Repair pm/icd lead dual 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.
$3,664.00 with Blue Cross vs $20,717.00 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 Cross | All Commercial Plans | $3,664.00 | — |
| Blue Shield | Medicare Managed Care Plan | $4,589.00 | — |
| Aetna | Medicare Managed Care Plan | $4,806.35 | — |
| Humana | Medicare Managed Care Plan | $4,902.48 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $5,035.51 | — |
| Caremore | Medicare Managed Care Plan | $5,286.99 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,671.42 | — |
| La Care Health Plan | Covered Ca Exchange | $6,248.26 | — |
| Unitedhealthcare | Select/Navigate Hmo | $6,580.00 | — |
| Unitedhealthcare | All Commercial Plans | $7,451.00 | — |
| Healthnet | Ambetter Hmo | $8,891.76 | — |
| Cigna | Oa/Oap Hmo/Pos | $9,636.00 | — |
| Healthnet | Ambetter Ppo | $10,285.60 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $10,542.00 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $11,486.00 | — |
| Healthnet | Blue And Gold Other Commercial Plan | $12,111.00 | — |
| Blue Shield | Hmo | $12,372.00 | — |
| Blue Shield | Ppo/Epo | $12,749.00 | — |
| Healthnet | All Commercial Plans | $19,534.00 | — |
| Cigna | Ppo | $20,717.00 | — |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,096.27 | $416.70 – $8,410.84 |
| Bakersfield Memorial Hospital | Bakersfield | $3,178.22 | $338.78 – $6,841.40 |
| Queen of The Valley Medical Center | Napa | $7,975.38 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,279.63 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,445.50 | $338.78 – $6,987.12 |
| Mercy Medical Center Merced | Merced | $4,342.48 | $338.78 – $8,347.68 |
| Northridge Hospital Medical Center | Northridge | $2,065.44 | $338.78 – $7,403.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,096.85 | $4,589.00 – $8,891.76 |