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 |
|---|---|---|---|---|
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $537.23 – $1,487.00 | 8 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Biospy of bladder CPT 53899 | $152.95 | $437.00 | $191.34 – $9,891.00 | 9 |
| Biotinidase - quest CPT 82261 | $13.30 | $38.00 | $16.87 – $52.32 | 9 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $165.49 – $306.17 | 7 |
| Bivalirudin HCPCS J0583 | $957.75 | $2,736.44 | $0.17 – $4.54 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $774.90 | $2,214.00 | $321.35 – $1,487.00 | 8 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $567.42 – $5,977.00 | 9 |
| Bld prd mix CPT 86965 | $157.15 | $449.00 | $2.33 – $405.38 | 9 |
| Bld push tfuj 2 yr/< CPT 36440 | $328.30 | $938.00 | $567.42 – $5,977.00 | 9 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $345.13 | $986.08 | $20.90 – $790.61 | 5 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $161.94 – $327.40 | 9 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $9,891.00 – $27,468.35 | 8 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $15,227.00 – $40,758.05 | 8 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $9,891.00 – $40,758.05 | 8 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,891.00 – $22,708.57 | 8 |
| Blink reflex test CPT 95933 | not published | not published | $75.87 – $140.37 | 7 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $97.60 | 8 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $6,941.90 | $19,834.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $11,557.70 | $33,022.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $833.20 | $2,380.56 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,654.00 | $10,440.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $11,411.40 | $32,604.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $4,206.48 | $12,018.50 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $24.31 – $28.84 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $989.80 | $2,828.00 | $1,137.58 – $5,977.00 | 9 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,160.60 | $3,316.00 | $1,137.58 – $5,977.00 | 9 |
| Block paracervical nrv CPT 64435 | not published | not published | $672.48 – $5,977.00 | 9 |
| Block plantar digital nerve CPT 64455 | $375.20 | $1,072.00 | $394.79 – $1,487.00 | 8 |
| Block tap inj(s) w/wo img bi CPT 64488 | $544.95 | $1,557.00 | $1,142.09 – $9,891.00 | 4 |
| Block tap inj(s) w/wo img uni CPT 64486 | $448.70 | $1,282.00 | $1,142.09 – $9,891.00 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $71.40 | $204.00 | $4.29 – $12.18 | 9 |
| Blood Clotting (PTT) Test CPT 85730 | $83.30 | $238.00 | $6.01 – $18.62 | 9 |
| Blood Count (CBC) Test CPT 85025 | $94.15 | $269.00 | $7.77 – $24.13 | 9 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $57.40 | $164.00 | $6.47 – $20.08 | 9 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $6.87 – $17.38 | 9 |
| Blood Culture Test CPT 87040 | $231.70 | $662.00 | $10.32 – $32.02 | 9 |
| Blood draw capillary 36416 CPT 36416 | $127.40 | $364.00 | $0.69 – $4,005.00 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $640.50 | $1,830.00 | $78.77 – $195.58 | 9 |
| Blood gases ph venous CPT 82800 | $533.40 | $1,524.00 | $11.00 – $27.31 | 9 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.55 – $321.14 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $46.55 | $133.00 | $15.92 – $49.34 | 9 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $53.20 | $152.00 | $4.23 – $10.51 | 9 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $4.38 – $10.89 | 9 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | not published | not published | $5.32 – $13.22 | 9 |
| Blood smear interpretation CPT 85060 | not published | not published | $50.52 – $100.84 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $42.00 | $120.00 | $3.80 – $10.67 | 9 |
| Blood split unit HCPCS P9011 | $129.15 | $369.00 | $155.84 – $288.30 | 7 |
| Blood typing abo CPT 86900 | $119.00 | $340.00 | $4.24 – $316.58 | 9 |
| Blood typing ag donor ea ag CPT 86902 | $306.60 | $876.00 | $9.01 – $852.89 | 9 |
| Blood typing patient serum CPT 86904 | $78.40 | $224.00 | $23.18 – $140.37 | 9 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $306.60 | $876.00 | $5.43 – $852.89 | 9 |
| Blood typing rh (d) CPT 86901 | $53.20 | $152.00 | $4.24 – $88.87 | 9 |
| Blood typing rh phenotype complete reference CPT 86906 | $66.15 | $189.00 | $10.99 – $88.87 | 9 |
| Blood volume CPT 78122 | not published | not published | $228.30 – $2,612.61 | 9 |
| Blue light cysto imag agent HCPCS C9738 | $218.05 | $623.00 | $1,487.00 – $4,005.00 | 2 |
| Bone biopsy open superficial CPT 20240 | $2,115.40 | $6,044.00 | $1,528.38 – $9,297.00 | 9 |
| Bone Density Scan (DEXA) CPT 77080 | $328.30 | $938.00 | $134.46 – $516.16 | 9 |
| Bone filler cerament 10cc HCPCS C1602 | $10,933.86 | $31,239.60 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $795.90 | $2,274.00 | $482.50 – $1,950.38 | 9 |
| Bone/joint imaging ltd area CPT 78300 | $743.05 | $2,123.00 | $365.25 – $1,950.38 | 9 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,968.70 | $8,482.00 | $352.70 – $5,977.00 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,968.70 | $8,482.00 | $352.70 – $5,977.00 | 9 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $2,159.89 – $15,861.00 | 9 |
| Bone marrow imaging body CPT 78104 | $843.15 | $2,409.00 | $514.17 – $1,950.38 | 9 |
| Bone marrow imaging ltd CPT 78102 | $840.00 | $2,400.00 | $349.28 – $1,950.38 | 9 |
| Bone marrow imaging mult CPT 78103 | $841.40 | $2,404.00 | $460.25 – $1,950.38 | 9 |
| Bone marrow interpretation CPT 85097 | not published | not published | $90.75 – $1,917.04 | 9 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Bone survey-lead poisoning CPT 77074 | $518.70 | $1,482.00 | $119.46 – $516.16 | 9 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $222.98 – $235.35 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $1.73 – $20.39 | 2 |
| Boot j walker l HCPCS L4386 | $37.56 | $107.31 | $190.16 – $351.80 | 7 |
| Boot mlti podous univ xlg HCPCS L4396 | $85.30 | $243.71 | $197.90 – $366.12 | 7 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $190.16 – $351.80 | 7 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $414.31 | $1,183.74 | $371.23 – $686.78 | 7 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $132.84 | $379.55 | $371.23 – $686.78 | 7 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $41.50 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $17.03 – $52.82 | 9 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $155.45 | 9 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $5,785.86 | $16,531.04 | $1.59 – $83.26 | 5 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $10.67 | 9 |
| Bowel imaging CPT 78290 | $416.50 | $1,190.00 | $514.17 – $1,950.38 | 9 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $173.00 – $320.05 | 7 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $682.96 – $1,263.48 | 7 |
| Brace afo lg left 6607 HCPCS L1930 | $313.16 | $894.75 | $362.45 – $670.53 | 7 |
| Brace afopos solid ankle cust HCPCS L1960 | $856.76 | $2,447.89 | $849.26 – $1,571.13 | 7 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,007.37 – $1,863.63 | 7 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $184.26 – $340.88 | 7 |
| Brace ank air stirrup univ HCPCS L4350 | $47.33 | $135.23 | $136.95 – $253.36 | 7 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $102.99 – $190.53 | 7 |
| Brace ankle stablizing lg HCPCS L1902 | $30.72 | $87.76 | $105.11 – $194.45 | 7 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $140.66 – $841.00 | 7 |
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.