Allograft graftjacket 2x12cm-q4107-cost per sq cm at Providence Little Co of Mary Med Center San Pedro

1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$4,232.06

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$12,091.60

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

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The hospital's undiscounted list price — almost no one pays this.

$160.06 with Aetna vs $383.26 with Blue Cross — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Aetna Medicare Managed Care Plan $160.06 ↓ -96%
Humana Medicare Managed Care Plan $163.26 ↓ -96%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $167.69 ↓ -96%
Cigna Oa/Oap Hmo/Pos $171.06 ↓ -96%
Cigna Ppo $171.06 ↓ -96%
Caremore Medicare Managed Care Plan $176.06 ↓ -96%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $188.86 ↓ -96%
La Care Health Plan Covered Ca Exchange $208.07 ↓ -95%
Unitedhealthcare All Commercial Plans $293.41 ↓ -93%
Unitedhealthcare Select/Navigate Hmo $293.41 ↓ -93%
Healthnet Ambetter Hmo $296.10 ↓ -93%
Healthnet Ambetter Ppo $342.52 ↓ -92%
Blue Cross All Commercial Plans $383.26 ↓ -91%

Visitor-reported prices

visitor-reported
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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $7,999.20 $119.88 – $4,982.64
Petaluma Valley Hospital Petaluma $8,834.18 $112.22 – $293.41
Arroyo Grande Hospital Santa Maria $7,817.85 $95.72 – $4,815.72
French Hospital San Luis Obispo $7,160.28 $95.72 – $4,815.72
Mercy Hospitals – Bakersfield Bakersfield $7,529.45 $95.72 – $4,914.00
Bakersfield Memorial Hospital Bakersfield $7,448.27 $95.72 – $5,296.20
Queen of The Valley Medical Center Napa $7,457.42 $121.47 – $293.41
Providence St Joseph Hospital Eureka Eureka $4,374.07 $144.89 – $293.41

All California hospitals for this procedure →