Rmvl pm gen w/rplc pm gen sgl lead sys at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$5,188.75
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.
$14,825.00
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 $35,214.00 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 | ↓ -71% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,107.50 | ↓ -2% |
| Blue Cross | All Commercial Plans | $5,559.00 | ↑ +7% |
| Blue Shield | Hmo | $5,673.39 | ↑ +9% |
| Blue Shield | Ppo/Epo | $5,673.39 | ↑ +9% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +91% |
| Aetna | Medicare Managed Care Plan | $10,643.53 | ↑ +105% |
| Humana | Choicecare Medicare Managed Care Plan | $10,856.40 | ↑ +109% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $11,151.00 | ↑ +115% |
| Central Health Plan | Medicare Managed Care Plan | $11,707.89 | ↑ +126% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $12,559.20 | ↑ +142% |
| La Care Health Plan | Covered Ca Exchange | $13,836.59 | ↑ +167% |
| Blue Shield | Epn/Ifp Benefit Exchange | $16,263.38 | ↑ +213% |
| Unitedhealthcare | Select/Navigate Hmo | $17,698.00 | ↑ +241% |
| Healthnet | Ambetter Hmo | $19,690.54 | ↑ +279% |
| Unitedhealthcare | All Commercial Plans | $20,076.00 | ↑ +287% |
| Healthnet | Blue And Gold Other Commercial Plan | $21,833.00 | ↑ +321% |
| Healthnet | Ambetter Ppo | $22,777.16 | ↑ +339% |
| Healthnet | All Commercial Plans | $35,214.00 | ↑ +579% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,511.52 | $420.76 – $20,499.96 |
| Arroyo Grande Hospital | Santa Maria | $9,586.78 | $278.10 – $21,951.02 |
| French Hospital | San Luis Obispo | $9,174.76 | $278.10 – $22,936.90 |
| Bakersfield Memorial Hospital | Bakersfield | $10,139.11 | $278.11 – $21,825.33 |
| Queen of The Valley Medical Center | Napa | $26,472.06 | $6,200.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,209.58 | $7,809.00 – $46,622.00 |
| Redwood Memorial Hospital | Fortuna | $10,474.38 | $8,005.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,349.60 | $278.10 – $23,856.00 |