Cystoscopy removal of clots at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$2,063.52
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.
$4,299.00
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.
$3,465.00 with Unitedhealthcare 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $3,465.00 | ↑ +68% |
| Unitedhealthcare | All Commercial Plans | $3,746.00 | ↑ +82% |
| Providence | Oscar All Commercial Plans | $3,853.66 | ↑ +87% |
| Aetna | Gatekeeper Hmo | $4,035.00 | ↑ +96% |
| Aetna | Medicare Managed Care Plan | $4,533.71 | ↑ +120% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,749.87 | ↑ +130% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,349.71 | ↑ +159% |
| Blue Shield | Epn Exchange | $5,605.00 | ↑ +172% |
| Blue Shield | Tandem Ppo | $6,929.00 | ↑ +236% |
| Blue Shield | Hmo/Ppo | $7,704.00 | ↑ +273% |
| Healthnet | Ambetter Hmo | $8,387.37 | ↑ +306% |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | ↑ +384% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +531% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +657% |
Visitor-reported prices
Comments
Cystoscopy removal of clots at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $7,432.74 | $2,570.00 – $4,847.25 |
| Queen of The Valley Medical Center | Napa | $9,328.92 | $5,004.98 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,889.37 | $4,533.71 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $5,524.83 | $3,125.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $4,904.16 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $9,584.94 | $2,995.00 – $5,004.98 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,960.32 | $3,281.00 – $8,387.37 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,407.70 | $1,528.00 – $7,332.00 |