Aspirate pleura without imaging 32554 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$513.12
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.
$1,069.00
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.
$685.79 with Providence vs $15,614.00 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 | $685.79 | ↑ +34% |
| Aetna | Medicare Managed Care Plan | $806.82 | ↑ +57% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $845.28 | ↑ +65% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $952.03 | ↑ +86% |
| Healthnet | Ambetter Hmo | $1,492.61 | ↑ +191% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +290% |
| Unitedhealthcare | Select/Navigate Hmo | $2,001.00 | ↑ +290% |
| Unitedhealthcare | All Commercial Plans | $2,158.00 | ↑ +321% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +555% |
| Blue Shield | Epn Exchange | $4,188.00 | ↑ +716% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↑ +909% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↑ +1022% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +2436% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +2943% |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $580.35 | $104.57 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $976.14 | $845.36 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $2,108.56 | $63.13 – $239.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $619.20 | $85.02 – $1,335.20 |
| Bakersfield Memorial Hospital | Bakersfield | $612.53 | $85.02 – $1,318.51 |
| Queen of The Valley Medical Center | Napa | $4,047.87 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,978.73 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $2,204.22 | $845.19 – $3,982.87 |