Inj, adstiladrin, per tx dos at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$22,750.00
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.
$65,000.00
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.
$61,200.00 with Blue Shield vs $175,173.79 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 |
|---|---|---|---|
| Blue Shield | Hmo | $61,200.00 | ↑ +169% |
| Blue Shield | Ppo/Epo | $61,200.00 | ↑ +169% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $61,200.00 | ↑ +169% |
| Blue Shield | Medicare Managed Care Plan | $61,200.00 | ↑ +169% |
| Aetna | All Commercial Plans | $63,431.05 | ↑ +179% |
| Aetna | Medicare Managed Care Plan | $64,282.30 | ↑ +183% |
| Humana | Choicecare Medicare Managed Care Plan | $65,567.94 | ↑ +188% |
| Central Health Plan | Medicare Managed Care Plan | $70,710.53 | ↑ +211% |
| La Care Health Plan | Covered Ca Exchange | $83,566.99 | ↑ +267% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $89,929.45 | ↑ +295% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $101,272.08 | ↑ +345% |
| Healthnet | Ambetter Hmo | $118,922.25 | ↑ +423% |
| Cigna | All Commercial Plans | $119,400.00 | ↑ +425% |
| Unitedhealthcare | Select/Navigate Hmo | $135,956.56 | ↑ +498% |
| Unitedhealthcare | All Commercial Plans | $135,956.56 | ↑ +498% |
| Healthnet | Ambetter Ppo | $137,564.12 | ↑ +505% |
| Blue Cross | All Commercial Plans | $175,173.79 | ↑ +670% |
Visitor-reported prices
Comments
Inj, adstiladrin, per tx dos at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $62,996.65 – $135,956.56 |
| Queen of The Valley Medical Center | Napa | not published | $64,282.30 – $135,956.56 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $64,282.30 – $135,956.56 |
| Healdsburg Hospital | Healdsburg | not published | $61,200.00 – $203,588.58 |
| Redwood Memorial Hospital | Fortuna | not published | $103,349.49 – $126,862.11 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $62,996.65 – $135,956.56 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $54,639.95 – $135,956.56 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $61,200.00 – $135,956.56 |