Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$13,167.00
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.
$37,620.00
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.
$160.06 with Aetna vs $668.42 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 | $160.06 | ↓ -99% |
| Humana | Medicare Managed Care Plan | $163.26 | ↓ -99% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $167.69 | ↓ -99% |
| Caremore | Medicare Managed Care Plan | $176.06 | ↓ -99% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $188.86 | ↓ -99% |
| La Care Health Plan | Covered Ca Exchange | $208.07 | ↓ -98% |
| Cigna | Oa/Oap Hmo/Pos | $271.38 | ↓ -98% |
| Cigna | Ppo | $271.38 | ↓ -98% |
| Unitedhealthcare | All Commercial Plans | $293.20 | ↓ -98% |
| Unitedhealthcare | Select/Navigate Hmo | $293.20 | ↓ -98% |
| Healthnet | Ambetter Hmo | $296.10 | ↓ -98% |
| Healthnet | Ambetter Ppo | $342.52 | ↓ -97% |
| Blue Cross | All Commercial Plans | $668.42 | ↓ -95% |
Visitor-reported prices
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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $4,624.54 | $134.06 – $10,588.90 |
| French Hospital | San Luis Obispo | $4,235.56 | $134.06 – $10,588.90 |
| Providence St Joseph Hospital Eureka | Eureka | $10,924.20 | $160.06 – $293.20 |
| Redwood Memorial Hospital | Fortuna | $10,924.20 | $253.32 – $272.35 |
| St. Joseph's Medical Center Stockton | Stockton | $8,559.23 | $134.06 – $1,048.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $10,345.85 | $134.06 – $1,590.54 |
| Dominican Hospital | Santa Cruz | $5,380.65 | $131.79 – $4,184.00 |
| Northridge Hospital Medical Center | Northridge | $4,240.53 | $134.06 – $8,988.00 |