Coombs direct at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$81.55
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.
$233.00
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.
$7.65 with Blue Cross vs $162.37 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 Cross | Anthem Vivity City Of La Other Commercial Plan | $7.65 | ↓ -91% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8.61 | ↓ -89% |
| Unitedhealthcare | All Commercial Plans | $10.78 | ↓ -87% |
| Unitedhealthcare | Select/Navigate Hmo | $10.78 | ↓ -87% |
| Cigna | All Commercial Plans | $13.37 | ↓ -84% |
| Aetna | All Commercial Plans | $15.62 | ↓ -81% |
| Blue Shield | Epn/Ifp Benefit Exchange | $18.99 | ↓ -77% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $33.23 | ↓ -59% |
| Blue Cross | All Commercial Plans | $34.45 | ↓ -58% |
| Blue Shield | Hmo | $36.90 | ↓ -55% |
| Blue Shield | Ppo/Epo | $36.90 | ↓ -55% |
| Blue Shield | Medicare Managed Care Plan | $51.15 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $75.87 | ↓ -7% |
| Humana | Choicecare Medicare Managed Care Plan | $77.39 | ↓ -5% |
| Central Health Plan | Medicare Managed Care Plan | $83.46 | ↑ +2% |
| La Care Health Plan | Covered Ca Exchange | $98.64 | ↑ +21% |
| Healthnet | Ambetter Hmo | $140.37 | ↑ +72% |
| Healthnet | Ambetter Ppo | $162.37 | ↑ +99% |
Visitor-reported prices
Comments
Coombs direct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $90.67 | $5.83 – $43.12 |
| Banner Lassen Medical Center | Susanville | $80.90 | $1.08 – $7.90 |
| Petaluma Valley Hospital | Petaluma | $85.17 | $10.78 – $79.50 |
| Arroyo Grande Hospital | Santa Maria | $141.57 | $6.18 – $16.00 |
| Mark Twain Medical Center | San Andreas | $97.24 | $5.39 – $27.01 |
| French Hospital | San Luis Obispo | $129.66 | $4.32 – $16.31 |
| Mercy Hospitals – Bakersfield | Bakersfield | $111.30 | $6.47 – $26.25 |
| Bakersfield Memorial Hospital | Bakersfield | $110.10 | $6.47 – $26.25 |