Angio tib/peroneal/init ves/unila 37228 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$4,519.55
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.
$12,913.00
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.
$2,159.89 with Blue Shield vs $48,502.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $2,159.89 | ↓ -52% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $7,217.86 | ↑ +60% |
| Blue Shield | Hmo | $8,017.56 | ↑ +77% |
| Blue Shield | Ppo/Epo | $8,017.56 | ↑ +77% |
| Blue Cross | All Commercial Plans | $8,365.00 | ↑ +85% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +119% |
| Blue Shield | Epn/Ifp Benefit Exchange | $11,391.00 | ↑ +152% |
| Unitedhealthcare | Select/Navigate Hmo | $13,460.00 | ↑ +198% |
| Unitedhealthcare | All Commercial Plans | $15,269.00 | ↑ +238% |
| Healthnet | Blue And Gold Other Commercial Plan | $30,073.00 | ↑ +565% |
| Healthnet | All Commercial Plans | $48,502.00 | ↑ +973% |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,916.37 | $719.28 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $7,219.94 | $475.25 – $16,050.44 |
| French Hospital | San Luis Obispo | $6,420.18 | $475.25 – $16,050.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12,102.02 | $475.43 – $26,096.00 |
| Bakersfield Memorial Hospital | Bakersfield | $11,971.54 | $475.43 – $25,769.80 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $10,293.53 | $0.80 – $9,575.00 |