Ins icd gen exist mlt leads 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.
$1,142.09 with Blue Shield vs $126,240.00 with Healthnet — 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 | Medicare Managed Care Plan | $1,142.09 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | — |
| Blue Shield | Hmo | $4,239.46 | — |
| Blue Shield | Ppo/Epo | $4,239.46 | — |
| Blue Cross | All Commercial Plans | $5,559.00 | — |
| Cigna | All Commercial Plans | $9,891.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | — |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | — |
| Aetna | Medicare Managed Care Plan | $40,371.32 | — |
| Humana | Choicecare Medicare Managed Care Plan | $41,178.75 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $42,296.16 | — |
| Central Health Plan | Medicare Managed Care Plan | $44,408.46 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $47,637.52 | — |
| La Care Health Plan | Covered Ca Exchange | $52,482.72 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $59,837.87 | — |
| Healthnet | Ambetter Hmo | $74,686.95 | — |
| Healthnet | Blue And Gold Other Commercial Plan | $78,268.00 | — |
| Healthnet | Ambetter Ppo | $86,394.63 | — |
| Healthnet | All Commercial Plans | $126,240.00 | — |
Visitor-reported prices
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Ins icd gen exist mlt leads at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $31,547.39 | $491.16 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $35,170.90 | $324.53 – $80,531.50 |
| French Hospital | San Luis Obispo | $32,776.69 | $324.53 – $81,941.72 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $5,592.00 – $126,547.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $53,420.16 | $5,171.00 – $74,686.95 |
| Dominican Hospital | Santa Cruz | $2,157.75 | $324.65 – $15,008.35 |
| Northridge Hospital Medical Center | Northridge | $18,070.56 | $324.65 – $64,769.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $8,378.30 | $1,142.00 – $74,686.95 |