Gi tract capsule endoscopy (pillcam) 91110 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$1,266.72
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.
$2,639.00
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.
$991.55 with Providence vs $11,182.71 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 | $991.55 | ↓ -22% |
| Aetna | Medicare Managed Care Plan | $1,166.53 | ↓ -8% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,222.15 | ↓ -4% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,376.49 | ↑ +9% |
| Healthnet | Ambetter Hmo | $2,158.09 | ↑ +70% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +173% |
| Unitedhealthcare | Select/Navigate Hmo | $3,465.00 | ↑ +174% |
| Unitedhealthcare | All Commercial Plans | $3,746.00 | ↑ +196% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9,318.91 | ↑ +636% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11,182.71 | ↑ +783% |
Visitor-reported prices
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Gi tract capsule endoscopy (pillcam) 91110 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $2,203.00 | $922.94 – $4,750.40 |
| Bakersfield Memorial Hospital | Bakersfield | $2,179.25 | $922.94 – $4,691.02 |
| St. Joseph's Medical Center Stockton | Stockton | $1,274.79 | $804.29 – $3,642.24 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $815.52 | $991.55 – $3,281.00 |
| Mercy Medical Center Merced | Merced | $2,254.16 | $922.94 – $4,333.23 |
| Dominican Hospital | Santa Cruz | $2,347.65 | $922.94 – $4,434.45 |
| St. Mary Medical Center | Long Beach | $993.30 | $577.50 – $5,100.35 |
| Providence Saint Joseph Medical Center | Burbank | $1,729.35 | $1,166.53 – $3,245.22 |