Debride skin bone at fx site at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$3,951.85
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.
$11,291.00
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.
$763.02 with Blue Shield vs $11,827.00 with Healthnet — 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 | $763.02 | ↓ -81% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↓ -61% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↓ -40% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↓ -32% |
| Aetna | Medicare Managed Care Plan | $3,735.95 | ↓ -5% |
| Humana | Choicecare Medicare Managed Care Plan | $3,810.67 | ↓ -4% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,914.07 | ↓ -1% |
| Central Health Plan | Medicare Managed Care Plan | $4,109.54 | ↑ +4% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,408.36 | ↑ +12% |
| La Care Health Plan | Covered Ca Exchange | $4,856.73 | ↑ +23% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +29% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +41% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +44% |
| Blue Shield | Hmo | $5,673.39 | ↑ +44% |
| Healthnet | Ambetter Hmo | $6,911.51 | ↑ +75% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +86% |
| Healthnet | Ambetter Ppo | $7,994.93 | ↑ +102% |
| Cigna | All Commercial Plans | $9,297.00 | ↑ +135% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +199% |
Visitor-reported prices
Comments
Debride skin bone at fx site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,904.56 | $2,570.00 – $3,994.31 |
| Mark Twain Medical Center | San Andreas | $560.78 | $217.83 – $825.16 |
| Queen of The Valley Medical Center | Napa | $3,577.65 | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,803.07 | $3,735.95 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $3,174.75 | $3,125.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,481.15 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,595.21 | $2,741.00 – $4,124.29 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,235.84 | $1,894.00 – $6,920.00 |