Aco annual medicare visit (awv), subsq g0439aco at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
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.
$151.43 with Aetna vs $324.06 with Healthnet — 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 | $151.43 | — |
| Humana | Medicare Managed Care Plan | $154.46 | — |
| Central Health Plan | Medicare Managed Care Plan | $166.57 | — |
| La Care Health Plan | Exchange | $196.86 | — |
| Healthnet | Ambetter Hmo | $280.15 | — |
| Healthnet | Ambetter Ppo | $324.06 | — |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $195.81 | $52.52 – $198.94 |
| Healdsburg Hospital | Healdsburg | $192.78 | not published |
| Redwood Memorial Hospital | Fortuna | $214.20 | not published |
| Mercy Medical Center Merced | Merced | $213.73 | $131.09 – $390.10 |
| Mercy Medical Center Redding | Redding | $133.85 | $131.09 – $258.72 |
| Queen of The Valley Medical Center | Napa | not published | $169.55 – $169.55 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $166.16 – $169.55 |
| St Jude Medical Center | Fullerton | not published | $128.72 – $280.15 |