Fracture assessment via dxa at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$95.55
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.
$273.00
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.
$64.10 with Aetna vs $427.38 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $64.10 | ↓ -33% |
| Aetna | Medicare Managed Care Plan | $111.93 | ↑ +17% |
| Humana | Choicecare Medicare Managed Care Plan | $114.17 | ↑ +19% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $117.27 | ↑ +23% |
| Blue Shield | Medicare Managed Care Plan | $122.11 | ↑ +28% |
| Central Health Plan | Medicare Managed Care Plan | $123.12 | ↑ +29% |
| Unitedhealthcare | Select/Navigate Hmo | $127.70 | ↑ +34% |
| Unitedhealthcare | All Commercial Plans | $127.70 | ↑ +34% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $132.07 | ↑ +38% |
| La Care Health Plan | Covered Ca Exchange | $145.51 | ↑ +52% |
| Blue Shield | Epn/Ifp Benefit Exchange | $146.38 | ↑ +53% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $148.48 | ↑ +55% |
| Blue Shield | Hmo | $165.13 | ↑ +73% |
| Blue Shield | Ppo/Epo | $165.13 | ↑ +73% |
| Healthnet | Ambetter Hmo | $207.07 | ↑ +117% |
| Healthnet | Ambetter Ppo | $239.53 | ↑ +151% |
| Blue Cross | All Commercial Plans | $254.59 | ↑ +166% |
| Cigna | All Commercial Plans | $427.38 | ↑ +347% |
Visitor-reported prices
Comments
Fracture assessment via dxa at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $173.18 | $17.61 – $256.08 |
| Mark Twain Medical Center | San Andreas | $359.64 | $30.22 – $157.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $69.01 | $30.22 – $424.11 |
| Bakersfield Memorial Hospital | Bakersfield | $68.27 | $30.22 – $424.11 |
| Healdsburg Hospital | Healdsburg | $88.74 | $84.24 – $171.35 |
| St. Joseph's Medical Center Stockton | Stockton | $327.81 | $30.22 – $182.03 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $178.94 | $41.10 – $225.40 |
| Mercy Medical Center Merced | Merced | $103.52 | $30.22 – $96.80 |