Salivary gland function exam 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.
$219.91 with Aetna vs $2,067.81 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $219.91 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $312.23 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $337.96 | — |
| Blue Shield | Hmo | $377.42 | — |
| Blue Shield | Ppo/Epo | $377.42 | — |
| Aetna | Medicare Managed Care Plan | $514.17 | — |
| Blue Cross | All Commercial Plans | $520.31 | — |
| Humana | Medicare Managed Care Plan | $524.46 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $538.69 | — |
| Caremore | Medicare Managed Care Plan | $565.59 | — |
| Unitedhealthcare | All Commercial Plans | $589.01 | — |
| Unitedhealthcare | Select/Navigate Hmo | $589.01 | — |
| Blue Shield | Medicare Managed Care Plan | $603.88 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $606.72 | — |
| La Care Health Plan | Covered Ca Exchange | $668.42 | — |
| Healthnet | Ambetter Hmo | $951.22 | — |
| Healthnet | Ambetter Ppo | $1,100.33 | — |
| Cigna | Oa/Oap Hmo/Pos | $1,552.13 | — |
| Cigna | Ppo | $2,067.81 | — |
Visitor-reported prices
Comments
Salivary gland function exam at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $911.04 | $187.75 – $1,824.90 |
| Redwood City Medical Center | Redwood City | $3,136.00 | $537.00 – $537.00 |
| Santa Clara Medical Center | SANTA CLARA | $3,136.00 | $537.00 – $537.00 |
| Sacramento Medical Center | SACRAMENTO | $3,136.00 | $537.00 – $537.00 |
| Oakland Medical Center | Oakland | $3,136.00 | $537.00 – $537.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $3,136.00 | $537.00 – $537.00 |
| Mark Twain Medical Center | San Andreas | $1,399.27 | $124.10 – $970.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $364.70 | $124.10 – $1,976.45 |