Evaluation psychiatric diagnostic at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$236.95
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.
$677.00
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.
$228.29 with Aetna vs $488.54 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $228.29 | ↓ -4% |
| Humana | Choicecare Medicare Managed Care Plan | $232.85 | ↓ -2% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $239.17 | ↑ +1% |
| Central Health Plan | Medicare Managed Care Plan | $251.12 | ↑ +6% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $269.38 | ↑ +14% |
| Blue Shield | Epn/Ifp Benefit Exchange | $284.83 | ↑ +20% |
| La Care Health Plan | Covered Ca Exchange | $296.78 | ↑ +25% |
| Healthnet | Ambetter Hmo | $422.33 | ↑ +78% |
| Healthnet | Ambetter Ppo | $488.54 | ↑ +106% |
Visitor-reported prices
Comments
Evaluation psychiatric diagnostic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $230.44 | $89.52 – $339.08 |
| St. Joseph's Behavioral Health Center | Stockton | $199.85 | $23.70 – $236.45 |
| Healdsburg Hospital | Healdsburg | $544.68 | $239.15 – $239.15 |
| Redwood Memorial Hospital | Fortuna | $169.32 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $226.44 | $246.98 – $252.02 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $159.36 | $194.05 – $422.33 |
| Northridge Hospital Medical Center | Northridge | $222.09 | $131.75 – $4,018.00 |
| St. Mary Medical Center | Long Beach | $203.39 | $50.00 – $1,593.00 |