Bx perianal mass at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$593.60
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.
$1,696.00
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.
$1,142.00 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 | $1,142.00 | ↑ +92% |
| Aetna | Medicare Managed Care Plan | $1,196.08 | ↑ +101% |
| Humana | Medicare Managed Care Plan | $1,220.00 | ↑ +106% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,253.11 | ↑ +111% |
| Central Health Plan | Medicare Managed Care Plan | $1,315.69 | ↑ +122% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,411.36 | ↑ +138% |
| La Care Health Plan | Exchange | $1,554.91 | ↑ +162% |
| Unitedhealthcare | Select/Navigate Hmo | $1,807.00 | ↑ +204% |
| Unitedhealthcare | All Commercial Plans | $2,047.00 | ↑ +245% |
| Healthnet | Ambetter Hmo | $2,212.75 | ↑ +273% |
| Healthnet | Ambetter Ppo | $2,559.61 | ↑ +331% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,624.00 | ↑ +342% |
| Healthnet | Blue And Gold Other Commercial Plan | $2,719.00 | ↑ +358% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,812.00 | ↑ +374% |
| Blue Shield | Hmo/Ppo/Epo | $3,126.00 | ↑ +427% |
| Healthnet | Ppo/Epo | $4,385.00 | ↑ +639% |
| Healthnet | Hmo/Pos | $4,385.00 | ↑ +639% |
| Cigna | Oap Hmo/Pos | $4,751.00 | ↑ +700% |
| Cigna | Ppo | $4,875.00 | ↑ +721% |
Visitor-reported prices
Comments
Bx perianal mass at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $4,422.21 | $1,253.22 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $1,507.83 | $585.70 – $2,218.72 |
| Queen of The Valley Medical Center | Napa | $4,540.02 | $1,320.41 – $6,127.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,157.63 | $1,196.08 – $6,127.00 |
| Healdsburg Hospital | Healdsburg | $1,483.08 | $1,252.97 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $9,994.98 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,489.02 | $1,294.00 – $2,741.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,537.44 | $1,016.67 – $5,171.00 |