Clsd tx shoulder dislc/fx 23665 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,351.35
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.
$3,861.00
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.
$878.26 with Blue Shield vs $9,297.00 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 | Epn/Ifp Benefit Exchange | $878.26 | ↓ -35% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↑ +13% |
| Aetna | Medicare Managed Care Plan | $2,068.15 | ↑ +53% |
| Humana | Choicecare Medicare Managed Care Plan | $2,109.51 | ↑ +56% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,166.75 | ↑ +60% |
| Central Health Plan | Medicare Managed Care Plan | $2,274.96 | ↑ +68% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↑ +75% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,440.38 | ↑ +81% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↑ +98% |
| La Care Health Plan | Covered Ca Exchange | $2,688.59 | ↑ +99% |
| Healthnet | Ambetter Hmo | $3,826.07 | ↑ +183% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +196% |
| Healthnet | Ambetter Ppo | $4,425.83 | ↑ +228% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +229% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +278% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +320% |
| Blue Shield | Hmo | $5,673.39 | ↑ +320% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +431% |
| Cigna | All Commercial Plans | $9,297.00 | ↑ +588% |
Visitor-reported prices
Comments
Clsd tx shoulder dislc/fx 23665 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,165.46 | $2,166.95 – $2,695.00 |
| Queen of The Valley Medical Center | Napa | $3,229.32 | $2,283.13 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,334.27 | $2,068.15 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,763.07 | $2,166.52 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $1,919.13 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,958.40 | $2,237.46 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,828.80 | $1,757.92 – $6,920.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,337.00 | $1,528.00 – $3,826.07 |