Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA 90404 · Acute care hospital · Emergency room

These are Saint John's Health Center's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

231 of the services we track have a posted price here; 147 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge
Critical care, first 30 to 74 minutes CPT 99291	$1,965.60	$5,616.00
Emergency room visit, level 1 (minor) CPT 99281	$183.40	$524.00
Emergency room visit, level 2 CPT 99282	$358.05	$1,023.00
Emergency room visit, level 3 (moderate) CPT 99283	$602.35	$1,721.00
Emergency room visit, level 4 CPT 99284	$1,030.05	$2,943.00
Emergency room visit, level 5 (most severe) CPT 99285	$1,540.35	$4,401.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$167.65	$479.00

Office visits

Service	Cash price	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted	$221.00 – $221.00
New patient office visit, about 30 minutes CPT 99203	not posted	$450.00 – $450.00
New patient office visit, about 45 minutes CPT 99204	not posted	$406.00 – $406.00
New patient office visit, about 60 minutes CPT 99205	not posted	$442.00 – $442.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	not posted	$173.00 – $173.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted	$208.00 – $208.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted	$269.00 – $269.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted	$427.00 – $427.00
Office visit, established patient, brief (often a nurse) CPT 99211	not posted	$155.00 – $155.00

Imaging

Service	Cash price	Gross charge
3D screening mammogram (tomosynthesis), add-on CPT 77063	$90.30	$258.00
Abdominal X-ray, 1 view CPT 74018	$281.75	$805.00
Ankle X-ray, 3 or more views CPT 73610	$364.00	$1,040.00
Bone density scan (DEXA), hips and spine CPT 77080	$328.30	$938.00
Breast ultrasound, one breast, complete CPT 76641	$346.15	$989.00
Breast ultrasound, one breast, limited CPT 76642	$259.00	$740.00
Chest X-ray, 1 view CPT 71045	$331.80	$948.00
Chest X-ray, 2 views CPT 71046	$397.95	$1,137.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,578.85	$4,511.00
CT angiogram of the head CPT 70496	$1,014.30	$2,898.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$1,949.15	$5,569.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$2,037.00	$5,820.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$1,890.35	$5,401.00
CT scan of the abdomen, without contrast CPT 74150	$2,042.60	$5,836.00
CT scan of the chest, with contrast CPT 71260	$2,531.20	$7,232.00
CT scan of the chest, without contrast CPT 71250	$2,067.10	$5,906.00
CT scan of the head, without contrast CPT 70450	$1,532.30	$4,378.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,927.10	$5,506.00
CT scan of the pelvis, with contrast CPT 72193	$2,197.30	$6,278.00
CT scan of the sinuses or face, without contrast CPT 70486	$1,390.90	$3,974.00
Diagnostic mammogram, both breasts CPT 77066	$498.75	$1,425.00
Diagnostic mammogram, one breast CPT 77065	$360.50	$1,030.00
Foot X-ray, 3 or more views CPT 73630	$364.00	$1,040.00
Hand X-ray, 3 or more views CPT 73130	$406.35	$1,161.00
Knee X-ray, 3 views CPT 73562	$383.25	$1,095.00
Leg or arm vein ultrasound, both sides CPT 93970	$904.75	$2,585.00
Leg or arm vein ultrasound, one side CPT 93971	$610.05	$1,743.00
Lower back X-ray, 2 or 3 views CPT 72100	$441.35	$1,261.00
MRI of both breasts, without and with contrast CPT 77049	$2,244.90	$6,414.00
MRI of the abdomen, without and with contrast CPT 74183	$2,801.40	$8,004.00
MRI of the brain, without and with contrast CPT 70553	$2,967.30	$8,478.00
MRI of the brain, without contrast CPT 70551	$2,167.90	$6,194.00
MRI of the knee or other leg joint, without contrast CPT 73721	$1,789.90	$5,114.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,227.75	$6,365.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,194.15	$6,269.00
MRI of the neck (cervical spine), without contrast CPT 72141	$2,272.20	$6,492.00
MRI of the pelvis, without and with contrast CPT 72197	$3,046.05	$8,703.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,808.45	$5,167.00
