Drain penis lesion at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,724.10
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.
$4,926.00
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.
$2,124.23 with Aetna vs $12,557.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $2,124.23 | ↑ +23% |
| Blue Shield | Medicare Managed Care Plan | $2,159.89 | ↑ +25% |
| Humana | Choicecare Medicare Managed Care Plan | $2,166.71 | ↑ +26% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,225.51 | ↑ +29% |
| Central Health Plan | Medicare Managed Care Plan | $2,336.65 | ↑ +36% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,506.56 | ↑ +45% |
| La Care Health Plan | Covered Ca Exchange | $2,761.50 | ↑ +60% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,547.10 | ↑ +106% |
| Healthnet | Ambetter Hmo | $3,929.83 | ↑ +128% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↑ +138% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +158% |
| Healthnet | Ambetter Ppo | $4,545.85 | ↑ +164% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↑ +170% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +222% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +316% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $7,217.86 | ↑ +319% |
| Blue Shield | Hmo | $8,017.56 | ↑ +365% |
| Blue Shield | Ppo/Epo | $8,017.56 | ↑ +365% |
| Cigna | All Commercial Plans | $12,557.00 | ↑ +628% |
Visitor-reported prices
Comments
Drain penis lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,036.03 | $2,225.71 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $3,375.69 | $2,345.04 – $10,575.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,395.58 | $2,124.23 – $11,036.00 |
| Healdsburg Hospital | Healdsburg | $844.05 | $2,225.27 – $6,323.17 |
| Redwood Memorial Hospital | Fortuna | $2,005.32 | $8,222.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,247.68 | $2,298.14 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,451.20 | $1,805.60 – $9,779.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,205.75 | $2,124.23 – $4,901.00 |