Nerobehav stas exam by psy/md f2f 1st hr at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$3.10
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.
$8.86
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.
$94.79 with Blue Shield vs $594.31 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $94.79 | ↑ +2958% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $115.25 | ↑ +3618% |
| Blue Shield | Ppo/Epo | $128.18 | ↑ +4035% |
| Blue Shield | Hmo | $128.18 | ↑ +4035% |
| Aetna | Medicare Managed Care Plan | $277.71 | ↑ +8858% |
| Humana | Choicecare Medicare Managed Care Plan | $283.27 | ↑ +9038% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $290.95 | ↑ +9285% |
| Central Health Plan | Medicare Managed Care Plan | $305.48 | ↑ +9754% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $327.70 | ↑ +10471% |
| La Care Health Plan | Covered Ca Exchange | $361.03 | ↑ +11546% |
| Blue Shield | Epn/Ifp Benefit Exchange | $443.67 | ↑ +14212% |
| Healthnet | Ambetter Hmo | $513.77 | ↑ +16473% |
| Healthnet | Ambetter Ppo | $594.31 | ↑ +19071% |
Visitor-reported prices
Comments
Nerobehav stas exam by psy/md f2f 1st hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $767.20 | not published |
| Antioch Medical Center | ANTIOCH | $767.20 | not published |
| Redwood City Medical Center | Redwood City | $767.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $767.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $795.60 | not published |
| Riverside Medical Center | RIVERSIDE | $795.60 | not published |
| Fremont Medical Center | FREMONT | $767.20 | not published |
| Panorama Medical Center | PANORAMA CITY | $795.60 | not published |