Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$10,403.27
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.
$21,673.48
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.
$3.22 with Providence vs $11.21 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 | $3.22 | ↓ -100% |
| Aetna | Medicare Managed Care Plan | $3.79 | ↓ -100% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $5.53 | ↓ -100% |
| Cigna | Network/Open Access Plus Benefit Plans Hmo/Pos | $5.68 | ↓ -100% |
| Cigna | All Other Ppo | $5.68 | ↓ -100% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $6.23 | ↓ -100% |
| Healthnet | Ambetter Hmo | $7.01 | ↓ -100% |
| Unitedhealthcare | All Commercial Plans | $8.56 | ↓ -100% |
| Unitedhealthcare | Select/Navigate Hmo | $8.56 | ↓ -100% |
| Aetna | Gatekeeper Hmo | $8.97 | ↓ -100% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11.21 | ↓ -100% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11.21 | ↓ -100% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $7,061.16 | $2,742.83 – $10,390.29 |
| Dominican Hospital | Santa Cruz | $13,244.85 | $6.16 – $7,061.34 |
| Sierra Nevada Memorial Hospital | Grass Valley | $7,017.97 | $4.76 – $12,619.46 |
| Mercy Medical Center Redding | Redding | $3,949.53 | $5.70 – $5,408.62 |
| St. Bernardine Medical Center | San Bernardino | $6,713.95 | $5.70 – $16,532.84 |
| Woodland Memorial Hospital | Woodland | $4,032.46 | $5.56 – $14,717.00 |
| Providence Holy Cross Medical Center | Mission Hills | $21,240.01 | $3.79 – $15.30 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $18,720.11 | $3.79 – $15.30 |