Declotting thrombolytic agent implanted vas access device 36 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,065.40
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.
$3,044.00
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.
$352.70 with Blue Shield vs $4,005.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $352.70 | ↓ -67% |
| Blue Shield | Epn/Ifp Benefit Exchange | $397.75 | ↓ -63% |
| Aetna | Medicare Managed Care Plan | $424.83 | ↓ -60% |
| Humana | Choicecare Medicare Managed Care Plan | $433.32 | ↓ -59% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $445.08 | ↓ -58% |
| Central Health Plan | Medicare Managed Care Plan | $467.31 | ↓ -56% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $501.29 | ↓ -53% |
| La Care Health Plan | Covered Ca Exchange | $552.28 | ↓ -48% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↓ -44% |
| Healthnet | Ambetter Hmo | $785.93 | ↓ -26% |
| Healthnet | Ambetter Ppo | $909.13 | ↓ -15% |
| Healthnet | All Commercial Plans | $970.00 | ↓ -9% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↑ +11% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↑ +23% |
| Blue Shield | Hmo | $1,309.24 | ↑ +23% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +40% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +58% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +276% |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $314.49 | $50.70 – $834.88 |
| Banner Lassen Medical Center | Susanville | $354.58 | $55.29 – $492.76 |
| Petaluma Valley Hospital | Petaluma | $673.71 | $445.12 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $445.12 | $33.51 – $890.82 |
| Mark Twain Medical Center | San Andreas | $486.18 | $33.51 – $704.62 |
| French Hospital | San Luis Obispo | $407.68 | $33.51 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $369.15 | $33.51 – $796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $365.17 | $33.51 – $545.10 |