Gu dilat ureter/urethra s&i at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
not published by hospital
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.
not published by hospital
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.
$478.86 with Aetna vs $4,973.88 with Healthnet — 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 |
|---|---|---|---|
| Aetna | Gatekeeper Hmo | $478.86 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,114.32 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,337.19 | — |
| Providence | Oscar All Commercial Plans | $2,285.30 | — |
| Aetna | Medicare Managed Care Plan | $2,688.58 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,816.77 | — |
| Unitedhealthcare | All Commercial Plans | $2,834.48 | — |
| Unitedhealthcare | Select/Navigate Hmo | $2,834.48 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,172.48 | — |
| Healthnet | Ambetter Hmo | $4,973.88 | — |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,996.41 | $180.15 – $8,667.96 |
| Arroyo Grande Hospital | Santa Maria | $3,239.11 | $119.07 – $8,417.40 |
| French Hospital | San Luis Obispo | $2,966.66 | $119.07 – $9,895.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,023.44 | $119.07 – $9,387.82 |
| Bakersfield Memorial Hospital | Bakersfield | $1,668.02 | $119.07 – $9,387.82 |
| St. Joseph's Medical Center Stockton | Stockton | $1,140.43 | $119.07 – $3,879.00 |
| Mercy Medical Center Merced | Merced | $2,433.38 | $119.07 – $4,441.50 |
| Dominican Hospital | Santa Cruz | $2,123.10 | $119.07 – $29,252.78 |