Adjmt/revj ext fixj sys anes at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$4,896.96
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.
$10,202.00
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.
$6,405.00 with Blue Shield vs $21,313.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $6,405.00 | ↑ +31% |
| Blue Shield | Tandem Ppo | $7,919.00 | ↑ +62% |
| Providence | Oscar All Commercial Plans | $7,932.80 | ↑ +62% |
| Unitedhealthcare | Select/Navigate Hmo | $8,335.00 | ↑ +70% |
| Aetna | Gatekeeper Hmo | $8,741.00 | ↑ +78% |
| Blue Shield | Hmo/Ppo | $8,804.00 | ↑ +80% |
| Unitedhealthcare | All Commercial Plans | $8,987.00 | ↑ +84% |
| Aetna | Medicare Managed Care Plan | $9,332.70 | ↑ +91% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $9,777.67 | ↑ +100% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11,012.44 | ↑ +125% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +166% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +219% |
| Healthnet | Ambetter Hmo | $17,265.50 | ↑ +253% |
| Healthnet | Hmo/Pos/Ppo | $21,313.00 | ↑ +335% |
Visitor-reported prices
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Adjmt/revj ext fixj sys anes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $13,465.53 | $2,937.00 – $11,185.00 |
| Queen of The Valley Medical Center | Napa | $14,575.80 | $6,200.00 – $35,965.00 |
| Providence St Joseph Hospital Eureka | Eureka | $13,017.24 | $8,018.00 – $35,965.00 |
| Healdsburg Hospital | Healdsburg | $6,746.79 | $3,572.00 – $9,776.62 |
| Redwood Memorial Hospital | Fortuna | $8,433.87 | $8,222.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,413.11 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,265.28 | $5,357.00 – $17,265.50 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $5,127.85 | $1,747.00 – $16,065.00 |