Pq vrtbrplst 1 bdy inj lmb-scr w/img ini at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$4,812.50
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.
$13,750.00
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.
$2,455.49 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 | $2,455.49 | ↓ -49% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↓ -17% |
| Aetna | Medicare Managed Care Plan | $4,208.34 | ↓ -13% |
| Humana | Choicecare Medicare Managed Care Plan | $4,292.51 | ↓ -11% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,408.99 | ↓ -8% |
| Central Health Plan | Medicare Managed Care Plan | $4,629.17 | ↓ -4% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,965.77 | ↑ +3% |
| La Care Health Plan | Covered Ca Exchange | $5,470.84 | ↑ +14% |
| Blue Shield | Epn/Ifp Benefit Exchange | $6,416.02 | ↑ +33% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +52% |
| Healthnet | Ambetter Hmo | $7,785.43 | ↑ +62% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $8,205.68 | ↑ +71% |
| Healthnet | Ambetter Ppo | $9,005.85 | ↑ +87% |
| Blue Shield | Ppo/Epo | $9,114.83 | ↑ +89% |
| Blue Shield | Hmo | $9,114.83 | ↑ +89% |
| Unitedhealthcare | Select/Navigate Hmo | $9,834.00 | ↑ +104% |
| Unitedhealthcare | All Commercial Plans | $11,155.00 | ↑ +132% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +146% |
| Cigna | All Commercial Plans | $15,861.00 | ↑ +230% |
Visitor-reported prices
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Pq vrtbrplst 1 bdy inj lmb-scr w/img ini at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,908.67 | $559.88 – $7,471.42 |
| Petaluma Valley Hospital | Petaluma | $6,059.82 | $4,129.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $5,105.19 | $370.07 – $11,239.62 |
| French Hospital | San Luis Obispo | $4,675.78 | $370.07 – $10,584.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,917.39 | $370.07 – $8,447.20 |
| Bakersfield Memorial Hospital | Bakersfield | $3,875.16 | $370.07 – $8,341.61 |
| Queen of The Valley Medical Center | Napa | $6,559.11 | $4,645.79 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,857.86 | $4,208.34 – $17,611.00 |