Counseling visit to discuss need for ldct g0296 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
not published by hospital
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.
not published by hospital
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.
$130.66 with Aetna vs $292.02 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $130.66 | — |
| Humana | Choicecare Medicare Managed Care Plan | $133.27 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $136.89 | — |
| Central Health Plan | Medicare Managed Care Plan | $143.73 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $154.18 | — |
| La Care Health Plan | Covered Ca Exchange | $169.86 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $171.74 | — |
| Healthnet | Ambetter Hmo | $241.72 | — |
| Healthnet | Ambetter Ppo | $279.62 | — |
| Blue Cross | All Commercial Plans | $292.02 | — |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $233.28 | $111.06 – $241.72 |
| St. Mary Medical Center | Long Beach | $122.12 | $0.01 – $284.00 |
| St Jude Medical Center | Fullerton | $119.52 | $111.06 – $241.72 |
| Providence St Joseph Hospital Orange | Orange | $135.84 | $111.06 – $241.72 |
| Petaluma Valley Hospital | Petaluma | not published | $136.90 – $347.00 |
| Queen of The Valley Medical Center | Napa | not published | $144.24 – $438.52 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $130.66 – $497.28 |
| Healdsburg Hospital | Healdsburg | not published | $136.88 – $198.37 |