Benign lesion paring 2-4 at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$523.25
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.
$1,495.00
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.
$202.00 with Cigna vs $1,485.00 with Unitedhealthcare — 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 |
|---|---|---|---|
| Cigna | Oap Hmo/Pos | $202.00 | ↓ -61% |
| Cigna | Ppo | $202.00 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $258.05 | ↓ -51% |
| Humana | Medicare Managed Care Plan | $263.21 | ↓ -50% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $270.35 | ↓ -48% |
| Central Health Plan | Medicare Managed Care Plan | $283.85 | ↓ -46% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $304.49 | ↓ -42% |
| La Care Health Plan | Exchange | $335.46 | ↓ -36% |
| Blue Shield | Medicare Managed Care Plan | $353.00 | ↓ -33% |
| Healthnet | Ambetter Hmo | $477.39 | ↓ -9% |
| Healthnet | Ambetter Ppo | $552.23 | ↑ +6% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↑ +15% |
| Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | ↑ +55% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $868.00 | ↑ +66% |
| Blue Shield | Hmo/Ppo/Epo | $965.00 | ↑ +84% |
| Healthnet | Hmo/Pos | $970.00 | ↑ +85% |
| Healthnet | Ppo/Epo | $970.00 | ↑ +85% |
| Unitedhealthcare | Select/Navigate Hmo | $1,311.00 | ↑ +151% |
| Unitedhealthcare | All Commercial Plans | $1,485.00 | ↑ +184% |
Visitor-reported prices
Comments
Benign lesion paring 2-4 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $88.40 | $35.74 – $426.00 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $270.38 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $65.27 | $25.36 – $96.04 |
| Bakersfield Memorial Hospital | Bakersfield | $161.48 | $29.06 – $347.60 |
| Queen of The Valley Medical Center | Napa | $406.98 | $284.87 – $2,747.00 |
| Providence St Joseph Hospital Eureka | Eureka | $409.53 | $258.05 – $2,699.00 |
| Healdsburg Hospital | Healdsburg | $491.13 | $270.32 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $241.74 | $1,333.00 – $20,799.00 |