Electron microscopy diagnostic at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
not published by hospital
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.
not published by hospital
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.
$213.07 with Blue Cross vs $2,217.55 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 →
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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 Cross | All Commercial Plans | $213.07 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $405.26 | — |
| Cigna | All Commercial Plans | $1,004.77 | — |
| Aetna | Medicare Managed Care Plan | $1,036.24 | — |
| Humana | Choicecare Medicare Managed Care Plan | $1,056.96 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,085.64 | — |
| Central Health Plan | Medicare Managed Care Plan | $1,139.86 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,222.74 | — |
| Unitedhealthcare | Select/Navigate Hmo | $1,256.40 | — |
| Unitedhealthcare | All Commercial Plans | $1,256.40 | — |
| Blue Shield | Medicare Managed Care Plan | $1,285.56 | — |
| La Care Health Plan | Covered Ca Exchange | $1,347.11 | — |
| Aetna | All Commercial Plans | $1,528.28 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,563.12 | — |
| Blue Shield | Ppo/Epo | $1,738.42 | — |
| Blue Shield | Hmo | $1,738.42 | — |
| Healthnet | Ambetter Hmo | $1,917.04 | — |
| Healthnet | Ambetter Ppo | $2,217.55 | — |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $83.66 | $51.57 – $1,023.81 |
| Banner Lassen Medical Center | Susanville | $295.40 | $163.38 – $679.00 |
| Petaluma Valley Hospital | Petaluma | $1,200.54 | $271.27 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $629.34 | $21.00 – $994.21 |
| Mark Twain Medical Center | San Andreas | $458.21 | $177.99 – $674.24 |
| French Hospital | San Luis Obispo | $576.40 | $11.34 – $1,168.77 |
| Mercy Hospitals – Bakersfield | Bakersfield | $204.05 | $260.50 – $1,108.83 |
| Bakersfield Memorial Hospital | Bakersfield | $201.85 | $260.50 – $1,108.83 |