Diagnostic Mammogram (one breast) at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$166.60
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.
$476.00
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.
$97.95 with Aetna vs $406.03 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 →
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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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $97.95 | ↓ -41% |
| Humana | Medicare Managed Care Plan | $99.91 | ↓ -40% |
| Caremore | Medicare Managed Care Plan | $107.75 | ↓ -35% |
| La Care Health Plan | Covered Ca Exchange | $127.34 | ↓ -24% |
| Unitedhealthcare | Select/Navigate Hmo | $151.28 | ↓ -9% |
| Unitedhealthcare | All Commercial Plans | $151.28 | ↓ -9% |
| Blue Shield | Epn/Ifp Benefit Exchange | $174.66 | ↑ +5% |
| Healthnet | Ambetter Hmo | $181.21 | ↑ +9% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $189.06 | ↑ +13% |
| Healthnet | Ambetter Ppo | $209.61 | ↑ +26% |
| Aetna | All Commercial Plans | $210.58 | ↑ +26% |
| Blue Shield | Hmo | $211.13 | ↑ +27% |
| Blue Shield | Ppo/Epo | $211.13 | ↑ +27% |
| Cigna | Oa/Oap Hmo/Pos | $295.65 | ↑ +77% |
| Blue Shield | Medicare Managed Care Plan | $337.81 | ↑ +103% |
| Cigna | Ppo | $393.86 | ↑ +136% |
| Blue Cross | All Commercial Plans | $406.03 | ↑ +144% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $192.72 | $118.80 – $393.50 |
| Banner Lassen Medical Center | Susanville | $256.89 | $127.51 – $301.67 |
| Petaluma Valley Hospital | Petaluma | $914.94 | $111.04 – $595.79 |
| Queen of The Valley Medical Center | Napa | $427.38 | $113.31 – $780.78 |
| Providence St Joseph Hospital Eureka | Eureka | $492.15 | $113.31 – $853.83 |
| Healdsburg Hospital | Healdsburg | $314.16 | $113.31 – $340.60 |
| Redwood Memorial Hospital | Fortuna | $412.59 | $855.82 – $855.82 |
| Santa Rosa Memorial Hospital | Santa Rosa | $684.42 | $111.04 – $640.56 |