Cerv sr wire occ/man pre ots at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$203.13 with Aetna vs $434.70 with Healthnet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Medicare Managed Care Plan | $203.13 | — |
| Humana | Choicecare Medicare Managed Care Plan | $207.19 | — |
| Central Health Plan | Medicare Managed Care Plan | $223.44 | — |
| La Care Health Plan | Covered Ca Exchange | $264.07 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $282.47 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $318.10 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $335.29 | — |
| Healthnet | Ambetter Hmo | $375.79 | — |
| Healthnet | Ambetter Ppo | $434.70 | — |
Visitor-reported prices
Comments
Cerv sr wire occ/man pre ots at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Mary Medical Center | Long Beach | $419.25 | $88.00 – $548.50 |
| Community Hospital San Bernardino | San Bernardino | $381.23 | $92.40 – $548.50 |
| Glendale Memorial Hospital Health Center | Glendale | $317.85 | $40.00 – $464.03 |
| Mercy San Juan Medical Center | Carmichael | $120.56 | $36.85 – $284.75 |
| St. Bernardine Medical Center | San Bernardino | $324.68 | $88.00 – $548.50 |
| Mercy General Hospital | Sacramento | $95.92 | $77.05 – $298.15 |
| Mercy Hospital of Folsom | Folsom | $171.16 | $36.85 – $321.60 |
| Woodland Memorial Hospital | Woodland | $120.56 | $36.85 – $335.00 |