Contrast x-ray of knee joint at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$610.08
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.
$1,271.00
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.
$381.40 with Providence vs $1,112.68 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 | $381.40 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $448.71 | ↓ -26% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $470.10 | ↓ -23% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $529.47 | ↓ -13% |
| Aetna | Gatekeeper Hmo | $589.53 | ↓ -3% |
| Unitedhealthcare | All Commercial Plans | $610.96 | ↑ +0% |
| Unitedhealthcare | Select/Navigate Hmo | $610.96 | ↑ +0% |
| Healthnet | Ambetter Hmo | $830.11 | ↑ +36% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $927.23 | ↑ +52% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,112.68 | ↑ +82% |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $853.23 | $150.22 – $1,782.69 |
| Banner Lassen Medical Center | Susanville | $747.65 | $114.21 – $684.82 |
| Queen of The Valley Medical Center | Napa | $1,195.44 | $495.35 – $773.42 |
| Providence St Joseph Hospital Eureka | Eureka | $1,026.12 | $448.71 – $877.06 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,481.04 | $485.45 – $657.99 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $697.92 | $381.40 – $830.11 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $587.30 | $230.94 – $1,229.72 |
| Providence Saint Joseph Medical Center | Burbank | $812.70 | $187.11 – $1,225.18 |