Bilateral n blobk inj pudendal 64430 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$521.28
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.
$1,086.00
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.
$966.94 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 | $966.94 | ↑ +85% |
| Aetna | Medicare Managed Care Plan | $1,137.58 | ↑ +118% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,191.82 | ↑ +129% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,342.33 | ↑ +158% |
| Unitedhealthcare | Select/Navigate Hmo | $2,001.00 | ↑ +284% |
| Healthnet | Ambetter Hmo | $2,104.52 | ↑ +304% |
| Unitedhealthcare | All Commercial Plans | $2,158.00 | ↑ +314% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +545% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +564% |
| Blue Shield | Epn Exchange | $4,188.00 | ↑ +703% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↑ +893% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↑ +1004% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +2396% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +2895% |
Visitor-reported prices
Comments
Bilateral n blobk inj pudendal 64430 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,725.84 | $1,191.92 – $2,695.00 |
| Queen of The Valley Medical Center | Napa | $2,962.59 | $1,255.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,929.84 | $1,137.58 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,047.03 | $1,191.69 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,139.85 | $5,981.00 – $20,799.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,523.81 | $80.31 – $2,177.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,845.69 | $1,230.71 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,874.40 | $966.94 – $5,171.00 |