Incise/drain eyelid lining at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,505.00
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.
$4,300.00
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.
$535.26 with Blue Shield vs $9,891.00 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 |
|---|---|---|---|
| Blue Shield | Epn/Ifp Benefit Exchange | $535.26 | ↓ -64% |
| Aetna | Medicare Managed Care Plan | $1,282.15 | ↓ -15% |
| Humana | Choicecare Medicare Managed Care Plan | $1,307.79 | ↓ -13% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,343.28 | ↓ -11% |
| Central Health Plan | Medicare Managed Care Plan | $1,410.37 | ↓ -6% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,512.92 | ↑ +1% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↑ +2% |
| La Care Health Plan | Covered Ca Exchange | $1,666.80 | ↑ +11% |
| Healthnet | Ambetter Hmo | $2,371.98 | ↑ +58% |
| Healthnet | Blue And Gold Other Commercial Plan | $2,719.00 | ↑ +81% |
| Healthnet | Ambetter Ppo | $2,743.81 | ↑ +82% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +166% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↑ +172% |
| Healthnet | All Commercial Plans | $4,385.00 | ↑ +191% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↑ +209% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +239% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +277% |
| Blue Shield | Hmo | $5,673.39 | ↑ +277% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +557% |
Visitor-reported prices
Comments
Incise/drain eyelid lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,750.83 | $1,343.40 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $2,296.02 | $1,415.43 – $7,483.00 |
| Healdsburg Hospital | Healdsburg | $1,599.36 | $1,343.14 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $1,230.12 | $6,127.00 – $25,998.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,821.60 | $1,089.83 – $6,920.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,936.90 | $1,282.15 – $4,776.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,859.20 | $1,282.15 – $4,751.00 |
| St Jude Medical Center | Fullerton | $1,745.28 | $1,089.83 – $5,605.00 |