Drng of mouth lesion 40801 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$566.30
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.
$1,618.00
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.
$693.67 with Aetna vs $9,297.00 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 | $693.67 | ↑ +22% |
| Humana | Choicecare Medicare Managed Care Plan | $707.54 | ↑ +25% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $726.74 | ↑ +28% |
| Central Health Plan | Medicare Managed Care Plan | $763.03 | ↑ +35% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $818.52 | ↑ +45% |
| La Care Health Plan | Covered Ca Exchange | $901.77 | ↑ +59% |
| Healthnet | Ambetter Hmo | $1,283.28 | ↑ +127% |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,286.82 | ↑ +127% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +162% |
| Healthnet | Ambetter Ppo | $1,484.45 | ↑ +162% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +163% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↑ +170% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +198% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +322% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +802% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +882% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +902% |
| Blue Shield | Hmo | $5,673.39 | ↑ +902% |
| Cigna | All Commercial Plans | $9,297.00 | ↑ +1542% |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $962.88 | $726.80 – $2,570.00 |
| Queen of The Valley Medical Center | Napa | $1,145.97 | $765.77 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,262.76 | $693.67 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $561.51 | $726.66 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $774.18 | $3,331.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,160.76 | $750.46 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,240.64 | $589.62 – $6,920.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $597.80 | $693.67 – $3,470.00 |