Consult comp w/report rfrd material at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$659.04
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.
$1,373.00
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.
$98.94 with Unitedhealthcare vs $899.35 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $98.94 | ↓ -85% |
| Unitedhealthcare | Select/Navigate Hmo | $98.94 | ↓ -85% |
| Providence | Oscar All Commercial Plans | $186.26 | ↓ -72% |
| Aetna | Medicare Managed Care Plan | $219.12 | ↓ -67% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $229.57 | ↓ -65% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $258.56 | ↓ -61% |
| Healthnet | Ambetter Hmo | $405.38 | ↓ -38% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $749.46 | ↑ +14% |
| Aetna | Gatekeeper Hmo | $818.68 | ↑ +24% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $899.35 | ↑ +36% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $76.38 | $34.27 – $175.57 |
| Petaluma Valley Hospital | Petaluma | $307.53 | $98.94 – $494.67 |
| Arroyo Grande Hospital | Santa Maria | $271.23 | $145.61 – $621.03 |
| French Hospital | San Luis Obispo | $248.42 | $145.61 – $621.03 |
| Mercy Hospitals – Bakersfield | Bakersfield | $51.20 | $34.50 – $389.84 |
| Bakersfield Memorial Hospital | Bakersfield | $50.65 | $34.50 – $389.84 |
| Queen of The Valley Medical Center | Napa | $402.90 | $98.94 – $625.14 |
| Providence St Joseph Hospital Eureka | Eureka | $226.44 | $98.94 – $708.91 |