MRI tmj at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,855.70
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.
$5,302.00
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.
$306.88 with Aetna vs $2,589.25 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 | $306.88 | ↓ -83% |
| Humana | Choicecare Medicare Managed Care Plan | $313.02 | ↓ -83% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $321.51 | ↓ -83% |
| Central Health Plan | Medicare Managed Care Plan | $337.57 | ↓ -82% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $362.12 | ↓ -80% |
| Unitedhealthcare | Select/Navigate Hmo | $372.86 | ↓ -80% |
| Unitedhealthcare | All Commercial Plans | $372.86 | ↓ -80% |
| La Care Health Plan | Covered Ca Exchange | $398.95 | ↓ -79% |
| Healthnet | Ambetter Hmo | $567.73 | ↓ -69% |
| Healthnet | Ambetter Ppo | $656.73 | ↓ -65% |
| Aetna | All Commercial Plans | $813.72 | ↓ -56% |
| Blue Shield | Epn/Ifp Benefit Exchange | $834.41 | ↓ -55% |
| Blue Cross | All Commercial Plans | $1,801.49 | ↓ -3% |
| Blue Shield | Medicare Managed Care Plan | $1,914.74 | ↑ +3% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,328.14 | ↑ +25% |
| Blue Shield | Ppo/Epo | $2,589.25 | ↑ +40% |
| Blue Shield | Hmo | $2,589.25 | ↑ +40% |
Visitor-reported prices
Comments
MRI tmj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,440.98 | $307.13 – $4,346.94 |
| Petaluma Valley Hospital | Petaluma | $4,502.79 | $321.54 – $2,293.58 |
| Arroyo Grande Hospital | Santa Maria | $2,140.86 | $307.13 – $4,447.24 |
| Mark Twain Medical Center | San Andreas | $9,862.13 | $963.66 – $3,650.50 |
| French Hospital | San Luis Obispo | $1,626.80 | $307.13 – $2,111.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,300.36 | $307.13 – $2,804.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,286.34 | $307.13 – $2,768.95 |
| Queen of The Valley Medical Center | Napa | $3,974.43 | $338.78 – $2,898.51 |