Cholesterol at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$91.00
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.
$260.00
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.
$4.35 with Aetna vs $41.47 with Blue Shield — 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 | Medicare Managed Care Plan | $4.35 | ↓ -95% |
| Humana | Choicecare Medicare Managed Care Plan | $4.44 | ↓ -95% |
| Central Health Plan | Medicare Managed Care Plan | $4.78 | ↓ -95% |
| La Care Health Plan | Covered Ca Exchange | $5.65 | ↓ -94% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $6.17 | ↓ -93% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $6.95 | ↓ -92% |
| Healthnet | Ambetter Hmo | $8.05 | ↓ -91% |
| Unitedhealthcare | All Commercial Plans | $8.70 | ↓ -90% |
| Unitedhealthcare | Select/Navigate Hmo | $8.70 | ↓ -90% |
| Healthnet | Ambetter Ppo | $9.31 | ↓ -90% |
| Cigna | All Commercial Plans | $10.81 | ↓ -88% |
| Aetna | All Commercial Plans | $12.66 | ↓ -86% |
| Blue Shield | Epn/Ifp Benefit Exchange | $13.49 | ↓ -85% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $26.93 | ↓ -70% |
| Blue Cross | All Commercial Plans | $27.89 | ↓ -69% |
| Blue Shield | Ppo/Epo | $29.91 | ↓ -67% |
| Blue Shield | Hmo | $29.91 | ↓ -67% |
| Blue Shield | Medicare Managed Care Plan | $41.47 | ↓ -54% |
Visitor-reported prices
Comments
Cholesterol at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $118.70 | $4.35 – $211.38 |
| Banner Lassen Medical Center | Susanville | $34.43 | $0.87 – $6.39 |
| Petaluma Valley Hospital | Petaluma | $139.23 | $4.26 – $35.50 |
| Arroyo Grande Hospital | Santa Maria | $109.57 | $4.35 – $11.76 |
| Mark Twain Medical Center | San Andreas | $70.60 | $4.35 – $103.88 |
| French Hospital | San Luis Obispo | $100.36 | $3.24 – $13.19 |
| Mercy Hospitals – Bakersfield | Bakersfield | $73.46 | $3.50 – $12.51 |
| Bakersfield Memorial Hospital | Bakersfield | $72.67 | $3.50 – $12.51 |