Prgrmg eval implantable dfb at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$48.65
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.
$139.00
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.
$48.00 with Aetna vs $970.00 with Healthnet — 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 | $48.00 | ↓ -1% |
| Humana | Choicecare Medicare Managed Care Plan | $48.96 | ↑ +1% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $50.29 | ↑ +3% |
| Central Health Plan | Medicare Managed Care Plan | $52.80 | ↑ +9% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $56.64 | ↑ +16% |
| La Care Health Plan | Covered Ca Exchange | $62.40 | ↑ +28% |
| Blue Shield | Epn/Ifp Benefit Exchange | $84.99 | ↑ +75% |
| Healthnet | Ambetter Hmo | $88.80 | ↑ +83% |
| Healthnet | Ambetter Ppo | $102.72 | ↑ +111% |
| Blue Cross | All Commercial Plans | $152.81 | ↑ +214% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↑ +1135% |
| Healthnet | All Commercial Plans | $970.00 | ↑ +1894% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Santa Rosa Memorial Hospital | Santa Rosa | $430.95 | $51.93 – $195.22 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $157.92 | $40.80 – $88.80 |
| Dominican Hospital | Santa Cruz | $186.30 | $51.23 – $351.90 |
| St. Mary Medical Center | Long Beach | $122.55 | $47.38 – $379.50 |
| St Jude Medical Center | Fullerton | $53.28 | $40.80 – $88.80 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |
| Providence St Joseph Hospital Orange | Orange | $313.44 | $40.80 – $88.80 |
| Glendale Memorial Hospital Health Center | Glendale | $40.43 | $27.25 – $106.26 |