Assay of silica 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.
$25.21 with Aetna vs $224.38 with Blue Shield — 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 | $25.21 | — |
| Humana | Medicare Managed Care Plan | $25.71 | — |
| Central Health Plan | Medicare Managed Care Plan | $27.73 | — |
| La Care Health Plan | Exchange | $32.77 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $35.76 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $40.27 | — |
| Cigna | Oap Hmo/Pos | $44.25 | — |
| Cigna | Ppo | $44.25 | — |
| Healthnet | Ambetter Hmo | $46.64 | — |
| Aetna | Aco Other Commercial Plan | $49.39 | — |
| Unitedhealthcare | All Commercial Plans | $50.42 | — |
| First Health/Coventry | Coventry All Commercial Plans | $50.42 | — |
| Unitedhealthcare | Select/Navigate Hmo | $50.42 | — |
| Healthnet | Ambetter Ppo | $53.95 | — |
| Aetna | All Commercial Plans | $62.03 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $137.85 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $148.05 | — |
| Blue Cross | All Commercial Plans | $148.23 | — |
| Blue Shield | Hmo/Ppo/Epo | $164.50 | — |
| Blue Shield | Medicare Managed Care Plan | $224.38 | — |
Visitor-reported prices
Comments
Assay of silica at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Mary Medical Center | Long Beach | $48.16 | $25.21 – $150.05 |
| Community Hospital San Bernardino | San Bernardino | $43.80 | $22.40 – $150.05 |
| Glendale Memorial Hospital Health Center | Glendale | $36.52 | $22.40 – $112.00 |
| St. Bernardine Medical Center | San Bernardino | $37.30 | $21.68 – $150.05 |
| Petaluma Valley Hospital | Petaluma | not published | $24.71 – $192.18 |
| Queen of The Valley Medical Center | Napa | not published | $25.21 – $242.87 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $25.21 – $275.42 |
| Healdsburg Hospital | Healdsburg | not published | $25.21 – $109.87 |