Mayo muramidase at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
not published by hospital
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.
not published by hospital
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.
$18.75 with Aetna vs $178.75 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $18.75 | — |
| Humana | Choicecare Medicare Managed Care Plan | $19.12 | — |
| Central Health Plan | Medicare Managed Care Plan | $20.62 | — |
| La Care Health Plan | Covered Ca Exchange | $24.38 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $26.60 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $29.95 | — |
| Healthnet | Ambetter Hmo | $34.69 | — |
| Unitedhealthcare | All Commercial Plans | $37.50 | — |
| Unitedhealthcare | Select/Navigate Hmo | $37.50 | — |
| Healthnet | Ambetter Ppo | $40.12 | — |
| Cigna | All Commercial Plans | $46.57 | — |
| Aetna | All Commercial Plans | $54.51 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $58.19 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $116.11 | — |
| Blue Cross | All Commercial Plans | $120.26 | — |
| Blue Shield | Ppo/Epo | $128.95 | — |
| Blue Shield | Hmo | $128.95 | — |
| Blue Shield | Medicare Managed Care Plan | $178.75 | — |
Visitor-reported prices
Comments
Mayo muramidase at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $49.14 | $18.38 – $153.11 |
| Arroyo Grande Hospital | Santa Maria | $6.22 | $7.26 – $48.32 |
| Mark Twain Medical Center | San Andreas | $9.68 | $7.86 – $14.52 |
| French Hospital | San Luis Obispo | $5.70 | $3.93 – $56.81 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6.68 | $7.26 – $53.89 |
| Bakersfield Memorial Hospital | Bakersfield | $6.61 | $7.26 – $53.89 |
| Queen of The Valley Medical Center | Napa | $49.14 | $18.75 – $193.49 |
| Providence St Joseph Hospital Eureka | Eureka | $49.14 | $18.75 – $219.42 |