Convert nephrostomy catheter at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$3,021.55
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.
$8,633.00
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.
$1,142.09 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 | Medicare Managed Care Plan | $1,142.09 | ↓ -62% |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,293.20 | ↓ -57% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↓ -22% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↓ -11% |
| Aetna | Medicare Managed Care Plan | $2,688.58 | ↓ -11% |
| Humana | Choicecare Medicare Managed Care Plan | $2,742.35 | ↓ -9% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,816.77 | ↓ -7% |
| Central Health Plan | Medicare Managed Care Plan | $2,957.44 | ↓ -2% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,172.48 | ↑ +5% |
| La Care Health Plan | Covered Ca Exchange | $3,495.16 | ↑ +16% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↑ +26% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +33% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↑ +40% |
| Blue Shield | Hmo | $4,239.46 | ↑ +40% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +47% |
| Healthnet | Ambetter Hmo | $4,973.88 | ↑ +65% |
| Healthnet | Ambetter Ppo | $5,753.57 | ↑ +90% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +137% |
| Cigna | All Commercial Plans | $10,103.00 | ↑ +234% |
Visitor-reported prices
Comments
Convert nephrostomy catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,049.45 | $646.92 – $4,655.74 |
| Arroyo Grande Hospital | Santa Maria | $1,616.99 | $826.13 – $1,773.00 |
| French Hospital | San Luis Obispo | $1,540.96 | $478.71 – $1,773.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,187.42 | $826.13 – $1,845.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,114.29 | $826.13 – $4,302.34 |
| St. Joseph's Medical Center Stockton | Stockton | $2,025.66 | $826.13 – $3,858.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,572.95 | $2,238.00 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,072.16 | $1,894.00 – $5,171.00 |