Artery-vein nonautograft at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
not published by hospital
Cash price 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.
not published by hospital
Gross charge 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.
$2,160.00 with Blue Shield vs $20,717.00 with Cigna — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $2,160.00 | — |
| Blue Cross | All Commercial Plans | $4,712.00 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $4,962.00 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,407.00 | — |
| Blue Shield | Hmo | $5,823.00 | — |
| Blue Shield | Ppo/Epo | $6,001.00 | — |
| Aetna | Medicare Managed Care Plan | $7,156.86 | — |
| Humana | Medicare Managed Care Plan | $7,300.00 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7,498.09 | — |
| Caremore | Medicare Managed Care Plan | $7,872.54 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8,444.98 | — |
| La Care Health Plan | Covered Ca Exchange | $9,303.92 | — |
| Cigna | Oa/Oap Hmo/Pos | $9,636.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $10,761.00 | — |
| Healthnet | Blue And Gold Other Commercial Plan | $12,111.00 | — |
| Unitedhealthcare | All Commercial Plans | $12,187.00 | — |
| Healthnet | Ambetter Hmo | $13,240.19 | — |
| Healthnet | Ambetter Ppo | $15,315.68 | — |
| Healthnet | All Commercial Plans | $19,534.00 | — |
| Cigna | Ppo | $20,717.00 | — |
Visitor-reported prices
Comments
Artery-vein nonautograft at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $7,161.26 | $667.74 – $9,932.16 |
| Northridge Hospital Medical Center | Northridge | $4,889.48 | $667.74 – $17,525.00 |
| Providence St Joseph Hospital Orange | Orange | $8,242.08 | $6,083.33 – $13,240.19 |
| St. John's Camarillo Hospital | Camarillo | not published | $821.32 – $12,900.80 |
| Petaluma Valley Hospital | Petaluma | not published | $3,632.00 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $667.74 – $6,868.48 |
| Mark Twain Medical Center | San Andreas | not published | $667.74 – $667.74 |
| French Hospital | San Luis Obispo | not published | $667.74 – $6,868.48 |