Biopsy/soft tissue/neck or thorax 21550 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$4,378.85
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.
$12,511.00
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.
$1,142.09 with Blue Shield vs $7,176.00 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 | $1,142.09 | ↓ -74% |
| Aetna | Medicare Managed Care Plan | $2,124.23 | ↓ -51% |
| Humana | Choicecare Medicare Managed Care Plan | $2,166.71 | ↓ -51% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,225.51 | ↓ -49% |
| Central Health Plan | Medicare Managed Care Plan | $2,336.65 | ↓ -47% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,506.56 | ↓ -43% |
| La Care Health Plan | Covered Ca Exchange | $2,761.50 | ↓ -37% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,933.51 | ↓ -33% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↓ -13% |
| Healthnet | Ambetter Hmo | $3,929.83 | ↓ -10% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↓ -9% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↓ -6% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↓ -3% |
| Blue Shield | Hmo | $4,239.46 | ↓ -3% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +2% |
| Healthnet | Ambetter Ppo | $4,545.85 | ↑ +4% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↑ +6% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +36% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +64% |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,779.55 | $105.09 – $4,949.88 |
| Petaluma Valley Hospital | Petaluma | $3,036.03 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $3,606.76 | $85.44 – $7,941.92 |
| Mark Twain Medical Center | San Andreas | $5,170.83 | $85.44 – $411.60 |
| French Hospital | San Luis Obispo | $3,054.08 | $85.44 – $4,673.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,038.65 | $85.44 – $4,396.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,016.67 | $85.44 – $4,341.05 |
| Queen of The Valley Medical Center | Napa | $3,375.69 | $2,345.04 – $9,858.00 |