Pretreat rbc w enzyme reference at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$5.95
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.
$17.00
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.
$1.68 with Cigna vs $566.82 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 →
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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 |
|---|---|---|---|
| Cigna | All Commercial Plans | $1.68 | ↓ -72% |
| Blue Shield | Epn/Ifp Benefit Exchange | $36.81 | ↑ +519% |
| Aetna | All Commercial Plans | $39.37 | ↑ +562% |
| Blue Shield | Medicare Managed Care Plan | $62.00 | ↑ +942% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $75.39 | ↑ +1167% |
| Blue Shield | Hmo | $83.85 | ↑ +1309% |
| Blue Shield | Ppo/Epo | $83.85 | ↑ +1309% |
| Blue Cross | All Commercial Plans | $92.33 | ↑ +1452% |
| Aetna | Medicare Managed Care Plan | $219.12 | ↑ +3583% |
| Humana | Choicecare Medicare Managed Care Plan | $223.51 | ↑ +3656% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $229.57 | ↑ +3758% |
| Central Health Plan | Medicare Managed Care Plan | $241.04 | ↑ +3951% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $258.56 | ↑ +4246% |
| La Care Health Plan | Covered Ca Exchange | $284.86 | ↑ +4688% |
| Healthnet | Ambetter Hmo | $405.38 | ↑ +6713% |
| Healthnet | Ambetter Ppo | $468.93 | ↑ +7781% |
| Unitedhealthcare | All Commercial Plans | $566.82 | ↑ +9426% |
| Unitedhealthcare | Select/Navigate Hmo | $566.82 | ↑ +9426% |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $828.80 | $184.00 – $184.00 |
| St. John's Camarillo Hospital | Camarillo | $134.47 | $37.50 – $435.46 |
| Antioch Medical Center | ANTIOCH | $828.80 | $184.00 – $184.00 |
| Redwood City Medical Center | Redwood City | $828.80 | $184.00 – $184.00 |
| Santa Clara Medical Center | SANTA CLARA | $828.80 | $184.00 – $184.00 |
| Fremont Medical Center | FREMONT | $828.80 | $184.00 – $184.00 |
| Banner Lassen Medical Center | Susanville | $110.72 | $28.51 – $155.20 |
| Sacramento Medical Center | SACRAMENTO | $828.80 | $184.00 – $184.00 |