Cardiac perf planar sgl/ef/wm at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,309.70
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.
$3,742.00
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.
$615.99 with Aetna vs $6,336.39 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $615.99 | ↓ -53% |
| Blue Shield | Medicare Managed Care Plan | $655.68 | ↓ -50% |
| Blue Cross | All Commercial Plans | $736.11 | ↓ -44% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $797.24 | ↓ -39% |
| Blue Shield | Hmo | $886.65 | ↓ -32% |
| Blue Shield | Ppo/Epo | $886.65 | ↓ -32% |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,658.11 | ↑ +27% |
| Aetna | Medicare Managed Care Plan | $1,665.13 | ↑ +27% |
| Humana | Choicecare Medicare Managed Care Plan | $1,698.44 | ↑ +30% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,744.53 | ↑ +33% |
| Central Health Plan | Medicare Managed Care Plan | $1,831.65 | ↑ +40% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,964.83 | ↑ +50% |
| Unitedhealthcare | All Commercial Plans | $2,035.50 | ↑ +55% |
| Unitedhealthcare | Select/Navigate Hmo | $2,035.50 | ↑ +55% |
| La Care Health Plan | Covered Ca Exchange | $2,164.67 | ↑ +65% |
| Healthnet | Ambetter Hmo | $3,080.50 | ↑ +135% |
| Healthnet | Ambetter Ppo | $3,563.39 | ↑ +172% |
| Cigna | All Commercial Plans | $6,336.39 | ↑ +384% |
Visitor-reported prices
Comments
Cardiac perf planar sgl/ef/wm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,895.62 | $267.18 – $6,326.24 |
| Mark Twain Medical Center | San Andreas | $4,827.84 | $176.60 – $3,361.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,306.30 | $176.60 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $1,292.21 | $176.60 – $6,851.62 |
| Providence St Joseph Hospital Eureka | Eureka | $1,896.69 | $1,241.87 – $2,035.50 |
| St. Joseph's Medical Center Stockton | Stockton | $967.56 | $176.60 – $1,754.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,908.44 | $240.18 – $2,403.94 |
| Mercy Medical Center Merced | Merced | $2,046.61 | $176.60 – $1,848.00 |