Av fistula revision at Providence St Joseph Hospital Eureka
2700 Dolbeer St, Eureka, CA · Providence · · NPI 1609858950
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.
$7,156.86 with Aetna vs $47,967.00 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 | $7,156.86 | — |
| Blue Shield | Hmo/Pos/Ppo | $11,036.00 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $11,046.00 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,255.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $24,039.00 | — |
| Unitedhealthcare | All Commercial Plans | $26,891.00 | — |
| Healthnet | Hmo/Pos/Ppo | $27,307.00 | — |
| Aetna | Hmo/Ppo | $47,967.00 | — |
Visitor-reported prices
Comments
Av fistula revision at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $12,334.42 | $1,064.00 – $15,536.92 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,105.40 | $2,160.00 – $12,111.00 |
| Providence St Joseph Hospital Orange | Orange | $8,983.20 | $6,083.33 – $13,240.19 |
| Mercy Medical Center Redding | Redding | $8,311.26 | $1,243.94 – $16,065.14 |
| St. John's Camarillo Hospital | Camarillo | not published | $769.83 – $12,900.80 |
| Petaluma Valley Hospital | Petaluma | not published | $3,632.00 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $625.88 – $6,868.48 |
| Mark Twain Medical Center | San Andreas | not published | $625.88 – $625.88 |