Close lac/mouth vest/2.5 cm or < 40830 at Providence Saint Joseph Medical Center

501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$602.00

Cash price

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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.

$1,720.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$202.00 with Cigna vs $3,623.00 with Blue Cross — 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 →

Payer
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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
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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 ↓ -66%
Cigna Ppo $202.00 ↓ -66%
Aetna Medicare Managed Care Plan $304.63 ↓ -49%
Humana Medicare Managed Care Plan $310.72 ↓ -48%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $319.15 ↓ -47%
Central Health Plan Medicare Managed Care Plan $335.09 ↓ -44%
Blue Shield Medicare Managed Care Plan $353.00 ↓ -41%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $359.46 ↓ -40%
La Care Health Plan Exchange $396.02 ↓ -34%
Healthnet Ambetter Hmo $563.56 ↓ -6%
Healthnet Blue And Gold Other Commercial Plan $601.00 ↓ -0%
Healthnet Ambetter Ppo $651.91 ↑ +8%
Blue Shield Epn/Ifp Benefit Exchange $810.00 ↑ +35%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $868.00 ↑ +44%
Blue Shield Hmo/Ppo/Epo $965.00 ↑ +60%
Healthnet Ppo/Epo $970.00 ↑ +61%
Healthnet Hmo/Pos $970.00 ↑ +61%
Unitedhealthcare Select/Navigate Hmo $1,311.00 ↑ +118%
Unitedhealthcare All Commercial Plans $1,485.00 ↑ +147%
Blue Cross All Commercial Plans $3,623.00 ↑ +502%

Visitor-reported prices

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Close lac/mouth vest/2.5 cm or < 40830 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $453.90 $319.18 – $1,687.00
Queen of The Valley Medical Center Napa $468.18 $336.29 – $6,200.00
Providence St Joseph Hospital Eureka Eureka $470.73 $304.63 – $8,018.00
Healdsburg Hospital Healdsburg $255.51 $319.12 – $721.00
Redwood Memorial Hospital Fortuna $922.08 $1,333.00 – $8,222.00
Santa Rosa Memorial Hospital Santa Rosa $894.54 $329.57 – $4,042.00
Providence Mission Hospital - Mission Viejo Mission Viejo $1,281.60 $258.93 – $1,597.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana $190.05 $203.00 – $1,287.00

All California hospitals for this procedure →