Coronary angio/cath placement bypass graft/lv gram/lt heart at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$5,373.90
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.
$15,354.00
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.
$3,409.47 with Blue Shield vs $15,227.00 with Blue Cross — 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 | $3,409.47 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $4,169.67 | ↓ -22% |
| Humana | Choicecare Medicare Managed Care Plan | $4,253.06 | ↓ -21% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,368.47 | ↓ -19% |
| Central Health Plan | Medicare Managed Care Plan | $4,586.63 | ↓ -15% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,920.14 | ↓ -8% |
| La Care Health Plan | Covered Ca Exchange | $5,420.57 | ↑ +1% |
| Blue Shield | Epn/Ifp Benefit Exchange | $6,702.74 | ↑ +25% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +36% |
| Healthnet | Ambetter Hmo | $7,713.88 | ↑ +44% |
| Healthnet | Ambetter Ppo | $8,923.08 | ↑ +66% |
| Unitedhealthcare | Select/Navigate Hmo | $9,834.00 | ↑ +83% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +84% |
| Unitedhealthcare | All Commercial Plans | $11,155.00 | ↑ +108% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $11,393.66 | ↑ +112% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +120% |
| Blue Shield | Ppo/Epo | $12,656.02 | ↑ +136% |
| Blue Shield | Hmo | $12,656.02 | ↑ +136% |
| Blue Cross | All Commercial Plans | $15,227.00 | ↑ +183% |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,624.18 | $1,480.01 – $17,138.94 |
| Arroyo Grande Hospital | Santa Maria | $9,329.12 | $1,203.26 – $21,361.06 |
| French Hospital | San Luis Obispo | $8,288.06 | $1,203.26 – $20,720.14 |
| Bakersfield Memorial Hospital | Bakersfield | $5,637.86 | $1,203.26 – $12,135.98 |
| Queen of The Valley Medical Center | Napa | $23,269.26 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,521.30 | $4,169.67 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $14,675.01 | $1,048.57 – $41,928.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,996.19 | $4,511.03 – $12,568.00 |