Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr 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

$382.55

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.

$1,093.00

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.

$22.62 with Aetna vs $91.78 with Blue Cross — 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 All Commercial Plans $22.62 ↓ -94%
Aetna Medicare Managed Care Plan $22.81 ↓ -94%
Humana Choicecare Medicare Managed Care Plan $23.26 ↓ -94%
Central Health Plan Medicare Managed Care Plan $25.09 ↓ -93%
La Care Health Plan Covered Ca Exchange $29.65 ↓ -92%
Blue Shield Epn/Ifp Benefit Exchange $32.63 ↓ -91%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $34.01 ↓ -91%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $38.30 ↓ -90%
Healthnet Ambetter Hmo $42.19 ↓ -89%
Cigna All Commercial Plans $46.39 ↓ -88%
Healthnet Ambetter Ppo $48.81 ↓ -87%
Unitedhealthcare All Commercial Plans $50.12 ↓ -87%
Unitedhealthcare Select/Navigate Hmo $50.12 ↓ -87%
Blue Shield Ppo/Epo $51.97 ↓ -86%
Blue Shield Medicare Managed Care Plan $51.97 ↓ -86%
Blue Shield Hmo $51.97 ↓ -86%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $51.97 ↓ -86%
Blue Cross All Commercial Plans $91.78 ↓ -76%

Visitor-reported prices

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Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $257.99 $28.74 – $459.42
Petaluma Valley Hospital Petaluma $352.88 $22.35 – $50.12
Arroyo Grande Hospital Santa Maria $840.17 $28.74 – $1,923.74
French Hospital San Luis Obispo $769.50 $23.31 – $1,923.74
Mercy Hospitals – Bakersfield Bakersfield $451.51 $23.31 – $625.60
Bakersfield Memorial Hospital Bakersfield $446.64 $28.74 – $617.78
Queen of The Valley Medical Center Napa $634.91 $22.81 – $50.12
Providence St Joseph Hospital Eureka Eureka $634.91 $22.81 – $54.01

All California hospitals for this procedure →