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 of ruptured spleen 38115 CPT 38115 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair of ruptured uterus CPT 58520 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of shoulder CPT 23420 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Repair of skull & brain CPT 62145 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of sperm duct CPT 55400 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Repair of spinal herniation CPT 63702 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of spinal herniation CPT 63704 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Repair of spinal herniation CPT 63706 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Repair of thigh CPT 27470 | not published | not published | $1,746.72 – $17,265.50 | 9 |
| Repair of thigh muscle CPT 27385 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair of tibia CPT 27720 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair of toe dislocation CPT 28675 | $1,824.55 | $5,213.00 | $1,746.72 – $10,103.00 | 9 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of ureter CPT 50900 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of urethra defect CPT 53275 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of urethra defect CPT 53520 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Repair of urethra injury CPT 53505 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Repair of urethra injury CPT 53510 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Repair of urethra injury CPT 53515 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of urethral lesion CPT 57230 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of web finger CPT 26560 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of web finger CPT 26561 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair of web finger CPT 26562 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair of windpipe CPT 31750 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Repair of windpipe CPT 31755 | not published | not published | $1,528.38 – $12,111.00 | 9 |
| Repair of windpipe defect CPT 31825 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair of windpipe injury CPT 31800 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair of windpipe injury CPT 31805 | not published | not published | $2,159.89 – $9,891.00 | 4 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair palate CPT 42182 | $4,296.25 | $12,275.00 | $1,528.38 – $12,111.00 | 9 |
| Repair palate CPT 42235 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Repair paravag defect lap CPT 57423 | not published | not published | $2,159.89 – $21,833.00 | 9 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair pda by ligation CPT 33820 | not published | not published | $9,891.00 – $17,698.00 | 3 |
| Repair pda div<18 years CPT 33822 | not published | not published | $9,891.00 – $17,698.00 | 3 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $9,891.00 – $17,698.00 | 3 |
| Repair penis CPT 54380 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair penis CPT 54385 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair penis and bladder CPT 54390 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Repair pm/icd lead dual CPT 33220 | $1,211.35 | $3,461.00 | $3,930.98 – $9,891.00 | 9 |
| Repair pm/icd lead sgl CPT 33218 | $1,874.95 | $5,357.00 | $3,930.98 – $9,891.00 | 9 |
| Repair prosthesis per 15 min HCPCS L7520 | not published | not published | $57.32 – $106.04 | 6 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,746.72 – $15,227.00 | 4 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair radius or ulna CPT 25400 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair rectum & vagina CPT 57250 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $1,746.72 – $9,891.00 | 4 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $5,679.85 – $12,111.00 | 4 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $5,679.85 – $12,111.00 | 4 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $3,409.47 – $15,861.00 | 9 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,166.20 | $3,332.00 | $304.63 – $9,297.00 | 9 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,181.95 | $3,377.00 | $693.67 – $10,103.00 | 9 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair salivary duct CPT 42500 | not published | not published | $1,746.72 – $12,111.00 | 9 |
| Repair salivary duct CPT 42505 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Repair septal defect CPT 33813 | not published | not published | $9,891.00 – $12,235.00 | 2 |
| Repair shoulder capsule CPT 23450 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Repair shoulder capsule CPT 23455 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Repair shoulder capsule CPT 23460 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Repair shoulder capsule CPT 23462 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Repair shoulder capsule CPT 23465 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Repair shoulder capsule CPT 23466 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Repair single ventricle CPT 33617 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair single ventricle CPT 33619 | not published | not published | $5,821.00 – $15,227.00 | 3 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $5,679.85 – $9,891.00 | 4 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $3,409.47 – $10,103.00 | 9 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $3,409.47 – $10,103.00 | 9 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair stomach opening CPT 43870 | not published | not published | $1,142.09 – $7,332.00 | 9 |
| Repair tear ducts CPT 68700 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $2,457.00 | $7,020.00 | $1,746.72 – $10,103.00 | 9 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,490.55 | $9,973.00 | $2,159.89 – $12,557.00 | 9 |
| Repair testis injury CPT 54670 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Repair throat wound CPT 42900 | $1,503.25 | $4,295.00 | $1,142.09 – $5,977.00 | 9 |
| Repair toe dislocation CPT 28645 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $347.90 | $994.00 | $304.63 – $9,297.00 | 9 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,528.38 – $14,673.37 | 9 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $5,679.85 – $9,891.00 | 4 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $5,679.85 – $9,891.00 | 4 |
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.