Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$13,589.45
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.
$38,827.00
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.
$1,487.00 with Unitedhealthcare vs $12,656.02 with Blue Shield — 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↓ -89% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↓ -88% |
| Blue Shield | Medicare Managed Care Plan | $3,409.47 | ↓ -75% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↓ -71% |
| Cigna | All Commercial Plans | $9,891.00 | ↓ -27% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $11,393.66 | ↓ -16% |
| Blue Shield | Ppo/Epo | $12,656.02 | ↓ -7% |
| Blue Shield | Hmo | $12,656.02 | ↓ -7% |
Visitor-reported prices
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Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,458.01 | $295.15 – $6,158.10 |
| Arroyo Grande Hospital | Santa Maria | $11,124.15 | $195.09 – $25,471.18 |
| French Hospital | San Luis Obispo | $10,188.48 | $195.09 – $25,471.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,518.01 | $195.09 – $9,450.02 |
| Bakersfield Memorial Hospital | Bakersfield | $9,415.39 | $195.09 – $25,398.45 |
| Healdsburg Hospital | Healdsburg | $427.38 | $3,982.87 – $6,972.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,628.53 | $195.09 – $7,614.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,132.28 | $1,716.00 – $12,908.00 |