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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Providence St Johns Health Center

Providence Saint Joseph Health · Santa Monica, CA

2121 Santa Monica Boulevard, Santa Monica, CA 90404(310) 829-5511

4 of 5

CMS star rating

229

Beds

11,587

Inpatient discharges a year

$473M

Net patient revenue a year

36

In-network payers

Photo 1: DocFreeman24, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Providence St Johns Health Center is a 229-bed voluntary non-profit - private hospital in Santa Monica, CA, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 370 disclosed rate categories.

  • Disproportionate share hospital
CCN
050290
NPI
1124026273
Health system
Providence Saint Joseph Health
Teaching
No Medicare-funded residents
County
Los Angeles County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Providence St Johns Health Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$31,006 - $45,624

from 4 insurers · median $37,821

Aetna$42,067
Insurer A*$31,006
Insurer B*$33,576
Insurer C*$45,624
Medicare $14,542Nearby hospitals $28,52633% above nearby hospitals

661 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$12,315 - $16,910

from 4 insurers · median $13,928

Cigna$13,802
Insurer A*$12,315
Insurer B*$14,054
Insurer C*$16,910

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$62,039 - $91,794

from 4 insurers · median $71,191

Aetna$74,275
Insurer A*$62,039
Insurer B*$68,106
Insurer C*$91,794
Medicare $30,853

79 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$16,228 - $20,479

from 4 insurers · median $17,835

Cigna$20,479
Insurer A*$16,228
Insurer B*$17,262
Insurer C*$18,408

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Providence St Johns Health Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
761%
30
Insurer B*24
440%
163
Insurer C*24
227%
120
Insurer D*24
181%
108

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Providence St Johns Health Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 185 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.19%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 43 services
    • 687 affiliated clinicians
    See doctors and services
  • Finances

    $473M net patient revenue

    • Operating margin on patient care -23.4%
    • $42.1M unreimbursed and uncompensated care
    • -$79.7M net income
    See finances
  • Ownership and leadership

    Owned by Providence Health System Southern California

    • Private (not for profit)
    • Darryl Elmouchi, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Providence St Johns Health Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-1684082(multi-state) Providence Saint Johns Health Center61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1124026273 Providence Saint John's Health Center1457423725 Santa Monica Orthopaedic And Sports Medicine Group1609901016 Providence Saint John's Health Center

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2121 Santa Monica Boulevard, Santa Monica, CA 90404

(310) 829-5511

Get directions

Frequently asked questions

About Providence St Johns Health Center's rates and hospital price transparency.

How much does an MRI cost at Providence St Johns Health Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Providence St Johns Health Center range from $296 to $4,588 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $795. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Providence St Johns Health Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Providence St Johns Health Center range from $466 to $3,753 across 4 insurers. UnitedHealthcare's rate is $611. The median at nearby comparable hospitals is $1,340. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Providence St Johns Health Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Providence St Johns Health Center range from $4,099 to $9,297 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,458. The median at nearby comparable hospitals is $3,263. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Providence St Johns Health Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Providence St Johns Health Center range from $12,315 to $16,910 across 4 insurers. Cigna's rate is $13,802. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Providence St Johns Health Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Providence St Johns Health Center range from $160 to $712 across 4 insurers. Aetna's rate is $176. The median at nearby comparable hospitals is $255. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Providence St Johns Health Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Providence St Johns Health Center range from $31,006 to $45,624 across 4 insurers. Aetna's rate is $42,067. The median at nearby comparable hospitals is $28,526. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Providence St Johns Health Center's CMS star rating?

Providence St Johns Health Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Providence St Johns Health Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Providence St Johns Health Center for fiscal year 2027.

Does Medicare penalize Providence St Johns Health Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Providence St Johns Health Center's base inpatient payments by an estimated 0.19% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Providence St Johns Health Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (598 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (505 discharges), heart failure and shock with mcc (152 discharges).

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We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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