St. John's Health — price list

← Hospital overviewVerified from St. John's Health’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

421 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
12 - 8 mm Reducer 470381 Outpatient	10042468_1 CDM	$175	$175	$156 – $172	$326
12mm Stapler Cannula Seal 470380 Outpatient	10042473_1 CDM	$147	$147	$131 – $144	$144
2.0mm Cannulated Drill Bit QC/ 145mm 03.333.101 Outpatient	10127696_1 CDM	$2,379	$2,379	$2,122 – $2,331	$2,331
3.2mm x 20mm RNGLC+ ACET DRL BIT Outpatient	10223284_1 CDM	$600	$600	$535 – $588	$588
3.2mm x 30mm RNLC+ ACET Drill Bit Outpatient	10168232_1 CDM	$600	$600	$535 – $588	$400
99999-242-01 - QUEtiapine 12.5 mg Tab [SJMC] Outpatient	10143099_1 CDM	$8.31	$8.31	$7.41 – $8.14	$8.14
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose Outpatient	10078518_1 CDM	$65.00	$65.00	$44.47 – $63.70	$63.70
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose Outpatient	10078519_1 CDM	$65.00	$65.00	$44.47 – $63.70	$45.00
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose Outpatient	10078520_1 CDM	$65.00	$65.00	$44.47 – $63.70	$63.70
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose Outpatient	10078521_1 CDM	$65.00	$65.00	$44.47 – $63.70	$63.70
ALCOHOL AND/OR OTHER DRUG TESTING: COLLECTION AND HANDLING ONLY, SPECIMENS OTHER THAN BLOOD Outpatient	10164267_1 CDM	$75.00	$75.00	$66.90 – $73.50	$73.50
ALCOHOL AND/OR OTHER DRUG TESTING: COLLECTION AND HANDLING ONLY, SPECIMENS OTHER THAN BLOOD Outpatient	10164267_3 CDM	$75.00	$75.00	$57.00 – $240	$73.50
Alexis Containment System GTM17 Outpatient	10006045_1 CDM	$2,820	$2,820	$2,515 – $2,764	$326
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10005059_1 CDM	$5,170	$5,170	$4,612 – $5,067	$7,706
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10005060_1 CDM	$7,975	$7,975	$7,114 – $7,816	$7,706
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10005061_1 CDM	$7,975	$7,975	$7,114 – $7,816	$7,816
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10037460_1 CDM	$1,625	$1,625	$1,450 – $1,593	$1,593
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10037461_1 CDM	$2,620	$2,620	$2,337 – $2,568	$2,568
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10037466_1 CDM	$2,640	$2,640	$2,355 – $2,587	$2,587
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10037468_1 CDM	$4,000	$4,000	$3,568 – $3,920	$3,920
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10037469_1 CDM	$2,247	$2,247	$2,004 – $2,202	$2,202
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10037470_1 CDM	$3,120	$3,120	$2,783 – $3,058	$10,720
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10041975_1 CDM	$600	$600	$535 – $588	$7,706
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10074142_1 CDM	$2,500	$2,500	$2,230 – $2,450	$2,450
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10074144_1 CDM	$2,307	$2,307	$2,058 – $2,261	$7,706
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10074145_1 CDM	$2,453	$2,453	$2,188 – $2,404	$2,404
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10074147_1 CDM	$2,500	$2,500	$2,230 – $2,450	$7,706
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10075457_1 CDM	$439	$439	$392 – $430	$430
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10075458_1 CDM	$439	$439	$392 – $430	$430
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10075859_1 CDM	$4,000	$4,000	$3,568 – $3,920	$3,920