Kidney imag w/bld flow multi at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$1,813.92
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.
$3,779.00
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.
$593.60 with Providence vs $1,898.92 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 | $593.60 | ↓ -67% |
| Aetna | Medicare Managed Care Plan | $698.35 | ↓ -62% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $731.65 | ↓ -60% |
| Unitedhealthcare | All Commercial Plans | $755.17 | ↓ -58% |
| Unitedhealthcare | Select/Navigate Hmo | $755.17 | ↓ -58% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $824.04 | ↓ -55% |
| Healthnet | Ambetter Hmo | $1,291.95 | ↓ -29% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,582.43 | ↓ -13% |
| Aetna | Gatekeeper Hmo | $1,696.75 | ↓ -6% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,898.92 | ↑ +5% |
Visitor-reported prices
Comments
Kidney imag w/bld flow multi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,047.22 | $396.32 – $3,645.72 |
| Banner Lassen Medical Center | Susanville | $1,328.58 | $107.65 – $1,920.60 |
| Arroyo Grande Hospital | Santa Maria | $2,906.98 | $261.96 – $5,747.70 |
| Mark Twain Medical Center | San Andreas | $5,696.97 | $261.96 – $3,948.42 |
| French Hospital | San Luis Obispo | $2,323.39 | $261.96 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,251.76 | $261.96 – $2,699.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,238.26 | $261.96 – $2,665.46 |
| Queen of The Valley Medical Center | Napa | $3,581.22 | $755.17 – $1,319.94 |