Afo tib fx semi-rigid l2114 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
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.
$889.32 with Aetna vs $1,903.14 with Healthnet — 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 | Medicare Managed Care Plan | $889.32 | — |
| Humana | Choicecare Medicare Managed Care Plan | $907.11 | — |
| Central Health Plan | Medicare Managed Care Plan | $978.25 | — |
| La Care Health Plan | Covered Ca Exchange | $1,156.12 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,236.67 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,392.65 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,467.91 | — |
| Healthnet | Ambetter Hmo | $1,645.24 | — |
| Healthnet | Ambetter Ppo | $1,903.14 | — |
Visitor-reported prices
Comments
Afo tib fx semi-rigid l2114 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,654.77 | $906.72 – $2,946.84 |
| St. Mary Medical Center | Long Beach | $2,040.35 | $560.28 – $4,745.00 |
| Community Hospital San Bernardino | San Bernardino | $1,855.30 | $622.53 – $4,745.00 |
| Glendale Memorial Hospital Health Center | Glendale | $1,546.87 | $40.00 – $4,697.55 |
| St. Bernardine Medical Center | San Bernardino | $1,580.09 | $622.53 – $3,890.90 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $889.32 – $1,645.24 |
| Providence Saint Joseph Medical Center | Burbank | not published | $889.32 – $1,645.24 |
| Providence St Joseph Hospital Orange | Orange | not published | $755.92 – $1,645.24 |