Anal/urinary muscle study at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$748.30
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.
$2,138.00
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.
$321.35 with Aetna vs $5,977.00 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 | Medicare Managed Care Plan | $321.35 | ↓ -57% |
| Humana | Choicecare Medicare Managed Care Plan | $327.77 | ↓ -56% |
| Blue Shield | Epn/Ifp Benefit Exchange | $336.27 | ↓ -55% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $336.67 | ↓ -55% |
| Central Health Plan | Medicare Managed Care Plan | $353.48 | ↓ -53% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $379.18 | ↓ -49% |
| La Care Health Plan | Covered Ca Exchange | $417.75 | ↓ -44% |
| Healthnet | Ambetter Hmo | $594.49 | ↓ -21% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↓ -20% |
| Healthnet | Ambetter Ppo | $687.68 | ↓ -8% |
| Healthnet | All Commercial Plans | $970.00 | ↑ +30% |
| Blue Shield | Medicare Managed Care Plan | $1,142.09 | ↑ +53% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +99% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +125% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↑ +410% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +435% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↑ +467% |
| Blue Shield | Hmo | $4,239.46 | ↑ +467% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +699% |
Visitor-reported prices
Comments
Anal/urinary muscle study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $374.06 | $89.33 – $597.80 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $444.24 | $123.46 – $559.58 |
| Mercy Medical Center Merced | Merced | $290.98 | $72.63 – $559.35 |
| St. Mary Medical Center | Long Beach | $211.56 | $72.63 – $572.45 |
| Community Hospital San Bernardino | San Bernardino | $312.02 | $72.63 – $798.00 |
| Glendale Memorial Hospital Health Center | Glendale | $393.81 | $113.48 – $966.40 |
| Mercy Medical Center Redding | Redding | $435.52 | $144.34 – $841.82 |
| St. Bernardine Medical Center | San Bernardino | $235.44 | $72.63 – $602.59 |