Supplies, drugs & other prices at Saint John's Health Center

Santa Monica, CA · every code in this section with a posted price and a Medicare benchmark.

55 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $705.25 $2,015 0.7×
2d tte w or w/o fol w/con,co (C8923) $705.25 $2,015 0.7×
2d tte w or w/o fol w/con,fu (C8924) $458.15 $1,309 1.0×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $4,998 $14,280 2.4×
Catheterize for urine spec (P9612) $15.75 $45 1.7×
Chemo extend iv infus w/pump (G0498) $958.65 $2,739 2.3×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $321.30 $918 0.3×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $321.30 $918 0.3×
Diab manage trn per indiv (G0108) $106.75 $305 1.9×
Direct refer hospital observ (G0379) $521.85 $1,491 0.7×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $1,150.45 $3,287 0.7×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $19,076.40 $54,504 0.9×
Histotripsy malignant renal tissue w/img gdn (0888T) $25,943.75 $74,125 1.2×
Hospital outpt clinic visit (G0463) $7.71 $22.04 0.0×
Insertion perm ccm-d system pulse generator only (0916T) $21,274.75 $60,785 0.7×
Insj perm ccm-d sys 1 transvns lead only (0917T) $7,843.50 $22,410 0.7×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $7,843.50 $22,410 0.7×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $21,274.75 $60,785 0.5×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $35,645.40 $101,844 0.9×
Instill pharm renal pelvis (C9789) $2,502.15 $7,149 1.6×
Interrog dev eval impl ccm-d system in person (0927T) $35 $100 0.7×
Mnt subs tx for change dx (G0270) $63.35 $181 2.0×
Pathogen test for platelets (P9100) $78.40 $224 1.0×
Perc d-e cor revasc chro sin (C9607)
likely a partial charge, not the full procedure
$3,655.05 $10,443 0.2×
Perc d-e cor revasc t cabg s (C9604)
unusually low: confirm this is the full procedure
$6,091.40 $17,404 0.4×
Perc d-e cor stent ather s (C9602)
likely a partial charge, not the full procedure
$3,655.05 $10,443 0.2×
Perc drug-el cor stent sing (C9600)
unusually low: confirm this is the full procedure
$7,106.05 $20,303 0.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$5,404 $15,440 0.4×
Place device/marker, non pro (C9728) $4,183.20 $11,952 2.3×
Programming device eval impl ccm-d sys in person (0926T) $35 $100 0.7×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $121.98 $348.50 0.2×
Relocation skin pocket implanted ccm-d pg (0925T) $1,733.20 $4,952 0.7×
Removal perm ccm-d system pulse generator only (0919T) $3,449.25 $9,855 0.7×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $586.25 $1,675 0.7×
Revasc intra lithotrip-ather (C9766) $18,863.25 $53,895 0.8×
Revasc intra lithotrip-stent (C9765) $19,964 $57,040 0.8×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,260.50 $15,030 0.4×
Revasc lithotrip tibi/perone (C9772) $9,891.35 $28,261 0.7×
Rmvl Car Modulj Tranvns Elt (0413T) $2,083.20 $5,952 0.4×
Rmvl Cardiac Modulj Pls Gen (0412T) $2,083.20 $5,952 0.4×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $3,449.25 $9,855 0.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $3,449.25 $9,855 0.7×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $3,449.25 $9,855 0.7×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $21,274.75 $60,785 0.7×
Screen cerv/vag thin layer (G0123) $49.35 $141 2.4×
Screen pap by tech w md supv (P3000) $32.90 $94 1.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$12,250 $35,000 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure
$2,543.80 $7,268 0.3×
Tomosynthesis, mammo (G0279) $90.30 $258 7.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $8,620.85 $24,631 1.2×
Transcatheter renal sympath denervation unilat (0338T) $8,620.85 $24,631 1.2×
Trluml Perip Athrc Iliac Art (0238T) $13,637.05 $38,963 0.6×
Tte w or w/o fol w/con,stres (C8928) $705.25 $2,015 0.7×
Tte w or wo fol wcon,doppler (C8929) $705.25 $2,015 0.7×
Unsched dialysis esrd pt hos (G0257) $2,161.60 $6,176 2.4×