Lig/band angioaccess av fistula at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$2,718.72
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.
$5,664.00
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.
$3,451.89 with Providence vs $18,394.00 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 | $3,451.89 | ↑ +27% |
| Aetna | Medicare Managed Care Plan | $4,061.05 | ↑ +49% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,254.67 | ↑ +56% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,791.97 | ↑ +76% |
| Blue Shield | Epn Exchange | $6,405.00 | ↑ +136% |
| Healthnet | Ambetter Hmo | $7,512.94 | ↑ +176% |
| Blue Shield | Tandem Ppo | $7,919.00 | ↑ +191% |
| Unitedhealthcare | Select/Navigate Hmo | $8,335.00 | ↑ +207% |
| Aetna | Gatekeeper Hmo | $8,741.00 | ↑ +222% |
| Blue Shield | Hmo/Ppo | $8,804.00 | ↑ +224% |
| Unitedhealthcare | All Commercial Plans | $8,987.00 | ↑ +231% |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | ↑ +267% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $15,328.00 | ↑ +464% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $18,394.00 | ↑ +577% |
Visitor-reported prices
Comments
Lig/band angioaccess av fistula at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital Eureka | Eureka | $4,488.00 | $4,061.05 – $17,611.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,006.88 | $3,451.89 – $7,908.00 |
| Mercy Medical Center Merced | Merced | $5,127.34 | $312.72 – $9,856.44 |
| Providence St Joseph Hospital Orange | Orange | $2,976.96 | $3,451.89 – $9,230.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $384.65 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $312.72 – $3,999.21 |
| Mark Twain Medical Center | San Andreas | not published | $312.72 – $312.72 |