Bx vag mucos smpl (sep proc) at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,377.55
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.
$6,793.00
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 | ↓ -85% |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,165.43 | ↓ -51% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↓ -50% |
| Aetna | Medicare Managed Care Plan | $1,184.62 | ↓ -50% |
| Humana | Choicecare Medicare Managed Care Plan | $1,208.32 | ↓ -49% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,241.11 | ↓ -48% |
| Central Health Plan | Medicare Managed Care Plan | $1,303.09 | ↓ -45% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↓ -45% |
| Blue Shield | Hmo | $1,309.24 | ↓ -45% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,397.84 | ↓ -41% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↓ -38% |
| La Care Health Plan | Covered Ca Exchange | $1,540.01 | ↓ -35% |
| Healthnet | Ambetter Hmo | $2,191.56 | ↓ -8% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↓ -1% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +1% |
| Healthnet | Ambetter Ppo | $2,535.10 | ↑ +7% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↑ +13% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +68% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +151% |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $123.88 | $47.09 – $182.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $286.42 | $47.09 – $772.00 |
| Healdsburg Hospital | Healdsburg | $119.34 | $721.00 – $3,982.87 |
| Mercy Medical Center Merced | Merced | $149.87 | $47.09 – $320.10 |
| California Hospital Medical Center | Los Angeles | $743.99 | $42.38 – $1,232.49 |
| St Jude Medical Center | Fullerton | $1,499.52 | $1,006.93 – $2,001.00 |
| Providence St Joseph Hospital Orange | Orange | $1,476.00 | $1,006.93 – $2,216.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $71.24 – $1,765.70 |