Lb with mastopexy 15839 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$7,761.60
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.
$16,170.00
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.
$3,175.56 with Providence vs $15,614.00 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 | $3,175.56 | ↓ -59% |
| Unitedhealthcare | Select/Navigate Hmo | $3,465.00 | ↓ -55% |
| Aetna | Medicare Managed Care Plan | $3,735.95 | ↓ -52% |
| Unitedhealthcare | All Commercial Plans | $3,746.00 | ↓ -52% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,914.07 | ↓ -50% |
| Blue Shield | Epn Exchange | $4,188.00 | ↓ -46% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,408.36 | ↓ -43% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↓ -33% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↓ -26% |
| Healthnet | Ambetter Hmo | $6,911.51 | ↓ -11% |
| Aetna | Gatekeeper Hmo | $8,741.00 | ↑ +13% |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | ↑ +29% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +68% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +101% |
Visitor-reported prices
Comments
Lb with mastopexy 15839 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,259.12 | $1,921.00 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $5,692.11 | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,083.17 | $3,735.95 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $2,635.17 | $2,335.00 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $3,294.09 | $5,981.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,628.87 | $2,238.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,668.96 | $3,175.56 – $6,911.51 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,290.70 | $1,142.00 – $6,911.51 |