Dextran 40 infusion at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$68.93
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.
$196.95
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.
$67.89 with Blue Shield vs $336.26 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 | Hmo | $67.89 | ↓ -2% |
| Blue Shield | Ppo/Epo | $67.89 | ↓ -2% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $67.89 | ↓ -2% |
| Blue Shield | Medicare Managed Care Plan | $67.89 | ↓ -2% |
| Aetna | All Commercial Plans | $79.87 | ↑ +16% |
| Cigna | All Commercial Plans | $87.16 | ↑ +26% |
| Unitedhealthcare | All Commercial Plans | $110.79 | ↑ +61% |
| Unitedhealthcare | Select/Navigate Hmo | $110.79 | ↑ +61% |
| Blue Cross | All Commercial Plans | $336.26 | ↑ +388% |
Visitor-reported prices
Comments
Dextran 40 infusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $57.38 | $35.37 – $102.18 |
| French Hospital | San Luis Obispo | $137.20 | $51.53 – $343.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $50.83 | $24.83 – $88.00 |
| Bakersfield Memorial Hospital | Bakersfield | $50.28 | $27.50 – $110.00 |
| Queen of The Valley Medical Center | Napa | $65.33 | $110.79 – $165.91 |
| Providence St Joseph Hospital Eureka | Eureka | $65.33 | $110.79 – $197.90 |
| St. Joseph's Medical Center Stockton | Stockton | $32.93 | $23.40 – $144.63 |
| Santa Rosa Memorial Hospital | Santa Rosa | $65.33 | $110.79 – $164.79 |