Ghs conjunctiva foreign body-superf bil at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$330.24
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.
$688.00
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.
$145.45 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 | $145.45 | ↓ -56% |
| Aetna | Medicare Managed Care Plan | $171.12 | ↓ -48% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $179.28 | ↓ -46% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $201.92 | ↓ -39% |
| Healthnet | Ambetter Hmo | $316.58 | ↓ -4% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +142% |
| Unitedhealthcare | Select/Navigate Hmo | $1,266.00 | ↑ +283% |
| Blue Shield | Epn Exchange | $1,293.00 | ↑ +292% |
| Unitedhealthcare | All Commercial Plans | $1,358.00 | ↑ +311% |
| Blue Shield | Tandem Ppo | $1,599.00 | ↑ +384% |
| Blue Shield | Hmo/Ppo | $1,778.00 | ↑ +438% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +3840% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +4628% |
Visitor-reported prices
Comments
Ghs conjunctiva foreign body-superf bil at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,016.94 | $179.30 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $55.95 | $21.74 – $127.74 |
| Queen of The Valley Medical Center | Napa | $1,134.75 | $188.91 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $545.19 | $171.12 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $413.61 | $179.26 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $410.04 | $1,333.00 – $8,222.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,144.95 | $185.13 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $466.56 | $145.45 – $1,597.00 |