Tc-99m succimer (dmsa) 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.
$342.32 with Blue Cross vs $1,431.23 with Unitedhealthcare — 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 Cross | All Commercial Plans | $342.32 | — |
| Aetna | Medicare Managed Care Plan | $659.93 | — |
| Humana | Choicecare Medicare Managed Care Plan | $673.13 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $691.39 | — |
| Central Health Plan | Medicare Managed Care Plan | $725.92 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $778.71 | — |
| La Care Health Plan | Covered Ca Exchange | $857.91 | — |
| Cigna | All Commercial Plans | $1,216.71 | — |
| Healthnet | Ambetter Hmo | $1,220.87 | — |
| Healthnet | Ambetter Ppo | $1,412.25 | — |
| Unitedhealthcare | Select/Navigate Hmo | $1,431.23 | — |
| Unitedhealthcare | All Commercial Plans | $1,431.23 | — |
Visitor-reported prices
Comments
Tc-99m succimer (dmsa) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $1,303.12 | $639.00 – $639.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,303.12 | $639.00 – $639.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $995.90 | $570.00 – $570.00 |
| Riverside Medical Center | RIVERSIDE | $995.90 | $570.00 – $570.00 |
| Sacramento Medical Center | SACRAMENTO | $1,303.12 | $639.00 – $639.00 |
| Oakland Medical Center | Oakland | $1,303.12 | $639.00 – $639.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $1,303.12 | $639.00 – $639.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $61.22 | $82.50 – $165.00 |