Anal/urinary muscle study at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$433.44
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.
?
What you pay up front if you don't use insurance.
$903.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$140.67 with Providence vs $15,614.00 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $140.67 | ↓ -68% |
| Aetna | Medicare Managed Care Plan | $165.49 | ↓ -62% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $173.39 | ↓ -60% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $195.28 | ↓ -55% |
| Healthnet | Ambetter Hmo | $306.17 | ↓ -29% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +84% |
| Unitedhealthcare | Select/Navigate Hmo | $1,266.00 | ↑ +192% |
| Blue Shield | Epn Exchange | $1,293.00 | ↑ +198% |
| Unitedhealthcare | All Commercial Plans | $1,358.00 | ↑ +213% |
| Blue Shield | Tandem Ppo | $1,599.00 | ↑ +269% |
| Blue Shield | Hmo/Ppo | $1,778.00 | ↑ +310% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +2902% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +3502% |
Visitor-reported prices
Comments
Anal/urinary muscle study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| California Hospital Medical Center | Los Angeles | $90.70 | $46.75 – $656.60 |
| Providence St Joseph Hospital Orange | Orange | $353.28 | $140.67 – $1,535.00 |
| Providence Saint John's Health Center | Santa Monica | $469.35 | $165.49 – $1,487.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $102.47 – $365.02 |
| Petaluma Valley Hospital | Petaluma | not published | $173.40 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $83.31 – $198.80 |
| Mark Twain Medical Center | San Andreas | not published | $83.31 – $83.31 |
| French Hospital | San Luis Obispo | not published | $83.31 – $198.80 |