Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$4,192.30
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.
$11,978.00
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 $48,502.00 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 | ↑ +9% |
| Blue Cross | All Commercial Plans | $8,837.00 | ↑ +111% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +136% |
| Aetna | Medicare Managed Care Plan | $13,443.01 | ↑ +221% |
| Humana | Choicecare Medicare Managed Care Plan | $13,711.87 | ↑ +227% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $14,083.95 | ↑ +236% |
| Central Health Plan | Medicare Managed Care Plan | $14,787.31 | ↑ +253% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $15,333.73 | ↑ +266% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $15,862.54 | ↑ +278% |
| Blue Shield | Ppo/Epo | $17,032.64 | ↑ +306% |
| Blue Shield | Hmo | $17,032.64 | ↑ +306% |
| La Care Health Plan | Covered Ca Exchange | $17,475.92 | ↑ +317% |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | ↑ +322% |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | ↑ +379% |
| Blue Shield | Epn/Ifp Benefit Exchange | $23,879.41 | ↑ +470% |
| Healthnet | Ambetter Hmo | $24,869.57 | ↑ +493% |
| Healthnet | Ambetter Ppo | $28,768.05 | ↑ +586% |
| Healthnet | Blue And Gold Other Commercial Plan | $30,073.00 | ↑ +617% |
| Healthnet | All Commercial Plans | $48,502.00 | ↑ +1057% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,560.74 | $1,050.96 – $31,272.54 |
| Arroyo Grande Hospital | Santa Maria | $16,040.16 | $854.44 – $36,727.46 |
| French Hospital | San Luis Obispo | $14,990.48 | $854.44 – $37,476.18 |
| Bakersfield Memorial Hospital | Bakersfield | $15,006.63 | $854.44 – $32,303.10 |
| Queen of The Valley Medical Center | Napa | $22,043.73 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $11,046.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $11,059.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,098.50 | $854.44 – $31,710.00 |