Closed tx/talus fracture without manip 28430 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$675.85
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.
$1,931.00
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.
$259.12 with Blue Shield vs $4,005.00 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 →
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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 | Epn/Ifp Benefit Exchange | $259.12 | ↓ -62% |
| Aetna | Medicare Managed Care Plan | $317.26 | ↓ -53% |
| Humana | Choicecare Medicare Managed Care Plan | $323.60 | ↓ -52% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $332.38 | ↓ -51% |
| Central Health Plan | Medicare Managed Care Plan | $348.98 | ↓ -48% |
| Blue Shield | Medicare Managed Care Plan | $352.70 | ↓ -48% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $374.36 | ↓ -45% |
| La Care Health Plan | Covered Ca Exchange | $412.43 | ↓ -39% |
| Healthnet | Ambetter Hmo | $586.92 | ↓ -13% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↓ -11% |
| Healthnet | Ambetter Ppo | $678.93 | ↑ +0% |
| Healthnet | All Commercial Plans | $970.00 | ↑ +44% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↑ +74% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↑ +94% |
| Blue Shield | Hmo | $1,309.24 | ↑ +94% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +120% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +150% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +493% |
Visitor-reported prices
Comments
Closed tx/talus fracture without manip 28430 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $419.73 | $332.41 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $478.19 | $98.57 – $373.38 |
| Queen of The Valley Medical Center | Napa | $466.14 | $350.23 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $469.20 | $317.26 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $254.49 | $332.35 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $276.93 | $1,333.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $448.80 | $343.23 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $475.68 | $269.67 – $1,597.00 |