Neck X-ray, 2 or 3 views CPT 72040	$437.50	$1,250.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$706.30	$2,018.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$515.90	$1,474.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$436.45	$1,247.00
Screening mammogram, both breasts CPT 77067	$281.40	$804.00
Shoulder X-ray, 2 or more views CPT 73030	$383.25	$1,095.00
Transvaginal pregnancy ultrasound CPT 76817	$382.90	$1,094.00
Transvaginal ultrasound CPT 76830	$639.80	$1,828.00
Ultrasound of the abdomen, complete CPT 76700	$627.20	$1,792.00
Ultrasound of the neck or thyroid CPT 76536	$381.50	$1,090.00
Wrist X-ray, 3 or more views CPT 73110	$341.60	$976.00
X-ray of the lower back, 4 or more views CPT 72110	$765.45	$2,187.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$154.00	$440.00
Blood culture CPT 87040	$231.70	$662.00
Blood draw (venipuncture) CPT 36415	$10.85	$31.00
BNP test (heart failure) CPT 83880	$139.65	$399.00
C-reactive protein (CRP) test CPT 86140	$257.60	$736.00
Chlamydia test (DNA/NAAT) CPT 87491	$52.50	$150.00
Complete blood count (CBC) with differential CPT 85025	$94.15	$269.00
Complete blood count (CBC), automated CPT 85027	$57.40	$164.00
Comprehensive metabolic panel (blood test) CPT 80053	$193.90	$554.00
COVID-19 PCR test CPT 87635	$112.00	$320.00
D-dimer test (blood clots) CPT 85379	$143.85	$411.00
Drug screen, instrument chemistry CPT 80307	$186.55	$533.00
Ferritin (iron stores) test CPT 82728	$173.95	$497.00
Free T4 (thyroid) test CPT 84439	$140.35	$401.00
General health panel (blood tests) CPT 80050	not posted		$87.21 – $262.57
Glucose (blood sugar) test CPT 82947	$97.30	$278.00
Gonorrhea test (DNA/NAAT) CPT 87591	$52.50	$150.00
Hemoglobin A1c test CPT 83036	$78.40	$224.00
Hepatitis C antibody test CPT 86803	$204.75	$585.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$68.60	$196.00
Iron test CPT 83540	$110.25	$315.00
Kidney function panel CPT 80069	$174.30	$498.00
Lipase test (pancreas) CPT 83690	$169.05	$483.00
Lipid panel, cholesterol and triglycerides CPT 80061	$129.85	$371.00
Liver function panel CPT 80076	$116.20	$332.00
Magnesium test CPT 83735	$123.55	$353.00
Obstetric blood test panel CPT 80055	not posted		$47.81 – $300.08
Partial thromboplastin time (PTT), clotting test CPT 85730	$83.30	$238.00
Pregnancy blood test (hCG), quantitative CPT 84702	$169.40	$484.00
Prothrombin time (PT/INR), clotting test CPT 85610	$71.40	$204.00
PSA (prostate specific antigen), free CPT 84154	$164.50	$470.00
PSA (prostate specific antigen), total CPT 84153	$202.65	$579.00
Rapid strep test CPT 87880	not posted		$16.53 – $88.52
Sed rate (ESR) test CPT 85652	$48.30	$138.00
TB skin test CPT 86580	not posted		$14.06 – $79.61
Thyroid stimulating hormone (TSH) CPT 84443	$207.90	$594.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$283.15	$809.00
Troponin test (heart damage) CPT 84484	$110.25	$315.00
Urinalysis, automated, with microscope CPT 81001	$101.85	$291.00
Urinalysis, automated, without microscope CPT 81003	$67.20	$192.00
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $30.21
Urinalysis, manual, without microscope CPT 81002	$55.65	$159.00
Urine culture, colony count CPT 87086	$137.55	$393.00
Urine pregnancy test CPT 81025	$137.90	$394.00
Vitamin B12 test CPT 82607	$181.30	$518.00
Vitamin D test CPT 82306	$88.55	$253.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$652.75	$1,865.00
ECG tracing only (no interpretation) CPT 93005	$191.80	$548.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,374.45	$3,927.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$87.32 – $183.89
Holter monitor, up to 48 hours CPT 93224	not posted		$623.51 – $1,101.38
Left heart catheterization CPT 93452	$3,427.90	$9,794.00
Left heart catheterization with coronary angiogram CPT 93458	$4,677.75	$13,365.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$2,334.85	$6,671.00
Treadmill stress test, complete CPT 93015	not posted		$338.96 – $758.86

