Exc arm/elbo les sc <3cm 24075 at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,685.60
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.
$4,816.00
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.
$1,528.38 with Blue Shield 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↓ -9% |
| Aetna | Medicare Managed Care Plan | $2,124.23 | ↑ +26% |
| Humana | Choicecare Medicare Managed Care Plan | $2,166.71 | ↑ +29% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,225.51 | ↑ +32% |
| Central Health Plan | Medicare Managed Care Plan | $2,336.65 | ↑ +39% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,506.56 | ↑ +49% |
| La Care Health Plan | Covered Ca Exchange | $2,761.50 | ↑ +64% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,933.51 | ↑ +74% |
| Healthnet | Ambetter Hmo | $3,929.83 | ↑ +133% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↑ +143% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +164% |
| Healthnet | Ambetter Ppo | $4,545.85 | ↑ +170% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↑ +176% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +203% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +230% |
| Blue Shield | Hmo | $5,673.39 | ↑ +237% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +237% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +326% |
| Cigna | All Commercial Plans | $9,297.00 | ↑ +452% |
Visitor-reported prices
Comments
Exc arm/elbo les sc <3cm 24075 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $594.08 | $230.77 – $874.16 |
| Healdsburg Hospital | Healdsburg | $591.09 | $2,225.27 – $5,198.77 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,351.00 | $1,528.00 – $3,929.83 |
| Providence Saint Joseph Medical Center | Burbank | $1,792.70 | $1,528.00 – $3,929.83 |
| Providence Holy Cross Medical Center | Mission Hills | $1,564.15 | $1,528.00 – $7,309.00 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $1,216.25 | $1,528.00 – $6,826.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $1,216.25 | $1,528.00 – $6,832.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $476.08 – $3,763.88 |