Aspirate/inj ganglion cyst 20612 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$498.05
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.
$1,423.00
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 $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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $352.70 | ↓ -29% |
| Aetna | Medicare Managed Care Plan | $394.79 | ↓ -21% |
| Humana | Choicecare Medicare Managed Care Plan | $402.69 | ↓ -19% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $413.61 | ↓ -17% |
| Central Health Plan | Medicare Managed Care Plan | $434.27 | ↓ -13% |
| Blue Shield | Epn/Ifp Benefit Exchange | $450.55 | ↓ -10% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $465.85 | ↓ -6% |
| La Care Health Plan | Covered Ca Exchange | $513.23 | ↑ +3% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↑ +21% |
| Healthnet | Ambetter Hmo | $730.36 | ↑ +47% |
| Healthnet | Ambetter Ppo | $844.85 | ↑ +70% |
| Healthnet | All Commercial Plans | $970.00 | ↑ +95% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↑ +137% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↑ +163% |
| Blue Shield | Hmo | $1,309.24 | ↑ +163% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +199% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +239% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +1016% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +1100% |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $491.88 | $76.73 – $875.94 |
| Petaluma Valley Hospital | Petaluma | $550.80 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $480.22 | $62.38 – $1,099.56 |
| Mark Twain Medical Center | San Andreas | $68.60 | $21.99 – $83.30 |
| French Hospital | San Luis Obispo | $356.33 | $62.38 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $142.84 | $62.38 – $375.07 |
| Bakersfield Memorial Hospital | Bakersfield | $335.81 | $62.38 – $375.07 |
| Queen of The Valley Medical Center | Napa | $612.51 | $435.83 – $6,200.00 |