Bx breast 1st lesion mr imag at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$1,455.30
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.
$4,158.00
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.
$1,528.00 with Blue Shield vs $7,176.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $1,528.00 | ↑ +5% |
| Aetna | Medicare Managed Care Plan | $2,124.23 | ↑ +46% |
| Humana | Medicare Managed Care Plan | $2,166.71 | ↑ +49% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,225.51 | ↑ +53% |
| Central Health Plan | Medicare Managed Care Plan | $2,336.65 | ↑ +61% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,506.56 | ↑ +72% |
| Unitedhealthcare | Select/Navigate Hmo | $2,654.00 | ↑ +82% |
| La Care Health Plan | Exchange | $2,761.50 | ↑ +90% |
| Unitedhealthcare | All Commercial Plans | $3,006.00 | ↑ +107% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,511.00 | ↑ +141% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,763.00 | ↑ +159% |
| Healthnet | Ambetter Hmo | $3,929.83 | ↑ +170% |
| Cigna | Ppo | $3,950.00 | ↑ +171% |
| Cigna | Oap Hmo/Pos | $3,950.00 | ↑ +171% |
| Blue Shield | Hmo/Ppo/Epo | $4,184.00 | ↑ +188% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +206% |
| Healthnet | Ambetter Ppo | $4,545.85 | ↑ +212% |
| Blue Cross | All Commercial Plans | $5,149.00 | ↑ +254% |
| Healthnet | Ppo/Epo | $7,176.00 | ↑ +393% |
| Healthnet | Hmo/Pos | $7,176.00 | ↑ +393% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $5,643.61 | $166.42 – $12,397.00 |
| French Hospital | San Luis Obispo | $4,768.29 | $166.42 – $4,435.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,035.47 | $166.42 – $2,058.68 |
| Bakersfield Memorial Hospital | Bakersfield | $1,024.30 | $166.42 – $2,058.68 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,703.33 | $0.80 – $2,507.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,808.57 | $2,298.14 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,090.24 | $1,805.60 – $6,920.00 |