Crtj pericardial window/prtl resecj w/drg/bx at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$15,565.44
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.
$32,428.00
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.
$4,188.00 with Blue Shield vs $22,145.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $4,188.00 | ↓ -73% |
| Unitedhealthcare | Select/Navigate Hmo | $4,932.00 | ↓ -68% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↓ -67% |
| Unitedhealthcare | All Commercial Plans | $5,319.00 | ↓ -66% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↓ -63% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $18,454.00 | ↑ +19% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $22,145.00 | ↑ +42% |
Visitor-reported prices
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Crtj pericardial window/prtl resecj w/drg/bx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,335.68 | $4,666.00 – $16,338.00 |
| Providence St Joseph Hospital Orange | Orange | $12,468.00 | $4,971.00 – $17,143.00 |
| Providence Holy Cross Medical Center | Mission Hills | $9,135.35 | $1,142.00 – $7,953.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $1,093.53 – $1,911.46 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $889.05 – $1,401.45 |
| Mark Twain Medical Center | San Andreas | not published | $889.05 – $889.05 |
| French Hospital | San Luis Obispo | not published | $889.05 – $1,401.45 |