Screen pap by tech w md supv at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$73.15
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.
$209.00
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.
$18.54 with Aetna vs $100.66 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 | $18.54 | ↓ -75% |
| Humana | Choicecare Medicare Managed Care Plan | $18.91 | ↓ -74% |
| Central Health Plan | Medicare Managed Care Plan | $20.39 | ↓ -72% |
| La Care Health Plan | Covered Ca Exchange | $24.10 | ↓ -67% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $25.80 | ↓ -65% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $29.05 | ↓ -60% |
| Unitedhealthcare | Select/Navigate Hmo | $30.24 | ↓ -59% |
| Unitedhealthcare | All Commercial Plans | $30.24 | ↓ -59% |
| Aetna | All Commercial Plans | $30.70 | ↓ -58% |
| Blue Shield | Epn/Ifp Benefit Exchange | $32.78 | ↓ -55% |
| Healthnet | Ambetter Hmo | $34.30 | ↓ -53% |
| Healthnet | Ambetter Ppo | $39.68 | ↓ -46% |
| Blue Cross | All Commercial Plans | $41.78 | ↓ -43% |
| Cigna | All Commercial Plans | $45.15 | ↓ -38% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $65.39 | ↓ -11% |
| Blue Shield | Ppo/Epo | $72.62 | ↓ -1% |
| Blue Shield | Hmo | $72.62 | ↓ -1% |
| Blue Shield | Medicare Managed Care Plan | $100.66 | ↑ +38% |
Visitor-reported prices
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Screen pap by tech w md supv at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $35.97 | $18.19 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $32.28 | $18.18 – $69.60 |
| Bakersfield Memorial Hospital | Bakersfield | $31.93 | $18.18 – $68.73 |
| St. Joseph's Medical Center Stockton | Stockton | $26.17 | $15.46 – $72.98 |
| Petaluma Valley Hospital | Petaluma | not published | $18.17 – $53.20 |
| Queen of The Valley Medical Center | Napa | not published | $18.54 – $67.23 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $18.54 – $76.24 |
| Healdsburg Hospital | Healdsburg | not published | $18.54 – $42.33 |