Dmd dup/delet analysis 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.
$279.00 with Aetna vs $1,288.40 with Aetna — 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 | $279.00 | — |
| Humana | Medicare Managed Care Plan | $284.58 | — |
| Caremore | Medicare Managed Care Plan | $306.90 | — |
| La Care Health Plan | Covered Ca Exchange | $362.70 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $395.73 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $445.65 | — |
| Healthnet | Ambetter Hmo | $516.15 | — |
| Cigna | Oa/Oap Hmo/Pos | $529.54 | — |
| Unitedhealthcare | All Commercial Plans | $558.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $558.00 | — |
| First Health/Coventry | Coventry All Commercial Plans | $558.00 | — |
| Healthnet | Ambetter Ppo | $597.06 | — |
| Cigna | Ppo | $705.45 | — |
| Blue Cross | All Commercial Plans | $925.51 | — |
| Aetna | All Commercial Plans | $1,288.40 | — |
Visitor-reported prices
Comments
Dmd dup/delet analysis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $222.27 | $112.90 – $718.87 |
| French Hospital | San Luis Obispo | $203.57 | $112.90 – $845.09 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $404.03 | $112.90 – $508.93 |
| Mercy Medical Center Redding | Redding | $263.30 | $112.90 – $508.93 |
| St. Elizabeth Community Hospital | Red Bluff | $303.28 | $112.90 – $508.93 |
| Petaluma Valley Hospital | Petaluma | not published | $273.42 – $1,376.89 |
| Queen of The Valley Medical Center | Napa | not published | $279.00 – $1,740.05 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $279.00 – $3,288.74 |