Immune complex assay 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.
$18.62 with Blue Cross vs $361.70 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 |
|---|---|---|---|
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.62 | — |
| Providence | Oscar All Commercial Plans | $20.71 | — |
| Aetna | Medicare Managed Care Plan | $24.37 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $38.93 | — |
| Healthnet | Ambetter Hmo | $45.08 | — |
| Unitedhealthcare | Select/Navigate Hmo | $48.74 | — |
| Unitedhealthcare | All Commercial Plans | $48.74 | — |
| Aetna | Gatekeeper Hmo | $199.89 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $301.42 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $361.70 | — |
Visitor-reported prices
Comments
Immune complex assay at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $31.88 | $19.65 – $64.66 |
| Banner Lassen Medical Center | Susanville | $10.19 | $4.87 – $35.74 |
| Arroyo Grande Hospital | Santa Maria | $55.37 | $8.09 – $62.79 |
| Mark Twain Medical Center | San Andreas | $86.16 | $8.76 – $16.17 |
| French Hospital | San Luis Obispo | $50.71 | $4.37 – $73.81 |
| Mercy Hospitals – Bakersfield | Bakersfield | $48.00 | $8.09 – $70.03 |
| Bakersfield Memorial Hospital | Bakersfield | $47.48 | $8.09 – $70.03 |
| St. Joseph's Behavioral Health Center | Stockton | $73.87 | $1.62 – $12.94 |