Plcmnt ureteral stent pq w/img exstng trct at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$6,337.45
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.
$18,107.00
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.
$1,142.09 with Blue Shield vs $15,861.00 with Cigna — 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 | $1,142.09 | ↓ -82% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↓ -40% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↓ -37% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↓ -33% |
| Blue Shield | Hmo | $4,239.46 | ↓ -33% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↓ -30% |
| Aetna | Medicare Managed Care Plan | $4,533.71 | ↓ -28% |
| Humana | Choicecare Medicare Managed Care Plan | $4,624.39 | ↓ -27% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,749.87 | ↓ -25% |
| Central Health Plan | Medicare Managed Care Plan | $4,987.09 | ↓ -21% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,349.71 | ↓ -16% |
| Blue Shield | Epn/Ifp Benefit Exchange | $5,531.72 | ↓ -13% |
| La Care Health Plan | Covered Ca Exchange | $5,893.83 | ↓ -7% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +13% |
| Healthnet | Ambetter Hmo | $8,387.37 | ↑ +32% |
| Healthnet | Ambetter Ppo | $9,702.15 | ↑ +53% |
| Unitedhealthcare | Select/Navigate Hmo | $9,834.00 | ↑ +55% |
| Unitedhealthcare | All Commercial Plans | $11,155.00 | ↑ +76% |
| Cigna | All Commercial Plans | $15,861.00 | ↑ +150% |
Visitor-reported prices
Comments
Plcmnt ureteral stent pq w/img exstng trct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,169.37 | $1,473.48 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $6,947.30 | $973.94 – $7,201.04 |
| French Hospital | San Luis Obispo | $6,454.68 | $973.94 – $7,201.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,180.43 | $973.94 – $6,008.80 |
| Bakersfield Memorial Hospital | Bakersfield | $4,135.36 | $973.94 – $8,100.66 |
| Queen of The Valley Medical Center | Napa | $5,451.39 | $5,004.98 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,151.51 | $4,533.71 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,206.93 | $973.94 – $8,867.04 |