Derma-fat-fascia graft 15770 at Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$3,684.10

Cash price

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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.

$10,526.00

Gross charge

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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.

Full explanation →

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
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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
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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
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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 ↓ -53%
Blue Shield Epn/Ifp Benefit Exchange $3,679.33 ↓ -0%
Aetna Medicare Managed Care Plan $4,557.82 ↑ +24%
Humana Choicecare Medicare Managed Care Plan $4,648.98 ↑ +26%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $4,775.13 ↑ +30%
Central Health Plan Medicare Managed Care Plan $5,013.60 ↑ +36%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $5,378.16 ↑ +46%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $5,837.15 ↑ +58%
La Care Health Plan Covered Ca Exchange $5,925.17 ↑ +61%
Blue Shield Hmo $6,483.87 ↑ +76%
Blue Shield Ppo/Epo $6,483.87 ↑ +76%
Blue Cross All Commercial Plans $6,790.00 ↑ +84%
Healthnet Blue And Gold Other Commercial Plan $7,332.00 ↑ +99%
Healthnet Ambetter Hmo $8,431.97 ↑ +129%
Healthnet Ambetter Ppo $9,753.74 ↑ +165%
Unitedhealthcare Select/Navigate Hmo $9,834.00 ↑ +167%
Cigna All Commercial Plans $10,103.00 ↑ +174%
Unitedhealthcare All Commercial Plans $11,155.00 ↑ +203%
Healthnet All Commercial Plans $11,827.00 ↑ +221%

Visitor-reported prices

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Derma-fat-fascia graft 15770 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $6,622.86 $2,937.00 – $11,185.00
Queen of The Valley Medical Center Napa $7,168.56 $5,031.60 – $17,909.00
Providence St Joseph Hospital Eureka Eureka $6,402.03 $4,557.82 – $17,611.00
Healdsburg Hospital Healdsburg $3,318.06 $3,572.00 – $5,330.31
Redwood Memorial Hospital Fortuna $4,147.83 $9,031.00 – $36,398.00
Santa Rosa Memorial Hospital Santa Rosa $7,088.49 $3,423.00 – $11,377.00
Providence Mission Hospital - Mission Viejo Mission Viejo $5,243.04 $3,874.15 – $8,431.97
Providence Cedars-Sinai Tarzana Medical Center Tarzana $4,402.30 $1,747.00 – $7,332.00

All California hospitals for this procedure →