Fmri brain by tech at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$460.60
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.
$1,316.00
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.
$306.88 with Aetna vs $2,995.87 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 | $306.88 | ↓ -33% |
| Humana | Choicecare Medicare Managed Care Plan | $313.02 | ↓ -32% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $321.51 | ↓ -30% |
| Central Health Plan | Medicare Managed Care Plan | $337.57 | ↓ -27% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $362.12 | ↓ -21% |
| Unitedhealthcare | Select/Navigate Hmo | $372.86 | ↓ -19% |
| Unitedhealthcare | All Commercial Plans | $372.86 | ↓ -19% |
| La Care Health Plan | Covered Ca Exchange | $398.95 | ↓ -13% |
| Healthnet | Ambetter Hmo | $567.73 | ↑ +23% |
| Healthnet | Ambetter Ppo | $656.73 | ↑ +43% |
| Aetna | All Commercial Plans | $813.72 | ↑ +77% |
| Blue Shield | Epn/Ifp Benefit Exchange | $834.41 | ↑ +81% |
| Blue Shield | Medicare Managed Care Plan | $2,215.43 | ↑ +381% |
| Blue Cross | All Commercial Plans | $2,389.37 | ↑ +419% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,693.76 | ↑ +485% |
| Blue Shield | Ppo/Epo | $2,995.87 | ↑ +550% |
| Blue Shield | Hmo | $2,995.87 | ↑ +550% |
Visitor-reported prices
Comments
Fmri brain by tech at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,847.75 | $508.61 – $2,327.50 |
| Mercy Medical Center Redding | Redding | $2,438.67 | $307.13 – $4,713.80 |
| St. Elizabeth Community Hospital | Red Bluff | $787.24 | $307.13 – $1,078.00 |
| Petaluma Valley Hospital | Petaluma | not published | $321.54 – $3,042.03 |
| Queen of The Valley Medical Center | Napa | not published | $338.78 – $3,844.38 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $306.88 – $4,359.55 |
| Healdsburg Hospital | Healdsburg | not published | $321.48 – $1,739.08 |
| Redwood Memorial Hospital | Fortuna | not published | $4,369.73 – $4,369.73 |