Replace duod/jej tube perc at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,678.95
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.
$4,797.00
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.
$1,071.68 with Blue Shield 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 |
|---|---|---|---|
| Blue Shield | Epn/Ifp Benefit Exchange | $1,071.68 | ↓ -36% |
| Aetna | Medicare Managed Care Plan | $1,166.53 | ↓ -31% |
| Humana | Choicecare Medicare Managed Care Plan | $1,189.87 | ↓ -29% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,222.15 | ↓ -27% |
| Central Health Plan | Medicare Managed Care Plan | $1,283.19 | ↓ -24% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,376.49 | ↓ -18% |
| La Care Health Plan | Covered Ca Exchange | $1,516.49 | ↓ -10% |
| Blue Shield | Medicare Managed Care Plan | $1,528.38 | ↓ -9% |
| Healthnet | Ambetter Hmo | $2,158.09 | ↑ +29% |
| Healthnet | Ambetter Ppo | $2,496.38 | ↑ +49% |
| Healthnet | Blue And Gold Other Commercial Plan | $2,719.00 | ↑ +62% |
| Unitedhealthcare | Select/Navigate Hmo | $4,099.00 | ↑ +144% |
| Healthnet | All Commercial Plans | $4,385.00 | ↑ +161% |
| Unitedhealthcare | All Commercial Plans | $4,649.00 | ↑ +177% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↑ +204% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +231% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +238% |
| Blue Shield | Hmo | $5,673.39 | ↑ +238% |
| Cigna | All Commercial Plans | $5,977.00 | ↑ +256% |
Visitor-reported prices
Comments
Replace duod/jej tube perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.77 | $345.06 – $2,072.04 |
| Petaluma Valley Hospital | Petaluma | $1,671.27 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $919.35 | $677.96 – $2,076.62 |
| French Hospital | San Luis Obispo | $1,007.44 | $523.53 – $1,900.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $957.56 | $677.96 – $1,633.88 |
| Bakersfield Memorial Hospital | Bakersfield | $966.32 | $677.96 – $1,633.88 |
| Queen of The Valley Medical Center | Napa | $1,858.44 | $1,287.79 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,143.53 | $1,166.53 – $8,018.00 |