Psy/npsy phys/qhp 2> tst 1st 30 min at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$3.10
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.
$8.86
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.
$42.33 with Blue Shield vs $4,239.46 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 | Epn/Ifp Benefit Exchange | $42.33 | ↑ +1265% |
| Aetna | Medicare Managed Care Plan | $171.12 | ↑ +5420% |
| Humana | Choicecare Medicare Managed Care Plan | $174.54 | ↑ +5530% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $179.28 | ↑ +5683% |
| Central Health Plan | Medicare Managed Care Plan | $188.23 | ↑ +5972% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $201.92 | ↑ +6414% |
| La Care Health Plan | Covered Ca Exchange | $222.46 | ↑ +7076% |
| Healthnet | Ambetter Hmo | $316.58 | ↑ +10112% |
| Healthnet | Ambetter Ppo | $366.20 | ↑ +11713% |
| Blue Shield | Medicare Managed Care Plan | $1,142.09 | ↑ +36742% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↑ +123016% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↑ +136657% |
| Blue Shield | Hmo | $4,239.46 | ↑ +136657% |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst 1st 30 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $369.60 | not published |
| Antioch Medical Center | ANTIOCH | $369.60 | not published |
| Redwood City Medical Center | Redwood City | $369.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $369.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $255.32 | not published |
| Riverside Medical Center | RIVERSIDE | $255.32 | not published |
| Fremont Medical Center | FREMONT | $369.60 | not published |
| Panorama Medical Center | PANORAMA CITY | $255.32 | not published |