Closed tx/acetabululm without manip 27220 at Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$368.90

Cash price

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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.

$1,054.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$259.12 with Blue Shield vs $5,559.00 with Blue Cross — 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 →

Payer
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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
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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 Epn/Ifp Benefit Exchange $259.12 ↓ -30%
Aetna Medicare Managed Care Plan $317.26 ↓ -14%
Humana Choicecare Medicare Managed Care Plan $323.60 ↓ -12%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $332.38 ↓ -10%
Central Health Plan Medicare Managed Care Plan $348.98 ↓ -5%
Blue Shield Medicare Managed Care Plan $352.70 ↓ -4%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $374.36 ↑ +1%
La Care Health Plan Covered Ca Exchange $412.43 ↑ +12%
Healthnet Ambetter Hmo $586.92 ↑ +59%
Healthnet Blue And Gold Other Commercial Plan $601.00 ↑ +63%
Healthnet Ambetter Ppo $678.93 ↑ +84%
Healthnet All Commercial Plans $970.00 ↑ +163%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $1,178.65 ↑ +220%
Blue Shield Ppo/Epo $1,309.24 ↑ +255%
Blue Shield Hmo $1,309.24 ↑ +255%
Unitedhealthcare Select/Navigate Hmo $1,487.00 ↑ +303%
Unitedhealthcare All Commercial Plans $1,687.00 ↑ +357%
Blue Cross All Commercial Plans $5,559.00 ↑ +1407%

Visitor-reported prices

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Closed tx/acetabululm without manip 27220 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $422.28 $332.41 – $1,687.00
Mark Twain Medical Center San Andreas $974.36 $360.63 – $1,366.12
Queen of The Valley Medical Center Napa $456.45 $350.23 – $6,200.00
Providence St Joseph Hospital Eureka Eureka $408.00 $317.26 – $8,018.00
Healdsburg Hospital Healdsburg $211.14 $332.35 – $721.00
Redwood Memorial Hospital Fortuna $264.18 $1,333.00 – $8,222.00
Santa Rosa Memorial Hospital Santa Rosa $451.35 $343.23 – $4,042.00
Providence Mission Hospital - Mission Viejo Mission Viejo $476.16 $269.67 – $1,597.00

All California hospitals for this procedure →