Cardiac shunt imaging at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$261.10
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.
$746.00
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.
$386.55 with Blue Shield vs $1,950.38 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 | $386.55 | ↑ +48% |
| Aetna | All Commercial Plans | $388.35 | ↑ +49% |
| Blue Cross | All Commercial Plans | $414.26 | ↑ +59% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $470.01 | ↑ +80% |
| Aetna | Medicare Managed Care Plan | $514.17 | ↑ +97% |
| Blue Shield | Hmo | $522.72 | ↑ +100% |
| Blue Shield | Ppo/Epo | $522.72 | ↑ +100% |
| Humana | Choicecare Medicare Managed Care Plan | $524.46 | ↑ +101% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $538.69 | ↑ +106% |
| Central Health Plan | Medicare Managed Care Plan | $565.59 | ↑ +117% |
| Unitedhealthcare | Select/Navigate Hmo | $589.01 | ↑ +126% |
| Unitedhealthcare | All Commercial Plans | $589.01 | ↑ +126% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $606.72 | ↑ +132% |
| La Care Health Plan | Covered Ca Exchange | $668.42 | ↑ +156% |
| Blue Shield | Epn/Ifp Benefit Exchange | $733.74 | ↑ +181% |
| Healthnet | Ambetter Hmo | $951.22 | ↑ +264% |
| Healthnet | Ambetter Ppo | $1,100.33 | ↑ +321% |
| Cigna | All Commercial Plans | $1,950.38 | ↑ +647% |
Visitor-reported prices
Comments
Cardiac shunt imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $430.56 | $265.41 – $1,824.90 |
| Mark Twain Medical Center | San Andreas | $2,770.56 | $507.06 – $1,920.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $364.70 | $491.50 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $360.77 | $143.47 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $280.77 | $111.51 – $531.00 |
| Mercy Medical Center Merced | Merced | $573.20 | $124.99 – $511.00 |
| Dominican Hospital | Santa Cruz | $980.10 | $552.06 – $6,158.70 |
| California Hospital Medical Center | Los Angeles | $1,930.30 | $135.86 – $3,144.20 |