Change of windpipe airway 31502 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$198.24
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.
$413.00
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.
$258.93 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 | $258.93 | ↑ +31% |
| Aetna | Medicare Managed Care Plan | $304.63 | ↑ +54% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $319.15 | ↑ +61% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $359.46 | ↑ +81% |
| Healthnet | Ambetter Hmo | $563.56 | ↑ +184% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +303% |
| Unitedhealthcare | Select/Navigate Hmo | $1,266.00 | ↑ +539% |
| Blue Shield | Epn Exchange | $1,293.00 | ↑ +552% |
| Unitedhealthcare | All Commercial Plans | $1,358.00 | ↑ +585% |
| Blue Shield | Tandem Ppo | $1,599.00 | ↑ +707% |
| Blue Shield | Hmo/Ppo | $1,778.00 | ↑ +797% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +1596% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +6464% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +7776% |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $201.92 | $90.12 – $521.66 |
| Petaluma Valley Hospital | Petaluma | $471.24 | $319.18 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $323.14 | $59.57 – $739.90 |
| French Hospital | San Luis Obispo | $245.40 | $59.57 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $520.15 | $59.57 – $1,233.76 |
| Bakersfield Memorial Hospital | Bakersfield | $514.54 | $59.57 – $12,607.00 |
| Queen of The Valley Medical Center | Napa | $1,080.18 | $336.29 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $676.77 | $304.63 – $8,018.00 |