Ins/rpl pm gen exist sgl lead at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,282.70
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.
$6,522.00
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.
$4,588.50 with Blue Shield vs $35,214.00 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 | $4,588.50 | ↑ +101% |
| Cigna | All Commercial Plans | $10,103.00 | ↑ +343% |
| Aetna | Medicare Managed Care Plan | $10,643.53 | ↑ +366% |
| Humana | Choicecare Medicare Managed Care Plan | $10,856.40 | ↑ +376% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $11,151.00 | ↑ +389% |
| Blue Cross | All Commercial Plans | $11,276.00 | ↑ +394% |
| Central Health Plan | Medicare Managed Care Plan | $11,707.89 | ↑ +413% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $12,559.20 | ↑ +450% |
| La Care Health Plan | Covered Ca Exchange | $13,836.59 | ↑ +506% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $15,333.73 | ↑ +572% |
| Blue Shield | Epn/Ifp Benefit Exchange | $16,263.38 | ↑ +612% |
| Blue Shield | Hmo | $17,032.64 | ↑ +646% |
| Blue Shield | Ppo/Epo | $17,032.64 | ↑ +646% |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | ↑ +675% |
| Healthnet | Ambetter Hmo | $19,690.54 | ↑ +763% |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | ↑ +779% |
| Healthnet | Blue And Gold Other Commercial Plan | $21,833.00 | ↑ +856% |
| Healthnet | Ambetter Ppo | $22,777.16 | ↑ +898% |
| Healthnet | All Commercial Plans | $35,214.00 | ↑ +1443% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,930.34 | $416.70 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $9,845.72 | $338.78 – $22,543.92 |
| French Hospital | San Luis Obispo | $8,908.20 | $338.78 – $22,270.50 |
| Bakersfield Memorial Hospital | Bakersfield | $10,879.35 | $338.78 – $23,418.76 |
| Queen of The Valley Medical Center | Napa | $21,783.63 | $11,749.91 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,370.18 | $338.78 – $23,914.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,231.04 | $8,912.00 – $20,774.00 |
| Mercy Medical Center Merced | Merced | $14,863.42 | $338.78 – $28,572.39 |