Tomosynthesis breast screen bilateral at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$90.30
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.
$258.00
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.
$27.96 with Aetna vs $201.02 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 | $27.96 | ↓ -69% |
| Humana | Choicecare Medicare Managed Care Plan | $28.52 | ↓ -68% |
| Central Health Plan | Medicare Managed Care Plan | $30.76 | ↓ -66% |
| La Care Health Plan | Covered Ca Exchange | $36.35 | ↓ -60% |
| Unitedhealthcare | All Commercial Plans | $40.42 | ↓ -55% |
| Unitedhealthcare | Select/Navigate Hmo | $40.42 | ↓ -55% |
| Healthnet | Ambetter Hmo | $51.73 | ↓ -43% |
| Healthnet | Ambetter Ppo | $59.83 | ↓ -34% |
| Aetna | All Commercial Plans | $61.53 | ↓ -32% |
| Cigna | All Commercial Plans | $106.23 | ↑ +18% |
| Blue Shield | Medicare Managed Care Plan | $117.22 | ↑ +30% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $142.53 | ↑ +58% |
| Blue Shield | Epn/Ifp Benefit Exchange | $151.02 | ↑ +67% |
| Blue Shield | Ppo/Epo | $158.51 | ↑ +76% |
| Blue Shield | Hmo | $158.51 | ↑ +76% |
| Blue Cross | All Commercial Plans | $201.02 | ↑ +123% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $115.36 | $35.00 – $35.00 |
| Santa Clara Medical Center | SANTA CLARA | $115.36 | $35.00 – $35.00 |
| Banner Lassen Medical Center | Susanville | $41.01 | $23.78 – $78.41 |
| Sacramento Medical Center | SACRAMENTO | $115.36 | $35.00 – $35.00 |
| Oakland Medical Center | Oakland | $115.36 | $35.00 – $35.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $115.36 | $35.00 – $35.00 |
| Petaluma Valley Hospital | Petaluma | $70.89 | $32.31 – $236.70 |
| Arroyo Grande Hospital | Santa Maria | $77.04 | $47.52 – $150.92 |