Ghs eye exam at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$88.20
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.
$252.00
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.
$161.01 with Blue Shield vs $366.44 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 | $161.01 | ↑ +83% |
| Blue Shield | Epn/Ifp Benefit Exchange | $164.21 | ↑ +86% |
| Aetna | Medicare Managed Care Plan | $171.24 | ↑ +94% |
| Humana | Medicare Managed Care Plan | $174.66 | ↑ +98% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $176.56 | ↑ +100% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $179.40 | ↑ +103% |
| Central Health Plan | Medicare Managed Care Plan | $188.36 | ↑ +114% |
| Blue Shield | Hmo/Ppo/Epo | $195.77 | ↑ +122% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $202.06 | ↑ +129% |
| La Care Health Plan | Exchange | $222.61 | ↑ +152% |
| Healthnet | Ambetter Hmo | $316.79 | ↑ +259% |
| Healthnet | Ambetter Ppo | $366.44 | ↑ +315% |
Visitor-reported prices
Comments
Ghs eye exam at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $320.79 | not published |
| Queen of The Valley Medical Center | Napa | $235.62 | $189.04 – $189.04 |
| Providence St Joseph Hospital Eureka | Eureka | $221.34 | $171.24 – $171.24 |
| Healdsburg Hospital | Healdsburg | $160.65 | $179.38 – $179.38 |
| Redwood Memorial Hospital | Fortuna | $185.64 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $234.60 | $185.25 – $189.04 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $67.68 | $145.55 – $316.79 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $79.80 | $83.25 – $316.79 |