Apl(pml-rara) quant - sendout 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.
$119.09 with Aetna vs $443.64 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 | Aco Other Commercial Plan | $119.09 | — |
| Aetna | All Commercial Plans | $149.56 | — |
| Aetna | Medicare Managed Care Plan | $207.31 | — |
| Humana | Medicare Managed Care Plan | $211.46 | — |
| Central Health Plan | Medicare Managed Care Plan | $228.04 | — |
| La Care Health Plan | Exchange | $269.50 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $294.05 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $331.14 | — |
| Blue Cross | All Commercial Plans | $343.31 | — |
| Cigna | Ppo | $363.83 | — |
| Cigna | Oap Hmo/Pos | $363.83 | — |
| Healthnet | Ambetter Hmo | $383.52 | — |
| Unitedhealthcare | Select/Navigate Hmo | $414.62 | — |
| First Health/Coventry | Coventry All Commercial Plans | $414.62 | — |
| Unitedhealthcare | All Commercial Plans | $414.62 | — |
| Healthnet | Ambetter Ppo | $443.64 | — |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $139.96 | $94.03 – $534.15 |
| French Hospital | San Luis Obispo | $128.19 | $75.60 – $627.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $121.32 | $94.03 – $595.73 |
| Bakersfield Memorial Hospital | Bakersfield | $120.01 | $94.03 – $595.73 |
| St. Joseph's Behavioral Health Center | Stockton | $186.72 | $22.30 – $178.36 |
| St. Joseph's Medical Center Stockton | Stockton | $96.14 | $46.82 – $222.95 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $254.41 | $94.03 – $320.46 |
| Mercy Medical Center Merced | Merced | $168.41 | $94.03 – $209.58 |