Repos lv lead pm/icd at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$1,393.35
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.
$3,981.00
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.
$1,746.72 with Blue Shield vs $11,827.00 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 | $1,746.72 | ↑ +25% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,930.98 | ↑ +182% |
| Aetna | Medicare Managed Care Plan | $4,061.05 | ↑ +191% |
| Humana | Choicecare Medicare Managed Care Plan | $4,142.27 | ↑ +197% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,254.67 | ↑ +205% |
| Central Health Plan | Medicare Managed Care Plan | $4,467.15 | ↑ +221% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,791.97 | ↑ +244% |
| La Care Health Plan | Covered Ca Exchange | $5,279.36 | ↑ +279% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,837.15 | ↑ +319% |
| Blue Shield | Hmo | $6,483.87 | ↑ +365% |
| Blue Shield | Ppo/Epo | $6,483.87 | ↑ +365% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +426% |
| Healthnet | Ambetter Hmo | $7,512.94 | ↑ +439% |
| Blue Cross | All Commercial Plans | $8,365.00 | ↑ +500% |
| Healthnet | Ambetter Ppo | $8,690.64 | ↑ +524% |
| Unitedhealthcare | Select/Navigate Hmo | $9,834.00 | ↑ +606% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +610% |
| Unitedhealthcare | All Commercial Plans | $11,155.00 | ↑ +701% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +749% |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,969.69 | $406.66 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,234.83 | $268.80 – $7,406.84 |
| French Hospital | San Luis Obispo | $3,014.48 | $268.80 – $7,536.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $268.80 – $5,111.30 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,827.21 | $268.80 – $5,220.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,198.43 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,898.88 | $3,451.89 – $7,908.00 |