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 |
|---|---|---|---|---|
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $2,159.89 – $10,103.00 | 9 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $1,528.38 – $16,065.00 | 9 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $67.50 – $296.10 | 8 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $1,142.09 – $6,604.43 | 9 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $165.49 – $306.17 | 7 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $165.49 – $306.17 | 7 |
| Repr per/vag pouch dbl proc CPT 46712 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Repr per/vag pouch sngl proc CPT 46710 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Repr pul art unifocal w/cpb CPT 33926 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Reptilase test CPT 85635 | $143.85 | $411.00 | $9.85 – $30.55 | 9 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $2,068.15 – $12,557.00 | 9 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $4,588.50 – $15,861.00 | 9 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Rescj external cardiac tumor CPT 33130 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Resc recr ovr tbl pp utr mal CPT 58958 | not published | not published | $5,821.00 – $11,276.00 | 3 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $5,821.00 – $11,276.00 | 3 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $5,821.00 – $11,276.00 | 3 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Resect diaphragm complex CPT 39561 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect distal finger tumor CPT 26262 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Resect enlarged toe CPT 28341 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $2,159.89 – $12,235.00 | 4 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $2,455.49 – $12,235.00 | 4 |
| Resect/excise cranial lesion CPT 61607 | not published | not published | $2,455.49 – $12,235.00 | 4 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $2,821.63 – $12,235.00 | 4 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $2,159.89 – $15,227.00 | 4 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $2,821.63 – $15,227.00 | 4 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $1,746.72 – $13,460.00 | 9 |
| Resect fibula tumor CPT 27646 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $2,159.89 – $17,265.50 | 9 |
| Resect hip tumor CPT 27075 | not published | not published | $2,821.63 – $17,265.50 | 9 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $3,409.47 – $17,265.50 | 9 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $1,746.72 – $15,227.00 | 4 |
| Resect inferior turbinate CPT 30140 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Resection of elbow joint CPT 24155 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $2,159.89 – $11,276.00 | 4 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,528.38 – $11,276.00 | 4 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect prox finger tumor CPT 26260 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $9,624.00 – $9,891.00 | 2 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect tarsal tumor CPT 28171 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,746.72 – $15,861.00 | 9 |
| Resect tibia tumor CPT 27645 | not published | not published | $2,159.89 – $13,460.00 | 9 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.58 – $22.55 | 9 |
| Respirator motion mgmt simul CPT 77293 | $410.90 | $1,174.00 | $785.10 – $2,574.36 | 3 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $14.43 – $35.83 | 9 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $16.43 – $40.80 | 9 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $218.06 – $1,299.63 | 9 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $5,821.00 – $9,891.00 | 3 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $160.06 – $2,021.32 | 9 |
| Resuscitation cardiopulmonary CPT 92950 | $396.90 | $1,134.00 | $277.71 – $1,487.00 | 8 |
| Resuscitation delivery/birthing room CPT 99465 | $945.70 | $2,702.00 | $384.83 – $1,572.66 | 7 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,904.58 – $6,132.09 | 9 |
| Reticulated platelet assay CPT 85055 | not published | not published | $35.74 – $88.74 | 9 |
| Reticulocyte automated CPT 85045 | not published | not published | $3.99 – $12.42 | 9 |
| Reticulocyte direct measurement automated CPT 85046 | $56.00 | $160.00 | $5.57 – $17.30 | 9 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.98 – $63.94 | 9 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Retrieval of oocyte CPT 58970 | not published | not published | $601.13 – $5,977.00 | 9 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $60.75 | 9 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $47.08 – $87.10 | 7 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | not published | not published | $7,320.30 – $13,542.56 | 6 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | not published | not published | $7,320.30 – $13,542.56 | 6 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | not published | not published | $23,577.55 – $43,618.46 | 6 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | not published | not published | $23,577.55 – $43,618.46 | 6 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | not published | not published | $23,577.55 – $43,618.46 | 6 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $14,847.76 – $27,468.35 | 6 |
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.