Ortho wrst/hnd w/jnt cstm w/fit&adj at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$175.00
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.
?
What you pay up front if you don't use insurance.
$500.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,082.62 with Aetna vs $2,316.81 with Healthnet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,082.62 | ↑ +519% |
| Humana | Medicare Managed Care Plan | $1,104.27 | ↑ +531% |
| Caremore | Medicare Managed Care Plan | $1,190.88 | ↑ +581% |
| La Care Health Plan | Covered Ca Exchange | $1,407.41 | ↑ +704% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,505.48 | ↑ +760% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,695.36 | ↑ +869% |
| Healthnet | Ambetter Hmo | $2,002.85 | ↑ +1044% |
| Healthnet | Ambetter Ppo | $2,316.81 | ↑ +1224% |
Visitor-reported prices
Comments
Ortho wrst/hnd w/jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Dominican Hospital | Santa Cruz | $1,111.95 | $567.35 – $2,471.00 |
| Providence Saint Joseph Medical Center | Burbank | $134.75 | $1,082.62 – $2,002.85 |
| Mercy San Juan Medical Center | Carmichael | $506.90 | $203.50 – $1,572.50 |
| Mercy General Hospital | Sacramento | $403.30 | $425.50 – $1,646.50 |
| Mercy Hospital of Folsom | Folsom | $719.65 | $203.50 – $1,776.00 |
| Woodland Memorial Hospital | Woodland | $506.90 | $203.50 – $1,850.00 |
| Methodist Hospital of Sacramento | Sacramento | $532.80 | $425.50 – $1,665.00 |
| Providence Holy Cross Medical Center | Mission Hills | $134.75 | $1,082.62 – $2,002.85 |