Debr musc/fascia 20sq cm/< 11043 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$824.64
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.
$1,718.00
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.
$807.98 with Providence 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $807.98 | ↓ -2% |
| Aetna | Medicare Managed Care Plan | $950.57 | ↑ +15% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $995.89 | ↑ +21% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,121.66 | ↑ +36% |
| Unitedhealthcare | Select/Navigate Hmo | $1,266.00 | ↑ +54% |
| Unitedhealthcare | All Commercial Plans | $1,358.00 | ↑ +65% |
| Healthnet | Ambetter Hmo | $1,758.55 | ↑ +113% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +142% |
| Aetna | Gatekeeper Hmo | $4,035.00 | ↑ +389% |
| Blue Shield | Epn Exchange | $5,605.00 | ↑ +580% |
| Blue Shield | Tandem Ppo | $6,929.00 | ↑ +740% |
| Blue Shield | Hmo/Ppo | $7,704.00 | ↑ +834% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +1478% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +1793% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $870.98 | $179.86 – $1,994.30 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |
| Queen of The Valley Medical Center | Napa | $910.35 | $1,049.38 – $7,483.00 |