CT colonography dx 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.
$134.46 with Aetna vs $3,035.77 with Blue Shield — 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 | $134.46 | — |
| Humana | Choicecare Medicare Managed Care Plan | $137.15 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $140.87 | — |
| Central Health Plan | Medicare Managed Care Plan | $147.91 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $158.66 | — |
| La Care Health Plan | Covered Ca Exchange | $174.80 | — |
| Unitedhealthcare | All Commercial Plans | $179.33 | — |
| Unitedhealthcare | Select/Navigate Hmo | $179.33 | — |
| Healthnet | Ambetter Hmo | $248.76 | — |
| Healthnet | Ambetter Ppo | $287.75 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $473.15 | — |
| Aetna | All Commercial Plans | $487.82 | — |
| Blue Cross | All Commercial Plans | $990.70 | — |
| Blue Shield | Medicare Managed Care Plan | $2,244.94 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,729.64 | — |
| Blue Shield | Ppo/Epo | $3,035.77 | — |
| Blue Shield | Hmo | $3,035.77 | — |
Visitor-reported prices
Comments
CT colonography dx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,783.54 | $135.12 – $3,176.16 |
| Arroyo Grande Hospital | Santa Maria | $212.72 | $135.12 – $1,756.00 |
| French Hospital | San Luis Obispo | $183.46 | $126.36 – $1,768.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,210.11 | $128.25 – $3,375.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $641.07 | $145.47 – $1,253.94 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $194.40 | $114.29 – $248.76 |
| Dominican Hospital | Santa Cruz | $159.30 | $146.10 – $2,468.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $829.85 | $134.46 – $1,160.74 |