Quant diff pulm perf w/imaging at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$1,463.00
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.
$4,180.00
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.
$278.05 with Aetna vs $1,434.70 with Cigna — 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 | Aco Other Commercial Plan | $278.05 | ↓ -81% |
| Aetna | All Commercial Plans | $350.03 | ↓ -76% |
| Aetna | Medicare Managed Care Plan | $514.17 | ↓ -65% |
| Humana | Medicare Managed Care Plan | $524.46 | ↓ -64% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $538.69 | ↓ -63% |
| Central Health Plan | Medicare Managed Care Plan | $565.59 | ↓ -61% |
| Unitedhealthcare | Select/Navigate Hmo | $589.01 | ↓ -60% |
| Unitedhealthcare | All Commercial Plans | $589.01 | ↓ -60% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $606.72 | ↓ -59% |
| La Care Health Plan | Exchange | $668.42 | ↓ -54% |
| Blue Shield | Medicare Managed Care Plan | $777.79 | ↓ -47% |
| Blue Shield | Epn/Ifp Benefit Exchange | $793.26 | ↓ -46% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $852.92 | ↓ -42% |
| Blue Shield | Hmo/Ppo/Epo | $945.72 | ↓ -35% |
| Healthnet | Ambetter Hmo | $951.22 | ↓ -35% |
| Healthnet | Ambetter Ppo | $1,100.33 | ↓ -25% |
| Blue Cross | All Commercial Plans | $1,192.67 | ↓ -18% |
| Cigna | Ppo | $1,434.70 | ↓ -2% |
| Cigna | Oap Hmo/Pos | $1,434.70 | ↓ -2% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,588.31 | $177.59 – $3,463.32 |
| Mark Twain Medical Center | San Andreas | $3,372.63 | $177.59 – $4,848.06 |
| French Hospital | San Luis Obispo | $1,267.73 | $177.59 – $2,083.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $279.00 | $177.59 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $275.99 | $177.59 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $207.86 | $111.51 – $531.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $987.84 | $437.05 – $951.22 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $414.68 | $127.92 – $533.00 |