Susceptibility agar dilution per agent at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$71.05
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.
$203.00
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.
$4.74 with Aetna vs $27.42 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 | All Commercial Plans | $4.74 | ↓ -93% |
| Aetna | Medicare Managed Care Plan | $4.75 | ↓ -93% |
| Humana | Choicecare Medicare Managed Care Plan | $4.84 | ↓ -93% |
| Central Health Plan | Medicare Managed Care Plan | $5.22 | ↓ -93% |
| La Care Health Plan | Covered Ca Exchange | $6.18 | ↓ -91% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $6.74 | ↓ -91% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $7.59 | ↓ -89% |
| Healthnet | Ambetter Hmo | $8.79 | ↓ -88% |
| Blue Shield | Epn/Ifp Benefit Exchange | $8.94 | ↓ -87% |
| Unitedhealthcare | All Commercial Plans | $9.50 | ↓ -87% |
| Unitedhealthcare | Select/Navigate Hmo | $9.50 | ↓ -87% |
| Healthnet | Ambetter Ppo | $10.17 | ↓ -86% |
| Cigna | All Commercial Plans | $11.80 | ↓ -83% |
| Blue Cross | All Commercial Plans | $14.46 | ↓ -80% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $17.81 | ↓ -75% |
| Blue Shield | Ppo/Epo | $19.78 | ↓ -72% |
| Blue Shield | Hmo | $19.78 | ↓ -72% |
| Blue Shield | Medicare Managed Care Plan | $27.42 | ↓ -61% |
Visitor-reported prices
Comments
Susceptibility agar dilution per agent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $8.93 | $0.95 – $15.52 |
| Petaluma Valley Hospital | Petaluma | $105.06 | $4.66 – $18.41 |
| Arroyo Grande Hospital | Santa Maria | $27.22 | $1.66 – $15.68 |
| French Hospital | San Luis Obispo | $24.93 | $1.66 – $17.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $23.59 | $0.76 – $13.66 |
| Bakersfield Memorial Hospital | Bakersfield | $23.34 | $0.76 – $13.66 |
| Queen of The Valley Medical Center | Napa | $109.14 | $4.75 – $23.27 |
| Providence St Joseph Hospital Eureka | Eureka | $66.30 | $4.75 – $26.38 |