Ph1 assmt&mgmt nqhp 11-20 at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
not published by hospital
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.
not published by hospital
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.
$20.64 with Aetna vs $44.17 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $20.64 | — |
| Humana | Medicare Managed Care Plan | $21.05 | — |
| Central Health Plan | Medicare Managed Care Plan | $22.70 | — |
| La Care Health Plan | Exchange | $26.83 | — |
| Healthnet | Ambetter Hmo | $38.18 | — |
| Healthnet | Ambetter Ppo | $44.17 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Saint John's Health Center | Santa Monica | $3.10 | not published |
| Queen of The Valley Medical Center | Napa | not published | $20.27 – $20.27 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $19.86 – $20.27 |
| St Jude Medical Center | Fullerton | not published | $17.54 – $38.18 |
| Providence St Joseph Hospital Orange | Orange | not published | $17.54 – $38.18 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $20.64 – $38.18 |
| Providence Little Company of Mary Med Center Torrance | Torrance | not published | $20.64 – $38.18 |