Prim art mech thrmbc non-intracranial at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$10,562.30
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.
$30,178.00
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.
$1,746.72 with Blue Shield vs $50,455.95 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $1,746.72 | ↓ -83% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,837.15 | ↓ -45% |
| Blue Shield | Ppo/Epo | $6,483.87 | ↓ -39% |
| Blue Shield | Hmo | $6,483.87 | ↓ -39% |
| Blue Cross | All Commercial Plans | $6,790.00 | ↓ -36% |
| Blue Shield | Epn/Ifp Benefit Exchange | $7,080.03 | ↓ -33% |
| Healthnet | Blue And Gold Other Commercial Plan | $12,111.00 | ↑ +15% |
| Unitedhealthcare | Select/Navigate Hmo | $13,460.00 | ↑ +27% |
| Unitedhealthcare | All Commercial Plans | $15,269.00 | ↑ +45% |
| Cigna | All Commercial Plans | $15,861.00 | ↑ +50% |
| Healthnet | All Commercial Plans | $19,534.00 | ↑ +85% |
| Aetna | Medicare Managed Care Plan | $23,577.55 | ↑ +123% |
| Humana | Choicecare Medicare Managed Care Plan | $24,049.10 | ↑ +128% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $24,701.69 | ↑ +134% |
| Central Health Plan | Medicare Managed Care Plan | $25,935.30 | ↑ +146% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $27,821.13 | ↑ +163% |
| La Care Health Plan | Covered Ca Exchange | $30,650.81 | ↑ +190% |
| Healthnet | Ambetter Hmo | $43,618.46 | ↑ +313% |
| Healthnet | Ambetter Ppo | $50,455.95 | ↑ +378% |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,143.85 | $2,860.72 – $21,542.00 |
| Arroyo Grande Hospital | Santa Maria | $5,825.94 | $2,325.79 – $13,612.00 |
| French Hospital | San Luis Obispo | $5,592.28 | $2,325.79 – $13,612.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,963.98 | $2,325.79 – $10,195.00 |
| Bakersfield Memorial Hospital | Bakersfield | $11,691.89 | $2,325.79 – $10,195.00 |
| Queen of The Valley Medical Center | Napa | $21,315.96 | $7,745.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $12,187.98 | $8,925.00 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,031.18 | $0.80 – $4,689.00 |