Prq trluml revsc ch occ ant at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$4,794.65
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.
$13,699.00
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 $48,502.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $2,455.49 | ↓ -49% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $8,205.68 | ↑ +71% |
| Blue Shield | Ppo/Epo | $9,114.83 | ↑ +90% |
| Blue Shield | Hmo | $9,114.83 | ↑ +90% |
| Unitedhealthcare | Select/Navigate Hmo | $13,460.00 | ↑ +181% |
| Aetna | Medicare Managed Care Plan | $14,847.76 | ↑ +210% |
| Humana | Choicecare Medicare Managed Care Plan | $15,144.71 | ↑ +216% |
| Blue Cross | All Commercial Plans | $15,227.00 | ↑ +218% |
| Unitedhealthcare | All Commercial Plans | $15,269.00 | ↑ +218% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $15,555.67 | ↑ +224% |
| Central Health Plan | Medicare Managed Care Plan | $16,332.53 | ↑ +241% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $17,520.12 | ↑ +265% |
| La Care Health Plan | Covered Ca Exchange | $19,302.08 | ↑ +303% |
| Blue Shield | Epn/Ifp Benefit Exchange | $21,085.01 | ↑ +340% |
| Healthnet | Ambetter Hmo | $27,468.35 | ↑ +473% |
| Healthnet | Blue And Gold Other Commercial Plan | $30,073.00 | ↑ +527% |
| Healthnet | Ambetter Ppo | $31,774.20 | ↑ +563% |
| Healthnet | All Commercial Plans | $48,502.00 | ↑ +912% |
Visitor-reported prices
Comments
Prq trluml revsc ch occ ant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $818.75 – $26,644.42 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $12,546.00 – $62,607.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,529.25 | $4,812.00 – $16,391.15 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,595.84 | $10,791.00 – $27,468.35 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,596.80 | $2,455.00 – $27,468.35 |
| Providence Saint Joseph Medical Center | Burbank | $5,335.75 | $2,455.00 – $27,468.35 |
| St Jude Medical Center | Fullerton | $8,154.72 | $9,004.00 – $27,468.35 |
| Providence St Joseph Hospital Orange | Orange | $9,000.00 | $10,687.00 – $27,468.35 |