Phentolaine mesylate inj at Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$1,146.80

Cash price

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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.

$3,276.56

Gross charge

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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.

$85.15 with Blue Cross vs $966.00 with Unitedhealthcare — 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 →

Payer
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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
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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 Cross All Commercial Plans $85.15 ↓ -93%
Blue Shield Epn/Ifp Benefit Exchange $117.27 ↓ -90%
Aetna Medicare Managed Care Plan $257.45 ↓ -78%
Humana Choicecare Medicare Managed Care Plan $262.60 ↓ -77%
Central Health Plan Medicare Managed Care Plan $283.19 ↓ -75%
La Care Health Plan Covered Ca Exchange $334.68 ↓ -71%
Aetna All Commercial Plans $436.51 ↓ -62%
Healthnet Ambetter Hmo $476.28 ↓ -58%
Blue Shield Medicare Managed Care Plan $499.76 ↓ -56%
Blue Shield Hmo $499.76 ↓ -56%
Blue Shield Ppo/Epo $499.76 ↓ -56%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $499.76 ↓ -56%
Healthnet Ambetter Ppo $550.94 ↓ -52%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $559.74 ↓ -51%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $630.34 ↓ -45%
Cigna All Commercial Plans $894.11 ↓ -22%
Unitedhealthcare Select/Navigate Hmo $966.00 ↓ -16%
Unitedhealthcare All Commercial Plans $966.00 ↓ -16%

Visitor-reported prices

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Phentolaine mesylate inj at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,314.00 $41.47 – $2,340.00
Petaluma Valley Hospital Petaluma $1,402.21 $38.81 – $966.00
Arroyo Grande Hospital Santa Maria $2,182.80 $68.77 – $4,998.00
French Hospital San Luis Obispo $1,999.20 $257.18 – $4,998.00
Mercy Hospitals – Bakersfield Bakersfield $743.86 $28.80 – $453.76
Bakersfield Memorial Hospital Bakersfield $735.84 $61.97 – $597.00
Queen of The Valley Medical Center Napa $973.85 $42.01 – $966.00
Providence St Joseph Hospital Eureka Eureka $973.85 $50.12 – $966.00

All California hospitals for this procedure →