Ins pm gen w/exist mlt leads at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$5,906.95
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.
$16,877.00
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.
$1,142.09 with Blue Shield vs $69,099.00 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 | ↓ -81% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↓ -35% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↓ -28% |
| Blue Shield | Hmo | $4,239.46 | ↓ -28% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↓ -6% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +67% |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | ↑ +200% |
| Blue Shield | Epn/Ifp Benefit Exchange | $17,824.10 | ↑ +202% |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | ↑ +240% |
| Aetna | Medicare Managed Care Plan | $24,773.75 | ↑ +319% |
| Humana | Choicecare Medicare Managed Care Plan | $25,269.23 | ↑ +328% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $25,954.93 | ↑ +339% |
| Central Health Plan | Medicare Managed Care Plan | $27,251.13 | ↑ +361% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $29,232.64 | ↑ +395% |
| La Care Health Plan | Covered Ca Exchange | $32,205.88 | ↑ +445% |
| Healthnet | Blue And Gold Other Commercial Plan | $42,841.00 | ↑ +625% |
| Healthnet | Ambetter Hmo | $45,831.45 | ↑ +676% |
| Healthnet | Ambetter Ppo | $53,015.83 | ↑ +798% |
| Healthnet | All Commercial Plans | $69,099.00 | ↑ +1070% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,877.73 | $440.46 – $46,866.74 |
| Arroyo Grande Hospital | Santa Maria | $10,986.34 | $291.14 – $25,155.62 |
| French Hospital | San Luis Obispo | $12,172.39 | $291.14 – $30,430.96 |
| Bakersfield Memorial Hospital | Bakersfield | $10,768.89 | $291.14 – $24,231.82 |
| Queen of The Valley Medical Center | Napa | $23,962.86 | $5,592.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,284.92 | $291.14 – $27,058.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $19,013.28 | $5,171.00 – $45,831.45 |
| Mercy Medical Center Merced | Merced | $14,712.52 | $291.14 – $28,282.32 |