Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$1,492.40
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.
$4,264.00
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.
$353.00 with Blue Shield vs $10,964.00 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 | $353.00 | ↓ -76% |
| Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | ↓ -46% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $883.00 | ↓ -41% |
| Blue Shield | Hmo | $951.00 | ↓ -36% |
| Blue Shield | Ppo/Epo | $980.00 | ↓ -34% |
| Blue Cross | All Commercial Plans | $2,623.00 | ↑ +76% |
| Unitedhealthcare | Select/Navigate Hmo | $2,669.00 | ↑ +79% |
| Unitedhealthcare | All Commercial Plans | $3,023.00 | ↑ +103% |
| Aetna | Medicare Managed Care Plan | $3,735.95 | ↑ +150% |
| Humana | Medicare Managed Care Plan | $3,810.67 | ↑ +155% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,914.07 | ↑ +162% |
| Caremore | Medicare Managed Care Plan | $4,109.54 | ↑ +175% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,408.36 | ↑ +195% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +198% |
| La Care Health Plan | Covered Ca Exchange | $4,856.73 | ↑ +225% |
| Cigna | Oa/Oap Hmo/Pos | $5,100.00 | ↑ +242% |
| Healthnet | Ambetter Hmo | $6,911.51 | ↑ +363% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +381% |
| Healthnet | Ambetter Ppo | $7,994.93 | ↑ +436% |
| Cigna | Ppo | $10,964.00 | ↑ +635% |
Visitor-reported prices
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Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,011.78 | $233.18 – $4,620.00 |
| Arroyo Grande Hospital | Santa Maria | $2,835.93 | $154.13 – $6,298.46 |
| Mark Twain Medical Center | San Andreas | $173.83 | $53.04 – $200.90 |
| French Hospital | San Luis Obispo | $2,493.52 | $154.13 – $4,870.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,550.63 | $154.13 – $3,819.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,523.13 | $154.13 – $3,771.46 |
| Queen of The Valley Medical Center | Napa | $5,139.78 | $1,727.00 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,972.90 | $1,802.00 – $9,858.00 |