Factor ix at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$147.00
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.
$420.00
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.
$19.04 with Aetna vs $181.41 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 | $19.04 | ↓ -87% |
| Humana | Choicecare Medicare Managed Care Plan | $19.42 | ↓ -87% |
| Central Health Plan | Medicare Managed Care Plan | $20.94 | ↓ -86% |
| La Care Health Plan | Covered Ca Exchange | $24.75 | ↓ -83% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $27.01 | ↓ -82% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $30.41 | ↓ -79% |
| Healthnet | Ambetter Hmo | $35.22 | ↓ -76% |
| Unitedhealthcare | All Commercial Plans | $38.08 | ↓ -74% |
| Unitedhealthcare | Select/Navigate Hmo | $38.08 | ↓ -74% |
| Healthnet | Ambetter Ppo | $40.75 | ↓ -72% |
| Cigna | All Commercial Plans | $47.29 | ↓ -68% |
| Aetna | All Commercial Plans | $55.33 | ↓ -62% |
| Blue Shield | Epn/Ifp Benefit Exchange | $59.06 | ↓ -60% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $117.84 | ↓ -20% |
| Blue Cross | All Commercial Plans | $122.07 | ↓ -17% |
| Blue Shield | Ppo/Epo | $130.87 | ↓ -11% |
| Blue Shield | Hmo | $130.87 | ↓ -11% |
| Blue Shield | Medicare Managed Care Plan | $181.41 | ↑ +23% |
Visitor-reported prices
Comments
Factor ix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14.42 | $8.89 – $50.54 |
| Banner Lassen Medical Center | Susanville | $17.28 | $3.81 – $27.93 |
| Petaluma Valley Hospital | Petaluma | $93.87 | $18.66 – $155.42 |
| Arroyo Grande Hospital | Santa Maria | $97.60 | $16.46 – $49.07 |
| Mark Twain Medical Center | San Andreas | $21.92 | $17.82 – $32.26 |
| French Hospital | San Luis Obispo | $89.39 | $8.89 – $57.69 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.21 | $16.46 – $54.73 |
| Bakersfield Memorial Hospital | Bakersfield | $12.08 | $16.46 – $54.73 |