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 |
|---|---|---|---|---|
| Repair lip full thkns =<one-half vert height CPT 40652 | $1,035.65 | $2,959.00 | $693.67 – $10,103.00 | 9 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $2,254.70 | $6,442.00 | $1,286.82 – $10,103.00 | 9 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair lower leg tendons CPT 27675 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair lower leg tendons CPT 27676 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair lumbar hernia CPT 49540 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Repair lung hernia 32800 CPT 32800 | not published | not published | $1,142.09 – $12,235.00 | 4 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | $2,257.85 | $6,451.00 | $1,142.09 – $9,891.00 | 4 |
| Repair major vessel CPT 33321 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair middle ear structures CPT 69666 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair middle ear structures CPT 69667 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair modified fontan CPT 33615 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Repair muscles of hand CPT 26591 | $1,824.55 | $5,213.00 | $1,746.72 – $10,103.00 | 9 |
| Repair nasal septum defect CPT 30630 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Repair nasal stenosis CPT 30465 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Repair nerve add-on CPT 64837 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair nerve/shorten bone CPT 64876 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Repair nonunion hand CPT 26546 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of achilles tendon CPT 27654 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair of anal sphincter CPT 46760 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of anal sphincter CPT 46761 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of anal sphincter CPT 46751 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of anal stricture CPT 46700 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of anal stricture CPT 46705 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of aneurysm CPT 35141 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of ankle ligament CPT 27695 | $5,779.90 | $16,514.00 | $1,528.38 – $16,065.00 | 9 |
| Repair of ankle ligament CPT 27698 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Repair of aortic valve CPT 33414 | not published | not published | $1,746.72 – $15,227.00 | 4 |
| Repair of arm nerves CPT 64861 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of bladder opening CPT 51880 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Repair of body cast CPT 29720 | $163.10 | $466.00 | $194.49 – $1,487.00 | 8 |
| Repair of bowel lesion CPT 44605 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of circumcision CPT 54163 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of cloacal anomaly CPT 46744 | not published | not published | $2,455.49 – $9,891.00 | 4 |
| Repair of cloacal anomaly CPT 46746 | not published | not published | $2,821.63 – $9,891.00 | 4 |
| Repair of cloacal anomaly CPT 46748 | not published | not published | $3,409.47 – $9,891.00 | 4 |
| Repair of diaphragm hernia CPT 39503 | not published | not published | $4,588.50 – $11,276.00 | 4 |
| Repair of diaphragm hernia CPT 39540 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $1,446.20 | $4,132.00 | $2,159.89 – $12,557.00 | 9 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of esophagus CPT 43300 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of esophagus CPT 43310 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Repair of eye socket wound CPT 65290 | $2,839.90 | $8,114.00 | $1,746.72 – $10,103.00 | 9 |
| Repair of eye wound CPT 65270 | $2,990.75 | $8,545.00 | $1,528.38 – $9,297.00 | 9 |
| Repair of eye wound CPT 65272 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of eye wound CPT 65275 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of eye wound CPT 65280 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of eye wound CPT 65285 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of eye wound CPT 65286 | not published | not published | $1,142.09 – $5,977.00 | 9 |
| Repair of eye wound CPT 65273 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of facial nerve CPT 64864 | not published | not published | $1,746.72 – $14,673.37 | 9 |
| Repair of facial nerve CPT 64865 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of foot bones CPT 28320 | not published | not published | $2,159.89 – $30,073.00 | 9 |
| Repair of foot tendon CPT 28200 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of heart chambers CPT 33670 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair of heart damage CPT 33545 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Repair of heart defect CPT 33720 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair of heart defects CPT 33665 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair of heart defects CPT 33702 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair of heart defects CPT 33710 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair of humerus CPT 24430 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of imperforated anus CPT 46742 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Repair of kidney wound CPT 50500 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of kneecap tendon CPT 27380 | $5,779.90 | $16,514.00 | $1,142.09 – $16,065.00 | 9 |
| Repair of knee cartilage CPT 27403 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of knee ligament CPT 27405 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Repair of knee ligament CPT 27407 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Repair of knee ligaments CPT 27409 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of leg nerve CPT 64840 | not published | not published | $1,528.38 – $14,673.37 | 9 |
| Repair of leg tendon each CPT 27658 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Repair of leg tendon each CPT 27659 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Repair of leg tendon each CPT 27665 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Repair of low back nerves CPT 64862 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of lower leg CPT 27725 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Repair of lower leg CPT 27727 | not published | not published | $1,528.38 – $13,460.00 | 9 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of metatarsals CPT 28322 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $1,528.38 – $15,227.00 | 4 |
| Repair of nasal septum CPT 30520 | $2,858.45 | $8,167.00 | $2,159.89 – $12,557.00 | 9 |
| Repair of penis CPT 54440 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of rectum CPT 45500 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of rectum CPT 45505 | $2,067.10 | $5,906.00 | $1,528.38 – $9,834.00 | 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.