Providence Saint John's Health Center prices. From its own published file.

Providence Saint John's Health Center in Santa Monica, CA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

17,338prices published

Apr 2026file last updated

$2,228cash price for mri lower back without contrast (list $6,365)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$602	$1,721	$335–$751
Emergency visit, high (level 4) `99284`	$1,030	$2,943	$537–$1,148
Emergency visit, highest (level 5) `99285`	$1,540	$4,401	$766–$1,639
Comprehensive metabolic panel `80053`	$28.35	$318	$10.56–$101
Basic metabolic panel `80048`	$26.25	$258	$8.46–$80.68
Complete blood count (CBC) `85025`	$15.75	$157	$7.77–$74.07
Blood draw (venipuncture) `36415`	$10.85	$31.00	$6.00–$22.58
Urinalysis `81001`	$24.85	$172	$3.17–$30.21
Troponin (heart test) `84484`	$39.20	$207	$12.47–$122
EKG tracing `93005`	$192	$548	$65.96–$970
Chest X-ray, 2 views `71046`	$398	$1,137	$47.75–$427
CT head without contrast `70450`	$1,532	$4,378	$134–$1,092
CT abdomen and pelvis with contrast `74177`	$1,949	$5,569	$449–$1,632
MRI lower back without contrast `72148`	$2,228	$6,365	$307–$2,872
Ultrasound, abdomen `76700`	$627	$1,792	$134–$516
IV push, single drug `96374`	$190	$542	$85.83–$970
IV fluids, first hour `96360`	$318	$909	$179–$585
Ketorolac injection, 15 mg `J1885`	$32.67	$93.73	$0.34–$24.60
Ondansetron injection `J2405`	$32.74	$93.66	$0.09–$16.46
Colonoscopy, diagnostic `45378`	$611	$1,745	$1,196–$9,297
Upper GI endoscopy with biopsy `43239`	$587	$1,676	$1,167–$9,297
Knee arthroscopy `29881`	—	—	$2,160–$12,557
Vaginal delivery, routine care `59400`	—	—	$1,528–$9,891
Cesarean delivery, routine care `59510`	—	—	$1,747–$9,891

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Providence Saint John's Health Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.