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
$869.05
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.
$2,483.00
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.
$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 →
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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 | $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
Comments
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 |