Rmvl icd gen w/rplc icd gen dual lead sys at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$9,903.95
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.
$28,297.00
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.
$1,528.38 with Blue Shield vs $93,018.00 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 | $1,528.38 | ↓ -85% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↓ -48% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↓ -44% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↓ -43% |
| Blue Shield | Hmo | $5,673.39 | ↓ -43% |
| Cigna | All Commercial Plans | $9,891.00 | ↓ -0% |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | ↑ +79% |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | ↑ +103% |
| Aetna | Medicare Managed Care Plan | $28,608.96 | ↑ +189% |
| Humana | Choicecare Medicare Managed Care Plan | $29,181.13 | ↑ +195% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $29,972.98 | ↑ +203% |
| Central Health Plan | Medicare Managed Care Plan | $31,469.85 | ↑ +218% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $33,758.11 | ↑ +241% |
| La Care Health Plan | Covered Ca Exchange | $37,191.64 | ↑ +276% |
| Healthnet | Ambetter Hmo | $52,926.57 | ↑ +434% |
| Healthnet | Blue And Gold Other Commercial Plan | $57,671.00 | ↑ +482% |
| Blue Shield | Epn/Ifp Benefit Exchange | $59,837.87 | ↑ +504% |
| Healthnet | Ambetter Ppo | $61,223.17 | ↑ +518% |
| Healthnet | All Commercial Plans | $93,018.00 | ↑ +839% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29,632.89 | $474.26 – $57,040.26 |
| Arroyo Grande Hospital | Santa Maria | $36,158.73 | $313.43 – $82,793.34 |
| French Hospital | San Luis Obispo | $33,845.28 | $313.43 – $84,613.20 |
| Bakersfield Memorial Hospital | Bakersfield | $28,573.52 | $313.48 – $61,507.03 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $6,200.00 – $113,226.00 |
| Providence St Joseph Hospital Eureka | Eureka | $33,080.64 | $7,809.00 – $113,226.00 |
| Redwood Memorial Hospital | Fortuna | $38,537.64 | $8,005.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,875.98 | $313.43 – $53,931.36 |