Tomosynthesis breast diagnostic left at Providence Saint Joseph Medical Center
501 S Buena Vista, Burbank, CA · Providence · · NPI 1336173269
$17.15
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.
$49.00
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.
$14.80 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 | $14.80 | ↓ -14% |
| Humana | Medicare Managed Care Plan | $15.10 | ↓ -12% |
| Central Health Plan | Medicare Managed Care Plan | $16.28 | ↓ -5% |
| La Care Health Plan | Exchange | $19.24 | ↑ +12% |
| Healthnet | Ambetter Hmo | $27.38 | ↑ +60% |
| Healthnet | Ambetter Ppo | $31.67 | ↑ +85% |
| Unitedhealthcare | All Commercial Plans | $40.42 | ↑ +136% |
| Unitedhealthcare | Select/Navigate Hmo | $40.42 | ↑ +136% |
| Cigna | Ppo | $49.01 | ↑ +186% |
| Cigna | Oap Hmo/Pos | $49.01 | ↑ +186% |
| Blue Cross | All Commercial Plans | $195.19 | ↑ +1038% |
| Blue Shield | Medicare Managed Care Plan | $1,528.00 | ↑ +8810% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,511.00 | ↑ +20372% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,763.00 | ↑ +21842% |
| Blue Shield | Hmo/Ppo/Epo | $4,184.00 | ↑ +24297% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $134.40 | $22.00 – $22.00 |
| Santa Clara Medical Center | SANTA CLARA | $134.40 | $22.00 – $22.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $74.36 | $13.00 – $13.00 |
| Riverside Medical Center | RIVERSIDE | $74.36 | $13.00 – $13.00 |
| Banner Lassen Medical Center | Susanville | $47.91 | $23.78 – $78.41 |
| Sacramento Medical Center | SACRAMENTO | $134.40 | $22.00 – $22.00 |
| Oakland Medical Center | Oakland | $134.40 | $22.00 – $22.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $134.40 | $22.00 – $22.00 |