Access & clsr pq fem art endogft dlvry w/img uni at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$630.00
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.
$1,800.00
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.
$1,142.09 with Blue Shield vs $9,891.00 with Cigna — 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $1,142.09 | ↑ +81% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +136% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +168% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↑ +506% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↑ +573% |
| Blue Shield | Hmo | $4,239.46 | ↑ +573% |
| Blue Cross | All Commercial Plans | $8,365.00 | ↑ +1228% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +1470% |
Visitor-reported prices
Comments
Access & clsr pq fem art endogft dlvry w/img uni at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,190.51 | $107.59 – $5,015.64 |
| French Hospital | San Luis Obispo | $1,986.27 | $107.59 – $4,965.66 |
| Bakersfield Memorial Hospital | Bakersfield | $1,729.31 | $107.59 – $4,664.88 |
| Providence St Joseph Hospital Eureka | Eureka | $4,092.24 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,317.71 | $107.59 – $3,764.88 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,993.41 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,686.08 | $1,200.00 – $13,634.00 |
| Mercy Medical Center Merced | Merced | $2,461.70 | $107.59 – $4,732.20 |