Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Providence St Joseph Hospital Eureka
2700 Dolbeer St, Eureka, CA · Providence · · NPI 1609858950
$8,347.17
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.
$16,367.00
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.
$394.79 with Aetna vs $21,319.00 with Aetna — 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 | $394.79 | ↓ -95% |
| Healthnet | Hmo/Pos/Ppo | $1,333.00 | ↓ -84% |
| Blue Shield | Hmo/Pos/Ppo | $1,802.00 | ↓ -78% |
| Unitedhealthcare | Select/Navigate Hmo | $2,699.00 | ↓ -68% |
| Unitedhealthcare | All Commercial Plans | $3,019.00 | ↓ -64% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $8,018.00 | ↓ -4% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $9,622.00 | ↑ +15% |
| Aetna | Hmo/Ppo | $21,319.00 | ↑ +155% |
Visitor-reported prices
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Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $454.65 | $55.69 – $682.44 |
| Petaluma Valley Hospital | Petaluma | $1,317.84 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $439.13 | $45.28 – $1,005.48 |
| French Hospital | San Luis Obispo | $370.05 | $45.28 – $876.12 |
| Bakersfield Memorial Hospital | Bakersfield | $345.35 | $45.28 – $743.39 |
| Queen of The Valley Medical Center | Napa | $2,007.36 | $435.83 – $6,200.00 |
| Healdsburg Hospital | Healdsburg | $349.86 | $413.57 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,389.75 | $1,333.00 – $20,799.00 |