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 |
|---|---|---|---|---|
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | not published | not published | $7,320.30 – $13,542.56 | 6 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc ivt stent sf 1st CPT 37258 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | not published | not published | $14,847.76 – $27,468.35 | 6 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | not published | not published | $23,577.55 – $43,618.46 | 6 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | not published | not published | $23,577.55 – $43,618.46 | 6 |
| Revasc intra lithotrip-ather HCPCS C9766 | $18,863.25 | $53,895.00 | $8,365.00 – $43,618.46 | 8 |
| Revasc intra lithotrip-stent HCPCS C9765 | $19,964.00 | $57,040.00 | $8,365.00 – $43,618.46 | 8 |
| Revasc intravasc lithotripsy HCPCS C9764 | $5,260.50 | $15,030.00 | $8,365.00 – $27,468.35 | 8 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $2,159.89 – $43,618.46 | 8 |
| Revasc lithotrip-stent-ather HCPCS C9767 | not published | not published | $8,837.00 – $43,618.46 | 8 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $9,891.35 | $28,261.00 | $2,159.89 – $27,468.35 | 8 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $2,159.89 – $43,618.46 | 8 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $2,159.89 – $43,618.46 | 8 |
| Revascularization penis CPT 37788 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.19 – $0.62 | 5 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,142.09 – $11,276.00 | 4 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,455.49 – $15,799.68 | 9 |
| Revise circulation to head CPT 61708 | not published | not published | $1,746.72 – $11,276.00 | 4 |
| Revise circulation to head CPT 61705 | not published | not published | $2,159.89 – $12,235.00 | 4 |
| Revise circulation to head CPT 61710 | not published | not published | $1,528.38 – $9,891.00 | 4 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Revise eye CPT 65091 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise eyelashes CPT 67825 | not published | not published | $408.24 – $5,977.00 | 9 |
| Revise eyelashes CPT 67835 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Revise eye muscle CPT 67311 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise eye muscle CPT 67314 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,487.00 – $9,891.00 | 4 |
| Revise eye socket implant CPT 67560 | $2,839.90 | $8,114.00 | $1,528.38 – $9,834.00 | 9 |
| Revise eye sockets CPT 21260 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Revise eye sockets CPT 21261 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Revise eye sockets CPT 21263 | not published | not published | $3,409.47 – $12,111.00 | 9 |
| Revise eye sockets CPT 21267 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise eye sockets CPT 21268 | not published | not published | $1,528.38 – $14,085.70 | 9 |
| Revise eye with implant CPT 65093 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise finger joint each CPT 26135 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise finger joint each CPT 26140 | $1,706.60 | $4,876.00 | $1,528.38 – $9,297.00 | 9 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $1,142.09 – $9,834.00 | 9 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise graft w/vein CPT 35879 | not published | not published | $3,409.47 – $13,460.00 | 9 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $3,409.47 – $13,460.00 | 9 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,142.09 – $16,065.00 | 9 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,455.49 – $30,548.47 | 9 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Revise hip joint replacement CPT 27137 | not published | not published | $1,746.72 – $30,548.47 | 9 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Revise kneecap CPT 27437 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,455.49 – $30,073.00 | 9 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,746.72 – $12,132.52 | 9 |
| Revise knuckle with implant CPT 26531 | not published | not published | $3,409.47 – $16,065.00 | 9 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,528.38 – $9,297.00 | 9 |
| Revise lower leg tendon CPT 27690 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Revise lower leg tendon CPT 27691 | not published | not published | $2,159.89 – $16,065.00 | 9 |
| Revise lower leg tendons CPT 27686 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise middle ear bone CPT 69660 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Revise middle ear bone CPT 69661 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Revise middle ear bone CPT 69662 | not published | not published | $2,455.49 – $13,207.00 | 9 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $3,409.47 – $14,539.00 | 9 |
| Revise ocular implant CPT 65125 | not published | not published | $1,528.38 – $13,207.00 | 9 |
| Revise ocular implant CPT 65150 | not published | not published | $1,528.38 – $9,834.00 | 9 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $1,142.09 – $9,891.00 | 4 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,746.72 – $16,065.00 | 9 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,142.09 – $9,891.00 | 9 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,528.38 – $9,891.00 | 9 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $2,455.49 – $16,065.00 | 9 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,746.72 – $10,103.00 | 9 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,746.72 – $30,073.00 | 9 |
| Revise radius & ulna CPT 25375 | not published | not published | $2,159.89 – $12,557.00 | 9 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $2,821.63 – $30,073.00 | 9 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $3,409.47 – $41,720.12 | 9 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $1,746.72 – $9,891.00 | 9 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $1,142.09 – $18,630.78 | 9 |
| Revise/remove sling repair CPT 57287 | not published | not published | $3,409.47 – $9,891.00 | 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.