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 |
|---|---|---|---|---|
| Remove nasal foreign body CPT 30310 | $2,858.45 | $8,167.00 | $1,142.09 – $7,332.00 | 9 |
| Remove nasal foreign body CPT 30320 | $1,657.95 | $4,737.00 | $1,528.38 – $9,297.00 | 9 |
| Remove nerve lesion CPT 64784 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove part lumbar vertebra CPT 22114 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Remove part of temporal bone CPT 69535 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove penis & nodes CPT 54130 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove penis & nodes CPT 54135 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Remove pilonidal cyst compl CPT 11772 | $3,181.85 | $9,091.00 | $1,746.72 – $10,103.00 | 9 |
| Remove pilonidal cyst exten CPT 11771 | $3,181.85 | $9,091.00 | $1,746.72 – $10,103.00 | 9 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Remove prostate regrowth CPT 52630 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Remove renal tube w/fluoro CPT 50389 | $929.95 | $2,657.00 | $896.84 – $5,977.00 | 9 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $1,746.72 – $42,841.00 | 9 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $1,142.09 – $42,841.00 | 9 |
| Remove/revise male sling CPT 53442 | not published | not published | $1,142.09 – $12,111.00 | 9 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Remove shoulder fb deep CPT 23333 | $2,115.40 | $6,044.00 | $1,528.38 – $10,103.00 | 9 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,625.05 | $4,643.00 | $1,142.09 – $5,977.00 | 9 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,528.38 – $12,557.00 | 9 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $1,487.00 – $18,416.00 | 4 |
| Remove spine eltrd perq aray CPT 63661 | $1,073.80 | $3,068.00 | $1,528.38 – $14,539.00 | 9 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $1,528.38 – $14,539.00 | 9 |
| Remove spine fixation device CPT 22850 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Remove spine fixation device CPT 22852 | not published | not published | $1,142.09 – $17,265.50 | 9 |
| Remove spine infusion device CPT 62365 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $3,409.47 – $18,416.00 | 9 |
| Remove stent via transureth CPT 50386 | $1,628.90 | $4,654.00 | $1,168.15 – $5,977.00 | 9 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $2,159.89 – $10,103.00 | 9 |
| Remove tear gland lesion CPT 68540 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove tear gland lesion CPT 68550 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Remove/transplant tendon CPT 23440 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove & treat brain lesion CPT 61544 | not published | not published | $1,528.38 – $12,235.00 | 4 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Remove ureter calculus CPT 51065 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove ureter stent percut CPT 50384 | $5,113.15 | $14,609.00 | $1,528.38 – $5,977.00 | 9 |
| Remove uro sphincter CPT 53446 | not published | not published | $1,142.09 – $13,460.00 | 9 |
| Remove vaginal foreign body 57415 CPT 57415 | $2,732.10 | $7,806.00 | $1,528.38 – $9,297.00 | 9 |
| Remove vagina tissue part CPT 57107 | not published | not published | $2,455.49 – $9,891.00 | 9 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $1,528.38 – $15,861.00 | 9 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $1,746.72 – $12,557.00 | 9 |
| Remove ventilating tube CPT 69424 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Remove ventricular device CPT 33978 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $5,821.00 – $12,235.00 | 3 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,746.72 – $13,460.00 | 4 |
| Remove vert body dcmprn lmbr CPT 63090 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Remove vert body dcmprn lmbr CPT 63102 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Remove vert body dcmprn thrc CPT 63085 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Remove vert body dcmprn thrc CPT 63101 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Remove vertebral body add-on CPT 63086 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove vertebral body add-on CPT 63088 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove vertebral body add-on CPT 63091 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove vertebral body add-on CPT 63103 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove vertebral body add-on CPT 63308 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Remove vert idrl body crvcl CPT 63304 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Remove vert idrl body thrc CPT 63305 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Remove vert xdrl body crvcl CPT 63300 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Remove vert xdrl body thrc CPT 63301 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Remove vert xdrl body thrlmb CPT 63302 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Remove windpipe lesion CPT 31785 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove windpipe lesion CPT 31786 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Remove w insert drug implant HCPCS G0518 | not published | not published | $574.56 – $5,977.00 | 9 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $2,068.15 – $12,557.00 | 9 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove wrist joint implant CPT 25449 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Remove wrist joint lining CPT 25105 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Remove wrist joint lining CPT 26130 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Remove wrist tendon lesion CPT 25110 | 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.