Consultation pathology during surgery cytological exam initial site at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$887.60
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.
$2,536.00
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.
$42.11 with Blue Shield vs $2,217.55 with Healthnet — 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 | $42.11 | ↓ -95% |
| Cigna | All Commercial Plans | $75.48 | ↓ -91% |
| Aetna | All Commercial Plans | $87.81 | ↓ -90% |
| Blue Shield | Medicare Managed Care Plan | $95.22 | ↓ -89% |
| Blue Cross | All Commercial Plans | $105.24 | ↓ -88% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $115.77 | ↓ -87% |
| Blue Shield | Hmo | $128.76 | ↓ -85% |
| Blue Shield | Ppo/Epo | $128.76 | ↓ -85% |
| Aetna | Medicare Managed Care Plan | $1,036.24 | ↑ +17% |
| Humana | Choicecare Medicare Managed Care Plan | $1,056.96 | ↑ +19% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,085.64 | ↑ +22% |
| Central Health Plan | Medicare Managed Care Plan | $1,139.86 | ↑ +28% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,222.74 | ↑ +38% |
| Unitedhealthcare | All Commercial Plans | $1,256.40 | ↑ +42% |
| Unitedhealthcare | Select/Navigate Hmo | $1,256.40 | ↑ +42% |
| La Care Health Plan | Covered Ca Exchange | $1,347.11 | ↑ +52% |
| Healthnet | Ambetter Hmo | $1,917.04 | ↑ +116% |
| Healthnet | Ambetter Ppo | $2,217.55 | ↑ +150% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $351.28 | $87.23 – $1,604.00 |
| Petaluma Valley Hospital | Petaluma | $1,900.26 | $133.99 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $3,134.25 | $79.42 – $2,511.74 |
| Mark Twain Medical Center | San Andreas | $26.64 | $8.56 – $33.06 |
| French Hospital | San Luis Obispo | $2,870.62 | $79.42 – $2,511.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $319.44 | $22.59 – $94.48 |
| Bakersfield Memorial Hospital | Bakersfield | $315.99 | $22.59 – $94.48 |
| Queen of The Valley Medical Center | Napa | $1,407.60 | $169.32 – $1,256.40 |