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$1,746.72 – $25,913.00
Appendix removal, laparoscopic CPT 44970	not posted		$2,821.63 – $19,534.00
Breast biopsy with ultrasound guidance CPT 19083	$1,695.40	$4,844.00
Carpal tunnel release CPT 64721	$1,446.20	$4,132.00
Colonoscopy with biopsy CPT 45380	not posted		$1,528.38 – $9,297.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$1,528.38 – $9,297.00
Colonoscopy, diagnostic CPT 45378	$610.75	$1,745.00
Colposcopy with biopsy CPT 57454	not posted		$391.93 – $5,977.00
Cystoscopy (bladder scope) CPT 52000	$1,374.10	$3,926.00
Ear tubes, under general anesthesia CPT 69436	not posted		$1,746.72 – $10,103.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$610.75	$1,745.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$3,409.47 – $19,534.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$9,891.00 – $15,269.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$2,455.49 – $35,214.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$1,746.72 – $11,827.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$2,159.89 – $19,534.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$2,849.70	$8,142.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$4,533.71 – $17,032.64
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$2,159.89 – $12,557.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$1,142.09 – $9,297.00
Nasal endoscopy, diagnostic CPT 31231	$423.15	$1,209.00
Prostate biopsy CPT 55700	$3,583.65	$10,239.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$1,142.09 – $35,214.00
Removal of a breast lump, open surgery CPT 19120	$3,583.65	$10,239.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$2,455.49 – $25,913.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$352.70 – $9,297.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$352.70 – $9,297.00
Septoplasty (nasal septum repair) CPT 30520	$2,858.45	$8,167.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$1,487.00 – $10,103.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$3,409.47 – $15,269.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$1,746.72 – $19,534.00
Total hip replacement CPT 27130	not posted		$1,746.72 – $48,502.00
Total knee replacement CPT 27447	not posted		$1,746.72 – $48,502.00
Upper endoscopy (EGD) with biopsy CPT 43239	$586.60	$1,676.00
Upper endoscopy (EGD), diagnostic CPT 43235	$586.60	$1,676.00
Vasectomy CPT 55250	not posted		$1,528.38 – $9,297.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted		$1,746.72 – $9,891.00
Fetal non-stress test CPT 59025	$669.20	$1,912.00
IUD insertion CPT 58300	$288.40	$824.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$1,528.38 – $9,891.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,528.38 – $9,891.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$8,628.48 – $21,441.87
C-section, without complications MS-DRG 788	not posted	$9,352.44 – $21,996.03
Chest pain MS-DRG 313	not posted	$7,077.68 – $17,336.76
COPD flare-up, with major complications MS-DRG 190	not posted	$10,770.84 – $27,301.81
COPD flare-up, without complications MS-DRG 192	not posted	$6,334.66 – $16,437.84
Fainting (syncope) MS-DRG 312	not posted	$8,521.79 – $21,176.95
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$9,561.06 – $23,962.30
Heart failure, with major complications MS-DRG 291	not posted	$12,448.34 – $31,715.59
Heart failure, without complications MS-DRG 293	not posted	$5,610.70 – $15,188.54
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$93,408.35 – $234,552.97
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$18,593.45 – $45,827.08
Irregular heartbeat, without complications MS-DRG 310	not posted	$5,611.65 – $13,598.65
Kidney failure, with complications MS-DRG 683	not posted	$8,561.80 – $21,604.71
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$7,930.24 – $19,507.19
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$23,474.48 – $58,232.41
Normal newborn care MS-DRG 795	not posted	$2,122.34 – $4,856.14
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$7,632.08 – $18,994.36
Pneumonia, with complications MS-DRG 194	not posted	$7,895.94 – $20,595.97
Pneumonia, with major complications MS-DRG 193	not posted	$12,739.83 – $32,029.13
Pneumonia, without complications MS-DRG 195	not posted	$6,206.06 – $15,809.71
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$13,524.76 – $34,257.90
Sepsis, with major complications MS-DRG 871	not posted	$18,723.00 – $47,693.70
Sepsis, without major complications MS-DRG 872	not posted	$9,966.86 – $25,058.46
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$8,515.12 – $21,410.27
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$51,022.85 – $91,794.15
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$7,645.42 – $18,965.19
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$9,843.02 – $24,718.19
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$12,037.78 – $29,131.97
Vaginal delivery, without complications MS-DRG 807	not posted	$6,641.39 – $15,487.15
Weight loss surgery, without complications MS-DRG 621	not posted	$14,587.84 – $36,435.82

