.00 – $9,624.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $2,457.00 | $7,020.00 | $1,528.38 – $9,297.00 | 9 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $29.76 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $11,876.18 | $33,931.94 | $16.57 – $34.89 | 9 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $16,154.13 | $46,154.65 | $60.22 – $135.43 | 9 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $85.17 | $243.35 | $98.47 – $98.47 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $39.53 – $39.53 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet image full body CPT 78813 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $1,665.13 – $3,080.50 | 8 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,839.15 – $3,402.43 | 8 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $514.17 – $951.22 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $252.96 – $4,498.54 | 3 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $46,021.89 | $131,491.10 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $3.10 | $8.86 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $3.10 | $8.86 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $3.10 | $8.86 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Ph body fluid CPT 83986 | $49.00 | $140.00 | $3.58 – $11.10 | 9 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $0.02 – $86.62 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $1,410.37 | $4,029.64 | $9.08 – $63.30 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $295.05 | $843.00 | $15.30 – $38.01 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | $1,146.80 | $3,276.56 | $85.15 – $966.00 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $84.76 | $242.16 | $0.01 – $0.19 | 5 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.61 – $239.52 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $32.89 | $93.97 | $0.66 – $4.54 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $280.00 | $800.00 | $13.25 – $41.11 | 9 |
| Phlebotomy therapeutic CPT 99195 | $607.95 | $1,737.00 | $74.53 – $316.58 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $2,821.63 – $10,103.00 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $2,821.63 – $10,103.00 | 9 |
| Phosphorus CPT 84100 | $100.10 | $286.00 | $4.74 – $14.72 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $125.30 | $358.00 | $5.78 – $16.05 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $75.87 – $140.37 | 7 |
| Photochemotherapy puva CPT 96912 | not published | not published | $75.87 – $140.37 | 7 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $522.85 – $967.27 | 7 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $36.74 – $4,005.00 | 3 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $81.95 – $4,005.00 | 3 |
| Photo patch test CPT 95052 | not published | not published | $43.79 – $140.37 | 7 |
| Photopheresis CPT 36522 | not published | not published | $3,409.47 – $10,363.52 | 9 |
| Photosensitivity tests CPT 95056 | not published | not published | $30.74 – $316.58 | 7 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $27.51 – $123.99 | 9 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $79.16 – $405.38 | 9 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $27.51 – $114.87 | 9 |
| Phys review of motion tests CPT 96004 | not published | not published | $168.43 – $168.43 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $85.79 | $245.12 | $2.84 – $12.68 | 5 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $352.70 – $5,821.00 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $346.49 – $1,248.45 | 9 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $682.40 | 9 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $1,101.88 – $2,038.48 | 7 |
| Pin caspar distraction 12mm HCPCS C1821 | $7,163.45 | $20,467.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,035.65 | $2,959.00 | $561.69 – $9,297.00 | 9 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Pin finger fracture each CPT 26756 | $2,985.85 | $8,531.00 | $1,528.38 – $9,297.00 | 9 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Pinworm exam CPT 87172 | $59.15 | $169.00 | $4.27 – $13.25 | 9 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $16.80 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $84.18 | $240.52 | $1.11 – $14.76 | 5 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,797.81 | 9 |
| Place breast cath for rad CPT 19297 | not published | not published | $4,005.00 – $13,460.00 | 4 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $4,588.50 – $23,041.99 | 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.