After cataract laser surgery 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.
$707.39 with Aetna vs $5,149.00 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 | $707.39 | — |
| Humana | Medicare Managed Care Plan | $721.54 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $741.12 | — |
| Central Health Plan | Medicare Managed Care Plan | $778.13 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $834.71 | — |
| La Care Health Plan | Exchange | $919.61 | — |
| Healthnet | Ambetter Hmo | $1,308.67 | — |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | — |
| Healthnet | Ambetter Ppo | $1,513.81 | — |
| Blue Shield | Medicare Managed Care Plan | $1,528.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $1,807.00 | — |
| Unitedhealthcare | All Commercial Plans | $2,047.00 | — |
| Healthnet | Ppo/Epo | $2,391.00 | — |
| Healthnet | Hmo/Pos | $2,391.00 | — |
| Cigna | Ppo | $3,452.00 | — |
| Cigna | Oap Hmo/Pos | $3,452.00 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,511.00 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,763.00 | — |
| Blue Shield | Hmo/Ppo/Epo | $4,184.00 | — |
| Blue Cross | All Commercial Plans | $5,149.00 | — |
Visitor-reported prices
Comments
After cataract laser surgery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $2,432.50 | $707.39 – $6,826.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $262.74 – $1,332.24 |
| Petaluma Valley Hospital | Petaluma | not published | $741.18 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $213.61 – $697.05 |
| Mark Twain Medical Center | San Andreas | not published | $213.61 – $213.61 |
| French Hospital | San Luis Obispo | not published | $213.61 – $697.05 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $213.61 – $811.52 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $213.61 – $811.52 |