Remove renal tube w/fluoro at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$929.95
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.
$2,657.00
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.
$896.84 with Aetna vs $5,977.00 with Cigna — 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 | $896.84 | ↓ -4% |
| Humana | Choicecare Medicare Managed Care Plan | $914.78 | ↓ -2% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $939.60 | ↑ +1% |
| Central Health Plan | Medicare Managed Care Plan | $986.52 | ↑ +6% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,058.26 | ↑ +14% |
| La Care Health Plan | Covered Ca Exchange | $1,165.89 | ↑ +25% |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,168.15 | ↑ +26% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +60% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↑ +64% |
| Healthnet | Ambetter Hmo | $1,659.15 | ↑ +78% |
| Healthnet | Ambetter Ppo | $1,919.24 | ↑ +106% |
| Unitedhealthcare | Select/Navigate Hmo | $2,362.00 | ↑ +154% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +157% |
| Unitedhealthcare | All Commercial Plans | $2,679.00 | ↑ +188% |
| Blue Cross | All Commercial Plans | $4,005.00 | ↑ +331% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +449% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +510% |
| Blue Shield | Hmo | $5,673.39 | ↑ +510% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +543% |
Visitor-reported prices
Comments
Remove renal tube w/fluoro at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $553.20 | $341.01 – $1,569.60 |
| Arroyo Grande Hospital | Santa Maria | $2,889.86 | $521.64 – $2,266.74 |
| French Hospital | San Luis Obispo | $2,646.79 | $521.64 – $2,307.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $684.50 | $521.64 – $1,476.00 |
| Bakersfield Memorial Hospital | Bakersfield | $677.12 | $521.64 – $1,457.55 |
| Queen of The Valley Medical Center | Napa | $1,220.94 | $990.07 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $697.68 | $896.84 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $495.39 | $171.57 – $817.00 |