Complx repair enel 1.1-2.5 cm 13151 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$588.35
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.
$1,681.00
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.
$857.14 with Blue Shield vs $10,103.00 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 | $857.14 | ↑ +46% |
| Aetna | Medicare Managed Care Plan | $950.57 | ↑ +62% |
| Humana | Choicecare Medicare Managed Care Plan | $969.58 | ↑ +65% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $995.89 | ↑ +69% |
| Central Health Plan | Medicare Managed Care Plan | $1,045.63 | ↑ +78% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,121.66 | ↑ +91% |
| La Care Health Plan | Covered Ca Exchange | $1,235.74 | ↑ +110% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +152% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +153% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +187% |
| Blue Shield | Medicare Managed Care Plan | $1,746.72 | ↑ +197% |
| Healthnet | Ambetter Hmo | $1,758.55 | ↑ +199% |
| Healthnet | Ambetter Ppo | $2,034.22 | ↑ +246% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +306% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,837.15 | ↑ +892% |
| Blue Shield | Ppo/Epo | $6,483.87 | ↑ +1002% |
| Blue Shield | Hmo | $6,483.87 | ↑ +1002% |
| Blue Cross | All Commercial Plans | $6,790.00 | ↑ +1054% |
| Cigna | All Commercial Plans | $10,103.00 | ↑ +1617% |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $797.64 | $995.98 – $2,937.00 |
| Bakersfield Memorial Hospital | Bakersfield | $534.36 | $187.55 – $1,150.24 |
| Queen of The Valley Medical Center | Napa | $2,510.73 | $1,049.38 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,325.49 | $950.57 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $714.00 | $995.78 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $1,207.17 | $3,331.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,640.27 | $1,028.39 – $5,318.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,512.48 | $807.98 – $7,908.00 |