Endoscopy swallow (fees) vid at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$290.85
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.
$831.00
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.
$56.75 with Aetna vs $614.18 with Blue Shield — 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 | $56.75 | ↓ -80% |
| Humana | Choicecare Medicare Managed Care Plan | $57.88 | ↓ -80% |
| Central Health Plan | Medicare Managed Care Plan | $62.42 | ↓ -79% |
| La Care Health Plan | Covered Ca Exchange | $73.78 | ↓ -75% |
| Healthnet | Ambetter Hmo | $104.99 | ↓ -64% |
| Healthnet | Ambetter Ppo | $121.44 | ↓ -58% |
| Aetna | All Commercial Plans | $232.19 | ↓ -20% |
| Blue Shield | Medicare Managed Care Plan | $454.19 | ↑ +56% |
| Blue Shield | Epn/Ifp Benefit Exchange | $474.20 | ↑ +63% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $552.25 | ↑ +90% |
| Blue Shield | Ppo/Epo | $614.18 | ↑ +111% |
| Blue Shield | Hmo | $614.18 | ↑ +111% |
Visitor-reported prices
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Endoscopy swallow (fees) vid at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $321.81 | $55.95 – $57.09 |
| Queen of The Valley Medical Center | Napa | $291.72 | $57.09 – $57.09 |
| Providence St Joseph Hospital Eureka | Eureka | $347.82 | $57.09 – $57.09 |
| Redwood Memorial Hospital | Fortuna | $400.86 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $241.74 | $55.95 – $57.09 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $364.32 | $48.24 – $104.99 |
| Providence Saint Joseph Medical Center | Burbank | $419.65 | $56.75 – $454.19 |
| St Jude Medical Center | Fullerton | $444.48 | $48.24 – $104.99 |