Saint John's Health Center
Saint John's Health Center in Santa Monica, CA charges 5.6x the Medicare reimbursement rate across 87 analyzed procedures at this nonprofit-private hospital.
Santa Monica, CA 90404 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
5.63x
Charge / Medicare rate
Max markup
9.19x
Worst procedure
Procedures analyzed
87
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | 708 | $100,195 | $50,098 | — | 9.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $81,871 | $40,935 | — | 7.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $116,850 | $58,425 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $43,441 | $21,720 | — | 7.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $51,413 | $25,707 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $52,683 | $26,341 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $62,532 | $31,266 | — | 7.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $50,393 | $25,196 | — | 7.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $77,217 | $38,609 | — | 6.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $52,160 | $26,080 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $41,840 | $20,920 | — | 6.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $141,684 | $70,842 | — | 6.8x |
| RENAL FAILURE WITH CC | 683 | $45,027 | $22,514 | — | 6.7x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $100,873 | $50,436 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $38,480 | $19,240 | — | 6.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $88,026 | $44,013 | — | 6.6x |
| MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | 707 | $103,978 | $51,989 | — | 6.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $81,573 | $40,787 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $70,299 | $35,150 | — | 6.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $200,468 | $100,234 | — | 6.5x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $106,554 | $53,277 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $55,419 | $27,710 | — | 6.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $39,533 | $19,767 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $50,980 | $25,490 | — | 6.4x |
| SEIZURES WITHOUT MCC | 101 | $42,596 | $21,298 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,627 | $17,813 | — | 6.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $74,484 | $37,242 | — | 6.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $42,711 | $21,355 | — | 6.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $119,316 | $59,658 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $61,169 | $30,584 | — | 6.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,629 | $22,814 | — | 6.1x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,263 | $11,631 | — | 6.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $31,922 | $15,961 | — | 6x |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $116,359 | $58,180 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $51,204 | $25,602 | — | 5.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $49,787 | $24,894 | — | 5.9x |
| CELLULITIS WITHOUT MCC | 603 | $39,945 | $19,972 | — | 5.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $120,470 | $60,235 | — | 5.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $123,856 | $61,928 | — | 5.8x |
| RENAL FAILURE WITH MCC | 682 | $68,721 | $34,361 | — | 5.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $59,138 | $29,569 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $107,011 | $53,506 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $115,553 | $57,776 | — | 5.7x |
| SEIZURES WITH MCC | 100 | $94,082 | $47,041 | — | 5.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $84,974 | $42,487 | — | 5.7x |
| SYNCOPE AND COLLAPSE | 312 | $38,659 | $19,330 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $93,930 | $46,965 | — | 5.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $74,594 | $37,297 | — | 5.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $88,181 | $44,091 | — | 5.5x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $64,441 | $32,221 | — | 5.4x |
Showing 50 of 87 procedures
How SAINT JOHN'S HEALTH CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from SAINT JOHN'S HEALTH CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Saint John's Health Center?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use