Ghs cutdown placement age 1 and over at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$391.20
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.
$815.00
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.
$488.38 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 | $488.38 | ↑ +25% |
| Aetna | Medicare Managed Care Plan | $574.56 | ↑ +47% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $601.96 | ↑ +54% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $677.97 | ↑ +73% |
| Healthnet | Ambetter Hmo | $1,062.94 | ↑ +172% |
| Unitedhealthcare | Select/Navigate Hmo | $1,266.00 | ↑ +224% |
| Unitedhealthcare | All Commercial Plans | $1,358.00 | ↑ +247% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +411% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +760% |
| Blue Shield | Epn Exchange | $4,188.00 | ↑ +971% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↑ +1224% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↑ +1372% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +3226% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +3891% |
Visitor-reported prices
Comments
Ghs cutdown placement age 1 and over at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $498.01 | $84.60 – $947.70 |
| Petaluma Valley Hospital | Petaluma | $764.49 | $602.01 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $412.60 | $68.78 – $944.72 |
| Mark Twain Medical Center | San Andreas | $49.95 | $19.41 – $73.50 |
| French Hospital | San Luis Obispo | $377.89 | $68.78 – $944.72 |
| Queen of The Valley Medical Center | Napa | $850.17 | $634.29 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $855.27 | $574.56 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $464.10 | $601.89 – $3,982.87 |