Surgical pathology level 4 gross & microscopic examination at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$161.00
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.
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What you pay up front if you don't use insurance.
$460.00
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.
$65.70 with Cigna vs $233.91 with Blue Shield — 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 |
|---|---|---|---|
| Cigna | Oa/Oap Hmo/Pos | $65.70 | ↓ -59% |
| Aetna | Medicare Managed Care Plan | $67.02 | ↓ -58% |
| Humana | Medicare Managed Care Plan | $68.36 | ↓ -58% |
| Blue Cross | All Commercial Plans | $69.40 | ↓ -57% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $70.22 | ↓ -56% |
| Caremore | Medicare Managed Care Plan | $73.73 | ↓ -54% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $79.09 | ↓ -51% |
| La Care Health Plan | Covered Ca Exchange | $87.13 | ↓ -46% |
| Cigna | Ppo | $87.53 | ↓ -46% |
| Unitedhealthcare | All Commercial Plans | $98.94 | ↓ -39% |
| Unitedhealthcare | Select/Navigate Hmo | $98.94 | ↓ -39% |
| Blue Shield | Epn/Ifp Benefit Exchange | $120.94 | ↓ -25% |
| Healthnet | Ambetter Hmo | $123.99 | ↓ -23% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $130.91 | ↓ -19% |
| Healthnet | Ambetter Ppo | $143.43 | ↓ -11% |
| Blue Shield | Ppo/Epo | $146.19 | ↓ -9% |
| Blue Shield | Hmo | $146.19 | ↓ -9% |
| Aetna | All Commercial Plans | $160.81 | ↓ -0% |
| Blue Shield | Medicare Managed Care Plan | $233.91 | ↑ +45% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $190.10 | $59.71 – $338.52 |
| Petaluma Valley Hospital | Petaluma | $504.39 | $70.23 – $110.13 |
| Arroyo Grande Hospital | Santa Maria | $170.18 | $16.70 – $89.15 |
| Mark Twain Medical Center | San Andreas | $115.22 | $9.75 – $37.66 |
| French Hospital | San Luis Obispo | $155.86 | $9.02 – $104.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $135.79 | $18.93 – $99.43 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $18.93 – $99.43 |
| Queen of The Valley Medical Center | Napa | $379.44 | $73.99 – $139.18 |