Nm imaging hepatobiliary system w/pharmacologic intervention at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,333.85
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.
$3,811.00
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.
$698.35 with Aetna vs $2,639.74 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 | $698.35 | ↓ -48% |
| Humana | Choicecare Medicare Managed Care Plan | $712.32 | ↓ -47% |
| Blue Shield | Epn/Ifp Benefit Exchange | $723.34 | ↓ -46% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $731.65 | ↓ -45% |
| Unitedhealthcare | Select/Navigate Hmo | $755.17 | ↓ -43% |
| Unitedhealthcare | All Commercial Plans | $755.17 | ↓ -43% |
| Central Health Plan | Medicare Managed Care Plan | $768.18 | ↓ -42% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $824.04 | ↓ -38% |
| La Care Health Plan | Covered Ca Exchange | $907.85 | ↓ -32% |
| Aetna | All Commercial Plans | $969.32 | ↓ -27% |
| Healthnet | Ambetter Hmo | $1,291.95 | ↓ -3% |
| Healthnet | Ambetter Ppo | $1,494.47 | ↑ +12% |
| Blue Shield | Medicare Managed Care Plan | $1,952.08 | ↑ +46% |
| Blue Cross | All Commercial Plans | $2,268.87 | ↑ +70% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,373.55 | ↑ +78% |
| Cigna | All Commercial Plans | $2,612.61 | ↑ +96% |
| Blue Shield | Ppo/Epo | $2,639.74 | ↑ +98% |
| Blue Shield | Hmo | $2,639.74 | ↑ +98% |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,546.58 | $592.95 – $2,754.18 |
| Banner Lassen Medical Center | Susanville | $1,966.03 | $107.65 – $2,842.10 |
| Petaluma Valley Hospital | Petaluma | $4,328.88 | $731.71 – $1,884.48 |
| Arroyo Grande Hospital | Santa Maria | $1,525.40 | $391.93 – $3,038.00 |
| Mark Twain Medical Center | San Andreas | $2,311.69 | $391.93 – $2,637.18 |
| French Hospital | San Luis Obispo | $1,159.54 | $391.93 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $621.06 | $391.93 – $2,565.73 |
| Bakersfield Memorial Hospital | Bakersfield | $614.36 | $391.93 – $2,565.73 |