Insert hepatic shunt (tips) at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$1,720.80
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.
$3,585.00
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.
$4,188.00 with Blue Shield vs $43,618.46 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $4,188.00 | ↑ +143% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↑ +201% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↑ +235% |
| Unitedhealthcare | Select/Navigate Hmo | $15,005.00 | ↑ +772% |
| Unitedhealthcare | All Commercial Plans | $16,173.00 | ↑ +840% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $17,015.00 | ↑ +889% |
| Aetna | Gatekeeper Hmo | $17,348.00 | ↑ +908% |
| Providence | Oscar All Commercial Plans | $20,040.92 | ↑ +1065% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20,418.00 | ↑ +1087% |
| Aetna | Medicare Managed Care Plan | $23,577.55 | ↑ +1270% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $24,701.69 | ↑ +1335% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $27,821.13 | ↑ +1517% |
| Healthnet | Ambetter Hmo | $43,618.46 | ↑ +2435% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,730.89 | $824.60 – $6,644.04 |
| Arroyo Grande Hospital | Santa Maria | $7,354.33 | $544.88 – $6,198.50 |
| French Hospital | San Luis Obispo | $6,539.35 | $544.88 – $6,309.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10,678.13 | $545.05 – $25,615.98 |
| Bakersfield Memorial Hospital | Bakersfield | $10,563.00 | $545.05 – $28,494.18 |
| St. Joseph's Medical Center Stockton | Stockton | $10,409.37 | $544.88 – $29,457.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $26,842.32 | $2,238.00 – $26,028.38 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $9,475.68 | $5,171.00 – $43,618.46 |