Deep muscle biopsy 20205 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$7,548.80
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.
$21,568.00
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.
$1,746.72 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 | Medicare Managed Care Plan | $1,746.72 | ↓ -77% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,933.51 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $3,735.95 | ↓ -51% |
| Humana | Choicecare Medicare Managed Care Plan | $3,810.67 | ↓ -50% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,914.07 | ↓ -48% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↓ -46% |
| Central Health Plan | Medicare Managed Care Plan | $4,109.54 | ↓ -46% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,408.36 | ↓ -42% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↓ -38% |
| La Care Health Plan | Covered Ca Exchange | $4,856.73 | ↓ -36% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,837.15 | ↓ -23% |
| Blue Shield | Ppo/Epo | $6,483.87 | ↓ -14% |
| Blue Shield | Hmo | $6,483.87 | ↓ -14% |
| Blue Cross | All Commercial Plans | $6,790.00 | ↓ -10% |
| Healthnet | Ambetter Hmo | $6,911.51 | ↓ -8% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↓ -3% |
| Healthnet | Ambetter Ppo | $7,994.93 | ↑ +6% |
| Cigna | All Commercial Plans | $10,103.00 | ↑ +34% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +57% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,874.45 | $125.17 – $6,581.68 |
| Mark Twain Medical Center | San Andreas | $273.73 | $106.33 – $402.78 |
| French Hospital | San Luis Obispo | $3,186.96 | $125.17 – $7,735.14 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,093.44 | $3,175.56 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,276.05 | $1,747.00 – $6,911.51 |
| St Jude Medical Center | Fullerton | $2,547.84 | $3,175.56 – $6,911.51 |
| Providence St Joseph Hospital Orange | Orange | $5,081.76 | $3,175.56 – $7,602.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $153.96 – $6,483.96 |