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 |
|---|---|---|---|---|
| Reconstruction of urethra CPT 54326 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $1,286.82 – $9,834.00 | 9 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $3,409.47 – $11,276.00 | 4 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,528.38 – $14,085.70 | 9 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,159.89 – $14,085.70 | 9 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $4,588.50 – $30,073.00 | 9 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,746.72 – $41,720.12 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $5,821.00 – $11,276.00 | 3 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Rectal sensation test CPT 91120 | not published | not published | $191.34 – $2,809.80 | 4 |
| Red blood cells each unit HCPCS P9021 | $150.85 | $431.00 | $150.57 – $326.31 | 7 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $422.69 – $981.86 | 7 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $189.35 | $541.00 | $249.40 – $669.37 | 7 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $167.30 | $478.00 | $184.91 – $435.13 | 7 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $183.75 | $525.00 | $265.41 – $571.46 | 7 |
| Red blood cells washed each unit HCPCS P9022 | not published | not published | $368.58 – $681.87 | 7 |
| Red cell mass multiple CPT 78121 | not published | not published | $213.75 – $2,612.61 | 9 |
| Red cell mass single CPT 78120 | not published | not published | $191.50 – $1,950.38 | 9 |
| Red cell sequestration CPT 78140 | not published | not published | $272.83 – $1,950.38 | 9 |
| Red cell survival kinetics CPT 78135 | not published | not published | $894.27 – $894.27 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $311.84 – $1,950.38 | 9 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $1,142.09 – $15,227.00 | 4 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Reduce testis torsion CPT 54600 | $1,914.50 | $5,470.00 | $2,159.89 – $12,557.00 | 9 |
| Reduction of facial bones CPT 21209 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Reduction of procidentia 45900 CPT 45900 | $1,322.30 | $3,778.00 | $959.20 – $5,977.00 | 9 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $352.70 – $9,891.00 | 4 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,142.09 – $15,861.00 | 9 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $246.44 – $1,487.00 | 8 |
| Refill/maint pump/resvr syst CPT 96522 | $244.65 | $699.00 | $273.57 – $506.11 | 7 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $2.89 – $154.03 | 5 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $307.14 – $568.21 | 7 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,528.38 – $17,265.50 | 9 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Reinforce thigh CPT 27495 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Reinforce tibia CPT 27745 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Reinnervate larynx CPT 31590 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,528.38 – $30,548.47 | 9 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release encircling material CPT 67115 | not published | not published | $1,528.38 – $9,835.10 | 9 |
| Release eye tissue CPT 67343 | not published | not published | $2,159.89 – $14,539.00 | 9 |
| Release facial nerve CPT 69720 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Release facial nerve CPT 69725 | not published | not published | $2,455.49 – $12,111.00 | 9 |
| Release facial nerve CPT 69955 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Release finger contracture CPT 26525 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release inner ear canal CPT 69960 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release middle ear bone CPT 69650 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Release muscles of hand CPT 26593 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release of eye fluid CPT 67015 | $1,754.55 | $5,013.00 | $1,142.09 – $5,977.00 | 9 |
| Release of foot tendon CPT 28220 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Release of foot tendons CPT 28222 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Release of foot tendons CPT 28226 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Release of lower leg tendon CPT 27680 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release of lower leg tendons CPT 27681 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Release of midfoot joint CPT 28260 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Release of shoulder ligament CPT 23415 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Release of skull seams CPT 61550 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Release of skull seams CPT 61552 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Release of ureter CPT 50715 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Release of ureter CPT 50722 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Release of ureter CPT 50940 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Release palm contracture CPT 26040 | not published | not published | $2,068.15 – $12,557.00 | 9 |
| Release palm contracture CPT 26121 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Release palm contracture CPT 26123 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Release palm contracture CPT 26125 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release palm & finger tendon CPT 26442 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release/revise ureter CPT 50725 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $1,528.38 – $18,416.00 | 4 |
| Release thumb contracture CPT 26508 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Relocation of testis(es) CPT 54680 | not published | not published | $1,746.72 – $10,103.00 | 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.