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 |
|---|---|---|---|---|
| Relocation skin pocket aicd CPT 33223 | $917.35 | $2,621.00 | $1,528.38 – $9,297.00 | 9 |
| Relocation skin pocket pm CPT 33222 | $917.35 | $2,621.00 | $1,528.38 – $9,297.00 | 9 |
| Rem/biv cast full arm/leg CPT 29705 | $222.25 | $635.00 | $194.49 – $1,487.00 | 8 |
| Rem/biv cast shldr/hip spica CPT 29710 | $330.40 | $944.00 | $352.70 – $1,487.00 | 8 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,538.08 | $7,251.66 | $6.48 – $13.65 | 9 |
| Rem endovas vena cava filter CPT 37193 | $1,408.75 | $4,025.00 | $1,528.38 – $9,891.00 | 9 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $48.00 – $88.80 | 6 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $48.00 – $88.80 | 6 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $48.00 – $88.80 | 7 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $183.58 – $183.58 | 1 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $171.24 – $316.79 | 6 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $48.00 – $352.70 | 7 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $145.69 – $145.69 | 1 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $479.94 – $1,959.15 | 7 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $8.36 – $31.78 | 6 |
| Removable insert each HCPCS L6691 | not published | not published | $562.37 – $1,040.38 | 7 |
| Removable soft interface le HCPCS K0672 | not published | not published | $101.70 – $188.14 | 7 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,142.09 – $9,891.00 | 3 |
| Removal anal seton other marker 46030 CPT 46030 | $1,486.10 | $4,246.00 | $959.20 – $5,977.00 | 9 |
| Removal biliary drg cath CPT 47537 | $1,812.65 | $5,179.00 | $1,142.09 – $5,977.00 | 9 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,941.75 | $8,405.00 | $806.82 – $5,977.00 | 9 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,956.45 | $8,447.00 | $1,142.09 – $5,977.00 | 9 |
| Removal cerclage w/anes CPT 59871 | $3,679.90 | $10,514.00 | $2,455.49 – $13,207.00 | 9 |
| Removal cerclage without anes CPT 59899 | not published | not published | $22.58 – $9,891.00 | 9 |
| Removal cerumen impacted (both sides) CPT 69210 | $249.90 | $714.00 | $75.87 – $1,487.00 | 8 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Removal clot in graft xcp 35876 CPT 35876 | $2,257.85 | $6,451.00 | $4,588.50 – $15,861.00 | 9 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $1,487.00 – $9,891.00 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $390.25 | $1,115.00 | $151.53 – $477.39 | 7 |
| Removal duct glbldr calculi CPT 47544 | $538.65 | $1,539.00 | $1,487.00 – $9,891.00 | 4 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,348.90 | $3,854.00 | $112.54 – $4,099.00 | 8 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,724.10 | $4,926.00 | $1,142.09 – $5,977.00 | 9 |
| Removal foreign body foot cmplx CPT 28193 | $2,344.30 | $6,698.00 | $1,427.22 – $12,557.00 | 9 |
| Removal foreign body foot subcutaneous right CPT 28190 | $918.75 | $2,625.00 | $910.78 – $5,977.00 | 9 |
| Removal foreign body gum 41805 CPT 41805 | $1,657.95 | $4,737.00 | $1,995.60 – $5,977.00 | 9 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $1,528.38 – $5,977.00 | 9 |
| Removal foreign body mouth CPT 40805 | $566.30 | $1,618.00 | $693.67 – $9,297.00 | 9 |
| Removal implant from finger/hand 26320 CPT 26320 | $1,724.10 | $4,926.00 | $1,528.38 – $9,297.00 | 9 |
| Removal implant superficial separate procedure CPT 20670 | $1,724.10 | $4,926.00 | $1,142.09 – $5,977.00 | 9 |
| Removal kidney open complex CPT 50225 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Removal kidney open radical CPT 50230 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $2,159.89 – $15,799.68 | 9 |
| Removal of adenoids CPT 42830 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of adenoids CPT 42831 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of adenoids CPT 42836 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of anal fissure CPT 46200 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Removal of anal tags CPT 46230 | $2,067.10 | $5,906.00 | $1,528.38 – $6,604.43 | 9 |
| Removal of ankle bone CPT 28130 | not published | not published | $1,746.72 – $12,132.52 | 9 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Removal of ankle implant CPT 27704 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $3,409.47 – $13,460.00 | 9 |
| Removal of artery clot CPT 34051 | not published | not published | $5,821.00 – $11,276.00 | 3 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $3,409.47 – $13,460.00 | 9 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Removal of bladder CPT 51570 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Removal of bladder lesion CPT 51520 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of bladder lesion CPT 51525 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Removal of bladder lesion CPT 51530 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of bladder stone CPT 51050 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of bone for graft CPT 20900 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Removal of bone for graft CPT 20902 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Removal of bone lesion CPT 23140 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of bone lesion CPT 23145 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Removal of bone lesion CPT 23146 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Removal of brain abscess CPT 61522 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of brain lesion CPT 61520 | not published | not published | $3,409.47 – $11,276.00 | 4 |
| Removal of brain lesion CPT 61521 | not published | not published | $2,821.63 – $11,276.00 | 4 |
| Removal of brain lesion CPT 61524 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of brain lesion CPT 61526 | not published | not published | $3,409.47 – $11,276.00 | 4 |
| Removal of brain lesion CPT 61530 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Removal of brain lesion CPT 61534 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Removal of brain lesion CPT 61536 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of brain tissue CPT 61537 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Removal of brain tissue CPT 61538 | not published | not published | $1,746.72 – $12,235.00 | 4 |
| Removal of brain tissue CPT 61539 | not published | not published | $2,159.89 – $12,235.00 | 4 |
| Removal of brain tissue CPT 61540 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of brain tissue CPT 61543 | not published | not published | $1,746.72 – $12,235.00 | 4 |
| Removal of brain tissue CPT 61566 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of breast lesion CPT 19120 | $3,583.65 | $10,239.00 | $1,746.72 – $10,103.00 | 9 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Removal of calcium deposits CPT 23000 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Removal of cervix radical CPT 57531 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Removal of colon/ileostomy CPT 44156 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of donor liver CPT 47133 | not published | not published | $2,455.49 – $9,891.00 | 4 |
| Removal of epididymis CPT 54860 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Removal of epididymis CPT 54861 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Removal of esophagus CPT 43108 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of esophagus CPT 43113 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Removal of esophagus CPT 43124 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Removal of esophagus pouch CPT 43135 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $1,528.38 – $12,111.00 | 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.