Membrane collgn porcine maci w/autologous cult chondrocytes 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.
$67,138.44 with Blue Shield vs $237,489.19 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $67,138.44 | — |
| Blue Shield | Ppo/Epo | $75,037.08 | — |
| Blue Shield | Hmo | $75,037.08 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $75,037.08 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $75,037.08 | — |
| Cigna | Ppo | $133,605.50 | — |
| Cigna | Oa/Oap Hmo/Pos | $133,605.50 | — |
| Unitedhealthcare | All Commercial Plans | $169,820.76 | — |
| Unitedhealthcare | Select/Navigate Hmo | $169,820.76 | — |
| Blue Cross | All Commercial Plans | $237,489.19 | — |
Visitor-reported prices
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Membrane collgn porcine maci w/autologous cult chondrocytes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $74,569.15 | $38,582.94 – $160,796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $73,765.17 | $50,248.75 – $200,995.00 |
| St. Joseph's Medical Center Stockton | Stockton | $35,455.52 | $31,355.22 – $221,691.13 |
| Mercy Medical Center Merced | Merced | $39,334.16 | $19,094.25 – $76,377.00 |
| Dominican Hospital | Santa Cruz | $131,891.85 | $79,081.20 – $293,093.00 |
| Sequoia Hospital | Redwood City | $85,304.50 | $51,557.66 – $234,353.00 |
| Mercy San Juan Medical Center | Carmichael | $84,468.72 | $33,910.80 – $255,872.40 |
| Mercy General Hospital | Sacramento | $67,205.04 | $51,975.00 – $246,624.00 |