Analysis tumor at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
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.
$186.26 with Providence vs $486.90 with Blue Cross — 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $186.26 | — |
| Aetna | Medicare Managed Care Plan | $219.12 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $229.57 | — |
| Aetna | Gatekeeper Hmo | $240.54 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $258.56 | — |
| Unitedhealthcare | All Commercial Plans | $287.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $287.00 | — |
| Healthnet | Ambetter Hmo | $405.38 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $405.75 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $486.90 | — |
Visitor-reported prices
Comments
Analysis tumor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $61.34 | $23.83 – $92.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $46.77 | $63.03 – $264.51 |
| Bakersfield Memorial Hospital | Bakersfield | $46.27 | $63.03 – $264.51 |
| St. Joseph's Behavioral Health Center | Stockton | $71.99 | $12.61 – $100.85 |
| St. Joseph's Medical Center Stockton | Stockton | $37.07 | $26.48 – $126.06 |
| Mercy Medical Center Merced | Merced | $64.93 | $75.64 – $138.67 |
| Petaluma Valley Hospital | Petaluma | not published | $173.43 – $287.00 |
| Queen of The Valley Medical Center | Napa | not published | $241.90 – $338.44 |