Cystostomy cystotomy w/drainage 51040 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$14,960.64
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.
$31,168.00
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.
$2,285.30 with Providence vs $20,418.00 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 | $2,285.30 | ↓ -85% |
| Aetna | Medicare Managed Care Plan | $2,688.58 | ↓ -82% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,816.77 | ↓ -81% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,172.48 | ↓ -79% |
| Unitedhealthcare | Select/Navigate Hmo | $4,932.00 | ↓ -67% |
| Healthnet | Ambetter Hmo | $4,973.88 | ↓ -67% |
| Unitedhealthcare | All Commercial Plans | $5,319.00 | ↓ -64% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↓ -60% |
| Blue Shield | Epn Exchange | $7,920.00 | ↓ -47% |
| Blue Shield | Tandem Ppo | $9,792.00 | ↓ -35% |
| Blue Shield | Hmo/Ppo | $10,887.00 | ↓ -27% |
| Aetna | Gatekeeper Hmo | $11,564.00 | ↓ -23% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $17,015.00 | ↑ +14% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20,418.00 | ↑ +36% |
Visitor-reported prices
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Cystostomy cystotomy w/drainage 51040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,776.04 | $2,817.02 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $5,395.80 | $2,968.05 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,584.28 | $2,688.58 – $11,046.00 |
| Healdsburg Hospital | Healdsburg | $1,892.10 | $2,816.47 – $6,323.17 |
| Redwood Memorial Hospital | Fortuna | $2,365.38 | $9,858.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,674.99 | $2,908.69 – $9,773.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,086.72 | $2,285.30 – $9,779.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,485.35 | $2,160.00 – $5,080.00 |