Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$4,191.43

Cash price

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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.

$11,975.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$160.06 with Aetna vs $342.52 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 →

Payer
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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
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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 $160.06 ↓ -96%
Humana Choicecare Medicare Managed Care Plan $163.26 ↓ -96%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $167.69 ↓ -96%
Central Health Plan Medicare Managed Care Plan $176.06 ↓ -96%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $188.86 ↓ -95%
La Care Health Plan Covered Ca Exchange $208.07 ↓ -95%
Cigna All Commercial Plans $255.58 ↓ -94%
Unitedhealthcare Select/Navigate Hmo $276.12 ↓ -93%
Unitedhealthcare All Commercial Plans $276.12 ↓ -93%
Healthnet Ambetter Hmo $296.10 ↓ -93%
Healthnet Ambetter Ppo $342.52 ↓ -92%

Visitor-reported prices

visitor-reported
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Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,654.77 $210.39 – $2,265.90
Petaluma Valley Hospital Petaluma $8,749.36 $167.70 – $276.12
Arroyo Grande Hospital Santa Maria $4,624.54 $210.39 – $1,292.62
French Hospital San Luis Obispo $4,235.56 $210.39 – $1,292.62
Mercy Hospitals – Bakersfield Bakersfield $5,791.31 $210.39 – $4,914.00
Bakersfield Memorial Hospital Bakersfield $5,728.87 $210.39 – $5,296.20
Queen of The Valley Medical Center Napa $8,749.36 $176.69 – $276.12
Providence St Joseph Hospital Eureka Eureka $4,332.07 $160.06 – $276.12

All California hospitals for this procedure →