Electrophysiology evaluation at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$3,801.00
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.
$10,860.00
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.
$1,327.23 with Blue Shield vs $25,913.00 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 Shield | Medicare Managed Care Plan | $1,327.23 | ↓ -65% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,613.79 | ↓ -58% |
| Blue Shield | Ppo/Epo | $1,794.77 | ↓ -53% |
| Blue Shield | Hmo | $1,794.77 | ↓ -53% |
| Blue Cross | All Commercial Plans | $8,837.00 | ↑ +132% |
| Blue Shield | Epn/Ifp Benefit Exchange | $9,268.39 | ↑ +144% |
| Aetna | Medicare Managed Care Plan | $10,031.67 | ↑ +164% |
| Humana | Choicecare Medicare Managed Care Plan | $10,232.30 | ↑ +169% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $10,509.96 | ↑ +177% |
| Central Health Plan | Medicare Managed Care Plan | $11,034.84 | ↑ +190% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11,837.21 | ↑ +211% |
| La Care Health Plan | Covered Ca Exchange | $13,041.17 | ↑ +243% |
| Unitedhealthcare | Select/Navigate Hmo | $13,460.00 | ↑ +254% |
| Unitedhealthcare | All Commercial Plans | $15,269.00 | ↑ +302% |
| Healthnet | Blue And Gold Other Commercial Plan | $16,065.00 | ↑ +323% |
| Healthnet | Ambetter Hmo | $18,558.59 | ↑ +388% |
| Healthnet | Ambetter Ppo | $21,467.77 | ↑ +465% |
| Healthnet | All Commercial Plans | $25,913.00 | ↑ +582% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,427.91 | $841.87 – $23,808.00 |
| Arroyo Grande Hospital | Santa Maria | $7,137.33 | $684.45 – $16,676.00 |
| French Hospital | San Luis Obispo | $6,235.16 | $684.45 – $15,587.88 |
| Bakersfield Memorial Hospital | Bakersfield | $4,165.82 | $684.45 – $11,010.47 |
| Queen of The Valley Medical Center | Napa | $11,164.92 | $9,256.00 – $35,965.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,548.77 | $684.45 – $12,687.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $16,984.53 | $9,773.00 – $15,575.00 |
| Mercy Medical Center Merced | Merced | $4,945.55 | $684.45 – $9,603.00 |