Breast punct aspir cyst, bil at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,255.40
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.
$6,444.00
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 | ↓ -84% |
| Blue Shield | Epn/Ifp Benefit Exchange | $789.04 | ↓ -65% |
| Aetna | Medicare Managed Care Plan | $910.78 | ↓ -60% |
| Humana | Choicecare Medicare Managed Care Plan | $928.99 | ↓ -59% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $954.20 | ↓ -58% |
| Central Health Plan | Medicare Managed Care Plan | $1,001.85 | ↓ -56% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,074.70 | ↓ -52% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↓ -48% |
| La Care Health Plan | Covered Ca Exchange | $1,184.01 | ↓ -48% |
| Blue Shield | Hmo | $1,309.24 | ↓ -42% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↓ -42% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↓ -34% |
| Healthnet | Ambetter Hmo | $1,684.94 | ↓ -25% |
| Healthnet | Ambetter Ppo | $1,949.06 | ↓ -14% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↑ +5% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +6% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↑ +19% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +78% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +165% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,174.72 | $49.40 – $2,091.96 |
| Petaluma Valley Hospital | Petaluma | $952.17 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,001.10 | $40.16 – $1,672.86 |
| Mark Twain Medical Center | San Andreas | $1,021.65 | $32.08 – $121.52 |
| French Hospital | San Luis Obispo | $807.13 | $40.16 – $1,949.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $963.86 | $40.16 – $1,836.80 |
| Bakersfield Memorial Hospital | Bakersfield | $953.47 | $40.16 – $1,813.84 |
| Queen of The Valley Medical Center | Napa | $1,049.07 | $1,005.45 – $6,200.00 |