Prq card revasc mi 1 vsl drug-eluting at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$4,716.25
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.
$13,475.00
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.
$2,455.49 with Blue Shield vs $32,513.73 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $2,455.49 | ↓ -48% |
| Unitedhealthcare | Select/Navigate Hmo | $5,821.00 | ↑ +23% |
| Unitedhealthcare | All Commercial Plans | $6,603.00 | ↑ +40% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $8,205.68 | ↑ +74% |
| Blue Shield | Ppo/Epo | $9,114.83 | ↑ +93% |
| Blue Shield | Hmo | $9,114.83 | ↑ +93% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +110% |
| Blue Cross | All Commercial Plans | $12,235.00 | ↑ +159% |
| Blue Shield | Epn/Ifp Benefit Exchange | $32,513.73 | ↑ +589% |
Visitor-reported prices
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Prq card revasc mi 1 vsl drug-eluting at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13,045.40 | $8,041.68 – $23,231.52 |
| Petaluma Valley Hospital | Petaluma | $41,134.56 | $4,129.00 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $19,179.57 | $10,593.00 – $12,563.00 |
| Providence St Joseph Hospital Eureka | Eureka | $16,514.82 | $10,413.00 – $13,524.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,111.05 | $4,812.00 – $12,568.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,595.84 | $4,666.00 – $16,338.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,911.80 | $1,775.00 – $11,770.00 |
| Providence Saint Joseph Medical Center | Burbank | $8,416.80 | $1,807.00 – $11,488.00 |