Sarscov & inf vir a&b ag ia at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
not published by hospital
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.
not published by hospital
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.
$70.29 with Aetna vs $211.01 with Blue Shield — 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 | $70.29 | — |
| Humana | Choicecare Medicare Managed Care Plan | $71.70 | — |
| Central Health Plan | Medicare Managed Care Plan | $77.32 | — |
| La Care Health Plan | Covered Ca Exchange | $91.38 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $99.70 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $112.27 | — |
| Healthnet | Ambetter Hmo | $130.04 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $137.06 | — |
| Blue Cross | All Commercial Plans | $147.11 | — |
| Unitedhealthcare | Select/Navigate Hmo | $147.14 | — |
| Unitedhealthcare | All Commercial Plans | $147.14 | — |
| Healthnet | Ambetter Ppo | $150.42 | — |
| Blue Shield | Ppo/Epo | $152.22 | — |
| Blue Shield | Hmo | $152.22 | — |
| Cigna | All Commercial Plans | $174.54 | — |
| Aetna | All Commercial Plans | $178.51 | — |
| Blue Shield | Medicare Managed Care Plan | $211.01 | — |
Visitor-reported prices
Comments
Sarscov & inf vir a&b ag ia at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $138.85 | $70.29 – $247.26 |
| Arroyo Grande Hospital | Santa Maria | $142.10 | $63.59 – $217.56 |
| Mark Twain Medical Center | San Andreas | $187.82 | $63.59 – $276.36 |
| French Hospital | San Luis Obispo | $130.15 | $59.94 – $217.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $65.30 | $63.59 – $153.25 |
| Bakersfield Memorial Hospital | Bakersfield | $64.60 | $63.59 – $139.04 |
| St. Joseph's Behavioral Health Center | Stockton | $161.03 | $28.20 – $225.60 |
| Healdsburg Hospital | Healdsburg | $57.12 | $70.29 – $252.07 |