Histochemical stains add-on 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.
$42.11 with Blue Shield vs $169.96 with Aetna — 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 | Epn/Ifp Benefit Exchange | $42.11 | — |
| Blue Cross | All Commercial Plans | $52.88 | — |
| Blue Shield | Medicare Managed Care Plan | $115.32 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $140.22 | — |
| Unitedhealthcare | All Commercial Plans | $150.86 | — |
| Unitedhealthcare | Select/Navigate Hmo | $150.86 | — |
| Blue Shield | Ppo/Epo | $155.95 | — |
| Blue Shield | Hmo | $155.95 | — |
| Cigna | All Commercial Plans | $159.83 | — |
| Aetna | All Commercial Plans | $169.96 | — |
Visitor-reported prices
Comments
Histochemical stains add-on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $63.27 | $24.58 – $93.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $113.58 | $7.00 – $227.73 |
| Bakersfield Memorial Hospital | Bakersfield | $112.35 | $7.00 – $227.73 |
| St. Joseph's Behavioral Health Center | Stockton | $43.76 | $7.30 – $58.40 |
| St. Joseph's Medical Center Stockton | Stockton | $90.00 | $15.33 – $464.21 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $272.62 | $6.00 – $25.00 |
| Mercy Medical Center Merced | Merced | $39.46 | $43.80 – $73.00 |
| Northridge Hospital Medical Center | Northridge | $117.74 | $62.01 – $422.00 |