Biliary endoscopy thru skin at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,165.45
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.
$6,187.00
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.
$1,746.72 with Blue Shield vs $17,818.53 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 | $1,746.72 | ↓ -19% |
| Blue Shield | Epn/Ifp Benefit Exchange | $5,031.33 | ↑ +132% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,837.15 | ↑ +170% |
| Blue Shield | Hmo | $6,483.87 | ↑ +199% |
| Blue Shield | Ppo/Epo | $6,483.87 | ↑ +199% |
| Blue Cross | All Commercial Plans | $6,790.00 | ↑ +214% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +239% |
| Aetna | Medicare Managed Care Plan | $8,326.41 | ↑ +285% |
| Humana | Choicecare Medicare Managed Care Plan | $8,492.94 | ↑ +292% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $8,723.40 | ↑ +303% |
| Central Health Plan | Medicare Managed Care Plan | $9,159.06 | ↑ +323% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $9,825.04 | ↑ +354% |
| Unitedhealthcare | Select/Navigate Hmo | $9,834.00 | ↑ +354% |
| Cigna | All Commercial Plans | $10,103.00 | ↑ +367% |
| La Care Health Plan | Covered Ca Exchange | $10,824.34 | ↑ +400% |
| Unitedhealthcare | All Commercial Plans | $11,155.00 | ↑ +415% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +446% |
| Healthnet | Ambetter Hmo | $15,403.87 | ↑ +611% |
| Healthnet | Ambetter Ppo | $17,818.53 | ↑ +723% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,333.23 | $325.80 – $8,890.24 |
| Arroyo Grande Hospital | Santa Maria | $1,916.59 | $264.88 – $4,478.00 |
| French Hospital | San Luis Obispo | $1,755.38 | $264.88 – $4,478.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,687.00 | $264.88 – $7,950.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,039.50 | $264.88 – $6,542.78 |
| St. Joseph's Medical Center Stockton | Stockton | $5,673.03 | $264.88 – $6,617.52 |
| Mercy Medical Center Merced | Merced | $4,152.45 | $264.88 – $7,982.37 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,424.80 | $1,747.00 – $10,824.34 |