ER Visit (level 5, high severity) at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$1,809.85
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.
$5,171.00
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.
$765.95 with Aetna vs $1,639.14 with Healthnet — 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 | $765.95 | ↓ -58% |
| Humana | Medicare Managed Care Plan | $781.27 | ↓ -57% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $802.47 | ↓ -56% |
| Caremore | Medicare Managed Care Plan | $842.55 | ↓ -53% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $903.81 | ↓ -50% |
| La Care Health Plan | Covered Ca Exchange | $995.74 | ↓ -45% |
| Healthnet | Ambetter Hmo | $1,417.01 | ↓ -22% |
| Healthnet | Ambetter Ppo | $1,639.14 | ↓ -9% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |