Cystoscopy removal of clots at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,029.65
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.
$5,799.00
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.
$1,528.38 with Blue Shield vs $11,827.00 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 Shield | Medicare Managed Care Plan | $1,528.38 | ↓ -25% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,016.90 | ↑ +49% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +97% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↑ +102% |
| Aetna | Medicare Managed Care Plan | $4,533.71 | ↑ +123% |
| Humana | Choicecare Medicare Managed Care Plan | $4,624.39 | ↑ +128% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↑ +129% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,749.87 | ↑ +134% |
| Central Health Plan | Medicare Managed Care Plan | $4,987.09 | ↑ +146% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +152% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,349.71 | ↑ +164% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +180% |
| Blue Shield | Hmo | $5,673.39 | ↑ +180% |
| La Care Health Plan | Covered Ca Exchange | $5,893.83 | ↑ +190% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +261% |
| Healthnet | Ambetter Hmo | $8,387.37 | ↑ +313% |
| Cigna | All Commercial Plans | $9,297.00 | ↑ +358% |
| Healthnet | Ambetter Ppo | $9,702.15 | ↑ +378% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +483% |
Visitor-reported prices
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Cystoscopy removal of clots at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $7,432.74 | $2,570.00 – $4,847.25 |
| Queen of The Valley Medical Center | Napa | $9,328.92 | $5,004.98 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,889.37 | $4,533.71 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $5,524.83 | $3,125.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $4,904.16 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $9,584.94 | $2,995.00 – $5,004.98 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,960.32 | $3,281.00 – $8,387.37 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,407.70 | $1,528.00 – $7,332.00 |