Special physics consult at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$785.40
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.
$2,244.00
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.
$172.87 with Aetna vs $822.96 with Blue Cross — 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 | $172.87 | ↓ -78% |
| Humana | Choicecare Medicare Managed Care Plan | $176.33 | ↓ -78% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $181.11 | ↓ -77% |
| Central Health Plan | Medicare Managed Care Plan | $190.16 | ↓ -76% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $203.99 | ↓ -74% |
| La Care Health Plan | Covered Ca Exchange | $224.73 | ↓ -71% |
| Blue Shield | Epn/Ifp Benefit Exchange | $265.21 | ↓ -66% |
| Aetna | All Commercial Plans | $292.16 | ↓ -63% |
| Healthnet | Ambetter Hmo | $319.81 | ↓ -59% |
| Healthnet | Ambetter Ppo | $369.95 | ↓ -53% |
| Blue Shield | Medicare Managed Care Plan | $595.72 | ↓ -24% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $724.34 | ↓ -8% |
| Blue Shield | Ppo/Epo | $805.57 | ↑ +3% |
| Blue Shield | Hmo | $805.57 | ↑ +3% |
| Blue Cross | All Commercial Plans | $822.96 | ↑ +5% |
Visitor-reported prices
Comments
Special physics consult at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $724.46 | $168.70 – $1,438.98 |
| Arroyo Grande Hospital | Santa Maria | $312.87 | $136.54 – $11,311.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $146.18 | $136.54 – $19,249.00 |
| Queen of The Valley Medical Center | Napa | $683.91 | $190.84 – $934.20 |
| Providence St Joseph Hospital Eureka | Eureka | $1,208.19 | $172.87 – $1,059.39 |
| St. Joseph's Medical Center Stockton | Stockton | $427.48 | $136.54 – $1,454.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,371.39 | $187.03 – $794.78 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $844.32 | $146.94 – $319.81 |