Procalcitonin at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$99.40
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.
$284.00
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.
$27.22 with Aetna vs $189.32 with Blue Shield — 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 | $27.22 | ↓ -73% |
| Humana | Choicecare Medicare Managed Care Plan | $27.76 | ↓ -72% |
| Central Health Plan | Medicare Managed Care Plan | $29.94 | ↓ -70% |
| La Care Health Plan | Covered Ca Exchange | $35.39 | ↓ -64% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $38.61 | ↓ -61% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $43.48 | ↓ -56% |
| Healthnet | Ambetter Hmo | $50.36 | ↓ -49% |
| Unitedhealthcare | All Commercial Plans | $54.44 | ↓ -45% |
| Unitedhealthcare | Select/Navigate Hmo | $54.44 | ↓ -45% |
| Healthnet | Ambetter Ppo | $58.25 | ↓ -41% |
| Cigna | All Commercial Plans | $67.58 | ↓ -32% |
| Aetna | All Commercial Plans | $77.83 | ↓ -22% |
| Blue Shield | Epn/Ifp Benefit Exchange | $83.07 | ↓ -16% |
| Blue Cross | All Commercial Plans | $112.10 | ↑ +13% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $122.98 | ↑ +24% |
| Blue Shield | Ppo/Epo | $136.58 | ↑ +37% |
| Blue Shield | Hmo | $136.58 | ↑ +37% |
| Blue Shield | Medicare Managed Care Plan | $189.32 | ↑ +90% |
Visitor-reported prices
Comments
Procalcitonin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $110.38 | $27.22 – $84.93 |
| Banner Lassen Medical Center | Susanville | $56.97 | $5.44 – $88.27 |
| Petaluma Valley Hospital | Petaluma | $147.90 | $26.68 – $133.82 |
| Arroyo Grande Hospital | Santa Maria | $92.02 | $11.11 – $70.12 |
| Mark Twain Medical Center | San Andreas | $135.87 | $22.21 – $192.08 |
| French Hospital | San Luis Obispo | $84.28 | $6.00 – $82.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $67.46 | $11.11 – $78.21 |
| Bakersfield Memorial Hospital | Bakersfield | $66.73 | $11.11 – $78.21 |