Fem/popl revasc w/stent at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$5,243.00
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.
$14,980.00
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.
$2,159.89 with Blue Shield vs $48,502.00 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 | $2,159.89 | ↓ -59% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $7,217.86 | ↑ +38% |
| Blue Shield | Hmo | $8,017.56 | ↑ +53% |
| Blue Shield | Ppo/Epo | $8,017.56 | ↑ +53% |
| Blue Cross | All Commercial Plans | $8,365.00 | ↑ +60% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +89% |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | ↑ +238% |
| Blue Shield | Epn/Ifp Benefit Exchange | $19,943.85 | ↑ +280% |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | ↑ +283% |
| Healthnet | Blue And Gold Other Commercial Plan | $30,073.00 | ↑ +474% |
| Healthnet | All Commercial Plans | $48,502.00 | ↑ +825% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,858.85 | $667.46 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $441.08 – $34,105.96 |
| French Hospital | San Luis Obispo | $13,642.39 | $441.08 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $28,333.27 | $441.18 – $19,675.20 |
| Bakersfield Memorial Hospital | Bakersfield | $28,027.79 | $441.18 – $19,429.26 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,442.80 | $0.80 – $11,269.00 |