Doppler upper/lower extremity arteries limited bilateral at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$365.75
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.
$1,045.00
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.
$161.23 with Blue Shield vs $625.64 with Cigna — 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 | Epn/Ifp Benefit Exchange | $161.23 | ↓ -56% |
| Aetna | Medicare Managed Care Plan | $171.12 | ↓ -53% |
| Humana | Choicecare Medicare Managed Care Plan | $174.54 | ↓ -52% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $179.28 | ↓ -51% |
| Central Health Plan | Medicare Managed Care Plan | $188.23 | ↓ -49% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $201.92 | ↓ -45% |
| La Care Health Plan | Covered Ca Exchange | $222.46 | ↓ -39% |
| Blue Cross | All Commercial Plans | $289.43 | ↓ -21% |
| Healthnet | Ambetter Hmo | $316.58 | ↓ -13% |
| Blue Shield | Medicare Managed Care Plan | $318.02 | ↓ -13% |
| Healthnet | Ambetter Ppo | $366.20 | ↑ +0% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $386.68 | ↑ +6% |
| Blue Shield | Ppo/Epo | $430.04 | ↑ +18% |
| Blue Shield | Hmo | $430.04 | ↑ +18% |
| Cigna | All Commercial Plans | $625.64 | ↑ +71% |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries limited bilateral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $368.80 | $73.54 – $585.60 |
| Banner Lassen Medical Center | Susanville | $244.22 | $25.78 – $307.49 |
| Arroyo Grande Hospital | Santa Maria | $566.25 | $59.79 – $1,168.16 |
| Mark Twain Medical Center | San Andreas | $1,698.30 | $59.79 – $782.04 |
| French Hospital | San Luis Obispo | $467.27 | $59.79 – $623.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $214.81 | $59.79 – $591.22 |
| Bakersfield Memorial Hospital | Bakersfield | $212.50 | $59.79 – $591.22 |
| Queen of The Valley Medical Center | Napa | $263.16 | $188.91 – $434.63 |