Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$869.05

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,483.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,137.58 with Aetna vs $5,977.00 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 →

Payer
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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
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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 $1,137.58 ↑ +31%
Blue Shield Medicare Managed Care Plan $1,142.09 ↑ +31%
Humana Choicecare Medicare Managed Care Plan $1,160.33 ↑ +34%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $1,191.82 ↑ +37%
Central Health Plan Medicare Managed Care Plan $1,251.34 ↑ +44%
Blue Shield Epn/Ifp Benefit Exchange $1,289.23 ↑ +48%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $1,342.33 ↑ +54%
La Care Health Plan Covered Ca Exchange $1,478.85 ↑ +70%
Healthnet Ambetter Hmo $2,104.52 ↑ +142%
Unitedhealthcare Select/Navigate Hmo $2,362.00 ↑ +172%
Healthnet Ambetter Ppo $2,434.42 ↑ +180%
Unitedhealthcare All Commercial Plans $2,679.00 ↑ +208%
Healthnet Blue And Gold Other Commercial Plan $2,719.00 ↑ +213%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $3,816.60 ↑ +339%
Blue Cross All Commercial Plans $4,005.00 ↑ +361%
Blue Shield Hmo $4,239.46 ↑ +388%
Blue Shield Ppo/Epo $4,239.46 ↑ +388%
Healthnet All Commercial Plans $4,385.00 ↑ +405%
Cigna All Commercial Plans $5,977.00 ↑ +588%

Visitor-reported prices

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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $904.91 $203.88 – $2,138.98
Banner Lassen Medical Center Susanville $1,909.73 $168.10 – $397.70
Petaluma Valley Hospital Petaluma $3,615.90 $1,191.92 – $2,695.00
Arroyo Grande Hospital Santa Maria $1,146.19 $165.76 – $2,302.02
Mark Twain Medical Center San Andreas $1,984.02 $71.41 – $270.48
French Hospital San Luis Obispo $948.25 $165.76 – $2,187.36
Mercy Hospitals – Bakersfield Bakersfield $1,823.47 $165.76 – $1,791.20
Bakersfield Memorial Hospital Bakersfield $1,803.81 $165.76 – $2,182.77

All California hospitals for this procedure →