Insertion single tranvenous electrode/ppm/implantable defibrillator at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$2,374.05
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.
$6,783.00
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 | ↑ +93% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +134% |
| Blue Shield | Epn/Ifp Benefit Exchange | $8,564.17 | ↑ +261% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +317% |
| Aetna | Medicare Managed Care Plan | $10,643.53 | ↑ +348% |
| Humana | Choicecare Medicare Managed Care Plan | $10,856.40 | ↑ +357% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $11,151.00 | ↑ +370% |
| Central Health Plan | Medicare Managed Care Plan | $11,707.89 | ↑ +393% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $12,559.20 | ↑ +429% |
| Unitedhealthcare | Select/Navigate Hmo | $13,460.00 | ↑ +467% |
| La Care Health Plan | Covered Ca Exchange | $13,836.59 | ↑ +483% |
| Unitedhealthcare | All Commercial Plans | $15,269.00 | ↑ +543% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $15,333.73 | ↑ +546% |
| Blue Shield | Hmo | $17,032.64 | ↑ +617% |
| Blue Shield | Ppo/Epo | $17,032.64 | ↑ +617% |
| Healthnet | Ambetter Hmo | $19,690.54 | ↑ +729% |
| Healthnet | Blue And Gold Other Commercial Plan | $21,833.00 | ↑ +820% |
| Healthnet | Ambetter Ppo | $22,777.16 | ↑ +859% |
| Healthnet | All Commercial Plans | $35,214.00 | ↑ +1383% |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,048.78 | $630.58 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $6,893.37 | $512.67 – $15,783.88 |
| French Hospital | San Luis Obispo | $6,442.52 | $512.67 – $16,106.30 |
| Bakersfield Memorial Hospital | Bakersfield | $5,438.21 | $512.67 – $11,706.22 |
| Queen of The Valley Medical Center | Napa | $11,834.04 | $6,200.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,209.58 | $8,018.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,122.15 | $512.67 – $20,349.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,847.81 | $4,042.00 – $15,575.00 |