Aquatic exercise - group charge at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$135.36
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.
$282.00
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.
$16.56 with Providence vs $36.04 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $16.56 | ↓ -88% |
| Aetna | Medicare Managed Care Plan | $19.48 | ↓ -86% |
| Healthnet | Ambetter Hmo | $36.04 | ↓ -73% |
Visitor-reported prices
Comments
Aquatic exercise - group charge at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $467.79 | $1.08 – $274.00 |
| Petaluma Valley Hospital | Petaluma | $215.22 | $18.55 – $18.93 |
| Queen of The Valley Medical Center | Napa | $105.06 | $18.93 – $18.93 |
| Providence St Joseph Hospital Eureka | Eureka | $240.72 | $18.93 – $18.93 |
| Santa Rosa Memorial Hospital | Santa Rosa | $150.45 | $18.55 – $18.93 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $91.68 | $16.56 – $36.04 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $123.20 | $19.27 – $36.04 |
| Providence Saint Joseph Medical Center | Burbank | $104.65 | $19.48 – $37.27 |