Pain and spine

Service	Cash price	Gross charge
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$867.30	$2,478.00
Lower back nerve root injection with imaging guidance CPT 64483	$1,199.10	$3,426.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$2,536.10	$7,246.00
Lower back spinal injection (epidural), without imaging CPT 62322	$1,160.60	$3,316.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$2,968.25 – $15,201.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$171.24 – $382.50
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$707.39 – $9,297.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$165.49 – $354.16

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$277.71 – $1,045.39
Sleep study with CPAP titration CPT 95811	not posted	$1,104.48 – $3,870.30
Sleep study, overnight in a sleep lab CPT 95810	not posted	$1,104.48 – $3,572.78

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$204.05	$583.00

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	$66.50	$190.00
Physical therapy evaluation, low complexity CPT 97161	$194.95	$557.00
Physical therapy evaluation, moderate complexity CPT 97162	$198.45	$567.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$74.20	$212.00
Therapeutic activities, 15 minutes CPT 97530	$78.75	$225.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$3.10	$8.86
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$75.64 – $488.54
Group psychotherapy CPT 90853	not posted		$34.00 – $279.62
Psychiatric diagnostic evaluation CPT 90791	$236.95	$677.00
Psychotherapy, 30 minutes CPT 90832	$236.95	$677.00
Psychotherapy, 45 minutes CPT 90834	$250.95	$717.00
Psychotherapy, 60 minutes CPT 90837	$268.80	$768.00

Infusions and injections

Service	Cash price	Gross charge
Injection under the skin or into a muscle CPT 96372	$132.65	$379.00
IV hydration, each additional hour CPT 96361	$113.40	$324.00
IV hydration, first hour CPT 96360	$318.15	$909.00
IV push injection of a drug, first CPT 96374	$189.70	$542.00
IV push injection, each additional drug CPT 96375	$100.10	$286.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$58.02	$165.76
Dexamethasone injection, per 1 mg HCPCS J1100	$33.10	$94.56
Fentanyl injection, per 0.1 mg HCPCS J3010	$769.30	$2,198.00
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$3.89 – $4.35
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$33.60	$96.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$97.02	$277.20
Morphine injection, up to 10 mg HCPCS J2270	$120.89	$345.40
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$33.09	$94.54
Propofol injection, per 10 mg HCPCS J2704	$44.30	$126.56
Saline IV solution, 1000 ml HCPCS J7030	$68.93	$196.95

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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