X-ray sinus tract/fistula/abscess at Providence Little Co of Mary Med Center San Pedro
1300 W 7th St, San Pedro, CA · Providence · · NPI 1942247291
$385.00
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.
$1,100.00
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.
$82.21 with Aetna vs $2,710.05 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 | $82.21 | ↓ -79% |
| Blue Shield | Epn/Ifp Benefit Exchange | $93.67 | ↓ -76% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $101.39 | ↓ -74% |
| Blue Shield | Ppo/Epo | $113.23 | ↓ -71% |
| Blue Shield | Hmo | $113.23 | ↓ -71% |
| Blue Cross | All Commercial Plans | $154.53 | ↓ -60% |
| Blue Shield | Medicare Managed Care Plan | $181.17 | ↓ -53% |
| Aetna | Medicare Managed Care Plan | $702.78 | ↑ +83% |
| Humana | Medicare Managed Care Plan | $716.84 | ↑ +86% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $736.29 | ↑ +91% |
| Unitedhealthcare | Select/Navigate Hmo | $770.53 | ↑ +100% |
| Unitedhealthcare | All Commercial Plans | $770.53 | ↑ +100% |
| Caremore | Medicare Managed Care Plan | $773.06 | ↑ +101% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $829.27 | ↑ +115% |
| La Care Health Plan | Covered Ca Exchange | $913.62 | ↑ +137% |
| Healthnet | Ambetter Hmo | $1,300.14 | ↑ +238% |
| Healthnet | Ambetter Ppo | $1,503.95 | ↑ +291% |
| Cigna | Oa/Oap Hmo/Pos | $2,034.28 | ↑ +428% |
| Cigna | Ppo | $2,710.05 | ↑ +604% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $1,383.20 | $731.00 – $731.00 |
| St. John's Camarillo Hospital | Camarillo | $413.91 | $90.69 – $2,339.15 |
| Antioch Medical Center | ANTIOCH | $1,383.20 | $731.00 – $731.00 |
| Redwood City Medical Center | Redwood City | $1,383.20 | $731.00 – $731.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,383.20 | $731.00 – $731.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,435.20 | $498.00 – $498.00 |
| Riverside Medical Center | RIVERSIDE | $1,435.20 | $498.00 – $498.00 |
| Fremont Medical Center | FREMONT | $1,383.20 | $731.00 – $731.00 |