Ghs phenylketonurid at Providence Cedars-Sinai Tarzana Medical Center
18321 Clark St, Tarzana, CA · Providence · · NPI 1821250762
$5.60
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.
$16.00
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.
$5.50 with Aetna vs $52.45 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 | Medicare Managed Care Plan | $5.50 | ↓ -2% |
| Humana | Choicecare Medicare Managed Care Plan | $5.61 | ↑ +0% |
| Central Health Plan | Medicare Managed Care Plan | $6.05 | ↑ +8% |
| La Care Health Plan | Exchange | $7.15 | ↑ +28% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7.80 | ↑ +39% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8.79 | ↑ +57% |
| Cigna | Ppo | $9.70 | ↑ +73% |
| Cigna | Oap Hmo/Pos | $9.70 | ↑ +73% |
| Healthnet | Ambetter Hmo | $10.18 | ↑ +82% |
| Unitedhealthcare | All Commercial Plans | $11.00 | ↑ +96% |
| First Health/Coventry | Coventry All Commercial Plans | $11.00 | ↑ +96% |
| Unitedhealthcare | Select/Navigate Hmo | $11.00 | ↑ +96% |
| Healthnet | Ambetter Ppo | $11.77 | ↑ +110% |
| Aetna | All Commercial Plans | $14.42 | ↑ +158% |
| Blue Shield | Epn/Ifp Benefit Exchange | $14.69 | ↑ +162% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $15.69 | ↑ +180% |
| Blue Shield | Hmo/Ppo/Epo | $17.61 | ↑ +214% |
| Blue Cross | All Commercial Plans | $34.60 | ↑ +518% |
| Blue Shield | Medicare Managed Care Plan | $52.45 | ↑ +837% |
Visitor-reported prices
Comments
Ghs phenylketonurid at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $10.02 | $1.10 – $15.52 |
| Queen of The Valley Medical Center | Napa | $5.61 | $5.50 – $56.81 |
| Providence St Joseph Hospital Eureka | Eureka | $5.61 | $5.50 – $64.42 |
| Providence Saint Joseph Medical Center | Burbank | $4.20 | $5.50 – $32.22 |
| St Jude Medical Center | Fullerton | $5.28 | $4.68 – $11.00 |
| Providence Saint John's Health Center | Santa Monica | $5.25 | $5.50 – $17.06 |
| Petaluma Valley Hospital | Petaluma | not published | $5.39 – $44.95 |
| Healdsburg Hospital | Healdsburg | not published | $5.50 – $25.70 |