Drainage mouth roof lesion at Providence Little Company of Mary Med Center Torrance
4101 Torrance Blvd, Torrance, CA · Providence · · NPI 1003084211
$189.00
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.
$540.00
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.
$304.63 with Aetna vs $14,692.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $304.63 | ↑ +61% |
| Humana | Medicare Managed Care Plan | $310.72 | ↑ +64% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $319.15 | ↑ +69% |
| Caremore | Medicare Managed Care Plan | $335.09 | ↑ +77% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $359.46 | ↑ +90% |
| La Care Health Plan | Covered Ca Exchange | $396.02 | ↑ +110% |
| Healthnet | Ambetter Hmo | $563.56 | ↑ +198% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↑ +218% |
| Healthnet | Ambetter Ppo | $651.91 | ↑ +245% |
| Healthnet | All Commercial Plans | $970.00 | ↑ +413% |
| Unitedhealthcare | Select/Navigate Hmo | $1,321.00 | ↑ +599% |
| Unitedhealthcare | All Commercial Plans | $1,495.00 | ↑ +691% |
| Blue Shield | Medicare Managed Care Plan | $1,528.00 | ↑ +708% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,516.00 | ↑ +1760% |
| Blue Cross | All Commercial Plans | $3,816.00 | ↑ +1919% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,835.00 | ↑ +1929% |
| Blue Shield | Hmo | $3,947.00 | ↑ +1988% |
| Blue Shield | Ppo/Epo | $4,256.00 | ↑ +2152% |
| Cigna | Oa/Oap Hmo/Pos | $6,832.00 | ↑ +3515% |
| Cigna | Ppo | $14,692.00 | ↑ +7674% |
Visitor-reported prices
Comments
Drainage mouth roof lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $562.53 | $319.18 – $2,570.00 |
| Queen of The Valley Medical Center | Napa | $468.18 | $336.29 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $470.73 | $304.63 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $255.51 | $319.12 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $524.28 | $1,333.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $364.14 | $329.57 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $559.68 | $258.93 – $6,920.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $203.35 | $304.63 – $3,470.00 |