App high cost ss t/a/l >100sq cm addl 100sq cm at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$714.00
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.
$2,040.00
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.
$352.70 with Blue Shield vs $9,891.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $352.70 | ↓ -51% |
| Blue Shield | Epn/Ifp Benefit Exchange | $561.69 | ↓ -21% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↑ +65% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↑ +83% |
| Blue Shield | Hmo | $1,309.24 | ↑ +83% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +108% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +136% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +461% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +1285% |
Visitor-reported prices
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App high cost ss t/a/l >100sq cm addl 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $435.34 | $51.72 – $830.00 |
| Petaluma Valley Hospital | Petaluma | $1,146.48 | $593.00 – $10,997.00 |
| Bakersfield Memorial Hospital | Bakersfield | $716.76 | $42.05 – $1,165.23 |
| Queen of The Valley Medical Center | Napa | $1,177.59 | $1,727.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,345.09 | $1,802.00 – $21,319.00 |
| Healdsburg Hospital | Healdsburg | $3,593.46 | $721.00 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,592.84 | $1,847.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,164.33 | $691.00 – $12,908.00 |