Colonoscopy w/control bleed at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$1,891.20
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.
$3,940.00
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.
$1,308.22 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 | $1,308.22 | ↓ -31% |
| Aetna | Medicare Managed Care Plan | $1,539.08 | ↓ -19% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,612.46 | ↓ -15% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,816.09 | ↓ -4% |
| Healthnet | Ambetter Hmo | $2,847.30 | ↑ +51% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +83% |
| Unitedhealthcare | Select/Navigate Hmo | $3,465.00 | ↑ +83% |
| Unitedhealthcare | All Commercial Plans | $3,746.00 | ↑ +98% |
| Aetna | Gatekeeper Hmo | $4,035.00 | ↑ +113% |
| Blue Shield | Epn Exchange | $5,605.00 | ↑ +196% |
| Blue Shield | Tandem Ppo | $6,929.00 | ↑ +266% |
| Blue Shield | Hmo/Ppo | $7,704.00 | ↑ +307% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +588% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +726% |
Visitor-reported prices
Comments
Colonoscopy w/control bleed at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,241.96 | $1,612.61 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $652.02 | $253.27 – $959.42 |
| Queen of The Valley Medical Center | Napa | $2,101.71 | $1,699.06 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,652.40 | $1,539.08 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,104.66 | $1,612.29 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $1,657.50 | $6,127.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,101.71 | $1,665.08 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,591.52 | $1,308.22 – $6,920.00 |