Debrid/rmv fgn bdy/open fx/skin/sq 11010 at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$602.00
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.
$1,720.00
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.
$910.78 with Aetna vs $4,184.00 with Blue Shield — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $910.78 | ↑ +51% |
| Humana | Medicare Managed Care Plan | $928.99 | ↑ +54% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $954.20 | ↑ +59% |
| Central Health Plan | Medicare Managed Care Plan | $1,001.85 | ↑ +66% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,074.70 | ↑ +79% |
| La Care Health Plan | Exchange | $1,184.01 | ↑ +97% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +147% |
| Blue Shield | Medicare Managed Care Plan | $1,528.00 | ↑ +154% |
| Healthnet | Ambetter Hmo | $1,684.94 | ↑ +180% |
| Unitedhealthcare | Select/Navigate Hmo | $1,807.00 | ↑ +200% |
| Healthnet | Ambetter Ppo | $1,949.06 | ↑ +224% |
| Unitedhealthcare | All Commercial Plans | $2,047.00 | ↑ +240% |
| Healthnet | Hmo/Pos | $2,391.00 | ↑ +297% |
| Healthnet | Ppo/Epo | $2,391.00 | ↑ +297% |
| Cigna | Ppo | $3,452.00 | ↑ +473% |
| Cigna | Oap Hmo/Pos | $3,452.00 | ↑ +473% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,511.00 | ↑ +483% |
| Blue Cross | All Commercial Plans | $3,623.00 | ↑ +502% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,763.00 | ↑ +525% |
| Blue Shield | Hmo/Ppo/Epo | $4,184.00 | ↑ +595% |
Visitor-reported prices
Comments
Debrid/rmv fgn bdy/open fx/skin/sq 11010 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,313.76 | $954.29 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $508.83 | $197.65 – $748.72 |
| Queen of The Valley Medical Center | Napa | $1,461.15 | $1,005.45 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,469.82 | $910.78 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $797.64 | $954.10 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $868.02 | $3,331.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,358.64 | $985.34 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,152.96 | $774.16 – $6,920.00 |