Ghs urine, porphyrins quant at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$63.00
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.
?
What you pay up front if you don't use insurance.
$131.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.50 with Providence vs $218.32 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.50 | ↓ -80% |
| Aetna | Medicare Managed Care Plan | $14.71 | ↓ -77% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $21.70 | ↓ -66% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $23.50 | ↓ -63% |
| Healthnet | Ambetter Hmo | $27.21 | ↓ -57% |
| Unitedhealthcare | All Commercial Plans | $29.42 | ↓ -53% |
| Unitedhealthcare | Select/Navigate Hmo | $29.42 | ↓ -53% |
| Aetna | Gatekeeper Hmo | $120.65 | ↑ +92% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $181.93 | ↑ +189% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $218.32 | ↑ +247% |
Visitor-reported prices
Comments
Ghs urine, porphyrins quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11.39 | $6.48 – $39.02 |
| Banner Lassen Medical Center | Susanville | $7.51 | $2.94 – $21.58 |
| Petaluma Valley Hospital | Petaluma | $66.94 | $14.42 – $120.08 |
| Arroyo Grande Hospital | Santa Maria | $11.13 | $12.00 – $37.90 |
| Mark Twain Medical Center | San Andreas | $15.99 | $13.00 – $23.52 |
| French Hospital | San Luis Obispo | $10.20 | $6.48 – $44.55 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9.65 | $8.50 – $42.26 |
| Bakersfield Memorial Hospital | Bakersfield | $9.55 | $8.50 – $42.26 |