Hfo nontorsion jnts pre cst at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
not published by hospital
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.
not published by hospital
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.
$117.20 with Aetna vs $250.81 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $117.20 | — |
| Humana | Choicecare Medicare Managed Care Plan | $119.54 | — |
| Central Health Plan | Medicare Managed Care Plan | $128.92 | — |
| La Care Health Plan | Covered Ca Exchange | $152.36 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $162.99 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $183.55 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $193.44 | — |
| Healthnet | Ambetter Hmo | $216.82 | — |
| Healthnet | Ambetter Ppo | $250.81 | — |
Visitor-reported prices
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Hfo nontorsion jnts pre cst at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $9.85 | $11.50 – $23.00 |
| French Hospital | San Luis Obispo | $9.02 | $4.37 – $23.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $64.93 | $6.25 – $25.00 |
| Bakersfield Memorial Hospital | Bakersfield | $64.23 | $6.25 – $25.00 |
| St. Joseph's Medical Center Stockton | Stockton | $46.46 | $5.98 – $23.00 |
| Mercy Medical Center Merced | Merced | $54.08 | $4.60 – $20.00 |
| Dominican Hospital | Santa Cruz | $101.25 | $11.75 – $25.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $24.53 | $11.25 – $45.00 |