App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$124.60
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.
$356.00
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.
$353.00 with Blue Shield vs $4,875.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $353.00 | ↑ +183% |
| Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | ↑ +550% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $868.00 | ↑ +597% |
| Blue Shield | Hmo/Ppo/Epo | $965.00 | ↑ +674% |
| Unitedhealthcare | Select/Navigate Hmo | $1,311.00 | ↑ +952% |
| Unitedhealthcare | All Commercial Plans | $1,485.00 | ↑ +1092% |
| Blue Cross | All Commercial Plans | $3,623.00 | ↑ +2808% |
| Cigna | Oap Hmo/Pos | $4,751.00 | ↑ +3713% |
| Cigna | Ppo | $4,875.00 | ↑ +3813% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $435.34 | $63.89 – $830.00 |
| Bakersfield Memorial Hospital | Bakersfield | $551.24 | $51.94 – $570.24 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $721.00 – $3,982.87 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $451.50 | $353.00 – $4,776.00 |
| Providence St Joseph Hospital Orange | Orange | $547.68 | $1,394.00 – $11,456.00 |
| Mercy Medical Center Redding | Redding | $261.62 | $71.96 – $505.68 |
| St. Elizabeth Community Hospital | Red Bluff | $310.69 | $64.72 – $521.36 |
| Petaluma Valley Hospital | Petaluma | not published | $593.00 – $10,997.00 |