Conversion ext bil drg cath at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,115.75
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.
$6,045.00
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.
$1,746.72 with Blue Shield vs $15,861.00 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 | Medicare Managed Care Plan | $1,746.72 | ↓ -17% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +89% |
| Aetna | Medicare Managed Care Plan | $4,604.99 | ↑ +118% |
| Humana | Choicecare Medicare Managed Care Plan | $4,697.09 | ↑ +122% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,824.55 | ↑ +128% |
| Central Health Plan | Medicare Managed Care Plan | $5,065.49 | ↑ +139% |
| Blue Shield | Epn/Ifp Benefit Exchange | $5,368.04 | ↑ +154% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,433.82 | ↑ +157% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,837.15 | ↑ +176% |
| La Care Health Plan | Covered Ca Exchange | $5,986.49 | ↑ +183% |
| Blue Shield | Hmo | $6,483.87 | ↑ +206% |
| Blue Shield | Ppo/Epo | $6,483.87 | ↑ +206% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +247% |
| Healthnet | Ambetter Hmo | $8,519.24 | ↑ +303% |
| Unitedhealthcare | Select/Navigate Hmo | $9,834.00 | ↑ +365% |
| Healthnet | Ambetter Ppo | $9,854.69 | ↑ +366% |
| Unitedhealthcare | All Commercial Plans | $11,155.00 | ↑ +427% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +459% |
| Cigna | All Commercial Plans | $15,861.00 | ↑ +650% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,534.87 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | $7,210.38 | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $2,524.35 | $1,014.52 – $5,780.04 |
| French Hospital | San Luis Obispo | $2,312.02 | $1,014.52 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,054.60 | $1,014.52 – $4,484.02 |
| Bakersfield Memorial Hospital | Bakersfield | $1,693.71 | $1,014.52 – $4,484.02 |
| Queen of The Valley Medical Center | Napa | $7,805.04 | $5,083.67 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,970.68 | $4,604.99 – $17,611.00 |