Debr musc/fascia 20sq cm/< 11043 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$578.90
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.
?
What you pay up front if you don't use insurance.
$1,654.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$475.93 with Blue Shield vs $9,297.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Epn/Ifp Benefit Exchange | $475.93 | ↓ -18% |
| Aetna | Medicare Managed Care Plan | $950.57 | ↑ +64% |
| Humana | Choicecare Medicare Managed Care Plan | $969.58 | ↑ +67% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $995.89 | ↑ +72% |
| Central Health Plan | Medicare Managed Care Plan | $1,045.63 | ↑ +81% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,121.66 | ↑ +94% |
| La Care Health Plan | Covered Ca Exchange | $1,235.74 | ↑ +113% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +156% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +157% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↑ +164% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +191% |
| Healthnet | Ambetter Hmo | $1,758.55 | ↑ +204% |
| Healthnet | Ambetter Ppo | $2,034.22 | ↑ +251% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +313% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +782% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +860% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +880% |
| Blue Shield | Hmo | $5,673.39 | ↑ +880% |
| Cigna | All Commercial Plans | $9,297.00 | ↑ +1506% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $870.98 | $179.86 – $1,994.30 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |
| Queen of The Valley Medical Center | Napa | $910.35 | $1,049.38 – $7,483.00 |