Protein c activity at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$147.00
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.
$420.00
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.
$13.84 with Aetna vs $131.76 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 | $13.84 | ↓ -91% |
| Humana | Choicecare Medicare Managed Care Plan | $14.12 | ↓ -90% |
| Central Health Plan | Medicare Managed Care Plan | $15.22 | ↓ -90% |
| La Care Health Plan | Covered Ca Exchange | $17.99 | ↓ -88% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $19.63 | ↓ -87% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $22.11 | ↓ -85% |
| Healthnet | Ambetter Hmo | $25.60 | ↓ -83% |
| Unitedhealthcare | All Commercial Plans | $27.68 | ↓ -81% |
| Unitedhealthcare | Select/Navigate Hmo | $27.68 | ↓ -81% |
| Healthnet | Ambetter Ppo | $29.62 | ↓ -80% |
| Cigna | All Commercial Plans | $34.38 | ↓ -77% |
| Aetna | All Commercial Plans | $40.18 | ↓ -73% |
| Blue Shield | Epn/Ifp Benefit Exchange | $42.90 | ↓ -71% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $85.59 | ↓ -42% |
| Blue Cross | All Commercial Plans | $88.75 | ↓ -40% |
| Blue Shield | Ppo/Epo | $95.05 | ↓ -35% |
| Blue Shield | Hmo | $95.05 | ↓ -35% |
| Blue Shield | Medicare Managed Care Plan | $131.76 | ↓ -10% |
Visitor-reported prices
Comments
Protein c activity at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10.52 | $4.86 – $36.74 |
| Petaluma Valley Hospital | Petaluma | $88.05 | $13.56 – $112.99 |
| Arroyo Grande Hospital | Santa Maria | $77.79 | $7.62 – $35.68 |
| Mark Twain Medical Center | San Andreas | $23.05 | $13.00 – $23.52 |
| French Hospital | San Luis Obispo | $71.25 | $4.12 – $41.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $195.52 | $9.00 – $39.79 |
| Bakersfield Memorial Hospital | Bakersfield | $193.41 | $9.00 – $39.79 |
| Queen of The Valley Medical Center | Napa | $88.05 | $13.84 – $142.79 |