Ligation major artery neck at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,868.30
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.
$5,338.00
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.
$2,362.00 with Unitedhealthcare vs $10,473.95 with Blue Shield — 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↑ +26% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↑ +43% |
| Healthnet | Blue And Gold Other Commercial Plan | $2,719.00 | ↑ +46% |
| Blue Shield | Medicare Managed Care Plan | $2,821.63 | ↑ +51% |
| Aetna | Medicare Managed Care Plan | $4,061.05 | ↑ +117% |
| Humana | Choicecare Medicare Managed Care Plan | $4,142.27 | ↑ +122% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,254.67 | ↑ +128% |
| Healthnet | All Commercial Plans | $4,385.00 | ↑ +135% |
| Central Health Plan | Medicare Managed Care Plan | $4,467.15 | ↑ +139% |
| Blue Shield | Epn/Ifp Benefit Exchange | $4,635.66 | ↑ +148% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,791.97 | ↑ +156% |
| La Care Health Plan | Covered Ca Exchange | $5,279.36 | ↑ +183% |
| Blue Cross | All Commercial Plans | $6,790.00 | ↑ +263% |
| Healthnet | Ambetter Hmo | $7,512.94 | ↑ +302% |
| Healthnet | Ambetter Ppo | $8,690.64 | ↑ +365% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $9,429.24 | ↑ +405% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +429% |
| Blue Shield | Ppo/Epo | $10,473.95 | ↑ +461% |
| Blue Shield | Hmo | $10,473.95 | ↑ +461% |
Visitor-reported prices
Comments
Ligation major artery neck at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $6,031.26 | $2,695.00 – $4,745.00 |
| Queen of The Valley Medical Center | Napa | $5,780.85 | $4,316.00 – $13,814.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,544.61 | $4,061.05 – $14,417.00 |
| Healdsburg Hospital | Healdsburg | $3,038.58 | $4,254.21 – $5,770.00 |
| Redwood Memorial Hospital | Fortuna | $4,558.38 | $6,127.00 – $14,778.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,780.85 | $2,741.00 – $5,530.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,011.68 | $1,894.00 – $12,775.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,394.00 | $1,775.00 – $5,279.36 |