Vaginal bx at Providence Saint John's Health Center
2121 Santa Monica Blvd, Santa Monica, CA · Providence · · NPI 1124026273
$137.55
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.
$393.00
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.
$22.58 with Blue Shield vs $9,891.00 with Cigna — 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 Shield | Epn/Ifp Benefit Exchange | $22.58 | ↓ -84% |
| Aetna | Medicare Managed Care Plan | $260.03 | ↑ +89% |
| Humana | Choicecare Medicare Managed Care Plan | $265.23 | ↑ +93% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $272.42 | ↑ +98% |
| Central Health Plan | Medicare Managed Care Plan | $286.03 | ↑ +108% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $306.83 | ↑ +123% |
| La Care Health Plan | Covered Ca Exchange | $338.03 | ↑ +146% |
| Healthnet | Ambetter Hmo | $481.05 | ↑ +250% |
| Healthnet | Ambetter Ppo | $556.46 | ↑ +305% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↑ +337% |
| Healthnet | All Commercial Plans | $970.00 | ↑ +605% |
| Blue Shield | Medicare Managed Care Plan | $1,142.09 | ↑ +730% |
| Unitedhealthcare | Select/Navigate Hmo | $1,487.00 | ↑ +981% |
| Unitedhealthcare | All Commercial Plans | $1,687.00 | ↑ +1126% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,816.60 | ↑ +2675% |
| Blue Shield | Ppo/Epo | $4,239.46 | ↑ +2982% |
| Blue Shield | Hmo | $4,239.46 | ↑ +2982% |
| Cigna | All Commercial Plans | $9,891.00 | ↑ +7091% |
Visitor-reported prices
Comments
Vaginal bx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $4,734.33 | $272.45 – $1,921.00 |
| Mark Twain Medical Center | San Andreas | $881.12 | $88.22 – $334.18 |
| Queen of The Valley Medical Center | Napa | $4,860.81 | $287.05 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,521.77 | $260.03 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $455.94 | $272.39 – $3,982.87 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,806.75 | $281.31 – $2,238.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $425.28 | $221.02 – $5,171.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $227.15 | $260.03 – $4,776.00 |