Knee X-ray at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$289.10
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.
$826.00
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.
$55.14 with Blue Shield vs $525.62 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 | Epn/Ifp Benefit Exchange | $55.14 | ↓ -81% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $59.68 | ↓ -79% |
| Blue Shield | Hmo | $66.65 | ↓ -77% |
| Blue Shield | Ppo/Epo | $66.65 | ↓ -77% |
| Aetna | All Commercial Plans | $70.43 | ↓ -76% |
| Blue Cross | All Commercial Plans | $91.50 | ↓ -68% |
| Blue Shield | Medicare Managed Care Plan | $106.64 | ↓ -63% |
| Aetna | Medicare Managed Care Plan | $134.46 | ↓ -53% |
| Humana | Medicare Managed Care Plan | $137.15 | ↓ -53% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $140.87 | ↓ -51% |
| Caremore | Medicare Managed Care Plan | $147.91 | ↓ -49% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $158.66 | ↓ -45% |
| La Care Health Plan | Covered Ca Exchange | $174.80 | ↓ -40% |
| Unitedhealthcare | All Commercial Plans | $179.33 | ↓ -38% |
| Unitedhealthcare | Select/Navigate Hmo | $179.33 | ↓ -38% |
| Healthnet | Ambetter Hmo | $248.76 | ↓ -14% |
| Healthnet | Ambetter Ppo | $287.75 | ↓ -0% |
| Cigna | Oa/Oap Hmo/Pos | $394.55 | ↑ +36% |
| Cigna | Ppo | $525.62 | ↑ +82% |
Visitor-reported prices
Comments
Knee X-ray at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $372.74 | $60.11 – $663.78 |
| Banner Lassen Medical Center | Susanville | $445.42 | $45.70 – $658.63 |
| Petaluma Valley Hospital | Petaluma | $1,159.74 | $140.89 – $179.33 |
| Queen of The Valley Medical Center | Napa | $1,195.44 | $148.44 – $183.49 |
| Providence St Joseph Hospital Eureka | Eureka | $1,026.12 | $134.46 – $208.08 |
| Healdsburg Hospital | Healdsburg | $479.91 | $83.01 – $140.86 |
| Redwood Memorial Hospital | Fortuna | $847.62 | $208.57 – $208.57 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,481.04 | $145.47 – $179.33 |