Closed tx humerus fx with manip 23605 at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$1,774.50
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.
$5,070.00
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 | ↓ -14% |
| Aetna | Medicare Managed Care Plan | $2,068.15 | ↑ +17% |
| Humana | Medicare Managed Care Plan | $2,109.51 | ↑ +19% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,166.75 | ↑ +22% |
| Central Health Plan | Medicare Managed Care Plan | $2,274.96 | ↑ +28% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,440.38 | ↑ +38% |
| La Care Health Plan | Exchange | $2,688.59 | ↑ +52% |
| Cigna | Ppo | $3,452.00 | ↑ +95% |
| Cigna | Oap Hmo/Pos | $3,452.00 | ↑ +95% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,511.00 | ↑ +98% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,763.00 | ↑ +112% |
| Healthnet | Ambetter Hmo | $3,826.07 | ↑ +116% |
| Blue Shield | Hmo/Ppo/Epo | $4,184.00 | ↑ +136% |
| Healthnet | Ambetter Ppo | $4,425.83 | ↑ +149% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +151% |
| Blue Cross | All Commercial Plans | $5,149.00 | ↑ +190% |
| Unitedhealthcare | Select/Navigate Hmo | $5,175.00 | ↑ +192% |
| Unitedhealthcare | All Commercial Plans | $5,859.00 | ↑ +230% |
| Healthnet | Ppo/Epo | $7,176.00 | ↑ +304% |
| Healthnet | Hmo/Pos | $7,176.00 | ↑ +304% |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $6,053.19 | $2,166.95 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $813.19 | $247.78 – $1,150.52 |
| Queen of The Valley Medical Center | Napa | $2,435.25 | $2,283.13 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,993.70 | $2,068.15 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $1,763.07 | $2,166.52 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $3,002.37 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,397.33 | $2,237.46 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,796.32 | $1,757.92 – $6,920.00 |