Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

1250 16Th Street, Santa Monica, CA 90404 · (310) 319-4000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 5/5Los Angeles, CA metro Website ↗

Price file

Prices published

File dated 2026-03-29

1,471 price rows for 64 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$7 to $24

22 negotiated rates

—

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$282 to $1,288

22 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$101 to $386

22 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$204 to $647

22 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,898 to $8,519

21 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,000 to $27,194

31 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$31 to $101

22 negotiated rates

—

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$1,158 to $6,999

24 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,498 to $4,417

21 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,498 to $6,999

24 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$7 to $22

22 negotiated rates

—

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$9 to $30

22 negotiated rates

—

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$148 to $612

20 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$29 to $29

1 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$57 to $57

1 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$51 to $655

22 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$87 to $655

22 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$7,413 to $22,316

24 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$31 to $101

22 negotiated rates

—

list

Group psychotherapy

CPT 90853

—

cash

$24 to $375

22 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$2,175 to $48,081

20 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$2,175 to $19,433

20 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$2,175 to $30,927

20 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$4,484 to $13,216

24 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$4,123 to $12,078

24 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$697 to $2,030

21 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$763 to $11,967

22 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$12 to $38

22 negotiated rates

—

list

Liver function panel

CPT 80076

—

cash

$6 to $23

22 negotiated rates

—

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$311 to $1,288

22 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$197 to $881

22 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148

—

cash

$186 to $881

22 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$186 to $881

22 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$2,175 to $60,854

20 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$1,131 to $3,265

21 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$57 to $57

1 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$69 to $69

1 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$83 to $83

1 negotiated rates

—

list

PSA test (prostate)

CPT 84153

—

cash

$16 to $53

22 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$5 to $19

44 negotiated rates

—

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$11 to $107

20 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$94 to $386

22 negotiated rates

—

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$114 to $114

1 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$132 to $132

1 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$2,603 to $3,563

11 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$13,229 to $39,238

21 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$3 to $12

22 negotiated rates

—

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$53 to $655

22 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$67 to $655

22 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$98 to $655

22 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,865 to $14,453

23 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$119 to $495

20 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$348 to $3,170

22 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$880 to $3,265

42 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$880 to $3,265

42 negotiated rates

—

list

TSH test (thyroid)

CPT 84443

—

cash

$15 to $48

22 negotiated rates

—

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,121 to $21,852

44 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$68 to $386

22 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$83 to $386

22 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$1,167 to $3,348

21 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$1,167 to $3,348

21 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $9

22 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$900 to $18,531

30 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

—

cash

$44 to $386

22 negotiated rates

—

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.uclahealth.org/sites/default/files/cms-hpt/954541687_santa-monica-ucla-medical-center-and-orthopaedic-hospital_standardcharges.json
UCLA Santa Monica Medical Center · parsed · json v3.0.0 · file dated 2026-03-29 · 429.6 MB · 1471 price rows read · read Nov 2026