Lso s/c shell/panel custom at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,618.71
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.
$4,624.88
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.
$1,255.19 with Aetna vs $2,686.11 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $1,255.19 | ↓ -22% |
| Humana | Choicecare Medicare Managed Care Plan | $1,280.29 | ↓ -21% |
| Central Health Plan | Medicare Managed Care Plan | $1,380.71 | ↓ -15% |
| La Care Health Plan | Covered Ca Exchange | $1,631.75 | ↑ +1% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,745.45 | ↑ +8% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,965.61 | ↑ +21% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,071.76 | ↑ +28% |
| Healthnet | Ambetter Hmo | $2,322.10 | ↑ +43% |
| Healthnet | Ambetter Ppo | $2,686.11 | ↑ +66% |
Visitor-reported prices
Comments
Lso s/c shell/panel custom at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,133.33 | not published |
| Queen of The Valley Medical Center | Napa | $2,974.43 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $2,626.84 | not published |
| Healdsburg Hospital | Healdsburg | $2,035.92 | not published |
| Redwood Memorial Hospital | Fortuna | $2,626.84 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,133.33 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,691.97 | not published |
| Providence Saint Joseph Medical Center | Burbank | $1,618.71 | $1,255.19 – $2,322.10 |