Lithotripsy transluminal coronary percutaneous at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,753.85
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.
$5,011.00
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.
$352.70 with Blue Shield vs $1,309.24 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $352.70 | ↓ -80% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | ↓ -33% |
| Blue Shield | Hmo | $1,309.24 | ↓ -25% |
| Blue Shield | Ppo/Epo | $1,309.24 | ↓ -25% |
Visitor-reported prices
Comments
Lithotripsy transluminal coronary percutaneous at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,871.12 | $7,317.81 – $21,140.34 |
| Arroyo Grande Hospital | Santa Maria | $7,833.26 | $9,151.00 – $17,935.96 |
| French Hospital | San Luis Obispo | $7,174.39 | $4,941.54 – $17,935.96 |
| Bakersfield Memorial Hospital | Bakersfield | $4,633.01 | $6,312.00 – $12,497.76 |
| Queen of The Valley Medical Center | Napa | $3,079.89 | $1,727.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,079.89 | $1,802.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,438.23 | $3,170.16 – $12,680.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,079.89 | $691.00 – $12,908.00 |