Ghs i and d pilonidal cyst complex at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,351.35
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.
$3,861.00
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.
$910.78 with Aetna vs $5,559.00 with Blue Cross — 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 | $910.78 | ↓ -33% |
| Humana | Choicecare Medicare Managed Care Plan | $928.99 | ↓ -31% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $954.20 | ↓ -29% |
| Central Health Plan | Medicare Managed Care Plan | $1,001.85 | ↓ -26% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,074.70 | ↓ -20% |
| Blue Shield | Medicare Managed Care Plan | $1,142.09 | ↓ -15% |
| La Care Health Plan | Covered Ca Exchange | $1,184.01 | ↓ -12% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +10% |
| Healthnet | Ambetter Hmo | $1,684.94 | ↑ +25% |
| Healthnet | Ambetter Ppo | $1,949.06 | ↑ +44% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,263.87 | ↑ +68% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↑ +75% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +77% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↑ +98% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↑ +182% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↑ +214% |
| Blue Shield | Hmo | $4,239.46 | ↑ +214% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +311% |
Visitor-reported prices
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Ghs i and d pilonidal cyst complex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,789.19 | $954.29 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,727.84 | $165.72 – $3,956.26 |
| French Hospital | San Luis Obispo | $1,629.94 | $165.72 – $4,074.84 |
| Queen of The Valley Medical Center | Napa | $6,609.60 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,923.32 | $910.78 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $813.96 | $954.10 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,665.26 | $3,331.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,021.24 | $985.34 – $4,042.00 |